Imaging prices at BronxCare Hospital Center
Bronx, NY · every code in this section with a posted price and a Medicare benchmark.
252 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) | $215.01 | $215.01 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,002.30 | $1,002.30 | 2.0× |
| Angiography extremity unilateral rs&i (75710) | $233 | $233 | 0.1× |
| Ankle 2 views (73600) | $215.01 | $215.01 | 2.0× |
| Artery X-Rays Abdomen (75726) | $13,159.58 | $13,159.58 | 1.9× |
| Artery X-Rays Pelvis (75736) | $13,159.58 | $13,159.58 | 1.9× |
| Bone age studies (77072) | $289.61 | $289.61 | 2.2× |
| Bone Imaging 3 Phase (78315) | $949.04 | $949.04 | 1.9× |
| Bone Imaging Whole Body (78306) | $949.04 | $949.04 | 1.9× |
| Bone survey infant (77076) | $289.61 | $289.61 | 2.2× |
| Brain Flow Imaging Only (78610) | $1,300.71 | $1,300.71 | 1.9× |
| Chest 1 view (71045) | $215.01 | $215.01 | 2.0× |
| Chest 2 views (71046) | $215.01 | $215.01 | 2.0× |
| Chest 3 views (71047) | $215.01 | $215.01 | 2.0× |
| Chest 4 or more views (71048) | $289.61 | $289.61 | 2.2× |
| Clavicle complete (73000) | $215.01 | $215.01 | 2.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $215 | $215 | 1.6× |
| Contrast Exam Abdominl Aorta (75625) | $8,567.64 | $8,567.64 | 2.2× |
| Contrast Xray Throat/Cerv Esopha (74210) | $474.54 | $474.54 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $978.38 | $978.38 | 2.2× |
| CT abdomen and pelvis without contrast (74176) | $611.64 | $611.64 | 2.1× |
| CT abdomen w contrast (74160) | $474.54 | $474.54 | 2.2× |
| CT abdomen w wo contrast (74170) | $474.54 | $474.54 | 2.2× |
| CT abdomen w/o contrast (74150) | $289.61 | $289.61 | 2.2× |
| CT Angio Chest (71275) | $474.54 | $474.54 | 2.2× |
| CT Angio Head (70496) | $474.54 | $474.54 | 2.2× |
| CT Angio Neck (70498) | $474.54 | $474.54 | 2.2× |
| CT cervical spine w/ contrast (72126) | $978.38 | $978.38 | 2.2× |
| CT cervical spine w/o contrast (72125) | $289.61 | $289.61 | 2.2× |
| CT cervical spine w/wo cont (72127) | $474.54 | $474.54 | 2.2× |
| CT chest w contrast (71260) | $474.54 | $474.54 | 2.2× |
| CT chest w/wo contrast (71270) | $474.54 | $474.54 | 2.2× |
| CT head/brain with contrast (70460) | $474.54 | $474.54 | 2.2× |
| CT head/brain without and with contrast (70470) | $474.54 | $474.54 | 2.2× |
| CT iac w contrast (70481) | $474.54 | $474.54 | 2.2× |
| CT l-spine w&w/o contrast (72133) | $474.54 | $474.54 | 2.2× |
| CT lower ext w/o (73700) | $289.61 | $289.61 | 2.2× |
| CT lower extremity w/contrast material (73701) | $474.54 | $474.54 | 2.2× |
| CT lumbar spine w contrast (72132) | $978.38 | $978.38 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $289.61 | $289.61 | 2.2× |
| CT maxillofacial w contrast (70487) | $474.54 | $474.54 | 2.2× |
| CT maxillofacial wo contrast (70486) | $289.61 | $289.61 | 2.2× |
| CT neck tissue combo (70492) | $474.54 | $474.54 | 2.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $474.54 | $474.54 | 2.2× |
| CT orbits w/o contrast (70480) | $289.61 | $289.61 | 2.2× |
| CT pelvis w&w/o contrast (72194) | $474.54 | $474.54 | 2.2× |
| CT pelvis w/o contrast (72192) | $289.61 | $289.61 | 2.2× |
| CT scan of leg combo (73702) | $474.54 | $474.54 | 2.2× |
| CT scans face/jaw combo (70488) | $474.54 | $474.54 | 2.2× |
| CT soft tissue neck w contrast (70491) | $474.54 | $474.54 | 2.2× |
| CT soft tissue neck w/o contrast (70490) | $289.61 | $289.61 | 2.2× |
| CT thoracic spine w contrast (72129) | $474.54 | $474.54 | 2.2× |
| CT thoracic spine w/o contrast (72128) | $289.61 | $289.61 | 2.2× |
| CT thoracic spine w/wo cont (72130) | $474.54 | $474.54 | 2.2× |
| CT thorax w/o contrast (71250) | $289.61 | $289.61 | 2.2× |
| CT upper ext wo (73200) | $289.61 | $289.61 | 2.2× |
| CT upper extremity w/o & w/contrast material (73202) | $474.54 | $474.54 | 2.2× |
| CT upper extremity with contrast (73201) | $978.38 | $978.38 | 2.2× |
| Cta Abdomen (74175) | $474.54 | $474.54 | 2.2× |
| CTA pelvis (72191) | $474.54 | $474.54 | 2.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $289.61 | $289.61 | 2.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $289.61 | $289.61 | 2.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $289.61 | $289.61 | 2.2× |
| Dxa Bone Density Axial (77080) | $289.61 | $289.61 | 2.2× |
