Imaging prices at Aurelia Osborn Fox Memorial Hospital
Oneonta, NY · every code in this section with a posted price and a Medicare benchmark.
276 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) | $1,401.62 | $5,191.20 | 0.8× |
| Abdomen 1 View (74018) | $112.73 | $417.51 | 1.0× |
| Abdomen 2 views (74019) | $134.82 | $499.33 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $306.86 | $1,136.51 | 0.6× |
| Ankle 2 views (73600) | $104.78 | $388.07 | 1.0× |
| Arthrogram hip (73525) | $400.97 | $1,485.08 | 0.9× |
| Arthrogram Wrist (73115) | $260.55 | $965 | 0.6× |
| Basic radiation dosimetry calculation (77300) | $160.74 | $595.35 | 1.0× |
| Bone age studies (77072) | $79.36 | $293.94 | 0.6× |
| Bone Imaging 3 Phase (78315) | $978.92 | $3,625.63 | 2.0× |
| Bone Imaging Limited Area (78300) | $124.46 | $460.95 | 0.2× |
| Bone Imaging Whole Body (78306) | $639.12 | $2,367.12 | 1.3× |
| Bone survey infant (77076) | $108.05 | $400.20 | 0.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $390.95 | $1,447.95 | 0.8× |
| Chest 1 view (71045) | $104.04 | $385.32 | 1.0× |
| Chest 2 views (71046) | $128.35 | $475.38 | 1.2× |
| Chest 3 views (71047) | $172.33 | $638.26 | 1.6× |
| Chest 4 or more views (71048) | $39.97 | $148.05 | 0.3× |
| Clavicle complete (73000) | $111.36 | $412.44 | 1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $784.89 | $2,907 | 6.0× |
| Continuing medical physics consltj pr wk (77336) | $271.16 | $1,004.28 | 1.6× |
| Contrast X-Ray Bladder (74430) | $129.28 | $478.80 | 0.3× |
| Contrast X-Ray Of Elbow (73085) | $153.18 | $567.34 | 0.4× |
| Contrast X-Ray Of Knee Joint (73580) | $277.02 | $1,026 | 0.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $227.89 | $844.02 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $2,125.05 | $7,870.56 | 4.9× |
| CT abdomen and pelvis without contrast (74176) | $1,126.72 | $4,173.03 | 3.8× |
| CT abdomen w contrast (74160) | $1,111.77 | $4,117.68 | 5.1× |
| CT abdomen w wo contrast (74170) | $1,291.14 | $4,782 | 5.9× |
| CT abdomen w/o contrast (74150) | $883.39 | $3,271.80 | 6.8× |
| CT Angio Abdomen and Pelvis (74174) | $1,913.59 | $7,087.38 | 4.4× |
| CT Angio Chest (71275) | $1,180.72 | $4,373.04 | 5.4× |
| CT Angio Head (70496) | $1,153.02 | $4,270.44 | 5.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,165.32 | $4,316 | 5.3× |
| CT Angio Neck (70498) | $1,153.02 | $4,270.44 | 5.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $974.80 | $3,610.38 | 4.5× |
| CT cervical spine w/ contrast (72126) | $929.12 | $3,441.20 | 2.1× |
| CT cervical spine w/o contrast (72125) | $944.73 | $3,499 | 7.2× |
| CT cervical spine w/wo cont (72127) | $594 | $2,200 | 2.7× |
| CT chest w contrast (71260) | $1,036.05 | $3,837.24 | 4.7× |
| CT chest w/wo contrast (71270) | $1,086.80 | $4,025.20 | 5.0× |
| CT head/brain with contrast (70460) | $976.32 | $3,616 | 4.5× |
| CT head/brain without and with contrast (70470) | $1,039.23 | $3,849 | 4.7× |
| CT iac w contrast (70481) | $1,005.27 | $3,723.24 | 4.6× |
| CT l-spine w&w/o contrast (72133) | $976.86 | $3,618 | 4.5× |
| CT lower ext w/o (73700) | $869.84 | $3,221.64 | 6.7× |
| CT lower extremity w/contrast material (73701) | $1,007.64 | $3,732 | 4.6× |
| CT lumbar spine w contrast (72132) | $932.47 | $3,453.60 | 2.1× |
| CT lumbar spine w/o contrast (72131) | $997.58 | $3,694.74 | 7.6× |
| CT maxillofacial w contrast (70487) | $935.10 | $3,463.32 | 4.3× |
| CT maxillofacial wo contrast (70486) | $795.66 | $2,946.90 | 6.1× |
| CT neck tissue combo (70492) | $834.44 | $3,090.50 | 3.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,096.68 | $4,061.76 | 5.0× |
| CT orbits w/o contrast (70480) | $869.54 | $3,220.50 | 6.7× |
| CT pelvis w&w/o contrast (72194) | $1,024.57 | $3,794.70 | 4.7× |
| CT pelvis w/o contrast (72192) | $886.77 | $3,284.34 | 6.8× |
