Imaging prices at Anderson Hospital
Maryville, IL · every code in this section with a posted price and a Medicare benchmark.
279 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) | $6,422.25 | $12,844.50 | 4.3× |
| Abdomen 1 View (74018) | $267.10 | $534.20 | 2.9× |
| Abdomen 2 views (74019) | $364.25 | $728.50 | 3.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $942.20 | $1,884.40 | 2.2× |
| Angiography extremity bilateral rs&i (75716) | $3,416.35 | $6,832.70 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $2,971.80 | $5,943.60 | 0.9× |
| Ankle 2 views (73600) | $322.30 | $644.60 | 3.5× |
| Artery X-Rays Abdomen (75726) | $6,070.95 | $12,141.90 | 1.0× |
| Arthrogram Wrist (73115) | $231.90 | $463.80 | 0.6× |
| Basic radiation dosimetry calculation (77300) | $603.50 | $1,207 | 4.2× |
| Bone age studies (77072) | $266.60 | $533.20 | 2.4× |
| Bone Imaging 3 Phase (78315) | $1,528.55 | $3,057.10 | 3.6× |
| Bone Imaging Limited Area (78300) | $931.95 | $1,863.90 | 2.2× |
| Bone Imaging Whole Body (78306) | $1,352.80 | $2,705.60 | 3.2× |
| Bone survey infant (77076) | $247.60 | $495.20 | 2.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $799.50 | $1,599 | 1.4× |
| Cerebrospinal Fluid Scan (78630) | $1,886.75 | $3,773.50 | 3.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$227.20–$304.70 | $454.40–$609.40 | varies |
| Chest 2 views (71046) | $286.30 | $572.60 | 3.1× |
| Chest 3 views (71047) | $458.35 | $916.70 | 4.9× |
| Chest 4 or more views (71048) | $463.50 | $927 | 4.1× |
| Clavicle complete (73000) | $301.65 | $603.30 | 3.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $913.75 | $1,827.50 | 8.2× |
| Continuing medical physics consltj pr wk (77336) | $696.60 | $1,393.20 | 4.8× |
| Contrast Exam Abdominl Aorta (75625) | $3,429.10 | $6,858.20 | 1.0× |
| Contrast X-Ray Bladder (74430) | $523.25 | $1,046.50 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,993.25 | $7,986.50 | 10.7× |
| CT abdomen and pelvis without contrast (74176) | $3,083.20 | $6,166.40 | 12.1× |
| CT abdomen w contrast (74160) | $1,820.95 | $3,641.90 | 9.7× |
| CT abdomen w wo contrast (74170) | $2,165.70 | $4,331.40 | 11.5× |
| CT abdomen w/o contrast (74150) | $1,563.50 | $3,127 | 14.0× |
| CT Angio Abdomen and Pelvis (74174) | $4,428.80 | $8,857.60 | 11.8× |
| CT Angio Chest (71275) | $2,085.05 | $4,170.10 | 11.1× |
| CT Angio Head (70496) | $2,054.90 | $4,109.80 | 10.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,897.55–$2,846.35 | $3,795.10–$5,692.70 | varies |
| CT Angio Neck (70498) | $1,932.80 | $3,865.60 | 10.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,708.70–$4,063.20 | $5,417.40–$8,126.40 | varies |
| CT cervical spine w/ contrast (72126) | $2,312.10 | $4,624.20 | 6.2× |
| CT cervical spine w/o contrast (72125) | $2,026.70 | $4,053.40 | 18.1× |
| CT cervical spine w/wo cont (72127) | $2,823.55 | $5,647.10 | 15.0× |
| CT chest w contrast (71260) | $2,038.20 | $4,076.40 | 10.8× |
| CT chest w/wo contrast (71270) | $2,381.20 | $4,762.40 | 12.7× |
| CT head/brain with contrast (70460) | $1,605.40 | $3,210.80 | 8.5× |
| CT head/brain without and with contrast (70470) | $2,009.35 | $4,018.70 | 10.7× |
| CT iac w contrast (70481) | $1,883.95 | $3,767.90 | 10.0× |
| CT l-spine w&w/o contrast (72133) | $2,531.70 | $5,063.40 | 13.5× |
| CT lower ext w/o (73700) | $1,431.50 | $2,863 | 12.8× |
| CT lower extremity w/contrast material (73701) | $1,804.90 | $3,609.80 | 9.6× |
| CT lumbar spine w contrast (72132) | $2,191.75 | $4,383.50 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $2,026.70 | $4,053.40 | 18.1× |
| CT maxillofacial w contrast (70487) | $1,772 | $3,544 | 9.4× |
| CT maxillofacial wo contrast (70486) | $1,493.95 | $2,987.90 | 13.3× |
| CT neck tissue combo (70492) | $2,104.45 | $4,208.90 | 11.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,030.65 | $4,061.30 | 10.8× |
| CT orbits w/o contrast (70480) | $1,599.50 | $3,199 | 14.3× |
| CT pelvis w&w/o contrast (72194) | $2,096.75 | $4,193.50 | 11.2× |
