Imaging prices at Berkeley Medical Center

Martinsburg, WV · every code in this section with a posted price and a Medicare benchmark.

314 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $1,720.75 $3,441.50 1.3×
Abdomen 2 views (74019) $189.75 $379.50 1.9×
Acute gi blood loss imaging (78278) $752 $1,504 1.9×
Angiography extremity bilateral rs&i (75716) $3,250 $6,500 1.1×
Angiography extremity unilateral rs&i (75710) $3,132 $6,264 1.0×
Angiography pelvic slctv/supraslctv rs&i (75736) $3,250 $6,500 0.6×
Angiography pulmonary bilateral slctv rs&i (75743) $3,113.50 $6,227 1.0×
Angiography visceral slctv/supraslctv rs&i (75726) $3,250 $6,500 0.6×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $909.25 $1,818.50 0.3×
Ankle 2 views (73600) $192.50 $385 2.3×
Aortogram thoracic (75605) $5,039 $10,078 0.9×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $3,132 $6,264 1.0×
Aortography abdominal serialography rs&i (75625) $3,250 $6,500 1.1×
Basic dosimetry (77300) $2,150.25 $4,300.50 16.5×
Bone &/Joint Imaging Limited Area (78300) $696 $1,392 1.8×
Bone &/joint imaging whole body (78306) $725.75 $1,451.50 1.9×
Bone age studies (77072) $320.75 $641.50 3.2×
Bone Imaging 3 Phase (78315) $725.75 $1,451.50 1.9×
Bone survey complete (77075) $320.75 $641.50 3.2×
Bone survey infant (77076) $320.75 $641.50 3.2×
Bowel imaging (78290) $693 $1,386 1.8×
Brachytx isodose complex (77318) $440 $880 1.2×
Brachytx isodose intermed (77317) $458.75 $917.50 1.3×
Brachytx isodose pln smpl w/dosimetry cal (77316) $477.50 $955 1.3×
Brain Imaging Pet Metabolic Evaluation (78608) $3,350.25 $6,700.50 2.4×
Brain Imaging Vascular Flow Only (78610) $1,947.50 $3,895 3.7×
Card Bpi Gtd =Brm Plnr 1 Std Rest/Strs (78472) $889 $1,778 2.3×
Cervical spine 2 or 3 views (72040) $184.75 $369.50 2.2×
Chest 1 view (71045) $165.25 $330.50 2.0×
Chest xray 3 views (71047) $118.50 $237 1.4×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $402 $804 2.4×
Clavicle complete (73000) $273.25 $546.50 3.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $120 $240 1.2×
Continuing medical physics consltj pr wk (77336) $168.50 $337 1.3×
CT abdomen and pelvis without and with contrast (74178) $2,385.25 $4,770.50 7.1×
CT abdomen and pelvis without contrast (74176) $1,564.50 $3,129 6.8×
CT abdomen w contrast (74160) $1,049.50 $2,099 6.2×
CT abdomen w wo contrast (74170) $1,234 $2,468 7.3×
CT abdomen w/o contrast (74150) $822.50 $1,645 8.1×
CT angio hrt w/3d image (75574) $1,567.75 $3,135.50 4.6×
CT angio lwr extr w/o&w/dye (73706) $1,273 $2,546 7.5×
CT angiography upper extremity lt (73206) $1,231 $2,462 7.3×
CT c-spine w/contrast (72126) $1,081.50 $2,163 3.2×
CT c-spine w/o contrast (72125) $848 $1,696 8.4×
CT cervical spine w&w/o contrast (72127) $1,260 $2,520 7.4×
CT chest w contrast (71260) $1,049.25 $2,098.50 6.2×
CT chest w/wo contrast (71270) $1,234 $2,468 7.3×
CT head/brain with contrast (70460) $1,081.50 $2,163 6.4×
CT head/brain without and with contrast (70470) $1,260 $2,520 7.4×
CT heart contrast eval cardiac structure&morph (75572) $1,455 $2,910 4.3×
CT heart w/o contrast quant eval coronary calcium (75571) $111.50 $223 1.3×
CT iac w contrast (70481) $1,081.50 $2,163 6.4×
CT lower ext w/o (73700) $768.50 $1,537 7.6×
CT lower extremity w wo contrast (73702) $1,221 $2,442 7.2×
CT lower extremity w/contrast material (73701) $1,050 $2,100 6.2×
CT lumbar spine w & w/o contrast (72133) $1,221 $2,442 7.2×
CT lumbar spine w/contrast (72132) $1,049.25 $2,098.50 3.1×
CT lumbar spine w/o contrast (72131) $822.50 $1,645 8.1×
CT maxillofacial w contrast (70487) $1,081.50 $2,163 6.4×
CT maxillofacial w/wo contrast (70488) $1,313.75 $2,627.50 7.7×
CT maxillofacial wo contrast (70486) $781.50 $1,563 7.7×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,260 $2,520 7.4×
CT orbits w/o contrast (70480) $781.50 $1,563 7.7×
