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Medical Imaging

Abdominal X-ray Series with Chest Cost in Illinois

An abdominal X-ray series with chest (CPT code 74022) is a diagnostic imaging procedure that captures multiple views of the abdomen and chest using low-dose radiation, and costs at 43 Illinois hospitals range from $54 to $1,427 — a difference of over 2,500%. The wide variation in price reflects differences in facility type, geographic location, and hospital pricing structures rather than differences in the quality of the imaging itself. Understanding these price differences can help patients and families make more informed decisions when scheduling this common procedure.

104 Illinois hospitals compared
Updated March 2026
Compare Abdominal X-ray Series with Chest Prices

Illinois Price Range

Lowest Price$54
Median Price$655
Highest Price$1,427
Potential Savings$1,373

By choosing the lowest-cost provider

What is a Abdominal X-ray Series with Chest?

An abdominal X-ray series with chest is a set of radiographic images that provide a detailed look at the organs, bones, and soft tissues within both the abdominal and chest cavities. The series typically includes multiple views — such as supine (lying flat), upright, and decubitus (lying on the side) positions — to give radiologists a comprehensive picture of the area being evaluated. When combined with a chest view, the study can also reveal findings in the lower lungs and diaphragm that may relate to abdominal symptoms. The procedure is performed by a radiologic technologist and usually takes between 15 and 30 minutes to complete. The patient is positioned on an imaging table or standing against an imaging panel, and a machine directs a controlled beam of X-rays through the body to produce images on a digital detector. No dyes, injections, or special equipment are typically required for a standard abdominal X-ray series, though patients may be asked to remove metal objects and change into a hospital gown. A radiologist — a physician specially trained to interpret medical images — reviews the X-ray films or digital images and sends a report to the ordering provider. This report summarizes any findings, such as abnormal gas patterns, foreign objects, calcifications, or changes in organ size, which the treating physician then uses to guide further evaluation or treatment decisions. The combined abdominal and chest series is particularly useful because many abdominal complaints can have chest-related causes, and vice versa. For example, a lower lobe pneumonia can sometimes mimic abdominal pain, and air under the diaphragm seen on a chest view can indicate a perforated abdominal organ. Capturing both regions in a single series allows clinicians to consider a broader range of diagnoses efficiently.

Common Billing Codes (CPT/DRG)

74022740217401971046

Why Abdominal X-ray Series with Chest Prices Vary So Much

Abdominal X-ray series with chest prices in Illinois vary by more than 2,566%, with costs ranging from $54 at the lowest-priced facility to $1,427 at the highest. This dramatic range is not driven by differences in the procedure itself, since the X-ray equipment and clinical process are largely standardized across facilities. Instead, the variation reflects how hospitals and imaging centers set their chargemaster prices, negotiate with insurers, and structure fees for facility overhead. Facility type is one of the biggest factors. Large academic medical centers and urban hospital systems typically charge significantly more than independent outpatient imaging centers or rural hospitals. Hospital-based radiology departments include overhead costs for 24-hour staffing, emergency infrastructure, and complex case support — expenses that are embedded in their pricing even for routine imaging. Freestanding imaging clinics, on the other hand, operate with leaner cost structures and often pass those savings on to patients. Geographic location within Illinois also plays a role, as facilities in the Chicago metropolitan area may price differently than those in smaller cities or rural communities. Insurance contracts and negotiated rates add another layer of complexity. A hospital that lists a chargemaster price of $1,400 may accept a much lower amount from a major insurer, while an uninsured patient paying out of pocket might be quoted a different rate entirely. Some facilities offer financial assistance programs or cash-pay discounts that can bring costs down significantly. Comparing prices before scheduling — using tools like Aphenos — can help patients identify facilities where the cost aligns with their budget and insurance situation.

Lower-Cost Options

  • Community hospitals in suburbs
  • Freestanding imaging/surgery centers
  • Cash-pay discounts (20-40% off)

Higher-Cost Options

  • Academic medical centers (Northwestern, Rush)
  • Hospital outpatient departments
  • Out-of-network facilities

Abdominal X-ray Series with Chest Prices at Illinois Hospitals

Compare actual abdominal x-ray series with chest prices reported by hospitals. Prices shown are cash-pay/self-pay rates from hospital transparency files.

