Imaging prices at Bartlett Regional Hospital
Juneau, AK · every code in this section with a posted price and a Medicare benchmark.
270 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) | $405.45 | $477 | 4.2× |
| Abdomen 2 views (74019) | $540.18 | $635.50 | 4.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,609.90 | $1,894 | 3.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$403.96–$807.93 | $475.25–$950.50 | varies |
| Arthrogram ankle (73615) | $987.49 | $1,161.75 | 2.6× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,091.40–$2,182.80 | $1,284–$2,568 | varies |
| Arthrogram Wrist (73115) | $1,009.38 | $1,187.50 | 2.6× |
| Bone age studies (77072) | $412.04 | $484.75 | 3.6× |
| Bone Imaging 3 Phase (78315) | $1,983.26 | $2,333.25 | 4.5× |
| Bone Imaging Limited Area (78300) | $1,162.59 | $1,367.75 | 2.6× |
| Bone Imaging Whole Body (78306) | $1,972.21 | $2,320.25 | 4.4× |
| Bone survey infant (77076) | $538.48 | $633.50 | 4.6× |
| Cat Scan Follow-Up Study (76380) | $1,107.76 | $1,303.25 | 11.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$216.75–$410.55 | $255–$483 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$280.50–$445.61 | $330–$524.25 | varies |
| Chest 3 views (71047) | $578.64 | $680.75 | 6.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$280.50–$578.64 | $330–$680.75 | varies |
| Cholecystography Oral Contrast (74290) | $432.44 | $508.75 | 2.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$415.44–$830.03 | $488.75–$976.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $962.41 | $1,132.25 | 8.3× |
| Contrast X-Ray Bladder (74430) | $854.25 | $1,005 | 2.2× |
| Contrast X-Ray Of Elbow (73085) | $882.51 | $1,038.25 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) | $1,250.99 | $1,471.75 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) | $5,059.41 | $5,952.25 | 13.1× |
| CT abdomen and pelvis without contrast (74176) | $4,452.51 | $5,238.25 | 16.8× |
| CT abdomen w contrast (74160) | $3,120.56 | $3,671.25 | 16.0× |
| CT abdomen w wo contrast (74170) | $3,556.40 | $4,184 | 18.3× |
| CT abdomen w/o contrast (74150) | $2,394.88 | $2,817.50 | 20.6× |
| CT Angio Abdomen and Pelvis (74174) | $4,118.89 | $4,845.75 | 10.6× |
| CT Angio Chest (71275) | $3,285.25 | $3,865 | 16.9× |
| CT Angio Head (70496) | $3,228.30 | $3,798 | 16.6× |
| CT angio hrt w/3d image (75574) | $3,793.98 | $4,463.50 | 9.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,169.65–$6,339.09 | $3,729–$7,457.75 | varies |
| CT Angio Neck (70498) | $3,158.39 | $3,715.75 | 16.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,881.50 | $3,390 | 14.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,397 | $2,820 | 12.3× |
| CT cervical spine w/ contrast (72126) | $3,030.25 | $3,565 | 7.8× |
| CT cervical spine w/o contrast (72125) | $2,253.78 | $2,651.50 | 19.4× |
| CT cervical spine w/wo cont (72127) | $3,434.21 | $4,040.25 | 17.6× |
| CT chest w contrast (71260) | $3,155.63 | $3,712.50 | 16.2× |
| CT chest w/wo contrast (71270) | $3,354.31 | $3,946.25 | 17.2× |
| CT head/brain with contrast (70460) | $2,461.39 | $2,895.75 | 12.6× |
| CT head/brain without and with contrast (70470) | $2,923.15 | $3,439 | 15.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $176.80 | $208 | 1.8× |
| CT iac w contrast (70481) | $2,529.81 | $2,976.25 | 13.0× |
| CT l-spine w&w/o contrast (72133) | $3,471.40 | $4,084 | 17.8× |
| CT lower ext w/o (73700) | $2,296.06 | $2,701.25 | 19.8× |
| CT lower extremity w/contrast material (73701) | $2,533 | $2,980 | 13.0× |
| CT lumbar spine w contrast (72132) | $2,988.60 | $3,516 | 7.7× |
| CT lumbar spine w/o contrast (72131) | $2,720.64 | $3,200.75 | 23.4× |
| CT maxillofacial w contrast (70487) | $2,498.15 | $2,939 | 12.8× |
| CT maxillofacial wo contrast (70486) | $2,231.04 | $2,624.75 | 19.2× |
| CT neck tissue combo (70492) | $3,073.39 | $3,615.75 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,961.19 | $3,483.75 | 15.2× |
