Imaging prices at AdventHealth Gordon
Calhoun, GA · every code in this section with a posted price and a Medicare benchmark.
266 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $10,325.45 | $10,325.45 | 7.3× |
| Abdomen 1 View (74018) | $326.93 | $326.93 | 3.7× |
| Abdomen 2 views (74019) | $259.49 | $259.49 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,821.68 | $2,821.68 | 6.9× |
| Angio pulmonary bilat (75743) | $7,243.11 | $7,243.11 | 2.3× |
| Angiography extremity bilateral rs&i (75716) | $11,581.13 | $11,581.13 | 3.6× |
| Angiography extremity unilateral rs&i (75710) | $5,386.57 | $5,386.57 | 1.7× |
| Ankle 2 views (73600) | $333.85 | $333.85 | 3.8× |
| Arthrogram ankle (73615) | $4,181.81 | $4,181.81 | 11.8× |
| Arthrogram hip (73525) | $2,731.98 | $2,731.98 | 7.7× |
| Arthrogram Wrist (73115) | $1,791.24 | $1,791.24 | 5.1× |
| Basic radiation dosimetry calculation (77300) | $3,603.83 | $3,603.83 | 26.4× |
| Bone age studies (77072) | $228 | $228 | 2.1× |
| Bone Imaging 3 Phase (78315) | $4,387.80 | $4,387.80 | 10.8× |
| Bone Imaging Limited Area (78300) | $2,730.72 | $2,730.72 | 6.7× |
| Bone Imaging Multiple Areas (78305) | $32,996.23 | $32,996.23 | 81.3× |
| Bone Imaging Whole Body (78306) | $3,901.35 | $3,901.35 | 9.6× |
| Bone marrow imaging limited area (78102) | $2,661.80 | $2,661.80 | 6.6× |
| Bone survey infant (77076) | $702.65 | $702.65 | 6.6× |
| Brachytx isodose complex (77318) | $2,649.10 | $2,649.10 | 7.0× |
| Brachytx isodose intermed (77317) | $4,464.03 | $4,464.03 | 11.7× |
| Brachytx Isodose Plan Simple (77316) | $4,242.71 | $4,242.71 | 11.2× |
| Cerebrospinal Fluid Scan (78630) | $4,485.70 | $4,485.70 | 8.1× |
| Chest 1 view (71045) | $863.03 | $863.03 | 9.8× |
| Chest 2 views (71046) | $953.85 | $953.85 | 10.8× |
| Clavicle complete (73000) | $708.18 | $708.18 | 8.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,381.72 | $1,381.72 | 13.0× |
| Continuing medical physics consltj pr wk (77336) | $1,006.43 | $1,006.43 | 7.4× |
| Contrast X-Ray Bladder (74430) | $1,737.61 | $1,737.61 | 4.9× |
| Contrast X-Ray Of Elbow (73085) | $1,877.76 | $1,877.76 | 5.3× |
| Contrast X-Ray Of Knee Joint (73580) | $2,608.40 | $2,608.40 | 7.4× |
| CT abdomen and pelvis without and with contrast (74178) | $7,627.63 | $7,627.63 | 21.5× |
| CT abdomen and pelvis without contrast (74176) | $4,041.18 | $4,041.18 | 16.7× |
| CT abdomen w contrast (74160) | $2,951.45 | $2,951.45 | 16.6× |
| CT abdomen w wo contrast (74170) | $3,438.28 | $3,438.28 | 19.3× |
| CT abdomen w/o contrast (74150) | $1,840.89 | $1,840.89 | 17.3× |
| CT Angio Abdomen and Pelvis (74174) | $4,301.91 | $4,301.91 | 12.1× |
| CT Angio Chest (71275) | $1,160.09 | $1,160.09 | 6.5× |
| CT Angio Head (70496) | $2,844.31 | $2,844.31 | 16.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,714.29 | $3,714.29 | 20.8× |
| CT Angio Neck (70498) | $2,801.09 | $2,801.09 | 15.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,410.60 | $3,410.60 | 19.1× |
| CT cervical spine w/ contrast (72126) | $3,298.75 | $3,298.75 | 9.3× |
| CT cervical spine w/o contrast (72125) | $3,036.94 | $3,036.94 | 28.6× |
| CT chest w contrast (71260) | $2,485.28 | $2,485.28 | 13.9× |
| CT chest w/wo contrast (71270) | $2,883.17 | $2,883.17 | 16.2× |
| CT head/brain with contrast (70460) | $4,893.42 | $4,893.42 | 27.5× |
| CT head/brain without and with contrast (70470) | $3,976.57 | $3,976.57 | 22.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $124.98 | $124.98 | 1.4× |
| CT iac w contrast (70481) | $4,169.88 | $4,169.88 | 23.4× |
| CT l-spine w&w/o contrast (72133) | $3,364.65 | $3,364.65 | 18.9× |
| CT lower ext w/o (73700) | $2,737.43 | $2,737.43 | 25.8× |
| CT lower extremity w/contrast material (73701) | $2,310.39 | $2,310.39 | 13.0× |
