Imaging prices at Cameron Health
Angola, IN · every code in this section with a posted price and a Medicare benchmark.
260 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,519.01 | $7,531.68 | 3.1× |
| Abdomen 1 View (74018) | $303.74 | $506.23 | 3.3× |
| Abdomen 2 views (74019) | $349.31 | $582.18 | 3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $898.76 | $1,497.93 | 2.1× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$187.36–$374.70 | $312.26–$624.51 | varies |
| Arthrogram hip (73525) | $692.10 | $1,153.51 | 1.9× |
| Basic radiation dosimetry calculation (77300) | $463.36 | $772.26 | 3.3× |
| Bone age studies (77072) | $138.26 | $230.44 | 1.2× |
| Bone Imaging 3 Phase (78315) | $1,494.94 | $2,491.56 | 3.5× |
| Bone Imaging Limited Area (78300) | $898.47 | $1,497.45 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $1,024.36 | $1,707.27 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,365.40 | $2,275.67 | 3.2× |
| Bone survey infant (77076) | $512.25 | $853.75 | 4.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,119.20 | $3,532 | 5.7× |
| Chest 1 view (71045) | $216.20 | $360.33 | 2.3× |
| Chest 2 views (71046) | $248.62 | $414.38 | 2.7× |
| Chest 3 views (71047) | $285.91 | $476.52 | 3.1× |
| Chest 4 or more views (71048) | $538.62 | $897.69 | 4.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$250.31–$375.46 | $417.18–$625.77 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $99 | $165 | 0.9× |
| Continuing medical physics consltj pr wk (77336) | $668.30 | $1,113.84 | 4.7× |
| Contrast X-Ray Bladder (74430) | $588.33 | $980.55 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,264.40 | $3,774 | 6.1× |
| CT abdomen and pelvis without contrast (74176) | $1,468.80 | $2,448 | 5.8× |
| CT abdomen w contrast (74160) | $1,223.39 | $2,038.98 | 6.6× |
| CT abdomen w wo contrast (74170) | $1,805.40 | $3,009 | 9.7× |
| CT abdomen w/o contrast (74150) | $1,040.40 | $1,734 | 9.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,264.40 | $3,774 | 6.1× |
| CT Angio Chest (71275) | $1,683 | $2,805 | 9.1× |
| CT Angio Head (70496) | $1,683 | $2,805 | 9.1× |
| CT angio hrt w/3d image (75574) | $2,010.60 | $3,351 | 5.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,683–$2,738.70 | $2,805–$4,564.50 | varies |
| CT Angio Neck (70498) | $1,683 | $2,805 | 9.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,683 | $2,805 | 9.1× |
| CT cervical spine w/ contrast (72126) | $1,223.39 | $2,038.98 | 3.3× |
| CT cervical spine w/o contrast (72125) | $1,040.40 | $1,734 | 9.4× |
| CT cervical spine w/wo cont (72127) | $1,805.40 | $3,009 | 9.7× |
| CT chest w contrast (71260) | $1,223.39 | $2,038.98 | 6.6× |
| CT chest w/wo contrast (71270) | $1,805.40 | $3,009 | 9.7× |
| CT head/brain with contrast (70460) | $1,223.39 | $2,038.98 | 6.6× |
| CT head/brain without and with contrast (70470) | $1,805.40 | $3,009 | 9.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $30 | $50 | 0.3× |
| CT hrt w/3d image congen (75573) | $597.60 | $996 | 1.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,223.39–$2,142 | $2,038.98–$3,570 | varies |
| CT l-spine w&w/o contrast (72133) | $1,805.40 | $3,009 | 9.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,040.40–$1,224 | $1,734–$2,040 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,223.39–$1,713.60 | $2,038.98–$2,856 | varies |
| CT lumbar spine w contrast (72132) | $1,223.39 | $2,038.98 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $1,040.40 | $1,734 | 9.4× |
| CT maxillofacial w contrast (70487) | $1,223.39 | $2,038.98 | 6.6× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$856.80–$1,040.40 | $1,428–$1,734 | varies |
| CT neck tissue combo (70492) | $1,805.40 | $3,009 | 9.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,805.40 | $3,009 | 9.7× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,040.40–$1,591.20 | $1,734–$2,652 | varies |
| CT pelvis w&w/o contrast (72194) | $1,805.40 | $3,009 | 9.7× |
| CT pelvis w/o contrast (72192) | $1,040.40 | $1,734 | 9.4× |
| CT scan of leg combo (73702) | $1,805.40 | $3,009 | 9.7× |
| CT scans face/jaw combo (70488) | $1,805.40 | $3,009 | 9.7× |
| CT soft tissue neck w contrast (70491) | $1,223.39 | $2,038.98 | 6.6× |
| CT soft tissue neck w/o contrast (70490) | $1,040.40 | $1,734 | 9.4× |
| CT thoracic spine w contrast (72129) | $1,223.39 | $2,038.98 | 6.6× |
| CT thoracic spine w/o contrast (72128) | $1,040.40 | $1,734 | 9.4× |
| CT thoracic spine w/wo cont (72130) | $1,805.40 | $3,009 | 9.7× |
| CT thorax w/o contrast (71250) | $1,040.40 | $1,734 | 9.4× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,040.40–$1,530 | $1,734–$2,550 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,223.39–$1,713.60 | $2,038.98–$2,856 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,683 | $2,805 | 9.1× |
