Imaging prices at Alomere Health
Alexandria, MN · every code in this section with a posted price and a Medicare benchmark.
299 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) | $169.94 | $293 | 1.9× |
| Abdomen 2 views (74019) | $232 | $400 | 2.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $687.30 | $1,185 | 1.7× |
| Angiography extremity unilateral rs&i (75710) | $3,636.60 | $6,270 | 1.1× |
| Ankle 2 views (73600) | $161.24 | $278 | 1.8× |
| Arthrogram hip (73525) | $628.72 | $1,084 | 1.7× |
| Bone age studies (77072) | $178.06 | $307 | 1.7× |
| Bone Imaging 3 Phase (78315) | $790.54 | $1,363 | 1.9× |
| Bone Imaging Limited Area (78300) | $672.22 | $1,159 | 1.6× |
| Bone Imaging Multiple Areas (78305) | $675.12 | $1,164 | 1.6× |
| Bone Imaging Whole Body (78306) | $694.84 | $1,198 | 1.7× |
| Bone marrow imaging limited area (78102) | $496.48 | $856 | 1.2× |
| Bone marrow imaging; multiple areas (78103) | $561.44 | $968 | 1.4× |
| Bone marrow imaging; whole body (78104) | $654.82 | $1,129 | 1.6× |
| Bone survey infant (77076) | $134.56 | $232 | 1.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $455.88 | $786 | 0.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,450.50 | $4,225 | 1.7× |
| Cat Scan Follow-Up Study (76380) | $435 | $750 | 4.8× |
| Cerebrospinal Fluid Scan (78630) | $1,025.44 | $1,768 | 1.8× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$182.70–$185.02 | $315–$319 | varies |
| Chest 2 views (71046) | $214.02 | $369 | 2.4× |
| Chest 3 views (71047) | $241.28 | $416 | 2.7× |
| Chest 4 or more views (71048) | $285.94 | $493 | 2.7× |
| Clavicle complete (73000) | $161.24 | $278 | 1.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $303.34 | $523 | 2.8× |
| Contrast X-Ray Bladder (74430) | $575.36 | $992 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $803.30 | $1,385 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $1,285.28 | $2,216 | 3.6× |
| CT abdomen and pelvis without contrast (74176) | $938.44 | $1,618 | 3.8× |
| CT abdomen w contrast (74160) | $1,032.98 | $1,781 | 5.7× |
| CT abdomen w wo contrast (74170) | $1,245.26 | $2,147 | 6.9× |
| CT abdomen w/o contrast (74150) | $790.54 | $1,363 | 7.3× |
| CT Angio Abdomen and Pelvis (74174) | $939.60 | $1,620 | 2.6× |
| CT Angio Chest (71275) | $1,032.98 | $1,781 | 5.7× |
| CT Angio Head (70496) | $937.28 | $1,616 | 5.2× |
| CT angio hrt w/3d image (75574) | $624.08 | $1,076 | 1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $796.34 | $1,373 | 4.4× |
| CT Angio Neck (70498) | $937.28 | $1,616 | 5.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $422.82 | $729 | 2.3× |
| CT cervical spine w/ contrast (72126) | $1,358.94 | $2,343 | 3.8× |
| CT cervical spine w/o contrast (72125) | $1,031.82 | $1,779 | 9.6× |
| CT cervical spine w/wo cont (72127) | $1,804.96 | $3,112 | 10.0× |
| CT chest w contrast (71260) | $1,057.92 | $1,824 | 5.8× |
| CT chest w/wo contrast (71270) | $1,245.26 | $2,147 | 6.9× |
| CT colonography screening (74263) | $1,107.22 | $1,909 | 4.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $947.14 | $1,633 | 8.8× |
| CT head/brain with contrast (70460) | $1,121.72 | $1,934 | 6.2× |
| CT head/brain without and with contrast (70470) | $1,290.50 | $2,225 | 7.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,032.98 | $1,781 | 2.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $149.06 | $257 | 1.7× |
| CT iac w contrast (70481) | $1,103.16 | $1,902 | 6.1× |
| CT l-spine w&w/o contrast (72133) | $1,420.42 | $2,449 | 7.8× |
| CT lower ext w/o (73700) | $773.14 | $1,333 | 7.2× |
| CT lower extremity w/contrast material (73701) | $1,001.66 | $1,727 | 5.5× |
| CT lumbar spine w contrast (72132) | $1,144.92 | $1,974 | 3.2× |
| CT lumbar spine w/o contrast (72131) | $851.44 | $1,468 | 7.9× |
| CT maxillofacial w contrast (70487) | $1,141.44 | $1,968 | 6.3× |
| CT maxillofacial wo contrast (70486) | $1,102.58 | $1,901 | 10.2× |
| CT neck tissue combo (70492) | $1,350.82 | $2,329 | 7.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,309.64 | $2,258 | 7.2× |
