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
$61
Average
$227
Median
$295
High
$337
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 3.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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18 hospital rates
iThe hospitals that file a UnitedHealthcare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 2 | $103 | $103 | $1 | 1% | — | $102 – $104 |
| 2 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 2 | $188 | $188 | — | — | — | $188 – $188 |
| 3 | Fairview Health Services Princeton, MN fee schedule · outpatient | 2 | $188 | $188 | — | — | — | $188 – $188 |
| 4 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · fee schedule · outpatient | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 5 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · fee schedule · outpatient | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 6 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · fee schedule · outpatient | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 7 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · fee schedule · outpatient | 1 | $335 | $335 | — | — | — | $335 – $335 |
| 8 | HMH HOSPITALS CORPORATION Edison, NJ facility · fee schedule · outpatient | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 9 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 10 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · fee schedule · outpatient | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 11 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · fee schedule · outpatient | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 12 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · fee schedule · outpatient | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 13 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · fee schedule · outpatient | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 14 | HealthEast St John's Hospital Maplewood, MN fee schedule · outpatient | 2 | $188 | $188 | — | — | — | $188 – $188 |
| 15 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · fee schedule · outpatient | 2 | $61 | $61 | $0 | 0% | — | $61 – $61 |
| 16 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 2 | $103 | $103 | $1 | 1% | — | $102 – $104 |
| 17 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 2 | $103 | $103 | $1 | 1% | — | $102 – $104 |
| 18 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 2 | $103 | $103 | $1 | 1% | — | $103 – $104 |
← Payers reporting HCPCS G0130-TC · Snapshot 20261115T194459Z-975ba28a