Imaging prices at Beacon Allegan
Allegan, MI · every code in this section with a posted price and a Medicare benchmark.
246 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) | $51.40 | $104.90 | 0.6× |
| Abdomen 2 views (74019) | $63.23 | $129.05 | 0.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $577.12 | $1,177.80 | 1.4× |
| Ankle 2 views (73600) | $68.62 | $140.05 | 0.8× |
| Arthrogram ankle (73615) | $644.33 | $1,314.95 | 1.9× |
| Arthrogram hip (73525) | $774.49 | $1,580.60 | 2.2× |
| Arthrogram Wrist (73115) | $723.61 | $1,476.75 | 2.1× |
| Bone age studies (77072) | $109.47 | $223.40 | 1.1× |
| Bone Imaging 3 Phase (78315) | $739.46 | $1,509.10 | 1.9× |
| Bone Imaging Limited Area (78300) | $662.77 | $1,352.60 | 1.7× |
| Bone Imaging Whole Body (78306) | $661.65 | $1,350.30 | 1.7× |
| Bone marrow imaging limited area (78102) | $664.46 | $1,356.05 | 1.7× |
| Bone survey infant (77076) | $162.70 | $332.05 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $481.96 | $983.60 | 0.9× |
| Chest 1 view (71045) | $53.85 | $109.90 | 0.6× |
| Chest 2 views (71046) | $53.85 | $109.90 | 0.6× |
| Chest 3 views (71047) | $121.89 | $248.75 | 1.4× |
| Chest 4 or more views (71048) | $162.12 | $330.85 | 1.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$56.20–$112.41 | $114.70–$229.40 | varies |
| Contrast X-Ray Bladder (74430) | $259.16 | $528.90 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $680.44 | $1,388.65 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $788.70 | $1,609.60 | 2.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $322.47 | $658.10 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,604.96 | $5,316.25 | 7.5× |
| CT abdomen and pelvis without contrast (74176) | $1,192.27 | $2,433.20 | 5.0× |
| CT abdomen w contrast (74160) | $972.94 | $1,985.60 | 5.6× |
| CT abdomen w wo contrast (74170) | $1,156.08 | $2,359.35 | 6.6× |
| CT abdomen w/o contrast (74150) | $636.93 | $1,299.85 | 6.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,658.50 | $3,384.70 | 4.8× |
| CT Angio Chest (71275) | $855.17 | $1,745.25 | 4.9× |
| CT Angio Head (70496) | $750.90 | $1,532.45 | 4.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $859.51 | $1,754.10 | 4.9× |
| CT Angio Neck (70498) | $1,118.28 | $2,282.20 | 6.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $895.70 | $1,827.95 | 5.1× |
| CT cervical spine w/ contrast (72126) | $2,052.86 | $4,189.50 | 5.9× |
| CT cervical spine w/o contrast (72125) | $1,812.46 | $3,698.90 | 17.4× |
| CT cervical spine w/wo cont (72127) | $2,335.93 | $4,767.20 | 13.4× |
| CT chest w contrast (71260) | $670.42 | $1,368.20 | 3.8× |
| CT chest w/wo contrast (71270) | $852.48 | $1,739.75 | 4.9× |
| CT head/brain with contrast (70460) | $821.68 | $1,676.90 | 4.7× |
| CT head/brain without and with contrast (70470) | $894.62 | $1,825.75 | 5.1× |
| CT iac w contrast (70481) | $658.54 | $1,343.95 | 3.8× |
| CT l-spine w&w/o contrast (72133) | $2,335.93 | $4,767.20 | 13.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$953.49–$1,906.98 | $1,945.90–$3,891.80 | varies |
| CT lower extremity w/contrast material (73701) | $953.49 | $1,945.90 | 5.5× |
| CT lumbar spine w contrast (72132) | $2,052.86 | $4,189.50 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $1,812.46 | $3,698.90 | 17.4× |
| CT maxillofacial w contrast (70487) | $976.72 | $1,993.30 | 5.6× |
| CT maxillofacial wo contrast (70486) | $609.90 | $1,244.70 | 5.9× |
| CT neck tissue combo (70492) | $1,209.08 | $2,467.50 | 6.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $802.23 | $1,637.20 | 4.6× |
| CT orbits w/o contrast (70480) | $522.93 | $1,067.20 | 5.0× |
| CT pelvis w&w/o contrast (72194) | $1,448.88 | $2,956.90 | 8.3× |
| CT pelvis w/o contrast (72192) | $557.52 | $1,137.80 | 5.4× |
| CT scan of leg combo (73702) | $1,143.12 | $2,332.90 | 6.5× |
| CT scans face/jaw combo (70488) | $1,468.33 | $2,996.60 | 8.4× |
| CT soft tissue neck w contrast (70491) | $1,145.82 | $2,338.40 | 6.6× |
| CT soft tissue neck w/o contrast (70490) | $686.64 | $1,401.30 | 6.6× |
| CT thoracic spine w contrast (72129) | $1,727.10 | $3,524.70 | 9.9× |
| CT thoracic spine w/o contrast (72128) | $1,727.10 | $3,524.70 | 16.6× |
| CT thoracic spine w/wo cont (72130) | $2,166.29 | $4,421 | 12.4× |
| CT thorax w/o contrast (71250) | $561.83 | $1,146.60 | 5.4× |