| CT orbits w/o contrast (70480) | $759.22 | $1,309 | 7.0× |
| CT pelvis w&w/o contrast (72194) | $1,126.94 | $1,943 | 6.2× |
| CT pelvis w/o contrast (72192) | $821.28 | $1,416 | 7.6× |
| CT scan of leg combo (73702) | $1,126.94 | $1,943 | 6.2× |
| CT scans face/jaw combo (70488) | $1,171.60 | $2,020 | 6.5× |
| CT soft tissue neck w contrast (70491) | $1,103.16 | $1,902 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $832.88 | $1,436 | 7.7× |
| CT thoracic spine w contrast (72129) | $1,175.66 | $2,027 | 6.5× |
| CT thoracic spine w/o contrast (72128) | $1,062.56 | $1,832 | 9.8× |
| CT thoracic spine w/wo cont (72130) | $1,738.84 | $2,998 | 9.6× |
| CT thorax w/o contrast (71250) | $939.60 | $1,620 | 8.7× |
| CT upper ext wo (73200) | $744.14 | $1,283 | 6.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,061.98 | $1,831 | 5.9× |
| CT upper extremity with contrast (73201) | $923.36 | $1,592 | 2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $796.34 | $1,373 | 4.4× |
| Cta Abdomen (74175) | $796.34 | $1,373 | 4.4× |
| CTA pelvis (72191) | $1,042.26 | $1,797 | 5.8× |
| Dilation ureters/urethra rs&i (74485) | $1,633.86 | $2,817 | 0.8× |
| Discography Cerv/Thor Spine (72285) | $1,987.08 | $3,426 | 1.0× |
| Diskography lumbar (72295) | $2,291 | $3,950 | 1.1× |
| Echograp Trans R Pros Study (76873) | $307.98 | $531 | 2.9× |
| Esophagram (74220) | $437.90 | $755 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $179.22 | $309 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $435 | $750 | 1.8× |
| Foot 2 views (73620) | $143.26 | $247 | 1.6× |
| Forearm 2 views (73090) | $169.94 | $293 | 1.9× |
| Gastric emptying imaging study (78264) | $687.30 | $1,185 | 1.7× |
| Gated Heart Planar Single (78472) | $875.22 | $1,509 | 2.1× |
| Hand 2 views (73120) | $169.94 | $293 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $859.56 | $1,482 | 1.5× |
| Hepatobiliary System Imaging (78226) | $758.06 | $1,307 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $1,292.24 | $2,228 | 1.0× |
| Hysterosalpingogram (74740) | $584.64 | $1,008 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $244.76 | $422 | 2.7× |
| Infant hip ultrasound, limited static exam (76886) | $244.76 | $422 | 2.7× |
| Interstitial radiation source applic complex (77778) | $546.36 | $942 | 0.8× |
| Joint Survey Single View (77077) | $179.22 | $309 | 1.7× |
| K Flow/Funct Image Multiple (78709) | $820.70 | $1,415 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $749.94 | $1,293 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $730.80 | $1,260 | 1.3× |
| Kidney Imaging Morphol (78700) | $451.24 | $778 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $679.76 | $1,172 | 1.6× |
| Knee 3 Views (73562) | $232.58 | $401 | 2.6× |
| Liver & Spleen Imaging Static Only (78215) | $654.82 | $1,129 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $710.50 | $1,225 | 1.7× |
| Liver imaging static only (78201) | $1,147.24 | $1,978 | 2.0× |
| Liver imaging w/vascular flow (78202) | $1,295.72 | $2,234 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,135.06 | $1,957 | 2.0× |
| Lung Ventilation Imaging (78579) | $475.02 | $819 | 1.2× |
| Lymph System Imaging (78195) | $790.54 | $1,363 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $1,606.02 | $2,769 | 6.5× |
| Mammary ductogram or galactogram multiple (77054) | $522 | $900 | 2.1× |
| Mammary ductogram or galactogram single (77053) | $233.74 | $403 | 0.9× |
| Meckels Divert Exam (78290) | $672.22 | $1,159 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,662.86 | $2,867 | 4.6× |
| MRA head w/o contrast (70544) | $1,647.78 | $2,841 | 6.7× |
| MRA neck w contrast (70548) | $1,647.78 | $2,841 | 4.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,662.86 | $2,867 | 4.6× |
| MRA neck w/o contrast (70547) | $1,575.86 | $2,717 | 6.4× |
| MRI abdomen w contrast (74182) | $1,662.86 | $2,867 | 4.6× |
| MRI abdomen w/o contrast (74181) | $1,647.78 | $2,841 | 6.7× |
