Imaging prices at Baptist Memorial Hospital-Booneville
Booneville, MS · every code in this section with a posted price and a Medicare benchmark.
282 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) | $96 | $400 | 1.3× |
| Abdomen 2 views (74019) | $164.16 | $684 | 1.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $433.20 | $1,805 | 1.3× |
| Adrenal Cortex & Medulla Img (78075) | $635.04 | $2,646 | 0.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$47.28–$111.60 | $197–$465 | varies |
| Arthrogram ankle (73615) | $356.40 | $1,485 | 1.2× |
| Arthrogram hip (73525) | $302.88 | $1,262 | 1.0× |
| Arthrogram Wrist (73115) | $286.32 | $1,193 | 1.0× |
| Bone age studies (77072) | $111.60 | $465 | 1.2× |
| Bone Imaging 3 Phase (78315) | $607.44 | $2,531 | 1.8× |
| Bone Imaging Limited Area (78300) | $541.20 | $2,255 | 1.6× |
| Bone Imaging Whole Body (78306) | $574.56 | $2,394 | 1.7× |
| Bone marrow imaging limited area (78102) | $173.28 | $722 | 0.5× |
| Bone survey infant (77076) | $116.88 | $487 | 1.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,628.24 | $10,951 | 2.1× |
| Cat Scan Follow-Up Study (76380) range across 5 matching MRF lines |
$224.40–$402.96 | $935–$1,679 | varies |
| Cerebrospinal Fluid Scan (78630) | $773.52 | $3,223 | 1.7× |
| Chest 1 view (71045) | $96 | $400 | 1.3× |
| Chest 2 views (71046) | $110.64 | $461 | 1.5× |
| Chest 4 or more views (71048) | $123.36 | $514 | 1.4× |
| Cholecystography Oral Contrast (74290) | $137.28 | $572 | 0.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$73.44–$111.60 | $306–$465 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $53.28 | $222 | 0.6× |
| Contrast X-Ray Bladder (74430) | $145.20 | $605 | 0.5× |
| Contrast X-Ray Of Elbow (73085) | $356.40 | $1,485 | 1.2× |
| Contrast X-Ray Of Knee Joint (73580) | $372.24 | $1,551 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $1,568.40 | $6,535 | 5.2× |
| CT abdomen and pelvis without contrast (74176) | $1,381.20 | $5,755 | 6.7× |
| CT abdomen w contrast (74160) | $934.32 | $3,893 | 6.2× |
| CT abdomen w wo contrast (74170) | $974.16 | $4,059 | 6.4× |
| CT abdomen w/o contrast (74150) | $894.48 | $3,727 | 9.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,013.84 | $8,391 | 6.7× |
| CT Angio Chest (71275) | $979.44 | $4,081 | 6.5× |
| CT Angio Head (70496) | $1,007.52 | $4,198 | 6.7× |
| CT angio hrt w/3d image (75574) | $927.36 | $3,864 | 3.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,007.52 | $4,198 | 6.7× |
| CT Angio Neck (70498) | $1,007.52 | $4,198 | 6.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,007.52 | $4,198 | 6.7× |
| CT cervical spine w/ contrast (72126) | $913.44 | $3,806 | 3.0× |
| CT cervical spine w/o contrast (72125) | $894.48 | $3,727 | 9.9× |
| CT cervical spine w/wo cont (72127) | $1,003.20 | $4,180 | 6.6× |
| CT chest w contrast (71260) | $934.32 | $3,893 | 6.2× |
| CT chest w/wo contrast (71270) | $962.40 | $4,010 | 6.4× |
| CT head/brain with contrast (70460) | $934.32 | $3,893 | 6.2× |
| CT head/brain without and with contrast (70470) | $962.40 | $4,010 | 6.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $927.36 | $3,864 | 3.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $64.56 | $269 | 0.9× |
| CT iac w contrast (70481) | $868.08 | $3,617 | 5.7× |
| CT l-spine w&w/o contrast (72133) | $944.40 | $3,935 | 6.2× |
| CT lower ext w/o (73700) | $711.12 | $2,963 | 7.9× |
| CT lower extremity w/contrast material (73701) | $777.36 | $3,239 | 5.1× |
| CT lumbar spine w contrast (72132) | $922.80 | $3,845 | 3.1× |
| CT lumbar spine w/o contrast (72131) | $890.16 | $3,709 | 9.9× |
| CT maxillofacial w contrast (70487) | $962.40 | $4,010 | 6.4× |
| CT maxillofacial wo contrast (70486) | $902.88 | $3,762 | 10.0× |
| CT neck tissue combo (70492) | $1,051.20 | $4,380 | 7.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $925.44 | $3,856 | 6.1× |
| CT orbits w/o contrast (70480) | $826.08 | $3,442 | 9.2× |
| CT pelvis w&w/o contrast (72194) | $962.40 | $4,010 | 6.4× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$701.04–$909.36 | $2,921–$3,789 | varies |
| CT scan of leg combo (73702) | $849.12 | $3,538 | 5.6× |
| CT scans face/jaw combo (70488) | $1,092.48 | $4,552 | 7.2× |
| CT soft tissue neck w contrast (70491) | $920.16 | $3,834 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $779.28 | $3,247 | 8.6× |
| CT thoracic spine w contrast (72129) | $863.04 | $3,596 | 5.7× |
| CT thoracic spine w/o contrast (72128) | $890.16 | $3,709 | 9.9× |
| CT thoracic spine w/wo cont (72130) | $944.40 | $3,935 | 6.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$78.96–$909.36 | $329–$3,789 | varies |
| CT upper ext wo (73200) | $711.12 | $2,963 | 7.9× |
| CT upper extremity w/o & w/contrast material (73202) | $849.12 | $3,538 | 5.6× |
