Imaging prices at AdventHealth Redmond
Rome, GA · every code in this section with a posted price and a Medicare benchmark.
255 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,730.55 | $1,730.55 | 15.9× |
| Acute gastrointestinal blood loss imaging (78278) | $3,813.23 | $3,813.23 | 9.2× |
| Angiography extremity unilateral rs&i (75710) | $7,818.96 | $7,818.96 | 2.4× |
| Ankle 2 views (73600) | $901.24 | $901.24 | 10.0× |
| Antegrade urography radiological supvj & interpj (74425) | $1,699.22 | $1,699.22 | 4.7× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $9,782.45 | $9,782.45 | 3.0× |
| Arthrogram elbow (73085) | $3,092.23 | $3,092.23 | 8.5× |
| Arthrogram hip (73525) | $1,501.49 | $1,501.49 | 4.1× |
| Arthrogram shoulder (73040) | $1,590.76 | $1,590.76 | 4.4× |
| Arthrogram wrist (73115) | $1,387.75 | $1,387.75 | 3.8× |
| Bone &/joint imaging whole body (78306) | $5,969.21 | $5,969.21 | 14.4× |
| Bone age studies (77072) | $1,584.86 | $1,584.86 | 14.6× |
| Bone Imaging 3 Phase (78315) | $6,502.97 | $6,502.97 | 15.7× |
| Bone survey complete (77075) | $1,584.86 | $1,584.86 | 14.6× |
| Brachytx isodose complex (77318) | $4,916.24 | $4,916.24 | 12.6× |
| Brachytx isodose intermed (77317) | $4,916.24 | $4,916.24 | 12.6× |
| Brachytx isodose pln smpl w/dosimetry cal (77316) | $4,916.24 | $4,916.24 | 12.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,493.47 | $4,493.47 | 12.4× |
| Cervical spine 2 or 3 views (72040) | $1,791.99 | $1,791.99 | 19.8× |
| Chest 1 view (71045) | $1,415.74 | $1,415.74 | 15.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $3,977.73 | $3,977.73 | 21.8× |
| Cineradiography/videoradiography (76120) | $1,584.86 | $1,584.86 | 14.6× |
| Clavicle complete (73000) | $710.50 | $710.50 | 7.9× |
| Complete single session course of cranial lesion surgery using radiation (77371) | $36,359.82 | $36,359.82 | 4.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $567.12 | $567.12 | 5.2× |
| Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) | $1,940.16 | $1,940.16 | 10.6× |
| CT abdomen and pelvis without and with contrast (74178) | $15,161.93 | $15,161.93 | 41.8× |
| CT abdomen and pelvis without contrast (74176) | $12,249.94 | $12,249.94 | 49.4× |
| CT abdomen w contrast (74160) | $6,844.22 | $6,844.22 | 37.5× |
| CT abdomen w wo contrast (74170) | $15,161.93 | $15,161.93 | 83.2× |
| CT abdomen w/o contrast (74150) | $11,740.70 | $11,740.70 | 108.0× |
| CT angio hrt w/3d image (75574) | $8,447.21 | $8,447.21 | 23.3× |
| CT angiography upper extremity lt (73206) | $1,940.16 | $1,940.16 | 10.6× |
| CT c-spine w/o contrast (72125) | $9,596.96 | $9,596.96 | 88.3× |
| CT cervical spine w&w/o contrast (72127) | $10,186.70 | $10,186.70 | 55.9× |
| CT cervical spine with contrast (72126) | $9,658.20 | $9,658.20 | 26.6× |
| CT chest w/wo contrast (71270) | $11,551.71 | $11,551.71 | 63.4× |
| CT chest with contrast (71260) | $8,447.21 | $8,447.21 | 46.3× |
| CT head/brain with contrast (70460) | $1,737.79 | $1,737.79 | 9.5× |
| CT head/brain without and with contrast (70470) | $13,970.17 | $13,970.17 | 76.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,940.16 | $1,940.16 | 5.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $106 | $106 | 1.2× |
| CT iac w contrast (70481) | $9,334.46 | $9,334.46 | 51.2× |
| CT limited/localized follow up study (76380) | $1,252.99 | $1,252.99 | 13.9× |
| CT lower ext w/o (73700) | $7,040.23 | $7,040.23 | 64.8× |
| CT lower extremity w wo contrast (73702) | $1,940.16 | $1,940.16 | 10.6× |
| CT lower extremity with contrast (73701) | $5,727.73 | $5,727.73 | 31.4× |
| CT lumbar spine w & w/o contrast (72133) | $11,712.70 | $11,712.70 | 64.2× |
| CT lumbar spine w/o contrast (72131) | $10,442.21 | $10,442.21 | 96.1× |
| CT lumbar spine with contrast (72132) | $9,689.70 | $9,689.70 | 26.7× |
