Imaging prices at Catawba Valley Medical Center

Hickory, NC · every code in this section with a posted price and a Medicare benchmark.

329 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,124 $8,540 3.8×
Abdomen 1 View (74018) $227 $378 2.7×
Abdomen 2 views (74019) $227 $378 2.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $818 $1,363 2.1×
Angio internal mammary (75756) $4,298 $7,163 1.4×
Angio pulmonary bilat (75743) $3,461 $5,768 1.1×
Angiography extremity bilateral rs&i (75716) $3,242 $5,403 1.1×
Angiography extremity unilateral rs&i (75710) $3,047 $5,079 1.0×
Angiography pulmonary unilateral slctv rs&i (75741) $3,090 $5,150 1.0×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $4,317 $7,195 1.4×
Ankle 2 views (73600) $371 $619 4.4×
Aortography thoracic serialography rs&i (75605) $7,415 $12,358 1.4×
Artery X-Rays Abdomen (75726) $3,262 $5,437 0.6×
Artery X-Rays Pelvis (75736) $2,966 $4,943 0.5×
Arthrogram ankle (73615) $254 $424 0.8×
Arthrogram hip (73525) $298 $496 0.9×
Arthrogram Wrist (73115) $254 $424 0.8×
Basic radiation dosimetry calculation (77300) $547 $911 4.2×
Bone age studies (77072) $199 $332 2.0×
Bone Imaging 3 Phase (78315) $2,084 $3,473 5.4×
Bone Imaging Whole Body (78306) $1,812 $3,020 4.7×
Bone survey infant (77076) $230 $383 2.3×
Brachytx isodose complex (77318) $676 $1,126 1.9×
Brachytx isodose intermed (77317) $500 $833 1.4×
Brachytx Isodose Plan Simple (77316) $358 $597 1.0×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $485 $809 0.9×
Brain Imaging Minimum 4 Static Views (78605) $485 $809 0.9×
Cardiac MRI w/w/o contrast & further seq (75561) $2,353 $3,922 7.0×
Cardiac MRI w/w/o contrast w/stress (75563) $2,353 $3,922 3.1×
Cat Scan Follow-Up Study (76380) $676 $1,127 8.0×
Cerebrospinal Fluid Scan (78630) $407 $679 0.8×
Chest 1 view (71045) $247 $412 2.9×
Chest 2 views (71046) $313 $522 3.7×
Chest 3 views (71047) $330 $550 3.9×
Clavicle complete (73000) $397 $661 4.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $169 $282 1.7×
Continuing medical physics consltj pr wk (77336) $697 $1,161 5.3×
Contrast Exam Abdominl Aorta (75625) $2,146 $3,577 0.7×
Contrast X-Ray Bladder (74430) $473 $788 1.4×
Contrast X-Ray Of Elbow (73085) $324 $540 1.0×
Contrast X-Ray Of Knee Joint (73580) $298 $496 0.9×
Contrast Xray Throat/Cerv Esopha (74210) $433 $722 2.5×
CT abdomen and pelvis without and with contrast (74178) $4,259 $7,098 12.6×
CT abdomen and pelvis without contrast (74176) $2,375 $3,958 10.3×
CT abdomen w contrast (74160) $2,186 $3,643 12.9×
CT abdomen w wo contrast (74170) $2,714 $4,523 16.0×
CT abdomen w/o contrast (74150) $1,736 $2,894 17.1×
CT Angio Abdomen and Pelvis (74174) $2,240 $3,733 6.6×
CT Angio Chest (71275) $1,845 $3,075 10.8×
CT Angio Head (70496) $2,005 $3,342 11.8×
CT angio hrt w/3d image (75574) $3,153 $5,255 9.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $918 $1,530 5.4×
CT Angio Neck (70498) $2,005 $3,342 11.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,478 $2,463 8.7×
CT cervical spine w/ contrast (72126) $2,105 $3,509 6.2×
CT cervical spine w/o contrast (72125) $1,697 $2,829 16.7×
CT cervical spine w/wo cont (72127) $2,229 $3,715 13.1×
CT chest w contrast (71260) $2,113 $3,521 12.4×
