Imaging prices at Big Bend Regional Medical Center
Alpine, TX · every code in this section with a posted price and a Medicare benchmark.
239 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) | $145.19 | $725.96 | 1.7× |
| Abdomen 2 views (74019) | $156.26 | $781.31 | 1.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$145.19–$148.07 | $725.96–$740.35 | varies |
| Arthrogram hip (73525) | $377.50 | $1,887.51 | 1.1× |
| Arthrogram Wrist (73115) | $377.50 | $1,887.51 | 1.1× |
| Bone age studies (77072) | $152.38 | $761.92 | 1.5× |
| Bone survey infant (77076) | $247.26 | $1,236.29 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $606.46 | $3,032.32 | 6.9× |
| Chest 1 view (71045) | $67.24 | $336.19 | 0.8× |
| Chest 2 views (71046) | $67.24 | $336.19 | 0.8× |
| Chest 4 or more views (71048) | $146.06 | $730.28 | 1.4× |
| Cholecystography Oral Contrast (74290) | $293.26 | $1,466.31 | 1.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$152.67–$163.59 | $763.35–$817.97 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $91.67 | $458.35 | 0.9× |
| Contrast X-Ray Bladder (74430) | $510.91 | $2,554.53 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $377.50 | $1,887.51 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,043.34 | $10,216.70 | 5.8× |
| CT abdomen and pelvis without contrast (74176) | $1,264.48 | $6,322.38 | 5.3× |
| CT abdomen w contrast (74160) | $858.79 | $4,293.97 | 4.9× |
| CT abdomen w wo contrast (74170) | $1,021.81 | $5,109.07 | 5.8× |
| CT abdomen w/o contrast (74150) | $632.24 | $3,161.18 | 6.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,300.09 | $11,500.44 | 6.6× |
| CT Angio Chest (71275) | $1,437.56 | $7,187.80 | 8.2× |
| CT Angio Head (70496) | $1,369.10 | $6,845.50 | 7.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,369.10–$2,190.56 | $6,845.50–$10,952.79 | varies |
| CT Angio Neck (70498) | $1,369.10 | $6,845.50 | 7.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,369.10–$2,190.56 | $6,845.50–$10,952.79 | varies |
| CT cervical spine w/ contrast (72126) | $858.79 | $4,293.97 | 2.5× |
| CT cervical spine w/o contrast (72125) | $632.24 | $3,161.18 | 6.0× |
| CT cervical spine w/wo cont (72127) | $1,021.81 | $5,109.07 | 5.8× |
| CT chest w contrast (71260) | $858.79 | $4,293.97 | 4.9× |
| CT chest w/wo contrast (71270) | $1,021.81 | $5,109.07 | 5.8× |
| CT head/brain with contrast (70460) | $858.79 | $4,293.97 | 4.9× |
| CT head/brain without and with contrast (70470) | $1,021.81 | $5,109.07 | 5.8× |
| CT iac w contrast (70481) | $858.79 | $4,293.97 | 4.9× |
| CT l-spine w&w/o contrast (72133) | $1,021.81 | $5,109.07 | 5.8× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$632.24–$691.46 | $3,161.18–$3,457.32 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$784.91–$844.13 | $3,924.54–$4,220.66 | varies |
| CT lumbar spine w contrast (72132) | $858.79 | $4,293.97 | 2.5× |
| CT lumbar spine w/o contrast (72131) | $632.24 | $3,161.18 | 6.0× |
| CT maxillofacial w contrast (70487) | $858.79 | $4,293.97 | 4.9× |
| CT maxillofacial wo contrast (70486) | $632.24 | $3,161.18 | 6.0× |
| CT neck tissue combo (70492) | $1,021.81 | $5,109.07 | 5.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,021.81 | $5,109.07 | 5.8× |
| CT orbits w/o contrast (70480) | $632.24 | $3,161.18 | 6.0× |
| CT pelvis w&w/o contrast (72194) | $1,021.81 | $5,109.07 | 5.8× |
| CT pelvis w/o contrast (72192) | $632.24 | $3,161.18 | 6.0× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$786.34–$845.57 | $3,931.72–$4,227.83 | varies |
| CT scans face/jaw combo (70488) | $1,021.81 | $5,109.07 | 5.8× |
| CT soft tissue neck w contrast (70491) | $858.79 | $4,293.97 | 4.9× |
| CT soft tissue neck w/o contrast (70490) | $858.79 | $4,293.97 | 8.2× |
| CT thoracic spine w contrast (72129) | $858.79 | $4,293.97 | 4.9× |
| CT thoracic spine w/o contrast (72128) | $632.24 | $3,161.18 | 6.0× |
| CT thoracic spine w/wo cont (72130) | $1,021.81 | $5,109.07 | 5.8× |
| CT thorax w/o contrast (71250) | $632.24 | $3,161.18 | 6.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$777.43–$836.66 | $3,887.15–$4,183.28 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,030.44–$1,089.67 | $5,152.20–$5,448.34 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$839.53–$898.76 | $4,197.66–$4,493.79 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,190.56 | $10,952.79 | 12.4× |
