Imaging prices at Cass Regional Medical Center
Harrisonville, MO · every code in this section with a posted price and a Medicare benchmark.
248 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) range across 3 matching MRF lines |
$151.90–$368.90 | $217–$527 | varies |
| Abdomen 2 views (74019) | $436.10 | $623 | 4.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,792.70 | $2,561 | 4.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$492.10–$737.80 | $703–$1,054 | varies |
| Arthrogram hip (73525) | $920.50 | $1,315 | 2.6× |
| Arthrogram Wrist (73115) | $1,085 | $1,550 | 3.1× |
| Bone age studies (77072) | $274.40 | $392 | 2.6× |
| Bone Imaging 3 Phase (78315) | $2,532.60 | $3,618 | 6.3× |
| Bone Imaging Limited Area (78300) | $1,064 | $1,520 | 2.7× |
| Bone Imaging Whole Body (78306) | $2,065.70 | $2,951 | 5.2× |
| Bone survey infant (77076) | $532.70 | $761 | 5.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,544.30 | $9,349 | 4.6× |
| Chest 1 view (71045) | $368.90 | $527 | 4.2× |
| Chest 2 views (71046) | $436.10 | $623 | 5.0× |
| Chest 3 views (71047) | $436.10 | $623 | 5.0× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$553.70–$830.20 | $791–$1,186 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$211.40–$273.70 | $302–$391 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,820 | $2,600 | 5.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,533.70 | $2,191 | 4.4× |
| CT abdomen and pelvis without and with contrast (74178) | $7,568.40 | $10,812 | 21.7× |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$493.50–$5,451.60 | $705–$7,788 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$587.30–$3,679.90 | $839–$5,257 | varies |
| CT abdomen w wo contrast (74170) | $4,241.30 | $6,059 | 24.1× |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$249.90–$3,117.80 | $357–$4,454 | varies |
| CT Angio Abdomen and Pelvis (74174) | $7,860.30 | $11,229 | 22.5× |
| CT Angio Chest (71275) | $6,076 | $8,680 | 34.6× |
| CT Angio Head (70496) | $4,636.10 | $6,623 | 26.4× |
| CT Angio Neck (70498) | $4,636.10 | $6,623 | 26.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,482.20 | $3,546 | 14.1× |
| CT cervical spine w/ contrast (72126) | $2,921.80 | $4,174 | 8.4× |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$711.90–$2,715.30 | $1,017–$3,879 | varies |
| CT cervical spine w/wo cont (72127) | $3,129 | $4,470 | 17.8× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$587.30–$3,847.90 | $839–$5,497 | varies |
| CT chest w/wo contrast (71270) | $4,137 | $5,910 | 23.5× |
| CT head/brain with contrast (70460) | $3,423 | $4,890 | 19.5× |
| CT head/brain without and with contrast (70470) | $3,547.60 | $5,068 | 20.2× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$183.40–$189.70 | $262–$271 | varies |
| CT iac w contrast (70481) | $3,423 | $4,890 | 19.5× |
| CT l-spine w&w/o contrast (72133) | $3,129 | $4,470 | 17.8× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$859.60–$3,284.40 | $1,228–$4,692 | varies |
| CT lower extremity w/contrast material (73701) | $3,407.60 | $4,868 | 19.4× |
| CT lumbar spine w contrast (72132) | $2,921.80 | $4,174 | 8.4× |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$711.90–$2,715.30 | $1,017–$3,879 | varies |
| CT maxillofacial w contrast (70487) | $3,423 | $4,890 | 19.5× |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$859.60–$3,299.10 | $1,228–$4,713 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$859.60–$3,547.60 | $1,228–$5,068 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,547.60 | $5,068 | 20.2× |
| CT orbits w/o contrast (70480) range across 5 matching MRF lines |
$859.60–$3,299.10 | $1,228–$4,713 | varies |
| CT pelvis w&w/o contrast (72194) | $3,336.20 | $4,766 | 19.0× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$622.30–$2,389.10 | $889–$3,413 | varies |
| CT scan of leg combo (73702) | $3,530.10 | $5,043 | 20.1× |
| CT scans face/jaw combo (70488) | $3,547.60 | $5,068 | 20.2× |
| CT soft tissue neck w contrast (70491) | $3,423 | $4,890 | 19.5× |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$818.30–$3,299.10 | $1,169–$4,713 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$760.90–$2,921.80 | $1,087–$4,174 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$711.90–$2,715.30 | $1,017–$3,879 | varies |
| CT thoracic spine w/wo cont (72130) | $3,129 | $4,470 | 17.8× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$249.90–$3,558.10 | $357–$5,083 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$540.40–$2,066.40 | $772–$2,952 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,216.90 | $3,167 | 12.6× |