CT chest w/wo contrast (71270) $2,514 $4,190 14.8×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $1,352 $2,254 7.9×
CT colonogrphy dx image postprocess w/o contrast (74261) $600 $1,000 5.9×
CT head/brain with contrast (70460) $1,856 $3,094 10.9×
CT head/brain without and with contrast (70470) $2,185 $3,642 12.8×
CT heart contrast eval cardiac structure&morph (75572) $1,513 $2,522 4.5×
CT heart no contrast quant eval coronry calcium (75571) $140 $234 1.7×
CT iac w contrast (70481) $1,333 $2,222 7.8×
CT l-spine w&w/o contrast (72133) $2,229 $3,715 13.1×
CT lower ext w/o (73700) $1,388 $2,313 13.7×
CT lower extremity w/contrast material (73701) $1,749 $2,915 10.3×
CT lumbar spine w contrast (72132) $1,748 $2,913 5.2×
CT lumbar spine w/o contrast (72131) $1,381 $2,301 13.6×
CT maxillofacial w contrast (70487) $1,754 $2,923 10.3×
CT maxillofacial wo contrast (70486) $1,462 $2,436 14.4×
CT neck tissue combo (70492) $2,223 $3,705 13.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,445 $2,408 8.5×
CT orbits w/o contrast (70480) $1,120 $1,867 11.0×
CT pelvis w&w/o contrast (72194) $2,442 $4,070 14.4×
CT pelvis w/o contrast (72192) $1,355 $2,258 13.4×
CT scan of leg combo (73702) $2,110 $3,516 12.4×
CT scans face/jaw combo (70488) $2,134 $3,557 12.5×
CT soft tissue neck w contrast (70491) $1,837 $3,062 10.8×
CT soft tissue neck w/o contrast (70490) $1,489 $2,481 14.7×
CT thoracic spine w contrast (72129) $1,547 $2,579 9.1×
CT thoracic spine w/o contrast (72128) $866 $1,444 8.5×
CT thoracic spine w/wo cont (72130) $2,229 $3,715 13.1×
CT thorax w/o contrast (71250)
range across 3 matching MRF lines		 $856–$1,711 $1,426–$2,852 varies
CT upper ext wo (73200) $1,829 $3,049 18.0×
CT upper extremity w/o & w/contrast material (73202) $2,780 $4,633 16.3×
CT upper extremity with contrast (73201) $2,268 $3,780 6.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $713 $1,189 4.2×
Cta Abdomen (74175) $1,769 $2,949 10.4×
CTA pelvis (72191) $426 $710 2.5×
Diskography lumbar (72295) $2,549 $4,249 1.3×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $231 $385 2.3×
Doppler Echo Fetal Spectral Display Complete (76827) $374 $624 3.7×
Doppler Fetal Mid Cerebral Artery (76821) $227 $378 2.2×
Dxa Bone Density Axial (77080) $393 $655 3.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $393 $655 4.7×
Echo exam of fetal heart (76825) $1,658 $2,763 3.1×
Echo exam uterus (76831) $320 $534 1.4×
Echo Guide For Artery Repair (76936) $404 $673 1.9×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $471 $785 2.0×
Echograp Trans R Pros Study (76873) $663 $1,105 6.5×
Esophagram (74220) $458 $763 2.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 3 matching MRF lines		 $347–$354 $578–$590 varies
Fluoroscopy up to 1 hr (76000) $603 $1,005 2.6×
Foot 2 views (73620) $319 $531 3.8×
Forearm 2 views (73090) $417 $695 4.9×
Gastric emptying imaging study (78264) $1,224 $2,040 3.2×
Gated Heart Planar Single (78472) $1,529 $2,549 3.9×
Hand 2 views (73120) $359 $598 3.5×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $4,644 $7,740 6.9×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $3,055 $5,092 4.5×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $1,681 $2,801 2.5×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $2,315 $3,858 0.8×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $1,873 $3,121 0.6×
