Imaging prices at Caldwell Medical Center
Princeton, KY · every code in this section with a posted price and a Medicare benchmark.
247 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) | $230.95 | $307.93 | 2.8× |
| Abdomen 2 views (74019) | $384.01 | $512.01 | 3.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $827.39 | $1,103.18 | 2.2× |
| Ankle 2 views (73600) | $78.26 | $104.34 | 1.0× |
| Bone age studies (77072) | $214.72 | $286.29 | 2.2× |
| Bone Imaging 3 Phase (78315) | $352.85 | $470.47 | 0.9× |
| Bone Imaging Limited Area (78300) | $464.17 | $618.89 | 1.2× |
| Bone Imaging Multiple Areas (78305) | $659.51 | $879.34 | 1.8× |
| Bone Imaging Whole Body (78306) | $983.38 | $1,311.17 | 2.6× |
| Bone survey infant (77076) | $152.74 | $203.65 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $675.98 | $901.30 | 1.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $738.22 | $984.29 | 1.4× |
| Cat Scan Follow-Up Study (76380) | $674.17 | $898.89 | 8.3× |
| Chest 1 view (71045) | $206.25 | $275 | 2.5× |
| Chest 2 views (71046) | $227.54 | $303.39 | 2.8× |
| Chest 3 views (71047) | $174.17 | $232.23 | 2.1× |
| Chest 4 or more views (71048) | $73.76 | $98.35 | 0.8× |
| Clavicle complete (73000) | $131.05 | $174.73 | 1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $210.40 | $280.53 | 2.1× |
| CT abdomen and pelvis without and with contrast (74178) | $4,406.22 | $5,874.96 | 13.5× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,625.87–$2,704.64 | $3,501.16–$3,606.19 | varies |
| CT abdomen w contrast (74160) | $1,743.09 | $2,324.12 | 10.6× |
| CT abdomen w wo contrast (74170) | $2,336.30 | $3,115.06 | 14.2× |
| CT abdomen w/o contrast (74150) | $881.12 | $1,174.83 | 9.0× |
| CT Angio Abdomen and Pelvis (74174) | $4,630.43 | $6,173.91 | 14.1× |
| CT Angio Chest (71275) | $2,822.28 | $3,763.04 | 17.1× |
| CT Angio Head (70496) | $898.33 | $1,197.77 | 5.5× |
| CT angio hrt w/3d image (75574) | $2,586.21 | $3,448.28 | 7.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $853.43 | $1,137.91 | 5.2× |
| CT Angio Neck (70498) | $897.80 | $1,197.07 | 5.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $872.16 | $1,162.88 | 5.3× |
| CT cervical spine w/ contrast (72126) | $1,512.93 | $2,017.24 | 4.6× |
| CT cervical spine w/o contrast (72125) | $1,984.04 | $2,645.38 | 20.2× |
| CT cervical spine w/wo cont (72127) | $1,623.76 | $2,165.01 | 9.9× |
| CT chest w contrast (71260) | $1,907.98 | $2,543.97 | 11.6× |
| CT chest w/wo contrast (71270) | $2,414.22 | $3,218.96 | 14.7× |
| CT head/brain with contrast (70460) | $1,075.82 | $1,434.42 | 6.5× |
| CT head/brain without and with contrast (70470) | $1,867.25 | $2,489.66 | 11.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $157.50 | $210 | 1.9× |
| CT iac w contrast (70481) | $908.27 | $1,211.03 | 5.5× |
| CT l-spine w&w/o contrast (72133) | $1,672.47 | $2,229.96 | 10.2× |
| CT lower ext w/o (73700) | $1,664.37 | $2,219.16 | 17.0× |
| CT lower extremity w/contrast material (73701) | $927.95 | $1,237.26 | 5.6× |
| CT lumbar spine w contrast (72132) | $1,987.89 | $2,650.52 | 6.1× |
| CT lumbar spine w/o contrast (72131) | $2,143.75 | $2,858.33 | 21.9× |
| CT maxillofacial w contrast (70487) | $908.02 | $1,210.69 | 5.5× |
| CT maxillofacial wo contrast (70486) | $1,773.11 | $2,364.14 | 18.1× |
| CT neck tissue combo (70492) | $1,135.85 | $1,514.47 | 6.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,107.74 | $1,476.99 | 6.7× |
| CT orbits w/o contrast (70480) | $864.94 | $1,153.25 | 8.8× |
| CT pelvis w&w/o contrast (72194) | $1,302.26 | $1,736.34 | 7.9× |
| CT pelvis w/o contrast (72192) | $1,194.64 | $1,592.85 | 12.2× |
| CT scan of leg combo (73702) | $1,135.85 | $1,514.47 | 6.9× |
| CT scans face/jaw combo (70488) | $1,340.84 | $1,787.78 | 8.1× |
| CT soft tissue neck w contrast (70491) | $935.76 | $1,247.68 | 5.7× |
| CT soft tissue neck w/o contrast (70490) | $1,406.95 | $1,875.93 | 14.3× |
| CT thoracic spine w/o contrast (72128) | $1,498.31 | $1,997.75 | 15.3× |
| CT thoracic spine w/wo cont (72130) | $608.65 | $811.53 | 3.7× |
| CT thorax w/o contrast (71250) | $1,735.76 | $2,314.34 | 17.7× |
| CT upper ext wo (73200) | $748.52 | $998.03 | 7.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,102.77 | $1,470.36 | 6.7× |
