Imaging prices at Baptist Medical Center East
Montgomery, AL · every code in this section with a posted price and a Medicare benchmark.
249 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) | $169.62 | $282.70 | 2.2× |
| Abdomen 2 views (74019) | $247.20 | $412 | 2.6× |
| Ankle 2 views (73600) | $90.24 | $150.40 | 1.2× |
| Arthrogram ankle (73615) | $583.74 | $972.90 | 1.9× |
| Arthrogram hip (73525) | $229.20 | $382 | 0.7× |
| Arthrogram Wrist (73115) | $585.15 | $975.25 | 1.9× |
| Bone age studies (77072) | $132.18 | $220.30 | 1.4× |
| Bone Imaging 3 Phase (78315) | $881.40 | $1,469 | 2.5× |
| Bone Imaging Limited Area (78300) | $243 | $405 | 0.7× |
| Bone Imaging Multiple Areas (78305) | $643.02 | $1,071.70 | 1.8× |
| Bone Imaging Whole Body (78306) | $843.21 | $1,405.35 | 2.4× |
| Bone survey infant (77076) | $154.35 | $257.25 | 1.7× |
| Chest 1 view (71045) | $146.40 | $244 | 1.9× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$170.40–$292.80 | $284–$488 | varies |
| Chest 3 views (71047) | $241.26 | $402.10 | 3.1× |
| Chest 4 or more views (71048) | $301.59 | $502.65 | 3.2× |
| Clavicle complete (73000) | $157.02 | $261.70 | 2.0× |
| Contrast X-Ray Of Elbow (73085) | $499.29 | $832.15 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $229.20 | $382 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 6 matching MRF lines |
$2,436.03–$2,648.13 | $4,060.05–$4,413.55 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,085 | $3,475 | 9.8× |
| CT abdomen w contrast (74160) | $1,265.31 | $2,108.85 | 8.1× |
| CT abdomen w wo contrast (74170) | $1,371.72 | $2,286.20 | 8.8× |
| CT abdomen w/o contrast (74150) | $1,107.93 | $1,846.55 | 11.9× |
| CT Angio Abdomen and Pelvis (74174) | $3,304.80 | $5,508 | 10.6× |
| CT Angio Chest (71275) | $1,652.61 | $2,754.35 | 10.6× |
| CT Angio Head (70496) | $1,652.61 | $2,754.35 | 10.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,652.61 | $2,754.35 | 10.6× |
| CT Angio Neck (70498) | $1,652.61 | $2,754.35 | 10.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,652.61 | $2,754.35 | 10.6× |
| CT cervical spine w/ contrast (72126) | $1,045.80 | $1,743 | 3.4× |
| CT cervical spine w/o contrast (72125) | $982.77 | $1,637.95 | 10.5× |
| CT cervical spine w/wo cont (72127) | $1,690.35 | $2,817.25 | 10.8× |
| CT chest w contrast (71260) | $1,163.49 | $1,939.15 | 7.4× |
| CT chest w/wo contrast (71270) | $1,546.86 | $2,578.10 | 9.9× |
| CT head/brain with contrast (70460) | $980.46 | $1,634.10 | 6.3× |
| CT head/brain without and with contrast (70470) | $1,316.76 | $2,194.60 | 8.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $397.80 | $663 | 5.1× |
| CT iac w contrast (70481) | $1,017.18 | $1,695.30 | 6.5× |
| CT l-spine w&w/o contrast (72133) | $1,496.97 | $2,494.95 | 9.6× |
| CT lower ext w/o (73700) | $906.45 | $1,510.75 | 9.7× |
| CT lower extremity w/contrast material (73701) | $926.13 | $1,543.55 | 5.9× |
| CT lumbar spine w contrast (72132) | $1,182.78 | $1,971.30 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $1,182.78 | $1,971.30 | 12.7× |
| CT maxillofacial w contrast (70487) | $1,071.54 | $1,785.90 | 6.8× |
| CT maxillofacial wo contrast (70486) | $1,071.54 | $1,785.90 | 11.5× |
| CT neck tissue combo (70492) | $1,288.98 | $2,148.30 | 8.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,652.61 | $2,754.35 | 10.6× |
| CT orbits w/o contrast (70480) | $1,017.18 | $1,695.30 | 10.9× |
| CT pelvis w&w/o contrast (72194) | $1,276.41 | $2,127.35 | 8.1× |
| CT pelvis w/o contrast (72192) | $977.07 | $1,628.45 | 10.5× |
| CT scan of leg combo (73702) | $1,000.68 | $1,667.80 | 6.4× |
| CT scans face/jaw combo (70488) | $1,336.89 | $2,228.15 | 8.5× |
| CT soft tissue neck w contrast (70491) | $944.43 | $1,574.05 | 6.0× |
| CT soft tissue neck w/o contrast (70490) | $944.43 | $1,574.05 | 10.1× |
| CT thoracic spine w contrast (72129) | $1,161.87 | $1,936.45 | 7.4× |
| CT thoracic spine w/o contrast (72128) | $1,161.87 | $1,936.45 | 12.4× |
| CT thoracic spine w/wo cont (72130) | $1,673.28 | $2,788.80 | 10.7× |
| CT thorax w/o contrast (71250) | $1,015.41 | $1,692.35 | 10.9× |
| CT unlisted procedure (76497) | $79.20 | $132 | 1.0× |
| CT upper ext wo (73200) | $657.93 | $1,096.55 | 7.0× |
| CT upper extremity w/o & w/contrast material (73202) | $821.94 | $1,369.90 | 5.2× |