| CT orbits w/o contrast (70480) | $2,430.15 | $2,859 | 20.9× |
| CT pelvis w&w/o contrast (72194) | $3,328.39 | $3,915.75 | 17.1× |
| CT pelvis w/o contrast (72192) | $2,413.15 | $2,839 | 20.8× |
| CT scan of leg combo (73702) | $2,958.85 | $3,481 | 15.2× |
| CT scans face/jaw combo (70488) | $2,995.19 | $3,523.75 | 15.4× |
| CT soft tissue neck w contrast (70491) | $2,609.50 | $3,070 | 13.4× |
| CT soft tissue neck w/o contrast (70490) | $2,380.85 | $2,801 | 20.5× |
| CT thoracic spine w contrast (72129) | $2,858.76 | $3,363.25 | 14.7× |
| CT thoracic spine w/o contrast (72128) | $2,560.20 | $3,012 | 22.1× |
| CT thoracic spine w/wo cont (72130) | $3,341.35 | $3,931 | 17.2× |
| CT thorax w/o contrast (71250) | $2,461.39 | $2,895.75 | 21.2× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,260.58–$4,520.51 | $2,659.50–$5,318.25 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,936.75 | $3,455 | 15.1× |
| CT upper extremity with contrast (73201) | $2,486.25 | $2,925 | 6.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,621 | $4,260 | 18.6× |
| Cta Abdomen (74175) | $3,507.31 | $4,126.25 | 18.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,411.93 | $5,190.50 | 11.4× |
| Dilation ureters/urethra rs&i (74485) | $1,692.35 | $1,991 | 0.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $840.86 | $989.25 | 7.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $461.55 | $543 | 4.0× |
| Dxa Bone Density Axial (77080) | $310.46 | $365.25 | 2.7× |
| Dxa bone density study (77085) | $414.16 | $487.25 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $310.46 | $365.25 | 3.2× |
| Echo exam of fetal heart (76825) | $1,098.63 | $1,292.50 | 1.8× |
| Echo exam uterus (76831) | $766.06 | $901.25 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $650.46 | $765.25 | 5.6× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $2,967.78 | $3,491.50 | 11.2× |
| Fluoroscopy up to 1 hr (76000) | $882.73 | $1,038.50 | 3.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$407.36–$813.88 | $479.25–$957.50 | varies |
| Forearm 2 views (73090) | $427.76 | $503.25 | 4.4× |
| Gastric emptying imaging study (78264) | $1,760.99 | $2,071.75 | 4.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,760.99 | $2,071.75 | 4.0× |
| Gated Heart, Multiple (78473) | $2,632.24 | $3,096.75 | 5.9× |
| Hand 2 views (73120) | $401.84 | $472.75 | 3.5× |
| Heart first pass single,planar (78481) | $1,892.53 | $2,226.50 | 3.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,845.78 | $2,171.50 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $2,728.71 | $3,210.25 | 1.9× |
| Hysterosalpingogram (74740) | $985.15 | $1,159 | 3.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $759.26 | $893.25 | 7.9× |
| K Flow/Funct Image W/Drug (78708) | $1,851.51 | $2,178.25 | 3.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,445.21 | $1,700.25 | 3.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$508.09–$1,015.54 | $597.75–$1,194.75 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,509.60 | $1,776 | 3.4× |
| Lung Ventilat&Perfus Imaging (78582) | $2,239.11 | $2,634.25 | 3.7× |
| Lymph System Imaging (78195) | $1,648.58 | $1,939.50 | 2.7× |
| Magnetic Image Jaw Joint (70336) | $3,016.01 | $3,548.25 | 11.4× |
| Mammary ductogram or galactogram multiple (77054) | $934.36 | $1,099.25 | 3.5× |
| Mammary ductogram or galactogram single (77053) | $620.93 | $730.50 | 2.3× |
| Meckels Divert Exam (78290) | $1,431.83 | $1,684.50 | 3.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $42.50 | $50 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $4,095.30 | $4,818 | 10.6× |
| MRA head w/o contrast (70544) | $2,690.89 | $3,165.75 | 10.2× |
| MRA head with contrast (70545) | $3,147.13 | $3,702.50 | 8.1× |
| MRA neck w contrast (70548) | $2,974.36 | $3,499.25 | 7.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,979.06 | $4,681.25 | 10.3× |
