Imaging prices at Ascension St. Vincent Clay
Brazil, IN · every code in this section with a posted price and a Medicare benchmark.
271 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) | $207.60 | $346 | 2.3× |
| Abdomen 2 views (74019) | $237.60 | $396 | 2.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,557.60 | $2,596 | 3.7× |
| Adrenal Cortex & Medulla Img (78075) | $3,492.60 | $5,821 | 2.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$193.20–$386.40 | $322–$644 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$462.60–$925.20 | $771–$1,542 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$637.20–$1,274.40 | $1,062–$2,124 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$674.40–$1,348.80 | $1,124–$2,248 | varies |
| Bone age studies (77072) | $239.40 | $399 | 2.2× |
| Bone Imaging 3 Phase (78315) | $2,044.20 | $3,407 | 4.8× |
| Bone Imaging Limited Area (78300) | $1,422.60 | $2,371 | 3.4× |
| Bone Imaging Multiple Areas (78305) | $1,455.60 | $2,426 | 3.4× |
| Bone Imaging Whole Body (78306) | $2,166 | $3,610 | 5.1× |
| Bone survey infant (77076) | $427.80 | $713 | 3.9× |
| Cat Scan Follow-Up Study (76380) | $255 | $425 | 2.8× |
| Chest 1 view (71045) | $140.40 | $234 | 1.5× |
| Chest 2 views (71046) | $195.60 | $326 | 2.1× |
| Chest 3 views (71047) | $224.40 | $374 | 2.4× |
| Chest 4 or more views (71048) | $305.40 | $509 | 2.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$248.40–$496.80 | $414–$828 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $541.20 | $902 | 4.9× |
| Contrast X-Ray Bladder (74430) | $330.60 | $551 | 0.9× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$486.60–$973.20 | $811–$1,622 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$631.80–$1,263.60 | $1,053–$2,106 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,221.40 | $5,369 | 8.7× |
| CT abdomen and pelvis without contrast (74176) | $2,095.20 | $3,492 | 8.3× |
| CT abdomen w contrast (74160) | $1,245 | $2,075 | 6.7× |
| CT abdomen w wo contrast (74170) | $1,494.60 | $2,491 | 8.1× |
| CT abdomen w/o contrast (74150) | $996 | $1,660 | 9.0× |
| CT Angio Abdomen and Pelvis (74174) | $3,270.60 | $5,451 | 8.9× |
| CT Angio Chest (71275) | $1,574.40 | $2,624 | 8.5× |
| CT Angio Head (70496) | $2,021.40 | $3,369 | 10.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,253–$4,506 | $3,755–$7,510 | varies |
| CT Angio Neck (70498) | $1,772.40 | $2,954 | 9.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,622.60 | $4,371 | 14.1× |
| CT cervical spine w/ contrast (72126) | $1,447.80 | $2,413 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,158 | $1,930 | 10.5× |
| CT cervical spine w/wo cont (72127) | $1,736.40 | $2,894 | 9.4× |
| CT chest w contrast (71260) | $1,272 | $2,120 | 6.9× |
| CT chest w/wo contrast (71270) | $1,590 | $2,650 | 8.6× |
| CT head/brain with contrast (70460) | $1,443.60 | $2,406 | 7.8× |
| CT head/brain without and with contrast (70470) | $1,732.80 | $2,888 | 9.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $256.80 | $428 | 2.8× |
| CT iac w contrast (70481) | $1,420.80 | $2,368 | 7.7× |
| CT l-spine w&w/o contrast (72133) | $1,626 | $2,710 | 8.8× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,052.40–$2,104.80 | $1,754–$3,508 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,315.20–$2,630.40 | $2,192–$4,384 | varies |
| CT lumbar spine w contrast (72132) | $1,355.40 | $2,259 | 3.7× |
| CT lumbar spine w/o contrast (72131) | $1,084.80 | $1,808 | 9.8× |
| CT maxillofacial w contrast (70487) | $1,291.80 | $2,153 | 7.0× |
| CT maxillofacial wo contrast (70486) | $1,033.20 | $1,722 | 9.3× |
| CT neck tissue combo (70492) | $1,477.20 | $2,462 | 8.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,705.20 | $2,842 | 9.2× |
| CT orbits w/o contrast (70480) | $1,081.20 | $1,802 | 9.8× |
| CT pelvis w&w/o contrast (72194) | $1,522.80 | $2,538 | 8.2× |
| CT pelvis w/o contrast (72192) | $1,010.40 | $1,684 | 9.1× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,578.60–$3,157.20 | $2,631–$5,262 | varies |
| CT scans face/jaw combo (70488) | $1,690.20 | $2,817 | 9.1× |
| CT soft tissue neck w contrast (70491) | $1,182 | $1,970 | 6.4× |
| CT soft tissue neck w/o contrast (70490) | $886.80 | $1,478 | 8.0× |
| CT thoracic spine w contrast (72129) | $1,369.80 | $2,283 | 7.4× |
| CT thoracic spine w/o contrast (72128) | $1,096.80 | $1,828 | 9.9× |
| CT thoracic spine w/wo cont (72130) | $1,644.60 | $2,741 | 8.9× |
| CT thorax w/o contrast (71250) | $1,033.20 | $1,722 | 9.3× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,081.20–$2,162.40 | $1,802–$3,604 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,620.60–$3,241.20 | $2,701–$5,402 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,350–$2,700 | $2,250–$4,500 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,750.40 | $4,584 | 14.8× |
