Imaging prices at Blue Mountain Hospital
John Day, OR · every code in this section with a posted price and a Medicare benchmark.
219 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) range across 2 matching MRF lines |
$217.50–$297 | $290–$396 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$323.25–$365.25 | $431–$487 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$242.25–$254.25 | $323–$339 | varies |
| Arthrogram ankle (73615) | $288 | $384 | 0.7× |
| Arthrogram hip (73525) | $900 | $1,200 | 2.3× |
| Arthrogram Wrist (73115) | $728.25 | $971 | 1.9× |
| Bone survey infant (77076) | $391.50 | $522 | 3.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$255–$262.50 | $340–$350 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$264.75–$324.75 | $353–$433 | varies |
| Chest 3 views (71047) | $411.75 | $549 | 4.3× |
| Chest 4 or more views (71048) | $339.75 | $453 | 2.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$197.25–$278.25 | $263–$371 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,581.75 | $2,109 | 13.6× |
| Contrast X-Ray Of Elbow (73085) | $288 | $384 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $893.25 | $1,191 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,921.50–$5,079.75 | $6,562–$6,773 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,508.50–$3,816 | $4,678–$5,088 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$2,004–$2,459.25 | $2,672–$3,279 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$2,043–$2,831.25 | $2,724–$3,775 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$1,534.50–$2,242.50 | $2,046–$2,990 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,338.25–$4,702.50 | $4,451–$6,270 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,376–$2,620.50 | $3,168–$3,494 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,430–$2,860.50 | $3,240–$3,814 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,424–$3,090.75 | $3,232–$4,121 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,413.50–$2,857.50 | $3,218–$3,810 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,280.75 | $3,041 | 11.7× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,094–$2,783.25 | $2,792–$3,711 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,615.50–$2,246.25 | $2,154–$2,995 | varies |
| CT cervical spine w/wo cont (72127) | $2,157.75 | $2,877 | 11.1× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$1,994.25–$2,364 | $2,659–$3,152 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$2,043–$2,864.25 | $2,724–$3,819 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,554.75–$2,154.75 | $2,073–$2,873 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,821.75–$2,456.25 | $2,429–$3,275 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,727.25–$2,516.25 | $2,303–$3,355 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,232.75–$2,385 | $2,977–$3,180 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,113.75–$2,104.50 | $1,485–$2,806 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,554.75–$2,365.50 | $2,073–$3,154 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$2,033.25–$2,478 | $2,711–$3,304 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,776–$2,181 | $2,368–$2,908 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,554.75–$2,110.50 | $2,073–$2,814 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,182.75–$1,780.50 | $1,577–$2,374 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$1,851–$2,583.75 | $2,468–$3,445 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$2,055.75–$2,325 | $2,741–$3,100 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,251–$2,235.75 | $1,668–$2,981 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,698.75–$2,736.75 | $2,265–$3,649 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,348.50–$2,205 | $1,798–$2,940 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,719–$2,869.50 | $2,292–$3,826 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,767.75–$2,392.50 | $2,357–$3,190 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$1,655.25–$2,259 | $2,207–$3,012 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$1,235.25–$1,968.75 | $1,647–$2,625 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,774.50–$2,220 | $2,366–$2,960 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,616.25–$2,246.25 | $2,155–$2,995 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,863.75–$2,437.50 | $2,485–$3,250 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,528.50–$2,176.50 | $2,038–$2,902 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,020.75–$1,968.75 | $1,361–$2,625 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,651.50–$2,539.50 | $2,202–$3,386 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,554.75–$2,162.25 | $2,073–$2,883 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,787.75 | $3,717 | 14.3× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,580–$3,073.50 | $3,440–$4,098 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$2,203.50–$2,430 | $2,938–$3,240 | varies |
| CTA pelvis (72191) | $2,157 | $2,876 | 11.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$453.75–$494.25 | $605–$659 | varies |
| Dxa bone density study (77085) | $392.25 | $523 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$254.25–$468 | $339–$624 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$424.50–$652.50 | $566–$870 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $390 | $520 | 3.4× |
| Fluoroscopy up to 1 hr (76000) | $434.25 | $579 | 1.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$242.25–$249 | $323–$332 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$238.50–$274.50 | $318–$366 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$238.50–$252 | $318–$336 | varies |
