Imaging prices at Alaska Regional Hospital

Anchorage, AK · every code in this section with a posted price and a Medicare benchmark.

273 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $1,254.11 $1,254.11 13.0×
Abdomen 2 views (74019) $1,755.75 $1,755.75 15.1×
Acute Gastrointestinal Blood Loss Imaging (78278) $5,182.10 $5,182.10 11.7×
Angio internal mammary (75756) $11,477.68 $11,477.68 3.3×
Angio pulmonary bilat (75743) $14,394.75 $14,394.75 4.1×
Angiography extremity bilateral rs&i (75716) $14,263.29 $14,263.29 4.1×
Angiography extremity unilateral rs&i (75710) $14,263.29 $14,263.29 4.1×
Angiography pulmonary unilateral slctv rs&i (75741) $9,457.72 $9,457.72 2.7×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $8,691.92 $8,691.92 2.5×
Ankle 2 views (73600) $762.02 $762.02 7.9×
Aortography thoracic serialography rs&i (75605) $10,214.33 $10,214.33 1.7×
Artery X-Rays Abdomen (75726) $15,261.77 $15,261.77 2.5×
Artery X-Rays Pelvis (75736) $17,019.91 $17,019.91 2.8×
Artery X-Rays Spine (75705) $10,214.33 $10,214.33 1.7×
Arthrogram hip (73525) $2,235.89 $2,235.89 5.8×
Arthrogram Wrist (73115) $2,216.75 $2,216.75 5.7×
Bone age studies (77072) $563.16 $563.16 4.9×
Bone Imaging 3 Phase (78315) $6,664.67 $6,664.67 15.0×
Bone Imaging Limited Area (78300) $3,257.96 $3,257.96 7.3×
Bone Imaging Whole Body (78306) $4,840.48 $4,840.48 10.9×
Bone survey infant (77076) $2,102.11 $2,102.11 18.1×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $3,495 $3,495 5.8×
Cat Scan Follow-Up Study (76380) $2,592.48 $2,592.48 26.8×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,487.80 $1,487.80 2.5×
Cerebrospinal Fluid Scan (78630) $5,333.87 $5,333.87 8.9×
Chest 1 view (71045) $1,039.14 $1,039.14 10.8×
Chest 2 views (71046) $1,189.60 $1,189.60 12.3×
Chest 3 views (71047) $1,254.11 $1,254.11 13.0×
Chest 4 or more views (71048) $1,254.11 $1,254.11 10.8×
Clavicle complete (73000) $790.68 $790.68 8.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $293.14 $293.14 2.5×
Contrast Exam Abdominl Aorta (75625) $14,263.29 $14,263.29 4.1×
CT abdomen and pelvis without and with contrast (74178) $12,740.53 $12,740.53 32.9×
CT abdomen and pelvis without contrast (74176) $9,789.56 $9,789.56 37.0×
CT abdomen w contrast (74160) $5,507.16 $5,507.16 28.3×
CT abdomen w wo contrast (74170) $6,369.20 $6,369.20 32.7×
CT abdomen w/o contrast (74150) $4,894.80 $4,894.80 42.2×
CT Angio Abdomen and Pelvis (74174) $6,450.28 $6,450.28 16.7×
CT Angio Chest (71275) $3,226.22 $3,226.22 16.6×
CT Angio Head (70496) $4,965.21 $4,965.21 25.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,226.22 $3,226.22 16.6×
CT Angio Neck (70498) $4,965.21 $4,965.21 25.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $4,965.21 $4,965.21 25.5×
CT cervical spine w/ contrast (72126) $5,415.41 $5,415.41 14.0×
CT cervical spine w/o contrast (72125) $4,747.56 $4,747.56 40.9×
CT cervical spine w/wo cont (72127) $3,609.55 $3,609.55 18.5×
CT chest w contrast (71260) $5,814.43 $5,814.43 29.9×
CT chest w/wo contrast (71270) $5,818.68 $5,818.68 29.9×
CT head/brain with contrast (70460) $5,067.60 $5,067.60 26.0×
CT head/brain without and with contrast (70470) $7,425.40 $7,425.40 38.1×
CT heart contrast eval cardiac structure&morph (75572) $1,742.89 $1,742.89 4.5×
CT heart no contrast quant eval coronry calcium (75571) $69 $69 0.7×
CT iac w contrast (70481) $5,485.82 $5,485.82 28.2×
CT l-spine w&w/o contrast (72133) $5,884.81 $5,884.81 30.2×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$4,753.97–$8,163.65 $4,753.97–$8,163.65 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$3,962.32–$7,924.68 $3,962.32–$7,924.68 varies
