Imaging prices at AdventHealth Dade City
Dade City, FL · every code in this section with a posted price and a Medicare benchmark.
236 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $626 | $626 | 6.9× |
| Abdomen 2 views (74019) | $1,624.99 | $1,624.99 | 14.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,891.93 | $2,891.93 | 6.9× |
| Angio pulmonary bilat (75743) | $35,429.76 | $35,429.76 | 10.7× |
| Angiography extremity bilateral rs&i (75716) | $9,864.54 | $9,864.54 | 3.0× |
| Angiography extremity unilateral rs&i (75710) | $8,023.82 | $8,023.82 | 2.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $35,429.76 | $35,429.76 | 10.7× |
| Ankle 2 views (73600) | $969.03 | $969.03 | 10.7× |
| Bone age studies (77072) | $1,774.24 | $1,774.24 | 16.3× |
| Bone Imaging 3 Phase (78315) | $3,312.77 | $3,312.77 | 7.9× |
| Bone Imaging Limited Area (78300) | $3,523.55 | $3,523.55 | 8.4× |
| Bone Imaging Whole Body (78306) | $5,246.70 | $5,246.70 | 12.6× |
| Brachytx isodose complex (77318) | $1,825.95 | $1,825.95 | 4.7× |
| Brachytx isodose intermed (77317) | $1,484.66 | $1,484.66 | 3.8× |
| Brachytx Isodose Plan Simple (77316) | $1,249.05 | $1,249.05 | 3.2× |
| Cat Scan Follow-Up Study (76380) | $1,301.76 | $1,301.76 | 14.3× |
| Cerebrospinal Fluid Scan (78630) | $5,579.04 | $5,579.04 | 9.8× |
| Chest 1 view (71045) | $932.91 | $932.91 | 10.3× |
| Chest 2 views (71046) | $1,000.25 | $1,000.25 | 11.0× |
| Chest 3 views (71047) | $1,301.76 | $1,301.76 | 14.3× |
| Chest 4 or more views (71048) | $1,774.24 | $1,774.24 | 16.3× |
| Cisternography Positive Contrast Rs&I (70015) | $9,642.56 | $9,642.56 | 11.8× |
| Clavicle complete (73000) | $1,564.17 | $1,564.17 | 17.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,774.24 | $1,774.24 | 16.3× |
| Contrast Exam Abdominl Aorta (75625) | $12,241.86 | $12,241.86 | 3.7× |
| CT abdomen and pelvis without and with contrast (74178) | $12,644.73 | $12,644.73 | 34.7× |
| CT abdomen and pelvis without contrast (74176) | $10,044.97 | $10,044.97 | 40.3× |
| CT abdomen w contrast (74160) | $8,067.15 | $8,067.15 | 44.0× |
| CT abdomen w wo contrast (74170) | $9,768.49 | $9,768.49 | 53.3× |
| CT abdomen w/o contrast (74150) | $6,727.02 | $6,727.02 | 61.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,185.43 | $3,185.43 | 8.7× |
| CT Angio Chest (71275) | $1,599.37 | $1,599.37 | 8.7× |
| CT Angio Head (70496) | $8,338.26 | $8,338.26 | 45.5× |
| CT angio hrt w/3d image (75574) | $2,172 | $2,172 | 6.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,543.46 | $1,543.46 | 8.4× |
| CT Angio Neck (70498) | $2,755.49 | $2,755.49 | 15.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $8,674.31 | $8,674.31 | 47.4× |
| CT cervical spine w/ contrast (72126) | $8,227.88 | $8,227.88 | 22.6× |
| CT cervical spine w/o contrast (72125) | $9,142.02 | $9,142.02 | 83.7× |
| CT cervical spine w/wo cont (72127) | $8,471.82 | $8,471.82 | 46.3× |
| CT chest w contrast (71260) | $8,275.93 | $8,275.93 | 45.2× |
| CT chest w/wo contrast (71270) | $2,172 | $2,172 | 11.9× |
| CT head/brain with contrast (70460) | $2,172 | $2,172 | 11.9× |
| CT head/brain without and with contrast (70470) | $8,151.32 | $8,151.32 | 44.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,583.78 | $2,583.78 | 28.4× |
| CT iac w contrast (70481) | $8,227.88 | $8,227.88 | 44.9× |
| CT l-spine w&w/o contrast (72133) | $2,172 | $2,172 | 11.9× |
| CT lower ext w/o (73700) | $6,638.73 | $6,638.73 | 60.8× |