| CT scan of leg combo (73702) | $1,024.57 | $3,794.70 | 4.7× |
| CT scans face/jaw combo (70488) | $647.46 | $2,398 | 3.0× |
| CT soft tissue neck w contrast (70491) | $1,008.66 | $3,735.78 | 4.6× |
| CT soft tissue neck w/o contrast (70490) | $776.27 | $2,875.08 | 5.9× |
| CT thoracic spine w contrast (72129) | $796.39 | $2,949.60 | 3.6× |
| CT thoracic spine w/o contrast (72128) | $861.53 | $3,190.86 | 6.6× |
| CT thoracic spine w/wo cont (72130) | $865.52 | $3,205.63 | 4.0× |
| CT thorax w/o contrast (71250) | $861.53 | $3,190.86 | 6.6× |
| CT upper ext wo (73200) | $893.54 | $3,309.42 | 6.8× |
| CT upper extremity w/o & w/contrast material (73202) | $772.20 | $2,860 | 3.5× |
| CT upper extremity with contrast (73201) | $1,007.64 | $3,732 | 2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,192.11 | $4,415.22 | 5.4× |
| Cta Abdomen (74175) | $1,148.40 | $4,253.34 | 5.2× |
| CTA pelvis (72191) | $549.42 | $2,034.90 | 2.5× |
| Dxa Bone Density Axial (77080) | $199.57 | $739.15 | 1.5× |
| Dxa bone density study (77085) | $188.30 | $697.39 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $88.43 | $327.53 | 0.8× |
| Echo exam uterus (76831) | $82.31 | $304.87 | 0.3× |
| Esophagram (74220) | $264.01 | $977.80 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) | $202.50 | $750 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $257.04 | $952 | 2.0× |
| Fluoroscopy up to 1 hr (76000) | $282.25 | $1,045.38 | 0.9× |
| Foot 2 views (73620) | $100.48 | $372.15 | 0.9× |
| Forearm 2 views (73090) | $108.27 | $401.01 | 1.0× |
| Gastric emptying imaging study (78264) | $601.91 | $2,229.29 | 1.2× |
| Gated Heart Planar Single (78472) | $830.75 | $3,076.86 | 1.7× |
| Hand 2 views (73120) | $103.73 | $384.18 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $594.25 | $2,200.94 | 0.9× |
| Hepatobiliary System Imaging (78226) | $533.11 | $1,974.48 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $432 | $1,600 | 0.3× |
| Hysterosalpingogram (74740) | $177.47 | $657.30 | 0.6× |
| Joint Survey Single View (77077) | $139.47 | $516.56 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $232.41 | $860.77 | 0.3× |
| K Flow/Funct Image W/O Drug (78707) | $187.11 | $693 | 0.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $469.51 | $1,738.92 | 0.9× |
| Knee 3 Views (73562) | $128.04 | $474.21 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $769.89 | $2,851.43 | 1.1× |
| Lymph System Imaging (78195) | $521.33 | $1,930.85 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $946.67 | $3,506.18 | 3.2× |
| Meckels Divert Exam (78290) | $454.08 | $1,681.79 | 0.9× |
| Mlc imrt design & construction per imrt plan (77338) | $738.45 | $2,735 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $30.78 | $114 | 0.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $302.67 | $1,121 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $488.47 | $1,809.15 | 1.1× |
| MRA head w/o contrast (70544) | $955.82 | $3,540.06 | 3.2× |
| MRA head with contrast (70545) | $283.50 | $1,050 | 0.7× |
| MRA neck w contrast (70548) | $518.94 | $1,922 | 1.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,256.44 | $4,653.48 | 2.9× |
| MRA neck w/o contrast (70547) | $969.88 | $3,592.14 | 3.3× |
| MRI abdomen w contrast (74182) | $510.58 | $1,891.05 | 1.2× |
| MRI abdomen w/o contrast (74181) | $1,034.59 | $3,831.80 | 3.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,440.50 | $5,335.20 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,579.01 | $5,848.20 | 3.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,321.08 | $4,892.88 | 1.4× |
| MRI cervical spine w contrast (72142) | $1,075.88 | $3,984.75 | 2.5× |
| MRI cervical spine w/o cont (72141) | $1,322.73 | $4,899 | 4.4× |
| MRI chest w/o contrast (71550) | $519.94 | $1,925.70 | 1.7× |