CT pelvis w/o contrast (72192) $790.25 $1,580.50 7.8×
CT pelvis w/wo contrast (72194) $1,221 $2,442 7.2×
CT scan of arm combo (73202) $1,221 $2,442 7.2×
CT soft tissue neck w contrast (70491) $1,081.50 $2,163 6.4×
CT soft tissue neck w/o & w/contrast material (70492) $1,260 $2,520 7.4×
CT soft tissue neck w/o contrast (70490) $781.50 $1,563 7.7×
CT thoracic spine w/contrast (72129) $1,049.25 $2,098.50 6.2×
CT thoracic spine w/o contrast (72128) $790.25 $1,580.50 7.8×
CT thoracic spine w/wo contrast (72130) $1,221 $2,442 7.2×
CT thorax w/o contrast (71250) $822.50 $1,645 8.1×
CT upper ext wo (73200) $765.50 $1,531 7.6×
CT upper extremity with contrast (73201) $1,049.25 $2,098.50 3.1×
Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) $1,221 $2,442 7.2×
Cta Abdomen (74175) $1,273 $2,546 7.5×
CTA abdomen pelvis (74174) $2,400 $4,800 7.1×
CTA chest (71275) $1,420.50 $2,841 8.4×
Cta Head (70496) $1,313.75 $2,627.50 7.7×
Cta Neck (70498) $1,313.75 $2,627.50 7.7×
Cta Pelvis (72191) $1,221 $2,442 7.2×
Cystography minimum 3 views rs&i (74430) $634.50 $1,269 1.9×
Diskography lumbar (72295) $2,244.50 $4,489 1.2×
Doppler Fetal Mid Cerebral Artery (76821) $148.75 $297.50 1.5×
Dxa bone density study 1/> sites axial skel (77080) $348.25 $696.50 3.4×
Dxa bone density study 1/>sites appendiclr skel (77081) $431.25 $862.50 5.1×
Dxa bone density study axial skeleton (77085) $777.25 $1,554.50 7.7×
Esophagus (74220) $402 $804 2.4×
Facial bones min 3 views (70150) $184.75 $369.50 1.8×
Fetal biophysical profile non-stress testing (76818) $191 $382 1.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $403.50 $807 4.0×
Fluoroscopy up to 1 hr (76000) $495.50 $991 2.1×
Foot 2 views (73620) $184.75 $369.50 2.2×
Forearm 2 views (73090) $192.50 $385 2.3×
Hand 2 views (73120) $192.50 $385 1.9×
Hdr rdncl ntrstl/intrcav brachytx 1 channel (77770) $854 $1,708 1.3×
Hdr rdncl ntrstl/intrcav brachytx 2-12 channel (77771) $854 $1,708 1.3×
Hdr rdncl ntrstl/intrcav brachytx >12 channels (77772) $854 $1,708 1.3×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $900.75 $1,801.50 1.7×
Hepatobiliary syst imaging including gallbladder (78226) $849.75 $1,699.50 2.2×
Hysterosalpingogram (74740) $1,046.50 $2,093 4.5×
Intracavitary Radiation Source Applic Complex (77763) $854 $1,708 1.3×
Intracavitary Radiation Source Applic Intermed (77762) $701 $1,402 1.3×
Intracavitary Radiation Source Applic Simple (77761) $701 $1,402 1.3×
Intraop radiaj tx deliver xray single tx session (77424) $9,274.50 $18,549 1.3×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,009 $2,018 1.9×
Kidney img morphology vascular flow 1 w/rx (78708) $969.25 $1,938.50 1.8×
Knee 3 views (73562) $192.50 $385 2.3×
Liver imaging static only (78201) $605.50 $1,211 1.2×
Liver imaging w/vascular flow (78202) $624 $1,248 1.2×
Lung perfusion differential (78597) $583 $1,166 1.5×
Lymphoscintigraphy (78195) $718 $1,436 1.4×
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) $1,353.50 $2,707 1.8×
Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) $1,786 $3,572 5.3×
Mammary ductogram or galactogram multiple (77054) $288.50 $577 1.3×
Mammary ductogram or galactogram single (77053) $288.50 $577 1.3×
Mlc imrt design & construction per imrt plan (77338) $458.75 $917.50 1.3×
Mr safety determination physician/other qhp (76016) $272 $544 3.2×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $27.50 $55 1.0×
Mr safety implt pos&/immoblj (76019) $67 $134 1.2×
Mr safety med physics xm customization plng&mntr (76017) $103.50 $207 0.4×
MRA head w & w/o contrast (70546) $1,869.75 $3,739.50 5.5×
MRA head w/o contrast (70544) $1,214.75 $2,429.50 5.3×
Mra Neck W/O &W/Contrast Material (70549) $1,869.75 $3,739.50 5.5×
MRA neck w/o contrast (70547) $1,264.50 $2,529 5.5×
MRI abdomen w contrast (74182) $1,353.50 $2,707 4.0×
MRI abdomen w/o & w/contrast material (74183) $1,786 $3,572 5.3×
