Imaging prices at Clara Barton Hospital
Hoisington, KS · every code in this section with a posted price and a Medicare benchmark.
247 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) | $170.80 | $244 | 2.1× |
| Abdomen 2 views (74019) | $186.90 | $267 | 1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $883.40 | $1,262 | 2.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$133.70–$198.80 | $191–$284 | varies |
| Bone age studies (77072) | $170.80 | $244 | 1.8× |
| Bone Imaging 3 Phase (78315) | $883.40 | $1,262 | 2.4× |
| Bone Imaging Limited Area (78300) | $781.90 | $1,117 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $883.40 | $1,262 | 2.4× |
| Bone Imaging Whole Body (78306) | $873.60 | $1,248 | 2.4× |
| Bone survey infant (77076) | $338.10 | $483 | 3.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,899.10 | $2,713 | 1.4× |
| Chest 1 view (71045) | $170.80 | $244 | 2.1× |
| Chest 2 views (71046) | $192.50 | $275 | 2.4× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$224.70–$247.80 | $321–$354 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$249.20–$256.20 | $356–$366 | varies |
| Cholecystography Oral Contrast (74290) | $294 | $420 | 1.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$170.80–$254.80 | $244–$364 | varies |
| Contrast X-Ray Bladder (74430) | $291.20 | $416 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$399.70–$598.50 | $571–$855 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,184 | $3,120 | 6.8× |
| CT abdomen and pelvis without contrast (74176) | $1,709.40 | $2,442 | 7.8× |
| CT abdomen w contrast (74160) | $1,094.10 | $1,563 | 6.8× |
| CT abdomen w wo contrast (74170) | $1,233.40 | $1,762 | 7.6× |
| CT abdomen w/o contrast (74150) | $958.30 | $1,369 | 10.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,709.40 | $2,442 | 5.3× |
| CT Angio Chest (71275) | $1,425.20 | $2,036 | 8.8× |
| CT Angio Head (70496) | $1,425.20 | $2,036 | 8.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,709.40 | $2,442 | 10.6× |
| CT Angio Neck (70498) | $1,425.20 | $2,036 | 8.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,709.40 | $2,442 | 10.6× |
| CT cervical spine w/ contrast (72126) | $1,094.10 | $1,563 | 3.4× |
| CT cervical spine w/o contrast (72125) | $958.30 | $1,369 | 10.0× |
| CT cervical spine w/wo cont (72127) | $1,233.40 | $1,762 | 7.6× |
| CT chest w contrast (71260) | $1,094.10 | $1,563 | 6.8× |
| CT chest w/wo contrast (71270) | $1,233.40 | $1,762 | 7.6× |
| CT head/brain with contrast (70460) | $1,094.10 | $1,563 | 6.8× |
| CT head/brain without and with contrast (70470) | $1,094.10 | $1,563 | 6.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $72.10 | $103 | 0.9× |
| CT iac w contrast (70481) | $1,094.10 | $1,563 | 6.8× |
| CT l-spine w&w/o contrast (72133) | $1,233.40 | $1,762 | 7.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$958.30–$1,435 | $1,369–$2,050 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,094.10–$1,639.40 | $1,563–$2,342 | varies |
| CT lumbar spine w contrast (72132) | $1,094.10 | $1,563 | 3.4× |
| CT lumbar spine w/o contrast (72131) | $958.30 | $1,369 | 10.0× |
| CT maxillofacial w contrast (70487) | $1,094.10 | $1,563 | 6.8× |
| CT maxillofacial wo contrast (70486) | $958.30 | $1,369 | 10.0× |
| CT neck tissue combo (70492) | $1,233.40 | $1,762 | 7.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,233.40 | $1,762 | 7.6× |
| CT orbits w/o contrast (70480) | $958.30 | $1,369 | 10.0× |
| CT pelvis w&w/o contrast (72194) | $1,233.40 | $1,762 | 7.6× |
| CT pelvis w/o contrast (72192) | $958.30 | $1,369 | 10.0× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,233.40–$1,852.20 | $1,762–$2,646 | varies |
| CT scans face/jaw combo (70488) | $1,233.40 | $1,762 | 7.6× |
| CT soft tissue neck w contrast (70491) | $1,094.10 | $1,563 | 6.8× |
| CT soft tissue neck w/o contrast (70490) | $958.30 | $1,369 | 10.0× |
| CT thoracic spine w contrast (72129) | $1,094.10 | $1,563 | 6.8× |
| CT thoracic spine w/o contrast (72128) | $958.30 | $1,369 | 10.0× |
| CT thoracic spine w/wo cont (72130) | $1,233.40 | $1,762 | 7.6× |
