Imaging prices at Community Memorial Hospital - Ventura

Ventura, 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) $106.40 $266 1.0×
Abdomen 2 views (74019) $106.40 $266 0.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $893.60 $2,234 1.7×
Adrenal Cortex & Medulla Img (78075) $1,360.40 $3,401 0.8×
Angio pulmonary bilat (75743) $3,000.40 $7,501 0.7×
Angiography extremity bilateral rs&i (75716) $3,000.40 $7,501 0.7×
Angiography extremity unilateral rs&i (75710) $3,000.40 $7,501 0.7×
Angiography pulmonary unilateral slctv rs&i (75741) $1,461.20 $3,653 0.4×
Ankle 2 views (73600) $106.40 $266 1.0×
Aortography thoracic serialography rs&i (75605)
unusually low: confirm this is the full procedure
$2,232 $5,580 0.3×
Aortography thoracic w/o serialography rs&i (75600) $1,846.80 $4,617 0.5×
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure
$2,523.60 $6,309 0.4×
Artery X-Rays Pelvis (75736)
unusually low: confirm this is the full procedure
$3,000.40 $7,501 0.4×
Arthrogram hip (73525) $629.60 $1,574 1.4×
Arthrogram Wrist (73115) $629.60 $1,574 1.4×
Bone age studies (77072) $106.40 $266 0.8×
Bone Imaging 3 Phase (78315) $1,473.20 $3,683 2.9×
Bone Imaging Limited Area (78300) $1,059.20 $2,648 2.1×
Bone Imaging Multiple Areas (78305) $1,466.80 $3,667 2.9×
Bone Imaging Whole Body (78306) $1,550 $3,875 3.0×
Bone survey infant (77076) $168.80 $422 1.3×
Brain Image W/Flow < 4 Views (78601) $991.20 $2,478 1.9×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $591.60 $1,479 1.2×
Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) $591.60 $1,479 0.8×
Cardiac Shunt Detection (78428) $794.40 $1,986 1.5×
Cat Scan Follow-Up Study (76380) $147.60 $369 1.3×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $591.20 $1,478 0.8×
Cerebrospinal Fluid Scan (78630) $1,528 $3,820 2.2×
Chest 1 view (71045) $106.40 $266 1.0×
Chest 2 views (71046) $106.40 $266 1.0×
Chest 3 views (71047) $106.40 $266 1.0×
Chest 4 or more views (71048) $168.80 $422 1.3×
Clavicle complete (73000) $106.40 $266 1.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $234.40 $586 1.7×
Contrast Exam Abdominl Aorta (75625)
range across 2 matching MRF lines
$3,000.40–$5,474.80 $7,501–$13,687 varies
Contrast X-Ray Bladder (74430) $477.60 $1,194 1.1×
CT abdomen and pelvis without and with contrast (74178) $724 $1,810 1.6×
CT abdomen and pelvis without contrast (74176) $448.40 $1,121 1.5×
CT abdomen w contrast (74160) $462 $1,155 2.0×
CT abdomen w wo contrast (74170) $520.40 $1,301 2.3×
CT abdomen w/o contrast (74150) $234.40 $586 1.7×
CT Angio Abdomen and Pelvis (74174) $724 $1,810 1.6×
CT Angio Chest (71275) $541.60 $1,354 2.4×
CT Angio Head (70496) $541.60 $1,354 2.4×
CT angio hrt w/3d image (75574) $412.40 $1,031 0.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $541.60 $1,354 2.4×
CT Angio Neck (70498) $541.60 $1,354 2.4×
Ct Angio Upr Extrm W/O&W/Dye (73206) $541.60 $1,354 2.4×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $312 $780 1.4×
CT cervical spine w/ contrast (72126) $462 $1,155 1.0×
CT cervical spine w/o contrast (72125) $234.40 $586 1.7×
CT cervical spine w/wo cont (72127) $520.40 $1,301 2.3×
CT chest w contrast (71260) $462 $1,155 2.0×
CT chest w/wo contrast (71270) $520.40 $1,301 2.3×
CT head/brain with contrast (70460) $462 $1,155 2.0×
CT head/brain without and with contrast (70470) $520.40 $1,301 2.3×
CT heart contrast eval cardiac structure&morph (75572) $412.40 $1,031 0.9×
CT heart no contrast quant eval coronry calcium (75571) $189.20 $473 1.7×
CT iac w contrast (70481) $462 $1,155 2.0×
CT l-spine w&w/o contrast (72133) $480 $1,200 2.1×
CT lower ext w/o (73700) $234.40 $586 1.7×
CT lower extremity w/contrast material (73701) $462 $1,155 2.0×
