Imaging prices at Community Memorial Hospital, Inc
Hamilton, NY · 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) | $91.46 | $114.33 | 0.8× |
| Abdomen 2 views (74019) | $156.10 | $195.13 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $518.79 | $648.49 | 1.0× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$113.17–$204.31 | $141.46–$255.39 | varies |
| Arthrogram ankle (73615) | $358.52 | $448.15 | 0.8× |
| Arthrogram hip (73525) | $358.52 | $448.15 | 0.8× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$358.17–$358.52 | $447.71–$448.15 | varies |
| Bone age studies (77072) | $93.94 | $117.42 | 0.7× |
| Bone Imaging 3 Phase (78315) | $588.68 | $735.85 | 1.2× |
| Bone Imaging Limited Area (78300) | $271.59 | $339.49 | 0.5× |
| Bone Imaging Whole Body (78306) | $538.85 | $673.56 | 1.1× |
| Bone marrow imaging limited area (78102) | $274.22 | $342.78 | 0.5× |
| Bone marrow imaging; multiple areas (78103) | $117.67 | $147.09 | 0.2× |
| Bone marrow imaging; whole body (78104) | $131.84 | $164.80 | 0.3× |
| Bone survey infant (77076) | $412.54 | $515.67 | 3.2× |
| Cerebrospinal Fluid Scan (78630) | $683.59 | $854.49 | 1.0× |
| Chest 1 view (71045) | $173.86 | $217.33 | 1.6× |
| Chest 2 views (71046) | $137.39 | $171.74 | 1.3× |
| Chest 3 views (71047) | $156.62 | $195.78 | 1.4× |
| Chest 4 or more views (71048) | $156.62 | $195.78 | 1.2× |
| Cholecystography Oral Contrast (74290) | $314.69 | $393.36 | 1.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$148.47–$217.62 | $185.59–$272.02 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,298.62 | $1,623.28 | 10.0× |
| Contrast X-Ray Bladder (74430) | $194.14 | $242.67 | 0.4× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$358.17–$358.52 | $447.71–$448.15 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $358.52 | $448.15 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$2,077.30–$3,488.49 | $2,596.63–$4,360.61 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,058.96–$2,730.83 | $2,573.70–$3,413.54 | varies |
| CT abdomen w contrast (74160) | $2,235.33 | $2,794.16 | 10.2× |
| CT abdomen w wo contrast (74170) | $2,616.37 | $3,270.46 | 11.9× |
| CT abdomen w/o contrast (74150) | $1,853.26 | $2,316.57 | 14.2× |
| CT Angio Abdomen and Pelvis (74174) | $1,685.37 | $2,106.71 | 3.9× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,077.30–$2,507.35 | $2,596.63–$3,134.19 | varies |
| CT Angio Head (70496) | $2,250.34 | $2,812.93 | 10.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,684.98 | $2,106.23 | 7.7× |
| CT Angio Neck (70498) | $2,250.34 | $2,812.93 | 10.3× |
| CT cervical spine w/ contrast (72126) | $1,684.98 | $2,106.23 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,853.26 | $2,316.57 | 14.2× |
| CT cervical spine w/wo cont (72127) | $1,972.66 | $2,465.82 | 9.0× |
| CT chest w contrast (71260) | $2,234.82 | $2,793.52 | 10.2× |
| CT chest w/wo contrast (71270) | $2,616.37 | $3,270.46 | 11.9× |
| CT head/brain with contrast (70460) | $1,684.98 | $2,106.23 | 7.7× |
| CT head/brain without and with contrast (70470) | $2,616.37 | $3,270.46 | 11.9× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,685.37–$2,235.33 | $2,106.71–$2,794.16 | varies |
| CT l-spine w&w/o contrast (72133) | $1,972.66 | $2,465.82 | 9.0× |
| CT lower ext w/o (73700) | $1,853.26 | $2,316.57 | 14.2× |
| CT lower extremity w/contrast material (73701) | $2,235.33 | $2,794.16 | 10.2× |
| CT lumbar spine w contrast (72132) | $2,234.82 | $2,793.52 | 5.1× |
| CT lumbar spine w/o contrast (72131) | $1,853.26 | $2,316.57 | 14.2× |
| CT maxillofacial w contrast (70487) | $2,235.33 | $2,794.16 | 10.2× |
| CT maxillofacial wo contrast (70486) | $1,853.26 | $2,316.57 | 14.2× |
| CT neck tissue combo (70492) | $1,972.66 | $2,465.82 | 9.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,972.66 | $2,465.82 | 9.0× |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$1,397.30–$1,853.26 | $1,746.62–$2,316.57 | varies |
| CT pelvis w&w/o contrast (72194) | $1,397.30 | $1,746.62 | 6.4× |
| CT pelvis w/o contrast (72192) | $1,853.26 | $2,316.57 | 14.2× |
| CT scan of leg combo (73702) | $1,972.66 | $2,465.82 | 9.0× |
| CT scans face/jaw combo (70488) | $904.14 | $1,130.17 | 4.1× |
| CT soft tissue neck w contrast (70491) | $2,234.82 | $2,793.52 | 10.2× |
| CT soft tissue neck w/o contrast (70490) | $1,853.26 | $2,316.57 | 14.2× |
| CT thoracic spine w contrast (72129) | $1,684.98 | $2,106.23 | 7.7× |
| CT thoracic spine w/o contrast (72128) | $1,853.26 | $2,316.57 | 14.2× |
| CT thorax w/o contrast (71250) | $1,853.26 | $2,316.57 | 14.2× |
