Imaging prices at Adirondack Medical Center - Saranac Lake
Saranac Lake, NY · every code in this section with a posted price and a Medicare benchmark.
266 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $196.54 | $317 | 1.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $983.94 | $1,587 | 2.0× |
| Angio internal mammary (75756) | $1,998.88 | $3,224 | 0.5× |
| Angio pulmonary bilat (75743) | $6,431.88 | $10,374 | 1.6× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$239.32–$4,443.54 | $386–$7,167 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$213.90–$4,443.54 | $345–$7,167 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$65.72–$235.60 | $106–$380 | varies |
| Aortography thoracic serialography rs&i (75605) | $10,952.30 | $17,665 | 1.6× |
| Artery X-Rays Abdomen (75726) | $7,784.72 | $12,556 | 1.1× |
| Artery X-Rays Pelvis (75736) | $10,952.30 | $17,665 | 1.6× |
| Arthrogram hip (73525) | $912.02 | $1,471 | 2.1× |
| Arthrogram Wrist (73115) | $382.54 | $617 | 0.9× |
| Bone age studies (77072) | $236.22 | $381 | 1.8× |
| Bone Imaging 3 Phase (78315) | $1,361.52 | $2,196 | 2.7× |
| Bone Imaging Limited Area (78300) | $863.66 | $1,393 | 1.7× |
| Bone Imaging Whole Body (78306) | $985.18 | $1,589 | 2.0× |
| Bone survey infant (77076) | $381.92 | $616 | 2.9× |
| Chest 1 view (71045) | $153.76 | $248 | 1.4× |
| Chest 2 views (71046) | $367.66 | $593 | 3.4× |
| Chest 3 views (71047) | $367.66 | $593 | 3.4× |
| Chest 4 or more views (71048) | $299.46 | $483 | 2.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$67.58–$158.72 | $109–$256 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $293.88 | $474 | 2.3× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,443.54 | $225–$7,167 | 1.1× |
| Contrast X-Ray Bladder (74430) | $671.46 | $1,083 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $2,617.02 | $4,221 | 6.0× |
| CT abdomen and pelvis without contrast (74176) | $1,309.44 | $2,112 | 4.4× |
| CT abdomen w contrast (74160) | $1,523.34 | $2,457 | 7.0× |
| CT abdomen w wo contrast (74170) | $1,822.18 | $2,939 | 8.3× |
| CT abdomen w/o contrast (74150) | $1,295.18 | $2,089 | 9.9× |
| CT Angio Abdomen and Pelvis (74174) | $3,127.90 | $5,045 | 7.2× |
| CT Angio Chest (71275) | $1,947.42 | $3,141 | 8.9× |
| CT Angio Head (70496) | $1,763.90 | $2,845 | 8.1× |
| CT angio hrt w/3d image (75574) | $1,900.92 | $3,066 | 4.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,731.66 | $2,793 | 7.9× |
| CT Angio Neck (70498) | $1,760.18 | $2,839 | 8.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,571.08 | $2,534 | 7.2× |
| CT bone density (77078) | $377.58 | $609 | 3.5× |
| CT cervical spine w/ contrast (72126) | $1,342.92 | $2,166 | 3.1× |
| CT cervical spine w/o contrast (72125) | $1,296.42 | $2,091 | 9.9× |
| CT cervical spine w/wo cont (72127) | $1,598.98 | $2,579 | 7.3× |
| CT chest w contrast (71260) | $1,443.36 | $2,328 | 6.6× |
| CT chest w/wo contrast (71270) | $1,615.72 | $2,606 | 7.4× |
| CT head/brain with contrast (70460) | $1,347.26 | $2,173 | 6.2× |
| CT head/brain without and with contrast (70470) | $1,665.94 | $2,687 | 7.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $451.36 | $728 | 4.2× |
| CT iac w contrast (70481) | $1,149.48 | $1,854 | 5.2× |
| CT l-spine w&w/o contrast (72133) | $1,564.88 | $2,524 | 7.1× |
| CT lower ext w/o (73700) | $1,124.68 | $1,814 | 8.6× |
| CT lower extremity w/contrast material (73701) | $1,239.38 | $1,999 | 5.7× |
| CT lumbar spine w contrast (72132) | $1,443.36 | $2,328 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $1,295.18 | $2,089 | 9.9× |
| CT maxillofacial w contrast (70487) | $1,393.76 | $2,248 | 6.4× |
| CT maxillofacial wo contrast (70486) | $1,228.84 | $1,982 | 9.4× |
| CT neck tissue combo (70492) | $1,560.54 | $2,517 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,375.78 | $2,219 | 6.3× |
| CT orbits w/o contrast (70480) | $1,044.70 | $1,685 | 8.0× |
| CT pelvis w&w/o contrast (72194) | $1,560.54 | $2,517 | 7.1× |
| CT pelvis w/o contrast (72192) | $1,249.92 | $2,016 | 9.6× |
| CT scan of leg combo (73702) | $1,560.54 | $2,517 | 7.1× |
| CT scans face/jaw combo (70488) | $1,617.58 | $2,609 | 7.4× |
| CT soft tissue neck w contrast (70491) | $1,411.74 | $2,277 | 6.4× |
| CT soft tissue neck w/o contrast (70490) | $1,277.20 | $2,060 | 9.8× |
| CT thoracic spine w contrast (72129) | $1,443.36 | $2,328 | 6.6× |
| CT thoracic spine w/o contrast (72128) | $1,295.18 | $2,089 | 9.9× |
| CT thoracic spine w/wo cont (72130) | $1,574.80 | $2,540 | 7.2× |
| CT thorax w/o contrast (71250) | $1,295.18 | $2,089 | 9.9× |
| CT upper ext wo (73200) | $1,120.96 | $1,808 | 8.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,470.64 | $2,372 | 6.7× |