| Cta Abdomen (74175) | $2,289.60 | $3,816 | 12.3× |
| CTA pelvis (72191) | $2,102.40 | $3,504 | 11.3× |
| Dxa Bone Density Axial (77080) | $331.20 | $552 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $159.60 | $266 | 1.7× |
| Esophagram (74220) | $484.80 | $808 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $225 | $375 | 2.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,636.20 | $2,727 | 6.5× |
| Fluoroscopy up to 1 hr (76000) | $464.40 | $774 | 1.8× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$189.60–$379.20 | $316–$632 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$236.40–$472.80 | $394–$788 | varies |
| Gastric emptying imaging study (78264) | $1,872.60 | $3,121 | 4.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,872 | $3,120 | 4.4× |
| Gated Heart Planar Single (78472) | $1,753.20 | $2,922 | 4.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,872 | $3,120 | 3.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$219.60–$439.20 | $366–$732 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,062.20 | $3,437 | 3.6× |
| Hepatobiliary System Imaging (78226) | $2,523.60 | $4,206 | 6.0× |
| Ht Muscle Image Spect Sing (78451) | $4,173 | $6,955 | 3.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $165.60 | $276 | 1.8× |
| Infant hip ultrasound, limited static exam (76886) | $148.80 | $248 | 1.6× |
| Joint Survey Single View (77077) | $226.20 | $377 | 2.0× |
| K Flow/Funct Image Multiple (78709) | $2,377.20 | $3,962 | 4.1× |
| K Flow/Funct Image W/Drug (78708) | $1,912.20 | $3,187 | 3.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,961.40 | $3,269 | 3.4× |
| Kidney Imaging Morphol (78700) | $1,243.20 | $2,072 | 2.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,545 | $2,575 | 3.7× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$314.40–$628.80 | $524–$1,048 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,601.40 | $2,669 | 3.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,735.80 | $2,893 | 4.1× |
| Liver imaging static only (78201) | $595.20 | $992 | 1.0× |
| Liver imaging w/vascular flow (78202) | $1,222.80 | $2,038 | 2.1× |
| Lung Perf&Ventilat Diferentl (78598) | $3,371.40 | $5,619 | 5.9× |
| Lung perfusion differential (78597) | $2,359.20 | $3,932 | 5.6× |
| Lung Ventilat&Perfus Imaging (78582) | $2,542.20 | $4,237 | 4.4× |
| Lung Ventilation Imaging (78579) | $1,828.20 | $3,047 | 4.3× |
| Lymph System Imaging (78195) | $1,933.20 | $3,222 | 3.4× |
| Magnetic Image Jaw Joint (70336) | $2,977.80 | $4,963 | 11.8× |
| Mammary ductogram or galactogram multiple (77054) | $486 | $810 | 1.9× |
| Mammary ductogram or galactogram single (77053) | $382.80 | $638 | 1.5× |
| Meckels Divert Exam (78290) | $1,601.40 | $2,669 | 3.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,475 | $4,125 | 6.7× |
| MRA head w/o contrast (70544) | $1,745.40 | $2,909 | 6.9× |
| MRA head with contrast (70545) | $2,121.60 | $3,536 | 5.7× |
| MRA neck w contrast (70548) | $2,055.60 | $3,426 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,398.20 | $3,997 | 6.5× |
| MRA neck w/o contrast (70547) | $1,713 | $2,855 | 6.8× |
| MRI abdomen w contrast (74182) | $2,311.20 | $3,852 | 6.3× |
| MRI abdomen w/o contrast (74181) | $1,849.20 | $3,082 | 7.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,122.20–$4,244.40 | $3,537–$7,074 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,546.40–$5,092.80 | $4,244–$8,488 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,297.40–$4,594.80 | $3,829–$7,658 | varies |
| MRI cervical spine w contrast (72142) | $2,014.20 | $3,357 | 5.5× |
| MRI cervical spine w/o cont (72141) | $1,611 | $2,685 | 6.4× |
| MRI chest w/o contrast (71550) | $1,543.20 | $2,572 | 6.1× |
| MRI chest with contrast (71551) | $1,929 | $3,215 | 2.3× |
| MRI chest wo w contrast (71552) | $2,314.80 | $3,858 | 6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,036.40–$4,072.80 | $3,394–$6,788 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,443.20–$4,886.40 | $4,072–$8,144 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,629–$3,258 | $2,715–$5,430 | varies |
| MRI lumbar spine w contrast (72149) | $2,008.20 | $3,347 | 5.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,416.80 | $4,028 | 6.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,369.80 | $2,283 | 5.4× |
| MRI orbit face neck w contrast (70542) | $1,713 | $2,855 | 4.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,398.20 | $3,997 | 6.5× |
| MRI pelvis w contrast (72196) | $2,044.80 | $3,408 | 5.5× |
| MRI pelvis w/o & w contrast (72197) | $2,454 | $4,090 | 6.6× |
| MRI pelvis w/o contrast (72195) | $1,636.20 | $2,727 | 6.5× |
