Imaging prices at Bailey Medical Center, LLC
Owasso, OK · every code in this section with a posted price and a Medicare benchmark.
243 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) | $285.30 | $951 | 3.4× |
| Abdomen 2 views (74019) | $374.10 | $1,247 | 3.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $465.30 | $1,551 | 1.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$294–$441 | $980–$1,470 | varies |
| Arthrogram hip (73525) | $658.80 | $2,196 | 2.0× |
| Arthrogram Wrist (73115) | $377.70 | $1,259 | 1.1× |
| Bone age studies (77072) | $210.30 | $701 | 2.1× |
| Bone Imaging 3 Phase (78315) | $3,215.10 | $10,717 | 8.4× |
| Bone Imaging Limited Area (78300) | $1,255.50 | $4,185 | 3.3× |
| Bone Imaging Whole Body (78306) | $2,081.10 | $6,937 | 5.4× |
| Bone survey infant (77076) | $103.50 | $345 | 1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $779.10 | $2,597 | 2.3× |
| Chest 1 view (71045) | $287.40 | $958 | 3.4× |
| Chest 2 views (71046) | $404.10 | $1,347 | 4.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$293.10–$439.65 | $977–$1,465.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,614 | $5,380 | 16.1× |
| Contrast X-Ray Bladder (74430) | $723 | $2,410 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $537.30 | $1,791 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,836.20 | $9,454 | 8.5× |
| CT abdomen and pelvis without contrast (74176) | $2,178 | $7,260 | 9.5× |
| CT abdomen w contrast (74160) | $1,340.10 | $4,467 | 7.9× |
| CT abdomen w wo contrast (74170) | $1,645.20 | $5,484 | 9.8× |
| CT abdomen w/o contrast (74150) | $1,171.20 | $3,904 | 11.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,478.60 | $8,262 | 7.4× |
| CT Angio Chest (71275) | $1,794.60 | $5,982 | 10.6× |
| CT Angio Head (70496) | $1,670.70 | $5,569 | 9.9× |
| CT angio hrt w/3d image (75574) | $1,391.40 | $4,638 | 4.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,371–$2,056.50 | $4,570–$6,855 | varies |
| CT Angio Neck (70498) | $1,290.90 | $4,303 | 7.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,059.60–$1,589.40 | $3,532–$5,298 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $161.40 | $538 | 1.0× |
| CT cervical spine w/ contrast (72126) | $1,523.70 | $5,079 | 4.5× |
| CT cervical spine w/o contrast (72125) | $1,417.20 | $4,724 | 14.1× |
| CT cervical spine w/wo cont (72127) | $1,790.10 | $5,967 | 10.6× |
| CT chest w contrast (71260) | $1,398 | $4,660 | 8.3× |
| CT chest w/wo contrast (71270) | $1,535.70 | $5,119 | 9.1× |
| CT head/brain with contrast (70460) | $1,520.40 | $5,068 | 9.0× |
| CT head/brain without and with contrast (70470) | $1,732.80 | $5,776 | 10.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,409.70 | $4,699 | 4.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $83.10 | $277 | 1.0× |
| CT iac w contrast (70481) | $1,404.90 | $4,683 | 8.3× |
| CT l-spine w&w/o contrast (72133) | $1,540.20 | $5,134 | 9.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,476.90–$2,215.35 | $4,923–$7,384.50 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,264.80–$1,897.20 | $4,216–$6,324 | varies |
| CT lumbar spine w contrast (72132) | $1,399.80 | $4,666 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $1,329.60 | $4,432 | 13.2× |
| CT maxillofacial w contrast (70487) | $1,342.50 | $4,475 | 8.0× |
| CT maxillofacial wo contrast (70486) | $1,198.20 | $3,994 | 11.9× |
| CT neck tissue combo (70492) | $1,625.70 | $5,419 | 9.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,445.40 | $4,818 | 8.6× |
| CT orbits w/o contrast (70480) | $1,309.80 | $4,366 | 13.0× |
| CT pelvis w&w/o contrast (72194) | $1,528.50 | $5,095 | 9.1× |
| CT pelvis w/o contrast (72192) | $1,233.60 | $4,112 | 12.3× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,454.70–$2,182.05 | $4,849–$7,273.50 | varies |
| CT scans face/jaw combo (70488) | $1,476.60 | $4,922 | 8.8× |
| CT soft tissue neck w contrast (70491) | $1,480.50 | $4,935 | 8.8× |
| CT soft tissue neck w/o contrast (70490) | $1,043.10 | $3,477 | 10.4× |
| CT thoracic spine w contrast (72129) | $1,360.80 | $4,536 | 8.1× |
| CT thoracic spine w/o contrast (72128) | $1,216.80 | $4,056 | 12.1× |
| CT thoracic spine w/wo cont (72130) | $1,458 | $4,860 | 8.6× |
