Imaging prices at Children's of Alabama
Birmingham, AL · every code in this section with a posted price and a Medicare benchmark.
250 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) | $200.79 | $466.95 | 2.5× |
| Abdomen 2 views (74019) | $200.79 | $466.95 | 2.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,381.99 | $7,865.09 | 9.2× |
| Angio pulmonary bilat (75743) | $6,443.43 | $14,984.73 | 2.2× |
| Angiography extremity bilateral rs&i (75716) | $6,404.73 | $14,894.73 | 2.2× |
| Angiography extremity unilateral rs&i (75710) | $6,404.73 | $14,894.73 | 2.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,404.73 | $14,894.73 | 2.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $6,404.73 | $14,894.73 | 2.2× |
| Ankle 2 views (73600) | $200.79 | $466.95 | 2.5× |
| Aortography thoracic serialography rs&i (75605) | $14,439.26 | $33,579.68 | 2.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $6,404.73 | $14,894.73 | 2.2× |
| Artery X-Rays Abdomen (75726) | $5,775.70 | $13,431.87 | 1.1× |
| Artery X-Rays Pelvis (75736) | $8,292.84 | $19,285.67 | 1.6× |
| Artery X-Rays Spine (75705) | $14,439.26 | $33,579.68 | 2.8× |
| Bone age studies (77072) | $200.79 | $466.95 | 2.1× |
| Bone Imaging 3 Phase (78315) | $1,345.80 | $3,129.76 | 3.7× |
| Bone Imaging Whole Body (78306) | $1,345.80 | $3,129.76 | 3.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,345.80 | $3,129.76 | 2.7× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,345.80 | $3,129.76 | 2.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,591.97 | $10,678.99 | 3.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,565.03 | $3,639.60 | 4.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,381.99 | $7,865.09 | 6.8× |
| Chest 1 view (71045) | $200.79 | $466.95 | 2.5× |
| Chest 2 views (71046) | $200.79 | $466.95 | 2.5× |
| Chest 4 or more views (71048) | $200.79 | $466.95 | 2.1× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $387.95 | $902.22 | 4.1× |
| Clavicle complete (73000) | $200.79 | $466.95 | 2.5× |
| Contrast Exam Abdominl Aorta (75625) | $6,404.73 | $14,894.73 | 2.2× |
| Contrast X-Ray Bladder (74430) | $423.38 | $984.60 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $423.38 | $984.60 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,108.32 | $2,577.50 | 3.5× |
| CT abdomen and pelvis without contrast (74176) | $1,108.32 | $2,577.50 | 5.1× |
| CT abdomen w contrast (74160) | $1,108.32 | $2,577.50 | 6.9× |
| CT abdomen w wo contrast (74170) | $1,108.32 | $2,577.50 | 6.9× |
| CT abdomen w/o contrast (74150) | $409.12 | $951.45 | 4.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,356.90 | $3,155.59 | 4.3× |
| CT Angio Chest (71275) | $1,356.90 | $3,155.59 | 8.5× |
| CT Angio Head (70496) | $1,356.90 | $3,155.59 | 8.5× |
| CT angio hrt w/3d image (75574) | $1,356.90 | $3,155.59 | 4.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,356.90 | $3,155.59 | 8.5× |
| CT Angio Neck (70498) | $1,356.90 | $3,155.59 | 8.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,356.90 | $3,155.59 | 8.5× |
| CT cervical spine w/ contrast (72126) | $1,108.32 | $2,577.50 | 3.5× |
| CT cervical spine w/o contrast (72125) | $409.12 | $951.45 | 4.3× |
| CT chest w contrast (71260) | $1,108.32 | $2,577.50 | 6.9× |
| CT chest w/wo contrast (71270) | $1,108.32 | $2,577.50 | 6.9× |
| CT head/brain with contrast (70460) | $1,108.32 | $2,577.50 | 6.9× |
| CT head/brain without and with contrast (70470) | $1,108.32 | $2,577.50 | 6.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,108.32 | $2,577.50 | 3.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,108.32 | $2,577.50 | 13.9× |
| CT hrt w/3d image congen (75573) | $1,108.32 | $2,577.50 | 3.5× |
| CT iac w contrast (70481) | $1,108.32 | $2,577.50 | 6.9× |
| CT lower ext w/o (73700) | $409.12 | $951.45 | 4.3× |
| CT lower extremity w/contrast material (73701) | $1,108.32 | $2,577.50 | 6.9× |
| CT lumbar spine w contrast (72132) | $1,108.32 | $2,577.50 | 3.5× |
| CT lumbar spine w/o contrast (72131) | $409.12 | $951.45 | 4.3× |
| CT maxillofacial w contrast (70487) | $1,108.32 | $2,577.50 | 6.9× |
| CT maxillofacial wo contrast (70486) | $409.12 | $951.45 | 4.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,108.32 | $2,577.50 | 6.9× |
| CT orbits w/o contrast (70480) | $409.12 | $951.45 | 4.3× |
| CT pelvis w/o contrast (72192) | $409.12 | $951.45 | 4.3× |