| CT pelvis w/o contrast (72192) | $1,536.70 | $3,073.40 | 13.7× |
| CT scan of leg combo (73702) | $1,959.55 | $3,919.10 | 10.4× |
| CT scans face/jaw combo (70488) | $2,090.80 | $4,181.60 | 11.1× |
| CT soft tissue neck w contrast (70491) | $1,721.85 | $3,443.70 | 9.2× |
| CT soft tissue neck w/o contrast (70490) | $1,434.40 | $2,868.80 | 12.8× |
| CT thoracic spine w contrast (72129) | $2,295.90 | $4,591.80 | 12.2× |
| CT thoracic spine w/o contrast (72128) | $2,059.05 | $4,118.10 | 18.4× |
| CT thoracic spine w/wo cont (72130) | $2,548.15 | $5,096.30 | 13.6× |
| CT thorax w/o contrast (71250) | $1,448.35 | $2,896.70 | 12.9× |
| CT upper ext wo (73200) | $1,412.05 | $2,824.10 | 12.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,959.55 | $3,919.10 | 10.4× |
| CT upper extremity with contrast (73201) | $1,636.05 | $3,272.10 | 4.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,181.05 | $4,362.10 | 11.6× |
| Cta Abdomen (74175) | $2,085.05 | $4,170.10 | 11.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,987.55 | $7,975.10 | 10.7× |
| CTA pelvis (72191) | $2,406.40 | $4,812.80 | 12.8× |
| Dxa Bone Density Axial (77080) | $359.30 | $718.60 | 3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $324.40 | $648.80 | 3.5× |
| Echo Guide For Artery Repair (76936) | $1,032.30 | $2,064.60 | 4.5× |
| Esophagram (74220) | $440 | $880 | 2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $603.25 | $1,206.50 | 5.4× |
| Fluoroscopy up to 1 hr (76000) | $620.30 | $1,240.60 | 2.4× |
| Follow-Up Angiography (75898) | $1,802.60 | $3,605.20 | 0.5× |
| Foot 2 views (73620) | $286.75 | $573.50 | 3.1× |
| Forearm 2 views (73090) | $273.05 | $546.10 | 2.9× |
| Gastric emptying imaging study (78264) | $1,232.45 | $2,464.90 | 2.9× |
| Gated Heart Planar Single (78472) | $1,098.70 | $2,197.40 | 2.6× |
| Hand 2 views (73120) | $324.40 | $648.80 | 2.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,566.25 | $5,132.50 | 3.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,459.30 | $4,918.60 | 3.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,710.65 | $3,421.30 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,576.15 | $3,152.30 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,386.90 | $2,773.80 | 3.2× |
| Hysterosalpingogram (74740) | $634.40 | $1,268.80 | 2.5× |
| Interstitial radiation source applic complex (77778) | $3,926.10 | $7,852.20 | 5.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,842.80 | $5,685.60 | 3.8× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,152.95 | $4,305.90 | 3.6× |
| Intracavitary radiation source applic simple (77761) | $1,463.10 | $2,926.20 | 2.5× |
| K Flow/Funct Image Multiple (78709) | $1,115.50 | $2,231 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,269.70 | $2,539.40 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,091 | $2,182 | 1.9× |
| Knee 3 Views (73562) | $328.05 | $656.10 | 3.5× |
| Liver & Spleen Imaging Static Only (78215) | $1,280.65 | $2,561.30 | 3.0× |
| Lung Perf&Ventilat Diferentl (78598) | $1,751.20 | $3,502.40 | 3.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,625.10 | $3,250.20 | 2.8× |
| Lymph System Imaging (78195) | $1,242.45 | $2,484.90 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $2,048.20 | $4,096.40 | 8.0× |
| Meckels Divert Exam (78290) | $931.95 | $1,863.90 | 2.2× |
| Mlc imrt design & construction per imrt plan (77338) | $3,336 | $6,672 | 8.3× |
| MRA head w/o contrast (70544) | $2,074.15 | $4,148.30 | 8.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,200.75 | $6,401.50 | 8.6× |
| MRA neck w/o contrast (70547) | $2,344.35 | $4,688.70 | 9.2× |
| MRI abdomen w contrast (74182) | $2,673.55 | $5,347.10 | 7.2× |
| MRI abdomen w/o contrast (74181) | $2,197.45 | $4,394.90 | 8.6× |
| MRI any jt lower extrem w/contrast material (73722) | $2,508.40 | $5,016.80 | 3.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,132 | $6,264 | 8.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,673.55 | $5,347.10 | 3.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,052.35 | $6,104.70 | 11.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,345.35 | $4,690.70 | 9.2× |