| CT thorax w/o contrast (71250) | $1,159.20 | $3,864 | 11.5× |
| CT upper ext wo (73200) | $1,301.70 | $4,339 | 12.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,178.70 | $3,929 | 7.0× |
| CT upper extremity with contrast (73201) | $1,365 | $4,550 | 4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,914.30 | $6,381 | 11.3× |
| Cta Abdomen (74175) | $1,816.20 | $6,054 | 10.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,670.70 | $5,569 | 5.0× |
| CTA pelvis (72191) | $1,597.20 | $5,324 | 9.5× |
| Dilation ureters/urethra rs&i (74485) | $1,920 | $6,400 | 1.0× |
| Dxa Bone Density Axial (77080) | $270 | $900 | 2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $191.40 | $638 | 2.3× |
| Esophagram (74220) | $462 | $1,540 | 2.7× |
| Fetal Biophys Profile W/Nst (76818) | $1,280.70 | $4,269 | 12.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $488.10 | $1,627 | 4.9× |
| Fluoroscopy up to 1 hr (76000) | $473.10 | $1,577 | 2.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$304.80–$457.20 | $1,016–$1,524 | varies |
| Forearm 2 views (73090) | $315.30 | $1,051 | 3.8× |
| Gastric emptying imaging study (78264) | $2,329.20 | $7,764 | 6.1× |
| Gated Heart Planar Single (78472) | $2,177.10 | $7,257 | 5.7× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$290.40–$435.60 | $968–$1,452 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,151.80 | $10,506 | 6.0× |
| Hepatobiliary System Imaging (78226) | $2,865.30 | $9,551 | 7.5× |
| Ht Muscle Image Spect Sing (78451) | $1,825.20 | $6,084 | 1.5× |
| Hysterosalpingogram (74740) | $647.10 | $2,157 | 2.8× |
| K Flow/Funct Image W/Drug (78708) | $2,194.80 | $7,316 | 4.2× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$339–$508.50 | $1,130–$1,695 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,497.60 | $4,992 | 2.9× |
| Lymph System Imaging (78195) | $2,571.30 | $8,571 | 4.9× |
| Mammary ductogram or galactogram single (77053) | $387.30 | $1,291 | 1.7× |
| MRA head w/o contrast (70544) | $1,053.30 | $3,511 | 4.6× |
| MRA neck w contrast (70548) | $996 | $3,320 | 3.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,561.50 | $5,205 | 4.7× |
| MRA neck w/o contrast (70547) | $905.40 | $3,018 | 3.9× |
| MRI abdomen w contrast (74182) | $1,632.30 | $5,441 | 4.9× |
| MRI abdomen w/o contrast (74181) | $1,483.20 | $4,944 | 6.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,803.60 | $6,012 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,322.40–$1,983.60 | $4,408–$6,612 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,848.90–$2,773.35 | $6,163–$9,244.50 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,220.10 | $4,067 | 5.3× |
| MRI cervical spine w contrast (72142) | $1,744.20 | $5,814 | 5.2× |
| MRI cervical spine w/o cont (72141) | $1,588.80 | $5,296 | 6.9× |
| MRI chest w/o contrast (71550) | $1,208.40 | $4,028 | 5.3× |
| MRI chest with contrast (71551) | $1,743.60 | $5,812 | 2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,745.70 | $5,819 | 5.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,970.70 | $6,569 | 5.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,667.10–$2,500.65 | $5,557–$8,335.50 | varies |
| MRI lumbar spine w contrast (72149) | $1,764.30 | $5,881 | 5.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,094.60 | $6,982 | 6.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,750.80 | $5,836 | 7.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,000.70 | $6,669 | 6.0× |
| MRI pelvis w/o & w contrast (72197) | $1,694.10 | $5,647 | 5.0× |
| MRI pelvis w/o contrast (72195) | $1,080.30 | $3,601 | 4.7× |
| MRI thoracic spine w/o contrast (72146) | $1,406.40 | $4,688 | 6.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,548 | $5,160 | 4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,407.30 | $4,691 | 6.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,609.50 | $5,365 | 4.8× |
| MRI, abdomen, combo (74183) | $1,864.50 | $6,215 | 5.6× |
| MRI, dorsal spine combo (72157) | $1,949.40 | $6,498 | 5.8× |
| MRI, dorsal spine contrast (72147) | $2,081.10 | $6,937 | 6.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,560.90–$2,341.35 | $5,203–$7,804.50 | varies |
| MRI, joint upper extrem combo (73223) | $2,033.70 | $6,779 | 6.1× |