| CT lower extremity w/contrast material (73701) | $8,639.33 | $8,639.33 | 47.2× |
| CT lumbar spine w contrast (72132) | $6,785.73 | $6,785.73 | 18.6× |
| CT lumbar spine w/o contrast (72131) | $8,041.60 | $8,041.60 | 73.7× |
| CT maxillofacial w contrast (70487) | $7,125.03 | $7,125.03 | 38.9× |
| CT maxillofacial wo contrast (70486) | $6,727.02 | $6,727.02 | 61.6× |
| CT neck tissue combo (70492) | $2,172 | $2,172 | 11.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,172 | $2,172 | 11.9× |
| CT orbits w/o contrast (70480) | $7,405.14 | $7,405.14 | 67.8× |
| CT pelvis w&w/o contrast (72194) | $2,172 | $2,172 | 11.9× |
| CT pelvis w/o contrast (72192) | $7,596.33 | $7,596.33 | 69.6× |
| CT scan of leg combo (73702) | $2,172 | $2,172 | 11.9× |
| CT scans face/jaw combo (70488) | $8,075.77 | $8,075.77 | 44.1× |
| CT soft tissue neck w contrast (70491) | $8,166.62 | $8,166.62 | 44.6× |
| CT soft tissue neck w/o contrast (70490) | $7,432.11 | $7,432.11 | 68.1× |
| CT thoracic spine w contrast (72129) | $2,172 | $2,172 | 11.9× |
| CT thoracic spine w/o contrast (72128) | $7,563.76 | $7,563.76 | 69.3× |
| CT thoracic spine w/wo cont (72130) | $2,172 | $2,172 | 11.9× |
| CT thorax w/o contrast (71250) | $7,510.18 | $7,510.18 | 68.8× |
| CT upper ext wo (73200) | $7,497.21 | $7,497.21 | 68.7× |
| CT upper extremity w/o & w/contrast material (73202) | $9,792.09 | $9,792.09 | 53.5× |
| CT upper extremity with contrast (73201) | $8,227.88 | $8,227.88 | 22.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $8,269.87 | $8,269.87 | 45.1× |
| Cta Abdomen (74175) | $2,607.61 | $2,607.61 | 14.2× |
| CTA pelvis (72191) | $2,172 | $2,172 | 11.9× |
| Esophagram (74220) | $1,954.01 | $1,954.01 | 10.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $545.82 | $545.82 | 5.0× |
| Fluoroscopy up to 1 hr (76000) | $1,383.73 | $1,383.73 | 5.6× |
| Foot 2 views (73620) | $1,033.83 | $1,033.83 | 11.4× |
| Forearm 2 views (73090) | $1,578.34 | $1,578.34 | 17.4× |
| Gastric emptying imaging study (78264) | $2,269.87 | $2,269.87 | 5.4× |
| Gated Heart Planar Single (78472) | $5,213.60 | $5,213.60 | 12.5× |
| Hand 2 views (73120) | $1,226.24 | $1,226.24 | 11.2× |
| Hepatobil Syst Image W/Drug (78227) | $3,948.90 | $3,948.90 | 7.0× |
| Hepatobiliary System Imaging (78226) | $3,478.29 | $3,478.29 | 8.3× |
| Ht Muscle Image Spect Sing (78451) | $15,473.12 | $15,473.12 | 11.4× |
| Intracavitary Radiation Source Applic Complex (77763) | $4,054.72 | $4,054.72 | 5.6× |
| Intracavitary Radiation Source Applic Intermed (77762) | $3,371.18 | $3,371.18 | 5.8× |
| Intracavitary radiation source applic simple (77761) | $2,274.30 | $2,274.30 | 3.9× |
| K Flow/Funct Image W/Drug (78708) | $6,505.16 | $6,505.16 | 11.5× |
| K Flow/Funct Image W/O Drug (78707) | $5,579.04 | $5,579.04 | 9.8× |
| Knee 3 Views (73562) | $1,680.83 | $1,680.83 | 18.5× |
| Lung Ventilat&Perfus Imaging (78582) | $4,753.85 | $4,753.85 | 8.4× |
| Magnetic Image Jaw Joint (70336) | $3,738.08 | $3,738.08 | 15.0× |
| Meckels Divert Exam (78290) | $5,213.60 | $5,213.60 | 12.5× |
| Mr safety determination physician/other qhp (76016) | $295.04 | $295.04 | 3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $82.38 | $82.38 | 2.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $309.28 | $309.28 | 3.1× |
| Mr safety implt pos&/immoblj (76019) | $196.49 | $196.49 | 3.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $812.98 | $812.98 | 3.3× |