| CT upper ext wo (73200) | $1,267.36 | $2,586.45 | 12.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,778.43 | $3,629.45 | 10.2× |
| CT upper extremity with contrast (73201) | $1,267.36 | $2,586.45 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,148.48 | $4,384.65 | 12.3× |
| Cta Abdomen (74175) | $986.44 | $2,013.15 | 5.6× |
| CTA pelvis (72191) | $1,506.14 | $3,073.75 | 8.6× |
| Discography Cerv/Thor Spine (72285) | $2,652.47 | $5,413.20 | 1.4× |
| Diskography lumbar (72295) | $2,652.47 | $5,413.20 | 1.4× |
| Dxa Bone Density Axial (77080) | $263.30 | $537.35 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $246.13 | $502.30 | 2.8× |
| Esophageal Motility Study (78258) | $428.24 | $873.95 | 1.1× |
| Esophagram (74220) | $362.11 | $739 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $310.56 | $633.80 | 3.0× |
| Fluoroscopy up to 1 hr (76000) | $347.90 | $710 | 1.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$120.71–$241.42 | $246.35–$492.70 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$134.31–$268.62 | $274.10–$548.20 | varies |
| Gastric emptying imaging study (78264) | $642.64 | $1,311.50 | 1.6× |
| Gastric Mucosa Imaging (78261) | $403.59 | $823.65 | 1.0× |
| Gastroesophageal Reflux Exam (78262) | $502.69 | $1,025.90 | 1.3× |
| Gated Heart Planar Single (78472) | $709.79 | $1,448.55 | 1.8× |
| Hand 2 views (73120) | $89.94 | $183.55 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $821.75 | $1,677.05 | 1.5× |
| Hepatobiliary System Imaging (78226) | $793.75 | $1,619.90 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $2,268.21 | $4,629 | 1.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $192.62 | $393.10 | 2.2× |
| Infusion Ivp (74410) | $391.09 | $798.15 | 2.2× |
| Joint Survey Single View (77077) | $210.04 | $428.65 | 2.0× |
| K Flow/Funct Image Multiple (78709) | $1,228.16 | $2,506.45 | 2.3× |
| K Flow/Funct Image W/Drug (78708) | $1,114.51 | $2,274.50 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $995.29 | $2,031.20 | 1.8× |
| Knee 3 Views (73562) | $97.63 | $199.25 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $837.97 | $1,710.15 | 1.5× |
| Lung Ventilation Imaging (78579) | $394.08 | $804.25 | 1.0× |
| Lymph System Imaging (78195) | $511.63 | $1,044.15 | 0.9× |
| Magnetic Image Jaw Joint (70336) | $1,182.32 | $2,412.90 | 5.0× |
| Mammary ductogram or galactogram single (77053) | $264.48 | $539.75 | 1.1× |
| Meckels Divert Exam (78290) | $332.51 | $678.60 | 0.8× |
| MRA head w/o contrast (70544) | $937.84 | $1,913.95 | 3.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,604.82 | $5,315.95 | 7.5× |
| MRA neck w/o contrast (70547) | $921.15 | $1,879.90 | 3.9× |
| MRI abdomen w contrast (74182) | $1,192.19 | $2,433.05 | 3.4× |
| MRI abdomen w/o contrast (74181) | $1,108.23 | $2,261.70 | 4.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,519.60 | $5,142.05 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,567.16 | $5,239.10 | 7.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,565.11 | $3,194.10 | 2.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,613.89 | $3,293.65 | 6.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,613.89 | $3,293.65 | 6.8× |
| MRI cervical spine w contrast (72142) | $1,662.03 | $3,391.90 | 4.8× |
| MRI cervical spine w/o cont (72141) | $1,539.80 | $3,142.45 | 6.5× |
| MRI chest w/o contrast (71550) | $1,274.32 | $2,600.65 | 5.4× |
| MRI chest with contrast (71551) | $1,465.10 | $2,990 | 1.9× |
| MRI chest wo w contrast (71552) | $2,061.50 | $4,207.15 | 5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,565.11 | $3,194.10 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,246.72 | $4,585.15 | 6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,565.11 | $3,194.10 | 6.6× |
| MRI lumbar spine w contrast (72149) | $1,539.80 | $3,142.45 | 4.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,734.28 | $3,539.35 | 5.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,671.29 | $3,410.80 | 7.0× |
| MRI orbit face neck w contrast (70542) | $1,671.29 | $3,410.80 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,667.78 | $5,444.45 | 7.7× |
| MRI pelvis w/o & w contrast (72197) | $2,316.48 | $4,727.50 | 6.7× |
| MRI pelvis w/o contrast (72195) | $1,372.49 | $2,801 | 5.8× |