Hepatobil Syst Image W/Drug (78227) $1,837 $3,062 3.5×
Hepatobiliary System Imaging (78226) $1,342 $2,236 3.5×
Ht Muscle Image Spect Sing (78451) $2,867 $4,779 2.3×
Hysterosalpingogram (74740) $614 $1,024 2.7×
Infant hip ultrasound with hip movement (dynamic) (76885) $420 $700 5.0×
Interstitial radiation source applic complex (77778) $918 $1,530 1.4×
K Flow/Funct Image W/Drug (78708) $1,946 $3,244 3.7×
K Flow/Funct Image W/O Drug (78707) $1,908 $3,180 3.6×
Knee 3 Views (73562) $379 $632 4.5×
Liver imaging static only (78201) $734 $1,223 1.4×
Lung Perf&Ventilat Diferentl (78598) $1,380 $2,300 2.6×
Lung Ventilat&Perfus Imaging (78582) $618 $1,030 1.2×
Lymph System Imaging (78195) $1,229 $2,049 2.3×
Magnetic Image Jaw Joint (70336)
range across 3 matching MRF lines		 $28–$1,448 $46–$2,414 varies
Mammary ductogram or galactogram single (77053) $238 $397 1.0×
Meckels Divert Exam (78290) $544 $907 1.4×
Mlc imrt design & construction per imrt plan (77338) $4,411 $7,351 12.1×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $39 $65 1.4×
Mr safety implt electronics prepj supvj phys/qhp (76018) $138 $230 1.5×
Mra Head W/O & W/Contrast Material (70546) $2,804 $4,674 8.3×
MRA head w/o contrast (70544) $1,713 $2,855 7.4×
MRA head with contrast (70545) $2,804 $4,674 8.3×
MRA neck w contrast (70548) $1,636 $2,726 4.8×
Mra Neck W/O &W/Contrast Material (70549) $1,936 $3,226 5.7×
MRA neck w/o contrast (70547) $982 $1,636 4.2×
MRI abdomen w contrast (74182) $2,599 $4,332 7.7×
MRI abdomen w/o contrast (74181)
range across 3 matching MRF lines		 $1,559–$1,591 $2,599–$2,651 varies
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines		 $2,648–$3,583 $4,414–$5,972 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines		 $3,655–$3,720 $6,091–$6,200 varies
MRI any jt upper extremity w/contrast matrl (73222) $2,301 $3,835 3.0×
MRI cardiac w/o cont stress (75559) $2,047 $3,412 3.9×
MRI cardiac w/o contrast (75557) $2,047 $3,412 8.8×
MRI cervical spine w contrast (72142) $2,379 $3,965 7.0×
MRI cervical spine w/o cont (72141) $2,163 $3,605 9.3×
MRI chest w/o contrast (71550) $1,235 $2,058 5.3×
MRI chest with contrast (71551) $1,756 $2,927 2.3×
MRI chest wo w contrast (71552) $2,059 $3,431 6.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,970 $4,950 8.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,029 $5,049 9.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,817 $3,029 7.9×
MRI lumbar spine w contrast (72149) $2,460 $4,100 7.3×
Mri Neck Spine W/O & W/Dye (72156) $2,596 $4,326 7.7×
MRI orbit face &/neck w/o contrast (70540) $2,425 $4,042 10.5×
MRI orbit face neck w contrast (70542) $2,425 $4,042 7.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,425 $4,042 7.2×
MRI pelvis w contrast (72196) $2,934 $4,890 8.7×
MRI pelvis w/o & w contrast (72197) $2,993 $4,988 8.8×
MRI pelvis w/o contrast (72195) $1,796 $2,993 7.8×
MRI thoracic spine w/o contrast (72146) $2,326 $3,876 10.1×
MRI upper extremity oth than jt w/contr matrl (73219) $3,300 $5,500 9.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,020 $3,366 8.7×
Mri Uppr Extremity W/O&W/Dye (73220) $3,366 $5,610 9.9×
MRI, abdomen, combo (74183) $2,651 $4,419 7.8×
MRI, dorsal spine combo (72157) $3,876 $6,460 11.5×
