Imaging prices at Carilion Tazewell Community Hospital
Tazewell, VA · every code in this section with a posted price and a Medicare benchmark.
275 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) | $282.45 | $807 | 3.3× |
| Abdomen 2 views (74019) | $338.80 | $968 | 3.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $757.40 | $2,164 | 1.9× |
| Adrenal Cortex & Medulla Img (78075) | $2,098.95 | $5,997 | 1.7× |
| Angiography extremity bilateral rs&i (75716) | $3,920.35 | $11,201 | 1.3× |
| Angiography extremity unilateral rs&i (75710) | $3,903.90 | $11,154 | 1.3× |
| Ankle 2 views (73600) | $192.50 | $550 | 2.3× |
| Aortography thoracic serialography rs&i (75605) | $6,704.95 | $19,157 | 1.2× |
| Arthrogram hip (73525) | $587.30 | $1,678 | 1.7× |
| Arthrogram Wrist (73115) | $462 | $1,320 | 1.4× |
| Bone age studies (77072) | $170.10 | $486 | 1.7× |
| Bone Imaging 3 Phase (78315) | $1,237.95 | $3,537 | 3.2× |
| Bone Imaging Limited Area (78300) | $859.25 | $2,455 | 2.2× |
| Bone Imaging Multiple Areas (78305) | $938.35 | $2,681 | 2.4× |
| Bone Imaging Whole Body (78306) | $974.75 | $2,785 | 2.5× |
| Bone survey infant (77076) | $153.65 | $439 | 1.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,573.95 | $4,497 | 4.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,398.20 | $6,852 | 3.1× |
| Cat Scan Follow-Up Study (76380) | $513.10 | $1,466 | 6.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $667.80 | $1,908 | 1.3× |
| Cerebrospinal Fluid Scan (78630) | $690.90 | $1,974 | 1.3× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$109.55–$127.40 | $313–$364 | varies |
| Chest 2 views (71046) | $145.25 | $415 | 1.7× |
| Chest 3 views (71047) | $145.25 | $415 | 1.7× |
| Chest 4 or more views (71048) | $168.70 | $482 | 1.7× |
| Clavicle complete (73000) | $370.30 | $1,058 | 4.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $860.30 | $2,458 | 8.4× |
| Contrast Exam Abdominl Aorta (75625) | $3,903.90 | $11,154 | 1.3× |
| Contrast X-Ray Bladder (74430) | $443.10 | $1,266 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $534.45 | $1,527 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,153.90 | $6,154 | 6.3× |
| CT abdomen and pelvis without contrast (74176) | $1,325.45 | $3,787 | 5.7× |
| CT abdomen w contrast (74160) | $1,149.75 | $3,285 | 6.7× |
| CT abdomen w wo contrast (74170) | $1,233.05 | $3,523 | 7.2× |
| CT abdomen w/o contrast (74150) | $842.45 | $2,407 | 8.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,365.30 | $6,758 | 6.9× |
| CT Angio Chest (71275) | $1,095.15 | $3,129 | 6.4× |
| CT Angio Head (70496) | $1,322.65 | $3,779 | 7.7× |
| CT angio hrt w/3d image (75574) | $1,016.05 | $2,903 | 3.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,852.55 | $5,293 | 10.8× |
| CT Angio Neck (70498) | $1,232.35 | $3,521 | 7.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,160.60 | $3,316 | 6.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,017.10 | $2,906 | 5.9× |
| CT cervical spine w/ contrast (72126) | $2,105.95 | $6,017 | 6.2× |
| CT cervical spine w/o contrast (72125) | $1,004.15 | $2,869 | 9.8× |
| CT cervical spine w/wo cont (72127) | $1,417.15 | $4,049 | 8.3× |
| CT chest w contrast (71260) | $1,028.65 | $2,939 | 6.0× |
| CT chest w/wo contrast (71270) | $1,373.40 | $3,924 | 8.0× |
| CT head/brain with contrast (70460) | $1,029 | $2,940 | 6.0× |
| CT head/brain without and with contrast (70470) | $1,261.40 | $3,604 | 7.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $737.10 | $2,106 | 2.2× |
| CT hrt w/3d image congen (75573) | $1,047.20 | $2,992 | 3.1× |
| CT iac w contrast (70481) | $964.60 | $2,756 | 5.6× |
| CT l-spine w&w/o contrast (72133) | $1,252.65 | $3,579 | 7.3× |
| CT lower ext w/o (73700) | $1,370.95 | $3,917 | 13.4× |
| CT lower extremity w/contrast material (73701) | $1,443.75 | $4,125 | 8.4× |
| CT lumbar spine w contrast (72132) | $1,205.05 | $3,443 | 3.5× |
| CT lumbar spine w/o contrast (72131) | $1,026.55 | $2,933 | 10.1× |
| CT maxillofacial w contrast (70487) | $1,712.55 | $4,893 | 10.0× |
| CT maxillofacial wo contrast (70486) | $775.60 | $2,216 | 7.6× |
| CT neck tissue combo (70492) | $1,405.95 | $4,017 | 8.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $996.10 | $2,846 | 5.8× |
| CT orbits w/o contrast (70480) | $952 | $2,720 | 9.3× |
| CT pelvis w&w/o contrast (72194) | $1,070.65 | $3,059 | 6.3× |
| CT pelvis w/o contrast (72192) | $700.35 | $2,001 | 6.9× |
| CT scan of leg combo (73702) | $1,764.35 | $5,041 | 10.3× |
| CT scans face/jaw combo (70488) | $1,798.30 | $5,138 | 10.5× |
| CT soft tissue neck w contrast (70491) | $1,016.40 | $2,904 | 5.9× |
