Imaging prices at Coshocton Regional Medical Center
Coshocton, OH · every code in this section with a posted price and a Medicare benchmark.
279 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) | $81 | $304 | 1.0× |
| Abdomen 2 views (74019) | $98 | $821.39 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $376 | $1,841 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $2,972 | $4,200 | 1.0× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$81 | $208.33–$333 | 1.0× |
| Aortography thoracic serialography rs&i (75605) | $5,238 | $4,410 | 1.0× |
| Arthrogram ankle (73615) | $328 | $625 | 1.0× |
| Arthrogram hip (73525) | $328 | $1,157.64 | 1.0× |
| Bone age studies (77072) | $98 | $333 | 1.0× |
| Bone Imaging 3 Phase (78315) | $376 | $2,849.97 | 1.0× |
| Bone Imaging Limited Area (78300) | $376 | $1,060.47 | 1.0× |
| Bone Imaging Multiple Areas (78305) | $376 | $1,840.65 | 1.0× |
| Bone Imaging Whole Body (78306) | $376 | $2,714.85 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $511 | $1,366.56 | 1.0× |
| Cat Scan Follow-Up Study (76380) | $81 | $186.90 | 1.0× |
| Chest 1 view (71045) | $81 | $292 | 1.0× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$81 | $272.96–$409.30 | 1.0× |
| Chest 3 views (71047) | $81 | $786.11 | 1.0× |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$98 | $333–$550 | 1.0× |
| Cholecystography Oral Contrast (74290) | $165 | $268 | 1.0× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $98 | $523.75 | 1.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$81 | $208.33–$255 | 1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $98 | $1,900 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $2,972 | $4,410 | 1.0× |
| Contrast X-Ray Bladder (74430) | $328 | $1,157.64 | 1.0× |
| Contrast Xray Throat/Cerv Esopha (74210) | $165 | $605.22 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $328 | $6,522.87 | 1.0× |
| CT abdomen and pelvis without contrast (74176) | $224 | $4,616.85 | 1.0× |
| CT abdomen w contrast (74160) | $165 | $3,903.87 | 1.0× |
| CT abdomen w wo contrast (74170) | $165 | $4,679.71 | 1.0× |
| CT abdomen w/o contrast (74150) | $98 | $5,084.50 | 1.0× |
| CT Angio Abdomen and Pelvis (74174) | $328 | $6,793 | 1.0× |
| CT Angio Chest (71275) | $165 | $2,935.10 | 1.0× |
| CT Angio Head (70496) | $165 | $2,317.13 | 1.0× |
| CT angio hrt w/3d image (75574) | $328 | $525 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $165 | $2,668.16 | 1.0× |
| CT Angio Neck (70498) | $165 | $2,317.13 | 1.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $165 | $5,413.13 | 1.0× |
| CT cervical spine w/ contrast (72126) | $328 | $1,600 | 1.0× |
| CT cervical spine w/o contrast (72125) | $98 | $3,201.83 | 1.0× |
| CT cervical spine w/wo cont (72127) | $165 | $1,800 | 1.0× |
| CT chest w contrast (71260) | $165 | $3,279.61 | 1.0× |
| CT chest w/wo contrast (71270) | $165 | $4,629.78 | 1.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $98 | $1,365 | 1.0× |
| CT head/brain with contrast (70460) | $165 | $3,266.50 | 1.0× |
| CT head/brain without and with contrast (70470) | $165 | $3,137.67 | 1.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $328 | $605.22 | 1.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $81 | $273 | 1.0× |
| CT iac w contrast (70481) | $165 | $4,502.51 | 1.0× |
| CT l-spine w&w/o contrast (72133) | $165 | $4,915.35 | 1.0× |
| CT lower ext w/o (73700) | $98 | $2,116.77 | 1.0× |
| CT lower extremity w/contrast material (73701) | $165 | $2,773.38 | 1.0× |
| CT lumbar spine w contrast (72132) | $328 | $4,959.80 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $98 | $3,201.83 | 1.0× |
| CT maxillofacial w contrast (70487) | $165 | $3,287.64 | 1.0× |
| CT maxillofacial wo contrast (70486) | $98 | $1,581 | 1.0× |
| CT neck tissue combo (70492) | $165 | $1,800 | 1.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $165 | $2,000 | 1.0× |
| CT orbits w/o contrast (70480) | $98 | $2,220.06 | 1.0× |
| CT pelvis w&w/o contrast (72194) | $165 | $2,000 | 1.0× |
| CT pelvis w/o contrast (72192) | $98 | $2,442.56 | 1.0× |
| CT scan of leg combo (73702) | $165 | $1,800 | 1.0× |
| CT scans face/jaw combo (70488) | $165 | $4,233.84 | 1.0× |
| CT soft tissue neck w contrast (70491) | $165 | $2,843.29 | 1.0× |
| CT soft tissue neck w/o contrast (70490) | $98 | $2,773.38 | 1.0× |
| CT thoracic spine w contrast (72129) | $165 | $1,600 | 1.0× |
| CT thoracic spine w/o contrast (72128) | $98 | $3,201.83 | 1.0× |