| MRI, lumbar spine combo (72158) | $2,089.80 | $6,966 | 6.2× |
| Myocardial Spect Multiple Studies (78452) | $3,516.60 | $11,722 | 2.8× |
| N-invas est c ffr sw aly CTA (75580) | $1,907.40 | $6,358 | 2.3× |
| Neck soft tissue (70360) | $278.40 | $928 | 3.3× |
| Parathyroid Planar Imaging (78070) | $2,663.70 | $8,879 | 6.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,254.50 | $7,515 | 5.9× |
| Pelvis 1 or 2 views (72170) | $335.10 | $1,117 | 3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $395.70 | $1,319 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $615.90 | $2,053 | 6.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$361.50–$542.25 | $1,205–$1,807.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $293.70 | $979 | 3.5× |
| Radex elbow complete minimum 3 views (73080) | $335.10 | $1,117 | 4.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $422.70 | $1,409 | 4.2× |
| Radex fingr minimum 2 views (73140) | $262.20 | $874 | 3.1× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$366.60–$549.90 | $1,222–$1,833 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$359.70–$539.55 | $1,199–$1,798.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $132.30 | $441 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $198 | $660 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $312.30 | $1,041 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $373.50 | $1,245 | 4.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$300.60–$450.90 | $1,002–$1,503 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $273.60 | $912 | 3.3× |
| Radex Spine 1 View Specify Level (72020) | $327.30 | $1,091 | 3.9× |
| Radex Sternum Minimum 2 Views (71120) | $234.60 | $782 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $216 | $720 | 2.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$255–$382.50 | $850–$1,275 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $152.70 | $509 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$355.50–$533.25 | $1,185–$1,777.50 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $649.80 | $2,166 | 6.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $486.90 | $1,623 | 4.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $411.60 | $1,372 | 4.1× |
| Radiologic exam colon double contrast study (74280) | $1,022.70 | $3,409 | 6.1× |
| Radiologic exam colon single contrast study (74270) | $523.50 | $1,745 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$378.60–$567.90 | $1,262–$1,893 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $368.70 | $1,229 | 3.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $630.30 | $2,101 | 3.7× |
| Radiologic exam swallow function contrast study (74230) | $470.40 | $1,568 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $609 | $2,030 | 3.6× |
| Radiologic examination femur 1 view (73551) | $100.50 | $335 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$327.30–$490.95 | $1,091–$1,636.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$308.70–$463.05 | $1,029–$1,543.50 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$339.90–$509.85 | $1,133–$1,699.50 | varies |
| Ribs bilateral 3 views (71110) | $528 | $1,760 | 5.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $404.40 | $1,348 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,496.20 | $11,654 | 6.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,603.40 | $8,678 | 5.0× |
| Scapula (73010) | $293.70 | $979 | 2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $55.20 | $184 | 2.4× |
| Shoulder 1 view (73020) | $295.50 | $985 | 3.5× |
| Shoulder Arthrography (73040) | $765.60 | $2,552 | 2.3× |
| Skull less than 4 views (70250) | $238.20 | $794 | 2.4× |
| Sternoclavicular joints (71130) | $82.20 | $274 | 1.0× |
| Thoracic spine 2 views (72070) | $309.30 | $1,031 | 3.1× |
| Thoracic spine 3 views (72072) | $448.50 | $1,495 | 4.5× |
| Thoracolumbar 2 views (72080) | $252.90 | $843 | 3.0× |
| Thyroid Uptake Measurement (78012) | $452.70 | $1,509 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,978.20 | $6,594 | 5.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$349.20–$523.80 | $1,164–$1,746 | varies |
| Ultrasound elastography first target lesion (76982) | $176.10 | $587 | 1.8× |