MRI abdomen w/o contrast (74181) $1,161 $2,322 5.0×
MRI any jt lower extrem w/contrast material (73722) $1,353.50 $2,707 1.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,786 $3,572 5.3×
MRI breast w/o contrast bilateral (77047) $1,627.50 $3,255 7.1×
MRI c-spine with contrast (72142) $1,417 $2,834 4.2×
MRI cervical spine w/o contrast (72141) $1,214.75 $2,429.50 5.3×
MRI chest w/o & w/contrast material (71552) $1,859 $3,718 5.5×
MRI chest w/o contrast (71550) $1,113.50 $2,227 4.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,786 $3,572 5.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,161 $2,322 5.0×
MRI orbit face &/neck w/o contrast (70540) $1,214.75 $2,429.50 5.3×
MRI orbit/face/neck w&w/o cont (70543) $1,945.50 $3,891 5.8×
MRI pelvis w/o & w/contrast material (72197) $1,786 $3,572 5.3×
MRI pelvis w/o contrast (72195) $1,123.50 $2,247 4.9×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,869.75 $3,739.50 5.5×
MRI spinal canal lumbar w/contrast material (72149) $1,353.50 $2,707 4.0×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,786.50 $3,573 5.3×
MRI spinal canal thoracic w/contrast matrl (72147) $1,353.50 $2,707 4.0×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,786.50 $3,573 5.3×
MRI temporomandibular joint (70336) $1,161 $2,322 5.0×
MRI thoracic spine w/o contrast (72146) $1,161 $2,322 5.0×
MRI up ext w/o contrast (73218) $1,161 $2,322 5.0×
MRI upper ext joint w/o contrast (73221) $1,208.50 $2,417 5.2×
MRI, joint upper extrem combo (73223) $1,859 $3,718 5.5×
Myocardial Spect Multiple Studies (78452) $3,282.50 $6,565 2.6×
Myocardial spect single study at rest or stress (78451) $2,258.25 $4,516.50 1.8×
Neck soft tissue (70360) $189.75 $379.50 2.3×
Nm gastric emptying study (78264) $722.50 $1,445 1.9×
Ntsty modul radthx pln dose-vol histos (77301) $458.75 $917.50 0.3×
Nuclear Rx Oral Admin (79005) $776 $1,552 3.4×
Ob us nuchal meas 1 gest (76813) $139.25 $278.50 1.4×
Ophthalmic biometry by ultrasound echography, A-scan; Non-Facility (76516) $118 $236 1.2×
Parathyrd planar w/spect&CT (78072) $869.50 $1,739 1.7×
Parathyroid Planar Imaging (78070) $658 $1,316 1.7×
Pelvis 1 or 2 views (72170) $184.75 $369.50 1.8×
Peritoneogram after injection (74190) $843.50 $1,687 1.6×
PET image w/CT, skull-thigh (78815) $3,350.25 $6,700.50 2.4×
PET imaging for CT attenuation whole body (78816) $3,350.25 $6,700.50 2.4×
Pulmonary Perfusion Imaging Particulate (78580) $621.50 $1,243 1.6×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,816.75 $3,633.50 3.5×
Quan&charac c atherosclerotc plaq asses sev c ds (75577) $1,069.50 $2,139 1.2×
Radex abscess/fistula/sinus tract rs&i (76080) $414 $828 0.8×
Radex Ankle Compl Minimum 3 Views (73610) $192.50 $385 2.3×
Radex Calcaneus Minimum 2 Views (73650) $184.75 $369.50 2.2×
Radex Elbw Compl Minimum 3 Views (73080) $192.50 $385 2.3×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $188.25 $376.50 2.2×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $197.25 $394.50 2.0×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 4/5 Vw (72083) $195.50 $391 1.9×
Radex fingr minimum 2 views (73140) $192.50 $385 2.3×
Radex Foot Compl Minimum 3 Views (73630) $273.25 $546.50 3.2×
Radex Hand Minimum 3 Views (73130) $273.25 $546.50 3.2×
Radex Hip Unilateral With Pelvis 1 View (73501) $186 $372 2.2×
Radex Hip Unilateral With Pelvis Minimum 4 Views (73503) $203 $406 2.0×
Radex Hips Bilateral With Pelvis 2 Views (73521) $194 $388 1.9×
Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) $203 $406 2.0×
Radex Humerus Minimum 2 Views (73060) $192.50 $385 2.3×
Radex Kne 1/2 Views (73560) $192.50 $385 2.3×
Radex Kne Compl 4/More Views (73564) $192.50 $385 1.9×
Radex Mndbl Compl Minimum 4 Views (70110) $184.75 $369.50 1.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $184.75 $369.50 2.2×
Radex Pelvis Compl Minimum 3 Views (72190) $184.75 $369.50 1.8×