| CT scan of leg combo (73702) | $1,108.32 | $2,577.50 | 6.9× |
| CT scans face/jaw combo (70488) | $1,108.32 | $2,577.50 | 6.9× |
| CT soft tissue neck w contrast (70491) | $1,108.32 | $2,577.50 | 6.9× |
| CT soft tissue neck w/o contrast (70490) | $409.12 | $951.45 | 4.3× |
| CT thoracic spine w contrast (72129) | $1,108.32 | $2,577.50 | 6.9× |
| CT thoracic spine w/o contrast (72128) | $409.12 | $951.45 | 4.3× |
| CT thorax w/o contrast (71250) | $409.12 | $951.45 | 4.3× |
| CT upper ext wo (73200) | $409.12 | $951.45 | 4.3× |
| CT upper extremity with contrast (73201) | $1,108.32 | $2,577.50 | 3.5× |
| Cta Abdomen (74175) | $1,356.90 | $3,155.59 | 8.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,155.42 | $2,687.02 | 3.6× |
| CTA pelvis (72191) | $1,356.90 | $3,155.59 | 8.5× |
| Dxa Bone Density Axial (77080) | $423.38 | $984.60 | 4.4× |
| Esophagram (74220) | $200.79 | $466.95 | 1.3× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $748.64 | $1,741.02 | 3.4× |
| Fluoroscopy up to 1 hr (76000) | $423.38 | $984.60 | 1.9× |
| Follow-Up Angiography (75898) | $2,954.84 | $6,871.72 | 1.0× |
| Foot 2 views (73620) | $200.79 | $466.95 | 2.5× |
| Forearm 2 views (73090) | $200.79 | $466.95 | 2.5× |
| Gastric emptying imaging study (78264) | $1,345.80 | $3,129.76 | 3.7× |
| Gated Heart Planar Single (78472) | $1,345.80 | $3,129.76 | 3.7× |
| Hand 2 views (73120) | $200.79 | $466.95 | 2.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,404.73 | $14,894.73 | 2.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,404.73 | $14,894.73 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,345.80 | $3,129.76 | 2.7× |
| Hysterosalpingogram (74740) | $353.24 | $821.50 | 1.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $387.95 | $902.22 | 4.9× |
| Infant hip ultrasound, limited static exam (76886) | $387.95 | $902.22 | 4.9× |
| Joint Survey Single View (77077) | $278.34 | $647.30 | 2.9× |
| K Flow/Funct Image W/Drug (78708) | $1,345.80 | $3,129.76 | 2.7× |
| Kidney Imaging Morphol (78700) | $1,345.80 | $3,129.76 | 3.7× |
| Knee 3 Views (73562) | $200.79 | $466.95 | 2.5× |
| Liver & Spleen Imaging Static Only (78215) | $3,381.99 | $7,865.09 | 9.2× |
| Lung Ventilation Imaging (78579) | $3,381.99 | $7,865.09 | 9.2× |
| Lymph System Imaging (78195) | $3,381.99 | $7,865.09 | 6.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,954.84 | $6,871.72 | 2.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,404.73 | $14,894.73 | 2.2× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,954.84 | $6,871.72 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $893.08 | $2,076.92 | 4.1× |
| Meckels Divert Exam (78290) | $1,345.80 | $3,129.76 | 3.7× |
| Mr safety determination physician/other qhp (76016) | $893.08 | $2,076.92 | 11.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $893.08 | $2,076.92 | 33.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $893.08 | $2,076.92 | 10.3× |
| Mr safety implt pos&/immoblj (76019) | $893.08 | $2,076.92 | 16.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $893.08 | $2,076.92 | 4.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,751.15 | $4,072.44 | 5.5× |
| MRA head w/o contrast (70544) | $1,751.15 | $4,072.44 | 8.0× |
| MRA head with contrast (70545) | $1,751.15 | $4,072.44 | 5.5× |
| MRA neck w contrast (70548) | $1,751.15 | $4,072.44 | 5.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,751.15 | $4,072.44 | 5.5× |
| MRA neck w/o contrast (70547) | $1,751.15 | $4,072.44 | 8.0× |
| MRI abdomen w contrast (74182) | $1,565.03 | $3,639.60 | 4.9× |
| MRI abdomen w/o contrast (74181) | $893.08 | $2,076.92 | 4.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,565.03 | $3,639.60 | 4.9× |
| MRI brain functional w/physician admnistration (70555) | $893.08 | $2,076.92 | 4.1× |
| MRI cardiac w/o contrast (75557) | $893.08 | $2,076.92 | 4.1× |
| MRI cervical spine w contrast (72142) | $1,565.03 | $3,639.60 | 4.9× |
| MRI cervical spine w/o cont (72141) | $893.08 | $2,076.92 | 4.1× |
| MRI chest w/o contrast (71550) | $893.08 | $2,076.92 | 4.1× |
| MRI chest wo w contrast (71552) | $1,565.03 | $3,639.60 | 4.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,565.03 | $3,639.60 | 4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $893.08 | $2,076.92 | 4.1× |
| MRI lumbar spine w contrast (72149) | $1,565.03 | $3,639.60 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,565.03 | $3,639.60 | 4.9× |