| Cta Abdomen (74175) | $1,683 | $2,805 | 9.1× |
| CTA pelvis (72191) | $1,683 | $2,805 | 9.1× |
| Dxa Bone Density Axial (77080) | $452.64 | $754.39 | 4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $236.91 | $394.85 | 2.6× |
| Esophagram (74220) | $563.71 | $939.51 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) | $585.71 | $976.18 | 5.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $509.89 | $849.82 | 4.6× |
| Fluoroscopy up to 1 hr (76000) | $699.61 | $1,166.01 | 2.8× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$196.48–$392.97 | $327.46–$654.94 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$179.32–$358.64 | $298.87–$597.73 | varies |
| Gastric emptying imaging study (78264) | $1,255.71 | $2,092.86 | 3.0× |
| Gated Heart Planar Single (78472) | $1,371.51 | $2,285.85 | 3.2× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$177.52–$355.03 | $295.87–$591.72 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,506.05 | $2,510.09 | 2.6× |
| Hepatobiliary System Imaging (78226) | $1,473.86 | $2,456.43 | 3.5× |
| Ht Muscle Image Spect Sing (78451) | $1,924.21 | $3,207.02 | 1.4× |
| Hysterosalpingogram (74740) | $727.01 | $1,211.69 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $218.91 | $364.84 | 2.4× |
| Infusion Ivp (74410) | $758.26 | $1,263.77 | 4.1× |
| K Flow/Funct Image W/Drug (78708) | $1,415.26 | $2,358.77 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,185.57 | $1,975.95 | 2.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$326.42–$489.64 | $544.03–$816.06 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,063.70 | $1,772.84 | 2.5× |
| Liver imaging static only (78201) | $942.60 | $1,571 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,773.30 | $2,955.50 | 3.1× |
| Lymph System Imaging (78195) | $1,275.85 | $2,126.41 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $1,223.39 | $2,038.98 | 4.8× |
| Meckels Divert Exam (78290) | $700.10 | $1,166.83 | 1.7× |
| Mlc imrt design & construction per imrt plan (77338) | $1,845.79 | $3,076.32 | 4.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,774.80 | $2,958 | 4.8× |
| MRA head w/o contrast (70544) | $1,774.80 | $2,958 | 7.0× |
| MRA head with contrast (70545) | $1,346.40 | $2,244 | 3.6× |
| MRA neck w contrast (70548) | $1,346.40 | $2,244 | 3.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,774.80 | $2,958 | 4.8× |
| MRA neck w/o contrast (70547) | $1,223.39 | $2,038.98 | 4.8× |
| MRI abdomen w contrast (74182) | $1,346.40 | $2,244 | 3.6× |
| MRI abdomen w/o contrast (74181) | $1,223.39 | $2,038.98 | 4.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,346.40–$2,050.20 | $2,244–$3,417 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,591.20–$2,601 | $2,652–$4,335 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$1,346.40–$2,601 | $2,244–$4,335 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,601 | $4,335 | 10.3× |
| MRI cardiac w/o contrast (75557) | $1,057.80 | $1,763 | 4.2× |
| MRI cervical spine w contrast (72142) | $1,346.40 | $2,244 | 3.6× |
| MRI cervical spine w/o cont (72141) | $1,223.39 | $2,038.98 | 4.8× |
| MRI chest w/o contrast (71550) | $1,223.39 | $2,038.98 | 4.8× |
| MRI chest wo w contrast (71552) | $1,591.20 | $2,652 | 4.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,346.40 | $2,244 | 3.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,591.20–$2,601 | $2,652–$4,335 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,223.39–$1,652.40 | $2,038.98–$2,754 | varies |
| MRI lumbar spine w contrast (72149) | $1,346.40 | $2,244 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,040.40–$1,591.20 | $1,734–$2,652 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,223.39 | $2,038.98 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,591.20 | $2,652 | 4.3× |
| MRI pelvis w contrast (72196) | $1,346.40 | $2,244 | 3.6× |
| MRI pelvis w/o & w contrast (72197) | $1,591.20 | $2,652 | 4.3× |
| MRI pelvis w/o contrast (72195) | $1,223.39 | $2,038.98 | 4.8× |
| MRI thoracic spine w/o contrast (72146) | $1,223.39 | $2,038.98 | 4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,223.39 | $2,038.98 | 4.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,530–$2,601 | $2,550–$4,335 | varies |
| MRI, abdomen, combo (74183) | $1,591.20 | $2,652 | 4.3× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,040.40–$1,591.20 | $1,734–$2,652 | varies |
| MRI, dorsal spine contrast (72147) | $1,346.40 | $2,244 | 3.6× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$1,223.39–$1,652.40 | $2,038.98–$2,754 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$1,530–$2,601 | $2,550–$4,335 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,040.40–$1,591.20 | $1,734–$2,652 | varies |