| CT maxillofacial w contrast (70487) | $8,643.22 | $8,643.22 | 47.4× |
| CT maxillofacial w/o contrast (70486) | $9,334.46 | $9,334.46 | 85.9× |
| CT maxillofacial w/wo contrast (70488) | $1,940.16 | $1,940.16 | 10.6× |
| CT neck soft tissue w contrast (70491) | $13,606.19 | $13,606.19 | 74.6× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $1,940.16 | $1,940.16 | 10.6× |
| CT orbits w/o contrast (70480) | $9,334.46 | $9,334.46 | 85.9× |
| CT pelvis w & w/o contrast (72194) | $1,940.16 | $1,940.16 | 10.6× |
| CT pelvis w/o contrast (72192) | $9,008.97 | $9,008.97 | 82.9× |
| CT soft tissue neck w/o & w/contrast material (70492) | $1,940.16 | $1,940.16 | 10.6× |
| CT soft tissue neck w/o contrast (70490) | $9,334.46 | $9,334.46 | 85.9× |
| CT thoracic spine w/contrast (72129) | $8,126.97 | $8,126.97 | 44.6× |
| CT thoracic spine w/o contrast (72128) | $7,117.23 | $7,117.23 | 65.5× |
| CT thoracic spine w/wo contrast (72130) | $1,940.16 | $1,940.16 | 10.6× |
| CT thorax w/o contrast (71250) | $8,884.71 | $8,884.71 | 81.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,940.16 | $1,940.16 | 10.6× |
| CT upper extremity w/o contrast rt (73200) | $7,040.23 | $7,040.23 | 64.8× |
| CT upper extremity with contrast (73201) | $7,405.97 | $7,405.97 | 20.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $8,868.97 | $8,868.97 | 48.7× |
| Cta Abdomen (74175) | $1,940.16 | $1,940.16 | 10.6× |
| CTA abdomen pelvis (74174) | $6,604.46 | $6,604.46 | 18.2× |
| CTA chest (71275) | $8,447.21 | $8,447.21 | 46.3× |
| Cta Head (70496) | $13,970.17 | $13,970.17 | 76.6× |
| CTA lwr ext w&w/o contrast (73706) | $17,631.17 | $17,631.17 | 96.7× |
| Cta Neck (70498) | $7,950.22 | $7,950.22 | 43.6× |
| Cystography minimum 3 views rs&i (74430) | $1,697.48 | $1,697.48 | 4.7× |
| Dxa bone density study 1/> sites axial skel (77080) | $931.71 | $931.71 | 8.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,162.81 | $1,162.81 | 12.9× |
| Dxa bone density study axial skeleton (77085) | $1,584.86 | $1,584.86 | 14.6× |
| Esophagus (74220) | $3,739.73 | $3,739.73 | 20.5× |
| Fluoroscopy up to 1 hr (76000) | $523.24 | $523.24 | 2.1× |
| Foot 2 views (73620) | $1,191.75 | $1,191.75 | 13.2× |
| Forearm 2 views (73090) | $839.98 | $839.98 | 9.3× |
| Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) | $881.61 | $881.61 | 3.6× |
| Gated Heart Planar Single (78472) | $4,657.11 | $4,657.11 | 11.2× |
| Hand 2 views (73120) | $1,023.73 | $1,023.73 | 9.4× |
| Hand 3 views (73130) | $1,426.23 | $1,426.23 | 15.8× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $7,748.96 | $7,748.96 | 13.7× |
| Hepatobiliary syst imaging including gallbladder (78226) | $6,716.47 | $6,716.47 | 16.2× |
| Ht muscle image spect sing (78451) | $13,385.68 | $13,385.68 | 9.9× |
| Humerus Min 2 Views Left (73060) | $747.23 | $747.23 | 8.3× |
| Hysterosalpingogram (74740) | $3,339.08 | $3,339.08 | 13.5× |
| Intracavitary Radiation Source Applic Complex (77763) | $10,346.41 | $10,346.41 | 14.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $7,871.27 | $7,871.27 | 13.7× |
| Intracavitary radiation source applic simple (77761) | $7,871.27 | $7,871.27 | 13.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $4,983.55 | $4,983.55 | 8.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $4,983.55 | $4,983.55 | 8.8× |
| Knee 3 views (73562) | $1,697.48 | $1,697.48 | 18.8× |
| Lymphoscintigraphy (78195) | $3,830.73 | $3,830.73 | 6.8× |
| Mr safety determination physician/other qhp (76016) | $237.57 | $237.57 | 2.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) | $158.21 | $158.21 | 2.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $66.34 | $66.34 | 2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $249.03 | $249.03 | 2.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $654.62 | $654.62 | 2.6× |