| MRI thoracic spine w/o contrast (72146) | $1,153.93 | $2,354.95 | 4.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,924.43 | $3,927.40 | 5.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,565.11 | $3,194.10 | 6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,346.73 | $4,789.25 | 6.8× |
| MRI, abdomen, combo (74183) | $1,274.32 | $2,600.65 | 3.7× |
| MRI, dorsal spine combo (72157) | $2,125.08 | $4,336.90 | 6.1× |
| MRI, dorsal spine contrast (72147) | $1,350.88 | $2,756.90 | 3.9× |
| MRI, joint upper extrem (73221) | $1,565.11 | $3,194.10 | 6.6× |
| MRI, joint upper extrem combo (73223) | $2,165.85 | $4,420.10 | 6.2× |
| MRI, lumbar spine combo (72158) | $1,769.46 | $3,611.15 | 5.1× |
| Myocardial Spect Multiple Studies (78452) | $2,974.64 | $6,070.70 | 2.3× |
| Neck soft tissue (70360) | $111.82 | $228.20 | 1.3× |
| Nm csf leak detection (78650) | $1,769 | $3,610.20 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $304.71 | $621.85 | 2.9× |
| Nuclear Rx Oral Admin (79005) | $572.66 | $1,168.70 | 2.5× |
| Parathyroid Planar Imaging (78070) | $723.24 | $1,476 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $745.07 | $1,520.55 | 1.9× |
| Pelvis 1 or 2 views (72170) | $63.23 | $129.05 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $443.89 | $905.90 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $159.74 | $326 | 1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $708.79 | $1,446.50 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$78.11–$156.21 | $159.40–$318.80 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$120.71–$241.42 | $246.35–$492.70 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$130.17–$260.34 | $265.65–$531.30 | varies |
| Radex fingr minimum 2 views (73140) | $91.70 | $187.15 | 1.1× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$146.14–$292.29 | $298.25–$596.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$120.71–$241.42 | $246.35–$492.70 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $90.53 | $184.75 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $113.02 | $230.65 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $134.31 | $274.10 | 1.5× |
| Radex Ribs Unilateral 2 Views (71100) | $132.55 | $270.50 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$59.76–$119.51 | $121.95–$243.90 | varies |
| Radex Spine 1 View Specify Level (72020) | $138.45 | $282.55 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $113.61 | $231.85 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $207.10 | $422.65 | 2.4× |
| Radex Toe Minimum 2 Views (73660) | $67.45 | $137.65 | 0.8× |
| Radex upper extremity infant minimum 2 views (73092) | $73.97 | $150.95 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$140.88–$281.75 | $287.50–$575 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $198.21 | $404.50 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $200.58 | $409.35 | 1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $63.23 | $129.05 | 0.6× |
| Radiologic exam colon double contrast study (74280) | $430.15 | $877.85 | 2.5× |
| Radiologic exam colon single contrast study (74270) | $237.26 | $484.20 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$179.88–$359.76 | $367.10–$734.20 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $239.05 | $487.85 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $433.11 | $883.90 | 2.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $437.25 | $892.35 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$111.82–$223.64 | $228.20–$456.40 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$79.28–$158.56 | $161.80–$323.60 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $445.53 | $909.25 | 4.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$134.31–$268.62 | $274.10–$548.20 | varies |
| Ribs bilateral 3 views (71110) | $240.81 | $491.45 | 2.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $706.43 | $1,441.70 | 1.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $509.40 | $1,039.60 | 1.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,772.26 | $3,616.85 | 3.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $793.75 | $1,619.90 | 1.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,769 | $3,610.20 | 3.3× |
| Scapula (73010) range across 3 matching MRF lines |
$115.37–$230.74 | $235.45–$470.90 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $330.31 | $674.10 | 14.1× |
| Shoulder 1 view (73020) | $59.76 | $121.95 | 0.7× |
