X-Ray Cost in Roanoke, VA (2026): Average Prices & What You'll Pay

What does a x-ray cost in Roanoke, VA?

You could pay $76 or $90 for the same x-ray in Roanoke, VA - depending entirely on which facility you choose. The median cash price across 4 reporting hospitals is $76. This data comes directly from hospital price transparency files published under federal law.

Inova Health System dominates Northern Virginia with pricing that reflects DC-metro labor costs - among the highest in the Mid-Atlantic. Sentara Healthcare and Carilion Clinic cover the Tidewater and Southwest Virginia markets respectively. Northern Virginia facilities typically price 20–30% above the state average due to proximity to the DC labor market. 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 (1) report prices above $166, including Carilion Giles Community Hospital at $218, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. 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 Roanoke, VA

How much does an X-ray cost in Roanoke, VA?

Across 4 Roanoke, VA hospitals that publish prices, an X-ray ranges from $76 to $218, with a median of $76. Most facilities fall between $76 and $90. 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 Roanoke, VA?

Based on declared prices, the lowest-cost facility in our Roanoke, VA data is Carilion Franklin Memorial Hospital at about $76. 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 Roanoke, VA hospitals?

Prices vary up to 2.9× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Roanoke, VA, the median cash (self-pay) price is $76 versus a median negotiated rate of $22 - about 3.5× 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 Roanoke, VA?

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).