Radex Sho Compl Minimum 2 Views (73030) $273.25 $546.50 3.2×
Radex Sinuses Paransl < 3 Views (70210) $177 $354 2.1×
Radex Spine Lumbosacral Only Bending 2/3 Views (72120) $177 $354 1.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $192.50 $385 2.3×
Radex Toe Minimum 2 Views (73660) $192.50 $385 2.3×
Radex upper extremity infant minimum 2 views (73092) $192.50 $385 1.9×
Radex Wrst Compl Minimum 3 Views (73110) $184.75 $369.50 2.2×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $212.75 $425.50 2.1×
Radiation Delivery Stereotactic Cranial Linear (77372) $7,515.50 $15,031 1.1×
Radiation treatment delivery level 1 (77402) $754 $1,508 7.6×
Radiation treatment delivery level 2 (77407) $754 $1,508 2.0×
Radiation treatment delivery level 3 (77412) $574.75 $1,149.50 1.1×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $189.75 $379.50 2.3×
Radiologic exam chest 2 views (71046) $165.25 $330.50 2.0×
Radiologic exam colon single contrast study (74270) $418.50 $837 2.5×
Radiologic Exam Esophagus Double Contrast Study (74221) $383.25 $766.50 2.3×
Radiologic exam upr gi trc double contrast study (74246) $303 $606 1.8×
Radiologic exam upr gi trc single contrast study (74240) $402 $804 2.4×
Radiologic examination femur 1 view (73551) $180.50 $361 2.1×
Radiologic examination tibia & fibula 2 views (73590) $192.50 $385 2.3×
Radiologic examination, mastoids; complete, minimum of 3 views per side Non-Facility (70130) $177 $354 1.8×
Radiological examination surgical specimen (76098) $403 $806 0.8×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $312.50 $625 0.8×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $288 $576 0.8×
Ribs bilateral 3 views (71110) $184.75 $369.50 1.8×
Rp Loclzj Tum Plnr 1 Area Single Day Imaging (78800) $826.75 $1,653.50 2.1×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,986.50 $5,973 5.7×
Rp loclzj tum spect 1 area single day imaging (78803) $2,869.50 $5,739 5.5×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $3,186 $6,372 2.3×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $2,928 $5,856 2.3×
Rp therapy intra-arterial particulate admn (79445) $560.50 $1,121 2.5×
Rp Therapy Intravenous Administration (79101) $616 $1,232 2.7×
Scapula (73010) $184.75 $369.50 1.8×
Screening Digital Breast Tomosynthesis Bi (77063) $57.50 $115 2.5×
Shoulder 1 view (73020) $192.50 $385 2.3×
Simulation intermediate (77285) $458.75 $917.50 1.3×
Small bowel series (74250) $402 $804 2.4×
Spec telethx port pln parts hemibdy tot bdy (77321) $168.50 $337 0.5×
Special dosimetry (77331) $175.50 $351 1.4×
Special Physics Consult (77370) $161.50 $323 1.2×
Special treatment procedure (77470) $628.25 $1,256.50 1.2×
Spine thoracic 3 views (72072) $184.75 $369.50 1.8×
Stereotactic Body Radiation Delivery (77373) $2,125 $4,250 1.2×
Superior sagittal sinus venogram (75870) $2,869.50 $5,739 0.9×
Telethx isodose pln cplx w/basic dosimetry (77307) $440 $880 1.2×
Telethx isodose pln smpl w/dosimetry calculation (77306) $477.50 $955 1.3×
Ther rad simulaj-aided field setting complex (77290) $458.75 $917.50 1.3×
Ther rad simulaj-aided field setting simple (77280) $168.50 $337 1.3×
Thoracolumbar 2 views (72080) $184.75 $369.50 2.2×
Thyroid carcinoma metastases img whole body (78018) $657 $1,314 1.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $631 $1,262 1.6×
Treatment device complex (77334) $175.50 $351 0.5×
Treatment device intermediate (77333) $477.50 $955 3.7×
Treatment devices simple (77332) $175.50 $351 1.4×
Ultrasound breast complete (76641) $301.25 $602.50 3.0×
Ultrasound Exam Aaa Screen (76706) $388.50 $777 3.8×
Ultrasound, abdomen limited (76705) $420.25 $840.50 4.2×
Umbilical-artery Doppler (OB) (76820) $927.75 $1,855.50 9.2×
Unlisted fluoroscopic procedure (76496) $192.50 $385 2.3×
Unlisted magnetic resonance procedure (76498) $2,009 $4,018 23.9×
Unlisted Procedure Clinical Brachytherapy (77799) $143 $286 1.4×
