Imaging prices at Cook Childrens Medical Center Prosper
Prosper, TX · every code in this section with a posted price and a Medicare benchmark.
226 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) | $421.64 | $562.19 | 4.8× |
| Abdomen 2 views (74019) | $366.52 | $488.69 | 3.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$384.44–$416.29 | $512.59–$555.05 | varies |
| Arthrogram ankle (73615) | $1,118.69 | $1,491.59 | 3.2× |
| Arthrogram Wrist (73115) | $1,118.69 | $1,491.59 | 3.2× |
| Bone age studies (77072) | $316.99 | $422.65 | 3.0× |
| Bone survey infant (77076) | $596.76 | $795.68 | 5.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$5,442.61–$5,987.22 | $7,256.81–$7,982.96 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$5,502.99–$5,828.16 | $7,337.32–$7,770.88 | varies |
| Cat Scan Follow-Up Study (76380) | $2,081.42 | $2,775.23 | 23.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$426.99–$489.42 | $569.32–$652.56 | varies |
| Chest 2 views (71046) | $500.51 | $667.35 | 5.7× |
| Chest 3 views (71047) | $790.61 | $1,054.15 | 9.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$331.76–$499.81 | $442.34–$666.41 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$469.88–$1,234.36 | $626.50–$1,645.81 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,118.99 | $1,491.98 | 3.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,118.69 | $1,491.59 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) | $8,937.41 | $11,916.55 | 25.5× |
| CT abdomen and pelvis without contrast (74176) | $5,377.79 | $7,170.38 | 22.4× |
| CT abdomen w contrast (74160) | $4,304.87 | $5,739.82 | 24.4× |
| CT abdomen w wo contrast (74170) | $5,377.22 | $7,169.63 | 30.5× |
| CT abdomen w/o contrast (74150) | $4,000.94 | $5,334.59 | 38.1× |
| CT Angio Chest (71275) | $5,888.05 | $7,850.73 | 33.4× |
| CT Angio Head (70496) | $5,392.63 | $7,190.17 | 30.6× |
| CT angio hrt w/3d image (75574) | $5,802.89 | $7,737.18 | 16.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,795.56 | $6,394.08 | 27.2× |
| CT Angio Neck (70498) | $5,018.33 | $6,691.10 | 28.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,795.56 | $6,394.08 | 27.2× |
| CT cervical spine w/ contrast (72126) | $4,159.31 | $5,545.74 | 11.9× |
| CT cervical spine w/o contrast (72125) | $4,000.94 | $5,334.59 | 38.1× |
| CT cervical spine w/wo cont (72127) | $4,415.02 | $5,886.69 | 25.1× |
| CT chest w contrast (71260) | $4,086.17 | $5,448.23 | 23.2× |
| CT chest w/wo contrast (71270) | $4,891.19 | $6,521.59 | 27.8× |
| CT head/brain with contrast (70460) | $3,312.33 | $4,416.44 | 18.8× |
| CT head/brain without and with contrast (70470) | $4,416.21 | $5,888.28 | 25.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $5,235.30 | $6,980.40 | 14.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $3,178.95 | $4,238.60 | 36.4× |
| CT hrt w/3d image congen (75573) | $5,802.89 | $7,737.18 | 16.6× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$3,854.36–$4,564.55 | $5,139.14–$6,086.06 | varies |
| CT l-spine w&w/o contrast (72133) | $4,415.72 | $5,887.63 | 25.1× |
| CT lower ext w/o (73700) | $2,464.08 | $3,285.44 | 23.5× |
| CT lower extremity w/contrast material (73701) | $2,913.16 | $3,884.21 | 16.5× |
| CT lumbar spine w contrast (72132) | $4,159.31 | $5,545.74 | 11.9× |
| CT lumbar spine w/o contrast (72131) | $3,265.05 | $4,353.40 | 31.1× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,471.32–$4,247.14 | $4,628.43–$5,662.85 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$1,572.82–$2,340.92 | $2,097.09–$3,121.23 | varies |
| CT neck tissue combo (70492) | $5,045.75 | $6,727.67 | 28.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$4,597.10–$4,627.61 | $6,129.46–$6,170.14 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$2,256.17–$3,538.72 | $3,008.22–$4,718.29 | varies |
| CT pelvis w&w/o contrast (72194) | $3,560.88 | $4,747.84 | 20.2× |
| CT pelvis w/o contrast (72192) | $2,226.26 | $2,968.35 | 21.2× |
| CT scan of leg combo (73702) | $3,644.75 | $4,859.67 | 20.7× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$4,570.82–$4,626.26 | $6,094.43–$6,168.34 | varies |
| CT soft tissue neck w contrast (70491) | $4,295.43 | $5,727.24 | 24.4× |
| CT soft tissue neck w/o contrast (70490) | $3,990.55 | $5,320.73 | 38.0× |
| CT thoracic spine w contrast (72129) | $4,470.87 | $5,961.16 | 25.4× |
| CT thoracic spine w/o contrast (72128) | $2,959.16 | $3,945.54 | 28.2× |