| Mra Head W/O & W/Contrast Material (70546) | $6,277.99 | $6,277.99 | 17.2× |
| MRA head w/o contrast (70544) | $5,626.72 | $5,626.72 | 22.6× |
| MRA head with contrast (70545) | $5,262.68 | $5,262.68 | 14.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,596.71 | $7,596.71 | 20.9× |
| MRA neck w/o contrast (70547) | $5,006.69 | $5,006.69 | 20.1× |
| MRI abdomen w/o contrast (74181) | $4,863.99 | $4,863.99 | 19.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,593.67 | $6,593.67 | 18.1× |
| MRI cervical spine w contrast (72142) | $5,306.71 | $5,306.71 | 14.6× |
| MRI cervical spine w/o cont (72141) | $4,863.99 | $4,863.99 | 19.5× |
| MRI chest w/o contrast (71550) | $4,728.69 | $4,728.69 | 19.0× |
| MRI chest wo w contrast (71552) | $4,726.08 | $4,726.08 | 13.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,726.08 | $4,726.08 | 13.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,593.67 | $6,593.67 | 18.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,632.36 | $4,632.36 | 18.6× |
| MRI lumbar spine w contrast (72149) | $5,306.71 | $5,306.71 | 14.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,725.99 | $6,725.99 | 18.5× |
| MRI orbit face &/neck w/o contrast (70540) | $3,738.08 | $3,738.08 | 15.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,275.24 | $6,275.24 | 17.2× |
| MRI pelvis w/o & w contrast (72197) | $6,405.72 | $6,405.72 | 17.6× |
| MRI pelvis w/o contrast (72195) | $5,006.69 | $5,006.69 | 20.1× |
| MRI thoracic spine w/o contrast (72146) | $4,863.99 | $4,863.99 | 19.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,867.45 | $4,867.45 | 19.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,593.67 | $6,593.67 | 18.1× |
| MRI, abdomen, combo (74183) | $7,807.47 | $7,807.47 | 21.4× |
| MRI, dorsal spine combo (72157) | $6,725.99 | $6,725.99 | 18.5× |
| MRI, dorsal spine contrast (72147) | $5,306.71 | $5,306.71 | 14.6× |
| MRI, joint upper extrem (73221) | $4,867.45 | $4,867.45 | 19.5× |
| MRI, joint upper extrem combo (73223) | $4,726.08 | $4,726.08 | 13.0× |
| MRI, lumbar spine combo (72158) | $7,754.69 | $7,754.69 | 21.3× |
| Myelograpy 2/more regions rs&i (72270) | $9,642.56 | $9,642.56 | 11.8× |
| Myocardial Spect Multiple Studies (78452) | $15,473.12 | $15,473.12 | 11.4× |
| Neck soft tissue (70360) | $1,581.21 | $1,581.21 | 17.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $5,213.60 | $5,213.60 | 12.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $15,280.63 | $15,280.63 | 10.6× |
| Parathyroid Planar Imaging (78070) | $1,474.57 | $1,474.57 | 3.5× |
| Pelvis 1 or 2 views (72170) | $1,382.39 | $1,382.39 | 12.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,446.94 | $2,446.94 | 5.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,944.31 | $1,944.31 | 17.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,026.55 | $2,026.55 | 3.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,445.44 | $1,445.44 | 15.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $858.75 | $858.75 | 9.4× |
| Radex elbow complete minimum 3 views (73080) | $1,576.29 | $1,576.29 | 17.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,644.51 | $1,644.51 | 15.1× |
| Radex fingr minimum 2 views (73140) | $1,198.42 | $1,198.42 | 13.2× |
| Radex foot complete minimum 3 views (73630) | $1,416.63 | $1,416.63 | 15.6× |
| Radex Hand Minimum 3 Views (73130) | $1,625 | $1,625 | 17.9× |
