Imaging prices at Community Memorial Hospital - Ojai

Ojai, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $159.60 $266 1.4×
Abdomen 2 views (74019) $159.60 $266 1.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,340.40 $2,234 2.6×
Adrenal Cortex & Medulla Img (78075) $2,040.60 $3,401 1.2×
Angio pulmonary bilat (75743) $4,500.60 $7,501 1.1×
Angiography extremity bilateral rs&i (75716) $4,500.60 $7,501 1.1×
Angiography extremity unilateral rs&i (75710) $4,500.60 $7,501 1.1×
Angiography pulmonary unilateral slctv rs&i (75741) $2,191.80 $3,653 0.5×
Ankle 2 views (73600) $159.60 $266 1.4×
Aortography thoracic serialography rs&i (75605)
unusually low: confirm this is the full procedure		 $3,348 $5,580 0.5×
Aortography thoracic w/o serialography rs&i (75600) $2,770.20 $4,617 0.7×
Artery X-Rays Abdomen (75726) $3,785.40 $6,309 0.5×
Artery X-Rays Pelvis (75736) $4,500.60 $7,501 0.6×
Arthrogram hip (73525) $944.40 $1,574 2.1×
Arthrogram Wrist (73115) $944.40 $1,574 2.1×
Bone age studies (77072) $159.60 $266 1.2×
Bone Imaging 3 Phase (78315) $2,209.80 $3,683 4.3×
Bone Imaging Limited Area (78300) $1,588.80 $2,648 3.1×
Bone Imaging Multiple Areas (78305) $2,200.20 $3,667 4.3×
Bone Imaging Whole Body (78306) $2,325 $3,875 4.5×
Bone survey infant (77076) $253.20 $422 1.9×
Brain Image W/Flow < 4 Views (78601) $1,486.80 $2,478 2.9×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $887.40 $1,479 1.7×
Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) $887.40 $1,479 1.3×
Cardiac Shunt Detection (78428) $1,191.60 $1,986 2.3×
Cat Scan Follow-Up Study (76380) $221.40 $369 2.0×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $886.80 $1,478 1.3×
Cerebrospinal Fluid Scan (78630) $2,292 $3,820 3.3×
Chest 1 view (71045) $159.60 $266 1.4×
Chest 2 views (71046) $159.60 $266 1.4×
Chest 3 views (71047) $159.60 $266 1.4×
Chest 4 or more views (71048) $253.20 $422 1.9×
Clavicle complete (73000) $159.60 $266 1.4×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $351.60 $586 2.6×
Contrast Exam Abdominl Aorta (75625)
range across 2 matching MRF lines		 $4,500.60–$8,212.20 $7,501–$13,687 varies
Contrast X-Ray Bladder (74430) $716.40 $1,194 1.6×
CT abdomen and pelvis without and with contrast (74178) $1,086 $1,810 2.4×
CT abdomen and pelvis without contrast (74176) $672.60 $1,121 2.2×
CT abdomen w contrast (74160) $693 $1,155 3.1×
CT abdomen w wo contrast (74170) $780.60 $1,301 3.5×
CT abdomen w/o contrast (74150) $351.60 $586 2.6×
CT Angio Abdomen and Pelvis (74174) $1,086 $1,810 2.4×
CT Angio Chest (71275) $812.40 $1,354 3.6×
CT Angio Head (70496) $812.40 $1,354 3.6×
CT angio hrt w/3d image (75574) $618.60 $1,031 1.4×
Ct Angio Lwr Extr W/O&W/Dye (73706) $812.40 $1,354 3.6×
CT Angio Neck (70498) $812.40 $1,354 3.6×
Ct Angio Upr Extrm W/O&W/Dye (73206) $812.40 $1,354 3.6×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $468 $780 2.1×
CT cervical spine w/ contrast (72126) $693 $1,155 1.5×
CT cervical spine w/o contrast (72125) $351.60 $586 2.6×
CT cervical spine w/wo cont (72127) $780.60 $1,301 3.5×
CT chest w contrast (71260) $693 $1,155 3.1×
CT chest w/wo contrast (71270) $780.60 $1,301 3.5×
CT head/brain with contrast (70460) $693 $1,155 3.1×
CT head/brain without and with contrast (70470) $780.60 $1,301 3.5×
CT heart contrast eval cardiac structure&morph (75572) $618.60 $1,031 1.4×
CT heart no contrast quant eval coronry calcium (75571) $283.80 $473 2.5×
CT iac w contrast (70481) $693 $1,155 3.1×
CT l-spine w&w/o contrast (72133) $720 $1,200 3.2×
CT lower ext w/o (73700) $351.60 $586 2.6×
CT lower extremity w/contrast material (73701) $693 $1,155 3.1×
CT lumbar spine w contrast (72132) $693 $1,155 1.5×
CT lumbar spine w/o contrast (72131) $351.60 $586 2.6×