| CT lumbar spine w contrast (72132) | $3,179.37 | $3,179.37 | 9.0× |
| CT lumbar spine w/o contrast (72131) | $2,800.72 | $2,800.72 | 26.4× |
| CT maxillofacial w contrast (70487) | $3,027.57 | $3,027.57 | 17.0× |
| CT maxillofacial wo contrast (70486) | $2,763.30 | $2,763.30 | 26.0× |
| CT neck tissue combo (70492) | $3,253.04 | $3,253.04 | 18.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,836.34 | $2,836.34 | 15.9× |
| CT orbits w/o contrast (70480) | $1,734.90 | $1,734.90 | 16.3× |
| CT pelvis w&w/o contrast (72194) | $3,563.50 | $3,563.50 | 20.0× |
| CT pelvis w/o contrast (72192) | $2,249.49 | $2,249.49 | 21.2× |
| CT scan of leg combo (73702) | $3,915.03 | $3,915.03 | 22.0× |
| CT scans face/jaw combo (70488) | $3,291.94 | $3,291.94 | 18.5× |
| CT soft tissue neck w contrast (70491) | $2,941.22 | $2,941.22 | 16.5× |
| CT soft tissue neck w/o contrast (70490) | $1,570.10 | $1,570.10 | 14.8× |
| CT thoracic spine w contrast (72129) | $1,281.81 | $1,281.81 | 7.2× |
| CT thoracic spine w/o contrast (72128) | $999.42 | $999.42 | 9.4× |
| CT thorax w/o contrast (71250) | $2,198.94 | $2,198.94 | 20.7× |
| CT upper ext wo (73200) | $1,758.02 | $1,758.02 | 16.6× |
| CT upper extremity with contrast (73201) | $2,581.74 | $2,581.74 | 7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,551.38 | $2,551.38 | 14.3× |
| Cta Abdomen (74175) | $2,239.28 | $2,239.28 | 12.6× |
| Dxa Bone Density Axial (77080) | $438.87 | $438.87 | 4.1× |
| Dxa bone density study (77085) | $800.16 | $800.16 | 7.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $950.19 | $950.19 | 10.7× |
| Esophagram (74220) | $495.55 | $495.55 | 2.8× |
| Fetal Biophys Profile W/Nst (76818) | $1,173.29 | $1,173.29 | 11.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,140.60 | $1,140.60 | 10.7× |
| Fluoroscopy up to 1 hr (76000) | $1,202.55 | $1,202.55 | 5.0× |
| Foot 2 views (73620) | $333.85 | $333.85 | 3.8× |
| Forearm 2 views (73090) | $311.18 | $311.18 | 3.5× |
| Gastric emptying imaging study (78264) | $3,489.75 | $3,489.75 | 8.6× |
| Gated Heart, Multiple (78473) | $4,709.99 | $4,709.99 | 11.6× |
| Hand 2 views (73120) | $706.33 | $706.33 | 6.7× |
| Hepatobil Syst Image W/Drug (78227) | $3,615.06 | $3,615.06 | 6.6× |
| Hepatobiliary System Imaging (78226) | $3,615.06 | $3,615.06 | 8.9× |
| Ht Muscle Image Spect Sing (78451) | $6,171.93 | $6,171.93 | 4.7× |
| Hysterosalpingogram (74740) | $498 | $498 | 2.1× |
| Intracavitary Radiation Source Applic Complex (77763) | $9,394.74 | $9,394.74 | 13.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $7,147.27 | $7,147.27 | 12.7× |
| Intracavitary radiation source applic simple (77761) | $7,147.27 | $7,147.27 | 12.7× |
| K Flow/Funct Image W/Drug (78708) | $3,997.01 | $3,997.01 | 7.2× |
| K Flow/Funct Image W/O Drug (78707) | $2,490.88 | $2,490.88 | 4.5× |
| Knee 3 Views (73562) | $505.77 | $505.77 | 5.7× |
| Lung Ventilat&Perfus Imaging (78582) | $2,568.51 | $2,568.51 | 4.7× |
| Lung Ventilation Imaging (78579) | $2,561.96 | $2,561.96 | 6.3× |
| Lymph System Imaging (78195) | $3,016.13 | $3,016.13 | 5.5× |
| Mlc imrt design & construction per imrt plan (77338) | $2,458.27 | $2,458.27 | 6.5× |
| Mr safety determination physician/other qhp (76016) | $237.57 | $237.57 | 2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $66.34 | $66.34 | 2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $249.03 | $249.03 | 2.6× |
| Mr safety implt pos&/immoblj (76019) | $158.21 | $158.21 | 2.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $654.62 | $654.62 | 2.7× |
| MRA head w/o contrast (70544) | $3,804.73 | $3,804.73 | 15.7× |
| MRA neck w contrast (70548) | $3,578.13 | $3,578.13 | 10.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,498.42 | $4,498.42 | 12.7× |
| MRA neck w/o contrast (70547) | $2,702.10 | $2,702.10 | 11.1× |