| MRI chest with contrast (71551) | $762.90 | $2,825.55 | 0.8× |
| MRI chest wo w contrast (71552) | $1,117.93 | $4,140.48 | 2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $683.52 | $2,531.55 | 1.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,166.40 | $4,320 | 2.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,153.63 | $4,272.72 | 3.9× |
| MRI lumbar spine w contrast (72149) | $946.61 | $3,505.95 | 2.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,606.23 | $5,949 | 3.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,084.38 | $4,016.22 | 3.6× |
| MRI orbit face neck w contrast (70542) | $510.58 | $1,891.05 | 1.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,597.79 | $5,917.74 | 3.7× |
| MRI pelvis w contrast (72196) | $510.58 | $1,891.05 | 1.2× |
| MRI pelvis w/o & w contrast (72197) | $1,534.38 | $5,682.90 | 3.5× |
| MRI pelvis w/o contrast (72195) | $1,070.84 | $3,966.06 | 3.6× |
| MRI thoracic spine w/o contrast (72146) | $1,260.13 | $4,667.16 | 4.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $578.88 | $2,144 | 1.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,153.63 | $4,272.72 | 3.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,504.83 | $5,573.46 | 3.5× |
| MRI, abdomen, combo (74183) | $1,629.80 | $6,036.30 | 3.7× |
| MRI, dorsal spine combo (72157) | $1,606.23 | $5,949 | 3.7× |
| MRI, dorsal spine contrast (72147) | $510.58 | $1,891.05 | 1.2× |
| MRI, joint upper extrem (73221) | $1,289.07 | $4,774.32 | 4.3× |
| MRI, joint upper extrem combo (73223) | $1,530.07 | $5,666.94 | 3.5× |
| MRI, lumbar spine combo (72158) | $1,669.14 | $6,182 | 3.8× |
| Musculoskeletal Nuclear Exam (78399) | $517.10 | $1,915.20 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,205.49 | $4,464.77 | 0.7× |
| Neck soft tissue (70360) | $120.80 | $447.40 | 1.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,482.04 | $9,192.75 | 1.4× |
| Parathyroid Planar Imaging (78070) | $472.59 | $1,750.35 | 0.9× |
| Pelvis 1 or 2 views (72170) | $129.98 | $481.42 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $202.77 | $751 | 0.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $149.28 | $552.90 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $131.93 | $488.64 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $90.59 | $335.51 | 0.8× |
| Radex elbow complete minimum 3 views (73080) | $131.74 | $487.92 | 1.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $163.64 | $606.07 | 1.3× |
| Radex fingr minimum 2 views (73140) | $123.74 | $458.28 | 1.1× |
| Radex foot complete minimum 3 views (73630) | $131.65 | $487.61 | 1.2× |
| Radex Hand Minimum 3 Views (73130) | $129.58 | $479.94 | 1.2× |
| Radex lower extremity infant minimum 2 views (73592) | $131.40 | $486.67 | 1.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $38.06 | $140.95 | 0.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $131.51 | $487.09 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $145.48 | $538.80 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) | $182.47 | $675.80 | 1.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $51.03 | $189 | 0.5× |
| Radex Spine 1 View Specify Level (72020) | $126.85 | $469.80 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $129.63 | $480.10 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $203.70 | $754.44 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $113.89 | $421.80 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $85.71 | $317.45 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $128.97 | $477.66 | 1.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $220.32 | $816 | 1.7× |
| Radiation treatment delivery level 1 (77402) | $160.74 | $595.35 | 1.3× |
| Radiation treatment delivery level 2 (77407) | $219.15 | $811.65 | 0.5× |