| CT upper extremity with contrast (73201) | $1,260.46 | $2,033 | 2.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,003.28 | $4,844 | 13.7× |
| Cta Abdomen (74175) | $2,163.80 | $3,490 | 9.9× |
| CTA pelvis (72191) | $1,742.20 | $2,810 | 8.0× |
| Dxa Bone Density Axial (77080) | $249.86 | $403 | 1.9× |
| Echo exam uterus (76831) | $498.48 | $804 | 1.7× |
| Esophagram (74220) | $281.48 | $454 | 1.3× |
| Fetal Biophys Profile W/Nst (76818) | $369.52 | $596 | 2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $352.16 | $568 | 2.7× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$78.74–$409.20 | $127–$660 | varies |
| Follow-Up Angiography (75898) | $6,570.76 | $10,598 | 1.7× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$58.28–$337.90 | $94–$545 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$59.52–$325.50 | $96–$525 | varies |
| Gastric emptying imaging study (78264) | $926.28 | $1,494 | 1.9× |
| Gated Heart Planar Single (78472) | $1,351.60 | $2,180 | 2.7× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$63.86–$337.90 | $103–$545 | varies |
| Hepatobil Syst Image W/Drug (78227) | $966.58 | $1,559 | 1.4× |
| Hepatobiliary System Imaging (78226) | $966.58 | $1,559 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $2,869.36 | $4,628 | 1.8× |
| Hysterosalpingogram (74740) | $826.46 | $1,333 | 2.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $308.14 | $497 | 2.8× |
| Infant hip ultrasound, limited static exam (76886) | $275.90 | $445 | 2.5× |
| K Flow/Funct Image W/Drug (78708) | $1,723.60 | $2,780 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,388.80 | $2,240 | 2.0× |
| Kidney Imaging Morphol (78700) | $1,430.34 | $2,307 | 2.9× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$83.08–$472.44 | $134–$762 | varies |
| Liver & Spleen Imaging Static Only (78215) | $966.58 | $1,559 | 1.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $966.58 | $1,559 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,144.52 | $1,846 | 1.7× |
| Lymph System Imaging (78195) | $898.38 | $1,449 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $2,112.34 | $3,407 | 7.1× |
| Meckels Divert Exam (78290) | $863.66 | $1,393 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,944.38 | $4,749 | 6.8× |
| MRA head w/o contrast (70544) | $2,218.36 | $3,578 | 7.4× |
| MRA head with contrast (70545) | $2,463.26 | $3,973 | 5.7× |
| MRA neck w contrast (70548) | $1,843.88 | $2,974 | 4.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,881.76 | $4,648 | 6.6× |
| MRA neck w/o contrast (70547) | $1,412.98 | $2,279 | 4.7× |
| MRI abdomen w contrast (74182) | $2,463.26 | $3,973 | 5.7× |
| MRI abdomen w/o contrast (74181) | $2,218.36 | $3,578 | 7.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,463.26 | $3,973 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,881.76 | $4,648 | 6.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,463.26 | $3,973 | 2.5× |
| MRI cervical spine w contrast (72142) | $2,488.06 | $4,013 | 5.7× |
| MRI cervical spine w/o cont (72141) | $2,241.92 | $3,616 | 7.5× |
| MRI chest w/o contrast (71550) | $2,218.36 | $3,578 | 7.4× |
| MRI chest with contrast (71551) | $2,463.26 | $3,973 | 2.5× |
| MRI chest wo w contrast (71552) | $2,881.76 | $4,648 | 6.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,463.26 | $3,973 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,881.76 | $4,648 | 6.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,218.36 | $3,578 | 7.4× |
| MRI lumbar spine w contrast (72149) | $2,460.78 | $3,969 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,912.14 | $4,697 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,218.36 | $3,578 | 7.4× |
| MRI orbit face neck w contrast (70542) | $2,463.26 | $3,973 | 5.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,937.56 | $4,738 | 6.7× |
| MRI pelvis w contrast (72196) | $2,463.26 | $3,973 | 5.7× |
| MRI pelvis w/o & w contrast (72197) | $2,881.76 | $4,648 | 6.6× |
| MRI pelvis w/o contrast (72195) | $2,218.36 | $3,578 | 7.4× |
| MRI thoracic spine w/o contrast (72146) | $2,336.16 | $3,768 | 7.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,463.26 | $3,973 | 5.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,218.36 | $3,578 | 7.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,881.76 | $4,648 | 6.6× |
| MRI, abdomen, combo (74183) | $2,944.38 | $4,749 | 6.8× |
| MRI, dorsal spine combo (72157) | $2,912.14 | $4,697 | 6.7× |
| MRI, dorsal spine contrast (72147) | $2,488.06 | $4,013 | 5.7× |
| MRI, joint upper extrem (73221) | $2,218.36 | $3,578 | 7.4× |
| MRI, joint upper extrem combo (73223) | $2,937.56 | $4,738 | 6.7× |