CT lumbar spine w contrast (72132) $5,626.65 $5,626.65 14.5×
CT lumbar spine w/o contrast (72131) $5,332.20 $5,332.20 46.0×
CT maxillofacial w contrast (70487) $5,184.98 $5,184.98 26.6×
CT maxillofacial wo contrast (70486) $5,404.75 $5,404.75 46.6×
CT neck tissue combo (70492) $6,044.86 $6,044.86 31.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $6,175.01 $6,175.01 31.7×
CT orbits w/o contrast (70480) $4,790.25 $4,790.25 41.3×
CT pelvis w&w/o contrast (72194) $6,369.20 $6,369.20 32.7×
CT pelvis w/o contrast (72192) $6,121.69 $6,121.69 52.8×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$5,085.39–$5,492.20 $5,085.39–$5,492.20 varies
CT scans face/jaw combo (70488) $6,951.70 $6,951.70 35.7×
CT soft tissue neck w contrast (70491) $5,639.45 $5,639.45 29.0×
CT soft tissue neck w/o contrast (70490) $5,511.43 $5,511.43 47.5×
CT thoracic spine w contrast (72129) $5,991.51 $5,991.51 30.8×
CT thoracic spine w/o contrast (72128) $4,890.52 $4,890.52 42.1×
CT thoracic spine w/wo cont (72130) $4,674.46 $4,674.46 24.0×
CT thorax w/o contrast (71250) $5,298.04 $5,298.04 45.7×
CT upper ext wo (73200) $4,753.97 $4,753.97 41.0×
CT upper extremity w/o & w/contrast material (73202) $6,032.06 $6,032.06 31.0×
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$4,689.95–$9,375.62 $4,689.95–$9,375.62 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,226.22 $3,226.22 16.6×
Cta Abdomen (74175) $3,226.22 $3,226.22 16.6×
CTA pelvis (72191) $3,226.22 $3,226.22 16.6×
Dxa Bone Density Axial (77080) $1,298.89 $1,298.89 11.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $1,113.59 $1,113.59 11.5×
Echo exam uterus (76831) $2,082.06 $2,082.06 7.9×
Echo Guide For Artery Repair (76936) $2,356.43 $2,356.43 9.8×
Esophagram (74220) $2,104.51 $2,104.51 10.8×
Fetal Biophys Profile W/Nst (76818) $1,881.47 $1,881.47 16.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,754.66 $1,754.66 15.1×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$606.74–$2,190.51 $606.74–$2,190.51 varies
Follow-Up Angiography (75898) $1,457.15 $1,457.15 0.4×
Foot 2 views (73620) $762.02 $762.02 7.9×
Forearm 2 views (73090) $852.78 $852.78 8.8×
Gastric emptying imaging study (78264) $4,975.24 $4,975.24 11.2×
Gated Heart Planar Single (78472) $5,103.06 $5,103.06 11.5×
Hand 2 views (73120) $762.02 $762.02 6.6×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $14,263.29 $14,263.29 4.1×
Hepatobil Syst Image W/Drug (78227) $3,614.88 $3,614.88 6.0×
Hepatobiliary System Imaging (78226) $4,138.68 $4,138.68 9.3×
Ht Muscle Image Spect Sing (78451) $9,694.86 $9,694.86 6.7×
Hysterosalpingogram (74740) $2,649.12 $2,649.12 10.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $1,833.06 $1,833.06 19.0×
Joint Survey Single View (77077) $1,189.60 $1,189.60 10.3×
K Flow/Funct Image Multiple (78709) $2,507.61 $2,507.61 4.2×
K Flow/Funct Image W/Drug (78708) $5,595.72 $5,595.72 9.3×
K Flow/Funct Image W/O Drug (78707) $2,441.08 $2,441.08 4.1×
Knee 3 Views (73562) $1,605.26 $1,605.26 16.6×
Liver & Spleen Imaging Static Only (78215) $3,213.82 $3,213.82 7.2×
Liver imaging static only (78201) $5,667.52 $5,667.52 9.4×
Lung Perf&Ventilat Diferentl (78598) $2,307.55 $2,307.55 3.8×
Lung Ventilat&Perfus Imaging (78582) $2,307.55 $2,307.55 3.8×
Lymph System Imaging (78195) $3,037.21 $3,037.21 5.0×
Magnetic Image Jaw Joint (70336) $4,562.98 $4,562.98 17.2×
Meckels Divert Exam (78290) $4,740.55 $4,740.55 10.7×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $64.44 $64.44 2.0×
Mra Head W/O & W/Contrast Material (70546) $10,716.79 $10,716.79 27.7×