| Ultrasound Elastography Parenchyma (76981) | $176.10 | $587 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $639.90 | $2,133 | 6.4× |
| Ultrasound, abdomen limited (76705) | $537.30 | $1,791 | 5.3× |
| Umbilical-artery Doppler (OB) (76820) | $117 | $390 | 1.2× |
| Unlisted Dx Radiographic Procedure (76499) | $84.30 | $281 | 1.0× |
| Upper gi w/o kub (74240) | $761.40 | $2,538 | 4.5× |
| Urethrocystogram voiding (74455) | $741.60 | $2,472 | 3.2× |
| Urethrocystography retrograde (74450) | $393.90 | $1,313 | 1.7× |
| Us breast unilateral complete (76641) | $384.30 | $1,281 | 3.8× |
| Us chest (76604) | $305.10 | $1,017 | 3.0× |
| Us complete joint (76881) | $454.50 | $1,515 | 4.5× |
| Us exam, pelvic, limited (76857) | $500.70 | $1,669 | 5.0× |
| Us head (76506) | $602.40 | $2,008 | 6.0× |
| Us kidney transplant (76776) | $488.10 | $1,627 | 4.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$304.80–$457.20 | $1,016–$1,524 | varies |
| Us ob detailed single fetus (76811) | $740.70 | $2,469 | 3.2× |
| Us ob limited 1 or more fetuses (76815) | $310.80 | $1,036 | 3.1× |
| Us ob transvaginal (76817) | $396.90 | $1,323 | 3.9× |
| Us pelvic non ob complete (76856) | $586.80 | $1,956 | 5.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $373.50 | $1,245 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $285.90 | $953 | 2.8× |
| Us retroperitoneal complete (76770) | $585.30 | $1,951 | 5.8× |
| Us retroperitoneal limited (76775) | $415.50 | $1,385 | 4.1× |
| Us scrotum and contents (76870) | $515.40 | $1,718 | 5.1× |
| Us thyroid (76536) | $548.40 | $1,828 | 5.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$284.70–$427.05 | $949–$1,423.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $94.80 | $316 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $215.70 | $719 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $288.60 | $962 | 3.4× |
| X-Ray Exam Breast Specimen (76098) | $678.30 | $2,261 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $488.10 | $1,627 | 5.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $536.70 | $1,789 | 5.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $590.40 | $1,968 | 5.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $192.90 | $643 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $219.90 | $733 | 2.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $241.50 | $805 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $241.50 | $805 | 2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $345 | $1,150 | 3.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $379.20 | $1,264 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $623.70 | $2,079 | 6.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $308.70 | $1,029 | 3.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $451.20 | $1,504 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $431.70 | $1,439 | 4.3× |
| X-ray humerus (73060) | $321 | $1,070 | 3.8× |
| X-ray IV pyelogram (ivp) (74400) | $709.20 | $2,364 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $442.50 | $1,475 | 5.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $218.70 | $729 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $336 | $1,120 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $94.80 | $316 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $580.20 | $1,934 | 5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $264 | $880 | 2.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $106.80 | $356 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $272.70 | $909 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $442.50 | $1,475 | 5.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $148.80 | $496 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $492.90 | $1,643 | 4.9× |
| X-Ray Tmj Unilat (70328) | $281.70 | $939 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $671.40 | $2,238 | 2.0× |
| X-Rays Bone Length Studies (77073) | $162 | $540 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $663.90 | $2,213 | 6.6× |
| Xr c-spine 4 or 5 views (72050) | $447.90 | $1,493 | 4.5× |
| Xr facial bones less than 3 views (70140) | $234.60 | $782 | 2.8× |
| Xr orbits complete 4 views (70200) | $287.40 | $958 | 2.9× |
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.