Imaging prices at Byrd Regional Hospital
Leesville, LA · every code in this section with a posted price and a Medicare benchmark.
301 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) | $207.60 | $692 | 2.6× |
| Abdomen 2 views (74019) | $336 | $1,120 | 3.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $894.75 | $2,982.50 | 2.5× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $419.40 | $1,398 | 0.4× |
| Adrenal Cortex & Medulla Img (78075) | $2,342.40 | $7,808 | 2.0× |
| Angio pulmonary bilat (75743) | $2,017.95 | $6,726.50 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,017.95 | $6,726.50 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $2,017.95 | $6,726.50 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,017.95 | $6,726.50 | 0.7× |
| Ankle 2 views (73600) | $176.10 | $587 | 2.2× |
| Aortography thoracic serialography rs&i (75605) | $12,566.20 | $41,887.36 | 2.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,554 | $25,180 | 2.6× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,017.95 | $6,726.50 | 0.4× |
| Arthrogram ankle (73615) | $693.45 | $2,311.50 | 2.2× |
| Arthrogram hip (73525) | $693.45 | $2,311.50 | 2.2× |
| Arthrogram Wrist (73115) | $693.45 | $2,311.50 | 2.2× |
| Bone age studies (77072) | $379.80 | $1,266 | 4.0× |
| Bone Imaging 3 Phase (78315) | $1,523.25 | $5,077.50 | 4.2× |
| Bone Imaging Limited Area (78300) | $289.95 | $966.50 | 0.8× |
| Bone Imaging Multiple Areas (78305) | $928.35 | $3,094.50 | 2.6× |
| Bone Imaging Whole Body (78306) range across 4 matching MRF lines |
$693.15–$909.75 | $2,310.50–$3,032.50 | varies |
| Bone survey infant (77076) | $207.60 | $692 | 2.2× |
| Brain Image W/Flow < 4 Views (78601) | $289.95 | $966.50 | 0.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $848.40 | $2,828 | 1.7× |
| Brain Imaging Minimum 4 Static Views (78605) | $376.35 | $1,254.50 | 0.8× |
| Cat Scan Follow-Up Study (76380) | $774 | $2,580 | 9.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $376.35 | $1,254.50 | 0.8× |
| Chest 1 view (71045) | $178.05 | $593.50 | 2.3× |
| Chest 2 views (71046) | $210.60 | $702 | 2.7× |
| Chest 3 views (71047) range across 9 matching MRF lines |
$64.80–$215.85 | $216–$719.50 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$215.85–$234.45 | $719.50–$781.50 | varies |
| Clavicle complete (73000) | $203.25 | $677.50 | 2.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $113.66 | $378.88 | 1.2× |
| Contrast Exam Abdominl Aorta (75625) | $2,017.95 | $6,726.50 | 0.7× |
| Contrast X-Ray Bladder (74430) | $517.05 | $1,723.50 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $693.45 | $2,311.50 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $693.45 | $2,311.50 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,681 | $12,270 | 11.7× |
| CT abdomen and pelvis without contrast (74176) | $3,134.70 | $10,449 | 14.5× |
| CT abdomen w contrast (74160) | $1,493.70 | $4,979 | 9.4× |
| CT abdomen w wo contrast (74170) | $1,951.05 | $6,503.50 | 12.3× |
| CT abdomen w/o contrast (74150) | $1,493.70 | $4,979 | 15.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,857.20 | $9,524 | 9.0× |
| CT Angio Chest (71275) | $1,475.55 | $4,918.50 | 9.3× |
| CT Angio Head (70496) | $1,377 | $4,590 | 8.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,286.85 | $4,289.50 | 8.1× |
| CT Angio Neck (70498) | $1,377 | $4,590 | 8.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,286.85 | $4,289.50 | 8.1× |
| CT bone density (77078) | $94.11 | $313.72 | 1.2× |
| CT cervical spine w/ contrast (72126) | $1,725.90 | $5,753 | 5.5× |
| CT cervical spine w/o contrast (72125) | $1,725.90 | $5,753 | 18.2× |
| CT cervical spine w/wo cont (72127) | $2,131.80 | $7,106 | 13.4× |
| CT chest w contrast (71260) | $1,552.50 | $5,175 | 9.8× |
| CT chest w/wo contrast (71270) | $1,823.10 | $6,077 | 11.5× |
| CT head/brain with contrast (70460) | $1,426.80 | $4,756 | 9.0× |
| CT head/brain without and with contrast (70470) | $1,536.60 | $5,122 | 9.7× |
| CT iac w contrast (70481) | $1,412.10 | $4,707 | 8.9× |
| CT l-spine w&w/o contrast (72133) | $2,094.30 | $6,981 | 13.2× |
| CT lower ext w/o (73700) | $1,628.70 | $5,429 | 17.2× |
| CT lower extremity w/contrast material (73701) | $1,628.70 | $5,429 | 10.3× |
