Imaging prices at CAMC Greenbrier Valley Medical Center
Ronceverte, WV · every code in this section with a posted price and a Medicare benchmark.
279 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) | $495 | $495 | 5.9× |
| Abdomen 2 views (74019) | $598 | $598 | 6.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,239 | $2,239 | 5.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$549 | $549 | 0.1× |
| Bone age studies (77072) | $598 | $598 | 6.0× |
| Bone Imaging 3 Phase (78315) | $2,239 | $2,239 | 5.8× |
| Bone Imaging Limited Area (78300) | $2,239 | $2,239 | 5.8× |
| Bone Imaging Whole Body (78306) | $2,239 | $2,239 | 5.8× |
| Bone marrow imaging; whole body (78104) | $2,109 | $2,109 | 5.5× |
| Bone survey infant (77076) | $667 | $667 | 6.7× |
| Brain Image W/Flow < 4 Views (78601) | $2,324 | $2,324 | 6.1× |
| Cat Scan Follow-Up Study (76380) | $495 | $495 | 5.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,016 | $3,016 | 5.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$39–$495 | $39–$495 | varies |
| Chest 2 views (71046) | $495 | $495 | 5.9× |
| Chest 3 views (71047) | $495 | $495 | 5.9× |
| Chest 4 or more views (71048) | $41 | $41 | 0.4× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $598 | $598 | 6.0× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$1,442–$2,088 | $1,442–$2,088 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $579 | $579 | 3.4× |
| CT abdomen and pelvis without and with contrast (74178) | $5,595 | $5,595 | 16.7× |
| CT abdomen and pelvis without contrast (74176) | $3,294 | $3,294 | 14.4× |
| CT abdomen w contrast (74160) | $2,384 | $2,384 | 14.2× |
| CT abdomen w wo contrast (74170) | $2,802 | $2,802 | 16.7× |
| CT abdomen w/o contrast (74150) | $1,647 | $1,647 | 16.4× |
| CT Angio Abdomen and Pelvis (74174) | $5,646 | $5,646 | 16.9× |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$2,569–$2,825 | $2,569–$2,825 | varies |
| CT Angio Head (70496) | $2,825 | $2,825 | 16.8× |
| CT angio hrt w/3d image (75574) | $998 | $998 | 3.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,825 | $2,825 | 16.8× |
| CT Angio Neck (70498) | $2,825 | $2,825 | 16.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,405–$2,810 | $1,405–$2,810 | varies |
| CT cervical spine w/ contrast (72126) | $2,384 | $2,384 | 7.1× |
| CT cervical spine w/o contrast (72125) | $1,647 | $1,647 | 16.4× |
| CT cervical spine w/wo cont (72127) | $2,802 | $2,802 | 16.7× |
| CT chest w contrast (71260) | $2,384 | $2,384 | 14.2× |
| CT chest w/wo contrast (71270) | $2,802 | $2,802 | 16.7× |
| CT head/brain with contrast (70460) | $2,384 | $2,384 | 14.2× |
| CT head/brain without and with contrast (70470) | $3,229 | $3,229 | 19.2× |
| CT iac w contrast (70481) | $2,384 | $2,384 | 14.2× |
| CT l-spine w&w/o contrast (72133) | $1,183 | $1,183 | 7.0× |
| CT lower ext w/o (73700) range across 21 matching MRF lines |
$1,647–$3,292 | $1,647–$3,292 | varies |
| CT lower extremity w/contrast material (73701) range across 21 matching MRF lines |
$2,384–$4,767 | $2,384–$4,767 | varies |
| CT lumbar spine w contrast (72132) | $2,384 | $2,384 | 7.1× |
| CT lumbar spine w/o contrast (72131) | $1,647 | $1,647 | 16.4× |
| CT maxillofacial w contrast (70487) | $2,384 | $2,384 | 14.2× |
| CT maxillofacial wo contrast (70486) | $1,647 | $1,647 | 16.4× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,493–$2,802 | $2,493–$2,802 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,802 | $2,802 | 16.7× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$973–$1,647 | $973–$1,647 | varies |
| CT pelvis w&w/o contrast (72194) | $2,802 | $2,802 | 16.7× |
| CT pelvis w/o contrast (72192) | $1,647 | $1,647 | 16.4× |
| CT scan of leg combo (73702) range across 21 matching MRF lines |
$2,939–$5,875 | $2,939–$5,875 | varies |
| CT scans face/jaw combo (70488) | $2,802 | $2,802 | 16.7× |
| CT soft tissue neck w contrast (70491) | $2,384 | $2,384 | 14.2× |
| CT soft tissue neck w/o contrast (70490) | $1,647 | $1,647 | 16.4× |
| CT thoracic spine w contrast (72129) | $2,384 | $2,384 | 14.2× |
| CT thoracic spine w/o contrast (72128) | $1,647 | $1,647 | 16.4× |
| CT thoracic spine w/wo cont (72130) | $2,802 | $2,802 | 16.7× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$598–$1,647 | $598–$1,647 | varies |
| CT unlisted procedure (76497) | $455 | $455 | 5.5× |
| CT upper ext wo (73200) | $1,647 | $1,647 | 16.4× |
| CT upper extremity w/o & w/contrast material (73202) range across 21 matching MRF lines |
$2,802–$5,602 | $2,802–$5,602 | varies |
| CT upper extremity with contrast (73201) range across 21 matching MRF lines |