CT maxillofacial w contrast (70487) $693 $1,155 3.1×
CT maxillofacial wo contrast (70486) $351.60 $586 2.6×
CT neck tissue combo (70492) $780.60 $1,301 3.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $780.60 $1,301 3.5×
CT orbits w/o contrast (70480) $351.60 $586 2.6×
CT pelvis w&w/o contrast (72194) $780.60 $1,301 3.5×
CT pelvis w/o contrast (72192) $351.60 $586 2.6×
CT scan of leg combo (73702) $780.60 $1,301 3.5×
CT scans face/jaw combo (70488) $780.60 $1,301 3.5×
CT soft tissue neck w contrast (70491) $693 $1,155 3.1×
CT soft tissue neck w/o contrast (70490) $351.60 $586 2.6×
CT thoracic spine w contrast (72129) $693 $1,155 3.1×
CT thoracic spine w/o contrast (72128) $351.60 $586 2.6×
CT thoracic spine w/wo cont (72130) $780.60 $1,301 3.5×
CT thorax w/o contrast (71250) $351.60 $586 2.6×
CT upper ext wo (73200) $351.60 $586 2.6×
CT upper extremity w/o & w/contrast material (73202) $780.60 $1,301 3.5×
CT upper extremity with contrast (73201) $693 $1,155 1.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $812.40 $1,354 3.6×
Cta Abdomen (74175) $812.40 $1,354 3.6×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,546.80 $2,578 3.4×
CTA pelvis (72191) $812.40 $1,354 3.6×
Doppler Fetal Mid Cerebral Artery (76821) $299.40 $499 2.2×
Dxa Bone Density Axial (77080) $598.20 $997 4.4×
Echo Guide For Artery Repair (76936) $364.80 $608 1.3×
Esophageal Motility Study (78258) $728.40 $1,214 1.4×
Esophagram (74220) $283.80 $473 1.3×
Fetal Biophys Profile W/Nst (76818) $359.40 $599 2.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $359.40 $599 2.7×
Fluoroscopy up to 1 hr (76000) $691.80 $1,153 2.3×
Follow-Up Angiography (75898) $210 $350 0.1×
Foot 2 views (73620)
range across 2 matching MRF lines		 $159.60–$705.60 $266–$1,176 varies
Forearm 2 views (73090) $159.60 $266 1.4×
Gastric emptying imaging study (78264) $872.40 $1,454 1.7×
Gastroesophageal Reflux Exam (78262) $1,956.60 $3,261 3.8×
Gated Heart Planar Single (78472) $1,269.60 $2,116 2.5×
Gated Heart, Multiple (78473) $2,342.40 $3,904 4.6×
Hand 2 views (73120)
range across 2 matching MRF lines		 $159.60–$964.20 $266–$1,607 varies
Heart first pass single,planar (78481) $1,097.40 $1,829 1.6×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $5,485.20 $9,142 1.4×
Hepatobil Syst Image W/Drug (78227) $1,387.80 $2,313 2.0×
Hepatobiliary System Imaging (78226) $1,719.60 $2,866 3.3×
Ht Musc Image Planar Mult (78454) $1,258.20 $2,097 0.8×
Ht Muscle Image Spect Sing (78451) $1,517.40 $2,529 0.9×
Hysterosalpingogram (74740) $885 $1,475 2.9×
Infant hip ultrasound with hip movement (dynamic) (76885) $250.20 $417 2.2×
Interstitial radiation source applic complex (77778) $2,336.40 $3,894 2.6×
K Flow/Funct Image Multiple (78709) $2,575.80 $4,293 3.7×
K Flow/Funct Image W/Drug (78708) $2,445.60 $4,076 3.5×
K Flow/Funct Image W/O Drug (78707) $2,197.20 $3,662 3.1×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $529.20 $882 1.0×
Kidney Imaging Morphol (78700) $978.60 $1,631 1.9×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,108.80 $1,848 2.2×
Knee 3 Views (73562) $159.60 $266 1.4×
Leveen/Shunt Patency Exam (78291) $1,567.20 $2,612 3.0×
Liver & Spleen Imaging Static Only (78215) $1,588.80 $2,648 3.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $2,034 $3,390 4.0×
Liver imaging w/vascular flow (78202) $806.40 $1,344 1.2×
Lung Perf&Ventilat Diferentl (78598) $1,175.40 $1,959 1.7×
Lung perfusion differential (78597) $2,671.20 $4,452 5.2×
Lung Ventilat&Perfus Imaging (78582) $1,175.40 $1,959 1.7×
Lung Ventilation Imaging (78579) $1,988.40 $3,314 3.9×
Lymph System Imaging (78195) $1,389 $2,315 2.0×
Magnetic Image Jaw Joint (70336) $820.80 $1,368 2.7×