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Payment Options Comparison

See how different payment methods affect your out-of-pocket cost

Cash/Self-Pay

Hospital list price

$655

Full price

  • No insurance needed
  • May qualify for discounts

With Insurance

Estimated negotiated rate

~$524

Save ~$131 vs cash

  • Negotiated network rate
  • Counts toward deductible
  • Actual cost depends on plan
Best Value

With HSA/FSA

Tax-free payment

$428

Save $227 in taxes (~35%)

  • Pay with pre-tax dollars
  • Federal + State + FICA savings
  • Rolls over year to year

No monthly fees. FDIC insured.

HSA savings based on 22% federal + 4.95% IL state + 7.65% FICA tax rates. Actual savings vary by tax bracket.

Can I Afford This?

Check if your savings can cover this $655 procedure.

Procedure Cost$655
With HSA Tax Savings$428
$
Open an HSA to save $227 in taxes

No monthly fees. Invest your balance. FDIC insured.

Insurance Tips for Abdominal X-ray Series with Chest

Most health insurance plans, including employer-sponsored plans, Medicaid, and Medicare, cover abdominal X-rays when they are medically necessary and ordered by a licensed provider. Coverage terms vary widely, however, and the amount a patient pays out of pocket depends on factors such as whether the facility is in-network, whether the patient has met their annual deductible, and the specific cost-sharing structure of the plan. Patients with high-deductible health plans may be responsible for the full negotiated rate until their deductible is met, which makes price comparison especially important. Before scheduling, it is worth calling your insurance company to confirm that the ordering provider and the imaging facility are both in-network. Even when a procedure is covered, using an out-of-network facility can result in significantly higher cost-sharing or a claim denial. Ask both the ordering provider and the imaging center for the specific CPT code (74022) so you can verify coverage accurately. Some plans also require prior authorization for imaging studies, so confirming this step in advance can prevent unexpected billing issues. For patients without insurance or those facing high out-of-pocket costs, several options are worth exploring. Many hospitals in Illinois offer charity care or sliding-scale financial assistance programs based on income. Freestanding imaging centers frequently offer self-pay rates that are substantially lower than hospital prices — sometimes as low as $54 for this procedure. Negotiating directly with the billing department before or after the procedure is also a common and often effective strategy. Transparent pricing platforms like Aphenos allow consumers to compare real hospital-reported prices before committing to a facility.

Before Scheduling, Ask:

  • 1.Is this facility in my insurance network?
  • 2.Does this procedure require prior authorization?
  • 3.What is my out-of-pocket cost after deductible?
  • 4.Is there a cash-pay discount if I pay upfront?

When Do You Need a Abdominal X-ray Series with Chest?

A physician may order an abdominal X-ray series with chest for a variety of clinical reasons. Common indications include evaluating abdominal pain, nausea, vomiting, or bloating; detecting bowel obstruction or ileus (a temporary stoppage of bowel function); identifying kidney stones or calcifications in the urinary tract; and checking for free air in the abdomen, which can indicate a perforated organ. The chest component of the series is often included to rule out lower respiratory causes of abdominal symptoms or to identify air beneath the diaphragm. This imaging series is frequently used in both emergency and outpatient settings. In emergency departments, it is a fast, widely available, and relatively low-cost first step in evaluating acute abdominal complaints before deciding whether more advanced imaging — such as a CT scan — is needed. In outpatient settings, it may be ordered to monitor a known condition, such as a kidney stone, or to follow up on a previous finding. The procedure involves low radiation exposure compared to CT imaging, making it a practical initial diagnostic option in many situations. Patients do not typically need to fast or follow special preparation instructions before a standard abdominal X-ray series, though some facilities may have specific guidelines. Individuals who are pregnant or may be pregnant should inform their provider and the imaging team before the procedure, as X-ray radiation carries certain risks during pregnancy and alternative imaging approaches may be considered. As with all imaging studies, the decision to order this procedure is made by a licensed clinician based on the patient's specific symptoms, history, and clinical presentation.

Frequently Asked Questions

Without insurance, an abdominal X-ray series with chest (CPT 74022) in Illinois can cost anywhere from $54 to $1,427 depending on where you go. The median price across 43 Illinois hospitals is $655. Freestanding outpatient imaging centers tend to offer the lowest self-pay prices, while large hospital systems typically charge more. Many facilities also offer cash-pay discounts or financial assistance programs if you ask in advance, so it is worth calling the billing department before your appointment to ask about your options.

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Price data sourced from hospital transparency files as required by the Hospital Price Transparency Rule. Last updated March 2026.

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