| MRI, lumbar spine combo (72158) | $2,881.76 | $4,648 | 6.6× |
| Myelogram Lumbar (72265) | $1,547.52 | $2,496 | 1.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$304.42–$2,951.82 | $491–$4,761 | varies |
| Neck soft tissue (70360) | $184.76 | $298 | 1.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $103.54 | $167 | 0.8× |
| Parathyroid Planar Imaging (78070) | $863.66 | $1,393 | 1.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$57.04–$235.60 | $92–$380 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,171.36 | $6,728 | 2.3× |
| PET image w/CT, full body (78816) | $4,171.36 | $6,728 | 2.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,171.36 | $6,728 | 2.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $863.66 | $1,393 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $238.70 | $385 | 1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $551.80 | $890 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$75.02–$587.14 | $121–$947 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $168.02 | $271 | 1.5× |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$68.20–$406.10 | $110–$655 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $279 | $450 | 2.1× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$78.12–$151.90 | $126–$245 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$70.68–$179.18 | $114–$289 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$76.26–$368.90 | $123–$595 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $151.90 | $245 | 1.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $251.72 | $406 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $187.86 | $303 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $206.46 | $333 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$71.92–$469.34 | $116–$757 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $153.76 | $248 | 1.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $500.34 | $807 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $186 | $300 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $206.46 | $333 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $244.28 | $394 | 2.2× |
| Radex Toe Minimum 2 Views (73660) | $151.90 | $245 | 1.4× |
| Radex upper extremity infant minimum 2 views (73092) | $161.20 | $260 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$83.70–$375.72 | $135–$606 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $258.54 | $417 | 2.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $235.60 | $380 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $551.80 | $890 | 2.5× |
| Radiologic exam colon single contrast study (74270) | $394.94 | $637 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$96.72–$441.44 | $156–$712 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $291.40 | $470 | 1.3× |
| Radiologic exam swallow function contrast study (74230) | $352.78 | $569 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $449.50 | $725 | 2.1× |
| Radiologic examination femur 1 view (73551) | $161.82 | $261 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$73.16–$367.04 | $118–$592 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$70.68–$166.16 | $114–$268 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$65.10–$183.52 | $105–$296 | varies |
| Ribs bilateral 3 views (71110) | $251.72 | $406 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,869.36 | $4,628 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,685.22 | $4,331 | 4.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,685.22 | $4,331 | 4.0× |
| Scapula (73010) range across 3 matching MRF lines |
$16.74–$210.18 | $27–$339 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $79.98 | $129 | 3.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$45.26–$151.90 | $73–$245 | varies |
| Shoulder Arthrography (73040) | $880.40 | $1,420 | 2.0× |
| Sialogram (70390) | $551.80 | $890 | 1.9× |
| Skull less than 4 views (70250) | $235.60 | $380 | 1.8× |
| Sternoclavicular joints (71130) | $222.58 | $359 | 2.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $394.94 | $637 | 1.8× |
| Thoracic spine 2 views (72070) | $235.60 | $380 | 1.8× |
| Thoracic spine 3 views (72072) | $272.80 | $440 | 2.1× |
| Thoracolumbar 2 views (72080) | $262.88 | $424 | 2.4× |
| Thyroid Imaging With Vascular Flow (78013) | $863.66 | $1,393 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $863.66 | $1,393 | 1.7× |
| Ultrasound Breast Limited (76642) | $241.18 | $389 | 2.2× |
| Ultrasound elastography first target lesion (76982) | $284.58 | $459 | 2.2× |
| Ultrasound Elastography Parenchyma (76981) | $284.58 | $459 | 2.2× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$218.86–$284.58 | $353–$459 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$189.10–$699.98 | $305–$1,129 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$236.22–$270.94 | $381–$437 | varies |