| MRI cervical spine w contrast (72142) | $2,546.05 | $5,092.10 | 6.8× |
| MRI cervical spine w/o cont (72141) | $2,286.10 | $4,572.20 | 8.9× |
| MRI chest w/o contrast (71550) | $2,242.90 | $4,485.80 | 8.8× |
| MRI chest with contrast (71551) | $2,521.10 | $5,042.20 | 3.0× |
| MRI chest wo w contrast (71552) | $3,203.15 | $6,406.30 | 8.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,839.55 | $5,679.10 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,976.50 | $5,953 | 8.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,400.15 | $4,800.30 | 9.4× |
| MRI lumbar spine w contrast (72149) | $2,610.40 | $5,220.80 | 7.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,215.20 | $6,430.40 | 8.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,927.95 | $3,855.90 | 7.5× |
| MRI orbit face neck w contrast (70542) | $3,076.55 | $6,153.10 | 8.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,646.05 | $7,292.10 | 9.8× |
| MRI pelvis w contrast (72196) | $2,673.55 | $5,347.10 | 7.2× |
| MRI pelvis w/o & w contrast (72197) | $3,658.95 | $7,317.90 | 9.8× |
| MRI pelvis w/o contrast (72195) | $2,474.95 | $4,949.90 | 9.7× |
| MRI thoracic spine w/o contrast (72146) | $2,390.85 | $4,781.70 | 9.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,839.55 | $5,679.10 | 7.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,427 | $4,854 | 9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,477.95 | $6,955.90 | 9.3× |
| MRI, abdomen, combo (74183) | $3,524.15 | $7,048.30 | 9.4× |
| MRI, dorsal spine combo (72157) | $3,426.10 | $6,852.20 | 9.2× |
| MRI, dorsal spine contrast (72147) | $2,673.55 | $5,347.10 | 7.2× |
| MRI, joint upper extrem (73221) | $2,427 | $4,854 | 9.5× |
| MRI, joint upper extrem combo (73223) | $3,188.35 | $6,376.70 | 8.5× |
| MRI, lumbar spine combo (72158) | $3,264.75 | $6,529.50 | 8.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,115.50 | $2,231 | 2.6× |
| Myocardial Spect Multiple Studies (78452) | $2,936.95 | $5,873.90 | 2.1× |
| Neck soft tissue (70360) | $277.90 | $555.80 | 3.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $791.60 | $1,583.20 | 1.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $520.70 | $1,041.40 | 1.2× |
| Nonvascular Shunt X-Ray (75809) | $557.10 | $1,114.20 | 5.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,358.90 | $12,717.80 | 4.3× |
| Parathyroid Planar Imaging (78070) | $982.20 | $1,964.40 | 2.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,710.30 | $3,420.60 | 4.0× |
| Pelvis 1 or 2 views (72170) | $273.20 | $546.40 | 2.4× |
| PET image w/CT, full body (78816) | $4,482.75 | $8,965.50 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,178.75 | $8,357.50 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,281.05 | $2,562.10 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $479.25 | $958.50 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $342.20 | $684.40 | 3.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $262.25 | $524.50 | 2.8× |
| Radex elbow complete minimum 3 views (73080) | $303 | $606 | 3.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $402.10 | $804.20 | 3.6× |
| Radex fingr minimum 2 views (73140) | $231.20 | $462.40 | 2.5× |
| Radex foot complete minimum 3 views (73630) | $300.45 | $600.90 | 3.2× |
| Radex Hand Minimum 3 Views (73130) | $325.50 | $651 | 3.5× |
| Radex lower extremity infant minimum 2 views (73592) | $330.30 | $660.60 | 3.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $298.90 | $597.80 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $330 | $660 | 3.5× |
| Radex shoulder complete minimum 2 views (73030) | $321.85 | $643.70 | 3.5× |
| Radex Spine 1 View Specify Level (72020) | $326.20 | $652.40 | 3.5× |
| Radex Sternum Minimum 2 Views (71120) | $278.25 | $556.50 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $390.90 | $781.80 | 4.2× |