| CT upper extremity with contrast (73201) | $2,141.30 | $3,059 | 6.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,281.90 | $6,117 | 24.4× |
| Cta Abdomen (74175) | $6,510 | $9,300 | 37.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,547.60 | $5,068 | 10.2× |
| CTA pelvis (72191) | $3,129 | $4,470 | 17.8× |
| Dxa Bone Density Axial (77080) | $578.90 | $827 | 5.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $488.60 | $698 | 5.6× |
| Esophagram (74220) range across 2 matching MRF lines |
$425.60–$791 | $608–$1,130 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$221.20–$836.50 | $316–$1,195 | varies |
| Fluoroscopy up to 1 hr (76000) | $631.40 | $902 | 2.6× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$492.10–$737.80 | $703–$1,054 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$436.10–$654.50 | $623–$935 | varies |
| Gastric emptying imaging study (78264) | $1,792.70 | $2,561 | 4.5× |
| Gated Heart Planar Single (78472) | $1,792.70 | $2,561 | 4.5× |
| Gated Heart, Multiple (78473) | $1,909.60 | $2,728 | 4.8× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$513.10–$770 | $733–$1,100 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,123.40 | $4,462 | 5.7× |
| Hepatobiliary System Imaging (78226) | $1,792.70 | $2,561 | 4.5× |
| Ht Muscle Image Spect Sing (78451) | $6,602.40 | $9,432 | 5.1× |
| Hysterosalpingogram (74740) | $1,083.60 | $1,548 | 4.5× |
| Joint Survey Single View (77077) | $492.10 | $703 | 4.7× |
| K Flow/Funct Image W/Drug (78708) | $2,710.40 | $3,872 | 5.0× |
| K Flow/Funct Image W/O Drug (78707) | $2,004.80 | $2,864 | 3.7× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$875.70–$1,312.50 | $1,251–$1,875 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,718.50 | $2,455 | 4.3× |
| Liver imaging static only (78201) | $1,684.90 | $2,407 | 3.1× |
| Lung Perf&Ventilat Diferentl (78598) | $2,539.60 | $3,628 | 4.7× |
| Lung perfusion differential (78597) | $1,857.80 | $2,654 | 4.6× |
| Lung Ventilat&Perfus Imaging (78582) | $2,539.60 | $3,628 | 4.7× |
| Lymph System Imaging (78195) | $1,640.10 | $2,343 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $3,549 | $5,070 | 14.8× |
| Meckels Divert Exam (78290) | $1,792.70 | $2,561 | 4.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $91 | $130 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $3,831.80 | $5,474 | 11.0× |
| MRA head w/o contrast (70544) | $3,330.60 | $4,758 | 13.9× |
| MRA head with contrast (70545) | $1,915.90 | $2,737 | 5.5× |
| MRA neck w contrast (70548) | $3,620.40 | $5,172 | 10.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,909.50 | $5,585 | 11.2× |
| MRA neck w/o contrast (70547) | $3,330.60 | $4,758 | 13.9× |
| MRI abdomen w contrast (74182) | $4,782.40 | $6,832 | 13.7× |
| MRI abdomen w/o contrast (74181) | $4,368.70 | $6,241 | 18.3× |
| MRI any jt lower extrem w/contrast material (73722) | $4,128.60 | $5,898 | 5.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,286.10 | $6,123 | 12.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,110 | $7,300 | 6.5× |
| MRI cervical spine w contrast (72142) | $4,416.30 | $6,309 | 12.6× |
| MRI cervical spine w/o cont (72141) | $4,031.30 | $5,759 | 16.9× |
| MRI chest w/o contrast (71550) | $6,205.50 | $8,865 | 26.0× |
| MRI chest with contrast (71551) | $6,329.40 | $9,042 | 8.1× |
| MRI chest wo w contrast (71552) | $6,454 | $9,220 | 18.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,128.60 | $5,898 | 11.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,286.10 | $6,123 | 12.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,971.80 | $5,674 | 16.6× |
| MRI lumbar spine w contrast (72149) | $4,416.30 | $6,309 | 12.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,836.30 | $6,909 | 13.8× |
| MRI orbit face &/neck w/o contrast (70540) | $3,330.60 | $4,758 | 13.9× |
| MRI orbit face neck w contrast (70542) | $3,620.40 | $5,172 | 10.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,909.50 | $5,585 | 11.2× |
| MRI pelvis w contrast (72196) | $4,844 | $6,920 | 13.9× |
| MRI pelvis w/o & w contrast (72197) | $5,313.70 | $7,591 | 15.2× |
| MRI pelvis w/o contrast (72195) | $4,375 | $6,250 | 18.3× |
| MRI thoracic spine w/o contrast (72146) | $4,031.30 | $5,759 | 16.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,110 | $7,300 | 14.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,749.50 | $6,785 | 19.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,471.20 | $7,816 | 15.7× |