| CT thorax w/o contrast (71250) | $958.30 | $1,369 | 10.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$958.30–$1,435 | $1,369–$2,050 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,233.40–$1,852.20 | $1,762–$2,646 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,094.10–$1,639.40 | $1,563–$2,342 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,709.40 | $2,442 | 10.6× |
| Cta Abdomen (74175) | $1,425.20 | $2,036 | 8.8× |
| Dxa Bone Density Axial (77080) | $254.80 | $364 | 2.7× |
| Esophagram (74220) | $338.10 | $483 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $472.50 | $675 | 4.9× |
| Fluoroscopy up to 1 hr (76000) | $291.20 | $416 | 1.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$135.80–$202.30 | $194–$289 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Gastric emptying imaging study (78264) | $883.40 | $1,262 | 2.4× |
| Gated Heart Planar Single (78472) | $1,180.90 | $1,687 | 3.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$135.80–$202.30 | $194–$289 | varies |
| Hepatobil Syst Image W/Drug (78227) | $883.40 | $1,262 | 1.8× |
| Hepatobiliary System Imaging (78226) | $883.40 | $1,262 | 2.4× |
| Hysterosalpingogram (74740) | $508.20 | $726 | 2.3× |
| Infusion Ivp (74410) | $224.70 | $321 | 1.4× |
| K Flow/Funct Image Multiple (78709) | $1,320.90 | $1,887 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $883.40 | $1,262 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $883.40 | $1,262 | 1.8× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,320.90 | $1,887 | 3.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Liver & Spleen Imaging Static Only (78215) | $781.90 | $1,117 | 2.1× |
| Liver imaging static only (78201) | $876.40 | $1,252 | 1.8× |
| Lymph System Imaging (78195) | $911.40 | $1,302 | 1.8× |
| Magnetic Image Jaw Joint (70336) | $1,226.40 | $1,752 | 5.6× |
| Meckels Divert Exam (78290) | $781.90 | $1,117 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,498.70 | $2,141 | 4.7× |
| MRA head w/o contrast (70544) | $1,226.40 | $1,752 | 5.6× |
| MRA head with contrast (70545) | $1,361.50 | $1,945 | 4.2× |
| MRA neck w contrast (70548) | $1,361.50 | $1,945 | 4.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,498.70 | $2,141 | 4.7× |
| MRA neck w/o contrast (70547) | $1,226.40 | $1,752 | 5.6× |
| MRI abdomen w contrast (74182) | $1,361.50 | $1,945 | 4.2× |
| MRI abdomen w/o contrast (74181) | $1,226.40 | $1,752 | 5.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,361.50–$2,043.30 | $1,945–$2,919 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,498.70–$2,245.60 | $2,141–$3,208 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,361.50–$2,043.30 | $1,945–$2,919 | varies |
| MRI bone marrow blood supply (77084) | $1,226.40 | $1,752 | 5.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,835.40 | $2,622 | 8.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,223.60 | $1,748 | 5.6× |
| MRI cervical spine w contrast (72142) | $1,361.50 | $1,945 | 4.2× |
| MRI cervical spine w/o cont (72141) | $1,226.40 | $1,752 | 5.6× |
| MRI chest w/o contrast (71550) | $1,226.40 | $1,752 | 5.6× |
| MRI chest with contrast (71551) | $1,361.50 | $1,945 | 1.9× |
| MRI chest wo w contrast (71552) | $1,498.70 | $2,141 | 4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,361.50–$2,043.30 | $1,945–$2,919 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,498.70–$2,245.60 | $2,141–$3,208 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,226.40–$1,840.30 | $1,752–$2,629 | varies |
| MRI lumbar spine w contrast (72149) | $1,361.50 | $1,945 | 4.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,498.70 | $2,141 | 4.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,226.40 | $1,752 | 5.6× |
| MRI orbit face neck w contrast (70542) | $1,361.50 | $1,945 | 4.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,498.70 | $2,141 | 4.7× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,361.50–$1,369.90 | $1,945–$1,957 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,498.70–$1,514.10 | $2,141–$2,163 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,225.70–$1,226.40 | $1,751–$1,752 | varies |
