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

What does a xray cost in Tennessee?

A typical xray in Tennessee costs $46–$106 for a commercially insured patient, including facility and physician fees. The median reported facility price across 68 hospitals is $50. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.

Where xray costs vary in Tennessee

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.

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HCA Healthcare, headquartered in Nashville, has significant hospital presence in its home state, creating pricing patterns more aligned with for-profit hospital economics than nonprofit systems in comparable markets. Vanderbilt University Medical Center anchors the Nashville academic tier. Tennessee has not expanded Medicaid under the ACA, maintaining a high uninsured rate that influences facility pricing structures. 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 (9) report prices above $226, including Turkey Creek Medical Center at $644, 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 $40 versus $73 inpatient (about 1.8× more), 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.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Frequently asked questions: X-ray costs in Tennessee

How much does an X-ray cost in Tennessee?

Across 68 Tennessee hospitals that publish prices, an X-ray ranges from $30 to $4,999, with a median of $50. Most facilities fall between $31 and $81. 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 Tennessee?

Based on declared prices, the lowest-cost facility in our Tennessee data is Erlanger Health System in Pikeville at about $16. By metro, Crossville has the lowest median ($36). 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 Tennessee hospitals?

Prices vary up to 166.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Tennessee, the median cash (self-pay) price is $50 versus a median negotiated rate of $17 - about 2.9× 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 Tennessee?

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).