| Joint Survey Single View (77077) | $276 | $368 | 2.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$276.75–$348.75 | $369–$465 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,814.25–$3,067.50 | $2,419–$4,090 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$2,391.75–$5,442 | $3,189–$7,256 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,160–$3,096.75 | $2,880–$4,129 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$1,902–$5,021.25 | $2,536–$6,695 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,914–$2,828.25 | $2,552–$3,771 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,391.75–$3,705.75 | $3,189–$4,941 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,160–$2,790 | $2,880–$3,720 | varies |
| MRI abdomen w contrast (74182) | $2,371.50 | $3,162 | 6.1× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,371.50–$2,941.50 | $3,162–$3,922 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,884.75–$2,384.25 | $2,513–$3,179 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,407.50–$3,122.25 | $3,210–$4,163 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,371.50 | $3,162 | 2.7× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,332.50–$3,378.75 | $3,110–$4,505 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,142–$3,207.75 | $2,856–$4,277 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,582.50–$3,298.50 | $2,110–$4,398 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,750.50–$4,184.25 | $2,334–$5,579 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,077.50–$3,417.75 | $2,770–$4,557 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,521–$1,727.25 | $2,028–$2,303 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,964.75 | $3,953 | 7.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,076.75 | $2,769 | 7.8× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,154–$4,106.25 | $2,872–$5,475 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,333.75–$3,900.75 | $4,445–$5,201 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,704.50 | $3,606 | 10.2× |
| MRI orbit face neck w contrast (70542) | $2,115 | $2,820 | 5.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$2,652.75–$3,486 | $3,537–$4,648 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,154–$3,351 | $2,872–$4,468 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,982–$3,842.25 | $3,976–$5,123 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,144.25–$2,826 | $2,859–$3,768 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,304.75–$3,228 | $3,073–$4,304 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,521 | $2,028 | 3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,076.75 | $2,769 | 7.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,175 | $2,900 | 5.6× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,640.75–$3,843.75 | $3,521–$5,125 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,333.75–$3,889.50 | $4,445–$5,186 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,332.50–$3,895.50 | $3,110–$5,194 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,076.75–$2,308.50 | $2,769–$3,078 | varies |
| MRI, joint upper extrem combo (73223) | $4,155 | $5,540 | 10.7× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,113.25–$3,792.75 | $4,151–$5,057 | varies |
| Myelogram Lumbar (72265) | $1,807.50 | $2,410 | 2.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$207–$297 | $276–$396 | varies |
| Optic foramina (70190) | $208.50 | $278 | 2.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$202.50–$318.75 | $270–$425 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $451.50 | $602 | 3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$248.25–$313.50 | $331–$418 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$225–$243.75 | $300–$325 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$264–$324 | $352–$432 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$400.50–$509.25 | $534–$679 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$190.50–$247.50 | $254–$330 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$255–$327 | $340–$436 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$255–$309.75 | $340–$413 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $151.50 | $202 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $265.50 | $354 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$264.75–$309.75 | $353–$413 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$327.75–$328.50 | $437–$438 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$256.50–$327 | $342–$436 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$208.50–$273 | $278–$364 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,064.25 | $1,419 | 5.5× |
| Radex Spine 1 View Specify Level (72020) | $179.25 | $239 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$250.50–$306.75 | $334–$409 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$411.75–$451.50 | $549–$602 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$193.50–$228 | $258–$304 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $122.25 | $163 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$255–$309.75 | $340–$413 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $542.25 | $723 | 4.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$227.25–$368.25 | $303–$491 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$645–$1,114.50 | $860–$1,486 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$582.75–$906 | $777–$1,208 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $678.75 | $905 | 3.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$377.25–$390 | $503–$520 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$372–$374.25 | $496–$499 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $425.25 | $567 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $605.25 | $807 | 3.1× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$687.75–$940.50 | $917–$1,254 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$243–$298.50 | $324–$398 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$244.50–$321 | $326–$428 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$244.50–$305.25 | $326–$407 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $480.75 | $641 | 4.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$246.75–$285 | $329–$380 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$375.75–$432 | $501–$576 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$291.75–$300.75 | $389–$401 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $76.50 | $102 | 3.3× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$168–$238.50 | $224–$318 | varies |