| Cta Abdomen (74175) | $1,437.56 | $7,187.80 | 8.2× |
| CTA pelvis (72191) | $1,437.56 | $7,187.80 | 8.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $302.46 | $1,512.32 | 2.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $335.53 | $1,677.63 | 3.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $84.53 | $422.65 | 0.8× |
| Echo exam of fetal heart (76825) | $335.53 | $1,677.63 | 0.6× |
| Echo exam uterus (76831) | $418.33 | $2,091.64 | 1.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $302.46 | $1,512.32 | 1.3× |
| Esophagram (74220) | $293.26 | $1,466.31 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $316.84 | $1,584.20 | 3.0× |
| Fluoroscopy up to 1 hr (76000) | $265.24 | $1,326.21 | 1.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$146.63–$205.86 | $733.15–$1,029.30 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$152.38–$159.85 | $761.92–$799.27 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$133.69–$146.06 | $668.45–$730.28 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $645.37 | $3,226.83 | 0.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $645.37 | $3,226.83 | 0.9× |
| Hysterosalpingogram (74740) | $690.23 | $3,451.16 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $198.38 | $991.92 | 2.3× |
| Infant hip ultrasound, limited static exam (76886) | $317.70 | $1,588.50 | 3.6× |
| Infusion Ivp (74410) | $510.91 | $2,554.53 | 2.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$168.77–$228 | $843.85–$1,139.98 | varies |
| Magnetic Image Jaw Joint (70336) | $727.26 | $3,636.32 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $703.85 | $3,519.27 | 2.0× |
| MRA head w/o contrast (70544) | $826.94 | $4,134.68 | 3.5× |
| MRA head with contrast (70545) | $517.52 | $2,587.60 | 1.5× |
| MRA neck w contrast (70548) | $603.77 | $3,018.87 | 1.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $703.85 | $3,519.27 | 2.0× |
| MRA neck w/o contrast (70547) | $626.50 | $3,132.50 | 2.6× |
| MRI abdomen w contrast (74182) | $671.96 | $3,359.78 | 1.9× |
| MRI abdomen w/o contrast (74181) | $692.08 | $3,460.40 | 2.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$402.52–$603.77 | $2,012.58–$3,018.87 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$758.07–$776.28 | $3,790.36–$3,881.40 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$402.52–$603.77 | $2,012.58–$3,018.87 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $345.01 | $1,725.06 | 1.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $345.01 | $1,725.06 | 1.4× |
| MRI cervical spine w contrast (72142) | $758.07 | $3,790.36 | 2.2× |
| MRI cervical spine w/o cont (72141) | $700.15 | $3,500.77 | 2.9× |
| MRI chest w/o contrast (71550) | $884.03 | $4,420.15 | 3.7× |
| MRI chest with contrast (71551) | $460.02 | $2,300.09 | 0.6× |
| MRI chest wo w contrast (71552) | $517.52 | $2,587.60 | 1.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$402.52–$603.77 | $2,012.58–$3,018.87 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$758.07–$776.28 | $3,790.36–$3,881.40 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$517.52–$703.85 | $2,587.60–$3,519.27 | varies |
| MRI lumbar spine w contrast (72149) | $758.07 | $3,790.36 | 2.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $758.07 | $3,790.36 | 2.2× |
| MRI orbit face &/neck w/o contrast (70540) | $703.85 | $3,519.27 | 2.9× |
| MRI orbit face neck w contrast (70542) | $690.02 | $3,450.12 | 2.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $758.07 | $3,790.36 | 2.2× |
| MRI pelvis w contrast (72196) | $460.02 | $2,300.09 | 1.3× |
| MRI pelvis w/o & w contrast (72197) | $758.07 | $3,790.36 | 2.2× |
| MRI pelvis w/o contrast (72195) | $703.85 | $3,519.27 | 2.9× |
| MRI thoracic spine w/o contrast (72146) | $692.08 | $3,460.40 | 2.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$402.52–$603.77 | $2,012.58–$3,018.87 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$517.52–$703.85 | $2,587.60–$3,519.27 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$758.07–$776.28 | $3,790.36–$3,881.40 | varies |
| MRI, abdomen, combo (74183) | $758.07 | $3,790.36 | 2.2× |
| MRI, dorsal spine combo (72157) | $758.07 | $3,790.36 | 2.2× |
| MRI, dorsal spine contrast (72147) | $758.07 | $3,790.36 | 2.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$517.52–$703.85 | $2,587.60–$3,519.27 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$758.07–$776.28 | $3,790.36–$3,881.40 | varies |