MRA head w/o contrast (70544) $8,600.24 $8,600.24 32.5×
MRA head with contrast (70545) $9,383.08 $9,383.08 24.2×
MRA neck w contrast (70548) $9,383.08 $9,383.08 24.2×
Mra Neck W/O &W/Contrast Material (70549) $9,542.23 $9,542.23 24.6×
MRA neck w/o contrast (70547) $8,600.24 $8,600.24 32.5×
MRI abdomen w contrast (74182) $7,640.75 $7,640.75 19.7×
MRI abdomen w/o contrast (74181) $7,006.22 $7,006.22 26.5×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$7,704.05–$8,166.31 $7,704.05–$8,166.31 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) $8,299.30 $8,299.30 21.4×
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$7,636.16–$8,094.30 $7,636.16–$8,094.30 varies
MRI Breast W/O Contrast Bilateral (77047) $1,719.77 $1,719.77 6.5×
MRI cervical spine w contrast (72142) $10,056.84 $10,056.84 26.0×
MRI cervical spine w/o cont (72141) $8,467.23 $8,467.23 32.0×
MRI chest w/o contrast (71550) $7,936.04 $7,936.04 30.0×
MRI chest wo w contrast (71552) $10,274.89 $10,274.89 26.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $8,166.31 $8,166.31 21.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $8,166.31 $8,166.31 21.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $7,477.23 $7,477.23 28.2×
MRI lumbar spine w contrast (72149) $10,056.84 $10,056.84 26.0×
Mri Neck Spine W/O & W/Dye (72156)
range across 2 matching MRF lines
$5,433.99–$10,861.49 $5,433.99–$10,861.49 varies
MRI orbit face &/neck w/o contrast (70540) $9,383.08 $9,383.08 35.4×
MRI orbit face neck w contrast (70542) $9,383.08 $9,383.08 24.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $10,161.52 $10,161.52 26.2×
MRI pelvis w contrast (72196) $8,035.24 $8,035.24 20.8×
MRI pelvis w/o & w contrast (72197) $10,054.68 $10,054.68 26.0×
MRI pelvis w/o contrast (72195) $8,517.35 $8,517.35 32.2×
MRI thoracic spine w/o contrast (72146) $8,953.49 $8,953.49 33.8×
MRI upper extremity oth than jt w/contr matrl (73219) $3,505.06 $3,505.06 9.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $7,420.54 $7,420.54 28.0×
Mri Uppr Extremity W/O&W/Dye (73220) $8,094.30 $8,094.30 20.9×
MRI, abdomen, combo (74183) $7,767.23 $7,767.23 20.1×
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines
$5,586.64–$11,166.77 $5,586.64–$11,166.77 varies
MRI, dorsal spine contrast (72147) $8,524.36 $8,524.36 22.0×
MRI, joint upper extrem (73221) $8,094.30 $8,094.30 30.6×
MRI, joint upper extrem combo (73223) $8,240.41 $8,240.41 21.3×
MRI, lumbar spine combo (72158)
range across 2 matching MRF lines
$5,617.17–$11,234.37 $5,617.17–$11,234.37 varies
Myocardial Spect Multiple Studies (78452) $15,711.21 $15,711.21 10.9×
Neck soft tissue (70360) $1,535.94 $1,535.94 15.9×
Nonvascular Shunt X-Ray (75809) $299.80 $299.80 2.6×
Nuclear Rx Intra-Arterial (79445) $1,606.58 $1,606.58 6.2×
Nuclear Rx Oral Admin (79005) $7,410.59 $7,410.59 28.6×
Parathyroid Planar Imaging (78070) $5,091.44 $5,091.44 11.5×
Pelvis 1 or 2 views (72170) $993.73 $993.73 8.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $1,765.29 $1,765.29 15.2×
Radex abscess/fistula/sinus tract rs&i (76080) $1,453 $1,453 2.4×
Radex Ankle Complete Minimum 3 Views (73610) $1,048.66 $1,048.66 10.9×
Radex Calcaneus Minimum 2 Views (73650) $979.39 $979.39 10.1×
Radex elbow complete minimum 3 views (73080) $1,435.64 $1,435.64 14.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $1,710.35 $1,710.35 14.7×
Radex fingr minimum 2 views (73140) $719.02 $719.02 7.4×
Radex foot complete minimum 3 views (73630) $1,048.66 $1,048.66 10.9×
Radex Hand Minimum 3 Views (73130) $1,048.66 $1,048.66 10.9×