Meckels Divert Exam (78290) $861.60 $1,436 1.7×
Mra Head W/O & W/Contrast Material (70546) $1,371.60 $2,286 3.1×
MRA head w/o contrast (70544) $820.80 $1,368 2.7×
MRA head with contrast (70545) $1,187.40 $1,979 2.6×
MRA neck w contrast (70548) $1,187.40 $1,979 2.6×
Mra Neck W/O &W/Contrast Material (70549) $1,371.60 $2,286 3.1×
MRA neck w/o contrast (70547) $820.80 $1,368 2.7×
MRI abdomen w/o contrast (74181) $820.80 $1,368 2.7×
MRI any jt lower extrem w/contrast material (73722) $1,187.40 $1,979 1.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,371.60 $2,286 3.1×
MRI any jt upper extremity w/contrast matrl (73222) $1,187.40 $1,979 1.2×
MRI cervical spine w contrast (72142) $1,187.40 $1,979 2.6×
MRI cervical spine w/o cont (72141) $820.80 $1,368 2.7×
MRI chest w/o contrast (71550) $820.80 $1,368 2.7×
MRI chest wo w contrast (71552) $1,371.60 $2,286 3.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,187.40 $1,979 2.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,371.60 $2,286 3.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $820.80 $1,368 2.7×
MRI lumbar spine w contrast (72149) $1,187.40 $1,979 2.6×
Mri Neck Spine W/O & W/Dye (72156) $1,371.60 $2,286 3.1×
MRI orbit face &/neck w/o contrast (70540) $820.80 $1,368 2.7×
MRI orbit face neck w contrast (70542) $1,187.40 $1,979 2.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,371.60 $2,286 3.1×
MRI pelvis w contrast (72196) $1,187.40 $1,979 2.6×
MRI pelvis w/o & w contrast (72197) $1,371.60 $2,286 3.1×
MRI pelvis w/o contrast (72195) $820.80 $1,368 2.7×
MRI thoracic spine w/o contrast (72146) $820.80 $1,368 2.7×
MRI upper extremity oth than jt w/contr matrl (73219) $1,187.40 $1,979 2.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $820.80 $1,368 2.7×
Mri Uppr Extremity W/O&W/Dye (73220) $1,371.60 $2,286 3.1×
MRI, abdomen, combo (74183) $1,371.60 $2,286 3.1×
MRI, dorsal spine combo (72157) $1,371.60 $2,286 3.1×
MRI, dorsal spine contrast (72147) $1,187.40 $1,979 2.6×
MRI, joint upper extrem (73221) $820.80 $1,368 2.7×
MRI, joint upper extrem combo (73223) $1,371.60 $2,286 3.1×
MRI, lumbar spine combo (72158) $1,371.60 $2,286 3.1×
Myelogram cervical (72240) $1,662.60 $2,771 1.6×
Myelogram Lumbar (72265) $1,662.60 $2,771 1.6×
Myelograpy 2/more regions rs&i (72270) $1,662.60 $2,771 1.6×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $887.40 $1,479 1.7×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $2,313 $3,855 1.4×
Myocardial Spect Multiple Studies (78452) $2,674.80 $4,458 1.6×
Neck soft tissue (70360) $159.60 $266 1.4×
Nm csf leak detection (78650) $1,599.60 $2,666 1.0×
Nm myocard infarct spect (78469) $1,645.20 $2,742 2.4×
Nuclear Rx Intra-Arterial (79445) $615 $1,025 2.0×
Nuclear Rx Oral Admin (79005) $1,958.40 $3,264 6.5×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $286.80 $478 2.1×
Parathyroid imaging w/tomographic spect & CT (78072) $1,372.20 $2,287 2.0×
Parathyroid Planar Imaging (78070) $2,005.80 $3,343 3.9×
Parathyroid planar imaging w/wo subtraction (78071) $4,695 $7,825 9.1×
Pelvis 1 or 2 views (72170) $159.60 $266 1.2×
Pulmonary Perfusion Imaging Particulate (78580) $1,567.20 $2,612 3.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $172.20 $287 1.3×
Radex abscess/fistula/sinus tract rs&i (76080) $1,413.60 $2,356 2.0×
Radex Ankle Complete Minimum 3 Views (73610) $159.60 $266 1.4×
Radex Calcaneus Minimum 2 Views (73650) $159.60 $266 1.4×
Radex elbow complete minimum 3 views (73080) $159.60 $266 1.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $253.20 $422 1.9×
Radex fingr minimum 2 views (73140) $159.60 $266 1.4×
Radex foot complete minimum 3 views (73630) $159.60 $266 1.4×
Radex Hand Minimum 3 Views (73130) $159.60 $266 1.4×