| MRI thoracic spine w/o contrast (72146) | $1,226.40 | $1,752 | 5.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,361.50–$2,043.30 | $1,945–$2,919 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,226.40–$1,840.30 | $1,752–$2,629 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,498.70–$2,245.60 | $2,141–$3,208 | varies |
| MRI, abdomen, combo (74183) | $1,498.70 | $2,141 | 4.7× |
| MRI, dorsal spine combo (72157) | $1,498.70 | $2,141 | 4.7× |
| MRI, dorsal spine contrast (72147) | $1,361.50 | $1,945 | 4.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,226.40–$1,840.30 | $1,752–$2,629 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,498.70–$2,245.60 | $2,141–$3,208 | varies |
| MRI, lumbar spine combo (72158) | $1,498.70 | $2,141 | 4.7× |
| Myelogram cervical (72240) | $478.10 | $683 | 0.7× |
| Myelogram Lumbar (72265) | $478.10 | $683 | 0.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,899.10 | $2,713 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $1,359.40 | $1,942 | 1.1× |
| Neck soft tissue (70360) | $170.80 | $244 | 2.1× |
| Nonvascular Shunt X-Ray (75809) | $224.70 | $321 | 2.3× |
| Parathyroid Planar Imaging (78070) | $883.40 | $1,262 | 2.4× |
| Pelvis 1 or 2 views (72170) | $170.80 | $244 | 1.8× |
| PET image w/CT, full body (78816) | $1,899.10 | $2,713 | 1.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,899.10 | $2,713 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $224.70 | $321 | 2.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $261.80 | $374 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$212.10–$224.70 | $303–$321 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$135.80–$202.30 | $194–$289 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$263.90–$393.40 | $377–$562 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $170.80 | $244 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $170.80 | $244 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $192.50 | $275 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $170.80 | $244 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $170.80 | $244 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $224.70 | $321 | 2.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $170.80 | $244 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $263.90 | $377 | 2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $224.70 | $321 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $914.20 | $1,306 | 5.7× |
| Radiologic exam colon single contrast study (74270) | $914.20 | $1,306 | 5.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$186.90–$278.60 | $267–$398 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $449.40 | $642 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $525 | $750 | 3.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$360.50–$426.30 | $515–$609 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$152.60–$229.60 | $218–$328 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$135.80–$202.30 | $194–$289 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Ribs bilateral 3 views (71110) | $235.90 | $337 | 2.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $715.40 | $1,022 | 1.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,180.90 | $1,687 | 2.4× |
| Scapula (73010) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $43.40 | $62 | 1.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$135.80–$202.30 | $194–$289 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$450.10–$672.70 | $643–$961 | varies |
| Skull less than 4 views (70250) | $170.80 | $244 | 1.8× |
| Sternoclavicular joints (71130) | $255.50 | $365 | 3.2× |
| Testicular Imaging W/Flow (78761) | $781.90 | $1,117 | 2.1× |
| Thoracic spine 2 views (72070) | $192.50 | $275 | 2.0× |
| Thoracic spine 3 views (72072) | $235.90 | $337 | 2.5× |
| Thoracolumbar 2 views (72080) | $214.90 | $307 | 2.7× |
| Thyroid Imaging With Vascular Flow (78013) | $883.40 | $1,262 | 2.4× |
| Thyroid Uptake Measurement (78012) | $781.90 | $1,117 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,330 | $1,900 | 3.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$306.60–$460.60 | $438–$658 | varies |