| CT soft tissue neck w/o contrast (70490) | $860.30 | $2,458 | 8.4× |
| CT thoracic spine w contrast (72129) | $1,291.15 | $3,689 | 7.5× |
| CT thoracic spine w/o contrast (72128) | $724.85 | $2,071 | 7.1× |
| CT thoracic spine w/wo cont (72130) | $1,090.95 | $3,117 | 6.4× |
| CT thorax w/o contrast (71250) | $868.70 | $2,482 | 8.5× |
| CT upper ext wo (73200) | $873.60 | $2,496 | 8.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,066.80 | $3,048 | 6.2× |
| CT upper extremity with contrast (73201) | $1,301.30 | $3,718 | 3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,125.25 | $3,215 | 6.6× |
| Cta Abdomen (74175) | $1,330.70 | $3,802 | 7.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,543.10 | $7,266 | 7.5× |
| CTA pelvis (72191) | $990.50 | $2,830 | 5.8× |
| Dxa Bone Density Axial (77080) | $351.40 | $1,004 | 3.4× |
| Dxa bone density study (77085) | $337.40 | $964 | 3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $166.25 | $475 | 2.0× |
| Echo exam uterus (76831) | $299.95 | $857 | 1.3× |
| Esophagram (74220) | $301.35 | $861 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $281.05 | $803 | 2.8× |
| Fluoroscopy up to 1 hr (76000) | $421.75 | $1,205 | 1.8× |
| Follow-Up Angiography (75898) | $3,903.90 | $11,154 | 1.3× |
| Foot 2 views (73620) | $176.05 | $503 | 2.1× |
| Forearm 2 views (73090) | $204.75 | $585 | 2.4× |
| Gastric emptying imaging study (78264) | $505.40 | $1,444 | 1.3× |
| Gated Heart Planar Single (78472) | $693.70 | $1,982 | 1.8× |
| Hand 2 views (73120) | $150.15 | $429 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,735.65 | $4,959 | 3.3× |
| Hepatobiliary System Imaging (78226) | $748.65 | $2,139 | 1.9× |
| Hysterosalpingogram (74740) | $591.85 | $1,691 | 2.5× |
| K Flow/Funct Image Multiple (78709) | $1,353.10 | $3,866 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $667.80 | $1,908 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $992.95 | $2,837 | 1.9× |
| Kidney Imaging Morphol (78700) | $842.10 | $2,406 | 2.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,226.35 | $6,361 | 5.7× |
| Knee 3 Views (73562) | $292.25 | $835 | 3.4× |
| Leveen/Shunt Patency Exam (78291) | $749.35 | $2,141 | 1.9× |
| Liver & Spleen Imaging Static Only (78215) | $720.30 | $2,058 | 1.8× |
| Liver imaging static only (78201) | $911.75 | $2,605 | 1.7× |
| Lymph System Imaging (78195) | $987.70 | $2,822 | 1.9× |
| Mammary ductogram or galactogram multiple (77054) | $378.70 | $1,082 | 1.6× |
| Mammary ductogram or galactogram single (77053) | $299.95 | $857 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,637.30 | $4,678 | 4.8× |
| MRA head w/o contrast (70544) | $1,156.05 | $3,303 | 5.0× |
| MRA head with contrast (70545) | $1,488.55 | $4,253 | 4.4× |
| MRA neck w contrast (70548) | $983.15 | $2,809 | 2.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,827.70 | $5,222 | 5.4× |
| MRA neck w/o contrast (70547) | $641.55 | $1,833 | 2.8× |
| MRI abdomen w contrast (74182) | $1,265.95 | $3,617 | 3.7× |
| MRI abdomen w/o contrast (74181) | $1,137.85 | $3,251 | 4.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,964.90 | $5,614 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,424.10 | $6,926 | 7.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,031.75 | $5,805 | 2.7× |
| MRI cardiac w/o contrast (75557) | $1,390.55 | $3,973 | 6.0× |
| MRI cervical spine w contrast (72142) | $1,981.70 | $5,662 | 5.8× |
| MRI cervical spine w/o cont (72141) | $2,095.80 | $5,988 | 9.0× |
| MRI chest w/o contrast (71550) | $1,455.65 | $4,159 | 6.3× |
| MRI chest wo w contrast (71552) | $1,987.65 | $5,679 | 5.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,879.50 | $5,370 | 5.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,327.50 | $6,650 | 6.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,611.05 | $4,603 | 6.9× |
| MRI lumbar spine w contrast (72149) | $2,347.10 | $6,706 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,779 | $7,940 | 8.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,394.40 | $3,984 | 6.0× |
| MRI orbit face neck w contrast (70542) | $1,638.35 | $4,681 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,073.75 | $5,925 | 6.1× |
| MRI pelvis w contrast (72196) | $1,923.25 | $5,495 | 5.7× |
| MRI pelvis w/o & w contrast (72197) | $2,877 | $8,220 | 8.5× |
| MRI pelvis w/o contrast (72195) | $1,744.40 | $4,984 | 7.5× |
| MRI thoracic spine w/o contrast (72146) | $1,228.50 | $3,510 | 5.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,885.10 | $5,386 | 5.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,744.05 | $4,983 | 7.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,271.15 | $6,489 | 6.7× |