CT lumbar spine w contrast (72132) $462 $1,155 1.0×
CT lumbar spine w/o contrast (72131) $234.40 $586 1.7×
CT maxillofacial w contrast (70487) $462 $1,155 2.0×
CT maxillofacial wo contrast (70486) $234.40 $586 1.7×
CT neck tissue combo (70492) $520.40 $1,301 2.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $520.40 $1,301 2.3×
CT orbits w/o contrast (70480) $234.40 $586 1.7×
CT pelvis w&w/o contrast (72194) $520.40 $1,301 2.3×
CT pelvis w/o contrast (72192) $234.40 $586 1.7×
CT scan of leg combo (73702) $520.40 $1,301 2.3×
CT scans face/jaw combo (70488) $520.40 $1,301 2.3×
CT soft tissue neck w contrast (70491) $462 $1,155 2.0×
CT soft tissue neck w/o contrast (70490) $234.40 $586 1.7×
CT thoracic spine w contrast (72129) $462 $1,155 2.0×
CT thoracic spine w/o contrast (72128) $234.40 $586 1.7×
CT thoracic spine w/wo cont (72130) $520.40 $1,301 2.3×
CT thorax w/o contrast (71250) $234.40 $586 1.7×
CT upper ext wo (73200) $234.40 $586 1.7×
CT upper extremity w/o & w/contrast material (73202) $520.40 $1,301 2.3×
CT upper extremity with contrast (73201) $462 $1,155 1.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $541.60 $1,354 2.4×
Cta Abdomen (74175) $541.60 $1,354 2.4×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,031.20 $2,578 2.3×
CTA pelvis (72191) $541.60 $1,354 2.4×
Doppler Fetal Mid Cerebral Artery (76821) $199.60 $499 1.5×
Dxa Bone Density Axial (77080) $398.80 $997 3.0×
Echo Guide For Artery Repair (76936) $243.20 $608 0.9×
Esophageal Motility Study (78258) $485.60 $1,214 0.9×
Esophagram (74220) $189.20 $473 0.8×
Fetal Biophys Profile W/Nst (76818) $239.60 $599 1.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $239.60 $599 1.8×
Fluoroscopy up to 1 hr (76000) $461.20 $1,153 1.5×
Follow-Up Angiography (75898) $140 $350 0.0×
Foot 2 views (73620)
range across 2 matching MRF lines
$106.40–$470.40 $266–$1,176 varies
Forearm 2 views (73090) $106.40 $266 1.0×
Gastric emptying imaging study (78264) $581.60 $1,454 1.1×
Gastroesophageal Reflux Exam (78262) $1,304.40 $3,261 2.5×
Gated Heart Planar Single (78472) $846.40 $2,116 1.6×
Gated Heart, Multiple (78473) $1,561.60 $3,904 3.0×
Hand 2 views (73120)
range across 2 matching MRF lines
$106.40–$642.80 $266–$1,607 varies
Heart first pass single,planar (78481) $731.60 $1,829 1.0×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $3,656.80 $9,142 0.9×
Hepatobil Syst Image W/Drug (78227) $925.20 $2,313 1.3×
Hepatobiliary System Imaging (78226) $1,146.40 $2,866 2.2×
Ht Musc Image Planar Mult (78454) $838.80 $2,097 0.5×
Ht Muscle Image Spect Sing (78451) $1,011.60 $2,529 0.6×
Hysterosalpingogram (74740) $590 $1,475 1.9×
Infant hip ultrasound with hip movement (dynamic) (76885) $166.80 $417 1.5×
Interstitial radiation source applic complex (77778) $1,557.60 $3,894 1.7×
K Flow/Funct Image Multiple (78709) $1,717.20 $4,293 2.5×
K Flow/Funct Image W/Drug (78708) $1,630.40 $4,076 2.3×
K Flow/Funct Image W/O Drug (78707) $1,464.80 $3,662 2.1×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $352.80 $882 0.7×
Kidney Imaging Morphol (78700) $652.40 $1,631 1.3×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $739.20 $1,848 1.4×
Knee 3 Views (73562) $106.40 $266 1.0×
Leveen/Shunt Patency Exam (78291) $1,044.80 $2,612 2.0×
Liver & Spleen Imaging Static Only (78215) $1,059.20 $2,648 2.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,356 $3,390 2.6×
Liver imaging w/vascular flow (78202) $537.60 $1,344 0.8×
Lung Perf&Ventilat Diferentl (78598) $783.60 $1,959 1.1×
Lung perfusion differential (78597) $1,780.80 $4,452 3.5×
Lung Ventilat&Perfus Imaging (78582) $783.60 $1,959 1.1×
Lung Ventilation Imaging (78579) $1,325.60 $3,314 2.6×
Lymph System Imaging (78195) $926 $2,315 1.3×