$2,384–$4,767 | $2,384–$4,767 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,825 | $2,825 | 16.8× |
| Cta Abdomen (74175) | $2,825 | $2,825 | 16.8× |
| CTA pelvis (72191) | $3,758 | $3,758 | 22.3× |
| Dilation ureters/urethra rs&i (74485) | $174 | $174 | 0.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$116–$597 | $116–$597 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$128–$597 | $128–$597 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $597 | $597 | 6.0× |
| Dxa Bone Density Axial (77080) | $597 | $597 | 6.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $494 | $494 | 5.9× |
| Echo exam of fetal heart (76825) | $2,994 | $2,994 | 5.7× |
| Echo exam uterus (76831) | $1,331 | $1,331 | 5.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,331 | $1,331 | 5.8× |
| Esophagram (74220) | $998 | $998 | 5.9× |
| Fetal Biophys Profile W/Nst (76818) | $229 | $229 | 2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$161–$597 | $161–$597 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$219–$1,331 | $219–$1,331 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Gastric emptying imaging study (78264) | $2,239 | $2,239 | 5.8× |
| Gastroesophageal Reflux Exam (78262) | $2,239 | $2,239 | 5.8× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$211–$2,239 | $211–$2,239 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$598–$925 | $598–$925 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$2,239–$2,934 | $2,239–$2,934 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$296–$7,706 | $296–$7,706 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$85–$2,062 | $85–$2,062 | varies |
| Infant hip ultrasound, limited static exam (76886) | $1,023 | $1,023 | 12.3× |
| K Flow/Funct Image Multiple (78709) | $2,934 | $2,934 | 5.6× |
| K Flow/Funct Image W/Drug (78708) | $2,934 | $2,934 | 5.6× |
| K Flow/Funct Image W/O Drug (78707) | $2,934 | $2,934 | 5.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Liver imaging static only (78201) | $2,934 | $2,934 | 5.6× |
| Liver imaging w/vascular flow (78202) | $2,934 | $2,934 | 5.6× |
| Lung Perf&Ventilat Diferentl (78598) | $3,937 | $3,937 | 7.6× |
| Lung Ventilat&Perfus Imaging (78582) | $2,934 | $2,934 | 5.6× |
| Lymph System Imaging (78195) | $2,934 | $2,934 | 5.6× |
| Magnetic Image Jaw Joint (70336) | $2,671 | $2,671 | 11.7× |
| Mammary ductogram or galactogram multiple (77054) | $1,160 | $1,160 | 5.1× |
| Meckels Divert Exam (78290) | $2,239 | $2,239 | 5.8× |
| Mra Head W/O & W/Contrast Material (70546) | $4,512 | $4,512 | 13.5× |
| MRA head w/o contrast (70544) | $2,949 | $2,949 | 12.9× |
| MRA neck w contrast (70548) | $3,413 | $3,413 | 10.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,512 | $4,512 | 13.5× |
| MRA neck w/o contrast (70547) | $2,758 | $2,758 | 12.0× |
| MRI abdomen w contrast (74182) | $4,512 | $4,512 | 13.5× |
| MRI abdomen w/o contrast (74181) | $2,949 | $2,949 | 12.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 11 matching MRF lines |
$2,741–$4,346 | $2,741–$4,346 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 11 matching MRF lines |
$4,512–$9,022 | $4,512–$9,022 | varies |
| MRI cervical spine w contrast (72142) | $3,908 | $3,908 | 11.7× |
| MRI cervical spine w/o cont (72141) | $2,949 | $2,949 | 12.9× |
| MRI chest w/o contrast (71550) | $2,949 | $2,949 | 12.9× |
| MRI chest with contrast (71551) | $5,305 | $5,305 | 7.1× |
| MRI chest wo w contrast (71552) | $6,682 | $6,682 | 20.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,795–$2,087 | $1,795–$2,087 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$4,512–$9,022 | $4,512–$9,022 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$2,949–$5,899 | $2,949–$5,899 | varies |
| MRI lumbar spine w contrast (72149) | $3,413 | $3,413 | 10.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,512 | $4,512 | 13.5× |
| MRI orbit face &/neck w/o contrast (70540) | $2,949 | $2,949 | 12.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,512 | $4,512 | 13.5× |
| MRI pelvis w/o & w contrast (72197) | $4,512 | $4,512 | 13.5× |
| MRI pelvis w/o contrast (72195) | $2,949 | $2,949 | 12.9× |
| MRI thoracic spine w/o contrast (72146) | $2,949 | $2,949 | 12.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 9 matching MRF lines |
$2,949–$5,898 | $2,949–$5,898 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 9 matching MRF lines |
$6,682–$13,362 | $6,682–$13,362 | varies |
| MRI, abdomen, combo (74183) | $4,512 | $4,512 | 13.5× |
| MRI, dorsal spine combo (72157) | $4,512 | $4,512 | 13.5× |
| MRI, dorsal spine contrast (72147) | $2,739 | $2,739 | 8.2× |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$2,949–$5,899 | $2,949–$5,899 | varies |