| MRA neck w/o contrast (70547) | $2,806.49 | $3,301.75 | 10.6× |
| MRI abdomen w contrast (74182) | $3,160.30 | $3,718 | 8.2× |
| MRI abdomen w/o contrast (74181) | $3,167.74 | $3,726.75 | 12.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$3,249.55–$6,498.46 | $3,823–$7,645.25 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,021.99 | $4,731.75 | 10.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,077 | $3,620 | 3.5× |
| MRI bone marrow blood supply (77084) | $2,059.13 | $2,422.50 | 7.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,820.70 | $2,142 | 6.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,820.70 | $2,142 | 6.9× |
| MRI cervical spine w contrast (72142) | $3,853.48 | $4,533.50 | 10.0× |
| MRI cervical spine w/o cont (72141) | $3,068.08 | $3,609.50 | 11.6× |
| MRI chest w/o contrast (71550) | $2,778.23 | $3,268.50 | 10.5× |
| MRI chest with contrast (71551) | $2,863.65 | $3,369 | 3.3× |
| MRI chest wo w contrast (71552) | $4,470.58 | $5,259.50 | 11.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,488.83 | $4,104.50 | 9.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,871.11–$7,742.23 | $4,554.25–$9,108.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,971.60–$5,942.99 | $3,496–$6,991.75 | varies |
| MRI lumbar spine w contrast (72149) | $3,664.78 | $4,311.50 | 9.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,479.08 | $5,269.50 | 11.6× |
| MRI orbit face &/neck w/o contrast (70540) | $3,129.06 | $3,681.25 | 11.8× |
| MRI orbit face neck w contrast (70542) | $3,707.70 | $4,362 | 9.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,445.08 | $5,229.50 | 11.5× |
| MRI pelvis w contrast (72196) | $3,566.18 | $4,195.50 | 9.2× |
| MRI pelvis w/o & w contrast (72197) | $4,473.76 | $5,263.25 | 11.6× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,967.78–$5,935.13 | $3,491.50–$6,982.50 | varies |
| MRI thoracic spine w/o contrast (72146) | $3,176.66 | $3,737.25 | 12.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,349.85 | $3,941 | 8.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,908.70 | $3,422 | 11.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,792.49–$7,584.76 | $4,461.75–$8,923.25 | varies |
| MRI, abdomen, combo (74183) | $4,604.24 | $5,416.75 | 11.9× |
| MRI, dorsal spine combo (72157) | $4,549.41 | $5,352.25 | 11.8× |
| MRI, dorsal spine contrast (72147) | $3,782.29 | $4,449.75 | 9.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,991.58–$5,982.94 | $3,519.50–$7,038.75 | varies |
| MRI, joint upper extrem combo (73223) | $3,960.36 | $4,659.25 | 10.2× |
| MRI, lumbar spine combo (72158) | $4,051.53 | $4,766.50 | 10.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,401.01 | $1,648.25 | 3.2× |
| Myocardial Spect Multiple Studies (78452) | $3,638.43 | $4,280.50 | 2.5× |
| Neck soft tissue (70360) | $419.90 | $494 | 4.3× |
| Nm unlisted gi procedure (78299) | $972.40 | $1,144 | 2.2× |
| Pelvis 1 or 2 views (72170) | $425 | $500 | 3.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,514.49 | $1,781.75 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $712.51 | $838.25 | 6.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,046.78 | $1,231.50 | 1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$464.10–$928.20 | $546–$1,092 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $378.46 | $445.25 | 3.9× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$483.86–$967.51 | $569.25–$1,138.25 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $629.43 | $740.50 | 5.4× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$344.89–$689.56 | $405.75–$811.25 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$462.40–$923.53 | $544–$1,086.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$470.90–$941.59 | $554–$1,107.75 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $300.26 | $353.25 | 3.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $537.41 | $632.25 | 4.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $481.95 | $567 | 5.0× |