| CT thoracic spine w/wo cont (72130) | $3,703.46 | $4,937.95 | 21.0× |
| CT thorax w/o contrast (71250) | $3,847.67 | $5,130.23 | 36.6× |
| CT upper ext wo (73200) | $2,464.08 | $3,285.44 | 23.5× |
| CT upper extremity w/o & w/contrast material (73202) | $3,918.09 | $5,224.12 | 22.2× |
| CT upper extremity with contrast (73201) | $3,131.53 | $4,175.37 | 8.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 6 matching MRF lines |
$4,086.66–$8,484.42 | $5,448.88–$11,312.56 | varies |
| Cta Abdomen (74175) | $5,939.71 | $7,919.61 | 33.7× |
| CTA pelvis (72191) | $5,798.17 | $7,730.89 | 32.9× |
| Dxa Bone Density Axial (77080) | $911.39 | $1,215.19 | 8.7× |
| Dxa bone density study (77085) | $514.01 | $685.35 | 4.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$460.93–$911.14 | $614.57–$1,214.85 | varies |
| Esophagram (74220) | $726.90 | $969.20 | 4.1× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $3,034.98 | $4,046.64 | 12.7× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$535.36–$6,738.66 | $713.81–$8,984.88 | varies |
| Foot 2 views (73620) | $411.89 | $549.19 | 4.7× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$287.18–$463.55 | $382.91–$618.07 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$306.92–$366.67 | $409.23–$488.89 | varies |
| Infant hip ultrasound, limited static exam (76886) | $972.74 | $1,296.98 | 11.1× |
| Joint Survey Single View (77077) range across 3 matching MRF lines |
$308.63–$644.03 | $411.51–$858.71 | varies |
| Knee 3 Views (73562) | $438.39 | $584.52 | 5.0× |
| Magnetic Image Jaw Joint (70336) | $3,309.86 | $4,413.14 | 13.8× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $40,089.02 | $53,452.03 | 227.5× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $39,987.75 | $53,317 | 72.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $40,601.45 | $54,135.26 | 230.4× |
| Magnetic Resonance Elastography (76391) | $2,442.98 | $3,257.31 | 10.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,502.67 | $4,670.23 | 10.0× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$3,027.81–$4,046.25 | $4,037.08–$5,395 | varies |
| MRA head with contrast (70545) | $3,672.44 | $4,896.59 | 10.5× |
| MRA neck w contrast (70548) | $3,562.40 | $4,749.86 | 10.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,134.53 | $5,512.71 | 11.8× |
| MRA neck w/o contrast (70547) | $2,990.30 | $3,987.06 | 12.5× |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$2,816.87–$3,027.81 | $3,755.82–$4,037.08 | varies |
| MRI abdomen w/o contrast (74181) range across 5 matching MRF lines |
$1,812.23–$2,362.04 | $2,416.30–$3,149.38 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $3,027.81 | $4,037.08 | 3.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,255.57 | $4,340.76 | 9.3× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,816.87–$3,027.81 | $3,755.82–$4,037.08 | varies |
| MRI bone marrow blood supply (77084) | $3,743.45 | $4,991.27 | 15.6× |
| MRI brain functional w/o physician admnistration (70554) | $2,807.02 | $3,742.69 | 11.7× |
| MRI brain functional w/physician admnistration (70555) | $3,017.54 | $4,023.39 | 12.6× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$4,531.89–$5,025.25 | $6,042.52–$6,700.33 | varies |
| MRI cervical spine w contrast (72142) | $3,238.12 | $4,317.49 | 9.2× |
| MRI cervical spine w/o cont (72141) | $3,034.98 | $4,046.64 | 12.7× |
| MRI chest w/o contrast (71550) | $3,034.98 | $4,046.64 | 12.7× |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$3,238.80–$3,750.73 | $4,318.40–$5,000.97 | varies |
| MRI chest wo w contrast (71552) | $3,743.45 | $4,991.27 | 10.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,027.81–$3,145.60 | $4,037.08–$4,194.13 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,255.57–$3,373.35 | $4,340.76–$4,497.80 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,244.05–$3,034.98 | $2,992.06–$4,046.64 | varies |
| MRI lumbar spine w contrast (72149) | $3,238.12 | $4,317.49 | 9.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,743.45 | $4,991.27 | 10.7× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$3,034.98–$3,035.87 | $4,046.64–$4,047.83 | varies |
| MRI orbit face neck w contrast (70542) | $3,218.47 | $4,291.29 | 9.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$3,255.57–$3,723.76 | $4,340.76–$4,965.01 | varies |
| MRI pelvis w contrast (72196) | $3,238.80 | $4,318.40 | 9.2× |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$2,869.58–$3,518.38 | $3,826.11–$4,691.17 | varies |
