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X-Ray Cost in San Francisco, CA (2026): Average Prices & What You'll Pay

What does a x-ray cost in San Francisco, CA?

The same x-ray in San Francisco, CA might cost you $127 at one facility and $1,056 at another — the building you walk into drives the difference. The median cash price across 24 reporting hospitals is $288. These figures come straight from hospital price transparency files published under federal law.

San Francisco, CA prices for an X-ray span 10.8× across 24 reporting hospitals, from $99 (California Pacific Medical Ctr-Davies Campus Hospital in San Francisco) up to $1,071 (Washington Hospital) for identical care. Half of San Francisco, CA facilities price it at or below $288, with most clustered between $126 and $1,056. Self-pay patients are quoted more than insurers actually pay: the median cash price is $288 versus a median negotiated rate of $46 — about 6.3× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. Location within the state matters too: Concord has the lowest metro median ($208) while Berkeley runs highest ($1,071) — a 5.1× difference inside San Francisco, CA alone.

Forecast your out-of-pocket cost

How prices are distributed across San Francisco, CA hospitals:
  • Lower-cost hospitals (bottom 25%): under $126
  • Median hospital: $288
  • Higher-cost hospitals (top 30%): $1,056+

That's a 8× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two commercially insured patients in Oakland:
  • Patient A (higher-rate plan or out-of-network): ~$1,056
  • Patient B (lower-rate in-network plan): ~$127
Same procedure. Same week. $929 difference.

Where x-ray costs vary in San Francisco, CA

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

See every San Francisco, CA hospital's price

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Cheapest X-Ray Providers in San Francisco, CA

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Contra Costa County Matrinez, CA $112 -$176
2 UCSF Benioff Childrens Oakland Oakland, CA $122 -$166
3 John Muir Health Concord, CA $123 -$165
4 Ucsf Medical Center Box 0296, CA $127 -$161
5 UCSF Langely Porter Psychiatic Hospital Flr 7, CA $127 -$161
6 John Muir Health Walnut Creek, CA $196 -$92
7 CHINESE HOSPITAL CA $247 -$41
8 Alameda Health System Oakland, CA $250 -$38

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → X-Ray costs nationwide

Check YOUR hospital's pricing → Estimate YOUR exact cost →

Worth knowing: Declared gross charges vary significantly across San Francisco, CA hospitals — the same procedure can look very different on a hospital's price list versus what you actually owe. Cash and negotiated prices are a more practical guide.
Every hospital in this dataset offers a cash price — with a median of $288. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$288
Deductible met — 20% coinsurance ~$58
Out-of-network provider $634+

Based on the state median facility price of $288. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should verify your hospital is in-network before an elective visit when possible
  • The cheapest facility can save you $189+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in San Francisco, CA start around $126 or below. Most hospitals cluster between $126 and $1,071. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: California Pacific Medical Ctr-Davies Campus Hospital in San Francisco (cash price from $99); Stanford Health Care Tri-Valley in Pleasanton (cash price from $105); Contra Costa County in Matrinez (cash price from $112). These are declared cash prices — contact each facility for a formal quote before scheduling.

Quick decision guide:
  • Best value hospitals (lowest prices): California Pacific Medical Ctr-Davies Campus Hospital: $99; Stanford Health Care Tri-Valley: $105; Washington Hospital: $105
  • Most expensive (outpatient): Mills-Peninsula Medical Center: ~$1,071; Mills Health Center: ~$1,071

→ Choosing the right facility can save $189+ vs. the state median.