| CT upper extremity with contrast (73201) | $927.95 | $1,237.26 | 2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $542.03 | $722.71 | 3.3× |
| Cta Abdomen (74175) | $898.33 | $1,197.77 | 5.5× |
| CTA pelvis (72191) | $872.16 | $1,162.88 | 5.3× |
| Discography Cerv/Thor Spine (72285) | $767.51 | $1,023.35 | 0.4× |
| Diskography lumbar (72295) | $767.51 | $1,023.35 | 0.4× |
| Dxa Bone Density Axial (77080) | $408.48 | $544.64 | 4.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $155.60 | $207.47 | 1.9× |
| Esophagram (74220) | $226.04 | $301.38 | 1.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $319.04 | $425.39 | 3.3× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$29.34–$481.53 | $39.12–$642.04 | varies |
| Foot 2 views (73620) | $77.45 | $103.27 | 0.9× |
| Forearm 2 views (73090) | $238.73 | $318.30 | 2.9× |
| Gastric emptying imaging study (78264) | $896.12 | $1,194.82 | 2.4× |
| Gated Heart Planar Single (78472) | $1,998.13 | $2,664.17 | 5.3× |
| Hand 2 views (73120) | $89.90 | $119.87 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,899.89 | $2,533.18 | 3.7× |
| Hepatobiliary System Imaging (78226) | $430.20 | $573.60 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $1,150.58 | $1,534.10 | 0.9× |
| Hysterosalpingogram (74740) | $615.05 | $820.06 | 2.7× |
| K Flow/Funct Image Multiple (78709) | $456.80 | $609.07 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $421.28 | $561.71 | 0.8× |
| K Flow/Funct Image W/O Drug (78707) | $952.94 | $1,270.58 | 1.9× |
| Knee 3 Views (73562) | $268.13 | $357.50 | 3.3× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $736.82 | $982.43 | 2.0× |
| Liver & Spleen Imaging Static Only (78215) | $848.29 | $1,131.05 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,308.80 | $1,745.07 | 2.6× |
| Lymph System Imaging (78195) | $1,203.09 | $1,604.12 | 2.4× |
| Magnetic Image Jaw Joint (70336) | $1,402.16 | $1,869.54 | 6.3× |
| Meckels Divert Exam (78290) | $633.11 | $844.14 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,931.93 | $2,575.90 | 5.9× |
| MRA head w/o contrast (70544) | $1,958.06 | $2,610.75 | 8.7× |
| MRA neck w contrast (70548) | $1,716.87 | $2,289.16 | 5.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,033.39 | $2,711.18 | 6.2× |
| MRA neck w/o contrast (70547) | $1,527.14 | $2,036.18 | 6.8× |
| MRI abdomen w contrast (74182) | $1,572.39 | $2,096.52 | 4.8× |
| MRI abdomen w/o contrast (74181) | $1,411.56 | $1,882.08 | 6.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,572.39 | $2,096.52 | 2.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,176.67–$3,271.97 | $4,235.56–$4,362.63 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,572.39 | $2,096.52 | 2.1× |
| MRI cervical spine w contrast (72142) | $1,680.68 | $2,240.90 | 5.1× |
| MRI cervical spine w/o cont (72141) | $1,882 | $2,509.33 | 8.4× |
| MRI chest w/o contrast (71550) | $1,411.56 | $1,882.08 | 6.3× |
| MRI chest with contrast (71551) | $1,572.39 | $2,096.52 | 2.1× |
| MRI chest wo w contrast (71552) | $2,033.39 | $2,711.18 | 6.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,572.39 | $2,096.52 | 4.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,931.72 | $2,575.62 | 5.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,897.09 | $2,529.45 | 8.5× |
| MRI lumbar spine w contrast (72149) | $1,827.18 | $2,436.24 | 5.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,334.33 | $4,445.77 | 10.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,412.60 | $1,883.47 | 6.3× |
| MRI orbit face neck w contrast (70542) | $1,572.39 | $2,096.52 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,094.39 | $2,792.52 | 6.4× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$687.04–$1,572.39 | $916.05–$2,096.52 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$687.04–$2,094.39 | $916.05–$2,792.52 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$437.76–$2,171.60 | $583.68–$2,895.46 | varies |
| MRI thoracic spine w/o contrast (72146) | $1,882 | $2,509.33 | 8.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,572.39 | $2,096.52 | 4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,882 | $2,509.33 | 8.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,094.39 | $2,792.52 | 6.4× |
| MRI, abdomen, combo (74183) | $2,033.39 | $2,711.18 | 6.2× |
| MRI, dorsal spine combo (72157) | $3,237.21 | $4,316.28 | 9.9× |