| Radiation treatment delivery level 3 (77412) | $353.97 | $1,311 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $175.73 | $650.86 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $167.44 | $620.16 | 1.3× |
| Radiologic exam colon double contrast study (74280) | $397 | $1,470.38 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $2,058.86 | $7,625.40 | 9.4× |
| Radiologic exam knee complete 4/more views (73564) | $157.29 | $582.54 | 1.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $171.01 | $633.38 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $287.80 | $1,065.94 | 1.3× |
| Radiologic exam swallow function contrast study (74230) | $226.01 | $837.08 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $367.96 | $1,362.83 | 1.7× |
| Radiologic examination femur 1 view (73551) | $42.53 | $157.50 | 0.4× |
| Radiologic examination femur minimum 2 views (73552) | $120.41 | $445.98 | 1.1× |
| Radiologic examination knee 1/2 views (73560) | $110.81 | $410.40 | 1.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $53.27 | $197.29 | 0.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $108.27 | $401.01 | 1.0× |
| Ribs bilateral 3 views (71110) | $162.13 | $600.47 | 1.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $127.74 | $473.10 | 0.3× |
| Scapula (73010) | $131.51 | $487.09 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $77.26 | $286.14 | 3.3× |
| Shoulder 1 view (73020) | $141.50 | $524.09 | 1.3× |
| Shoulder Arthrography (73040) | $424.78 | $1,573.26 | 1.0× |
| Sialogram (70390) | $113.97 | $422.10 | 0.4× |
| Skull less than 4 views (70250) | $112.65 | $417.24 | 0.9× |
| Special dosimetry (77331) | $178.69 | $661.83 | 1.1× |
| Special Physics Consult (77370) | $204.40 | $757.05 | 1.2× |
| Special teletherapy port plan (77321) | $204.40 | $757.05 | 0.4× |
| Special treatment procedure (77470) | $700.81 | $2,595.60 | 1.0× |
| Srs Multisource (77371) | $7,633.52 | $28,272.30 | 0.8× |
| Sternoclavicular joints (71130) | $133.06 | $492.80 | 1.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $321.21 | $1,189.65 | 0.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $182.57 | $676.20 | 0.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,065.23 | $3,945.31 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $671.61 | $2,487.45 | 1.4× |
| Ther rad simulaj-aided field setting simple (77280) | $665.77 | $2,465.82 | 4.0× |
| Thoracic spine 2 views (72070) | $111.06 | $411.32 | 0.9× |
| Thoracic spine 3 views (72072) | $152.81 | $565.96 | 1.2× |
| Thoracolumbar 2 views (72080) | $164.37 | $608.76 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $118.50 | $438.90 | 0.2× |
| Thyroid Uptake Measurement (78012) | $118.50 | $438.90 | 0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $382.48 | $1,416.61 | 0.8× |
| Tx Devices Design & Construction Complex (77334) | $357.78 | $1,325.10 | 0.8× |
| Tx devices design & construction intermediate (77333) | $131.54 | $487.20 | 0.8× |
| Tx devices design & construction simple (77332) | $172.45 | $638.70 | 1.0× |
| Ultrasound Breast Limited (76642) | $264.40 | $979.26 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) | $212.10 | $785.54 | 1.6× |
| Ultrasound, abdomen limited (76705) | $327.19 | $1,211.82 | 2.5× |
| Umbilical-artery Doppler (OB) (76820) | $261.69 | $969.21 | 2.0× |
| Unlisted us procedure (76999) | $76.55 | $283.50 | 0.7× |
| Upper gi w/o kub (74240) | $261.36 | $968 | 1.2× |
| Urethrocystogram voiding (74455) | $92.14 | $341.25 | 0.3× |
| Us breast unilateral complete (76641) | $313.96 | $1,162.80 | 2.4× |
| Us chest (76604) | $237.93 | $881.22 | 1.8× |
| Us complete joint (76881) | $78.81 | $291.90 | 0.6× |
| Us exam, pelvic, limited (76857) | $242.71 | $898.93 | 1.9× |
| Us head (76506) | $138.51 | $513 | 1.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$31.59–$137.78 | $117–$510.29 | varies |