| MRA head w & w/o contrast (70546) | $14,753.51 | $14,753.51 | 40.7× |
| MRA head w/o contrast (70544) | $11,676.27 | $11,676.27 | 47.1× |
| MRA neck w contrast (70548) | $4,221.62 | $4,221.62 | 11.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $11,676.27 | $11,676.27 | 32.2× |
| MRA neck w/o contrast (70547) | $11,676.27 | $11,676.27 | 47.1× |
| MRI abdomen w contrast (74182) | $4,221.62 | $4,221.62 | 11.6× |
| MRI abdomen w/o & w/contrast material (74183) | $7,504.82 | $7,504.82 | 20.7× |
| MRI abdomen w/o contrast (74181) | $7,985.04 | $7,985.04 | 32.2× |
| MRI any jnt lwr ext with con lt (73722) | $8,487.87 | $8,487.87 | 10.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,487.87 | $8,487.87 | 10.4× |
| MRI breast w/o contrast bilateral (77047) | $3,339.08 | $3,339.08 | 13.5× |
| MRI c-spine with contrast (72142) | $4,221.62 | $4,221.62 | 11.6× |
| MRI cardiac w/o contrast (75557) | $3,339.08 | $3,339.08 | 13.5× |
| MRI cervical spine w/o contrast (72141) | $11,676.27 | $11,676.27 | 47.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,221.62 | $4,221.62 | 11.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $11,676.27 | $11,676.27 | 47.1× |
| MRI orbit face &/neck w/o contrast (70540) | $3,339.08 | $3,339.08 | 13.5× |
| MRI orbit/face/neck w&w/o cont (70543) | $9,194.10 | $9,194.10 | 25.4× |
| MRI pelvis w contrast (72196) | $5,291.97 | $5,291.97 | 14.6× |
| MRI pelvis w/o & w/contrast material (72197) | $5,672.41 | $5,672.41 | 15.6× |
| MRI pelvis w/o contrast (72195) | $4,915.32 | $4,915.32 | 19.8× |
| MRI scan of arm joint before and after contrast (73223) | $7,595.22 | $7,595.22 | 20.9× |
| MRI scan of leg joint before and after contrast (73723) | $10,474.74 | $10,474.74 | 28.9× |
| MRI spectroscopy (76390) | $13,683.81 | $13,683.81 | 151.3× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $5,220.40 | $5,220.40 | 14.4× |
| MRI spinal canal lumbar w/contrast material (72149) | $4,221.62 | $4,221.62 | 11.6× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $5,553.75 | $5,553.75 | 15.3× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $11,938.03 | $11,938.03 | 32.9× |
| MRI thoracic spine w/o contrast (72146) | $11,676.27 | $11,676.27 | 47.1× |
| MRI tmj (70336) | $3,339.08 | $3,339.08 | 13.5× |
| MRI upper ext joint w/o contrast (73221) | $14,309.07 | $14,309.07 | 57.7× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $14,926.78 | $14,926.78 | 41.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $11,676.27 | $11,676.27 | 47.1× |
| Myelogram Cervical (72240) | $8,613.34 | $8,613.34 | 10.6× |
| Myelogram Lumbar (72265) | $8,613.34 | $8,613.34 | 10.6× |
| Myelogram thoracic (72255) | $8,613.34 | $8,613.34 | 10.6× |
| Myelography 2 or more regions (72270) | $8,613.34 | $8,613.34 | 10.6× |
| Myocardial Spect Multiple Studies (78452) | $14,103.19 | $14,103.19 | 10.5× |
| Neck soft tissue (70360) | $1,410.49 | $1,410.49 | 15.6× |
| Nm gastric emptying study (78264) | $5,993.72 | $5,993.72 | 14.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $18,317.87 | $18,317.87 | 12.7× |
| Nuclear medicine of heart pumping function (78473) | $4,657.11 | $4,657.11 | 11.2× |
| Nuclear Rx Oral Admin (79005) | $2,864.75 | $2,864.75 | 11.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,584.86 | $1,584.86 | 14.6× |
| Orthopantogram (70355) | $1,162.81 | $1,162.81 | 12.9× |
| Parathyrd planar w/spect&CT (78072) | $4,983.55 | $4,983.55 | 8.8× |
| Parathyrd planar w/wo subtrj (78071) | $4,657.11 | $4,657.11 | 11.2× |
| Parathyroid imaging (78070) | $1,560.99 | $1,560.99 | 3.8× |