| Radex Ribs Unilateral 2 Views (71100) | $493.85 | $581 | 5.1× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$489.18–$977.50 | $575.50–$1,150 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $377.19 | $443.75 | 3.9× |
| Radex Spine 1 View Specify Level (72020) | $396.10 | $466 | 4.1× |
| Radex Sternum Minimum 2 Views (71120) | $480.46 | $565.25 | 5.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $614.76 | $723.25 | 6.4× |
| Radex Toe Minimum 2 Views (73660) | $452.63 | $532.50 | 4.7× |
| Radex upper extremity infant minimum 2 views (73092) | $368.26 | $433.25 | 3.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$465.59–$930.54 | $547.75–$1,094.75 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $702.31 | $826.25 | 6.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $618.38 | $727.50 | 5.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $584.80 | $688 | 5.0× |
| Radiologic exam colon double contrast study (74280) | $1,303.48 | $1,533.50 | 6.7× |
| Radiologic exam colon single contrast study (74270) | $1,046.78 | $1,231.50 | 5.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,129.65 | $1,329 | 5.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$608.60–$1,216.78 | $716–$1,431.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $439.45 | $517 | 3.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $895.69 | $1,053.75 | 4.6× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$728.88–$1,507.90 | $857.50–$1,774 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $1,126.89 | $1,325.75 | 5.8× |
| Radiologic examination femur 1 view (73551) | $472.81 | $556.25 | 4.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$496.19–$992.38 | $583.75–$1,167.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$416.29–$832.15 | $489.75–$979 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$452.63–$904.83 | $532.50–$1,064.50 | varies |
| Ribs bilateral 3 views (71110) | $799.43 | $940.50 | 6.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,013.70 | $4,722 | 6.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,797.75 | $2,115 | 1.3× |
| Scapula (73010) | $452.63 | $532.50 | 3.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $115.60 | $136 | 4.9× |
| Shoulder 1 view (73020) | $416.29 | $489.75 | 4.3× |
| Shoulder Arthrography (73040) | $1,189.15 | $1,399 | 3.1× |
| Skull less than 4 views (70250) | $475.79 | $559.75 | 4.1× |
| Speech evaluation, complex (70371) | $921.19 | $1,083.75 | 3.5× |
| Sternoclavicular joints (71130) | $434.35 | $511 | 4.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $847.03 | $996.50 | 4.4× |
| Thoracic spine 3 views (72072) | $590.33 | $694.50 | 5.1× |
| Thoracolumbar 2 views (72080) | $515.53 | $606.50 | 5.3× |
| Thyroid Imaging With Vascular Flow (78013) | $1,371.26 | $1,613.25 | 3.1× |
| Thyroid Met Imaging Body (78018) | $2,012.80 | $2,368 | 3.3× |
| Thyroid Uptake Measurement (78012) | $780.30 | $918 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,249.29 | $1,469.75 | 2.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$556.96–$1,112.86 | $655.25–$1,309.25 | varies |
| Ultrasound elastography first target lesion (76982) | $283.90 | $334 | 2.4× |
| Ultrasound Elastography Parenchyma (76981) | $619.44 | $728.75 | 5.3× |
| Ultrasound Exam Aaa Screen (76706) | $838.53 | $986.50 | 7.2× |
| Ultrasound, abdomen limited (76705) | $619.44 | $728.75 | 5.3× |
| Umbilical-artery Doppler (OB) (76820) | $417.35 | $491 | 3.6× |
| Upper gi w/o kub (74240) | $1,055.91 | $1,242.25 | 5.4× |
| Ureteral Reflux Study (78740) | $1,050.39 | $1,235.75 | 2.4× |
| Urethrocystogram voiding (74455) | $1,029.78 | $1,211.50 | 3.9× |
| Urethrocystography retrograde (74450) | $949.66 | $1,117.25 | 3.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$741.84–$1,482.61 | $872.75–$1,744.25 | varies |
| Us chest (76604) | $653.86 | $769.25 | 5.6× |