| Us ob detailed single fetus (76811) | $216 | $800 | 0.7× |
| Us ob limited 1 or more fetuses (76815) | $174.83 | $647.52 | 1.3× |
| Us ob transvaginal (76817) | $213 | $788.88 | 1.6× |
| Us pelvic non ob complete (76856) | $361.05 | $1,337.22 | 2.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $314.82 | $1,166 | 2.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $213.92 | $792.30 | 1.6× |
| Us retroperitoneal complete (76770) | $314.24 | $1,163.87 | 2.4× |
| Us retroperitoneal limited (76775) | $251.34 | $930.89 | 1.9× |
| Us scrotum and contents (76870) | $306.88 | $1,136.58 | 2.4× |
| Us spinal canal and contents (76800) | $247.16 | $915.42 | 1.9× |
| Us thyroid (76536) | $334.58 | $1,239.18 | 2.6× |
| Us transrectal (76872) | $78.81 | $291.90 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $35.37 | $131 | 0.3× |
| Wrist 2 views (73100) | $111.42 | $412.68 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $151.55 | $561.28 | 1.4× |
| X-ray antegrade pyelogram tube (74425) | $129.28 | $478.80 | 0.3× |
| X-Ray Bend Only L-S Spine (72120) | $39.86 | $147.62 | 0.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $91.25 | $337.95 | 0.8× |
| X-Ray Exam Breast Specimen (76098) | $166.70 | $617.40 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $215.79 | $799.23 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $184.05 | $681.65 | 1.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $184.12 | $681.93 | 1.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $92.96 | $344.28 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $165.89 | $614.41 | 1.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $110.57 | $409.50 | 0.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $176.31 | $653 | 1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $191.70 | $710 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $220.72 | $817.49 | 1.7× |
| X-Ray Exam L-S Spine Bending (72114) | $325.37 | $1,205.07 | 2.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $129.17 | $478.39 | 1.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $256.91 | $951.51 | 2.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $181.46 | $672.06 | 1.4× |
| X-ray eye for foreign body (70030) | $222.09 | $822.55 | 2.0× |
| X-ray humerus (73060) | $109.67 | $406.17 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) | $110 | $407.40 | 0.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $48.81 | $180.77 | 0.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $115.12 | $426.36 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $145.01 | $537.09 | 1.1× |
| X-ray nose-rectum child f.b. (76010) | $136.81 | $506.69 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $186.31 | $690.05 | 1.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $107.81 | $399.29 | 0.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $39.86 | $147.62 | 0.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $115.12 | $426.36 | 1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $129.43 | $479.36 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $113.38 | $419.91 | 0.9× |
| X-ray thoracic spine 4 vw (72074) | $135.04 | $500.13 | 1.0× |
| X-Ray Tmj Unilat (70328) | $62.36 | $230.95 | 0.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $239.09 | $885.50 | 0.5× |
| X-Rays Bone Length Studies (77073) | $67.77 | $251 | 0.5× |
| X-Rays Bone Survey Complete (77075) | $493.77 | $1,828.79 | 3.8× |
| Xr c-spine 4 or 5 views (72050) | $200.96 | $744.30 | 1.5× |
| Xr facial bones less than 3 views (70140) | $70.74 | $262 | 0.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $40.54 | $150.15 | 0.3× |
| Xr orbits complete 4 views (70200) | $77.49 | $287 | 0.6× |
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.