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Package

X-Ray

Package

X-Ray

An x-ray is a quick, painless imaging test that uses a small amount of radiation to produce images of the bones and surrounding tissues. It is most commonly used to detect fractures, assess joint conditions, or identify structural changes in the body. You will be positioned so the machine can capture a clear image of the area of interest, and the process takes only a few minutes. Results are reviewed by your doctor, who will discuss findings and any recommended next steps with you.
You'd pay up to
$489 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$489

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$88
Highest
$1,046
Cash price
up to $489

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the X-Ray Standard Service Package (SSP RA000). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS 72114 Facility Fee Radiology Imaging of Lumbosacral Spine with 6 Views During Bending
Revenue Code 320 Facility Fee Radiology Diagnostic - General
HCPCS 72114 Professional Fee Radiology Imaging of Lumbosacral Spine with 6 Views During Bending

Disclaimer

Kahuku Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$489 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Kahuku Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service X-Ray
Service Codes HCPCS 72114, Revenue Code 320
Insurance I'm not using insurance
Location Kahuku Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for X-Ray I found through Kahuku Medical Center's price estimate tool. Here are the codes I’m looking at: HCPCS 72114, Revenue Code 320. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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