| CT upper extremity with contrast (73201) | $657.93 | $1,096.55 | 2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,478.99 | $4,131.65 | 15.8× |
| Cta Abdomen (74175) | $1,652.61 | $2,754.35 | 10.6× |
| CTA pelvis (72191) | $1,652.61 | $2,754.35 | 10.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $143.40 | $239 | 1.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $143.40 | $239 | 1.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $269.67 | $449.45 | 2.9× |
| Dxa Bone Density Axial (77080) | $212.16 | $353.60 | 2.3× |
| Dxa bone density study (77085) | $122.40 | $204 | 1.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $105.60 | $176 | 1.4× |
| Echo exam of fetal heart (76825) | $609.60 | $1,016 | 1.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $291 | $485 | 1.4× |
| Esophagram (74220) | $276.42 | $460.70 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $453.15 | $755.25 | 4.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $362.52 | $604.20 | 3.9× |
| Fluoroscopy up to 1 hr (76000) | $288.93 | $481.55 | 1.4× |
| Foot 2 views (73620) | $101.79 | $169.65 | 1.3× |
| Forearm 2 views (73090) | $160.47 | $267.45 | 2.1× |
| Gastric emptying imaging study (78264) | $743.28 | $1,238.80 | 2.1× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$229.50–$249.99 | $382.50–$416.65 | varies |
| Hand 2 views (73120) | $132.66 | $221.10 | 1.4× |
| Heart first pass single,planar (78481) | $277.20 | $462 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $685.38 | $1,142.30 | 1.4× |
| Hepatobiliary System Imaging (78226) | $685.38 | $1,142.30 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $782.10 | $1,303.50 | 0.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $252.90 | $421.50 | 3.3× |
| Infant hip ultrasound, limited static exam (76886) | $134.85 | $224.75 | 1.7× |
| K Flow/Funct Image Multiple (78709) | $535.11 | $891.85 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $528.15 | $880.25 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $585 | $975 | 1.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $585 | $975 | 1.6× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$49.80–$99.60 | $83–$166 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$214.08–$217.20 | $356.80–$362 | varies |
| Lymph System Imaging (78195) | $646.41 | $1,077.35 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $1,404.12 | $2,340.20 | 6.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $36.60 | $61 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,012.01 | $3,353.35 | 6.5× |
| MRA head w/o contrast (70544) | $1,797.96 | $2,996.60 | 8.4× |
| MRA head with contrast (70545) | $1,765.44 | $2,942.40 | 5.7× |
| MRA neck w contrast (70548) | $1,797.96 | $2,996.60 | 5.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,012.01 | $3,353.35 | 6.5× |
| MRA neck w/o contrast (70547) | $1,797.96 | $2,996.60 | 8.4× |
| MRI abdomen w contrast (74182) | $1,563 | $2,605 | 5.0× |
| MRI abdomen w/o contrast (74181) | $1,563 | $2,605 | 7.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,404.12 | $2,340.20 | 2.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,711.47 | $2,852.45 | 5.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,404.12 | $2,340.20 | 2.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $612.60 | $1,021 | 2.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $574.35 | $957.25 | 2.7× |
| MRI cervical spine w contrast (72142) | $1,651.68 | $2,752.80 | 5.3× |
| MRI cervical spine w/o cont (72141) | $1,202.07 | $2,003.45 | 5.6× |
| MRI chest w/o contrast (71550) | $1,404.12 | $2,340.20 | 6.6× |
| MRI chest with contrast (71551) | $1,404.12 | $2,340.20 | 2.0× |
| MRI chest wo w contrast (71552) | $1,618.11 | $2,696.85 | 5.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,404.12 | $2,340.20 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,404.12 | $2,340.20 | 4.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,404.12 | $2,340.20 | 6.6× |
| MRI lumbar spine w contrast (72149) | $1,651.68 | $2,752.80 | 5.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,937.07 | $3,228.45 | 6.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,514.22 | $2,523.70 | 7.1× |
| MRI orbit face neck w contrast (70542) | $1,514.22 | $2,523.70 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,676.31 | $2,793.85 | 5.4× |