| MRI, abdomen, combo (74183) | $1,989.40 | $5,684 | 5.8× |
| MRI, dorsal spine combo (72157) | $2,401.70 | $6,862 | 7.1× |
| MRI, joint upper extrem (73221) | $1,768.55 | $5,053 | 7.6× |
| MRI, joint upper extrem combo (73223) | $2,315.25 | $6,615 | 6.8× |
| MRI, lumbar spine combo (72158) | $2,838.85 | $8,111 | 8.3× |
| Myelogram cervical (72240) | $984.55 | $2,813 | 1.3× |
| Myelogram Lumbar (72265) | $984.55 | $2,813 | 1.3× |
| Neck soft tissue (70360) | $215.95 | $617 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $1,593.90 | $4,554 | 7.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $219.45 | $627 | 2.2× |
| Parathyroid Planar Imaging (78070) | $498.40 | $1,424 | 1.3× |
| Pelvis 1 or 2 views (72170) | $187.25 | $535 | 1.8× |
| Pet Image W/Ct Lmtd (78814) | $3,296.65 | $9,419 | 2.4× |
| PET image w/CT, full body (78816) | $3,671.15 | $10,489 | 2.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,638.95 | $10,397 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $508.20 | $1,452 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $286.30 | $818 | 2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $680.40 | $1,944 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $223.30 | $638 | 2.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $152.60 | $436 | 1.8× |
| Radex elbow complete minimum 3 views (73080) | $178.85 | $511 | 2.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $257.95 | $737 | 2.5× |
| Radex fingr minimum 2 views (73140) | $238 | $680 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $227.15 | $649 | 2.7× |
| Radex Hand Minimum 3 Views (73130) | $298.55 | $853 | 3.5× |
| Radex lower extremity infant minimum 2 views (73592) | $96.60 | $276 | 1.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $153.65 | $439 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $266 | $760 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $161.35 | $461 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) | $221.20 | $632 | 2.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $109.55 | $313 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $176.40 | $504 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $234.15 | $669 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $181.30 | $518 | 2.1× |
| Radex Toe Minimum 2 Views (73660) | $139.65 | $399 | 1.6× |
| Radex upper extremity infant minimum 2 views (73092) | $187.95 | $537 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $306.25 | $875 | 3.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $536.90 | $1,534 | 5.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $195.30 | $558 | 1.9× |
| Radiologic exam colon double contrast study (74280) | $347.90 | $994 | 2.0× |
| Radiologic exam colon single contrast study (74270) | $595.70 | $1,702 | 3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $256.20 | $732 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $316.05 | $903 | 3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $230.65 | $659 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $305.55 | $873 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $493.85 | $1,411 | 2.9× |
| Radiologic examination femur 1 view (73551) | $109.55 | $313 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) | $170.45 | $487 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $246.05 | $703 | 2.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $153.65 | $439 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $248.85 | $711 | 2.9× |
| Ribs bilateral 3 views (71110) | $349.30 | $998 | 3.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$570.50–$637 | $1,630–$1,820 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,619.45 | $4,627 | 3.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,654.45 | $4,727 | 3.1× |
| Scapula (73010) | $350.70 | $1,002 | 3.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $29.75 | $85 | 1.3× |
| Shoulder 1 view (73020) | $175.70 | $502 | 2.1× |
| Shoulder Arthrography (73040) | $563.15 | $1,609 | 1.7× |
| Skull less than 4 views (70250) | $223.30 | $638 | 2.2× |
| Sternoclavicular joints (71130) | $275.45 | $787 | 3.2× |
| Thoracic spine 2 views (72070) | $302.05 | $863 | 3.0× |
| Thoracic spine 3 views (72072) | $334.95 | $957 | 3.3× |
| Thoracolumbar 2 views (72080) | $313.95 | $897 | 3.7× |
| Thyroid Imaging With Vascular Flow (78013) | $498.40 | $1,424 | 1.3× |
| Thyroid Met Imaging Body (78018) | $1,428.35 | $4,081 | 2.7× |
| Thyroid Uptake Measurement (78012) | $498.40 | $1,424 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$565.95–$637 | $1,617–$1,820 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$264.25–$542.50 | $755–$1,550 | varies |