| MRI thoracic spine w/o contrast (72146) | $1,532.40 | $2,554 | 6.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,521–$3,042 | $2,535–$5,070 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,175.60–$4,351.20 | $3,626–$7,252 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,900.80–$3,801.60 | $3,168–$6,336 | varies |
| MRI, abdomen, combo (74183) | $2,774.40 | $4,624 | 7.5× |
| MRI, dorsal spine combo (72157) | $2,298 | $3,830 | 6.2× |
| MRI, dorsal spine contrast (72147) | $1,915.80 | $3,193 | 5.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,837.80–$3,675.60 | $3,063–$6,126 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,659.80–$5,319.60 | $4,433–$8,866 | varies |
| MRI, lumbar spine combo (72158) | $2,410.20 | $4,017 | 6.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,331.40 | $2,219 | 3.1× |
| Myocardial Spect Multiple Studies (78452) | $5,283 | $8,805 | 3.9× |
| Neck soft tissue (70360) | $184.80 | $308 | 2.0× |
| Optic foramina (70190) | $66 | $110 | 0.7× |
| Parathyroid Planar Imaging (78070) | $1,487.40 | $2,479 | 3.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,531.80 | $2,553 | 3.6× |
| Pelvis 1 or 2 views (72170) | $218.40 | $364 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,438.80 | $2,398 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $310.80 | $518 | 2.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$256.80–$513.60 | $428–$856 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$208.80–$417.60 | $348–$696 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$262.80–$525.60 | $438–$876 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $334.80 | $558 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$171.60–$343.20 | $286–$572 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$261.60–$523.20 | $436–$872 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$271.20–$542.40 | $452–$904 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$174–$348 | $290–$580 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$318.60–$637.20 | $531–$1,062 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $230.40 | $384 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $270 | $450 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$246–$492 | $410–$820 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $210 | $350 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $195 | $325 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $243.60 | $406 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $455.40 | $759 | 4.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$162–$324 | $270–$540 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$57.60–$115.20 | $96–$192 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$276–$552 | $460–$920 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $623.40 | $1,039 | 5.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $320.40 | $534 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $272.40 | $454 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $804 | $1,340 | 4.3× |
| Radiologic exam colon single contrast study (74270) | $674.40 | $1,124 | 3.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $520.80 | $868 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$373.20–$746.40 | $622–$1,244 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $292.80 | $488 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $396 | $660 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $439.20 | $732 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $704.40 | $1,174 | 3.8× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$126–$252 | $210–$420 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$252–$504 | $420–$840 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$246–$492 | $410–$820 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $501 | $835 | 4.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$247.20–$494.40 | $412–$824 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $94.80 | $158 | 0.2× |
| Ribs bilateral 3 views (71110) | $351.60 | $586 | 3.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $880.20 | $1,467 | 2.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,479.80 | $4,133 | 5.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,421.80 | $5,703 | 6.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,707.80 | $4,513 | 4.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,494.80 | $4,158 | 4.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,893.20 | $4,822 | 2.1× |
| Scapula (73010) range across 2 matching MRF lines |
$237.60–$475.20 | $396–$792 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $53.40 | $89 | 2.3× |
| Sella turcica (70240) | $58.80 | $98 | 0.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$184.20–$368.40 | $307–$614 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$647.40–$1,294.80 | $1,079–$2,158 | varies |