| CT upper ext wo (73200) | $1,853.26 | $2,316.57 | 14.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,972.66 | $2,465.82 | 9.0× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,684.98–$1,685.37 | $2,106.23–$2,106.71 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,593.92 | $1,992.40 | 7.3× |
| Cta Abdomen (74175) | $2,616.37 | $3,270.46 | 11.9× |
| CTA pelvis (72191) | $1,104 | $1,380 | 5.0× |
| Dxa Bone Density Axial (77080) | $383.11 | $478.89 | 2.9× |
| Dxa bone density study (77085) | $493.17 | $616.46 | 3.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$143.84–$152.06 | $179.80–$190.08 | varies |
| Echo exam uterus (76831) | $560.45 | $700.56 | 1.9× |
| Esophagram (74220) | $337.43 | $421.79 | 1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $292.78 | $365.98 | 2.2× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$102.54–$166.74 | $128.18–$208.42 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$136.01–$270.98 | $170.01–$338.73 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$127.50–$169.23 | $159.38–$211.54 | varies |
| Gastric emptying imaging study (78264) | $506.26 | $632.83 | 1.0× |
| Gated Heart Planar Single (78472) | $193.14 | $241.43 | 0.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$135.98–$136.01 | $169.97–$170.01 | varies |
| Hepatobil Syst Image W/Drug (78227) | $350.93 | $438.66 | 0.5× |
| Hepatobiliary System Imaging (78226) | $1,035.65 | $1,294.56 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $560.32 | $700.40 | 0.3× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$349.91–$351.14 | $437.39–$438.92 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $331.51 | $414.39 | 3.1× |
| Infant hip ultrasound, limited static exam (76886) | $93.72 | $117.15 | 0.9× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$193.81–$195.78 | $242.26–$244.73 | varies |
| K Flow/Funct Image W/O Drug (78707) | $520.11 | $650.14 | 0.8× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$154.99–$400.76 | $193.74–$500.95 | varies |
| Liver & Spleen Imaging Static Only (78215) | $268.95 | $336.19 | 0.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $281.48 | $351.85 | 0.6× |
| Liver imaging w/vascular flow (78202) | $281.48 | $351.85 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) | $665.51 | $831.89 | 1.0× |
| Lung Ventilation Imaging (78579) | $205.67 | $257.09 | 0.4× |
| Magnetic Image Jaw Joint (70336) | $2,159.54 | $2,699.42 | 7.3× |
| Meckels Divert Exam (78290) | $265 | $331.25 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,907.07–$3,815.54 | $3,633.84–$4,769.42 | varies |
| MRA head w/o contrast (70544) | $2,834.39 | $3,542.99 | 9.5× |
| MRA head with contrast (70545) | $562.82 | $703.53 | 1.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,907.07 | $3,633.84 | 6.7× |
| MRA neck w/o contrast (70547) | $2,834.39 | $3,542.99 | 9.5× |
| MRI abdomen w contrast (74182) | $2,533.70 | $3,167.13 | 5.8× |
| MRI abdomen w/o contrast (74181) | $2,834.39 | $3,542.99 | 9.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,533.70–$3,325.48 | $3,167.13–$4,156.85 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,815.54 | $4,769.42 | 8.8× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,533.70–$3,325.48 | $3,167.13–$4,156.85 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $3,220.34 | $4,025.42 | 10.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,683.62 | $3,354.52 | 9.0× |
| MRI cervical spine w contrast (72142) | $2,533.31 | $3,166.64 | 5.8× |
| MRI cervical spine w/o cont (72141) | $2,834.39 | $3,542.99 | 9.5× |
| MRI chest w/o contrast (71550) | $2,834.39 | $3,542.99 | 9.5× |
| MRI chest with contrast (71551) | $2,533.31 | $3,166.64 | 2.6× |
| MRI chest wo w contrast (71552) | $3,815.54 | $4,769.42 | 8.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,533.70 | $3,167.13 | 5.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,815.54 | $4,769.42 | 8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,250.34 | $2,812.93 | 7.6× |
| MRI lumbar spine w contrast (72149) | $2,533.31 | $3,166.64 | 5.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,815.54 | $4,769.42 | 8.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,834.39 | $3,542.99 | 9.5× |
| MRI orbit face neck w contrast (70542) | $2,533.31 | $3,166.64 | 5.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,815.54 | $4,769.42 | 8.8× |
| MRI pelvis w contrast (72196) | $2,533.31 | $3,166.64 | 5.8× |
| MRI pelvis w/o & w contrast (72197) | $3,815.54 | $4,769.42 | 8.8× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,159.54–$2,834.39 | $2,699.42–$3,542.99 | varies |