Magnetic Image Jaw Joint (70336) $547.20 $1,368 1.8×
Meckels Divert Exam (78290) $574.40 $1,436 1.1×
Mra Head W/O & W/Contrast Material (70546) $914.40 $2,286 2.0×
MRA head w/o contrast (70544) $547.20 $1,368 1.8×
MRA head with contrast (70545) $791.60 $1,979 1.8×
MRA neck w contrast (70548) $791.60 $1,979 1.8×
Mra Neck W/O &W/Contrast Material (70549) $914.40 $2,286 2.0×
MRA neck w/o contrast (70547) $547.20 $1,368 1.8×
MRI abdomen w/o contrast (74181) $547.20 $1,368 1.8×
MRI any jt lower extrem w/contrast material (73722) $791.60 $1,979 0.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $914.40 $2,286 2.0×
MRI any jt upper extremity w/contrast matrl (73222) $791.60 $1,979 0.8×
MRI cervical spine w contrast (72142) $791.60 $1,979 1.8×
MRI cervical spine w/o cont (72141) $547.20 $1,368 1.8×
MRI chest w/o contrast (71550) $547.20 $1,368 1.8×
MRI chest wo w contrast (71552) $914.40 $2,286 2.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $791.60 $1,979 1.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $914.40 $2,286 2.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $547.20 $1,368 1.8×
MRI lumbar spine w contrast (72149) $791.60 $1,979 1.8×
Mri Neck Spine W/O & W/Dye (72156) $914.40 $2,286 2.0×
MRI orbit face &/neck w/o contrast (70540) $547.20 $1,368 1.8×
MRI orbit face neck w contrast (70542) $791.60 $1,979 1.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $914.40 $2,286 2.0×
MRI pelvis w contrast (72196) $791.60 $1,979 1.8×
MRI pelvis w/o & w contrast (72197) $914.40 $2,286 2.0×
MRI pelvis w/o contrast (72195) $547.20 $1,368 1.8×
MRI thoracic spine w/o contrast (72146) $547.20 $1,368 1.8×
MRI upper extremity oth than jt w/contr matrl (73219) $791.60 $1,979 1.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $547.20 $1,368 1.8×
Mri Uppr Extremity W/O&W/Dye (73220) $914.40 $2,286 2.0×
MRI, abdomen, combo (74183) $914.40 $2,286 2.0×
MRI, dorsal spine combo (72157) $914.40 $2,286 2.0×
MRI, dorsal spine contrast (72147) $791.60 $1,979 1.8×
MRI, joint upper extrem (73221) $547.20 $1,368 1.8×
MRI, joint upper extrem combo (73223) $914.40 $2,286 2.0×
MRI, lumbar spine combo (72158) $914.40 $2,286 2.0×
Myelogram cervical (72240) $1,108.40 $2,771 1.1×
Myelogram Lumbar (72265) $1,108.40 $2,771 1.1×
Myelograpy 2/more regions rs&i (72270) $1,108.40 $2,771 1.1×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $591.60 $1,479 1.2×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $1,542 $3,855 0.9×
Myocardial Spect Multiple Studies (78452) $1,783.20 $4,458 1.1×
Neck soft tissue (70360) $106.40 $266 1.0×
Nm csf leak detection (78650) $1,066.40 $2,666 0.6×
Nm myocard infarct spect (78469) $1,096.80 $2,742 1.6×
Nuclear Rx Intra-Arterial (79445) $410 $1,025 1.4×
Nuclear Rx Oral Admin (79005) $1,305.60 $3,264 4.4×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $191.20 $478 1.4×
Parathyroid imaging w/tomographic spect & CT (78072) $914.80 $2,287 1.3×
Parathyroid Planar Imaging (78070) $1,337.20 $3,343 2.6×
Parathyroid planar imaging w/wo subtraction (78071) $3,130 $7,825 6.1×
Pelvis 1 or 2 views (72170) $106.40 $266 0.8×
Pulmonary Perfusion Imaging Particulate (78580) $1,044.80 $2,612 2.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $114.80 $287 0.9×
Radex abscess/fistula/sinus tract rs&i (76080) $942.40 $2,356 1.3×
Radex Ankle Complete Minimum 3 Views (73610) $106.40 $266 1.0×
Radex Calcaneus Minimum 2 Views (73650) $106.40 $266 1.0×
Radex elbow complete minimum 3 views (73080) $106.40 $266 1.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $168.80 $422 1.3×
Radex fingr minimum 2 views (73140) $106.40 $266 1.0×
Radex foot complete minimum 3 views (73630) $106.40 $266 1.0×
Radex Hand Minimum 3 Views (73130) $106.40 $266 1.0×
