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

What does a xray cost in North Dakota?

Expect roughly $74 to $149 for an xray in North Dakota if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 39 hospitals is $90. It's built from CMS fee schedules and federally mandated hospital price transparency data.

Where xray costs vary in North Dakota

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.

Sanford Health and CHI St. Alexius divide most of North Dakota's hospital market, with Bismarck and Fargo each effectively dominated by one system. The state's oil-economy wage growth has increased hospital labor costs, pushing prices above what the rural market structure would otherwise suggest. Critical access hospitals cover most of the rural tier. 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.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (4) report prices above $244, including SMP Health - St. Aloisius dba SMP Health - St. Aloisius at $366, 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 $84 versus $85 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.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Frequently asked questions: X-ray costs in North Dakota

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

Across 39 North Dakota hospitals that publish prices, an X-ray ranges from $30 to $4,633, with a median of $90. Most facilities fall between $51 and $124. 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 Dakota?

Based on declared prices, the lowest-cost facility in our North Dakota data is Altru Hospital Devils Lake in Devils Lake at about $18. By metro, Grand Forks has the lowest median ($28). 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 Dakota hospitals?

Prices vary up to 154.4× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Dakota, the median cash (self-pay) price is $90 versus a median negotiated rate of $68 - about 1.3× 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 North Dakota?

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).