X-Ray Cost in Austin, TX (2026): Average Prices & What You'll Pay
What does a x-ray cost in Austin, TX?
The same x-ray in Austin, TX might cost you $31 at one facility and $72 at another - the building you walk into drives the difference. The median cash price across 25 reporting hospitals is $32. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Three low-priced facilities in Austin, TX, from hospital price files
- Ascension Seton $30
- Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital $30
- Post Acute Medical at Luling LLC · Luling, TX $32
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Where x-ray costs vary in Austin, TX
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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Cheapest X-Ray Providers in Austin, TX
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Ascension Seton | TX | $30 | -$2 |
| 2 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital | TX | $30 | -$2 |
| 3 | Post Acute Medical at Luling LLC | Luling, TX | $32 | +$0 |
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Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
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Sends a PDF with all 25 facilities ranked cheapest first, plus a short checklist of questions that change what you pay. We don't sell your information (privacy policy).
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
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Quick take
- Ascension Seton is the lowest-cost option at $30 - $2 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $32, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $89 to $107 | $89 |
| With insurance (commercial, average) | 14 | $82 to $287 | $140 |
| Without insurance (cash price) | 30 | $30 to $178 | $32 |
| Blue Cross and Blue Shield of Texas | 12 | $100 to $268 | $215 |
| Aetna | 10 | $152 to $292 | $237 |
| Cigna | 10 | $105 to $264 | $228 |
| Humana | 10 | $44 to $353 | $293 |
Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.
How much does an X-ray cost with Medicare in Austin, TX?
Medicare's national hospital outpatient payment for X-ray is about $89 to $107 (typically near $89). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $18 on a $89 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.
Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.
How much does an X-ray cost with insurance in Austin, TX?
Across 14 Austin, TX hospitals, the negotiated rates commercial insurers pay for X-ray average $82 to $287 per hospital, with a median near $140. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.
Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.
How much does an X-ray cost without insurance in Austin, TX?
Cash (self-pay) prices for X-ray at 30 Austin, TX hospitals range from $30 to $178, with a median of $32. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.
Cash prices are the hospital’s published discounted rate for patients paying without insurance.
How much does an X-ray cost with Blue Cross and Blue Shield of Texas in Austin, TX?
Blue Cross and Blue Shield of Texas negotiated rates for X-ray at 12 Austin, TX hospitals range from $100 to $268, with a median near $215. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.
Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.
How much does an X-ray cost with Aetna in Austin, TX?
Aetna negotiated rates for X-ray at 10 Austin, TX hospitals range from $152 to $292, with a median near $237. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.
How much does an X-ray cost with Cigna in Austin, TX?
Cigna negotiated rates for X-ray at 10 Austin, TX hospitals range from $105 to $264, with a median near $228. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.
How much does an X-ray cost with Humana in Austin, TX?
Humana negotiated rates for X-ray at 10 Austin, TX hospitals range from $44 to $353, with a median near $293. If a hospital is out of network for your Humana plan, you may owe more than the negotiated rate, so check the network first.
Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas - particularly West Texas and the Panhandle - has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals. 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 (4) report prices above $135, including Brushy Creek Family Hospital at $299, 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 $32 versus $80 inpatient (about 2.5× 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.
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.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$32 |
| Deductible met - 20% coinsurance | ~$6 |
| Out-of-network provider | $70+ |
Frequently asked questions: X-ray costs in Austin, TX
How much does an X-ray cost in Austin, TX?
The typical insurer-negotiated rate is $13, with most facilities between $10 and $13 (based on 28 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $24 to $299 across all 25 Austin, TX hospitals that publish prices. 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 Austin, TX?
Based on declared prices, the lowest-cost facility in our Austin, TX data is Ascension Seton at about $24. By metro, Austin has the lowest median ($52). 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 Austin, TX hospitals?
Prices vary up to 12.5× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Austin, TX, the median cash (self-pay) price is $32 versus a median negotiated rate of $140 - cash is the lower number at many hospitals. Asking for the cash price as well as 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 Austin, TX?
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.
Before you book
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- Understanding your UnitedHealthcare EOB
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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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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