| CT upper extremity with contrast (73201) | $777.36 | $3,239 | 2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,027.92 | $4,283 | 6.8× |
| Cta Abdomen (74175) | $1,007.52 | $4,198 | 6.7× |
| CTA pelvis (72191) | $1,007.52 | $4,198 | 6.7× |
| Dxa Bone Density Axial (77080) | $241.44 | $1,006 | 2.7× |
| Esophagram (74220) | $171.36 | $714 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) | $278.64 | $1,161 | 3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $296.64 | $1,236 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $222 | $925 | 1.1× |
| Foot 2 views (73620) | $97.20 | $405 | 1.3× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$45.84–$111.12 | $191–$463 | varies |
| Gastric emptying imaging study (78264) | $592.56 | $2,469 | 1.7× |
| Gastroesophageal Reflux Exam (78262) | $133.44 | $556 | 0.4× |
| Gated Heart Planar Single (78472) | $398.40 | $1,660 | 1.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$48–$97.20 | $200–$405 | varies |
| Hepatobil Syst Image W/Drug (78227) | $650.16 | $2,709 | 1.4× |
| Hepatobiliary System Imaging (78226) | $650.16 | $2,709 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $1,391.04 | $5,796 | 1.2× |
| Hysterosalpingogram (74740) | $219.12 | $913 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $101.52 | $423 | 1.4× |
| K Flow/Funct Image Multiple (78709) | $766.32 | $3,193 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $561.84 | $2,341 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $561.84 | $2,341 | 1.2× |
| Kidney Imaging Morphol (78700) | $688.56 | $2,869 | 2.0× |
| Knee 3 Views (73562) | $108.48 | $452 | 1.4× |
| Liver & Spleen Imaging Static Only (78215) | $650.16 | $2,709 | 1.9× |
| Lung Perf&Ventilat Diferentl (78598) | $767.76 | $3,199 | 1.6× |
| Lung perfusion differential (78597) | $502.08 | $2,092 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $767.76 | $3,199 | 1.6× |
| Lung Ventilation Imaging (78579) | $457.68 | $1,907 | 1.3× |
| Lymph System Imaging (78195) | $579.36 | $2,414 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $882.48 | $3,677 | 4.3× |
| Mammary ductogram or galactogram multiple (77054) | $243.12 | $1,013 | 1.2× |
| Mammary ductogram or galactogram single (77053) | $155.28 | $647 | 0.8× |
| Meckels Divert Exam (78290) | $433.20 | $1,805 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,451.76 | $6,049 | 4.8× |
| MRA head w/o contrast (70544) | $947.28 | $3,947 | 4.6× |
| MRA neck w contrast (70548) | $1,056.96 | $4,404 | 3.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,520.88 | $6,337 | 5.1× |
| MRA neck w/o contrast (70547) | $947.28 | $3,947 | 4.6× |
| MRI abdomen w contrast (74182) | $1,030.08 | $4,292 | 3.4× |
| MRI abdomen w/o contrast (74181) | $1,058.40 | $4,410 | 5.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,228.32 | $5,118 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,501.92 | $6,258 | 5.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,030.08 | $4,292 | 1.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,056.96 | $4,404 | 5.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $827.28 | $3,447 | 4.0× |
| MRI cervical spine w contrast (72142) | $1,228.32 | $5,118 | 4.1× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$417.84–$1,024.80 | $1,741–$4,270 | varies |
| MRI chest w/o contrast (71550) | $947.28 | $3,947 | 4.6× |
| MRI chest wo w contrast (71552) | $1,521.12 | $6,338 | 5.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,030.08 | $4,292 | 3.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,141.44 | $4,756 | 3.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,058.40 | $4,410 | 5.1× |
| MRI lumbar spine w contrast (72149) | $1,228.32 | $5,118 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,501.92 | $6,258 | 5.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,026.24 | $4,276 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,030.08–$1,529.76 | $4,292–$6,374 | varies |
| MRI pelvis w contrast (72196) | $1,051.20 | $4,380 | 3.5× |
| MRI pelvis w/o & w contrast (72197) | $1,529.76 | $6,374 | 5.1× |
| MRI pelvis w/o contrast (72195) | $1,024.80 | $4,270 | 5.0× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$417.84–$1,427.28 | $1,741–$5,947 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $891.60 | $3,715 | 4.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,034.40 | $4,310 | 3.4× |
| MRI, abdomen, combo (74183) | $1,501.92 | $6,258 | 5.0× |
| MRI, dorsal spine combo (72157) | $1,308 | $5,450 | 4.3× |
| MRI, dorsal spine contrast (72147) | $1,445.04 | $6,021 | 4.8× |
| MRI, joint upper extrem (73221) | $1,024.80 | $4,270 | 5.0× |
| MRI, joint upper extrem combo (73223) | $1,183.20 | $4,930 | 3.9× |
| MRI, lumbar spine combo (72158) | $1,501.92 | $6,258 | 5.0× |