| CT lumbar spine w contrast (72132) | $1,725.90 | $5,753 | 5.5× |
| CT lumbar spine w/o contrast (72131) | $1,725.90 | $5,753 | 18.2× |
| CT maxillofacial w contrast (70487) | $1,106.25 | $3,687.50 | 7.0× |
| CT maxillofacial wo contrast (70486) | $1,463.55 | $4,878.50 | 15.5× |
| CT neck tissue combo (70492) | $774 | $2,580 | 4.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,673.85 | $5,579.50 | 10.5× |
| CT orbits w/o contrast (70480) | $1,412.10 | $4,707 | 14.9× |
| CT pelvis w&w/o contrast (72194) | $1,730.25 | $5,767.50 | 10.9× |
| CT pelvis w/o contrast (72192) | $1,640.40 | $5,468 | 17.3× |
| CT scan of leg combo (73702) | $1,743.75 | $5,812.50 | 11.0× |
| CT scans face/jaw combo (70488) | $1,740.90 | $5,803 | 11.0× |
| CT soft tissue neck w contrast (70491) | $774 | $2,580 | 4.9× |
| CT soft tissue neck w/o contrast (70490) | $774 | $2,580 | 8.2× |
| CT thoracic spine w contrast (72129) | $514.80 | $1,716 | 3.2× |
| CT thoracic spine w/o contrast (72128) | $1,493.70 | $4,979 | 15.8× |
| CT thoracic spine w/wo cont (72130) | $2,094.30 | $6,981 | 13.2× |
| CT thorax w/o contrast (71250) | $1,552.50 | $5,175 | 16.4× |
| CT upper ext wo (73200) | $1,628.70 | $5,429 | 17.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,727.85 | $5,759.50 | 10.9× |
| CT upper extremity with contrast (73201) | $1,628.70 | $5,429 | 5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,857.20 | $9,524 | 18.0× |
| Cta Abdomen (74175) | $1,428.45 | $4,761.50 | 9.0× |
| CTA pelvis (72191) | $1,428.45 | $4,761.50 | 9.0× |
| Discography Cerv/Thor Spine (72285) | $678.90 | $2,263 | 0.4× |
| Diskography lumbar (72295) | $678.90 | $2,263 | 0.4× |
| Dxa Bone Density Axial (77080) | $76.95 | $256.50 | 0.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $76.95 | $256.50 | 1.0× |
| Echo exam of fetal heart (76825) | $353.85 | $1,179.50 | 0.7× |
| Echo exam uterus (76831) | $302.40 | $1,008 | 1.4× |
| Echograp Trans R Pros Study (76873) | $397.35 | $1,324.50 | 4.2× |
| Esophageal Motility Study (78258) | $917.40 | $3,058 | 2.5× |
| Esophagram (74220) | $411.60 | $1,372 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $568.50 | $1,895 | 6.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $568.50 | $1,895 | 6.0× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$299.55–$337.50 | $998.50–$1,125 | varies |
| Foot 2 views (73620) | $175.50 | $585 | 2.2× |
| Forearm 2 views (73090) | $163.50 | $545 | 2.1× |
| Gastric emptying imaging study (78264) | $441.15 | $1,470.50 | 1.2× |
| Gastroesophageal Reflux Exam (78262) | $1,036.05 | $3,453.50 | 2.9× |
| Gated Heart Planar Single (78472) | $1,125.30 | $3,751 | 3.1× |
| Gated Heart, Multiple (78473) | $701.10 | $2,337 | 1.9× |
| Hand 2 views (73120) | $155.85 | $519.50 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $884.25 | $2,947.50 | 1.8× |
| Hepatobiliary System Imaging (78226) | $884.25 | $2,947.50 | 2.4× |
| Ht Muscle Image Spect Sing (78451) | $1,584.90 | $5,283 | 1.4× |
| Hysterosalpingogram (74740) | $137.25 | $457.50 | 0.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $284.25 | $947.50 | 3.6× |
| Infant hip ultrasound, limited static exam (76886) | $284.25 | $947.50 | 3.6× |
| K Flow/Funct Image Multiple (78709) | $684.15 | $2,280.50 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $495 | $1,650 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $495 | $1,650 | 1.0× |
| Kidney Imaging Morphol (78700) | $623.55 | $2,078.50 | 1.7× |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$247.50–$402.90 | $825–$1,343 | varies |
| Liver & Spleen Imaging Static Only (78215) | $778.65 | $2,595.50 | 2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $681.15 | $2,270.50 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) range across 6 matching MRF lines |
$376.35–$848.40 | $1,254.50–$2,828 | varies |
| Lymph System Imaging (78195) | $368.85 | $1,229.50 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $1,667.55 | $5,558.50 | 7.7× |
| Mammary ductogram or galactogram multiple (77054) | $375.45 | $1,251.50 | 1.7× |
| Mammary ductogram or galactogram single (77053) | $270.90 | $903 | 1.3× |
| Meckels Divert Exam (78290) | $796.35 | $2,654.50 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,196.15 | $7,320.50 | 7.0× |