| Myocardial Spect Multiple Studies (78452) | $3,811.26 | $6,352.10 | 2.8× |
| N-invas est c ffr sw aly CTA (75580) | $2,475.60 | $4,126 | 2.7× |
| Neck soft tissue (70360) | $230.97 | $384.95 | 2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,001.28 | $11,668.80 | 4.8× |
| Parathyroid Planar Imaging (78070) | $921.71 | $1,536.19 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $921.71 | $1,536.19 | 2.2× |
| Pelvis 1 or 2 views (72170) | $304.66 | $507.77 | 2.8× |
| PET image w/CT, full body (78816) | $5,906.99 | $9,844.98 | 3.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,312.22 | $8,853.70 | 3.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,153.11 | $1,921.84 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $593.82 | $989.71 | 5.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$306.24–$459.35 | $510.40–$765.59 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$217.24–$277.76 | $362.07–$462.93 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$304.66–$456.99 | $507.77–$761.65 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $373.30 | $622.16 | 3.4× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$200.15–$400.30 | $333.58–$667.16 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$307.47–$461.20 | $512.45–$768.66 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$269.69–$404.54 | $449.48–$674.24 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$135.10–$202.65 | $225.16–$337.74 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $327.29 | $545.49 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $265.46 | $442.42 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$311.85–$467.79 | $519.75–$779.65 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $351.77 | $586.29 | 3.8× |
| Radex Spine 1 View Specify Level (72020) | $217.01 | $361.68 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $291.10 | $485.16 | 3.2× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$170.44–$340.88 | $284.07–$568.14 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$172.82–$259.24 | $288.04–$432.06 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$234.56–$372.94 | $390.93–$621.57 | varies |
| Radiation treatment delivery level 1 (77402) | $445.54 | $742.56 | 4.1× |
| Radiation treatment delivery level 2 (77407) | $572.83 | $954.72 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $700.13 | $1,166.88 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $393.37 | $655.62 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $401.70 | $669.50 | 3.6× |
| Radiologic exam colon double contrast study (74280) | $881.75 | $1,469.59 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $759.05 | $1,265.08 | 4.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$356.92–$535.38 | $594.86–$892.30 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $364.46 | $607.43 | 3.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $646.49 | $1,077.49 | 3.5× |
| Radiologic exam swallow function contrast study (74230) | $487.53 | $812.55 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $823.21 | $1,372.01 | 4.4× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$230.32–$345.47 | $383.87–$575.79 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$287.81–$460.63 | $479.68–$767.71 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$275.27–$412.90 | $458.79–$688.17 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $596.33 | $993.88 | 5.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$249.25–$373.88 | $415.42–$623.13 | varies |
| Ribs bilateral 3 views (71110) | $299.73 | $499.56 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,600.39 | $4,333.98 | 4.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,128.23 | $3,547.05 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,071.71–$2,047.75 | $1,786.18–$3,412.92 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$287.94–$431.91 | $479.90–$719.85 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$33.54–$49.95 | $55.90–$83.25 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$206.72–$310.07 | $344.53–$516.78 | varies |
| Shoulder Arthrography (73040) | $554.69 | $924.49 | 1.5× |
| Skull less than 4 views (70250) | $197.43 | $329.04 | 1.8× |
| Special dosimetry (77331) | $541.01 | $901.68 | 3.8× |
| Special Physics Consult (77370) | $954.72 | $1,591.20 | 6.7× |
| Special teletherapy port plan (77321) | $795.60 | $1,326 | 2.0× |
| Special treatment procedure (77470) | $2,164.03 | $3,606.72 | 3.7× |
| Stereotactic Body Radiation Delivery (77373) | $5,863.25 | $9,772.09 | 3.1× |
| Sternoclavicular joints (71130) | $57.09 | $95.15 | 0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,718.50 | $2,864.16 | 4.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,113.84 | $1,856.40 | 2.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,400.26 | $2,333.76 | 3.5× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,272.96 | $2,121.60 | 3.2× |
