HCPCS G0130 at Providence Holy Family Hospital

Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)

Providence Holy Family Hospital, Spokane

Description from CMS's HCPCS Level II code file.

What Providence Holy Family Hospital publishes for this code: as an outpatient

Providence Holy Family Hospital’s prices for HCPCS G0130, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$140 – $42711 plans	—
Medicare AdvantageInsurer rates	$117 – $1285 plans	—
Cash pricePaying yourself, without insurance	—	—
List priceBefore any discount; few people pay it	—	—

Lowest and highest amounts Providence Holy Family Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-04-01. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS G0130 at Providence Holy Family Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The test or scan: equipment and staff	—	The price above
Reading doctorThe doctor who reads it (often a radiology group)	Reading the results and writing the report	$11.23	$13.25 – $20.10

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G0130 at every Washington hospital, with Medicare’s reference amounts.