| Echo exam of fetal heart (76825) | $1,283.41 | $1,283.41 | 1.9× |
| Echo exam uterus (76831) | $611.64 | $611.64 | 2.1× |
| Echo Guide For Artery Repair (76936) | $702.86 | $702.86 | 2.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $611.64 | $611.64 | 2.1× |
| Echograp Trans R Pros Study (76873) | $289.61 | $289.61 | 2.2× |
| Esophagram (74220) | $474.54 | $474.54 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $289.61 | $289.61 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $289.61 | $289.61 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $611.64 | $611.64 | 2.1× |
| Follow-Up Angiography (75898) | $8,086.64 | $8,086.64 | 2.1× |
| Foot 2 views (73620) | $215.01 | $215.01 | 2.0× |
| Forearm 2 views (73090) | $215.01 | $215.01 | 2.0× |
| Gastric emptying imaging study (78264) | $1,002.30 | $1,002.30 | 2.0× |
| Gated Heart Planar Single (78472) | $1,002.30 | $1,002.30 | 2.0× |
| Heart Image (Pet) Multiple (78492) | $3,934.41 | $3,934.41 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,002.30 | $1,002.30 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $3,279.74 | $3,279.74 | 2.0× |
| Hysterosalpingogram (74740) | $611.64 | $611.64 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $215.01 | $215.01 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $1,216.78 | $1,216.78 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,216.78 | $1,216.78 | 1.8× |
| Knee 3 Views (73562) | $205.74 | $205.74 | 1.9× |
| Liver & Spleen Imaging Static Only (78215) | $949.04 | $949.04 | 1.9× |
| Liver imaging w/vascular flow (78202) | $1,300.71 | $1,300.71 | 1.9× |
| Lung perfusion differential (78597) | $1,002.30 | $1,002.30 | 2.0× |
| Lung Ventilation Imaging (78579) | $1,002.30 | $1,002.30 | 2.0× |
| Lymph System Imaging (78195) | $1,300.71 | $1,300.71 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $611.64 | $611.64 | 2.1× |
| Meckels Divert Exam (78290) | $1,002.30 | $1,002.30 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) | $978.38 | $978.38 | 2.2× |
| MRA head w/o contrast (70544) | $611.64 | $611.64 | 2.1× |
| MRA head with contrast (70545) | $978.38 | $978.38 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $978.38 | $978.38 | 2.2× |
| MRA neck w/o contrast (70547) | $611.64 | $611.64 | 2.1× |
| MRI abdomen w contrast (74182) | $978.38 | $978.38 | 2.2× |
| MRI abdomen w/o contrast (74181) | $611.64 | $611.64 | 2.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,900.78 | $1,900.78 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $978.38 | $978.38 | 2.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,900.78 | $1,900.78 | 1.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $611.64 | $611.64 | 2.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $611.64 | $611.64 | 2.1× |
| MRI cervical spine w contrast (72142) | $978.38 | $978.38 | 2.2× |
| MRI cervical spine w/o cont (72141) | $611.64 | $611.64 | 2.1× |
| MRI chest w/o contrast (71550) | $611.64 | $611.64 | 2.1× |
| MRI chest wo w contrast (71552) | $978.38 | $978.38 | 2.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $978.38 | $978.38 | 2.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $978.38 | $978.38 | 2.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $611.64 | $611.64 | 2.1× |
| MRI lumbar spine w contrast (72149) | $978.38 | $978.38 | 2.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $978.38 | $978.38 | 2.2× |
| MRI orbit face &/neck w/o contrast (70540) | $611.64 | $611.64 | 2.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $978.38 | $978.38 | 2.2× |
| MRI pelvis w contrast (72196) | $978.38 | $978.38 | 2.2× |
| MRI pelvis w/o & w contrast (72197) | $978.38 | $978.38 | 2.2× |
| MRI pelvis w/o contrast (72195) | $611.64 | $611.64 | 2.1× |
| MRI thoracic spine w/o contrast (72146) | $611.64 | $611.64 | 2.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $611.64 | $611.64 | 2.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $978.38 | $978.38 | 2.2× |
| MRI, abdomen, combo (74183) | $978.38 | $978.38 | 2.2× |
| MRI, dorsal spine combo (72157) | $978.38 | $978.38 | 2.2× |
| MRI, dorsal spine contrast (72147) | $978.38 | $978.38 | 2.2× |
| MRI, joint upper extrem (73221) | $611.64 | $611.64 | 2.1× |
| MRI, lumbar spine combo (72158) | $978.38 | $978.38 | 2.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,279.74 | $3,279.74 | 2.0× |