| MRI, joint upper extrem combo (73223) range across 8 matching MRF lines |
$3,253–$6,506 | $3,253–$6,506 | varies |
| MRI, lumbar spine combo (72158) | $4,512 | $4,512 | 13.5× |
| Myelogram cervical (72240) | $4,345 | $4,345 | 5.8× |
| Myelogram Lumbar (72265) | $4,673 | $4,673 | 6.2× |
| Myelography thoracic (72255) | $4,673 | $4,673 | 6.2× |
| Myelograpy 2/more regions rs&i (72270) | $4,346 | $4,346 | 5.8× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$213–$7,706 | $213–$7,706 | varies |
| Neck soft tissue (70360) | $495 | $495 | 5.9× |
| Nonvascular Shunt X-Ray (75809) | $790 | $790 | 7.9× |
| Nuclear Rx Oral Admin (79005) | $1,503 | $1,503 | 6.7× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$253–$597 | $253–$597 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$136–$550 | $136–$550 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 2 matching MRF lines |
$101–$550 | $101–$550 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$57–$245 | $57–$245 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 4 matching MRF lines |
$57–$225 | $57–$225 | varies |
| Parathyroid Planar Imaging (78070) | $2,239 | $2,239 | 5.8× |
| Pelvis 1 or 2 views (72170) | $598 | $598 | 6.0× |
| PET image w/CT, full body (78816) | $7,925 | $7,925 | 5.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 6 matching MRF lines |
$7,480–$7,925 | $7,480–$7,925 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,239 | $2,239 | 5.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $723 | $723 | 7.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,994 | $2,994 | 5.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $598 | $598 | 6.0× |
| Radex fingr minimum 2 views (73140) | $495 | $495 | 5.9× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $598 | $598 | 6.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $495 | $495 | 5.9× |
| Radex Ribs Unilateral 2 Views (71100) | $495 | $495 | 5.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $495 | $495 | 5.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $916 | $916 | 5.4× |
| Radex Spine 1 View Specify Level (72020) | $495 | $495 | 5.9× |
| Radex Sternum Minimum 2 Views (71120) | $495 | $495 | 5.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $495 | $495 | 5.9× |
| Radex Toe Minimum 2 Views (73660) | $495 | $495 | 5.9× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$598–$925 | $598–$925 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,433 | $1,433 | 14.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $598 | $598 | 6.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $598 | $598 | 6.0× |
| Radiologic exam colon double contrast study (74280) | $1,480 | $1,480 | 8.8× |
| Radiologic exam colon single contrast study (74270) | $998 | $998 | 5.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$598–$925 | $598–$925 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $598 | $598 | 6.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $998 | $998 | 5.9× |
| Radiologic exam swallow function contrast study (74230) | $998 | $998 | 5.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $998 | $998 | 5.9× |
| Radiologic examination femur 1 view (73551) | $495 | $495 | 5.9× |
| Radiologic examination femur minimum 2 views (73552) | $598 | $598 | 7.2× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $666 | $666 | 6.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Ribs bilateral 3 views (71110) | $926 | $926 | 9.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,951 | $3,951 | 10.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,951 | $3,951 | 10.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,706 | $7,706 | 14.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $7,930 | $7,930 | 15.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $7,706 | $7,706 | 14.8× |
| Scapula (73010) range across 5 matching MRF lines |
$598–$925 | $598–$925 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $313 | $313 | 13.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| Shoulder Arthrography (73040) | $2,745 | $2,745 | 8.2× |
| Skull less than 4 views (70250) | $598 | $598 | 6.0× |
| Sternoclavicular joints (71130) | $495 | $495 | 5.9× |
| Superior sagittal sinus venogram (75870) | $278 | $278 | 0.1× |
| Testicular Imaging W/Flow (78761) | $2,239 | $2,239 | 5.8× |
| Thoracic spine 2 views (72070) | $598 | $598 | 6.0× |
| Thoracic spine 3 views (72072) | $598 | $598 | 6.0× |
| Thoracolumbar 2 views (72080) | $495 | $495 | 5.9× |
| Thyroid Imaging With Vascular Flow (78013) | $2,239 | $2,239 | 5.8× |
| Thyroid Met Imaging Body (78018) | $2,934 | $2,934 | 5.6× |