| MRI thoracic spine w/o contrast (72146) | $2,834.39 | $3,542.99 | 9.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,533.70 | $3,167.13 | 5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,834.39 | $3,542.99 | 9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,907.07 | $3,633.84 | 6.7× |
| MRI, abdomen, combo (74183) | $3,815.54 | $4,769.42 | 8.8× |
| MRI, dorsal spine combo (72157) | $3,815.54 | $4,769.42 | 8.8× |
| MRI, dorsal spine contrast (72147) | $2,533.31 | $3,166.64 | 5.8× |
| MRI, joint upper extrem (73221) | $2,834.39 | $3,542.99 | 9.5× |
| MRI, joint upper extrem combo (73223) | $3,815.54 | $4,769.42 | 8.8× |
| MRI, lumbar spine combo (72158) | $3,815.54 | $4,769.42 | 8.8× |
| Myelogram Lumbar (72265) | $567.80 | $709.75 | 0.6× |
| Myelography thoracic (72255) | $567.80 | $709.75 | 0.6× |
| Myocardial Spect Multiple Studies (78452) | $3,335.86 | $4,169.83 | 2.1× |
| Neck soft tissue (70360) | $107.24 | $134.05 | 1.0× |
| Optic foramina (70190) | $124.46 | $155.58 | 1.1× |
| Parathyroid Planar Imaging (78070) | $315.76 | $394.70 | 0.6× |
| Pelvis 1 or 2 views (72170) | $164.74 | $205.92 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $365.46 | $456.83 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$188.66–$379.66 | $235.82–$474.57 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$88.46–$172.22 | $110.57–$215.27 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$250.22–$379.66 | $312.77–$474.57 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $162.04 | $202.55 | 1.2× |
| Radex fingr minimum 2 views (73140) range across 12 matching MRF lines |
$107.13–$137.05 | $133.91–$171.31 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$270.98–$545.08 | $338.73–$681.35 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$193.11–$282.59 | $241.39–$353.24 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$70.46–$140.12 | $88.07–$175.15 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $158.91 | $198.64 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $183.77 | $229.71 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $238.75 | $298.44 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$210.76–$410.10 | $263.45–$512.63 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $108.02 | $135.03 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $102.30 | $127.87 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) | $142.39 | $177.99 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $148.74 | $185.92 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $88.46 | $110.57 | 0.8× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$70.10–$70.46 | $87.62–$88.07 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$174.42–$282.59 | $218.03–$353.24 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $374.18 | $467.72 | 2.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $147.17 | $183.96 | 1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $173.04 | $216.30 | 1.3× |
| Radiologic exam colon double contrast study (74280) | $395.31 | $494.14 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $264.58 | $330.73 | 1.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $410.97 | $513.71 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$205.57–$302.16 | $256.96–$377.70 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $209.59 | $261.99 | 1.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $212.14 | $265.17 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$235.62–$395.31 | $294.53–$494.14 | varies |
| Radiologic examination femur minimum 2 views (73552) | $165.08 | $206.35 | 1.5× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$205.57–$302.16 | $256.96–$377.70 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$144.31–$210.58 | $180.39–$263.22 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $581.42 | $726.77 | 0.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$211.60–$547.79 | $264.50–$684.74 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$134.29–$134.64 | $167.86–$168.30 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $87.22 | $109.02 | 3.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$164.39–$173.86 | $205.49–$217.33 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$358.17–$358.52 | $447.71–$448.15 | varies |
| Skull less than 4 views (70250) | $124.46 | $155.58 | 1.0× |
| Sternoclavicular joints (71130) | $148.74 | $185.92 | 1.4× |
| Testicular Imaging W/Flow (78761) | $200.40 | $250.50 | 0.4× |
| Thoracic spine 2 views (72070) | $135.98 | $169.97 | 1.0× |
| Thoracic spine 3 views (72072) | $212.97 | $266.21 | 1.6× |
| Thoracolumbar 2 views (72080) | $209.78 | $262.22 | 1.9× |