| Us complete joint (76881) | $1,132.63 | $1,332.50 | 9.8× |
| Us exam, pelvic, limited (76857) | $619.44 | $728.75 | 5.3× |
| Us head (76506) | $359.55 | $423 | 3.1× |
| Us kidney transplant (76776) | $951.58 | $1,119.50 | 8.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$688.71–$1,377.43 | $810.25–$1,620.50 | varies |
| Us ob limited 1 or more fetuses (76815) | $573.33 | $674.50 | 4.9× |
| Us ob transvaginal (76817) | $677.24 | $796.75 | 5.8× |
| Us pelvic non ob complete (76856) | $925.01 | $1,088.25 | 8.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $777.11 | $914.25 | 6.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $724.63 | $852.50 | 6.2× |
| Us retroperitoneal complete (76770) | $818.13 | $962.50 | 7.1× |
| Us scrotum and contents (76870) | $753.74 | $886.75 | 6.5× |
| Us spinal canal and contents (76800) | $708.05 | $833 | 6.1× |
| Us thyroid (76536) | $656.20 | $772 | 5.7× |
| Us transrectal (76872) | $818.13 | $962.50 | 7.1× |
| Vascular Flow Imaging (78445) | $774.14 | $910.75 | 1.7× |
| Venography extremity unilateral rs&i (75820) | $1,694.90 | $1,994 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $103.91 | $122.25 | 1.1× |
| Wrist 2 views (73100) | $347.86 | $409.25 | 3.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $449.23 | $528.50 | 4.7× |
| X-ray antegrade pyelogram tube (74425) | $1,045.50 | $1,230 | 2.7× |
| X-Ray Bend Only L-S Spine (72120) | $719.10 | $846 | 6.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$403.96–$807.50 | $475.25–$950 | varies |
| X-Ray Exam Breast Specimen (76098) | $697 | $820 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $605.20 | $712 | 6.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $641.96 | $755.25 | 5.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $677.24 | $796.75 | 5.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $325.76 | $383.25 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$468.56–$937.13 | $551.25–$1,102.50 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$611.36–$1,222.73 | $719.25–$1,438.50 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $652.59 | $767.75 | 5.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $794.96 | $935.25 | 6.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $937.34 | $1,102.75 | 8.1× |
| X-Ray Exam L-S Spine Bending (72114) | $832.36 | $979.25 | 7.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $520.84 | $612.75 | 5.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $835.76 | $983.25 | 7.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $628.58 | $739.50 | 5.4× |
| X-ray eye for foreign body (70030) | $374 | $440 | 3.9× |
| X-ray humerus (73060) | $440.94 | $518.75 | 4.6× |
| X-ray IV pyelogram (ivp) (74400) | $1,191.91 | $1,402.25 | 6.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $507.24 | $596.75 | 5.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $332.56 | $391.25 | 3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $558.03 | $656.50 | 4.8× |
| X-ray nose-rectum child f.b. (76010) | $377.19 | $443.75 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $475.79 | $559.75 | 4.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $479.61 | $564.25 | 5.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $589.48 | $693.50 | 6.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $724.63 | $852.50 | 6.2× |
| X-ray thoracic spine 4 vw (72074) | $726.54 | $854.75 | 6.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,089.70 | $1,282 | 2.8× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$565.25–$1,107.76 | $665–$1,303.25 | varies |
| X-Rays Bone Survey Complete (77075) | $1,190.64 | $1,400.75 | 10.3× |
| Xr c-spine 4 or 5 views (72050) | $731.43 | $860.50 | 6.3× |
| Xr facial bones less than 3 views (70140) | $456.66 | $537.25 | 4.7× |
| Xr orbits complete 4 views (70200) | $573.33 | $674.50 | 4.9× |
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.