| MRI, lumbar spine combo (72158) | $758.07 | $3,790.36 | 2.2× |
| Neck soft tissue (70360) | $146.06 | $730.28 | 1.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $103.50 | $517.51 | 0.3× |
| Nonvascular Shunt X-Ray (75809) | $339.84 | $1,699.19 | 3.2× |
| Ob us nuchal meas 1 gest (76813) | $84.53 | $422.65 | 0.8× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $198.38 | $991.92 | 2.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $198.38 | $991.92 | 1.9× |
| Optic foramina (70190) | $175.67 | $878.34 | 2.0× |
| Pelvis 1 or 2 views (72170) | $146.06 | $730.28 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $247.26 | $1,236.29 | 2.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $339.84 | $1,699.19 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$167.33–$226.56 | $836.66–$1,132.78 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$152.38–$177.68 | $761.92–$888.42 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$168.77–$174.81 | $843.85–$874.05 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $167.91 | $839.53 | 1.6× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$127.37–$146.06 | $636.83–$730.28 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$159.85–$181.99 | $799.27–$909.95 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$160.43–$163.59 | $802.15–$817.97 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$146.63–$204.42 | $733.15–$1,022.09 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $167.91 | $839.53 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $146.06 | $730.28 | 1.7× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $265.95 | $1,329.73 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $175.67 | $878.34 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$163.59–$167.91 | $817.97–$839.53 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $146.06 | $730.28 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $175.67 | $878.34 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $160.43 | $802.15 | 1.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $229.15 | $1,145.73 | 2.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$159.85–$177.68 | $799.27–$888.42 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$133.41–$159.85 | $667.03–$799.27 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$159.85–$165.90 | $799.27–$829.48 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $291.03 | $1,455.16 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $167.91 | $839.53 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $167.33 | $836.66 | 1.6× |
| Radiologic exam colon double contrast study (74280) | $459.15 | $2,295.77 | 2.6× |
| Radiologic exam colon single contrast study (74270) | $305.05 | $1,525.23 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$190.91–$250.14 | $954.53–$1,250.70 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $305.05 | $1,525.23 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $459.07 | $2,295.37 | 2.6× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$146.06–$163.59 | $730.28–$817.97 | varies |
| Radiologic examination knee 1/2 views (73560) | $159.85 | $799.27 | 1.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $247.26 | $1,236.29 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$159.85–$219.09 | $799.27–$1,095.43 | varies |
| Ribs bilateral 3 views (71110) | $290.96 | $1,454.81 | 2.8× |
| Scapula (73010) range across 2 matching MRF lines |
$163.59–$167.91 | $817.97–$839.53 | varies |
| Sella turcica (70240) | $167.91 | $839.53 | 1.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$146.06–$163.59 | $730.28–$817.97 | varies |
| Shoulder Arthrography (73040) | $377.50 | $1,887.51 | 1.1× |
| Skull less than 4 views (70250) | $146.06 | $730.28 | 1.4× |
| Sternoclavicular joints (71130) | $175.67 | $878.34 | 2.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $172.51 | $862.53 | 1.0× |
| Thoracic spine 2 views (72070) | $152.67 | $763.35 | 1.5× |
| Thoracic spine 3 views (72072) | $167.91 | $839.53 | 1.6× |
| Thoracolumbar 2 views (72080) | $167.91 | $839.53 | 1.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$130.39–$179.94 | $651.96–$899.68 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$235.78–$250.14 | $1,178.90–$1,250.70 | varies |
| Ultrasound, abdomen limited (76705) | $131.68 | $658.42 | 1.3× |
| Umbilical-artery Doppler (OB) (76820) | $84.53 | $422.65 | 0.8× |