| Radex Toe Minimum 2 Views (73660) | $238.10 | $476.20 | 2.6× |
| Radex upper extremity infant minimum 2 views (73092) | $164.05 | $328.10 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $326.20 | $652.40 | 3.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $17,735.55 | $35,471.10 | 2.2× |
| Radiation treatment delivery level 1 (77402) | $549.90 | $1,099.80 | 5.0× |
| Radiation treatment delivery level 2 (77407) | $1,398.35 | $2,796.70 | 3.4× |
| Radiation treatment delivery level 3 (77412) | $2,908.50 | $5,817 | 4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $381.55 | $763.10 | 3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $420.80 | $841.60 | 3.8× |
| Radiologic exam colon double contrast study (74280) | $896.95 | $1,793.90 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $748.45 | $1,496.90 | 4.0× |
| Radiologic exam knee complete 4/more views (73564) | $394.30 | $788.60 | 3.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $338 | $676 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $524.70 | $1,049.40 | 2.8× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $176.80 | $353.60 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $685.85 | $1,371.70 | 3.6× |
| Radiologic examination femur minimum 2 views (73552) | $268.20 | $536.40 | 2.9× |
| Radiologic examination knee 1/2 views (73560) | $282.80 | $565.60 | 3.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $324.40 | $648.80 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $348.65 | $697.30 | 3.7× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $155.55 | $311.10 | 1.7× |
| Ribs bilateral 3 views (71110) | $412.25 | $824.50 | 3.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,192.85 | $2,385.70 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,418.75 | $4,837.50 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,668.25 | $5,336.50 | 4.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,006.85–$1,397.35 | $2,013.70–$2,794.70 | varies |
| Scapula (73010) | $338.40 | $676.80 | 3.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $70.80 | $141.60 | 3.0× |
| Shoulder 1 view (73020) | $247.60 | $495.20 | 2.7× |
| Shoulder Arthrography (73040) | $231.90 | $463.80 | 0.6× |
| Skull less than 4 views (70250) | $320.80 | $641.60 | 2.9× |
| Special dosimetry (77331) | $502.45 | $1,004.90 | 3.5× |
| Special Physics Consult (77370) | $1,257.85 | $2,515.70 | 8.7× |
| Special teletherapy port plan (77321) | $1,134.15 | $2,268.30 | 2.8× |
| Special treatment procedure (77470) | $2,751.90 | $5,503.80 | 4.6× |
| Stereotactic Body Radiation Delivery (77373) | $13,119.15 | $26,238.30 | 6.8× |
| Sternoclavicular joints (71130) | $258.85 | $517.70 | 2.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $821.10 | $1,642.20 | 7.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $716.90 | $1,433.80 | 1.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $409.55 | $819.10 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,513.75 | $5,027.50 | 6.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,355.15 | $2,710.30 | 3.4× |
| Ther rad simulaj-aided field setting simple (77280) | $1,146.35 | $2,292.70 | 8.0× |
| Thoracic spine 2 views (72070) | $311.90 | $623.80 | 2.8× |
| Thoracic spine 3 views (72072) | $444.10 | $888.20 | 4.0× |
| Thoracolumbar 2 views (72080) | $311.90 | $623.80 | 3.3× |
| Thyroid Imaging With Vascular Flow (78013) | $931.95 | $1,863.90 | 2.2× |
| Thyroid Uptake Measurement (78012) | $1,221.55 | $2,443.10 | 2.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $974.55 | $1,949.10 | 2.3× |
| Tx Devices Design & Construction Complex (77334) | $1,555.15 | $3,110.30 | 3.9× |
| Tx devices design & construction intermediate (77333) | $910.70 | $1,821.40 | 6.3× |
| Tx devices design & construction simple (77332) | $531.15 | $1,062.30 | 3.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$451.75–$677.45 | $903.50–$1,354.90 | varies |