| Radex lower extremity infant minimum 2 views (73592) | $295.04 | $295.04 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,389.74 | $1,389.74 | 15.3× |
| Radex Ribs Unilateral 2 Views (71100) | $1,091.91 | $1,091.91 | 12.0× |
| Radex shoulder complete minimum 2 views (73030) | $1,515.36 | $1,515.36 | 16.7× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$607.11–$1,301.76 | $607.11–$1,301.76 | varies |
| Radex Spine 1 View Specify Level (72020) | $1,192.17 | $1,192.17 | 13.1× |
| Radex Sternum Minimum 2 Views (71120) | $1,407.28 | $1,407.28 | 15.5× |
| Radex Toe Minimum 2 Views (73660) | $658.48 | $658.48 | 7.2× |
| Radex upper extremity infant minimum 2 views (73092) | $1,774.24 | $1,774.24 | 16.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,188.29 | $1,188.29 | 13.1× |
| Radiation treatment delivery level 1 (77402) | $646.54 | $646.54 | 6.1× |
| Radiation treatment delivery level 2 (77407) | $885.55 | $885.55 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,774.24 | $1,774.24 | 16.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,774.24 | $1,774.24 | 16.3× |
| Radiologic exam colon double contrast study (74280) | $2,925.01 | $2,925.01 | 16.0× |
| Radiologic exam colon single contrast study (74270) | $2,713.18 | $2,713.18 | 14.8× |
| Radiologic exam knee complete 4/more views (73564) | $2,209.24 | $2,209.24 | 20.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,382.39 | $1,382.39 | 12.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,914.22 | $1,914.22 | 10.5× |
| Radiologic exam swallow function contrast study (74230) | $2,256.85 | $2,256.85 | 12.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,172 | $2,172 | 11.9× |
| Radiologic examination femur 1 view (73551) | $2,001.59 | $2,001.59 | 22.0× |
| Radiologic examination femur minimum 2 views (73552) | $2,001.59 | $2,001.59 | 22.0× |
| Radiologic examination knee 1/2 views (73560) | $1,339.10 | $1,339.10 | 14.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,502.77 | $1,502.77 | 16.5× |
| Ribs bilateral 3 views (71110) | $1,774.24 | $1,774.24 | 16.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $15,473.12 | $15,473.12 | 27.3× |
| Scapula (73010) | $1,226.89 | $1,226.89 | 11.2× |
| Shoulder 1 view (73020) | $1,123.44 | $1,123.44 | 12.4× |
| Skull less than 4 views (70250) | $1,215.90 | $1,215.90 | 11.1× |
| Srs Multisource (77371) | $32,360.11 | $32,360.11 | 4.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,627.54 | $1,627.54 | 4.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,226.75 | $1,226.75 | 3.1× |
| Thoracic spine 2 views (72070) | $922.56 | $922.56 | 8.5× |
| Thoracic spine 3 views (72072) | $1,879.51 | $1,879.51 | 17.2× |
| Thoracolumbar 2 views (72080) | $1,138.25 | $1,138.25 | 12.5× |
| Thyroid Imaging With Vascular Flow (78013) | $5,213.60 | $5,213.60 | 12.5× |
| Thyroid Uptake Measurement (78012) | $5,213.60 | $5,213.60 | 12.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,116.50 | $1,116.50 | 2.7× |
| Ultrasound Breast Limited (76642) | $1,301.76 | $1,301.76 | 14.3× |
| Ultrasound Exam Aaa Screen (76706) | $1,774.24 | $1,774.24 | 16.3× |
| Ultrasound, abdomen limited (76705) | $2,534.60 | $2,534.60 | 23.2× |
| Upper gi w/o kub (74240) | $1,310.27 | $1,310.27 | 7.2× |
| Us chest (76604) | $1,774.24 | $1,774.24 | 16.3× |
| Us complete joint (76881) | $1,811.16 | $1,811.16 | 16.6× |
| Us exam, pelvic, limited (76857) | $2,375.73 | $2,375.73 | 21.8× |