| Ultrasound Exam Aaa Screen (76706) | $203.35 | $581 | 2.0× |
| Ultrasound, abdomen limited (76705) | $561.05 | $1,603 | 5.5× |
| Upper gi w/o kub (74240) | $486.85 | $1,391 | 2.8× |
| Ureteral Reflux Study (78740) | $1,559.25 | $4,455 | 4.0× |
| Urethrocystogram voiding (74455) | $653.80 | $1,868 | 2.8× |
| Urethrocystography retrograde (74450) | $357 | $1,020 | 1.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$386.40–$772.80 | $1,104–$2,208 | varies |
| Us chest (76604) | $406.35 | $1,161 | 4.0× |
| Us complete joint (76881) | $602.35 | $1,721 | 5.9× |
| Us exam, pelvic, limited (76857) | $298.20 | $852 | 2.9× |
| Us head (76506) | $270.20 | $772 | 2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $290.50 | $830 | 2.8× |
| Us ob detailed single fetus (76811) | $431.20 | $1,232 | 1.9× |
| Us ob limited 1 or more fetuses (76815) | $283.15 | $809 | 2.8× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$345.45–$355.95 | $987–$1,017 | varies |
| Us pelvic non ob complete (76856) | $632.45 | $1,807 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $311.15 | $889 | 3.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $249.20 | $712 | 2.4× |
| Us retroperitoneal complete (76770) | $394.80 | $1,128 | 3.9× |
| Us retroperitoneal limited (76775) | $310.45 | $887 | 3.0× |
| Us scrotum and contents (76870) | $593.60 | $1,696 | 5.8× |
| Us thyroid (76536) | $521.50 | $1,490 | 5.1× |
| Vein X-Ray Chest (75827) | $1,926.75 | $5,505 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $4,127.90 | $11,794 | 1.3× |
| Venography extremity bilateral rs&i (75822) | $1,926.75 | $5,505 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $1,926.75 | $5,505 | 1.3× |
| Wrist 2 views (73100) | $135.80 | $388 | 1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $206.50 | $590 | 2.4× |
| X-ray antegrade pyelogram tube (74425) | $534.45 | $1,527 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $3,903.90 | $11,154 | 1.3× |
| X-Ray Bend Only L-S Spine (72120) | $329 | $940 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $152.60 | $436 | 1.8× |
| X-Ray Exam Breast Specimen (76098) | $680.40 | $1,944 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $88.55 | $253 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $141.75 | $405 | 1.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $511.35 | $1,461 | 5.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $109.55 | $313 | 1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $142.10 | $406 | 1.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $299.25 | $855 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $169.05 | $483 | 1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $238.35 | $681 | 2.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $280.70 | $802 | 2.8× |
| X-Ray Exam L-S Spine Bending (72114) | $477.75 | $1,365 | 4.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $280 | $800 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $461.65 | $1,319 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $202.65 | $579 | 2.0× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$141.05–$211.40 | $403–$604 | varies |
| X-ray humerus (73060) | $188.30 | $538 | 2.2× |
| X-ray IV pyelogram (ivp) (74400) | $429.10 | $1,226 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $150.15 | $429 | 1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $156.10 | $446 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $320.95 | $917 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $292.25 | $835 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $442.75 | $1,265 | 4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $220.85 | $631 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $153.65 | $439 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $240.80 | $688 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $263.90 | $754 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $249.55 | $713 | 2.4× |
| X-ray thoracic spine 4 vw (72074) | $382.20 | $1,092 | 3.7× |
| X-Ray Tmj Unilat (70328) | $109.55 | $313 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $494.20 | $1,412 | 1.5× |
| X-Rays Bone Length Studies (77073) | $150.85 | $431 | 1.5× |
| X-Rays Bone Survey Complete (77075) | $482.30 | $1,378 | 4.7× |
| Xr c-spine 4 or 5 views (72050) | $382.55 | $1,093 | 3.8× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$141.05–$186.20 | $403–$532 | varies |
| Xr orbits complete 4 views (70200) | $189.35 | $541 | 1.9× |
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.