San Francisco, CA X-Ray prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 California Pacific Medical Ctr-Davies Campus Hospital San Francisco, CA $99 -$189 $99–$3,433
#2 Stanford Health Care Tri-Valley Pleasanton, CA $105 -$183 $105–$152
#3 Washington Hospital CA $105 -$183 $162–$4,233
#4 Contra Costa County Matrinez, CA $112 -$176 $112–$776
#5 UCSF Benioff Childrens Oakland Oakland, CA $122 -$166 $122–$147
#6 John Muir Health Concord, CA $123 -$165 $275–$1,345
#7 Ucsf Medical Center Box 0296, CA $127 -$161 $127–$152
#8 UCSF Langely Porter Psychiatic Hospital Flr 7, CA $127 -$161 $127–$152
#9 John Muir Health Walnut Creek, CA $196 -$92 $437–$1,561
#10 CHINESE HOSPITAL CA $247 -$41 $247–$2,838
#11 Alameda Health System Oakland, CA $250 -$38 $501–$886
#12 Sequoia Hospital Redwood City, CA $283 -$5 $779–$2,129
#13 John Muir Health Concord, CA $293 +$5 $653
#14 MarinHealth Medical Center Greenbrae, CA $403 +$115 $673–$2,696
#15 St. Mary's Medical Center - San Francisco San Francisco, CA $720 +$432 $720–$2,346
#16 Saint Francis Memorial Hospital San Francisco, CA $747 +$459 $747–$2,177
#17 California Pacific Medical Center- Van Ness Campus San Francisco, CA $1,054 +$766 $1,054–$3,173
#18 Mills-Peninsula Medical Center Burlingame, CA $1,071 +$783 $1,071
#19 Mills Health Center San Mateo, CA $1,071 +$783 $1,071
#20 Sutter Delta Medical Center Antioch, CA $1,071 +$783 $1,071
#21 Alta Bates Summit Medical Center - Herrick Camp Berkeley, CA $1,071 +$783 $1,071–$3,433
#22 Alta Bates Summit Medical Center Oakland, CA $1,071 +$783 $1,071–$3,433
#23 Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA $1,071 +$783 $1,071–$3,433
#24 Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA $1,071 +$783 $1,071–$3,433

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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in San Francisco, CA:

Where you can save the most on x-ray in San Francisco, CA

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
California Pacific Medical Ctr-Davies Campus Hospital San Francisco, CA $99 -$189
Stanford Health Care Tri-Valley Pleasanton, CA $105 -$183
Washington Hospital CA $105 -$183
Contra Costa County Matrinez, CA $112 -$176
UCSF Benioff Childrens Oakland Oakland, CA $122 -$166

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive x-ray providers in San Francisco, CA

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
Mills-Peninsula Medical Center Burlingame, CA $1,071 +$783
Mills Health Center San Mateo, CA $1,071 +$783
Sutter Delta Medical Center Antioch, CA $1,071 +$783
Alta Bates Summit Medical Center - Herrick Camp Berkeley, CA $1,071 +$783
Alta Bates Summit Medical Center Oakland, CA $1,071 +$783

Why prices vary this much

Setting drives much of the gap in San Francisco, CA: the median outpatient price is $288 versus $160 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the San Francisco, CA facilities reporting prices, 6 fall in a low-cost tier (up to $126) while 7 sit in a high-cost tier ($1,071 and up) — a lower-priced option almost always exists within the same state.

Among the cities with the most reporting hospitals, Oakland has a median reported price of $660 across 4 facilities, while facilities in Concord tend to report lower prices (median: $208). City-level variation within a state often reflects local market structure, not procedure complexity.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

Compare x-ray costs in nearby states

Frequently asked questions: X-ray costs in San Francisco, CA

How much does an X-ray cost in San Francisco, CA?

Across 24 San Francisco, CA hospitals that publish prices, an X-ray ranges from $99 to $1,071, with a median of $288. Most facilities fall between $126 and $1,056. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an X-ray in San Francisco, CA?

Based on declared prices, the lowest-cost facility in our San Francisco, CA data is California Pacific Medical Ctr-Davies Campus Hospital in San Francisco at about $99. By metro, Concord has the lowest median ($208). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.

Why is an X-ray so much cheaper at some San Francisco, CA hospitals?

Prices vary up to 10.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In San Francisco, CA, the median cash (self-pay) price is $288 versus a median negotiated rate of $46 — about 6.3× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for an X-ray in San Francisco, CA?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network — not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Explore all x-ray cost data

See x-ray costs across all states


CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
Analyze your medical bill for errors
How to negotiate your medical bills
Track and manage your healthcare costs (free account)

Other Procedure Costs in San Francisco, CA

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published June 12, 2026

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