| MRI abdomen w contrast (74182) | $4,478.52 | $4,478.52 | 12.6× |
| MRI abdomen w/o contrast (74181) | $4,289.83 | $4,289.83 | 17.7× |
| MRI any jt lower extrem w/contrast material (73722) | $5,346.98 | $5,346.98 | 6.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,478.49 | $6,478.49 | 18.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,932.03 | $4,932.03 | 6.2× |
| MRI cervical spine w/o cont (72141) | $5,638.41 | $5,638.41 | 23.3× |
| MRI chest w/o contrast (71550) | $3,674.99 | $3,674.99 | 15.2× |
| MRI chest wo w contrast (71552) | $4,288.38 | $4,288.38 | 12.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,900.27 | $4,900.27 | 13.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,977.55 | $5,977.55 | 16.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,071.03 | $5,071.03 | 20.9× |
| MRI lumbar spine w contrast (72149) | $5,212.17 | $5,212.17 | 14.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,844.57 | $6,844.57 | 19.3× |
| MRI orbit face &/neck w/o contrast (70540) | $3,389.76 | $3,389.76 | 14.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,602.23 | $5,602.23 | 15.8× |
| MRI pelvis w/o & w contrast (72197) | $7,110.19 | $7,110.19 | 20.1× |
| MRI pelvis w/o contrast (72195) | $6,180.18 | $6,180.18 | 25.5× |
| MRI thoracic spine w/o contrast (72146) | $5,819.74 | $5,819.74 | 24.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,161.62 | $4,161.62 | 17.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,880.55 | $5,880.55 | 16.6× |
| MRI, abdomen, combo (74183) | $5,734.46 | $5,734.46 | 16.2× |
| MRI, dorsal spine combo (72157) | $7,593.18 | $7,593.18 | 21.4× |
| MRI, dorsal spine contrast (72147) | $5,573.76 | $5,573.76 | 15.7× |
| MRI, joint upper extrem (73221) | $4,668.43 | $4,668.43 | 19.3× |
| MRI, joint upper extrem combo (73223) | $5,066.69 | $5,066.69 | 14.3× |
| MRI, lumbar spine combo (72158) | $7,523.12 | $7,523.12 | 21.2× |
| Myelogram cervical (72240) | $2,255.86 | $2,255.86 | 2.8× |
| Myelogram Lumbar (72265) | $3,431.90 | $3,431.90 | 4.3× |
| Myelograpy 2/more regions rs&i (72270) | $2,569.93 | $2,569.93 | 3.2× |
| Myocardial Spect Multiple Studies (78452) | $9,213.21 | $9,213.21 | 7.0× |
| Neck soft tissue (70360) | $309.60 | $309.60 | 3.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,499.97 | $12,499.97 | 8.9× |
| Parathyroid Planar Imaging (78070) | $1,478.45 | $1,478.45 | 3.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,624.14 | $2,624.14 | 6.5× |
| Pelvis 1 or 2 views (72170) | $306.95 | $306.95 | 2.9× |
| PET image w/CT, full body (78816) | $10,842.79 | $10,842.79 | 7.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,842.79 | $10,842.79 | 7.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,681.42 | $2,681.42 | 6.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $418.70 | $418.70 | 3.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,603.14 | $1,603.14 | 2.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $280.78 | $280.78 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $294.87 | $294.87 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $326.59 | $326.59 | 3.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $434.90 | $434.90 | 4.1× |
| Radex fingr minimum 2 views (73140) | $265.55 | $265.55 | 3.0× |
| Radex foot complete minimum 3 views (73630) | $443.28 | $443.28 | 5.0× |
| Radex Hand Minimum 3 Views (73130) | $681.92 | $681.92 | 7.7× |
| Radex lower extremity infant minimum 2 views (73592) | $636.34 | $636.34 | 7.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $361.40 | $361.40 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $478.87 | $478.87 | 5.4× |
| Radex shoulder complete minimum 2 views (73030) | $380.30 | $380.30 | 4.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $846.15 | $846.15 | 9.6× |