| Pelvis 1 or 2 views (72170) | $1,391.25 | $1,391.25 | 12.8× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $9,954.94 | $9,954.94 | 27.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,082.73 | $4,082.73 | 9.8× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $5,179.97 | $5,179.97 | 9.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $6,986.59 | $6,986.59 | 12.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,609.98 | $1,609.98 | 17.8× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,469.99 | $1,469.99 | 13.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,584.86 | $1,584.86 | 14.6× |
| Radiation treatment delivery 1 mev >= simple (77402) | $1,738.64 | $1,738.64 | 16.4× |
| Radiation tx delivery 1 mev >= intermediate (77407) | $3,507.46 | $3,507.46 | 8.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,112.98 | $1,112.98 | 10.2× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,199.06 | $1,199.06 | 13.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,584.86 | $1,584.86 | 14.6× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,245.99 | $1,245.99 | 13.8× |
| Radiologic exam colon single contrast study (74270) | $1,940.16 | $1,940.16 | 10.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,317.97 | $3,317.97 | 18.2× |
| Radiologic exam upr gi trc single contrast study (74240) | $3,072.19 | $3,072.19 | 16.9× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,791.99 | $1,791.99 | 19.8× |
| Radiological examination surgical specimen (76098) | $1,777.54 | $1,777.54 | 3.1× |
| Ribs bilateral 3 views (71110) | $2,519.99 | $2,519.99 | 23.2× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $13,821.55 | $13,821.55 | 24.5× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,971.72 | $4,971.72 | 8.8× |
| Sacroiliac Joints < 3 Views (72200) | $1,584.86 | $1,584.86 | 14.6× |
| Scapula complete (73010) | $811.99 | $811.99 | 7.5× |
| Screening digital breast tomosynthesis (77063) | $121.40 | $121.40 | 5.2× |
| Small bowel series (74250) | $2,994.22 | $2,994.22 | 16.4× |
| Spine thoracic 3 views (72072) | $2,234.72 | $2,234.72 | 20.6× |
| Tbs Technical Calculation Only (77091) | $345.07 | $345.07 | 3.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $4,916.24 | $4,916.24 | 12.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $4,916.24 | $4,916.24 | 12.6× |
| Therapeutic Enema (74283) | $1,940.16 | $1,940.16 | 10.6× |
| Thoracolumbar 2 views (72080) | $1,162.81 | $1,162.81 | 12.9× |
| Thyroid carcinoma metastases img whole body (78018) | $8,023.70 | $8,023.70 | 14.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,644.49 | $4,644.49 | 11.2× |
| Tmj unilateral (70328) | $1,162.81 | $1,162.81 | 12.9× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $14,311.44 | $14,311.44 | 25.4× |
| Ultrasound, abdomen limited (76705) | $3,504.76 | $3,504.76 | 32.3× |
| Urethrocystography retrograde rs&i (74450) | $3,339.08 | $3,339.08 | 13.5× |
| Urethrocystography voiding (74455) | $3,339.08 | $3,339.08 | 13.5× |
| Us abdl aorta screen aaa (76706) | $1,584.86 | $1,584.86 | 14.6× |
| Us breast unilateral complete (76641) | $1,584.86 | $1,584.86 | 14.6× |
| Us breast unilateral limited (76642) | $1,821.11 | $1,821.11 | 20.1× |
| Us chest (76604) | $1,945.40 | $1,945.40 | 17.9× |
| Us compl joint r-t w/image documentation (76881) | $4,872.01 | $4,872.01 | 44.8× |
| Us infant hips dynamic (76885) | $1,162.81 | $1,162.81 | 12.9× |
| Us ob transvaginal (76817) | $2,514.16 | $2,514.16 | 23.1× |
| Us pelvic non ob complete (76856) | $3,943.54 | $3,943.54 | 36.3× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,584.86 | $1,584.86 | 14.6× |
| Us pregnancy ltd (76815) | $2,156.34 | $2,156.34 | 19.8× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $2,514.16 | $2,514.16 | 23.1× |
| Us retroperitoneal complete (76770) | $1,584.86 | $1,584.86 | 14.6× |
| Us retroperitoneal limited (76775) | $3,145.06 | $3,145.06 | 28.9× |
| Us scrotum and contents (76870) | $3,355.97 | $3,355.97 | 30.9× |
| Us soft tissue head/neck (76536) | $3,542.44 | $3,542.44 | 32.6× |