Radex lower extremity infant minimum 2 views (73592) $159.60 $266 1.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $159.60 $266 1.4×
Radex Ribs Unilateral 2 Views (71100) $159.60 $266 1.4×
Radex shoulder complete minimum 2 views (73030) $159.60 $266 1.4×
Radex Sinuses Paransl < 3 Views (70210) $159.60 $266 1.4×
Radex Spine 1 View Specify Level (72020) $159.60 $266 1.4×
Radex Sternum Minimum 2 Views (71120)
range across 2 matching MRF lines		 $159.60–$234 $266–$390 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $159.60 $266 1.4×
Radex Toe Minimum 2 Views (73660) $159.60 $266 1.4×
Radex upper extremity infant minimum 2 views (73092) $253.20 $422 1.9×
Radex Wrist Complete Minimum 3 Views (73110) $159.60 $266 1.4×
Radiolog exam mandible compl minimum 4 views (70110) $253.20 $422 1.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $159.60 $266 1.2×
Radiologic exam colon double contrast study (74280) $420.60 $701 1.9×
Radiologic exam colon single contrast study (74270) $420.60 $701 1.9×
Radiologic Exam Esophagus Double Contrast Study (74221) $482.40 $804 2.1×
Radiologic exam knee complete 4/more views (73564) $159.60 $266 1.2×
Radiologic exam pelvis compl minimum 3 views (72190) $159.60 $266 1.2×
Radiologic Exam Small Int Single Contrast Study (74250) $283.80 $473 1.3×
Radiologic exam swallow function contrast study (74230) $283.80 $473 1.3×
Radiologic exam upr gi trc double contrast study (74246) $420.60 $701 1.9×
Radiologic examination femur 1 view (73551) $159.60 $266 1.4×
Radiologic examination femur minimum 2 views (73552) $159.60 $266 1.4×
Radiologic examination knee 1/2 views (73560) $159.60 $266 1.4×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines		 $159.60–$228 $266–$380 varies
Ribs bilateral 3 views (71110) $253.20 $422 1.9×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,748.40 $2,914 3.4×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,748.40 $2,914 3.4×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $621.60 $1,036 0.9×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $806.40 $1,344 1.2×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $3,849.60 $6,416 2.1×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $3,849.60 $6,416 2.3×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $994.80 $1,658 3.3×
Rp Therapy Intravenous Administration (79101) $792 $1,320 2.6×
Scapula (73010) $159.60 $266 1.2×
Screening Digital Breast Tomosynthesis Bi (77063) $172.20 $287 7.4×
Shoulder 1 view (73020) $159.60 $266 1.4×
Shoulder Arthrography (73040) $944.40 $1,574 2.1×
Skull less than 4 views (70250) $159.60 $266 1.2×
Sternoclavicular joints (71130) $336.60 $561 3.0×
Testicular Imaging W/Flow (78761) $978.60 $1,631 1.9×
Thoracic spine 2 views (72070) $178.20 $297 1.3×
Thoracic spine 3 views (72072) $253.20 $422 1.9×
Thoracolumbar 2 views (72080) $159.60 $266 1.4×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $781.20 $1,302 1.5×
Thyroid Imaging With Vascular Flow (78013) $969.60 $1,616 1.9×
Thyroid Met Imaging Body (78018) $2,040.60 $3,401 2.9×
Thyroid Uptake Measurement (78012) $437.40 $729 0.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,406.40 $2,344 2.7×
Ultrasound Breast Limited (76642) $238.80 $398 2.1×
Ultrasound Exam Aaa Screen (76706) $417.60 $696 3.1×
Ultrasound, abdomen limited (76705) $374.40 $624 2.8×
Umbilical-artery Doppler (OB) (76820) $250.20 $417 1.9×
Unlisted us procedure (76999) $238.80 $398 2.1×
Upper gi w/o kub (74240) $420.60 $701 1.9×
Ureteral Reflux Study (78740) $978.60 $1,631 1.9×
Urethrocystogram voiding (74455) $716.40 $1,194 2.3×
Urethrocystography retrograde (74450) $716.40 $1,194 2.3×
Us breast unilateral complete (76641) $993 $1,655 7.4×
Us chest (76604) $374.40 $624 2.8×