| Skull less than 4 views (70250) | $230.40 | $384 | 2.1× |
| Sternoclavicular joints (71130) | $303.60 | $506 | 3.3× |
| Testicular Imaging W/Flow (78761) | $831 | $1,385 | 2.0× |
| Thoracic spine 2 views (72070) | $256.80 | $428 | 2.3× |
| Thoracic spine 3 views (72072) | $342 | $570 | 3.1× |
| Thoracolumbar 2 views (72080) | $250.80 | $418 | 2.7× |
| Thyroid Imaging With Vascular Flow (78013) | $900 | $1,500 | 2.1× |
| Thyroid Uptake Measurement (78012) | $583.80 | $973 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,541.40 | $2,569 | 3.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$322.80–$645.60 | $538–$1,076 | varies |
| Ultrasound Exam Aaa Screen (76706) | $451.20 | $752 | 4.1× |
| Ultrasound, abdomen limited (76705) | $549.60 | $916 | 5.0× |
| Upper gi w/o kub (74240) | $660 | $1,100 | 3.6× |
| Urethrocystogram voiding (74455) | $404.40 | $674 | 1.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$588–$1,176 | $980–$1,960 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$157.20–$314.40 | $262–$524 | varies |
| Us complete joint (76881) | $435.60 | $726 | 3.9× |
| Us exam, pelvic, limited (76857) | $518.40 | $864 | 4.7× |
| Us kidney transplant (76776) | $417 | $695 | 3.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $320.40 | $534 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $506.40 | $844 | 4.6× |
| Us ob transvaginal (76817) | $364.80 | $608 | 3.3× |
| Us pelvic non ob complete (76856) | $552 | $920 | 5.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $514.80 | $858 | 4.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $476.40 | $794 | 4.3× |
| Us retroperitoneal complete (76770) | $553.20 | $922 | 5.0× |
| Us retroperitoneal limited (76775) | $498 | $830 | 4.5× |
| Us scrotum and contents (76870) | $476.40 | $794 | 4.3× |
| Us thyroid (76536) | $416.40 | $694 | 3.8× |
| Us transrectal (76872) | $670.20 | $1,117 | 6.1× |
| Vascular Flow Imaging (78445) | $813 | $1,355 | 1.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$201.60–$403.20 | $336–$672 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $239.40 | $399 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) | $331.20 | $552 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$196.80–$393.60 | $328–$656 | varies |
| X-Ray Exam Breast Specimen (76098) | $682.80 | $1,138 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $229.20 | $382 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $465.60 | $776 | 4.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $478.80 | $798 | 4.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $174 | $290 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $277.20 | $462 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $379.20 | $632 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $277.20 | $462 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $379.20 | $632 | 3.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $483.60 | $806 | 4.4× |
| X-Ray Exam L-S Spine Bending (72114) | $465.60 | $776 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $328.80 | $548 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $489.60 | $816 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $280.80 | $468 | 2.5× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$246.60–$493.20 | $411–$822 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$235.20–$470.40 | $392–$784 | varies |
| X-ray IV pyelogram (ivp) (74400) | $613.20 | $1,022 | 3.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $208.80 | $348 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $243.60 | $406 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $285.60 | $476 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $207.60 | $346 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $468 | $780 | 4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $253.20 | $422 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $214.80 | $358 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $230.40 | $384 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $296.40 | $494 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $365.40 | $609 | 3.3× |
| X-ray thoracic spine 4 vw (72074) | $408 | $680 | 3.7× |
| X-Rays Bone Length Studies (77073) | $319.20 | $532 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $730.80 | $1,218 | 6.6× |
| Xr c-spine 4 or 5 views (72050) | $427.20 | $712 | 3.9× |
| Xr facial bones less than 3 views (70140) | $217.20 | $362 | 2.4× |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$141–$282 | $235–$470 | varies |
| Xr orbits complete 4 views (70200) | $256.80 | $428 | 2.3× |
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.