X-ray of the shoulder Cost by Hospital

X-ray of the shoulder is a diagnostic imaging scan. Prices are from 2372 US hospitals across 52 states, from their machine-readable files.

$281median cash price · 2372 hospitals, 52 statestypically $97–$740 depending on the hospital
≈ 7.9× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$470
Cash / self-pay
$281
Insurer-negotiated
$124
Medicare pays
$36
$97$740
Median cash $281  ·  Medicare $36  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $281 — about 7.9× the Medicare rate ($36). High vs Medicare. A fair cash price is usually within ~2× Medicare ($71).

💡 Asking for the cash price instead of the $470 list price could save about $189 (40%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Unity Health-Jacksonville Jacksonville, AR $42 — — 130 min —
Unity Health-Newport Newport, AR $42 — — 103 min —
Jefferson Health-Northeast Philadelphia, PA $43 $17 ★ 2/5 316 min —
Bleckley Memorial Hospital Cochran, GA $44 $66 — 127 min —
Oklahoma Center for Orthopaedic & Multi-Sp Oklahoma City, OK $44 $90 — — —
Fallon Medical Complex Hospital Baker, MT $44 $56 — 102 min —
Three Rivers Hospital Brewster, WA $44 — — — —
University of Iowa Health Care Medical Center Down Iowa City, IA $45 $56 ★ 4/5 149 min —
University of Iowa Hospital & Clinics Iowa City, IA $45 $56 ★ 2/5 210 min —
Hospital De La Concepcion San German, PR $45 $13 — — —
Sabine Medical Center Many, LA $45 $151 — 129 min —
Johnson Regional Medical Center Clarksville, AR $48 $35 ★ 4/5 143 min —
Ochsner Stennis Memorial Hospital De Kalb, MS $49 $55 — 90 min —
Baptist Health Medical Center Heber Springs Heber Springs, AR $49 $86 ★ 3/5 110 min —
McLaren Caro Region Caro, MI $49 $12 — 72 min —
Hutchinson Health Hutchinson, MN $49 $90 ★ 3/5 140 min —
Baptist Health Medical Center-Arkadelphia Arkadelphia, AR $49 $86 — 94 min —
Mount Desert Island Hospital Bar Harbor, ME $50 $40 — 130 min —
Memorial Hospital Dumas, TX $50 $50 — 81 min —
Grand Itasca Clinic and Hospital Grand Rapids, MN $50 $92 ★ 4/5 149 min —
Northwest Hills Surgical Hospital Austin, TX $52 $35 — — —
Heritage Valley Beaver Beaver, PA $53 $84 ★ 3/5 185 min —
Heritage Valley Sewickley Sewickley, PA $53 $84 ★ 4/5 135 min —
Hospital General De Castaner Castaner, PR $56 $29 — — —
Slidell Memorial Hospital Slidell, LA $57 $87 ★ 2/5 203 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for X-ray of the shoulder

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $281; Medicare pays $36.

InsurerHospitalsNegotiated median
Medicaid 377
$24
$8 – $110
Univera 16
$26
$9 – $40
Amerigroup 172
$39
$22 – $130
Molina Healthcare 574
$50
$18 – $236
Highmark 139
$76
$14 – $190
Medicare 600
$80
$9 – $158
Anthem 582
$82
$18 – $313
Tricare / VA 420
$82
$16 – $391
Workers' Comp / No-Fault 159
$84
$39 – $487
SelectHealth 48
$86
$30 – $469
Humana 1065
$87
$29 – $445
Priority Health 62
$88
$20 – $329
Geisinger 71
$89
$12 – $474
AmeriHealth 237
$89
$19 – $237
UCare 77
$90
$20 – $315
Centene / Ambetter 830
$91
$20 – $342
Devoted Health 157
$94
$69 – $259
Blue Cross Blue Shield 1321
$97
$20 – $379
UPMC Health Plan 97
$97
$18 – $475
EmblemHealth 80
$103
$19 – $234
MVP Health Care 89
$104
$10 – $438
UnitedHealthcare 1580
$105
$23 – $497
Harvard Pilgrim 57
$109
$24 – $388
Kaiser Permanente 205
$118
$26 – $554
Independent Health 37
$129
$12 – $256
Aetna 1478
$132
$29 – $638
Bright Health 41
$135
$88 – $988
Oscar Health 176
$141
$32 – $249
Cigna 1207
$164
$45 – $716
Security Health Plan 64
$165
$28 – $417
HealthPartners 275
$167
$23 – $571
Medica 254
$195
$40 – $421
Sanford Health Plan 78
$200
$35 – $388
Health Net 311
$247
$27 – $1,032
Coventry 169
$266
$35 – $919
Healthcare Highways 50
$378
$114 – $743
MultiPlan / PHCS network 876
$409
$68 – $1,416
AvMed 68
$642
$152 – $1,337

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Arkansas$101
Tennessee$101
Mississippi$122
Puerto Rico$123
New Jersey$132
Louisiana$142

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Derek Cuff, M.D.Orthopedic SurgeryVenice, FL1,640
Sanjay Saini, MDDiagnostic RadiologyBoston, MA1,587
Christos Kosmas, MDDiagnostic RadiologyCleveland, OH1,479
Gita Pillai, M.D.Orthopedic SurgeryLewes, DE1,373
Elizabeth Morris, MDDiagnostic RadiologyNew York, NY1,288
James Graham, M.D.Diagnostic RadiologyTacoma, WA1,280
Michael Friedman, MDDiagnostic RadiologyBelleville, IL1,274
Sean Grey, MDOrthopedic SurgeryFort Collins, CO1,212
Jason Sinner, M.D.Diagnostic RadiologyBurbank, CA1,212
David Fehnel, M.D.Orthopedic SurgeryPeabody, MA1,211
Jonathan Levy, M.D.Orthopedic SurgeryBoca Raton, FL1,201
Ana Mata-Fink, MDOrthopedic SurgerySalisbury, MD1,165

Browse doctors by specialty & city →

Does Medicare cover X-ray of the shoulder?

Yes — Medicare generally covers X-ray of the shoulder. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $36. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $7 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2372 US hospitals across 52 states, the typical (median) cash price is $281, versus a chargemaster (list) price around $470, a median insurer-negotiated rate of $124, a Medicare rate of about $36. Most cash prices fall between $97 and $740 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does X-ray of the shoulder cost without insurance?
The median cash (self-pay) price across 2372 US hospitals is $281. Most hospitals fall between $97 and $740. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover X-ray of the shoulder?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $36). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for X-ray of the shoulder?
Medicare pays about $36. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do X-ray of the shoulder prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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