| MRA head w/o contrast (70544) | $1,958.70 | $6,529 | 9.1× |
| MRA head with contrast (70545) | $2,196.15 | $7,320.50 | 7.0× |
| MRA neck w contrast (70548) | $1,966.95 | $6,556.50 | 6.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,300.25 | $7,667.50 | 7.3× |
| MRA neck w/o contrast (70547) | $1,966.95 | $6,556.50 | 9.1× |
| MRI abdomen w contrast (74182) | $2,049.75 | $6,832.50 | 6.5× |
| MRI abdomen w/o contrast (74181) | $1,958.70 | $6,529 | 9.1× |
| MRI any jt lower extrem w/contrast material (73722) | $825.75 | $2,752.50 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,406.75 | $8,022.50 | 7.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $825.75 | $2,752.50 | 1.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $708.75 | $2,362.50 | 3.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $520.35 | $1,734.50 | 2.4× |
| MRI cervical spine w contrast (72142) | $1,994.55 | $6,648.50 | 6.3× |
| MRI cervical spine w/o cont (72141) | $1,994.55 | $6,648.50 | 9.2× |
| MRI chest w/o contrast (71550) | $2,015.70 | $6,719 | 9.3× |
| MRI chest with contrast (71551) | $2,085.45 | $6,951.50 | 2.9× |
| MRI chest wo w contrast (71552) | $2,324.55 | $7,748.50 | 7.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $825.75 | $2,752.50 | 2.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,899 | $6,330 | 6.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,651.65 | $5,505.50 | 7.6× |
| MRI lumbar spine w contrast (72149) | $1,969.65 | $6,565.50 | 6.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,531.10 | $8,437 | 8.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,966.95 | $6,556.50 | 9.1× |
| MRI orbit face neck w contrast (70542) | $2,196.15 | $7,320.50 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,406.75 | $8,022.50 | 7.6× |
| MRI pelvis w contrast (72196) | $2,064.90 | $6,883 | 6.5× |
| MRI pelvis w/o & w contrast (72197) | $2,384.85 | $7,949.50 | 7.5× |
| MRI pelvis w/o contrast (72195) | $1,767 | $5,890 | 8.2× |
| MRI thoracic spine w/o contrast (72146) | $1,949.10 | $6,497 | 9.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $825.75 | $2,752.50 | 2.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,737.90 | $5,793 | 8.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,458.30 | $4,861 | 4.6× |
| MRI, abdomen, combo (74183) | $2,511.90 | $8,373 | 8.0× |
| MRI, dorsal spine combo (72157) | $2,489.40 | $8,298 | 7.9× |
| MRI, dorsal spine contrast (72147) | $1,949.10 | $6,497 | 6.2× |
| MRI, joint upper extrem (73221) range across 7 matching MRF lines |
$1,604.55–$2,085.45 | $5,348.50–$6,951.50 | varies |
| MRI, joint upper extrem combo (73223) | $2,406.75 | $8,022.50 | 7.6× |
| MRI, lumbar spine combo (72158) | $2,511.90 | $8,373 | 8.0× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $444.15 | $1,480.50 | 0.9× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$990.30–$1,584.90 | $3,301–$5,283 | varies |
| Neck soft tissue (70360) | $231.15 | $770.50 | 2.9× |
| Nonvascular Shunt X-Ray (75809) | $134.70 | $449 | 1.4× |
| Nuclear Rx Oral Admin (79005) | $76.95 | $256.50 | 0.4× |
| Optic foramina (70190) | $207.90 | $693 | 2.6× |
| Parathyroid Planar Imaging (78070) | $556.80 | $1,856 | 1.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $768.75 | $2,562.50 | 2.1× |
| Pelvis 1 or 2 views (72170) | $196.05 | $653.50 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $460.65 | $1,535.50 | 4.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $241.50 | $805 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $188.10 | $627 | 2.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $163.20 | $544 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $189.30 | $631 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $293.25 | $977.50 | 3.1× |
| Radex fingr minimum 2 views (73140) | $116.70 | $389 | 1.5× |
| Radex foot complete minimum 3 views (73630) range across 9 matching MRF lines |
$155.84–$243 | $519.48–$810 | varies |
| Radex Hand Minimum 3 Views (73130) | $163.50 | $545 | 2.1× |