| Shoulder Arthrography (73040) | $897.75 | $1,197 | 2.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$289.50–$303.75 | $386–$405 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$201–$247.50 | $268–$330 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$273.75–$353.25 | $365–$471 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$318–$471 | $424–$628 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$303–$328.50 | $404–$438 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$204–$303.75 | $272–$405 | varies |
| Ultrasound Exam Aaa Screen (76706) | $338.25 | $451 | 2.9× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$423.75–$638.25 | $565–$851 | varies |
| Umbilical-artery Doppler (OB) (76820) | $378 | $504 | 3.3× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$533.25–$940.50 | $711–$1,254 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$405.75–$524.25 | $541–$699 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$267.75–$540.75 | $357–$721 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$444.75–$509.25 | $593–$679 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$444.75–$491.25 | $593–$655 | varies |
| Us head (76506) | $233.25 | $311 | 2.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $423 | $564 | 3.6× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$518.25–$684.75 | $691–$913 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$349.50–$422.25 | $466–$563 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$411–$557.25 | $548–$743 | varies |
| Us pelvic non ob complete (76856) | $498 | $664 | 4.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$446.25–$637.50 | $595–$850 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$363.75–$387 | $485–$516 | varies |
| Us retroperitoneal complete (76770) | $551.25 | $735 | 4.7× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$427.50–$552 | $570–$736 | varies |
| Us scrotum and contents (76870) | $498 | $664 | 4.3× |
| Us spinal canal and contents (76800) | $484.50 | $646 | 4.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$468–$577.50 | $624–$770 | varies |
| Vertebral fracture assessment via dxa (77086) | $171.75 | $229 | 1.8× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$213–$248.25 | $284–$331 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$256.50–$271.50 | $342–$362 | varies |
| X-Ray Bend Only L-S Spine (72120) | $303.75 | $405 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$242.25–$267 | $323–$356 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$255–$294.75 | $340–$393 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$375–$437.25 | $500–$583 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $495 | $660 | 4.3× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$225–$255 | $300–$340 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$250.50–$324 | $334–$432 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $395.25 | $527 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $330 | $440 | 2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $423.75 | $565 | 3.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $537 | $716 | 4.6× |
| X-Ray Exam L-S Spine Bending (72114) | $462.75 | $617 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$252–$336 | $336–$448 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $446.25 | $595 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$343.50–$397.50 | $458–$530 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$134.25–$255 | $179–$340 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$239.25–$294.75 | $319–$393 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $321 | $428 | 3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $361.50 | $482 | 3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$294.75–$431.25 | $393–$575 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$196.50–$312 | $262–$416 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$412.50–$483 | $550–$644 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $341.25 | $455 | 2.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$266.25–$357 | $355–$476 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$226.50–$306.75 | $302–$409 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$295.50–$385.50 | $394–$514 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$375.75–$429 | $501–$572 | varies |
| X-ray thoracic spine 4 vw (72074) | $381 | $508 | 3.3× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$186.75–$237 | $249–$316 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$774.75–$846 | $1,033–$1,128 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$375–$474.75 | $500–$633 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$188.25–$273.75 | $251–$365 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$216–$356.25 | $288–$475 | varies |
| Xr orbits complete 4 views (70200) | $242.25 | $323 | 2.1× |
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.