| MRI pelvis w/o contrast (72195) | $3,034.98 | $4,046.64 | 12.7× |
| MRI spectroscopy (76390) | $2,442.98 | $3,257.31 | 27.9× |
| MRI thoracic spine w/o contrast (72146) | $3,034.98 | $4,046.64 | 12.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,816.87–$3,145.60 | $3,755.82–$4,194.13 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$2,244.05–$3,034.98 | $2,992.06–$4,046.64 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,255.57–$3,373.56 | $4,340.76–$4,498.08 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$3,255.57–$4,762.36 | $4,340.76–$6,349.81 | varies |
| MRI, dorsal spine combo (72157) | $3,743.45 | $4,991.27 | 10.7× |
| MRI, dorsal spine contrast (72147) | $3,238.12 | $4,317.49 | 9.2× |
| MRI, joint upper extrem (73221) | $2,244.05 | $2,992.06 | 9.4× |
| MRI, joint upper extrem combo (73223) | $3,255.57 | $4,340.76 | 9.3× |
| MRI, lumbar spine combo (72158) | $3,741.42 | $4,988.56 | 10.7× |
| Myelogram Lumbar (72265) | $3,122.28 | $4,163.04 | 4.0× |
| Myelograpy 2/more regions rs&i (72270) | $3,481.79 | $4,642.38 | 4.4× |
| Neck soft tissue (70360) | $430.69 | $574.25 | 4.9× |
| Optic foramina (70190) | $640.71 | $854.28 | 7.3× |
| Panoramic X-ray of jaws (70355) | $503.03 | $670.71 | 5.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$434.06–$515.22 | $578.75–$686.96 | varies |
| Perineogram (74775) | $953.62 | $1,271.49 | 4.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $633.64 | $844.85 | 6.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$442.10–$1,133.79 | $589.46–$1,511.72 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $438.39 | $584.52 | 5.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $473.62 | $631.49 | 5.4× |
| Radex elbow complete minimum 3 views (73080) | $463.94 | $618.59 | 5.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $546.13 | $728.17 | 5.2× |
| Radex fingr minimum 2 views (73140) | $398.51 | $531.35 | 4.6× |
| Radex foot complete minimum 3 views (73630) | $438.39 | $584.52 | 5.0× |
| Radex Hand Minimum 3 Views (73130) | $438.39 | $584.52 | 5.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $635.12 | $846.83 | 6.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $486.36 | $648.48 | 5.6× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $497.64 | $663.52 | 5.7× |
| Radex Ribs Unilateral 2 Views (71100) | $592.04 | $789.39 | 6.8× |
| Radex shoulder complete minimum 2 views (73030) | $411.89 | $549.19 | 4.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $386.10 | $514.80 | 4.4× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$400.88–$410.56 | $534.50–$547.41 | varies |
| Radex Sternum Minimum 2 Views (71120) | $460.24 | $613.65 | 5.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $586.70 | $782.26 | 6.7× |
| Radex Toe Minimum 2 Views (73660) | $326.73 | $435.64 | 3.7× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$329.72–$342.47 | $439.62–$456.62 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $453.88 | $605.17 | 5.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $403.88 | $538.50 | 3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $571.76 | $762.35 | 5.4× |
| Radiologic exam colon double contrast study (74280) | $1,238.11 | $1,650.81 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $962.03 | $1,282.71 | 5.5× |
| Radiologic exam knee complete 4/more views (73564) | $468.27 | $624.36 | 4.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $672.89 | $897.18 | 3.8× |
| Radiologic exam swallow function contrast study (74230) | $1,178.05 | $1,570.73 | 6.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,276.63 | $1,702.17 | 7.2× |
| Radiologic examination femur 1 view (73551) | $368.65 | $491.53 | 4.2× |
| Radiologic examination femur minimum 2 views (73552) | $494.08 | $658.77 | 5.7× |
| Radiologic examination knee 1/2 views (73560) | $421.64 | $562.19 | 4.8× |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$749.83–$750.02 | $999.77–$1,000.03 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$461.90–$526.31 | $615.86–$701.74 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $584.18 | $778.91 | 1.1× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $61.58 | $82.11 | 0.7× |
| Ribs bilateral 3 views (71110) | $724.55 | $966.06 | 6.9× |
| Scapula (73010) | $526.31 | $701.74 | 5.0× |
| Sella turcica (70240) | $366.57 | $488.76 | 4.2× |
| Shoulder 1 view (73020) | $227.80 | $303.73 | 2.6× |