| MRI orbit face &/neck w/o contrast (70540) | $893.08 | $2,076.92 | 4.1× |
| MRI orbit face neck w contrast (70542) | $1,565.03 | $3,639.60 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,565.03 | $3,639.60 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $1,565.03 | $3,639.60 | 4.9× |
| MRI pelvis w/o contrast (72195) | $893.08 | $2,076.92 | 4.1× |
| MRI spectroscopy (76390) | $189.21 | $440.03 | 2.4× |
| MRI thoracic spine w/o contrast (72146) | $893.08 | $2,076.92 | 4.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,565.03 | $3,639.60 | 4.9× |
| MRI, abdomen, combo (74183) | $1,565.03 | $3,639.60 | 4.9× |
| MRI, dorsal spine combo (72157) | $1,565.03 | $3,639.60 | 4.9× |
| MRI, dorsal spine contrast (72147) | $1,565.03 | $3,639.60 | 4.9× |
| MRI, joint upper extrem (73221) | $893.08 | $2,076.92 | 4.1× |
| MRI, joint upper extrem combo (73223) | $1,565.03 | $3,639.60 | 4.9× |
| MRI, lumbar spine combo (72158) | $1,565.03 | $3,639.60 | 4.9× |
| Neck soft tissue (70360) | $200.79 | $466.95 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $1,095.54 | $2,547.77 | 5.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $387.95 | $902.22 | 4.1× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $387.95 | $902.22 | 4.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $387.95 | $902.22 | 4.1× |
| Panoramic X-ray of jaws (70355) | $200.79 | $466.95 | 2.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,345.80 | $3,129.76 | 3.7× |
| Pelvis 1 or 2 views (72170) | $200.79 | $466.95 | 2.1× |
| Peritoneogram Rs&I (74190) | $441.36 | $1,026.42 | 0.9× |
| PET image w/CT, full body (78816) | $4,591.97 | $10,678.99 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,591.97 | $10,678.99 | 3.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,404.73 | $14,894.73 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,381.99 | $7,865.09 | 9.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $423.38 | $984.60 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $200.79 | $466.95 | 2.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $200.79 | $466.95 | 2.5× |
| Radex elbow complete minimum 3 views (73080) | $200.79 | $466.95 | 2.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $200.79 | $466.95 | 2.1× |
| Radex fingr minimum 2 views (73140) | $200.79 | $466.95 | 2.5× |
| Radex foot complete minimum 3 views (73630) | $200.79 | $466.95 | 2.5× |
| Radex Hand Minimum 3 Views (73130) | $200.79 | $466.95 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $200.79 | $466.95 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $200.79 | $466.95 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) | $200.79 | $466.95 | 2.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $200.79 | $466.95 | 2.5× |
| Radex Spine 1 View Specify Level (72020) | $200.79 | $466.95 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) | $200.79 | $466.95 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $200.79 | $466.95 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $200.79 | $466.95 | 2.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $200.79 | $466.95 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $423.38 | $984.60 | 2.6× |
| Radiologic exam colon single contrast study (74270) | $423.38 | $984.60 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) | $200.79 | $466.95 | 2.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $423.38 | $984.60 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $423.38 | $984.60 | 2.6× |
| Radiologic examination femur minimum 2 views (73552) | $200.79 | $466.95 | 2.5× |
| Radiologic examination knee 1/2 views (73560) | $200.79 | $466.95 | 2.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $200.79 | $466.95 | 2.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $200.79 | $466.95 | 2.5× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $200.79 | $466.95 | 2.5× |
| Ribs bilateral 3 views (71110) | $200.79 | $466.95 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,381.99 | $7,865.09 | 6.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,381.99 | $7,865.09 | 6.8× |
| Scapula (73010) | $200.79 | $466.95 | 2.1× |
| Shoulder 1 view (73020) | $200.79 | $466.95 | 2.5× |
| Skull less than 4 views (70250) | $200.79 | $466.95 | 2.1× |
| Sternoclavicular joints (71130) | $200.79 | $466.95 | 2.5× |