| MRI, abdomen, combo (74183) | $5,196.10 | $7,423 | 14.9× |
| MRI, dorsal spine combo (72157) | $4,836.30 | $6,909 | 13.8× |
| MRI, dorsal spine contrast (72147) | $4,416.30 | $6,309 | 12.6× |
| MRI, joint upper extrem (73221) | $4,749.50 | $6,785 | 19.9× |
| MRI, joint upper extrem combo (73223) | $5,471.20 | $7,816 | 15.7× |
| MRI, lumbar spine combo (72158) | $4,836.30 | $6,909 | 13.8× |
| Myocardial Spect Multiple Studies (78452) | $7,529.20 | $10,756 | 5.8× |
| Neck soft tissue (70360) | $507.50 | $725 | 5.8× |
| Nuclear Rx Oral Admin (79005) | $2,638.30 | $3,769 | 11.3× |
| Optic foramina (70190) | $490.70 | $701 | 5.6× |
| Parathyroid Planar Imaging (78070) | $1,370.60 | $1,958 | 3.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,670.90 | $2,387 | 4.2× |
| Pelvis 1 or 2 views (72170) | $436.10 | $623 | 4.2× |
| Pet Image Skull-Thigh (78812) | $6,238.40 | $8,912 | 4.4× |
| PET image w/CT, full body (78816) | $6,376.30 | $9,109 | 4.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,238.40 | $8,912 | 4.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,397.90 | $1,997 | 3.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$550.90–$1,094.80 | $787–$1,564 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,024.10 | $1,463 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$585.90–$878.50 | $837–$1,255 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$492.10–$737.80 | $703–$1,054 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$666.40–$998.90 | $952–$1,427 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $507.50 | $725 | 4.8× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$452.90–$679 | $647–$970 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$294.70–$878.50 | $421–$1,255 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$666.40–$998.90 | $952–$1,427 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $799.40 | $1,142 | 9.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $507.50 | $725 | 4.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $507.50 | $725 | 5.8× |
| Radex Ribs Unilateral 2 Views (71100) | $436.10 | $623 | 5.0× |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$523.60–$998.90 | $748–$1,427 | varies |
| Radex Spine 1 View Specify Level (72020) | $368.90 | $527 | 4.2× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$217.70–$436.10 | $311–$623 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $664.30 | $949 | 7.6× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$492.10–$737.80 | $703–$1,054 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$666.40–$998.90 | $952–$1,427 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,037.40 | $1,482 | 9.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $525 | $750 | 5.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $550.90 | $787 | 5.3× |
| Radiologic exam colon double contrast study (74280) | $402.50 | $575 | 2.3× |
| Radiologic exam colon single contrast study (74270) | $399 | $570 | 2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $424.90 | $607 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$1,122.80–$1,683.50 | $1,604–$2,405 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $499.10 | $713 | 4.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,022 | $1,460 | 5.8× |
| Radiologic exam swallow function contrast study (74230) | $791 | $1,130 | 4.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,285.90 | $1,837 | 7.3× |
| Radiologic examination femur 1 view (73551) | $174.30 | $249 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $257.60 | $368 | 3.0× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$307.30–$460.60 | $439–$658 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$492.10–$737.80 | $703–$1,054 | varies |
| Ribs bilateral 3 views (71110) | $499.10 | $713 | 4.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,348.50 | $3,355 | 4.3× |
| Scapula (73010) range across 4 matching MRF lines |
$553.70–$830.20 | $791–$1,186 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$17.50–$22.40 | $25–$32 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$513.10–$770 | $733–$1,100 | varies |
| Shoulder Arthrography (73040) | $1,022.70 | $1,461 | 2.9× |
| Skull less than 4 views (70250) | $508.20 | $726 | 4.9× |
| Spleen Imaging (78185) | $1,595.30 | $2,279 | 4.0× |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$507.50–$761.60 | $725–$1,088 | varies |
| Testicular Imaging W/Flow (78761) | $1,857.80 | $2,654 | 4.6× |
| Thoracic spine 2 views (72070) | $571.90 | $817 | 5.5× |
| Thoracic spine 3 views (72072) | $657.30 | $939 | 6.3× |