| MRI pelvis w contrast (72196) | $1,404.12 | $2,340.20 | 4.5× |
| MRI pelvis w/o & w contrast (72197) | $1,618.11 | $2,696.85 | 5.2× |
| MRI pelvis w/o contrast (72195) | $1,404.12 | $2,340.20 | 6.6× |
| MRI thoracic spine w/o contrast (72146) | $1,542.36 | $2,570.60 | 7.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,404.12 | $2,340.20 | 4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,404.12 | $2,340.20 | 6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,797.96 | $2,996.60 | 5.8× |
| MRI, abdomen, combo (74183) | $2,149.29 | $3,582.15 | 6.9× |
| MRI, dorsal spine combo (72157) | $2,149.29 | $3,582.15 | 6.9× |
| MRI, dorsal spine contrast (72147) | $1,651.68 | $2,752.80 | 5.3× |
| MRI, joint upper extrem (73221) | $1,404.12 | $2,340.20 | 6.6× |
| MRI, joint upper extrem combo (73223) | $1,474.44 | $2,457.40 | 4.7× |
| MRI, lumbar spine combo (72158) | $2,149.29 | $3,582.15 | 6.9× |
| Myocardial Spect Multiple Studies (78452) | $814.95 | $1,358.25 | 0.7× |
| Neck soft tissue (70360) | $145.53 | $242.55 | 1.9× |
| Ob us nuchal meas 1 gest (76813) | $143.40 | $239 | 1.5× |
| Parathyroid Planar Imaging (78070) | $308.19 | $513.65 | 0.9× |
| Pelvis 1 or 2 views (72170) | $163.32 | $272.20 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $295.32 | $492.20 | 3.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $183.99 | $306.65 | 2.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $145.80 | $243 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $161.79 | $269.65 | 2.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $244.50 | $407.50 | 2.6× |
| Radex fingr minimum 2 views (73140) | $170.10 | $283.50 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $172.26 | $287.10 | 2.2× |
| Radex Hand Minimum 3 Views (73130) | $170.10 | $283.50 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $151.11 | $251.85 | 1.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $68.67 | $114.45 | 0.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $172.77 | $287.95 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $207.39 | $345.65 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) | $177.84 | $296.40 | 2.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $48 | $80 | 0.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $240.60 | $401 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $116.67 | $194.45 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $173.22 | $288.70 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $159 | $265 | 2.0× |
| Radex Toe Minimum 2 Views (73660) | $138.06 | $230.10 | 1.8× |
| Radex upper extremity infant minimum 2 views (73092) | $136.08 | $226.80 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $166.17 | $276.95 | 2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $244.80 | $408 | 2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $216.57 | $360.95 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $166.23 | $277.05 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $494.91 | $824.85 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $396.39 | $660.65 | 2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $241.20 | $402 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $193.77 | $322.95 | 2.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $389.85 | $649.75 | 4.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $310.98 | $518.30 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $426.57 | $710.95 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) | $180.09 | $300.15 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $131.16 | $218.60 | 1.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $145.56 | $242.60 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $196.14 | $326.90 | 2.5× |
| Ribs bilateral 3 views (71110) | $346.32 | $577.20 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$816–$840 | $1,360–$1,400 | varies |
| Scapula (73010) | $161.31 | $268.85 | 1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $36 | $60 | 1.5× |
| Shoulder 1 view (73020) | $120.90 | $201.50 | 1.6× |
| Shoulder Arthrography (73040) | $294.87 | $491.45 | 0.9× |
| Skull less than 4 views (70250) | $164.01 | $273.35 | 1.8× |
| Spleen Imaging (78185) | $211.20 | $352 | 0.6× |