MRI, dorsal spine contrast (72147) $3,101 $5,168 9.2×
MRI, joint upper extrem (73221) $2,092 $3,486 9.0×
MRI, joint upper extrem combo (73223) $3,179 $5,299 9.4×
MRI, lumbar spine combo (72158) $2,618 $4,364 7.7×
Myelogram cervical (72240) $1,771 $2,951 2.3×
Myocardial Imaging Pet Metabolic Evaluation (78459) $1,060 $1,767 0.8×
Myocardial Spect Multiple Studies (78452) $3,455 $5,758 2.8×
N-invas est c ffr sw aly CTA (75580) $2,700 $4,500 3.2×
Neck soft tissue (70360) $295 $492 3.5×
Nm red cell survival study (78130) $21 $35 0.1×
Nonvascular Shunt X-Ray (75809) $271 $452 2.7×
Ntsty modul radthx pln dose-vol histos (77301) $4,976 $8,294 3.7×
Nuclear Rx Intra-Arterial (79445) $1,432 $2,387 6.3×
Nuclear Rx Oral Admin (79005) $1,458 $2,430 6.4×
Ob us nuchal meas 1 gest (76813) $548 $914 5.4×
Parathyroid imaging w/tomographic spect & CT (78072)
range across 2 matching MRF lines		 $524–$2,754 $874–$4,590 varies
Parathyroid planar imaging w/wo subtraction (78071) $2,534 $4,223 6.5×
Pelvis 1 or 2 views (72170) $132 $220 1.3×
Pet Image W/Ct Lmtd (78814) $4,025 $6,709 2.9×
PET image w/CT, full body (78816) $4,025 $6,709 2.9×
PET imaging CT attenuation skull base mid-thigh (78815) $4,025 $6,709 2.9×
Pulmonary Perfusion Imaging Particulate (78580) $782 $1,304 2.0×
Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) $2,700 $4,500 3.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $413 $689 4.1×
Radex abscess/fistula/sinus tract rs&i (76080) $726 $1,210 1.4×
Radex Ankle Complete Minimum 3 Views (73610) $400 $666 4.7×
Radex Calcaneus Minimum 2 Views (73650) $361 $601 4.3×
Radex elbow complete minimum 3 views (73080) $350 $584 4.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $343 $572 3.4×
Radex fingr minimum 2 views (73140)
range across 21 matching MRF lines		 $376–$384 $627–$640 varies
Radex foot complete minimum 3 views (73630) $371 $618 4.4×
Radex Hand Minimum 3 Views (73130) $412 $687 4.9×
Radex lower extremity infant minimum 2 views (73592) $95 $158 1.1×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $127 $211 1.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $407 $678 4.8×
Radex Ribs Unilateral 2 Views (71100) $283 $472 3.4×
Radex shoulder complete minimum 2 views (73030) $424 $707 5.0×
Radex Sinuses Paransl < 3 Views (70210) $347 $578 4.1×
Radex Spine 1 View Specify Level (72020) $292 $486 3.5×
Radex Sternum Minimum 2 Views (71120) $263 $439 3.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $319 $531 3.8×
Radex Toe Minimum 2 Views (73660) $313 $522 3.7×
Radex upper extremity infant minimum 2 views (73092) $132 $220 1.3×
Radex Wrist Complete Minimum 3 Views (73110) $410 $684 4.9×
Radiation Delivery Stereotactic Cranial Linear (77372) $8,023 $13,371 1.1×
Radiation treatment delivery level 1 (77402) $305 $509 3.1×
Radiation treatment delivery level 2 (77407) $966 $1,610 2.6×
Radiation treatment delivery level 3 (77412) $1,174 $1,957 2.2×
Radiolog exam mandible compl minimum 4 views (70110) $341 $568 3.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $413 $689 4.1×
Radiologic exam colon double contrast study (74280) $899 $1,498 5.3×
Radiologic exam colon single contrast study (74270) $392 $653 2.3×
Radiologic Exam Esophagus Double Contrast Study (74221) $518 $863 3.0×