| Us xtr non-vasc lmtd (76882) | $2,459.56 | $2,459.56 | 22.6× |
| Wrist 2 views (73100) | $619.51 | $619.51 | 6.8× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,584.86 | $1,584.86 | 14.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,162.81 | $1,162.81 | 12.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,237.24 | $1,237.24 | 13.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,570.73 | $2,570.73 | 14.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $811.99 | $811.99 | 9.0× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $869.74 | $869.74 | 9.6× |
| X-ray exam hip uni 1 view (73501) | $735 | $735 | 8.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,601.26 | $1,601.26 | 17.7× |
| X-ray exam hip uni 4/> views (73503) | $1,601.26 | $1,601.26 | 14.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $314.01 | $314.01 | 2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $3,202.48 | $3,202.48 | 29.5× |
| X-ray exam of femur 1 (73551) | $1,162.81 | $1,162.81 | 12.9× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $2,166.48 | $2,166.48 | 19.9× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $1,162.81 | $1,162.81 | 12.9× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $1,443.74 | $1,443.74 | 16.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $892.49 | $892.49 | 9.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,830.47 | $1,830.47 | 20.2× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,410.49 | $1,410.49 | 13.0× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $1,162.81 | $1,162.81 | 12.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,427.24 | $2,427.24 | 22.3× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,988.99 | $2,988.99 | 27.5× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $1,584.86 | $1,584.86 | 14.6× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,601.26 | $1,601.26 | 17.7× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,162.81 | $1,162.81 | 12.9× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,584.86 | $1,584.86 | 14.6× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $1,584.86 | $1,584.86 | 14.6× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $1,408.64 | $1,408.64 | 3.9× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $2,297.72 | $2,297.72 | 25.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,584.86 | $1,584.86 | 14.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,584.86 | $1,584.86 | 14.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,919.73 | $1,919.73 | 17.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,695.72 | $1,695.72 | 18.7× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $899.48 | $899.48 | 9.9× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $1,212.76 | $1,212.76 | 13.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,584.86 | $1,584.86 | 14.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,557.49 | $1,557.49 | 14.3× |
| X-Ray Spine One View - Xr Spine (72020) | $1,485.74 | $1,485.74 | 16.4× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,162.81 | $1,162.81 | 12.9× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,912.75 | $1,912.75 | 17.6× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $2,441.23 | $2,441.23 | 22.5× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $619.51 | $619.51 | 6.8× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,198.72 | $1,198.72 | 13.3× |
| Xr c-spine 6 or more views (72052) | $2,988.99 | $2,988.99 | 27.5× |
| Xr finger(s) 2+ views (73140) | $1,037.75 | $1,037.75 | 11.5× |
| Xr shoulder 1 view (73020) | $1,009.75 | $1,009.75 | 11.2× |
| Xr spine cervical 4 or 5 views (72050) | $2,988.99 | $2,988.99 | 27.5× |
| Xr tibia/fibula 2 views (73590) | $2,060.27 | $2,060.27 | 22.8× |
| Xray knee 1 or 2 views rt (73560) | $1,263.49 | $1,263.49 | 14.0× |