Chest X-ray

A chest X-ray takes pictures of the lungs, heart, ribs, and diaphragm. This code covers the two-view version — usually one image from the front and one from the side. It is quick, painless, and the single most common imaging test in medicine.

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What it is

An X-ray sends a small amount of radiation through the body onto a detector. Dense structures such as bone block more of it and show up pale; air-filled lungs let most of it through and show up dark. A chest X-ray captures the lungs, the heart and large vessels, the ribs, and the diaphragm in a single image. Two views are taken rather than one because the chest is three-dimensional: something hidden behind the heart or the spine on the front view often shows clearly on the side view. Fewer views is a different code and a lower price; a CT scan of the chest is a far more detailed and far more expensive study altogether.

Why it is done

  • To look into symptoms such as a cough that won't go away, shortness of breath, chest pain, or fever
  • To diagnose pneumonia and other lung infections
  • To check the size and shape of the heart, or to look for fluid in or around the lungs
  • To follow up on a previous X-ray, or to check the position of a tube or line after it has been placed

What to expect

There is essentially no preparation. Patients remove jewelry and anything metal above the waist and change into a gown, then stand against the imaging plate, hold still, and hold their breath for a few seconds while each image is taken. The whole visit typically takes about fifteen minutes and nothing about it hurts, though the room and the plate can feel cold. The radiation dose is small. Anyone who is or might be pregnant should say so beforehand. A radiologist reads the images and sends a report to the ordering doctor.

Questions worth asking

  • Is this the two-view study or a single view? The codes and the prices differ.
  • Will I get two bills — one for taking the image and one for the radiologist reading it? Ask whether the radiology group is in network, not just the facility.
  • Can this be done at a freestanding imaging center or an urgent care instead of a hospital radiology department, and what does each charge?
  • If I've had a recent chest X-ray elsewhere, can the images be sent over instead of repeating the study?

What Chest X-ray costs by state

Chest X-ray prices at hospitals

See every published price for Chest X-ray: the full national range, the state and hospital breakdowns, and which hospitals charge the least.

Chest X-ray cost — see all prices →

Sources

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