| Radex Spine 1 View Specify Level (72020) | $1,198.64 | $1,198.64 | 13.6× |
| Radex Sternum Minimum 2 Views (71120) | $299.84 | $299.84 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $717.06 | $717.06 | 8.1× |
| Radex Toe Minimum 2 Views (73660) | $239.91 | $239.91 | 2.7× |
| Radex upper extremity infant minimum 2 views (73092) | $636.34 | $636.34 | 6.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $275.78 | $275.78 | 3.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $798.12 | $798.12 | 7.5× |
| Radiation treatment delivery level 1 (77402) | $1,330.34 | $1,330.34 | 12.8× |
| Radiation treatment delivery level 2 (77407) | $1,950.25 | $1,950.25 | 5.0× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$2,550.97–$2,883.78 | $2,550.97–$2,883.78 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $392.45 | $392.45 | 3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,088.16 | $1,088.16 | 10.2× |
| Radiologic exam colon double contrast study (74280) | $998.50 | $998.50 | 5.6× |
| Radiologic exam colon single contrast study (74270) | $1,414.19 | $1,414.19 | 7.9× |
| Radiologic exam knee complete 4/more views (73564) | $464.39 | $464.39 | 4.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $284.27 | $284.27 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,844.53 | $1,844.53 | 10.4× |
| Radiologic exam swallow function contrast study (74230) | $562.40 | $562.40 | 3.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $622.36 | $622.36 | 3.5× |
| Radiologic examination femur 1 view (73551) | $156.30 | $156.30 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) | $375.29 | $375.29 | 4.2× |
| Radiologic examination knee 1/2 views (73560) | $271.13 | $271.13 | 3.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,306.81 | $1,306.81 | 12.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $455.65 | $455.65 | 5.2× |
| Ribs bilateral 3 views (71110) | $641.35 | $641.35 | 6.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,596.45 | $4,596.45 | 8.3× |
| Scapula (73010) | $453.93 | $453.93 | 4.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $106 | $106 | 4.5× |
| Shoulder 1 view (73020) | $620.81 | $620.81 | 7.0× |
| Shoulder Arthrography (73040) | $1,580.26 | $1,580.26 | 4.5× |
| Skull less than 4 views (70250) | $293.38 | $293.38 | 2.8× |
| Special dosimetry (77331) | $731.34 | $731.34 | 5.4× |
| Special Physics Consult (77370) | $1,055.88 | $1,055.88 | 7.7× |
| Special teletherapy port plan (77321) | $1,667.45 | $1,667.45 | 4.4× |
| Special treatment procedure (77470) | $5,476.66 | $5,476.66 | 9.8× |
| Srs Multisource (77371) | $100,225.33 | $100,225.33 | 13.4× |
| Stereotactic Body Radiation Delivery (77373) | $5,341.90 | $5,341.90 | 2.9× |
| Tbs technical calculation only (77091) | $224.73 | $224.73 | 2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $5,400.81 | $5,400.81 | 14.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $511.67 | $511.67 | 1.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,605.19 | $2,605.19 | 6.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,437.02 | $1,437.02 | 10.5× |
| Thoracic spine 2 views (72070) | $1,239.27 | $1,239.27 | 11.7× |
| Thoracic spine 3 views (72072) | $1,724.90 | $1,724.90 | 16.2× |
| Thoracolumbar 2 views (72080) | $295.17 | $295.17 | 3.3× |
| Thyroid Met Imaging Body (78018) | $3,964.65 | $3,964.65 | 7.2× |
| Thyroid Uptake Measurement (78012) | $3,056.83 | $3,056.83 | 7.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,953.01 | $1,953.01 | 4.8× |
| Tx Devices Design & Construction Complex (77334) | $5,459.23 | $5,459.23 | 14.4× |
| Tx devices design & construction simple (77332) | $660.18 | $660.18 | 4.8× |
| Ultrasound Breast Limited (76642) | $199.23 | $199.23 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $948.77 | $948.77 | 8.9× |
