Stephens Memorial Hospital — X-ray prices
← Hospital overviewVerified from Stephens Memorial Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
9 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC X-RAY EXAM CHEST 1 VIEW Outpatient | 71045 CPT | $362 | $362 | $141 – $405 | $337 | |
| HC X-RAY EXAM CHEST 1 VIEW Inpatient | 71045 CPT | $362 | $362 | $316 – $351 | — | |
| HC X-RAY EXAM CHEST 2 VIEWS Outpatient | 71046 CPT | $480 | $480 | $187 – $466 | $447 | |
| HC X-RAY EXAM CHEST 2 VIEWS Inpatient | 71046 CPT | $480 | $480 | $419 – $466 | — | |
| HC XRAY EXAM L-2 SPINE 4/> VIEWS Outpatient | 72110 CPT | $952 | $952 | $371 – $923 | $885 | |
| HC XRAY EXAM L-2 SPINE 4/> VIEWS Inpatient | 72110 CPT | $952 | $952 | $831 – $923 | — | |
| HC XRAY EXAM OF SHOULDER MIN 2 VIEWS Outpatient | 73030 CPT | $422 | $422 | $165 – $409 | $392 | |
| HC XRAY HAND MIN 3 VIEWS Outpatient | 73130 CPT | $385 | $385 | $150 – $405 | $358 | |
| HC XRAY HAND MIN 3 VIEWS Inpatient | 73130 CPT | $385 | $385 | $336 – $373 | — |