| MRI any jt lower extrem w/contrast material (73722) | $1,851.94 | $3,193 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,150.64 | $3,708 | 6.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,851.94 | $3,193 | 2.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,869.34 | $3,223 | 7.6× |
| MRI cervical spine w contrast (72142) | $1,662.86 | $2,867 | 4.6× |
| MRI cervical spine w/o cont (72141) | $1,615.88 | $2,786 | 6.6× |
| MRI chest w/o contrast (71550) | $1,662.86 | $2,867 | 6.8× |
| MRI chest wo w contrast (71552) | $1,851.94 | $3,193 | 5.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,672.72 | $2,884 | 4.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,851.94 | $3,193 | 5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,568.90 | $2,705 | 6.4× |
| MRI lumbar spine w contrast (72149) | $1,732.46 | $2,987 | 4.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,750.44 | $3,018 | 4.9× |
| MRI orbit face &/neck w/o contrast (70540) | $986 | $1,700 | 4.0× |
| MRI orbit face neck w contrast (70542) | $1,353.72 | $2,334 | 3.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,530.04 | $2,638 | 4.2× |
| MRI pelvis w contrast (72196) | $1,732.46 | $2,987 | 4.8× |
| MRI pelvis w/o & w contrast (72197) | $1,911.68 | $3,296 | 5.3× |
| MRI pelvis w/o contrast (72195) | $1,615.88 | $2,786 | 6.6× |
| MRI thoracic spine w/o contrast (72146) | $1,615.88 | $2,786 | 6.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,568.90 | $2,705 | 6.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,662.86 | $2,867 | 4.6× |
| MRI, abdomen, combo (74183) | $1,750.44 | $3,018 | 4.9× |
| MRI, dorsal spine combo (72157) | $1,858.90 | $3,205 | 5.2× |
| MRI, dorsal spine contrast (72147) | $1,662.86 | $2,867 | 4.6× |
| MRI, joint upper extrem (73221) | $1,537 | $2,650 | 6.2× |
| MRI, joint upper extrem combo (73223) | $2,150.64 | $3,708 | 6.0× |
| MRI, lumbar spine combo (72158) | $1,911.68 | $3,296 | 5.3× |
| Myelogram cervical (72240) | $1,272.52 | $2,194 | 1.6× |
| Myelogram Lumbar (72265) | $1,256.28 | $2,166 | 1.6× |
| Myelography thoracic (72255) | $1,266.14 | $2,183 | 1.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,602.54 | $2,763 | 2.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $529.54 | $913 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $2,103.66 | $3,627 | 1.6× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $975.56 | $1,682 | 0.7× |
| Neck soft tissue (70360) | $153.12 | $264 | 1.7× |
| Nm myocard infarct spect (78469) | $1,211.04 | $2,088 | 2.2× |
| Nuclear Rx Oral Admin (79005) | $647.28 | $1,116 | 2.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$66.70–$281.88 | $115–$486 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$88.16–$263.90 | $152–$455 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $744.14 | $1,283 | 1.3× |
| Parathyroid Planar Imaging (78070) | $664.68 | $1,146 | 1.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $687.30 | $1,185 | 1.7× |
| Pelvis 1 or 2 views (72170) | $194.30 | $335 | 1.8× |
| PET image w/CT, full body (78816) | $4,307.66 | $7,427 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,179.48 | $7,206 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $467.48 | $806 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $373.52 | $644 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $495.90 | $855 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $189.66 | $327 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $143.26 | $247 | 1.6× |
| Radex elbow complete minimum 3 views (73080) | $215.18 | $371 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $313.78 | $541 | 2.9× |
| Radex fingr minimum 2 views (73140) | $133.40 | $230 | 1.5× |
| Radex foot complete minimum 3 views (73630) | $161.24 | $278 | 1.8× |
| Radex Hand Minimum 3 Views (73130) | $184.44 | $318 | 2.1× |
| Radex lower extremity infant minimum 2 views (73592) | $143.26 | $247 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $236.64 | $408 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $124.12 | $214 | 1.4× |