Radex lower extremity infant minimum 2 views (73592) $106.40 $266 1.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $106.40 $266 1.0×
Radex Ribs Unilateral 2 Views (71100) $106.40 $266 1.0×
Radex shoulder complete minimum 2 views (73030) $106.40 $266 1.0×
Radex Sinuses Paransl < 3 Views (70210) $106.40 $266 1.0×
Radex Spine 1 View Specify Level (72020) $106.40 $266 1.0×
Radex Sternum Minimum 2 Views (71120)
range across 2 matching MRF lines
$106.40–$156 $266–$390 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $106.40 $266 1.0×
Radex Toe Minimum 2 Views (73660) $106.40 $266 1.0×
Radex upper extremity infant minimum 2 views (73092) $168.80 $422 1.3×
Radex Wrist Complete Minimum 3 Views (73110) $106.40 $266 1.0×
Radiolog exam mandible compl minimum 4 views (70110) $168.80 $422 1.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $106.40 $266 0.8×
Radiologic exam colon double contrast study (74280) $280.40 $701 1.2×
Radiologic exam colon single contrast study (74270) $280.40 $701 1.2×
Radiologic Exam Esophagus Double Contrast Study (74221) $321.60 $804 1.4×
Radiologic exam knee complete 4/more views (73564) $106.40 $266 0.8×
Radiologic exam pelvis compl minimum 3 views (72190) $106.40 $266 0.8×
Radiologic Exam Small Int Single Contrast Study (74250) $189.20 $473 0.8×
Radiologic exam swallow function contrast study (74230) $189.20 $473 0.8×
Radiologic exam upr gi trc double contrast study (74246) $280.40 $701 1.2×
Radiologic examination femur 1 view (73551) $106.40 $266 1.0×
Radiologic examination femur minimum 2 views (73552) $106.40 $266 1.0×
Radiologic examination knee 1/2 views (73560) $106.40 $266 1.0×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$106.40–$152 $266–$380 varies
Ribs bilateral 3 views (71110) $168.80 $422 1.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,165.60 $2,914 2.3×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,165.60 $2,914 2.3×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $414.40 $1,036 0.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $537.60 $1,344 0.8×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $2,566.40 $6,416 1.4×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,566.40 $6,416 1.5×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $663.20 $1,658 2.2×
Rp Therapy Intravenous Administration (79101) $528 $1,320 1.8×
Scapula (73010) $106.40 $266 0.8×
Screening Digital Breast Tomosynthesis Bi (77063) $114.80 $287 4.9×
Shoulder 1 view (73020) $106.40 $266 1.0×
Shoulder Arthrography (73040) $629.60 $1,574 1.4×
Skull less than 4 views (70250) $106.40 $266 0.8×
Sternoclavicular joints (71130) $224.40 $561 2.0×
Testicular Imaging W/Flow (78761) $652.40 $1,631 1.3×
Thoracic spine 2 views (72070) $118.80 $297 0.9×
Thoracic spine 3 views (72072) $168.80 $422 1.3×
Thoracolumbar 2 views (72080) $106.40 $266 1.0×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $520.80 $1,302 1.0×
Thyroid Imaging With Vascular Flow (78013) $646.40 $1,616 1.3×
Thyroid Met Imaging Body (78018) $1,360.40 $3,401 1.9×
Thyroid Uptake Measurement (78012) $291.60 $729 0.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $937.60 $2,344 1.8×
Ultrasound Breast Limited (76642) $159.20 $398 1.4×
Ultrasound Exam Aaa Screen (76706) $278.40 $696 2.1×
Ultrasound, abdomen limited (76705) $249.60 $624 1.9×
Umbilical-artery Doppler (OB) (76820) $166.80 $417 1.2×
Unlisted us procedure (76999) $159.20 $398 1.4×
Upper gi w/o kub (74240) $280.40 $701 1.2×
Ureteral Reflux Study (78740) $652.40 $1,631 1.3×
Urethrocystogram voiding (74455) $477.60 $1,194 1.6×
Urethrocystography retrograde (74450) $477.60 $1,194 1.6×
Us breast unilateral complete (76641) $662 $1,655 4.9×
Us chest (76604) $249.60 $624 1.9×
