Xray Cost in North Carolina (2026): Average Prices & What You'll Pay

What does a xray cost in North Carolina?

Expect roughly $84 to $180 for an xray in North Carolina if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 61 hospitals is $106. It's built from CMS fee schedules and federally mandated hospital price transparency data.

Where xray costs vary in North Carolina

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.

26+ people checked prices near them this month.

Atrium Health (formerly Carolinas HealthCare) and Wake Forest Baptist Health have merged into one of the largest nonprofit health systems in the Southeast. Duke Health and UNC Health anchor the Research Triangle academic tier, creating a market where major academic centers hold outsized pricing leverage. North Carolina has been an active target for FTC scrutiny of hospital consolidation. X-ray is the most commoditized of all imaging procedures, and price differences are almost entirely explained by facility type: a hospital outpatient chest X-ray can cost 5–10× more than the same study at an urgent care center or independent imaging clinic. For non-emergency X-rays, asking your physician for a referral to an outpatient imaging center rather than a hospital radiology department is the simplest and most reliable cost reduction available.

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Why prices vary - and what it means for your coverage

A small number of hospitals (5) report prices above $356, including Mercy Restorative Care Hospital, Inc. dba Carolinas ContinueCare Hospital at Pineville at $438, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $89 versus $80 inpatient, so where a procedure happens often matters more than which hospital you pick. Whether the scan happens in a hospital outpatient department (which adds a separate facility fee) or a freestanding imaging center is usually the single biggest driver of price for this procedure.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Frequently asked questions: X-ray costs in North Carolina

How much does an X-ray cost in North Carolina?

Across 61 North Carolina hospitals that publish prices, an X-ray ranges from $30 to $4,295, with a median of $106. Most facilities fall between $66 and $155. 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 North Carolina?

Based on declared prices, the lowest-cost facility in our North Carolina data is Randolph Health in Asheboro at about $17. By metro, Raleigh has the lowest median ($33). 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 North Carolina hospitals?

Prices vary up to 143.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Carolina, the median cash (self-pay) price is $106 versus a median negotiated rate of $38 - about 2.8× 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 North Carolina?

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.

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).