| Ultrasound, abdomen limited (76705) | $979.40 | $979.40 | 9.2× |
| Upper gi w/o kub (74240) | $676.93 | $676.93 | 3.8× |
| Urethrocystography retrograde (74450) | $1,903.08 | $1,903.08 | 7.9× |
| Us breast unilateral complete (76641) | $285.79 | $285.79 | 2.7× |
| Us chest (76604) | $387.37 | $387.37 | 3.6× |
| Us complete joint (76881) | $583.77 | $583.77 | 5.5× |
| Us exam, pelvic, limited (76857) | $2,290.20 | $2,290.20 | 21.6× |
| Us head (76506) | $450.29 | $450.29 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $498.06 | $498.06 | 4.7× |
| Us ob limited 1 or more fetuses (76815) | $893.11 | $893.11 | 8.4× |
| Us ob transvaginal (76817) | $723.21 | $723.21 | 6.8× |
| Us pelvic non ob complete (76856) | $1,836.55 | $1,836.55 | 17.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $672.97 | $672.97 | 6.3× |
| Us retroperitoneal complete (76770) | $2,362.97 | $2,362.97 | 22.3× |
| Us retroperitoneal limited (76775) | $802.22 | $802.22 | 7.6× |
| Us scrotum and contents (76870) | $856.95 | $856.95 | 8.1× |
| Us thyroid (76536) | $648.35 | $648.35 | 6.1× |
| Venography caval inferior serialography rs&i (75825) | $3,713.26 | $3,713.26 | 1.2× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,687.46–$8,422.65 | $2,687.46–$8,422.65 | varies |
| Wrist 2 views (73100) | $333.85 | $333.85 | 3.8× |
| X-ray antegrade pyelogram tube (74425) | $2,758.08 | $2,758.08 | 7.8× |
| X-Ray Aorta Leg Arteries (75630) | $6,804.81 | $6,804.81 | 2.1× |
| X-Ray Bend Only L-S Spine (72120) | $847.46 | $847.46 | 8.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $270.33 | $270.33 | 3.1× |
| X-Ray Exam Breast Specimen (76098) | $745.91 | $745.91 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $317.97 | $317.97 | 3.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,644.11 | $1,644.11 | 15.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $972.59 | $972.59 | 11.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $334.43 | $334.43 | 3.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $526.58 | $526.58 | 5.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $364.28 | $364.28 | 3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $319.05 | $319.05 | 3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,439.09 | $1,439.09 | 13.6× |
| X-Ray Exam L-S Spine Bending (72114) | $774.43 | $774.43 | 7.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $459.69 | $459.69 | 5.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $742.68 | $742.68 | 7.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,027.91 | $1,027.91 | 9.7× |
| X-ray eye for foreign body (70030) | $329.89 | $329.89 | 3.7× |
| X-ray humerus (73060) | $290.95 | $290.95 | 3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,004.50 | $1,004.50 | 11.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $456.56 | $456.56 | 5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,372.78 | $1,372.78 | 12.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $513.89 | $513.89 | 4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $891.22 | $891.22 | 8.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $639.76 | $639.76 | 6.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $301.14 | $301.14 | 3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $442.98 | $442.98 | 5.0× |
| X-ray thoracic spine 4 vw (72074) | $2,043.23 | $2,043.23 | 19.2× |
| X-Ray Tmj Unilat (70328) | $1,055.86 | $1,055.86 | 11.9× |
| X-Rays Bone Length Studies (77073) | $1,118.43 | $1,118.43 | 10.5× |
| X-Rays Bone Survey Complete (77075) | $636.46 | $636.46 | 6.0× |
| Xr c-spine 4 or 5 views (72050) | $1,938.73 | $1,938.73 | 18.3× |
| Xr facial bones less than 3 views (70140) | $333.85 | $333.85 | 3.8× |
| Xr orbits complete 4 views (70200) | $362.45 | $362.45 | 3.4× |
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.