| Ther rad simulaj-aided field setting simple (77280) | $1,071 | $1,785 | 7.5× |
| Thoracic spine 2 views (72070) | $378.73 | $631.22 | 3.4× |
| Thoracic spine 3 views (72072) | $330.42 | $550.70 | 3.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,014.21 | $1,690.34 | 2.4× |
| Tx Devices Design & Construction Complex (77334) | $827.42 | $1,379.04 | 2.1× |
| Tx devices design & construction intermediate (77333) | $700.13 | $1,166.88 | 4.9× |
| Tx devices design & construction simple (77332) | $413.71 | $689.52 | 2.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$389.86–$399.02 | $649.77–$665.04 | varies |
| Ultrasound Elastography Parenchyma (76981) | $252.14 | $420.24 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $391.74 | $652.90 | 3.5× |
| Ultrasound, abdomen limited (76705) | $768.02 | $1,280.04 | 6.9× |
| Umbilical-artery Doppler (OB) (76820) | $370.02 | $616.70 | 3.3× |
| Unlisted us procedure (76999) | $462.67 | $771.11 | 5.0× |
| Upper gi w/o kub (74240) | $544.78 | $907.97 | 2.9× |
| Urethrocystogram voiding (74455) | $773.18 | $1,288.63 | 3.1× |
| Urethrocystography retrograde (74450) | $830.45 | $1,384.08 | 3.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$519.81–$779.71 | $866.35–$1,299.52 | varies |
| Us chest (76604) | $420.87 | $701.45 | 3.8× |
| Us exam, pelvic, limited (76857) | $531.86 | $886.43 | 4.8× |
| Us head (76506) | $359.87 | $599.78 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$422.59–$534.76 | $704.31–$891.27 | varies |
| Us ob limited 1 or more fetuses (76815) | $526.56 | $877.61 | 4.8× |
| Us ob transvaginal (76817) | $539.09 | $898.49 | 4.9× |
| Us pelvic non ob complete (76856) | $606.75 | $1,011.25 | 5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $615.30 | $1,025.50 | 5.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $619.65 | $1,032.75 | 5.6× |
| Us retroperitoneal complete (76770) | $729.42 | $1,215.70 | 6.6× |
| Us retroperitoneal limited (76775) | $623.40 | $1,038.99 | 5.6× |
| Us scrotum and contents (76870) | $769.38 | $1,282.30 | 7.0× |
| Us spinal canal and contents (76800) | $269.28 | $448.80 | 2.4× |
| Us thyroid (76536) range across 2 matching MRF lines |
$715.91–$763.88 | $1,193.19–$1,273.13 | varies |
| Venography extremity unilateral rs&i (75820) | $67.62 | $112.70 | 0.0× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$166.85–$333.69 | $278.08–$556.16 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $323.45 | $539.08 | 3.5× |
| X-Ray Bend Only L-S Spine (72120) | $477.89 | $796.49 | 4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$241.73–$421.93 | $402.89–$703.21 | varies |
| X-Ray Exam Breast Specimen (76098) | $405.02 | $675.03 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $271.54 | $452.56 | 2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $271.54 | $452.56 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $197.44 | $329.07 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $286.07 | $476.79 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $368.02 | $613.37 | 3.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $441.63 | $736.04 | 4.0× |
| X-Ray Exam L-S Spine Bending (72114) | $554.55 | $924.25 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $265.46 | $442.42 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $419.14 | $698.57 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $445.82 | $743.03 | 4.0× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$235.31–$291.15 | $392.19–$485.24 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$192.30–$384.61 | $320.50–$641.01 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $254.39 | $423.98 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $366.59 | $610.98 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $169.20 | $282 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $411.17 | $685.28 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $252.88 | $421.47 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $304.66 | $507.77 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $397.07 | $661.78 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $494.31 | $823.84 | 4.5× |
| X-Ray Tmj Unilat (70328) | $239.24 | $398.74 | 2.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $568.98 | $948.29 | 1.5× |
| X-Rays Bone Length Studies (77073) | $358.74 | $597.90 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $614.11 | $1,023.52 | 5.6× |
| Xr c-spine 4 or 5 views (72050) | $384.23 | $640.38 | 3.5× |
| Xr facial bones less than 3 views (70140) | $323.34 | $538.90 | 3.5× |
| Xr orbits complete 4 views (70200) | $267.94 | $446.57 | 2.4× |
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.