| Shoulder Arthrography (73040) | $781.60 | $1,595.10 | 2.2× |
| Skull less than 4 views (70250) | $129.58 | $264.45 | 1.2× |
| Sternoclavicular joints (71130) | $85.21 | $173.90 | 1.0× |
| Thoracic spine 2 views (72070) | $94.08 | $192 | 0.9× |
| Thoracic spine 3 views (72072) | $169.22 | $345.35 | 1.6× |
| Thyroid Imaging With Vascular Flow (78013) | $352.65 | $719.70 | 0.9× |
| Thyroid Uptake Measurement (78012) | $518.03 | $1,057.20 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $721.55 | $1,472.55 | 1.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$250.66–$501.32 | $511.55–$1,023.10 | varies |
| Ultrasound Exam Aaa Screen (76706) | $187.69 | $383.05 | 1.8× |
| Ultrasound, abdomen limited (76705) | $391.44 | $798.85 | 3.8× |
| Umbilical-artery Doppler (OB) (76820) | $178.43 | $364.15 | 1.7× |
| Upper gi w/o kub (74240) | $370.39 | $755.90 | 2.1× |
| Urethrocystogram voiding (74455) | $281.04 | $573.55 | 1.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$287.70–$575.41 | $587.15–$1,174.30 | varies |
| Us chest (76604) | $317.35 | $647.65 | 3.0× |
| Us exam, pelvic, limited (76857) | $273.52 | $558.20 | 2.6× |
| Us kidney transplant (76776) | $584.06 | $1,191.95 | 5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$273.52–$547.04 | $558.20–$1,116.40 | varies |
| Us ob limited 1 or more fetuses (76815) | $231.53 | $472.50 | 2.2× |
| Us ob transvaginal (76817) | $360.57 | $735.85 | 3.5× |
| Us pelvic non ob complete (76856) | $389.57 | $795.05 | 3.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $316.74 | $646.40 | 3.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $286.48 | $584.65 | 2.8× |
| Us retroperitoneal complete (76770) | $363.04 | $740.90 | 3.5× |
| Us retroperitoneal limited (76775) | $187.69 | $383.05 | 1.8× |
| Us scrotum and contents (76870) | $381.56 | $778.70 | 3.7× |
| Us thyroid (76536) | $275.36 | $561.95 | 2.6× |
| Us transrectal (76872) | $367.35 | $749.70 | 3.5× |
| Vascular Flow Imaging (78445) | $513.86 | $1,048.70 | 1.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$117.16–$234.32 | $239.10–$478.20 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $139.63 | $284.95 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $130.76 | $266.85 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $68.62 | $140.05 | 0.8× |
| X-Ray Exam Breast Specimen (76098) | $297.70 | $607.55 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $134.31 | $274.10 | 1.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $62.13 | $126.80 | 0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $177.50 | $362.25 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $310.64 | $633.95 | 3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $66.86 | $136.45 | 0.6× |
| X-Ray Exam L-S Spine Bending (72114) | $63.23 | $129.05 | 0.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $157.39 | $321.20 | 1.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $197.23 | $402.50 | 1.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $240.81 | $491.45 | 2.3× |
| X-ray eye for foreign body (70030) | $79.87 | $163 | 0.9× |
| X-ray humerus (73060) | $68.62 | $140.05 | 0.8× |
| X-ray IV pyelogram (ivp) (74400) | $256.20 | $522.85 | 1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $164.49 | $335.70 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $89.94 | $183.55 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $119.88 | $244.65 | 1.2× |
| X-ray nose-rectum child f.b. (76010) | $86.39 | $176.30 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $240.81 | $491.45 | 2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $104.74 | $213.75 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $132.55 | $270.50 | 1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $181.64 | $370.70 | 2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $82.25 | $167.85 | 0.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $256.20 | $522.85 | 0.7× |
| X-Rays Bone Length Studies (77073) | $297.01 | $606.15 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $221.87 | $452.80 | 2.1× |
| Xr c-spine 4 or 5 views (72050) | $185.20 | $377.95 | 1.8× |
| Xr facial bones less than 3 views (70140) | $182.82 | $373.10 | 2.1× |
| Xr orbits complete 4 views (70200) | $188.16 | $384 | 1.8× |
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.