| MRI, dorsal spine contrast (72147) | $1,827.18 | $2,436.24 | 5.6× |
| MRI, joint upper extrem (73221) | $2,416.39 | $3,221.85 | 10.8× |
| MRI, joint upper extrem combo (73223) | $3,176.67 | $4,235.56 | 9.7× |
| MRI, lumbar spine combo (72158) | $3,334.33 | $4,445.77 | 10.2× |
| Myocardial Spect Multiple Studies (78452) | $4,474.72 | $5,966.29 | 3.7× |
| Neck soft tissue (70360) | $162.07 | $216.09 | 2.0× |
| Nm myocard infarct spect (78469) | $915.77 | $1,221.02 | 1.8× |
| Nonvascular Shunt X-Ray (75809) | $295.31 | $393.75 | 3.0× |
| Nuclear Rx Oral Admin (79005) | $732.19 | $976.25 | 3.3× |
| Parathyroid Planar Imaging (78070) | $526.57 | $702.09 | 1.4× |
| Pelvis 1 or 2 views (72170) | $242.48 | $323.31 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $740.24 | $986.99 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $357.07 | $476.09 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $170.78 | $227.70 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $262.08 | $349.44 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $114.03 | $152.04 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $244.13 | $325.50 | 3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $150.87 | $201.16 | 1.5× |
| Radex fingr minimum 2 views (73140) | $126.62 | $168.83 | 1.6× |
| Radex foot complete minimum 3 views (73630) | $269.69 | $359.58 | 3.3× |
| Radex Hand Minimum 3 Views (73130) | $273.47 | $364.63 | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) | $167.90 | $223.87 | 2.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $127.37 | $169.83 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $150.87 | $201.16 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $79.78 | $106.37 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) | $271.50 | $362 | 3.3× |
| Radex Spine 1 View Specify Level (72020) | $90.55 | $120.73 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $168.30 | $224.40 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $227.96 | $303.95 | 2.8× |
| Radex Toe Minimum 2 Views (73660) | $130.93 | $174.57 | 1.6× |
| Radex upper extremity infant minimum 2 views (73092) | $146.45 | $195.26 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $276.38 | $368.51 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $175.95 | $234.60 | 1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $242.42 | $323.22 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $503.66 | $671.55 | 3.1× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$156.28–$271.51 | $208.37–$362.01 | varies |
| Radiologic exam knee complete 4/more views (73564) | $328.13 | $437.50 | 3.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $181.98 | $242.64 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $371.08 | $494.77 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $293.66 | $391.55 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $157.18 | $209.57 | 1.0× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$119.64–$123.23 | $159.52–$164.31 | varies |
| Radiologic examination femur minimum 2 views (73552) | $239.85 | $319.80 | 2.9× |
| Radiologic examination knee 1/2 views (73560) | $227.26 | $303.01 | 2.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $228.04 | $304.05 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $238.85 | $318.47 | 2.9× |
| Ribs bilateral 3 views (71110) | $258.64 | $344.85 | 2.6× |
| Scapula (73010) | $147.59 | $196.78 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$137.54–$141.67 | $183.38–$188.89 | varies |
| Sella turcica (70240) | $84.74 | $112.99 | 1.0× |
| Shoulder 1 view (73020) | $176.90 | $235.86 | 2.2× |
| Skull less than 4 views (70250) | $142.55 | $190.06 | 1.5× |
| Sternoclavicular joints (71130) | $127.37 | $169.83 | 1.6× |
| Testicular Imaging W/Flow (78761) | $370.04 | $493.39 | 1.0× |
| Thoracic spine 2 views (72070) | $83.57 | $111.43 | 0.9× |
| Thoracic spine 3 views (72072) | $321.35 | $428.47 | 3.3× |
| Thoracolumbar 2 views (72080) | $171.04 | $228.05 | 2.1× |
| Thyroid Imaging With Vascular Flow (78013) | $179.15 | $238.87 | 0.5× |
| Thyroid Met Imaging Body (78018) | $444.54 | $592.72 | 0.9× |
| Thyroid Uptake Measurement (78012) | $248.96 | $331.94 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $526.57 | $702.09 | 1.4× |
| Ultrasound Breast Limited (76642) | $232.33 | $309.77 | 2.8× |