| Sternoclavicular joints (71130) | $105.60 | $176 | 1.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $494.91 | $824.85 | 3.2× |
| Thoracic spine 2 views (72070) | $199.53 | $332.55 | 2.1× |
| Thoracic spine 3 views (72072) | $242.55 | $404.25 | 2.6× |
| Thoracolumbar 2 views (72080) | $81.18 | $135.30 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $537 | $895 | 1.5× |
| Ultrasound Breast Limited (76642) | $261.69 | $436.15 | 3.4× |
| Ultrasound Elastography Parenchyma (76981) | $276 | $460 | 3.0× |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$85.50–$138.60 | $142.50–$231 | varies |
| Ultrasound, abdomen limited (76705) | $363.99 | $606.65 | 3.9× |
| Umbilical-artery Doppler (OB) (76820) | $269.67 | $449.45 | 2.9× |
| Unlisted magnetic resonance procedure (76498) | $300 | $500 | 3.9× |
| Upper gi w/o kub (74240) | $284.01 | $473.35 | 1.8× |
| Ureteral Reflux Study (78740) | $234.78 | $391.30 | 0.7× |
| Us breast unilateral complete (76641) | $261.69 | $436.15 | 2.8× |
| Us chest (76604) | $265.05 | $441.75 | 2.8× |
| Us complete joint (76881) range across 6 matching MRF lines |
$154.80–$309.60 | $258–$516 | varies |
| Us exam, pelvic, limited (76857) | $438.42 | $730.70 | 4.7× |
| Us kidney transplant (76776) | $376.32 | $627.20 | 4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$85.80–$171.60 | $143–$286 | varies |
| Us ob detailed single fetus (76811) | $453.15 | $755.25 | 2.1× |
| Us ob limited 1 or more fetuses (76815) | $122.85 | $204.75 | 1.3× |
| Us ob transvaginal (76817) | $414.63 | $691.05 | 4.4× |
| Us pelvic non ob complete (76856) | $438.42 | $730.70 | 4.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $440.37 | $733.95 | 4.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $216.99 | $361.65 | 2.3× |
| Us retroperitoneal complete (76770) | $398.79 | $664.65 | 4.3× |
| Us retroperitoneal limited (76775) | $269.67 | $449.45 | 2.9× |
| Us scrotum and contents (76870) | $399.27 | $665.45 | 4.3× |
| Us spinal canal and contents (76800) | $334.11 | $556.85 | 3.6× |
| Us thyroid (76536) | $460.68 | $767.80 | 4.9× |
| Wrist 2 views (73100) | $104.01 | $173.35 | 1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $183.96 | $306.60 | 2.4× |
| X-Ray Bend Only L-S Spine (72120) | $241.50 | $402.50 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $122.31 | $203.85 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $78 | $130 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $266.34 | $443.90 | 2.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $244.80 | $408 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $366 | $610 | 4.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $204.84 | $341.40 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $152.40 | $254 | 1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $273.93 | $456.55 | 2.9× |
| X-Ray Exam L-S Spine Bending (72114) | $401.40 | $669 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $180.36 | $300.60 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $304.26 | $507.10 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $230.82 | $384.70 | 2.5× |
| X-ray eye for foreign body (70030) | $105.60 | $176 | 1.4× |
| X-ray humerus (73060) | $163.08 | $271.80 | 2.1× |
| X-ray IV pyelogram (ivp) (74400) | $443.61 | $739.35 | 2.8× |
| X-ray IV pyelogram+tomography (74415) | $566.61 | $944.35 | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $105.60 | $176 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $91.83 | $153.05 | 1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $175.05 | $291.75 | 1.9× |
| X-ray nose-rectum child f.b. (76010) | $151.11 | $251.85 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $364.32 | $607.20 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $154.38 | $257.30 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $177.99 | $296.65 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $291.60 | $486 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $267.69 | $446.15 | 2.9× |
| X-Ray Tmj Unilat (70328) | $142.35 | $237.25 | 1.8× |
| X-Rays Bone Length Studies (77073) | $161.91 | $269.85 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $531.36 | $885.60 | 5.7× |
| Xr facial bones less than 3 views (70140) | $162.57 | $270.95 | 2.1× |
| Xr orbits complete 4 views (70200) | $219.21 | $365.35 | 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.