Us complete joint (76881) $489.60 $816 3.6×
Us exam, pelvic, limited (76857) $250.20 $417 1.9×
Us head (76506) $374.40 $624 2.8×
Us kidney transplant (76776) $374.40 $624 2.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $250.20 $417 1.9×
Us ob detailed single fetus (76811) $531.60 $886 1.7×
Us ob limited 1 or more fetuses (76815) $359.40 $599 2.7×
Us ob transvaginal (76817) $359.40 $599 2.7×
Us pelvic non ob complete (76856) $374.40 $624 2.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $374.40 $624 2.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $359.40 $599 2.7×
Us retroperitoneal complete (76770) $374.40 $624 2.8×
Us retroperitoneal limited (76775) $374.40 $624 2.8×
Us scrotum and contents (76870) $374.40 $624 2.8×
Us spinal canal and contents (76800) $250.20 $417 1.9×
Us thyroid (76536) $374.40 $624 2.8×
Us transrectal (76872) $628.20 $1,047 4.7×
Vein X-Ray Chest (75827) $2,253 $3,755 1.1×
Venogram Sinus/Jugular (75860) $1,380.60 $2,301 0.3×
Venography caval inferior serialography rs&i (75825) $2,478.60 $4,131 0.6×
Venography extremity bilateral rs&i (75822) $2,601 $4,335 1.3×
Venography extremity unilateral rs&i (75820) $2,478.60 $4,131 1.2×
Venography Renal Bilateral (75833) $7,393.80 $12,323 1.8×
Venography Renal Unilateral (75831) $7,393.80 $12,323 1.8×
Venous sampling by catheter (75893) $5,485.20 $9,142 0.8×
Wrist 2 views (73100) $159.60 $266 1.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $159.60 $266 1.4×
X-Ray Aorta Leg Arteries (75630) $2,478.60 $4,131 0.6×
X-Ray Bend Only L-S Spine (72120) $714 $1,190 5.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $159.60 $266 1.4×
X-Ray Exam Breast Specimen (76098) $1,674 $2,790 2.4×
X-Ray Exam Entire Spi 1 Vw (72081) $159.60 $266 1.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $450 $750 3.3×
X-Ray Exam Hip Uni 1 View (73501) $159.60 $266 1.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $159.60 $266 1.4×
X-Ray Exam Hip Uni 4/> Views (73503) $964.20 $1,607 7.2×
X-Ray Exam Hips Bi 2 Views (73521) $267.60 $446 2.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $253.20 $422 1.9×
X-Ray Exam Hips Bi 5/> Views (73523) $288.60 $481 2.1×
X-Ray Exam L-S Spine Bending (72114) $253.20 $422 1.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $159.60 $266 1.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $253.20 $422 1.9×
X-Ray Exam Unilat Ribs/Chest (71101) $253.20 $422 1.9×
X-ray eye for foreign body (70030) $159.60 $266 1.4×
X-ray humerus (73060) $159.60 $266 1.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $178.20 $297 1.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $312.60 $521 2.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $159.60 $266 1.2×
X-ray nose-rectum child f.b. (76010) $159.60 $266 1.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $282 $470 2.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $159.60 $266 1.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $287.40 $479 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $159.60 $266 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $159.60 $266 1.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $253.20 $422 1.9×
X-Ray Stress View (77071) $964.20 $1,607 8.6×
X-ray thoracic spine 4 vw (72074) $159.60 $266 1.2×
X-Ray Tmj Unilat (70328) $705.60 $1,176 6.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $716.40 $1,194 1.6×
X-Rays Bone Length Studies (77073) $178.20 $297 1.3×
X-Rays Bone Survey Complete (77075) $253.20 $422 1.9×
Xr c-spine 4 or 5 views (72050) $253.20 $422 1.9×
Xr facial bones less than 3 views (70140) $159.60 $266 1.4×
Xr orbits complete 4 views (70200) $159.60 $266 1.2×

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.