How much does Chest X-ray cost in Portland?

Median insurer-negotiated rates range from $190 at Providence Milwaukie Hospital to $470 at Kaiser Westside Medical Center, based on the hospitals' own federally mandated price files.

Is it cheaper to pay cash than use insurance?

Sometimes. Several hospitals publish discounted cash prices below the rates insurers negotiate. If you haven't met your deductible, ask for the self-pay price.

Why do prices differ so much between hospitals?

Each hospital negotiates rates separately with each insurer, and hospitals in the same health system usually share one contract. The same procedure with the same insurer can cost several times more across town.

Costs · Imaging · Chest X-ray · Portland · code 71046

How much does a chest x-ray cost in Portland?

Standard two-view chest X-ray. Below: the rates insurers have actually negotiated with 15 Portland-area hospitals, and the cash (self-pay) prices where published — from the hospitals' own federally required price files.

$190

lowest median negotiated rate

Providence Milwaukie Hospital

$470

highest (adult hospitals)

Kaiser Westside Medical Center

2.5×

price spread

same procedure, same metro

Rates shown

Median negotiated rate per hospital · sorted low → high · hover a bar for the full receipt

cash (self-pay) price

Hospital	Gross charge	Cash price	Negotiated	Range	# rates	vs median

* Specialty hospital (pediatric or cancer center) — rates reflect specialty case mix. † Median based on fewer than 3 published rates — treat as indicative. Bars show the median dollar-denominated commercial negotiated rate; hospitals sharing a health-system contract show similar rates.

SOURCE: standard-charges files from 15 hospitals · file dates 2026-03-20 → 2026-05-26 · retrieved 2026-08-08 → 2026-08-15

Paying cash can beat using insurance. At Legacy Emanuel Medical Center, the self-pay price is $42 — less than the $231 median commercial-insurer rate. If you haven't met your deductible, ask for the cash rate.

Skipping the hospital? 30 independent imaging/outpatient centers in this area negotiate a median $34 all-in for this procedure (151 insurer rates) — less than the lowest hospital facility fee above ($190).

Sarah Rogers — $1
Shahrzad Sharafi — $1
Dustin Nguyen — $11
Edith Dal Mas — $11

All-in (global) negotiated fees from Moda Health, Premera, Regence, and UnitedHealthcare's federally mandated Transparency-in-Coverage files, newest dated 2026-08-01; hospital bars above show the facility fee only — a physician fee is usually billed on top. Estimates — confirm with the provider.

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