Us complete joint (76881) $326.40 $816 2.4×
Us exam, pelvic, limited (76857) $166.80 $417 1.2×
Us head (76506) $249.60 $624 1.9×
Us kidney transplant (76776) $249.60 $624 1.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $166.80 $417 1.2×
Us ob detailed single fetus (76811) $354.40 $886 1.2×
Us ob limited 1 or more fetuses (76815) $239.60 $599 1.8×
Us ob transvaginal (76817) $239.60 $599 1.8×
Us pelvic non ob complete (76856) $249.60 $624 1.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $249.60 $624 1.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $239.60 $599 1.8×
Us retroperitoneal complete (76770) $249.60 $624 1.9×
Us retroperitoneal limited (76775) $249.60 $624 1.9×
Us scrotum and contents (76870) $249.60 $624 1.9×
Us spinal canal and contents (76800) $166.80 $417 1.2×
Us thyroid (76536) $249.60 $624 1.9×
Us transrectal (76872) $418.80 $1,047 3.1×
Vein X-Ray Chest (75827) $1,502 $3,755 0.7×
Venogram Sinus/Jugular (75860) $920.40 $2,301 0.2×
Venography caval inferior serialography rs&i (75825) $1,652.40 $4,131 0.4×
Venography extremity bilateral rs&i (75822) $1,734 $4,335 0.9×
Venography extremity unilateral rs&i (75820) $1,652.40 $4,131 0.8×
Venography Renal Bilateral (75833) $4,929.20 $12,323 1.2×
Venography Renal Unilateral (75831) $4,929.20 $12,323 1.2×
Venous sampling by catheter (75893) $3,656.80 $9,142 0.5×
Wrist 2 views (73100) $106.40 $266 1.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $106.40 $266 1.0×
X-Ray Aorta Leg Arteries (75630) $1,652.40 $4,131 0.4×
X-Ray Bend Only L-S Spine (72120) $476 $1,190 3.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $106.40 $266 1.0×
X-Ray Exam Breast Specimen (76098) $1,116 $2,790 1.6×
X-Ray Exam Entire Spi 1 Vw (72081) $106.40 $266 1.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $300 $750 2.2×
X-Ray Exam Hip Uni 1 View (73501) $106.40 $266 1.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $106.40 $266 1.0×
X-Ray Exam Hip Uni 4/> Views (73503) $642.80 $1,607 4.8×
X-Ray Exam Hips Bi 2 Views (73521) $178.40 $446 1.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $168.80 $422 1.3×
X-Ray Exam Hips Bi 5/> Views (73523) $192.40 $481 1.4×
X-Ray Exam L-S Spine Bending (72114) $168.80 $422 1.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $106.40 $266 1.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $168.80 $422 1.3×
X-Ray Exam Unilat Ribs/Chest (71101) $168.80 $422 1.3×
X-ray eye for foreign body (70030) $106.40 $266 1.0×
X-ray humerus (73060) $106.40 $266 1.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $118.80 $297 1.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $208.40 $521 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $106.40 $266 0.8×
X-ray nose-rectum child f.b. (76010) $106.40 $266 1.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $188 $470 1.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $106.40 $266 0.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $191.60 $479 1.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $106.40 $266 1.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $106.40 $266 1.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $168.80 $422 1.3×
X-Ray Stress View (77071) $642.80 $1,607 5.7×
X-ray thoracic spine 4 vw (72074) $106.40 $266 0.8×
X-Ray Tmj Unilat (70328) $470.40 $1,176 4.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $477.60 $1,194 1.1×
X-Rays Bone Length Studies (77073) $118.80 $297 0.9×
X-Rays Bone Survey Complete (77075) $168.80 $422 1.3×
Xr c-spine 4 or 5 views (72050) $168.80 $422 1.3×
Xr facial bones less than 3 views (70140) $106.40 $266 1.0×
Xr orbits complete 4 views (70200) $106.40 $266 0.8×

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.