Skip to main content

Contact Us

(740) 356-5000

(740) 356-5000

I want to use Turquoise...

Select an option to continue.

All services
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
$4,453 / 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.

$4,453

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$2,132
Highest
$6,783
Cash price
up to $4,453

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 J7030 Facility Fee Intravenous infusion of 1000cc of normal saline
HCPCS J0702 Facility Fee Intramuscular Injection of Betamethasone Acetate & Sodium Phosphate, 3mg Each
HCPCS J2795 Facility Fee Injection, Ropivacaine Hydrochloride, 1 MG Dose
HCPCS Q9967 Facility Fee Non-ionic low osmolar contrast, 300-399mg/ml iodine concentration per ml
HCPCS J3010 Facility Fee Intramuscular injection of fentanyl citrate, 0.1mg
HCPCS 72020 Facility Fee X-ray of spine at specific level, single view
HCPCS J2250 Facility Fee Intramuscular injection of 1mg midazolam hydrochloride
HCPCS 27096 Facility Fee Injection of Sacroiliac Joint with Imaging and Arthrography
Revenue Code 250 Facility Fee Pharmacy (Also see 063X, an extension of 250X) - General
HCPCS 72020 Professional Fee X-ray of spine at specific level, single view

Disclaimer

Southern Ohio 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
$4,453 / 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

Southern Ohio 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 J7030, HCPCS J0702, HCPCS J2795, HCPCS Q9967, HCPCS J3010
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for X-Ray I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: HCPCS J7030, HCPCS J0702, HCPCS J2795, HCPCS Q9967, HCPCS J3010. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
Website (740) 356-5000