Radiologic exam knee complete 4/more views (73564) $422 $703 4.2×
Radiologic exam pelvis compl minimum 3 views (72190) $158 $264 1.6×
Radiologic Exam Small Int Single Contrast Study (74250) $469 $782 2.8×
Radiologic exam swallow function contrast study (74230) $181 $301 1.1×
Radiologic exam teeth complete full mouth (70320) $407 $678 1.8×
Radiologic exam upr gi trc double contrast study (74246) $643 $1,072 3.8×
Radiologic examination femur 1 view (73551) $119 $199 1.4×
Radiologic examination femur minimum 2 views (73552) $143 $239 1.7×
Radiologic examination knee 1/2 views (73560) $329 $548 3.9×
Radiologic Examination Osseous Survey Limited (77074) $154 $257 1.5×
Radiologic examination tibia & fibula 2 views (73590) $358 $596 4.2×
Red Cell Volume Determination Spx Mult Samplings (78121) $6 $10 0.0×
Rp loclzj tum plnr 1 area single day imaging (78800) $984 $1,640 2.5×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,270 $3,783 4.3×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,739 $2,899 3.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 8 matching MRF lines		 $1,386–$1,838 $2,310–$3,064 varies
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830)
range across 3 matching MRF lines		 $1,920–$2,754 $3,200–$4,590 varies
Rp Therapy Intravenous Administration (79101) $466 $776 2.1×
Scapula (73010) $281 $468 2.8×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 4 matching MRF lines		 $62–$112 $103–$187 varies
Shoulder 1 view (73020) $335 $558 4.0×
Shoulder Arthrography (73040) $592 $986 1.7×
Skull less than 4 views (70250) $262 $437 2.6×
Special dosimetry (77331) $481 $801 3.7×
Special Physics Consult (77370) $1,087 $1,811 8.3×
Special teletherapy port plan (77321) $631 $1,051 1.7×
Special treatment procedure (77470) $2,426 $4,044 4.5×
Stereotactic Body Radiation Delivery (77373) $7,200 $12,000 4.2×
Sternoclavicular joints (71130) $313 $522 3.7×
Telethx isodose pln cplx w/basic dosimetry (77307) $3,931 $6,551 10.8×
Telethx isodose pln smpl w/dosimetry calculation (77306) $415 $692 1.1×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $1,896 $3,160 5.2×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,509 $2,515 4.2×
Ther rad simulaj-aided field setting simple (77280) $1,119 $1,865 8.6×
Thoracic spine 2 views (72070) $373 $621 3.7×
Thoracic spine 3 views (72072) $396 $660 3.9×
Thyroid Imaging With Vascular Flow (78013) $1,163 $1,938 3.0×
Thyroid Met Imaging Body (78018) $1,205 $2,009 2.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,483 $2,471 3.8×
Tx Devices Design & Construction Complex (77334) $1,342 $2,237 3.7×
Tx devices design & construction intermediate (77333) $1,118 $1,864 8.6×
Tx devices design & construction simple (77332) $550 $917 4.2×
Ultrasound Breast Limited (76642)
range across 4 matching MRF lines		 $463–$926 $772–$1,544 varies
Ultrasound elastography first target lesion (76982) $161 $269 1.6×
Ultrasound Elastography Parenchyma (76981) $373 $621 3.7×
Ultrasound Exam Aaa Screen (76706) $188 $313 1.9×
Ultrasound, abdomen limited (76705) $677 $1,128 6.7×
Umbilical-artery Doppler (OB) (76820)
range across 3 matching MRF lines		 $391–$399 $652–$665 varies
Upper gi w/o kub (74240) $523 $871 3.1×
Urethrocystogram voiding (74455) $302 $504 1.3×
Urethrocystography retrograde (74450) $296 $494 1.3×