| Shoulder Arthrography (73040) | $1,118.69 | $1,491.59 | 3.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$247.93–$324.38 | $330.57–$432.51 | varies |
| Speech evaluation, complex (70371) | $999.62 | $1,332.82 | 4.2× |
| Sternoclavicular joints (71130) | $471.13 | $628.17 | 5.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,627.53 | $2,170.04 | 9.2× |
| Thoracic spine 2 views (72070) | $486.05 | $648.07 | 4.6× |
| Thoracic spine 3 views (72072) | $546.13 | $728.17 | 5.2× |
| Thoracolumbar 2 views (72080) | $486.05 | $648.07 | 5.6× |
| Ultrasound Breast Limited (76642) | $957.64 | $1,276.85 | 11.0× |
| Ultrasound elastography first target lesion (76982) | $493.26 | $657.68 | 4.7× |
| Ultrasound Elastography Parenchyma (76981) | $546.35 | $728.47 | 5.2× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $1,647.36 | $2,196.48 | 4.7× |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$328.77–$1,203.83 | $438.36–$1,605.11 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 4 matching MRF lines |
$845.42–$1,239.05 | $1,127.22–$1,652.07 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$3,743.45–$39,987.75 | $4,991.27–$53,317 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$1,252.19–$2,118.35 | $1,669.59–$2,824.46 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$541.70–$1,444.38 | $722.26–$1,925.84 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$319.50–$815.87 | $426–$1,087.82 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$662.13–$893.93 | $882.84–$1,191.90 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$312.57–$893.93 | $416.76–$1,191.90 | varies |
| Us head (76506) | $1,072.36 | $1,429.81 | 10.2× |
| Us kidney transplant (76776) | $583.01 | $777.35 | 5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$328.77–$721.88 | $438.36–$962.50 | varies |
| Us pelvic non ob complete (76856) | $713.46 | $951.28 | 6.8× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$490.31–$1,401.07 | $653.74–$1,868.09 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$328.77–$764.43 | $438.36–$1,019.24 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$308.17–$678.93 | $410.89–$905.24 | varies |
| Us spinal canal and contents (76800) | $676.58 | $902.10 | 6.4× |
| Us thyroid (76536) range across 5 matching MRF lines |
$179.60–$905.40 | $239.47–$1,207.20 | varies |
| Venography extremity unilateral rs&i (75820) | $1,545.35 | $2,060.47 | 1.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$394.50–$421.64 | $526–$562.19 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $351.09 | $468.12 | 4.0× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$932.61–$1,422.92 | $1,243.48–$1,897.22 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$384.44–$411.89 | $512.59–$549.19 | varies |
| X-Ray Exam Breast Specimen (76098) | $359.99 | $479.99 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $526.31 | $701.74 | 6.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $568.22 | $757.62 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $351.89 | $469.19 | 4.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$459.24–$617.53 | $612.32–$823.37 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $561.22 | $748.29 | 5.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$359.29–$668.18 | $479.05–$890.90 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $609.82 | $813.09 | 5.8× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$461.90–$499.81 | $615.86–$666.41 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,206.53 | $1,608.70 | 6.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$431.39–$606.13 | $575.19–$808.17 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $586.70 | $782.26 | 5.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $452.85 | $603.80 | 4.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$384.44–$559.50 | $512.59–$746 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $652.77 | $870.36 | 7.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $784.94 | $1,046.58 | 7.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $994.89 | $1,326.52 | 2.8× |
| X-Rays Bone Length Studies (77073) | $583.64 | $778.19 | 5.6× |
| X-Rays Bone Survey Complete (77075) | $932.15 | $1,242.87 | 8.9× |
| Xr c-spine 4 or 5 views (72050) | $953 | $1,270.66 | 9.1× |
| Xr facial bones less than 3 views (70140) | $531.03 | $708.04 | 6.1× |
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.