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Procedure price report · Other diagnostic radiology and related techniques

X-ray of the bony openings for the optic nerves

CPT 70190the billing code this page is about

X-ray imaging of the optic foramina, the bony channels through which the nerves of vision pass out of the skull.

Hospitals typically charge $179 cash for this outpatient procedure — the median across 1,004 hospitals that filed a usable cash price; the average of the middle 60% is $193. Most fall between $96 and $360 (20th–80th percentile).

Hospitals
1,004
States
49
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,004 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$68$105$179$313$549

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($68 vs $549).

How the prices are spread

$53 – $68: 53 hospitals$53$68 – $88: 70 hospitals$88 – $113: 104 hospitals$88$113 – $146: 141 hospitals$146 – $189: 117 hospitals$146$189 – $244: 120 hospitals$244 – $316: 104 hospitals$244$316 – $408: 80 hospitals$408 – $528: 65 hospitals$408$528 – $682: 52 hospitals$528median $179price bands are equal on a log scale
Hospitals per price band (906 of 1,004 — the bands cover the 5th to 95th percentile)
FromToHospitals
$53$6853
$68$8870
$88$113104
$113$146141
$146$189117
$189$244120
$244$316104
$316$40880
$408$52865
$528$68252

Against Medicare

Medicare pays (OPPS 2026, national rate)$89
Median cash price$179
Cash as a multiple of Medicare2.0×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $179.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $382 across 11 hospitalsME$382Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $188 across 24 hospitalsWA$188Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $190 across 11 hospitalsMT$190North Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $104 across 22 hospitalsMN$104Illinois: median $208 across 32 hospitalsIL$208Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $171 across 20 hospitalsMI$171New York: median $109 across 51 hospitalsNY$109Massachusetts: median $279 across 17 hospitalsMA$279Oregon: median $137 across 15 hospitalsOR$137Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $168 across 10 hospitalsSD$168Iowa: median $167 across 28 hospitalsIA$167Indiana: median $206 across 13 hospitalsIN$206Ohio: median $246 across 63 hospitalsOH$246Pennsylvania: median $146 across 38 hospitalsPA$146New Jersey: median $113 across 24 hospitalsNJ$113Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $369 across 105 hospitalsCA$369Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $231 across 16 hospitalsNE$231Missouri: median $164 across 15 hospitalsMO$164Kentucky: median $150 across 20 hospitalsKY$150West Virginia: median $196 across 15 hospitalsWV$196Virginia: median $160 across 22 hospitalsVA$160Maryland: median $225 across 13 hospitalsMD$225Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $120 across 16 hospitalsAZ$120New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $167 across 25 hospitalsKS$167Arkansas: median $84 across 11 hospitalsAR$84Tennessee: median $68 across 30 hospitalsTN$68North Carolina: median $123 across 24 hospitalsNC$123South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $18 across 15 hospitalsOK$18Louisiana: median $162 across 16 hospitalsLA$162Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $131 across 40 hospitalsGA$131Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $183 across 100 hospitalsTX$183Florida: median $494 across 49 hospitalsFL$494
Cash price by state, most expensive first. National median $179. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL49$494+177%$185 – $1,808
Maine ME11$382+114%$96 – $443
California CA105$369+107%$141 – $605
Massachusetts MA17$279+56%$175 – $411
Ohio OH63$246+38%$167 – $427
Nebraska NE16$231+29%$154 – $299
Maryland MD13$225+26%$175 – $261
Illinois IL32$208+17%$66 – $326
Indiana IN13$206+16%$53 – $354
West Virginia WV15$196+10%$130 – $261
Montana MT11$190+7%$120 – $214
Washington WA24$188+5%$111 – $335
Texas TX100$183+3%$131 – $373
Michigan MI20$171−4%$82 – $171
South Dakota SD10$168−6%$168 – $276
Kansas KS25$167−6%$81 – $467
Iowa IA28$167−7%$101 – $274
Missouri MO15$164−8%$151 – $319
Louisiana LA16$162−9%$67 – $233
Virginia VA22$160−10%$69 – $348
Kentucky KY20$150−16%$72 – $354
Pennsylvania PA38$146−19%$85 – $221
Oregon OR15$137−24%$68 – $267
Georgia GA40$131−27%$98 – $135
North Carolina NC24$123−31%$103 – $163
Arizona AZ16$120−33%$107 – $199
New Jersey NJ24$113−37%$97 – $117
New York NY51$109−39%$95 – $329
Minnesota MN22$104−42%$80 – $301
Arkansas AR11$84−53%$50 – $119
Tennessee TN30$68−62%$63 – $102
Oklahoma OK15$18−90%$18 – $180
Colorado CO8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $179.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care767$175$97 – $381
Children’s20$353$142 – $536
Critical access214$180$93 – $312
Ownership
For-profit146$259$124 – $797
Government151$159$96 – $268
Non-profit704$171$94 – $352
System affiliation
Part of a system825$179$98 – $356
Independent179$178$88 – $360

Cash price vs list price

Median list price (chargemaster)$318
Median cash price$179
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

666 hospitals filed a usable inpatient cash price for this code. The median is $186 and the average of the middle 60% is $199; most fall between $94 and $354.

Cash price percentiles, inpatient, across 666 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$63$109$186$315$455

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($63 vs $455).

Of the 744 hospitals that filed this code inpatient, 666 gave a usable cash price; 53 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 25 a list price only.

How complete is this

1,004 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,140 hospitals that filed this code at all gave us
Usable cash price — counted1,004
Cash price carrying a plausibility flag — shown on the compare tool, excluded here94
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded42
Hospitals that filed this code1,140

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other diagnostic radiology and related techniques family.

Hospitals file this code under descriptions such as PR X-Ray Optic Foramen.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “X-ray of the bony openings for the optic nerves (CPT 70190) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-70190-x-ray-of-the-bony-openings-for-the-optic-nerves