| Unlisted fluoroscopic procedure (76496) | $274.04 | $442 | 2.5× |
| Unlisted us procedure (76999) | $239.94 | $387 | 2.2× |
| Upper gi w/o kub (74240) | $394.94 | $637 | 1.8× |
| Urethrocystogram voiding (74455) | $671.46 | $1,083 | 2.3× |
| Urethrocystography retrograde (74450) | $672.08 | $1,084 | 2.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$241.18–$481.74 | $389–$777 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$122.14–$363.32 | $197–$586 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$109.12–$469.34 | $176–$757 | varies |
| Us head (76506) | $284.58 | $459 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$92.38–$228.16 | $149–$368 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$174.84–$659.68 | $282–$1,064 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$199.64–$476.78 | $322–$769 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$445.78–$450.12 | $719–$726 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$91.76–$443.30 | $148–$715 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$393.08–$664.02 | $634–$1,071 | varies |
| Us retroperitoneal complete (76770) | $699.98 | $1,129 | 5.4× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$126.48–$699.98 | $204–$1,129 | varies |
| Us scrotum and contents (76870) | $408.58 | $659 | 3.1× |
| Us spinal canal and contents (76800) | $365.80 | $590 | 2.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$214.52–$427.18 | $346–$689 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$314.34–$400.52 | $507–$646 | varies |
| Vein X-Ray Chest (75827) | $2,141.48 | $3,454 | 1.1× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$254.82–$6,570.76 | $411–$10,598 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,443.54 | $225–$7,167 | 1.1× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$130.20–$1,914.56 | $210–$3,088 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$88.04–$3,230.82 | $142–$5,211 | varies |
| Venography Renal Unilateral (75831) | $6,665 | $10,750 | 1.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$70.06–$151.90 | $113–$245 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $188.48 | $304 | 1.7× |
| X-ray antegrade pyelogram tube (74425) | $671.46 | $1,083 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) | $6,665 | $10,750 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $350.92 | $566 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$59.52–$303.18 | $96–$489 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,127.78 | $1,819 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $391.84 | $632 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 7 matching MRF lines |
$68.20–$161.20 | $110–$260 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$97.34–$247.38 | $157–$399 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $262.88 | $424 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $323.02 | $521 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $411.68 | $664 | 3.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $500.34 | $807 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $391.84 | $632 | 3.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $285.20 | $460 | 2.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$28.52–$337.28 | $46–$544 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $253.58 | $409 | 1.9× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$65.10–$344.10 | $105–$555 | varies |
| X-ray IV pyelogram (ivp) (74400) | $448.88 | $724 | 2.1× |
| X-ray IV pyelogram+tomography (74415) | $835.76 | $1,348 | 3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$81.22–$155.62 | $131–$251 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$81.22–$235.60 | $131–$380 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $287.06 | $463 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $197.78 | $319 | 1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $260.40 | $420 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $300.08 | $484 | 2.3× |
| X-Ray Stress View (77071) | $151.90 | $245 | 1.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $651.62 | $1,051 | 1.5× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$93–$235.60 | $150–$380 | varies |
| X-Rays Bone Survey Complete (77075) | $744 | $1,200 | 5.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$109.12–$310.62 | $176–$501 | varies |
| Xr facial bones less than 3 views (70140) | $179.80 | $290 | 1.7× |
| Xr orbits complete 4 views (70200) | $251.72 | $406 | 1.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.