| Thyroid Imaging With Vascular Flow (78013) | $133.82 | $167.27 | 0.3× |
| Thyroid Uptake Measurement (78012) | $243.90 | $304.88 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $377.72 | $472.15 | 0.8× |
| Ultrasound Breast Limited (76642) | $219.59 | $274.49 | 2.0× |
| Ultrasound elastography first target lesion (76982) | $211.46 | $264.32 | 1.6× |
| Ultrasound Elastography Parenchyma (76981) | $325.31 | $406.64 | 2.5× |
| Ultrasound Exam Aaa Screen (76706) | $426.72 | $533.40 | 3.3× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $325.31 | $406.64 | 0.7× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$376.44–$504.58 | $470.55–$630.73 | varies |
| Upper gi w/o kub (74240) | $410.97 | $513.71 | 1.9× |
| Ureteral Reflux Study (78740) | $207.65 | $259.56 | 0.4× |
| Urethrocystogram voiding (74455) | $313.12 | $391.40 | 1.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$350.93–$558.02 | $438.66–$697.52 | varies |
| Us chest (76604) | $337.43 | $421.79 | 2.6× |
| Us complete joint (76881) range across 12 matching MRF lines |
$305.95–$326.42 | $382.44–$408.02 | varies |
| Us exam, pelvic, limited (76857) | $393.50 | $491.87 | 3.0× |
| Us head (76506) | $270.32 | $337.90 | 2.1× |
| Us kidney transplant (76776) | $334.61 | $418.26 | 2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$243.98–$315.40 | $304.98–$394.25 | varies |
| Us ob limited 1 or more fetuses (76815) | $221.14 | $276.43 | 1.7× |
| Us ob transvaginal (76817) | $393.50 | $491.87 | 3.0× |
| Us pelvic non ob complete (76856) | $464.10 | $580.12 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $393.50 | $491.87 | 3.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $293.56 | $366.95 | 2.2× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$347.78–$466.17 | $434.72–$582.71 | varies |
| Us scrotum and contents (76870) | $386.22 | $482.78 | 3.0× |
| Us spinal canal and contents (76800) | $296.86 | $371.07 | 2.3× |
| Us thyroid (76536) | $386.22 | $482.78 | 3.0× |
| Us transrectal (76872) | $487.98 | $609.97 | 3.7× |
| Venography extremity unilateral rs&i (75820) | $201.18 | $251.47 | 0.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$221.66–$419.19 | $277.07–$523.99 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$152.65–$159.03 | $190.81–$198.79 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$167.16–$252.06 | $208.95–$315.08 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $328.78 | $410.97 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $394.53 | $493.16 | 3.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $237.76 | $297.20 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $147.43 | $184.29 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $202.46 | $253.07 | 1.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $263.12 | $328.90 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $433.42 | $541.78 | 3.3× |
| X-Ray Exam L-S Spine Bending (72114) | $365.79 | $457.24 | 2.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $131.03 | $163.79 | 1.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $212.05 | $265.06 | 1.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$266.72–$266.82 | $333.40–$333.53 | varies |
| X-ray eye for foreign body (70030) | $138.55 | $173.19 | 1.3× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$117.32–$117.67 | $146.65–$147.09 | varies |
| X-ray IV pyelogram (ivp) (74400) | $255.98 | $319.97 | 1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $105.68 | $132.10 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $302.16 | $377.70 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $261.49 | $326.86 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $283 | $353.75 | 2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $210.93 | $263.66 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $179.85 | $224.81 | 1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $135.42 | $169.28 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $219.18 | $273.98 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $212.26 | $265.33 | 1.6× |
| X-Ray Tmj Unilat (70328) | $148.74 | $185.92 | 1.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $235.62 | $294.53 | 0.5× |
| X-Rays Bone Survey Complete (77075) | $365.57 | $456.96 | 2.8× |
| Xr c-spine 4 or 5 views (72050) | $200.76 | $250.95 | 1.5× |
| Xr facial bones less than 3 views (70140) | $234.26 | $292.82 | 2.2× |
| Xr orbits complete 4 views (70200) | $154.99 | $193.74 | 1.2× |
| Xr Tomogram Single Plane (76100) | $203.53 | $254.41 | 1.6× |
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.