CPT 0126T
Standard X-ray
Retired code18 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $89.05 – $146 | — | — |
| Kadlec Regional Medical Center | $89.89 | — | — |
| Legacy Salmon Creek Medical Center | $64.80 – $94.98 | — | — |
| MultiCare Auburn Medical Center | $77.49 – $146 | — | — |
| MultiCare Covington Medical Center | $77.49 – $146 | — | — |
| MultiCare Good Samaritan Hospital | $77.49 – $146 | — | — |
| Overlake Hospital Medical Center & Clinics | $73.11 – $219 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $82.76 | — | — |
| Providence Centralia Hospital | $143 | — | — |
| Providence Regional Medical Center Everett | $96.56 | — | — |
| Providence St Peter Hospital | $129 | — | — |
| Swedish Edmonds Hospital | $103 – $115 | — | — |
| Swedish Issaquah | $108 – $115 | — | — |
| Swedish Medical Center | $108 – $115 | — | — |
| Swedish Medical Center / Cherry Hill | $105 – $106 | — | — |
| Tacoma General Allenmore Hospital | $77.49 – $108 | — | — |
| Virginia Mason Medical Center | $88.26 | — | — |
| Yakima Valley Memorial | $42.07 – $68.97 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.