| Superior sagittal sinus venogram (75870) | $2,954.84 | $6,871.72 | 1.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $423.38 | $984.60 | 2.6× |
| Thoracic spine 2 views (72070) | $200.79 | $466.95 | 2.1× |
| Thyroid Imaging With Vascular Flow (78013) | $1,345.80 | $3,129.76 | 3.7× |
| Thyroid Met Imaging Body (78018) | $1,345.80 | $3,129.76 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,345.80 | $3,129.76 | 3.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$193.98–$387.95 | $451.11–$902.22 | varies |
| Ultrasound, abdomen limited (76705) | $387.95 | $902.22 | 4.1× |
| Unlisted Dx Radiographic Procedure (76499) | $200.79 | $466.95 | 2.5× |
| Unlisted fluoroscopic procedure (76496) | $200.79 | $466.95 | 2.5× |
| Upper gi w/o kub (74240) | $423.38 | $984.60 | 2.6× |
| Ureteral Reflux Study (78740) | $1,345.80 | $3,129.76 | 3.7× |
| Urethrocystogram voiding (74455) | $423.38 | $984.60 | 1.9× |
| Urethrocystography retrograde (74450) | $423.38 | $984.60 | 1.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$193.98–$387.95 | $451.11–$902.22 | varies |
| Us chest (76604) | $387.95 | $902.22 | 4.1× |
| Us complete joint (76881) | $387.95 | $902.22 | 4.1× |
| Us exam, pelvic, limited (76857) | $387.95 | $902.22 | 4.1× |
| Us head (76506) | $387.95 | $902.22 | 4.1× |
| Us kidney transplant (76776) | $387.95 | $902.22 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $387.95 | $902.22 | 4.1× |
| Us pelvic non ob complete (76856) | $588.95 | $1,369.66 | 6.2× |
| Us retroperitoneal complete (76770) | $588.95 | $1,369.66 | 6.2× |
| Us retroperitoneal limited (76775) | $387.95 | $902.22 | 4.1× |
| Us scrotum and contents (76870) | $387.95 | $902.22 | 4.1× |
| Us spinal canal and contents (76800) | $387.95 | $902.22 | 4.1× |
| Us thyroid (76536) | $387.95 | $902.22 | 4.1× |
| Vein X-Ray Chest (75827) | $2,954.84 | $6,871.72 | 2.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,954.84 | $6,871.72 | 1.0× |
| Vein X-Ray Spleen/Liver (75810) | $2,954.84 | $6,871.72 | 1.0× |
| Venogram Sinus/Jugular (75860) | $6,404.73 | $14,894.73 | 2.2× |
| Venography caval inferior serialography rs&i (75825) | $6,404.73 | $14,894.73 | 2.2× |
| Venography extremity bilateral rs&i (75822) | $2,954.84 | $6,871.72 | 2.1× |
| Venography extremity unilateral rs&i (75820) | $2,954.84 | $6,871.72 | 2.1× |
| Venography Renal Bilateral (75833) | $6,404.73 | $14,894.73 | 2.2× |
| Venography Renal Unilateral (75831) | $5,370.40 | $12,489.30 | 1.9× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$630.45 | $1,466.17 | 0.1× |
| Wrist 2 views (73100) | $200.79 | $466.95 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $200.79 | $466.95 | 2.5× |
| X-ray antegrade pyelogram tube (74425) | $423.38 | $984.60 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $200.79 | $466.95 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $200.79 | $466.95 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $200.79 | $466.95 | 2.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $200.79 | $466.95 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $200.79 | $466.95 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $200.79 | $466.95 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $200.79 | $466.95 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $200.79 | $466.95 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $200.79 | $466.95 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $200.79 | $466.95 | 2.1× |
| X-ray head for orthodontia (70350) | $200.79 | $466.95 | 2.5× |
| X-ray humerus (73060) | $200.79 | $466.95 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $200.79 | $466.95 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $200.79 | $466.95 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $200.79 | $466.95 | 2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $200.79 | $466.95 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $200.79 | $466.95 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $200.79 | $466.95 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $200.79 | $466.95 | 2.1× |
| X-ray thoracic spine 4 vw (72074) | $200.79 | $466.95 | 2.1× |
| X-Rays Bone Length Studies (77073) | $189.21 | $440.03 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $200.79 | $466.95 | 2.1× |
| Xr c-spine 4 or 5 views (72050) | $200.79 | $466.95 | 2.1× |
| Xr orbits complete 4 views (70200) | $200.79 | $466.95 | 2.1× |
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.