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

What does a x-ray cost in Washington?

Expect roughly $65 to $188 for an x-ray in Washington if you're commercially insured — that range already folds in both the facility charge and the physician fee. The median reported facility price across 68 hospitals is $91. It's built from CMS fee schedules and federally mandated hospital price transparency data.

Providence Health, Swedish Health Services (a Providence affiliate), and UW Medicine compete in the Western Washington market. Kaiser Permanente Washington has substantial commercial market share in the Puget Sound area. Eastern Washington operates as a distinct, lower-cost market anchored by Providence and MultiCare. Washington state has active price transparency enforcement.

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.

There's a gap between the sticker and the real price here: a median cash quote of $91 sits above the $31 insurers negotiate — about 2.9× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. Washington prices for an X-ray span 155.7× across 68 reporting hospitals, from $30 (Willapa Harbor Hospital in South Bend) up to $4,671 (WHITMAN HOSPITAL AND MEDICAL CENTER) for identical care. Half of Washington facilities price it at or below $91, with most clustered between $44 and $163. Even within Washington, Vancouver ($30) and Tacoma ($185) are 6.2× apart on the median price.

Where x-ray costs vary in Washington

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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The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

→ Compare all procedure costs   → X-Ray costs nationwide

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Lower-cost options in Washington start around $44 or below. Most hospitals cluster between $44 and $186. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Willapa Harbor Hospital in South Bend (cash price from $21); Legacy Salmon Creek Medical Center in Vancouver (cash price from $30); Mid-Valley Hospital in Omak (cash price from $30). These are declared cash prices — contact each facility for a formal quote before scheduling.

Washington X-Ray prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in Washington:

• Appendectomy Cost in Washington
• Cataract Surgery Cost in Washington

Where you can save the most on x-ray in Washington

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Most expensive x-ray providers in Washington

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Why prices vary this much

A small number of hospitals (3) report very high prices above $399, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

Setting drives much of the gap in Washington: the median outpatient price is $86 versus $139 inpatient — about 1.6× more, so where a procedure is performed often matters more than which hospital you choose. Of the Washington facilities reporting prices, 27 fall in a low-cost tier (up to $44) while 26 sit in a high-cost tier ($186 and up) — a lower-priced option almost always exists within the same state.

Among the cities with the most reporting hospitals, Seattle has a median reported price of $77 across 7 facilities, while facilities in Vancouver tend to report lower prices (median: $30). City-level variation within a state often reflects local market structure, not procedure complexity.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)

X-Ray Costs by Metro Area in Washington

Prices vary across Washington metro areas based on local hospital competition, wage adjustments, and facility mix. Explore detailed facility price data for each metro area:

• X-Ray Cost in Kennewick, WA
• X-Ray Cost in Mount Vernon, WA
• X-Ray Cost in Seattle, WA
• X-Ray Cost in Spokane, WA
• X-Ray Cost in Wenatchee, WA
• X-Ray Cost in Yakima, WA

Compare x-ray costs in nearby states

• Oregon
• Idaho
• Montana
• California

Frequently asked questions: X-ray costs in Washington

How much does an X-ray cost in Washington?

Across 68 Washington hospitals that publish prices, an X-ray ranges from $30 to $4,671, with a median of $91. Most facilities fall between $44 and $163. 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 Washington?

Based on declared prices, the lowest-cost facility in our Washington data is Astria Sunnyside Hospital at about $20. By metro, Vancouver has the lowest median ($30). 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 Washington hospitals?

Prices vary up to 155.7× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Washington, the median cash (self-pay) price is $91 versus a median negotiated rate of $31 — 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 Washington?

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.

Explore all x-ray cost data

→ See x-ray costs across all states

CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)