| Myocardial Spect Multiple Studies (78452) | $3,279.74 | $3,279.74 | 2.0× |
| Neck soft tissue (70360) | $215.01 | $215.01 | 2.0× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$612.04–$663.43 | $612.04–$663.43 | varies |
| Ob us nuchal meas 1 gest (76813) | $289.61 | $289.61 | 2.2× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $289.61 | $289.61 | 2.2× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $289.61 | $289.61 | 2.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $289.61 | $289.61 | 2.2× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $65.56 | $65.56 | 1.8× |
| Optic foramina (70190) | $215.01 | $215.01 | 2.0× |
| Parathyroid Planar Imaging (78070) | $1,002.30 | $1,002.30 | 2.0× |
| Pelvis 1 or 2 views (72170) | $289.61 | $289.61 | 2.2× |
| Pet Image Skull-Thigh (78812) | $3,934.41 | $3,934.41 | 2.2× |
| PET image w/CT, full body (78816) | $3,934.41 | $3,934.41 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,934.41 | $3,934.41 | 2.2× |
| PET whole body (78813) | $3,934.41 | $3,934.41 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,002.30 | $1,002.30 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $289.61 | $289.61 | 2.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,283.41 | $1,283.41 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $215.01 | $215.01 | 2.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $215.01 | $215.01 | 2.0× |
| Radex elbow complete minimum 3 views (73080) | $215.01 | $215.01 | 2.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $289.61 | $289.61 | 2.2× |
| Radex fingr minimum 2 views (73140) | $215.01 | $215.01 | 2.0× |
| Radex foot complete minimum 3 views (73630) | $215.01 | $215.01 | 2.0× |
| Radex Hand Minimum 3 Views (73130) | $215.01 | $215.01 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) | $215.01 | $215.01 | 2.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $289.61 | $289.61 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $215.01 | $215.01 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $215.01 | $215.01 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) | $215.01 | $215.01 | 2.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $215.01 | $215.01 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $215.01 | $215.01 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $215.01 | $215.01 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $215.01 | $215.01 | 2.0× |
| Radex Toe Minimum 2 Views (73660) | $215.01 | $215.01 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) | $289.61 | $289.61 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $215.01 | $215.01 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $289.61 | $289.61 | 2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $289.61 | $289.61 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $474.54 | $474.54 | 2.2× |
| Radiologic exam colon single contrast study (74270) | $474.54 | $474.54 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) | $289.61 | $289.61 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $474.54 | $474.54 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $474.54 | $474.54 | 2.2× |
| Radiologic examination femur 1 view (73551) | $215.01 | $215.01 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $215.01 | $215.01 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $215.01 | $215.01 | 2.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $289.61 | $289.61 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $215.01 | $215.01 | 2.0× |
| Ribs bilateral 3 views (71110) | $289.61 | $289.61 | 2.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,002.30 | $1,002.30 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,279.74 | $3,279.74 | 4.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,470.90 | $3,470.90 | 5.1× |
| Scapula (73010) | $289.61 | $289.61 | 2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $22.24 | $22.24 | 1.0× |
| Sella turcica (70240) | $215.01 | $215.01 | 2.0× |
| Shoulder 1 view (73020) | $215.01 | $215.01 | 2.0× |
| Shoulder Arthrography (73040) | $978.38 | $978.38 | 2.2× |
| Skull less than 4 views (70250) | $289.61 | $289.61 | 2.2× |
| Speech evaluation, complex (70371) | $611.64 | $611.64 | 2.1× |
| Sternoclavicular joints (71130) | $215.01 | $215.01 | 2.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $474.54 | $474.54 | 2.2× |