Radex lower extremity infant minimum 2 views (73592) $1,278.42 $1,278.42 13.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,180.07 $1,180.07 12.2×
Radex Ribs Unilateral 2 Views (71100) $697.50 $697.50 7.2×
Radex shoulder complete minimum 2 views (73030) $1,094.05 $1,094.05 11.3×
Radex Sinuses Paransl < 3 Views (70210) $609.16 $609.16 6.3×
Radex Spine 1 View Specify Level (72020) $1,012.84 $1,012.84 10.5×
Radex Sternum Minimum 2 Views (71120) $802.62 $802.62 8.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,373.52 $1,373.52 14.2×
Radex Toe Minimum 2 Views (73660) $886.22 $886.22 9.2×
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines
$1,380.69–$2,756.64 $1,380.69–$2,756.64 varies
Radex Wrist Complete Minimum 3 Views (73110) $1,048.66 $1,048.66 10.9×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $277.91 $277.91 2.4×
Radiolog exam mandible compl minimum 4 views (70110) $1,891.88 $1,891.88 16.3×
Radiologic exam colon double contrast study (74280) $3,045.66 $3,045.66 15.6×
Radiologic exam colon single contrast study (74270) $3,052.85 $3,052.85 15.7×
Radiologic exam knee complete 4/more views (73564) $2,102.11 $2,102.11 18.1×
Radiologic exam pelvis compl minimum 3 views (72190) $1,163.32 $1,163.32 10.0×
Radiologic Exam Small Int Single Contrast Study (74250) $2,833.06 $2,833.06 14.6×
Radiologic exam swallow function contrast study (74230) $2,154.66 $2,154.66 11.1×
Radiologic exam upr gi trc double contrast study (74246) $2,618.06 $2,618.06 13.4×
Radiologic examination femur minimum 2 views (73552) $1,380.69 $1,380.69 14.3×
Radiologic examination knee 1/2 views (73560) $1,132.26 $1,132.26 11.7×
Radiologic examination tibia & fibula 2 views (73590) $924.46 $924.46 9.6×
Renal Cyst Study (74470) $4,013.68 $4,013.68 6.6×
Ribs bilateral 3 views (71110) $1,094.05 $1,094.05 9.4×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $6,901.69 $6,901.69 11.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $5,804.84 $5,804.84 9.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $5,372.42 $5,372.42 8.9×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $4,835.18 $4,835.18 3.4×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $5,484.96 $5,484.96 3.5×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $4,835.18 $4,835.18 3.4×
Rp Therapy Intravenous Administration (79101) $2,544.57 $2,544.57 9.8×
Scapula (73010) $1,027.17 $1,027.17 8.9×
Screening Digital Breast Tomosynthesis Bi (77063) $113.52 $113.52 4.9×
Shoulder 1 view (73020) $609.16 $609.16 6.3×
Shoulder Arthrography (73040) $2,235.89 $2,235.89 5.8×
Skull less than 4 views (70250) $1,048.66 $1,048.66 9.0×
Sternoclavicular joints (71130) $475.36 $475.36 4.9×
Superior sagittal sinus venogram (75870) $4,803.36 $4,803.36 1.4×
Thoracic spine 2 views (72070) $1,122.73 $1,122.73 9.7×
Thoracic spine 3 views (72072) $1,531.21 $1,531.21 13.2×
Thoracolumbar 2 views (72080) $1,373.52 $1,373.52 14.2×
Thyroid Imaging With Vascular Flow (78013) $5,767.68 $5,767.68 13.0×
Thyroid Met Imaging Body (78018) $7,756.85 $7,756.85 12.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $7,278.14 $7,278.14 16.4×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$530.31–$1,060.63 $530.31–$1,060.63 varies
Ultrasound Elastography Parenchyma (76981) $472.74 $472.74 4.1×
Ultrasound Exam Aaa Screen (76706) $1,021.43 $1,021.43 8.8×
Ultrasound, abdomen limited (76705) $1,625.53 $1,625.53 14.0×
Umbilical-artery Doppler (OB) (76820) $785.65 $785.65 6.8×
Unlisted magnetic resonance procedure (76498) $6,539.57 $6,539.57 67.7×
Upper gi w/o kub (74240) $2,431.78 $2,431.78 12.5×
Urethrocystogram voiding (74455) $1,337.71 $1,337.71 5.1×