| Ultrasound Elastography Parenchyma (76981) | $260.59 | $347.45 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $192.61 | $256.81 | 2.0× |
| Ultrasound, abdomen limited (76705) | $578.93 | $771.90 | 5.9× |
| Unlisted us procedure (76999) | $120.28 | $160.37 | 1.5× |
| Upper gi w/o kub (74240) | $442.23 | $589.64 | 2.7× |
| Urethrocystogram voiding (74455) | $200.32 | $267.09 | 0.9× |
| Urethrocystography retrograde (74450) | $248.96 | $331.94 | 1.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$402.10–$596.76 | $536.13–$795.68 | varies |
| Us chest (76604) | $480.52 | $640.69 | 4.9× |
| Us complete joint (76881) | $333.72 | $444.96 | 3.4× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$123.89–$196.41 | $165.18–$261.88 | varies |
| Us kidney transplant (76776) | $168.08 | $224.10 | 1.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $266.67 | $355.56 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $99.67 | $132.89 | 1.0× |
| Us ob transvaginal (76817) | $599.51 | $799.34 | 6.1× |
| Us pelvic non ob complete (76856) | $599.51 | $799.34 | 6.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $301.67 | $402.22 | 3.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $203.47 | $271.29 | 2.1× |
| Us retroperitoneal complete (76770) | $755.57 | $1,007.43 | 7.7× |
| Us retroperitoneal limited (76775) | $176.48 | $235.31 | 1.8× |
| Us scrotum and contents (76870) | $498.08 | $664.10 | 5.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$513.76–$583.82 | $685.01–$778.43 | varies |
| Us transrectal (76872) | $216.05 | $288.06 | 2.2× |
| Vascular Flow Imaging (78445) | $617.15 | $822.86 | 1.6× |
| Venography extremity bilateral rs&i (75822) | $937.74 | $1,250.32 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $181.49 | $241.99 | 0.1× |
| Wrist 2 views (73100) | $79.78 | $106.37 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $200.32 | $267.09 | 2.5× |
| X-Ray Bend Only L-S Spine (72120) | $75.98 | $101.30 | 0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $106.36 | $141.81 | 1.3× |
| X-Ray Exam Breast Specimen (76098) | $116.91 | $155.88 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $211.72 | $282.29 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $176.44 | $235.25 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $147.95 | $197.26 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $243.65 | $324.87 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $293.45 | $391.26 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $184.33 | $245.77 | 1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $509.69 | $679.58 | 5.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $290.30 | $387.06 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $422.21 | $562.95 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $267.68 | $356.90 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $385.65 | $514.20 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $314.91 | $419.88 | 3.2× |
| X-ray humerus (73060) | $233.24 | $310.98 | 2.9× |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$300.06–$361.07 | $400.08–$481.42 | varies |
| X-ray IV pyelogram+tomography (74415) | $629.16 | $838.88 | 3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $106.41 | $141.88 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $283.91 | $378.54 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $286.98 | $382.64 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $140.63 | $187.50 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $244.45 | $325.93 | 2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $158.36 | $211.15 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $171.32 | $228.42 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $340.84 | $454.45 | 4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $373.30 | $497.73 | 3.8× |
| X-Ray Stress View (77071) | $214.72 | $286.29 | 2.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $522.68 | $696.91 | 1.6× |
| X-Rays Bone Length Studies (77073) | $122.92 | $163.89 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $633.77 | $845.03 | 6.5× |
| Xr c-spine 4 or 5 views (72050) | $431.30 | $575.07 | 4.4× |
| Xr orbits complete 4 views (70200) | $124.99 | $166.65 | 1.3× |
| Xr Tomogram Single Plane (76100) | $349.37 | $465.83 | 3.6× |
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.