| Myelogram Lumbar (72265) | $451.92 | $1,883 | 0.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $365.76 | $1,524 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $1,630.80 | $6,795 | 1.5× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,107.12 | $4,613 | 0.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,107.12 | $4,613 | 0.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,726.80 | $7,195 | 0.9× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,110.08 | $8,792 | 1.1× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $2,110.08 | $8,792 | 1.6× |
| N-invas est c ffr sw aly CTA (75580) | $672.96 | $2,804 | 0.9× |
| Neck soft tissue (70360) | $111.60 | $465 | 1.5× |
| Nm myocard infarct spect (78469) | $672.72 | $2,803 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $78.48 | $327 | 0.9× |
| Parathyroid Planar Imaging (78070) | $481.68 | $2,007 | 1.4× |
| Pelvis 1 or 2 views (72170) | $111.60 | $465 | 1.2× |
| Pet Image Skull-Thigh (78812) | $2,678.64 | $11,161 | 2.2× |
| PET image w/CT, full body (78816) | $2,966.64 | $12,361 | 2.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,966.64 | $12,361 | 2.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $1,920.72 | $8,003 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $457.68 | $1,907 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $264.24 | $1,101 | 2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $300.48 | $1,252 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $123.36 | $514 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $111.60 | $465 | 1.5× |
| Radex elbow complete minimum 3 views (73080) | $111.12 | $463 | 1.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $137.28 | $572 | 1.5× |
| Radex fingr minimum 2 views (73140) | $58.32 | $243 | 0.8× |
| Radex foot complete minimum 3 views (73630) | $111.12 | $463 | 1.5× |
| Radex Hand Minimum 3 Views (73130) | $111.12 | $463 | 1.5× |
| Radex lower extremity infant minimum 2 views (73592) | $72.48 | $302 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $137.28 | $572 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $93.60 | $390 | 1.2× |
| Radex shoulder complete minimum 2 views (73030) | $137.28 | $572 | 1.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $96.48 | $402 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $97.20 | $405 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $123.36 | $514 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $137.28 | $572 | 1.8× |
| Radex Toe Minimum 2 Views (73660) | $97.20 | $405 | 1.3× |
| Radex upper extremity infant minimum 2 views (73092) | $111.60 | $465 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $111.12 | $463 | 1.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $174.72 | $728 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $137.28 | $572 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $164.16 | $684 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $293.04 | $1,221 | 1.9× |
| Radiologic exam colon single contrast study (74270) | $254.16 | $1,059 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) | $111.60 | $465 | 1.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $137.28 | $572 | 1.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $171.36 | $714 | 1.1× |
| Radiologic exam swallow function contrast study (74230) | $151.44 | $631 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $348.96 | $1,454 | 2.3× |
| Radiologic examination femur 1 view (73551) | $56.64 | $236 | 0.8× |
| Radiologic examination femur minimum 2 views (73552) | $102.24 | $426 | 1.4× |
| Radiologic examination knee 1/2 views (73560) | $96.48 | $402 | 1.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $198.72 | $828 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $111.12 | $463 | 1.5× |
| Ribs bilateral 3 views (71110) | $219.12 | $913 | 2.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $379.44 | $1,581 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,102.80 | $4,595 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $848.16 | $3,534 | 1.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $999.36 | $4,164 | 2.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $975.84 | $4,066 | 0.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $975.84 | $4,066 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,107.12 | $4,613 | 1.0× |
| Scapula (73010) | $111.60 | $465 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $25.20 | $105 | 1.1× |
| Shoulder 1 view (73020) | $97.20 | $405 | 1.3× |
| Shoulder Arthrography (73040) | $300.48 | $1,252 | 1.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$47.76–$107.52 | $199–$448 | varies |
| Sternoclavicular joints (71130) | $107.52 | $448 | 1.4× |
| Thoracic spine 2 views (72070) | $123.36 | $514 | 1.4× |
| Thoracic spine 3 views (72072) | $133.92 | $558 | 1.5× |
| Thoracolumbar 2 views (72080) | $119.28 | $497 | 1.6× |