| Thoracolumbar 2 views (72080) | $592.20 | $846 | 6.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,595.30 | $2,279 | 4.0× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$1,595.30–$1,755.60 | $2,279–$2,508 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,670.90 | $2,387 | 4.2× |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$221.20–$836.50 | $316–$1,195 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$90.30–$836.50 | $129–$1,195 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$212.80–$784.70 | $304–$1,121 | varies |
| Upper gi w/o kub (74240) | $1,279.60 | $1,828 | 7.3× |
| Urethrocystogram voiding (74455) | $1,083.60 | $1,548 | 4.5× |
| Urethrocystography retrograde (74450) | $1,083.60 | $1,548 | 4.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$637–$1,672.30 | $910–$2,389 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$221.20–$836.50 | $316–$1,195 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$172.20–$654.50 | $246–$935 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$147.70–$540.40 | $211–$772 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$221.20–$836.50 | $316–$1,195 | varies |
| Us ob detailed single fetus (76811) | $836.50 | $1,195 | 3.5× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$221.20–$836.50 | $316–$1,195 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$221.20–$836.50 | $316–$1,195 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$221.20–$836.50 | $316–$1,195 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$221.20–$836.50 | $316–$1,195 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$221.20–$836.50 | $316–$1,195 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$221.20–$836.50 | $316–$1,195 | varies |
| Us transrectal (76872) | $836.50 | $1,195 | 8.0× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$436.10–$654.50 | $623–$935 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $737.80 | $1,054 | 8.5× |
| X-Ray Bend Only L-S Spine (72120) | $655.90 | $937 | 6.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$513.10–$770 | $733–$1,100 | varies |
| X-Ray Exam Breast Specimen (76098) | $570.50 | $815 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $368.90 | $527 | 4.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $592.20 | $846 | 5.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$422.10–$814.80 | $603–$1,164 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $212.80 | $304 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $382.90 | $547 | 4.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $534.80 | $764 | 5.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $307.30 | $439 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $574 | $820 | 5.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $641.90 | $917 | 6.1× |
| X-Ray Exam L-S Spine Bending (72114) | $1,037.40 | $1,482 | 9.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $592.20 | $846 | 6.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,037.40 | $1,482 | 9.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $507.50 | $725 | 4.8× |
| X-ray eye for foreign body (70030) | $508.20 | $726 | 5.8× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$513.10–$770 | $733–$1,100 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,147.30 | $1,639 | 6.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $508.20 | $726 | 5.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $336 | $480 | 3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$297.50–$592.20 | $425–$846 | varies |
| X-ray nose-rectum child f.b. (76010) | $306.60 | $438 | 3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $786.80 | $1,124 | 7.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $490.70 | $701 | 4.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $490.70 | $701 | 4.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $452.90 | $647 | 5.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $507.50 | $725 | 5.8× |
| X-ray thoracic spine 4 vw (72074) | $814.80 | $1,164 | 7.8× |
| X-Ray Tmj Unilat (70328) | $507.50 | $725 | 5.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$518–$1,206.80 | $740–$1,724 | varies |
| X-Rays Bone Length Studies (77073) | $410.20 | $586 | 3.9× |
| X-Rays Bone Survey Complete (77075) | $614.60 | $878 | 5.9× |
| Xr c-spine 4 or 5 views (72050) | $814.80 | $1,164 | 7.8× |
| Xr facial bones less than 3 views (70140) | $490.70 | $701 | 5.6× |
| Xr orbits complete 4 views (70200) | $525 | $750 | 5.0× |
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.