Medicare's national average for a chest X-ray in 2026 is $55 at an ambulatory surgery center and $121 at a hospital outpatient department — a range of $55 to $121 for the same procedure code, CPT 71046. Those totals cover the doctor's fee and the facility's fee together. A Medicare patient's own share is $10 at the surgery center and $23 at the hospital.
Medicare describes CPT 71046 as “Radiologic examination, chest; 2 views” — in plain terms, a two-view chest X-ray. The figures below are national averages published by CMS; your own region, and above all your own insurance status, will move them.
| Ambulatory surgery center | Hospital outpatient department | |
|---|---|---|
| Total (Medicare-approved amount) | $55 | $121 |
| Doctor fee | $33 | $33 |
| Facility fee | $22 | $88 |
| Medicare pays | $44 | $97 |
| Patient pays (average) | $10 | $23 |
Source: Medicare.gov Procedure Price Lookup, CPT 71046, retrieved July 29, 2026. CMS states these are national averages based on Medicare’s 2026 payments and copayments; the underlying dataset is the CMS 2026 Hospital Outpatient PPS annual policy file. Figures are rounded by CMS and are not intended to reconcile to the dollar.
The most useful thing in that table is what does not change. The doctor’s fee is $33 in both settings. What moves is the facility fee: $22 at a surgery center against $88 at a hospital outpatient department — 4.0× as much. Because the professional fee is fixed, the whole 2.2× difference in the total is the building.
Medicare.gov's note on this procedure says the figures cover facility and doctor fees, but that “you may need more than one doctor and additional costs may apply.” For imaging that plays out predictably: the facility bills for the equipment and the technologist, and a radiology group bills separately for interpreting the images. Medicare's split above shows exactly how those two halves are meant to divide — $33 to the reading physician, $22 to a surgery center or $88 to a hospital.
Two interpretation charges for one study on one date is a duplicate. So is the same study appearing twice under slightly different descriptions. Our guide to finding duplicate charges walks through how to prove it from the itemized statement.
Everything above is what Medicare pays. It is not a cash price, it is not what a commercial insurer has negotiated, and it is certainly not a hospital’s list price. Those three numbers can differ from each other by multiples for the identical procedure code at the identical hospital.
We are deliberately not publishing a national “fair cash price” for a chest X-ray. We do not have a current primary-source benchmark for one, and a stale number presented as today’s would be worse than no number. What we can tell you is where the number that actually governs your bill lives: your hospital publishes its own rates for CPT 71046 — the gross charge, the discounted cash price, and the payer-specific negotiated rates — in a machine-readable file. Our hospital price check walks you to it, and this guide shows how to read it once you get there.
If you just want a quick sanity check on the number in front of you, the overcharge estimator compares your charge against typical national ranges. Treat it as a smoke alarm, not a valuation.
A single-view chest film is a different code. If your report documents one view, 71046 does not describe what was done — that is a code-level mismatch worth raising in writing.
Medicare pays a hospital outpatient department 4.0 times what it pays a surgery center for the facility side of the same two-view film — $88 against $22. Nothing about the film changes; only the address does.
The $33 reading fee is identical in both settings. If two different radiology groups billed for reading the same film on the same date, one of them is a duplicate.
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Audit my bill →CPT® is a registered trademark of the American Medical Association. CPT code descriptions quoted above are reproduced only as they appear on the CMS pages cited.