| Thyroid Imaging With Vascular Flow (78013) | $318.24 | $1,326 | 0.9× |
| Thyroid Uptake Measurement (78012) | $238.56 | $994 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $481.68 | $2,007 | 1.4× |
| Ultrasound Breast Limited (76642) | $158.64 | $661 | 2.1× |
| Ultrasound Elastography Parenchyma (76981) | $94.32 | $393 | 1.0× |
| Ultrasound Exam Aaa Screen (76706) | $58.56 | $244 | 0.6× |
| Ultrasound, abdomen limited (76705) | $213.60 | $890 | 2.4× |
| Umbilical-artery Doppler (OB) (76820) | $62.64 | $261 | 0.7× |
| Unlisted Dx Radiographic Procedure (76499) | $64.32 | $268 | 0.9× |
| Upper gi w/o kub (74240) | $308.40 | $1,285 | 2.0× |
| Urethrocystogram voiding (74455) | $179.52 | $748 | 0.9× |
| Urethrocystography retrograde (74450) | $154.80 | $645 | 0.8× |
| Us breast unilateral complete (76641) | $158.64 | $661 | 1.8× |
| Us chest (76604) | $124.08 | $517 | 1.4× |
| Us complete joint (76881) | $184.56 | $769 | 2.0× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$130.56–$160.80 | $544–$670 | varies |
| Us head (76506) | $142.80 | $595 | 1.6× |
| Us kidney transplant (76776) | $212.88 | $887 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$116.88–$125.52 | $487–$523 | varies |
| Us ob detailed single fetus (76811) | $488.64 | $2,036 | 2.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$108.96–$239.28 | $454–$997 | varies |
| Us ob transvaginal (76817) | $88.08 | $367 | 1.0× |
| Us pelvic non ob complete (76856) | $213.12 | $888 | 2.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $137.28 | $572 | 1.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $174.24 | $726 | 1.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$203.28–$231.36 | $847–$964 | varies |
| Us retroperitoneal limited (76775) | $175.20 | $730 | 1.9× |
| Us scrotum and contents (76870) | $130.56 | $544 | 1.4× |
| Us spinal canal and contents (76800) | $117.36 | $489 | 1.3× |
| Us thyroid (76536) | $205.44 | $856 | 2.3× |
| Us transrectal (76872) | $120.24 | $501 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $1,363.20 | $5,680 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $852.96 | $3,554 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $636.72 | $2,653 | 0.5× |
| Wrist 2 views (73100) | $97.20 | $405 | 1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $111.60 | $465 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $111.60 | $465 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$50.88–$97.20 | $212–$405 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$342.48–$363.60 | $1,427–$1,515 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $95.28 | $397 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $105.60 | $440 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $151.44 | $631 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $63.12 | $263 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $123.36 | $514 | 1.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $136.56 | $569 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $119.52 | $498 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $136.56 | $569 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $158.16 | $659 | 1.8× |
| X-Ray Exam L-S Spine Bending (72114) | $192 | $800 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $136.08 | $567 | 1.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $190.80 | $795 | 2.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $145.44 | $606 | 1.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$58.32–$111.12 | $243–$463 | varies |
| X-ray IV pyelogram (ivp) (74400) | $433.44 | $1,806 | 2.9× |
| X-ray IV pyelogram+tomography (74415) | $433.44 | $1,806 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $96.48 | $402 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $96.48 | $402 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $123.36 | $514 | 1.4× |
| X-ray nose-rectum child f.b. (76010) | $111.60 | $465 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $219.12 | $913 | 2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $111.60 | $465 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $111.60 | $465 | 1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $136.08 | $567 | 1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $136.08 | $567 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $132 | $550 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $433.44 | $1,806 | 1.4× |
| X-Rays Bone Length Studies (77073) | $89.28 | $372 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $384.48 | $1,602 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $137.28 | $572 | 1.5× |
| Xr facial bones less than 3 views (70140) | $123.36 | $514 | 1.6× |
| Xr orbits complete 4 views (70200) | $137.28 | $572 | 1.5× |
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.