| Radex shoulder complete minimum 2 views (73030) | $187.92 | $324 | 2.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $185.60 | $320 | 2.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $783 | $1,350 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $187.92 | $324 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $196.62 | $339 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $273.18 | $471 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $137.46 | $237 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$143.26–$143.84 | $247–$248 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $179.22 | $309 | 2.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $267.96 | $462 | 2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $302.18 | $521 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $308.56 | $532 | 2.9× |
| Radiologic exam colon double contrast study (74280) | $718.04 | $1,238 | 4.0× |
| Radiologic exam colon single contrast study (74270) | $495.90 | $855 | 2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $437.90 | $755 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $267.96 | $462 | 2.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $207.64 | $358 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $451.82 | $779 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $349.74 | $603 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $587.54 | $1,013 | 3.2× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$120.64–$147.32 | $208–$254 | varies |
| Radiologic examination femur minimum 2 views (73552) | $179.22 | $309 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $161.24 | $278 | 1.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $196.62 | $339 | 1.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $187.92 | $324 | 2.1× |
| Ribs bilateral 3 views (71110) | $178.06 | $307 | 1.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $989.48 | $1,706 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,031.16 | $3,502 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,914 | $3,300 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,957.50 | $3,375 | 3.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,239.38 | $3,861 | 1.7× |
| Rp Therapy Intravenous Administration (79101) | $640.90 | $1,105 | 2.7× |
| Scapula (73010) | $196.62 | $339 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $87 | $150 | 3.7× |
| Shoulder 1 view (73020) | $176.32 | $304 | 2.0× |
| Shoulder Arthrography (73040) | $671.64 | $1,158 | 1.9× |
| Skull less than 4 views (70250) | $196.62 | $339 | 1.8× |
| Special dosimetry (77331) | $136.88 | $236 | 1.0× |
| Special Physics Consult (77370) | $120.64 | $208 | 0.9× |
| Special treatment procedure (77470) | $710.50 | $1,225 | 1.2× |
| Sternoclavicular joints (71130) | $161.24 | $278 | 1.8× |
| Thoracic spine 2 views (72070) | $210.54 | $363 | 2.0× |
| Thoracic spine 3 views (72072) | $217.50 | $375 | 2.0× |
| Thoracolumbar 2 views (72080) | $256.36 | $442 | 2.9× |
| Thyroid Imaging With Vascular Flow (78013) | $343.36 | $592 | 0.8× |
| Thyroid Met Imaging Body (78018) | $852.02 | $1,469 | 1.5× |
| Thyroid Uptake Measurement (78012) | $285.94 | $493 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $870.58 | $1,501 | 2.1× |
| Tx devices design & construction simple (77332) | $254.04 | $438 | 1.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$81.78–$261.58 | $141–$451 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$46.98–$341.04 | $81–$588 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$45.24–$234.32 | $78–$404 | varies |
| Umbilical-artery Doppler (OB) (76820) | $161.24 | $278 | 1.5× |
| Unlisted Dx Radiographic Procedure (76499) | $143.26 | $247 | 1.6× |
| Unlisted us procedure (76999) | $248.82 | $429 | 2.8× |
| Upper gi w/o kub (74240) | $540.56 | $932 | 3.0× |
| Ureteral Reflux Study (78740) | $480.82 | $829 | 1.2× |
| Urethrocystogram voiding (74455) | $646.12 | $1,114 | 2.6× |
| Urethrocystography retrograde (74450) | $591.02 | $1,019 | 2.4× |
| Us breast unilateral complete (76641) | $302.18 | $521 | 2.8× |