Urethrocystography retrograde (74450) $1,772.46 $1,772.46 6.7×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$530.31–$1,060.63 $530.31–$1,060.63 varies
Us chest (76604) $1,581.73 $1,581.73 13.6×
Us complete joint (76881) $742.45 $742.45 6.4×
Us exam, pelvic, limited (76857) $1,484.87 $1,484.87 12.8×
Us head (76506) $2,109.75 $2,109.75 18.2×
Us kidney transplant (76776) $2,229.64 $2,229.64 19.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $481.91 $481.91 4.2×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$1,060.63–$1,178.22 $1,060.63–$1,178.22 varies
Us ob transvaginal (76817) $751.69 $751.69 6.5×
Us pelvic non ob complete (76856) $1,729.27 $1,729.27 14.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $751.69 $751.69 6.5×
Us retroperitoneal complete (76770) $1,959.88 $1,959.88 16.9×
Us scrotum and contents (76870) $1,872.26 $1,872.26 16.1×
Us spinal canal and contents (76800) $1,943.71 $1,943.71 16.8×
Us thyroid (76536) $1,745.44 $1,745.44 15.0×
Vein X-Ray Chest (75827) $6,671.80 $6,671.80 3.8×
Venogram Sinus/Jugular (75860) $8,284.26 $8,284.26 2.4×
Venography caval inferior serialography rs&i (75825) $14,619.87 $14,619.87 4.2×
Venography extremity bilateral rs&i (75822) $6,540.42 $6,540.42 3.7×
Venography extremity unilateral rs&i (75820) $4,982.96 $4,982.96 2.9×
Venography Renal Unilateral (75831) $10,567.37 $10,567.37 3.0×
Venous sampling by catheter (75893) $22,837.59 $22,837.59 3.7×
Vertebral fracture assessment via dxa (77086) $665.69 $665.69 6.9×
Wrist 2 views (73100) $762.02 $762.02 7.9×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,060.63 $1,060.63 11.0×
X-ray antegrade pyelogram tube (74425) $2,190.51 $2,190.51 5.7×
X-Ray Aorta Leg Arteries (75630) $14,263.29 $14,263.29 4.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,015.25 $1,015.25 10.5×
X-Ray Exam Breast Specimen (76098) $5,639.87 $5,639.87 9.3×
X-Ray Exam Entire Spi 1 Vw (72081) $1,485.81 $1,485.81 15.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,110.77 $1,110.77 9.6×
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$726.20–$1,158.58 $726.20–$1,158.58 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $1,158.58 $1,158.58 12.0×
X-Ray Exam Hip Uni 4/> Views (73503) $826.85 $826.85 7.1×
X-Ray Exam Hips Bi 2 Views (73521) $2,028.03 $2,028.03 17.5×
X-Ray Exam L-S Spine Bending (72114) $2,959.65 $2,959.65 25.5×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,485.81 $1,485.81 15.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $2,319.48 $2,319.48 20.0×
X-Ray Exam Unilat Ribs/Chest (71101) $1,760.54 $1,760.54 15.2×
X-ray humerus (73060) $943.57 $943.57 9.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,191.98 $1,191.98 12.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,110.77 $1,110.77 9.6×
X-ray nose-rectum child f.b. (76010) $563.16 $563.16 5.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $2,011.31 $2,011.31 17.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,163.32 $1,163.32 10.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,428.48 $1,428.48 14.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $2,376.85 $2,376.85 24.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,770.06 $1,770.06 15.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $2,668.24 $2,668.24 6.9×
X-Rays Bone Length Studies (77073) $1,755.75 $1,755.75 15.1×
X-Rays Bone Survey Complete (77075) $2,895.17 $2,895.17 25.0×
Xr c-spine 4 or 5 views (72050) $1,884.72 $1,884.72 16.2×
Xr facial bones less than 3 views (70140) $1,209.87 $1,209.87 12.5×
Xr orbits complete 4 views (70200) $1,626.75 $1,626.75 14.0×

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.