| Unlisted Dx Radiographic Procedure (76499) | $145.19 | $725.96 | 1.7× |
| Unlisted magnetic resonance procedure (76498) | $345.01 | $1,725.06 | 3.9× |
| Unlisted us procedure (76999) | $198.38 | $991.92 | 2.3× |
| Upper gi w/o kub (74240) | $459.07 | $2,295.37 | 2.6× |
| Urethrocystogram voiding (74455) | $511.01 | $2,555.04 | 2.1× |
| Us breast unilateral complete (76641) | $179.94 | $899.68 | 1.7× |
| Us chest (76604) | $316.84 | $1,584.20 | 3.0× |
| Us complete joint (76881) | $316.84 | $1,584.20 | 3.0× |
| Us exam, pelvic, limited (76857) | $198.38 | $991.92 | 1.9× |
| Us head (76506) | $84.53 | $422.65 | 0.8× |
| Us kidney transplant (76776) | $163.59 | $817.97 | 1.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $207.30 | $1,036.49 | 2.0× |
| Us ob detailed single fetus (76811) | $309.08 | $1,545.38 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $198.38 | $991.92 | 1.9× |
| Us ob transvaginal (76817) | $290.96 | $1,454.81 | 2.8× |
| Us pelvic non ob complete (76856) | $316.84 | $1,584.20 | 3.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $245.53 | $1,227.67 | 2.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $198.38 | $991.92 | 1.9× |
| Us retroperitoneal complete (76770) | $272.84 | $1,364.22 | 2.6× |
| Us retroperitoneal limited (76775) | $272.84 | $1,364.22 | 2.6× |
| Us scrotum and contents (76870) | $316.84 | $1,584.20 | 3.0× |
| Us spinal canal and contents (76800) | $77.63 | $388.15 | 0.7× |
| Us thyroid (76536) | $316.84 | $1,584.20 | 3.0× |
| Us transrectal (76872) | $317.70 | $1,588.50 | 3.0× |
| Vein X-Ray Chest (75827) | $1,740.59 | $8,702.96 | 1.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$145.48–$146.06 | $727.41–$730.28 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $190.91 | $954.53 | 2.2× |
| X-ray antegrade pyelogram tube (74425) | $510.91 | $2,554.53 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$161.30–$167.33 | $806.48–$836.66 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $145.52 | $727.58 | 1.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $218.28 | $1,091.38 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $146.06 | $730.28 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $152.82 | $764.10 | 1.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $229.23 | $1,146.14 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $236.53 | $1,182.63 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $236.53 | $1,182.63 | 2.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $473.06 | $2,365.30 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $59.23 | $296.14 | 0.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $146.06 | $730.28 | 1.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $248.41 | $1,242.06 | 2.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $167.91 | $839.53 | 1.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$160.43–$218.22 | $802.15–$1,091.11 | varies |
| X-ray IV pyelogram (ivp) (74400) | $510.91 | $2,554.53 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $146.06 | $730.28 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $167.33 | $836.66 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $167.91 | $839.53 | 1.6× |
| X-ray nose-rectum child f.b. (76010) | $60.67 | $303.34 | 0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $248.41 | $1,242.06 | 2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $175.67 | $878.34 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $160.43 | $802.15 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $146.06 | $730.28 | 1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $167.91 | $839.53 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $214.20 | $1,070.99 | 2.0× |
| X-Ray Stress View (77071) | $60.67 | $303.34 | 0.7× |
| X-ray thoracic spine 4 vw (72074) | $167.91 | $839.53 | 1.6× |
| X-Ray Tmj Unilat (70328) | $175.67 | $878.34 | 2.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$247.26–$345.01 | $1,236.29–$1,725.06 | varies |
| X-Rays Bone Survey Complete (77075) | $247.26 | $1,236.29 | 2.4× |
| Xr c-spine 4 or 5 views (72050) | $248.41 | $1,242.06 | 2.4× |
| Xr facial bones less than 3 views (70140) | $146.06 | $730.28 | 1.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $146.06 | $730.28 | 1.4× |
| Xr orbits complete 4 views (70200) | $175.67 | $878.34 | 1.7× |
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.