| Us kidney transplant (76776) | $1,774.24 | $1,774.24 | 16.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,705.22 | $1,705.22 | 15.6× |
| Us ob detailed single fetus (76811) | $3,738.08 | $3,738.08 | 15.0× |
| Us ob limited 1 or more fetuses (76815) | $2,328.30 | $2,328.30 | 21.3× |
| Us ob transvaginal (76817) | $2,277.77 | $2,277.77 | 20.9× |
| Us pelvic non ob complete (76856) | $3,574.76 | $3,574.76 | 32.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,697.38 | $2,697.38 | 24.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,200.11 | $1,200.11 | 11.0× |
| Us retroperitoneal complete (76770) | $4,538.56 | $4,538.56 | 41.6× |
| Us retroperitoneal limited (76775) | $2,562.41 | $2,562.41 | 23.5× |
| Us scrotum and contents (76870) | $2,775.03 | $2,775.03 | 25.4× |
| Us thyroid (76536) | $3,249.23 | $3,249.23 | 29.8× |
| Vein X-Ray Chest (75827) | $17,119.04 | $17,119.04 | 10.4× |
| Venography caval inferior serialography rs&i (75825) | $35,429.76 | $35,429.76 | 10.7× |
| Venography extremity bilateral rs&i (75822) | $6,080.06 | $6,080.06 | 3.7× |
| Venography extremity unilateral rs&i (75820) | $4,342.90 | $4,342.90 | 2.6× |
| Wrist 2 views (73100) | $1,249.05 | $1,249.05 | 13.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $984.94 | $984.94 | 10.8× |
| X-Ray Bend Only L-S Spine (72120) | $1,774.24 | $1,774.24 | 16.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,012.20 | $1,012.20 | 11.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,254.21 | $1,254.21 | 13.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,778.91 | $1,778.91 | 19.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,668.35 | $2,668.35 | 24.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,920.60 | $1,920.60 | 17.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $358.70 | $358.70 | 3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,774.24 | $1,774.24 | 16.3× |
| X-Ray Exam L-S Spine Bending (72114) | $2,549.43 | $2,549.43 | 23.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,878.16 | $1,878.16 | 20.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,674.07 | $2,674.07 | 24.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,865.36 | $1,865.36 | 17.1× |
| X-ray humerus (73060) | $1,468.32 | $1,468.32 | 16.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,301.76 | $1,301.76 | 14.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,301.76 | $1,301.76 | 14.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,613.54 | $1,613.54 | 14.8× |
| X-ray nose-rectum child f.b. (76010) | $833.85 | $833.85 | 9.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,317.43 | $2,317.43 | 21.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,441.38 | $1,441.38 | 13.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $516.46 | $516.46 | 4.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,754.04 | $1,754.04 | 19.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,301.76 | $1,301.76 | 14.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,614.14 | $1,614.14 | 14.8× |
| X-ray thoracic spine 4 vw (72074) | $1,774.23 | $1,774.23 | 16.3× |
| X-Ray Tmj Unilat (70328) | $1,301.76 | $1,301.76 | 14.3× |
| X-Rays Bone Survey Complete (77075) | $1,774.24 | $1,774.24 | 16.3× |
| Xr c-spine 4 or 5 views (72050) | $2,448.38 | $2,448.38 | 22.4× |
| Xr facial bones less than 3 views (70140) | $1,301.76 | $1,301.76 | 14.3× |
| Xr orbits complete 4 views (70200) | $1,472.77 | $1,472.77 | 13.5× |
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.