| Ultrasound Exam Aaa Screen (76706) | $790.35 | $1,580.70 | 7.1× |
| Ultrasound, abdomen limited (76705) | $748.75 | $1,497.50 | 6.7× |
| Umbilical-artery Doppler (OB) (76820) | $579.20 | $1,158.40 | 5.2× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $832.60 | $1,665.20 | 7.6× |
| Unlisted us procedure (76999) | $295.40 | $590.80 | 3.2× |
| Upper gi w/o kub (74240) | $662.15 | $1,324.30 | 3.5× |
| Urethrocystogram voiding (74455) | $622.35 | $1,244.70 | 2.4× |
| Urethrocystography retrograde (74450) | $500.05 | $1,000.10 | 2.0× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$630.10–$945.05 | $1,260.20–$1,890.10 | varies |
| Us chest (76604) | $379 | $758 | 3.4× |
| Us complete joint (76881) | $570.35 | $1,140.70 | 5.1× |
| Us exam, pelvic, limited (76857) | $618 | $1,236 | 5.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $271.55 | $543.10 | 2.4× |
| Us ob limited 1 or more fetuses (76815) | $411.65 | $823.30 | 3.7× |
| Us ob transvaginal (76817) | $436.65 | $873.30 | 3.9× |
| Us pelvic non ob complete (76856) | $807.60 | $1,615.20 | 7.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $667.70 | $1,335.40 | 6.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $608.40 | $1,216.80 | 5.4× |
| Us retroperitoneal complete (76770) | $945.45 | $1,890.90 | 8.4× |
| Us retroperitoneal limited (76775) | $687.95 | $1,375.90 | 6.1× |
| Us scrotum and contents (76870) | $757.45 | $1,514.90 | 6.8× |
| Us thyroid (76536) | $643.15 | $1,286.30 | 5.7× |
| Vein X-Ray Chest (75827) | $2,299.65 | $4,599.30 | 1.4× |
| Venography caval inferior serialography rs&i (75825) | $2,348.35 | $4,696.70 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,719.10 | $3,438.20 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,092.25 | $2,184.50 | 0.6× |
| Wrist 2 views (73100) | $311.90 | $623.80 | 3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $321.10 | $642.20 | 3.4× |
| X-Ray Aorta Leg Arteries (75630) | $3,335.95 | $6,671.90 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $373.95 | $747.90 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $265.70 | $531.40 | 2.8× |
| X-Ray Exam Breast Specimen (76098) | $493 | $986 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $157.75 | $315.50 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $449.95 | $899.90 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$188.85–$269.15 | $377.70–$538.30 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$368.55–$387 | $737.10–$774 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$455–$467.65 | $910–$935.30 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $731.65 | $1,463.30 | 6.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $426.95 | $853.90 | 4.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $775.70 | $1,551.40 | 6.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $402.05 | $804.10 | 3.6× |
| X-ray eye for foreign body (70030) | $247 | $494 | 2.6× |
| X-ray humerus (73060) | $287.40 | $574.80 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $368.15 | $736.30 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $262.25 | $524.50 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $530.40 | $1,060.80 | 4.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $281.70 | $563.40 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $369.95 | $739.90 | 4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $378.85 | $757.70 | 4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $448.50 | $897 | 4.0× |
| X-Ray Stress View (77071) | $463.70 | $927.40 | 5.0× |
| X-ray thoracic spine 4 vw (72074) | $560.50 | $1,121 | 5.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $726.20 | $1,452.40 | 1.9× |
| X-Rays Bone Length Studies (77073) | $452.45 | $904.90 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $663.50 | $1,327 | 5.9× |
| Xr c-spine 4 or 5 views (72050) | $587.65 | $1,175.30 | 5.2× |
| Xr orbits complete 4 views (70200) | $352.15 | $704.30 | 3.1× |
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.