Urethrocystogram voiding (74455) $660.50 $1,321 2.9×
Urethrocystography retrograde rs&i (74450) $634.50 $1,269 2.7×
Us breast unilateral limited (76642) $301.25 $602.50 3.6×
Us chest (76604) $420.25 $840.50 4.2×
Us encephalogram (76506) $403.50 $807 4.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $323.50 $647 3.2×
Us ob detailed single fetus (76811) $471.25 $942.50 2.0×
Us ob limited (76815) $247.50 $495 2.4×
Us ob transvaginal (76817) $120.50 $241 1.2×
Us pelvic non ob complete (76856) $420.75 $841.50 4.2×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $260.75 $521.50 2.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $452 $904 4.5×
Us pg uter r-t img f-up tabdl appr pr fetus (76816) $266.50 $533 2.6×
Us retroperitoneal complete (76770) $420.75 $841.50 4.2×
Us retroperitoneal limited (76775) $420.75 $841.50 4.2×
Us scrotum and contents (76870) $438 $876 4.3×
Us soft tissue head/neck (76536) $420.75 $841.50 4.2×
Us spinal canal and contents (76800) $421.25 $842.50 4.2×
Us transrectal (76872) $272.50 $545 2.7×
Us transrectal prostate volume (76873) $131 $262 1.3×
Us, eye b-scan (76512) $197.25 $394.50 2.0×
Us,transplanted kidney, real time/ doppler (76776) $403.50 $807 4.0×
Venogram extremity bilateral (75822) $1,205 $2,410 0.8×
Venogram Extremity Unilateral (75820) $1,205 $2,410 0.8×
Venography caval inferior serialography rs&i (75825) $2,909 $5,818 1.0×
Venography caval superior serialography rs&i (75827) $2,032 $4,064 1.3×
Venography Orbital Rs&I (75880) $3,363 $6,726 5.5×
Venography venous sinus/jugular cath rs&i (75860) $2,869.50 $5,739 0.9×
Wrist 2 views (73100) $192.50 $385 2.3×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $329.50 $659 3.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $177 $354 2.1×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $586.50 $1,173 3.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $192.50 $385 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $190.50 $381 2.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $207 $414 2.0×
X-ray exam of femur 2/> (73552) $200 $400 2.4×
X-ray eye for foreign body (70030) $200.50 $401 2.4×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $184.75 $369.50 2.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $177 $354 2.1×
X-ray leg, infant (73592) $461.25 $922.50 5.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $184.75 $369.50 1.8×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $334 $668 3.3×
X-ray nose-rectum child f.b. (76010) $189.75 $379.50 2.3×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $177 $354 1.8×
X-ray retrograde pyelogram (74420) $634.50 $1,269 1.9×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $184.75 $369.50 2.2×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $184.75 $369.50 1.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $320.75 $641.50 3.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $184.75 $369.50 1.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $184.75 $369.50 2.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $184.75 $369.50 2.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $307.50 $615 3.0×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $192.50 $385 1.9×
X-Ray Small Bowel Enteroclysis (74251) $562.50 $1,125 3.3×
X-Ray Spine One View - Xr Spine (72020) $184.75 $369.50 2.2×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $184.75 $369.50 2.2×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $177 $354 2.1×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $177 $354 1.8×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $184.75 $369.50 1.8×
Xr bone length studies (77073) $177 $354 1.8×
Xr c-spine 4 or 5 views (72050) $320.75 $641.50 3.2×
Xr c-spine 6 or more views (72052) $320.75 $641.50 3.2×
Xr chest 4+ views (71048) $172 $344 1.7×
Xr urogram antegrade (74425) $342.50 $685 1.0×