Us breast unilateral complete (76641)
range across 5 matching MRF lines		 $454–$908 $757–$1,514 varies
Us chest (76604) $528 $880 5.2×
Us complete joint (76881) $438 $730 4.3×
Us exam, pelvic, limited (76857) $409 $681 4.0×
Us head (76506) $179 $298 1.8×
Us kidney transplant (76776) $885 $1,475 8.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $438 $730 4.3×
Us ob detailed single fetus (76811) $1,159 $1,932 5.0×
Us ob limited 1 or more fetuses (76815) $353 $589 3.5×
Us ob transvaginal (76817) $406 $676 4.0×
Us pelvic non ob complete (76856) $835 $1,391 8.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $342 $570 3.4×
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 3 matching MRF lines		 $469–$479 $782–$798 varies
Us retroperitoneal limited (76775) $830 $1,383 8.2×
Us scrotum and contents (76870) $594 $990 5.9×
Us spinal canal and contents (76800) $256 $426 2.5×
Us thyroid (76536)
range across 5 matching MRF lines		 $451–$677 $752–$1,128 varies
Vein X-Ray Chest (75827) $859 $1,431 0.6×
Venography caval inferior serialography rs&i (75825) $2,385 $3,975 0.8×
Venography extremity bilateral rs&i (75822) $1,269 $2,115 0.8×
Venography extremity unilateral rs&i (75820) $1,049 $1,748 0.7×
Venography Renal Unilateral (75831) $1,735 $2,891 0.6×
Wrist 2 views (73100) $358 $596 4.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $220 $367 2.6×
X-ray antegrade pyelogram tube (74425) $817 $1,361 2.4×
X-Ray Aorta Leg Arteries (75630) $2,683 $4,472 0.9×
X-Ray Bend Only L-S Spine (72120) $500 $834 4.9×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $316 $526 3.7×
X-Ray Exam Breast Specimen (76098) $1,000 $1,667 1.9×
X-Ray Exam Entire Spi 1 Vw (72081) $302 $503 3.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $486 $810 4.8×
X-Ray Exam Hip Uni 1 View (73501) $229 $381 2.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $318 $530 3.8×
X-Ray Exam Hips Bi 2 Views (73521) $283 $472 2.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $369 $615 3.6×
X-Ray Exam L-S Spine Bending (72114) $674 $1,124 6.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $367 $611 4.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $601 $1,002 5.9×
X-Ray Exam Unilat Ribs/Chest (71101) $566 $944 5.6×
X-ray humerus (73060) $300 $500 3.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $228 $380 2.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $379 $632 4.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $424 $707 4.2×
X-ray nose-rectum child f.b. (76010) $172 $287 2.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $702 $1,170 6.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $415 $691 4.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $364 $606 4.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $393 $655 4.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $328 $546 3.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $817 $1,361 2.4×
X-Rays Bone Length Studies (77073) $212 $354 2.1×
Xr c-spine 4 or 5 views (72050) $601 $1,002 5.9×
Xr facial bones less than 3 views (70140) $241 $401 2.9×
XR Mastoids < 3 Views Bilateral (70120) $120 $200 1.2×
Xr orbits complete 4 views (70200)
range across 2 matching MRF lines		 $328–$356 $547–$594 varies

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.