| Thyroid Uptake Measurement (78012) | $2,239 | $2,239 | 5.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,239 | $2,239 | 5.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$97–$901 | $97–$901 | varies |
| Ultrasound Elastography Parenchyma (76981) | $1,240 | $1,240 | 12.4× |
| Ultrasound Exam Aaa Screen (76706) | $597 | $597 | 6.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$316–$1,080 | $316–$1,080 | varies |
| Umbilical-artery Doppler (OB) (76820) | $597 | $597 | 6.0× |
| Upper gi w/o kub (74240) | $998 | $998 | 5.9× |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$1,442–$1,797 | $1,442–$1,797 | varies |
| Urethrocystography retrograde (74450) | $1,797 | $1,797 | 7.9× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$571–$612 | $571–$612 | varies |
| Us chest (76604) | $98 | $98 | 1.0× |
| Us complete joint (76881) | $1,023 | $1,023 | 10.2× |
| Us exam, pelvic, limited (76857) | $597 | $597 | 6.0× |
| Us kidney transplant (76776) | $1,023 | $1,023 | 10.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$203–$793 | $203–$793 | varies |
| Us ob detailed single fetus (76811) | $1,331 | $1,331 | 5.8× |
| Us ob limited 1 or more fetuses (76815) | $294 | $294 | 2.9× |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$125–$989 | $125–$989 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$146–$1,023 | $146–$1,023 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$210–$597 | $210–$597 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$179–$597 | $179–$597 | varies |
| Us retroperitoneal complete (76770) | $1,023 | $1,023 | 10.2× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$205–$1,020 | $205–$1,020 | varies |
| Us scrotum and contents (76870) | $1,023 | $1,023 | 10.2× |
| Us spinal canal and contents (76800) | $1,023 | $1,023 | 10.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$73–$197 | $73–$197 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$146–$598 | $146–$598 | varies |
| Venogram Sinus/Jugular (75860) | $249 | $249 | 0.1× |
| Venography Renal Bilateral (75833) | $318 | $318 | 0.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $495 | $495 | 5.9× |
| X-ray antegrade pyelogram tube (74425) | $2,045 | $2,045 | 6.1× |
| X-Ray Bend Only L-S Spine (72120) | $771 | $771 | 7.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$495–$925 | $495–$925 | varies |
| X-Ray Exam Breast Specimen (76098) | $3,421 | $3,421 | 6.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $717 | $717 | 8.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $717 | $717 | 7.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,433 | $1,433 | 14.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $495 | $495 | 5.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $495 | $495 | 5.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $649 | $649 | 6.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $717 | $717 | 7.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $717 | $717 | 7.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,433 | $1,433 | 14.3× |
| X-Ray Exam L-S Spine Bending (72114) | $771 | $771 | 7.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $495 | $495 | 5.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $771 | $771 | 7.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $598 | $598 | 6.0× |
| X-ray eye for foreign body (70030) | $925 | $925 | 11.1× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$495–$925 | $495–$925 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $495 | $495 | 5.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $495 | $495 | 5.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $598 | $598 | 6.0× |
| X-ray nose-rectum child f.b. (76010) | $495 | $495 | 5.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $771 | $771 | 7.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $598 | $598 | 6.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $640 | $640 | 6.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $495 | $495 | 5.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $495 | $495 | 5.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $771 | $771 | 7.7× |
| X-Ray Tmj Unilat (70328) | $495 | $495 | 5.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$111–$2,088 | $111–$2,088 | varies |
| X-Rays Bone Length Studies (77073) | $598 | $598 | 6.0× |
| X-Rays Bone Survey Complete (77075) | $771 | $771 | 7.7× |
| Xr c-spine 4 or 5 views (72050) | $771 | $771 | 7.7× |
| Xr facial bones less than 3 views (70140) | $495 | $495 | 5.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $598 | $598 | 6.0× |
| Xr orbits complete 4 views (70200) | $598 | $598 | 6.0× |
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.