| Us chest (76604) range across 3 matching MRF lines |
$44.08–$280.14 | $76–$483 | varies |
| Us complete joint (76881) | $401.94 | $693 | 3.7× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$37.12–$365.98 | $64–$631 | varies |
| Us head (76506) | $251.14 | $433 | 2.3× |
| Us kidney transplant (76776) | $400.20 | $690 | 3.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$45.82–$326.54 | $79–$563 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$65.54–$205.90 | $113–$355 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$61.48–$284.78 | $106–$491 | varies |
| Us pelvic non ob complete (76856) | $400.20 | $690 | 3.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $267.38 | $461 | 2.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $179.22 | $309 | 1.7× |
| Us retroperitoneal complete (76770) | $381.64 | $658 | 3.5× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$44.66–$336.98 | $77–$581 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$48.72–$346.84 | $84–$598 | varies |
| Us spinal canal and contents (76800) | $311.46 | $537 | 2.9× |
| Us thyroid (76536) range across 3 matching MRF lines |
$101.50–$284.78 | $175–$491 | varies |
| Us transrectal (76872) | $454.14 | $783 | 4.2× |
| Vascular Flow Imaging (78445) | $676.28 | $1,166 | 1.6× |
| Wrist 2 views (73100) | $150.22 | $259 | 1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $161.24 | $278 | 1.8× |
| X-ray antegrade pyelogram tube (74425) | $636.26 | $1,097 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $178.06 | $307 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $143.26 | $247 | 1.6× |
| X-Ray Exam Breast Specimen (76098) | $491.84 | $848 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $153.12 | $264 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $194.30 | $335 | 1.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $241.28 | $416 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $134.56 | $232 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $215.18 | $371 | 2.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $325.38 | $561 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $176.90 | $305 | 1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $196.04 | $338 | 1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $318.42 | $549 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $254.62 | $439 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $245.92 | $424 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $253.46 | $437 | 2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $308.56 | $532 | 2.9× |
| X-ray eye for foreign body (70030) | $180.38 | $311 | 2.0× |
| X-ray humerus (73060) | $187.92 | $324 | 2.1× |
| X-ray IV pyelogram (ivp) (74400) | $597.98 | $1,031 | 3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $218.66 | $377 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $204.16 | $352 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $161.24 | $278 | 1.5× |
| X-ray nose-rectum child f.b. (76010) | $143.26 | $247 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $313.78 | $541 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $252.30 | $435 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $205.90 | $355 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $201.84 | $348 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $294.06 | $507 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $241.28 | $416 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $233.74 | $403 | 2.2× |
| X-Ray Tmj Unilat (70328) | $193.14 | $333 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $725.58 | $1,251 | 2.0× |
| X-Rays Bone Length Studies (77073) | $179.22 | $309 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $355.54 | $613 | 3.3× |
| Xr c-spine 4 or 5 views (72050) | $249.40 | $430 | 2.3× |
| Xr facial bones less than 3 views (70140) | $218.66 | $377 | 2.4× |
| Xr orbits complete 4 views (70200) | $302.76 | $522 | 2.8× |
| Xr Tomogram Single Plane (76100) | $328.86 | $567 | 3.0× |
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.