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
$21
Average
$134
Median
$147
High
$214
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
61 hospitals; the 90th percentile is 3.9× 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.
Filter by billing methodology
Filter by billing class
68 hospital rates
iThe hospitals that file a Caresource 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 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $151 | $151 | $49 | 32% | — | $102 – $200 |
| 3 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 4 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $24 | $23 | $10 | 42% | — | $11 – $34 |
| 5 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 6 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 7 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 8 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 9 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 10 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 3 | $60 | $73 | $55 | 75% | — | $21 – $149 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 13 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 2 | $130 | $130 | $26 | 20% | — | $104 – $155 |
| 14 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 15 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 16 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $30 | $30 | $12 | 42% | — | $17 – $42 |
| 17 | Grady Memorial Hospital Delaware, OH fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 18 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 19 | Greenfield Area Medical Center Greenfield, OH facility · case rate · outpatient | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 20 | Jennie Stuart Medical Center Hopkinsville, KY facility · case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 21 | Jennie Stuart Medical Center Hopkinsville, KY professional · fee schedule · both | 1 | $23 | $22 | $9 | 42% | — | $10 – $33 |
| 22 | Kettering Medical Center Troy, OH fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 23 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 24 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 25 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 2 | $125 | $125 | $14 | 11% | — | $111 – $139 |
← Payers reporting HCPCS G0130 · Snapshot 20261112T124536Z-e251e855