| Radex lower extremity infant minimum 2 views (73592) | $196.95 | $656.50 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $284.25 | $947.50 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $163.20 | $544 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $237.75 | $792.50 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) | $226.80 | $756 | 2.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $189.30 | $631 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $76.95 | $256.50 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $217.95 | $726.50 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $265.95 | $886.50 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $145.20 | $484 | 1.8× |
| Radex upper extremity infant minimum 2 views (73092) | $175.50 | $585 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $169.80 | $566 | 2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $586.35 | $1,954.50 | 6.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $284.25 | $947.50 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $336.15 | $1,120.50 | 3.6× |
| Radiologic exam colon double contrast study (74280) | $798.30 | $2,661 | 5.0× |
| Radiologic exam colon single contrast study (74270) | $645 | $2,150 | 4.1× |
| Radiologic exam knee complete 4/more views (73564) range across 10 matching MRF lines |
$174.75–$429 | $582.50–$1,430 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $226.80 | $756 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $391.05 | $1,303.50 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $475.95 | $1,586.50 | 3.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$448.65–$656.40 | $1,495.50–$2,188 | varies |
| Radiologic examination femur 1 view (73551) | $256.35 | $854.50 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) | $256.35 | $854.50 | 3.3× |
| Radiologic examination knee 1/2 views (73560) range across 10 matching MRF lines |
$160.09–$209.10 | $533.66–$697 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $207.60 | $692 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $196.95 | $656.50 | 2.5× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $207.90 | $693 | 0.4× |
| Ribs bilateral 3 views (71110) | $260.40 | $868 | 2.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $879.60 | $2,932 | 2.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,076.25 | $3,587.50 | 3.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,342.40 | $7,808 | 4.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,173.45 | $3,911.50 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
$990.30–$1,270.95 | $3,301–$4,236.50 | varies |
| Scapula (73010) | $231.15 | $770.50 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $130.05 | $433.50 | 5.6× |
| Sella turcica (70240) | $178.05 | $593.50 | 2.3× |
| Shoulder 1 view (73020) | $207.60 | $692 | 2.6× |
| Shoulder Arthrography (73040) | $1,094.85 | $3,649.50 | 3.5× |
| Sialogram (70390) | $357.90 | $1,193 | 1.7× |
| Skull less than 4 views (70250) range across 7 matching MRF lines |
$231.15–$305.85 | $770.50–$1,019.50 | varies |
| Sternoclavicular joints (71130) | $144.90 | $483 | 1.8× |
| Temporomandble Jt Arthrography Rs&I (70332) | $420.15 | $1,400.50 | 1.9× |
| Testicular Imaging W/Flow (78761) | $788.40 | $2,628 | 2.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $134.55 | $448.50 | 0.8× |
| Thoracic spine 2 views (72070) | $231.15 | $770.50 | 2.4× |
| Thoracic spine 3 views (72072) | $284.25 | $947.50 | 3.0× |
| Thyroid Met Imaging Body (78018) | $885.90 | $2,953 | 1.8× |
| Thyroid Uptake Measurement (78012) | $289.95 | $966.50 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $545.25 | $1,817.50 | 1.5× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$406.05–$812.10 | $1,353.50–$2,707 | varies |
| Ultrasound Exam Aaa Screen (76706) | $251.40 | $838 | 2.7× |
| Ultrasound, abdomen limited (76705) | $517.05 | $1,723.50 | 5.5× |
| Umbilical-artery Doppler (OB) (76820) | $99 | $330 | 1.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $289.95 | $966.50 | 0.8× |
| Unlisted us procedure (76999) | $128.70 | $429 | 1.6× |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$448.65–$656.40 | $1,495.50–$2,188 | varies |
| Ureteral Reflux Study (78740) | $816.45 | $2,721.50 | 2.3× |
| Urethrocystogram voiding (74455) | $287.55 | $958.50 | 1.3× |
| Urethrocystography retrograde (74450) | $251.70 | $839 | 1.2× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$505.05–$1,009.95 | $1,683.50–$3,366.50 | varies |
| Us chest (76604) | $652.20 | $2,174 | 6.9× |