| Ultrasound Exam Aaa Screen (76706) | $399.70 | $571 | 4.2× |
| Ultrasound, abdomen limited (76705) | $347.20 | $496 | 3.6× |
| Umbilical-artery Doppler (OB) (76820) | $165.90 | $237 | 1.7× |
| Unlisted Dx Radiographic Procedure (76499) | $36.40 | $52 | 0.5× |
| Unlisted us procedure (76999) | $218.40 | $312 | 2.7× |
| Upper gi w/o kub (74240) | $424.90 | $607 | 2.6× |
| Urethrocystogram voiding (74455) | $407.40 | $582 | 1.9× |
| Urethrocystography retrograde (74450) | $294 | $420 | 1.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$306.60–$460.60 | $438–$658 | varies |
| Us chest (76604) | $280.70 | $401 | 2.9× |
| Us complete joint (76881) range across 2 matching MRF lines |
$456.40–$683.90 | $652–$977 | varies |
| Us exam, pelvic, limited (76857) | $312.90 | $447 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$387.10–$580.30 | $553–$829 | varies |
| Us ob limited 1 or more fetuses (76815) | $228.90 | $327 | 2.4× |
| Us ob transvaginal (76817) | $406 | $580 | 4.2× |
| Us pelvic non ob complete (76856) | $379.40 | $542 | 3.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $289.80 | $414 | 3.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $368.20 | $526 | 3.8× |
| Us retroperitoneal complete (76770) | $399.70 | $571 | 4.2× |
| Us retroperitoneal limited (76775) | $311.50 | $445 | 3.2× |
| Us scrotum and contents (76870) | $387.10 | $553 | 4.0× |
| Us thyroid (76536) | $441.70 | $631 | 4.6× |
| Us transrectal (76872) | $445.90 | $637 | 4.6× |
| Venography extremity bilateral rs&i (75822) | $672.70 | $961 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $450.10 | $643 | 0.3× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$135.80–$202.30 | $194–$289 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $170.80 | $244 | 2.1× |
| X-ray antegrade pyelogram tube (74425) | $224.70 | $321 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$135.80–$202.30 | $194–$289 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$48.30–$166.60 | $69–$238 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $192.50 | $275 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $170.80 | $244 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $206.50 | $295 | 2.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $256.20 | $366 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $294 | $420 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $320.60 | $458 | 3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $363.30 | $519 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $182.70 | $261 | 1.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $186.90 | $267 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $338.10 | $483 | 3.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $192.50 | $275 | 2.0× |
| X-ray eye for foreign body (70030) | $115.50 | $165 | 1.4× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$170.80–$255.50 | $244–$365 | varies |
| X-ray IV pyelogram (ivp) (74400) | $471.10 | $673 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $244.30 | $349 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $88.90 | $127 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $192.50 | $275 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $294 | $420 | 3.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $170.80 | $244 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $170.80 | $244 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $233.80 | $334 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $233.80 | $334 | 2.4× |
| X-Ray Tmj Unilat (70328) | $186.90 | $267 | 2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $224.70 | $321 | 0.7× |
| X-Rays Bone Length Studies (77073) | $101.50 | $145 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $1,789.90 | $2,557 | 18.6× |
| Xr c-spine 4 or 5 views (72050) | $249.20 | $356 | 2.6× |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$244.30–$364 | $349–$520 | varies |
| Xr orbits complete 4 views (70200) | $224.70 | $321 | 2.3× |
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.