HCPCS G0130-TC
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Single energy x-ray study
Low
$65
Average
$126
Median
$100
High
$197
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
5 payers; the 90th percentile is 2.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 11 | $295 | $264 | $92 | 35% | — | $61 – $337 |
| 2 | Aetna facility · fee schedule · outpatient · +1 other terms | 7 | $25 | $47 | $28 | 59% | — | $22 – $79 |
| 3 | Anthem facility · fee schedule · outpatient · +1 other terms | 5 | $516 | $415 | $191 | 46% | — | $43 – $516 |
| 4 | Humana fee schedule · outpatient | 4 | $100 | $100 | $8 | 8% | — | $88 – $108 |
| 5 | Blue Cross Blue Shield facility · fee schedule · outpatient | 2 | $68 | $65 | $6 | 10% | — | $56 – $74 |
← Hospitals reporting HCPCS G0130-TC · Snapshot 20261115T194459Z-975ba28a