| Thoracic spine 2 views (72070) | $289.61 | $289.61 | 2.2× |
| Thyroid Met Imaging Body (78018) | $1,300.71 | $1,300.71 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,002.30 | $1,002.30 | 2.0× |
| Ultrasound, abdomen limited (76705) | $289.61 | $289.61 | 2.2× |
| Umbilical-artery Doppler (OB) (76820) | $288.95 | $288.95 | 2.2× |
| Upper gi w/o kub (74240) | $474.54 | $474.54 | 2.2× |
| Urethrocystogram voiding (74455) | $611.64 | $611.64 | 2.1× |
| Us breast unilateral complete (76641) | $289.61 | $289.61 | 2.2× |
| Us chest (76604) | $289.61 | $289.61 | 2.2× |
| Us exam, pelvic, limited (76857) | $289.61 | $289.61 | 2.2× |
| Us head (76506) | $289.61 | $289.61 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $289.61 | $289.61 | 2.2× |
| Us ob detailed single fetus (76811) | $611.64 | $611.64 | 2.1× |
| Us ob limited 1 or more fetuses (76815) | $289.61 | $289.61 | 2.2× |
| Us ob transvaginal (76817) | $289.61 | $289.61 | 2.2× |
| Us pelvic non ob complete (76856) | $289.61 | $289.61 | 2.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $289.61 | $289.61 | 2.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $289.61 | $289.61 | 2.2× |
| Us retroperitoneal complete (76770) | $289.61 | $289.61 | 2.2× |
| Us retroperitoneal limited (76775) | $289.61 | $289.61 | 2.2× |
| Us scrotum and contents (76870) | $289.61 | $289.61 | 2.2× |
| Us spinal canal and contents (76800) | $289.61 | $289.61 | 2.2× |
| Us thyroid (76536) | $289.61 | $289.61 | 2.2× |
| Us transrectal (76872) | $289.61 | $289.61 | 2.2× |
| Venography caval inferior serialography rs&i (75825) | $8,086.64 | $8,086.64 | 2.1× |
| Venography extremity bilateral rs&i (75822) | $4,218.21 | $4,218.21 | 2.1× |
| Venography extremity unilateral rs&i (75820) | $4,218.21 | $4,218.21 | 2.1× |
| Wrist 2 views (73100) | $215.01 | $215.01 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $215.01 | $215.01 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $215.01 | $215.01 | 2.0× |
| X-Ray Exam Breast Specimen (76098) | $1,283.41 | $1,283.41 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $215.01 | $215.01 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $289.61 | $289.61 | 2.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $289.61 | $289.61 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $215.01 | $215.01 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $215.01 | $215.01 | 2.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $289.61 | $289.61 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $289.61 | $289.61 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $289.61 | $289.61 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $289.61 | $289.61 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $215.01 | $215.01 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $289.61 | $289.61 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $289.61 | $289.61 | 2.2× |
| X-ray humerus (73060) | $215.01 | $215.01 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $215.01 | $215.01 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $215.01 | $215.01 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $289.61 | $289.61 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $215.01 | $215.01 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $289.61 | $289.61 | 2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $289.61 | $289.61 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $289.61 | $289.61 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $215.01 | $215.01 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $215.01 | $215.01 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $289.61 | $289.61 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $289.61 | $289.61 | 2.2× |
| X-Ray Tmj Unilat (70328) | $215.01 | $215.01 | 2.0× |
| X-Rays Bone Length Studies (77073) | $289.61 | $289.61 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $289.61 | $289.61 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $289.61 | $289.61 | 2.2× |
| Xr facial bones less than 3 views (70140) | $215.01 | $215.01 | 2.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $289.61 | $289.61 | 2.2× |
| Xr orbits complete 4 views (70200) | $289.61 | $289.61 | 2.2× |
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.