| Us complete joint (76881) | $226.20 | $754 | 2.4× |
| Us exam, pelvic, limited (76857) | $76.35 | $254.50 | 0.8× |
| Us head (76506) | $344.25 | $1,147.50 | 3.6× |
| Us kidney transplant (76776) | $128.70 | $429 | 1.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $113.10 | $377 | 1.2× |
| Us ob detailed single fetus (76811) | $363.60 | $1,212 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $284.25 | $947.50 | 3.0× |
| Us ob transvaginal (76817) | $317.25 | $1,057.50 | 3.4× |
| Us pelvic non ob complete (76856) | $623.55 | $2,078.50 | 6.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $296.85 | $989.50 | 3.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $353.85 | $1,179.50 | 3.7× |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$374.40–$517.05 | $1,248–$1,723.50 | varies |
| Us retroperitoneal limited (76775) | $295.50 | $985 | 3.1× |
| Us scrotum and contents (76870) | $580.65 | $1,935.50 | 6.1× |
| Us spinal canal and contents (76800) | $268.95 | $896.50 | 2.8× |
| Us thyroid (76536) | $284.25 | $947.50 | 3.0× |
| Us transrectal (76872) | $595.05 | $1,983.50 | 6.3× |
| Vascular Flow Imaging (78445) | $289.95 | $966.50 | 0.8× |
| Vein X-Ray Chest (75827) | $361.72 | $1,205.76 | 0.3× |
| Vein X-Ray Spleen/Liver (75810) | $2,222.55 | $7,408.50 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $2,134.95 | $7,116.50 | 0.7× |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$399.86–$1,002.90 | $1,332.88–$3,343 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$333.72–$668.25 | $1,112.40–$2,227.50 | varies |
| Venous thrombosis imaging (78457) | $928.35 | $3,094.50 | 1.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,624.50 | $5,415 | 4.5× |
| Wrist 2 views (73100) | $154.20 | $514 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $203.25 | $677.50 | 2.6× |
| X-ray antegrade pyelogram tube (74425) | $270.90 | $903 | 0.9× |
| X-Ray Aorta Leg Arteries (75630) | $2,017.95 | $6,726.50 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $231.15 | $770.50 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $171.75 | $572.50 | 2.2× |
| X-Ray Exam Breast Specimen (76098) | $221.85 | $739.50 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $293.25 | $977.50 | 3.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $293.25 | $977.50 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $586.35 | $1,954.50 | 6.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $163.50 | $545 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $198.30 | $661 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $256.35 | $854.50 | 2.7× |
| X-Ray Exam L-S Spine Bending (72114) | $411.30 | $1,371 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $231.15 | $770.50 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $322.05 | $1,073.50 | 3.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $303.75 | $1,012.50 | 3.2× |
| X-ray eye for foreign body (70030) | $64.80 | $216 | 0.8× |
| X-ray humerus (73060) | $189.30 | $631 | 2.4× |
| X-ray IV pyelogram (ivp) (74400) | $517.05 | $1,723.50 | 3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$174.75–$402.90 | $582.50–$1,343 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $231.15 | $770.50 | 2.4× |
| X-ray nose-rectum child f.b. (76010) | $144.90 | $483 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $241.50 | $805 | 2.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $231.15 | $770.50 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $231.15 | $770.50 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $305.85 | $1,019.50 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $305.85 | $1,019.50 | 3.2× |
| X-ray thoracic spine 4 vw (72074) | $305.85 | $1,019.50 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $514.05 | $1,713.50 | 1.6× |
| X-Rays Bone Length Studies (77073) | $379.80 | $1,266 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $207.30 | $691 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $322.05 | $1,073.50 | 3.4× |
| Xr facial bones less than 3 views (70140) | $293.25 | $977.50 | 3.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $217.95 | $726.50 | 2.3× |
| Xr orbits complete 4 views (70200) | $284.25 | $947.50 | 3.0× |
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.