| CT thoracic spine w/wo cont (72130) | $165 | $1,800 | 1.0× |
| CT thorax w/o contrast (71250) | $98 | $1,900 | 1.0× |
| CT upper ext wo (73200) | $98 | $3,328.05 | 1.0× |
| CT upper extremity w/o & w/contrast material (73202) | $165 | $1,800 | 1.0× |
| CT upper extremity with contrast (73201) | $328 | $4,622.28 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $165 | $3,546 | 1.0× |
| Cta Abdomen (74175) | $165 | $2,085.57 | 1.0× |
| Dxa Bone Density Axial (77080) | $98 | $649.08 | 1.0× |
| Echo exam uterus (76831) | $224 | $691.68 | 1.0× |
| Echograp Trans R Pros Study (76873) | $98 | $337.53 | 1.0× |
| Esophagram (74220) | $165 | $519.90 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$98 | $337.53–$458.92 | 1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $98 | $337.53 | 1.0× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$224 | $691.68–$1,152.80 | 1.0× |
| Follow-Up Angiography (75898) | $2,972 | $3,280.89 | 1.0× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$81 | $208.33–$255 | 1.0× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$81 | $255–$341.35 | 1.0× |
| Gastric emptying imaging study (78264) | $376 | $3,210.70 | 1.0× |
| Gastroesophageal Reflux Exam (78262) | $376 | $1,060.47 | 1.0× |
| Gated Heart Planar Single (78472) | $376 | $3,077.28 | 1.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$98 | $208.33–$333 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $511 | $4,085.40 | 1.0× |
| Hepatobiliary System Imaging (78226) | $376 | $2,980.10 | 1.0× |
| Ht Musc Image Planar Mult (78454) | $1,218 | $3,688.14 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,218 | $3,688.14 | 1.0× |
| Hysterosalpingogram (74740) | $224 | $1,023.75 | 1.0× |
| Infusion Ivp (74410) | $165 | $550 | 1.0× |
| Joint Survey Single View (77077) | $98 | $337.53 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $511 | $2,277.60 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $511 | $2,277.60 | 1.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $376 | $2,944.62 | 1.0× |
| Knee 3 Views (73562) | $81 | $453 | 1.0× |
| Leveen/Shunt Patency Exam (78291) | $376 | $1,060.47 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $376 | $1,060.47 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $511 | $3,188.64 | 1.0× |
| Lymph System Imaging (78195) | $511 | $2,277.60 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $224 | $1,937 | 1.0× |
| Mammary ductogram or galactogram multiple (77054) | $224 | $691.68 | 1.0× |
| Mammary ductogram or galactogram single (77053) | $224 | $691.68 | 1.0× |
| Meckels Divert Exam (78290) | $376 | $1,060.47 | 1.0× |
| Mr safety determination physician/other qhp (76016) | $81 | $440.25 | 1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $27 | $122.45 | 1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $89 | $458.95 | 1.0× |
| Mr safety implt pos&/immoblj (76019) | $55 | $297 | 1.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $224 | $1,208.60 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $328 | $2,554 | 1.0× |
| MRA head w/o contrast (70544) | $224 | $3,509.34 | 1.0× |
| MRA head with contrast (70545) | $328 | $2,057 | 1.0× |
| MRA neck w contrast (70548) | $328 | $3,805.68 | 1.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $328 | $4,227.12 | 1.0× |
| MRA neck w/o contrast (70547) | $224 | $1,937 | 1.0× |
| MRI abdomen w contrast (74182) | $328 | $2,057 | 1.0× |
| MRI abdomen w/o contrast (74181) | $224 | $3,837.48 | 1.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$738 | $1,799.70–$2,057 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$328 | $2,554–$4,232.93 | 1.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $738 | $3,769.40 | 1.0× |
| MRI cervical spine w contrast (72142) | $328 | $2,057 | 1.0× |
| MRI cervical spine w/o cont (72141) | $224 | $5,803.81 | 1.0× |
| MRI chest w/o contrast (71550) | $224 | $1,937 | 1.0× |
| MRI chest with contrast (71551) | $738 | $2,057 | 1.0× |
| MRI chest wo w contrast (71552) | $328 | $2,554 | 1.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $328 | $2,057 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$328 | $2,554–$4,459 | 1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$224 | $1,937–$2,780.58 | 1.0× |
| MRI lumbar spine w contrast (72149) | $328 | $6,179.13 | 1.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $328 | $6,740.86 | 1.0× |
| MRI orbit face &/neck w/o contrast (70540) | $224 | $1,937 | 1.0× |
| MRI orbit face neck w contrast (70542) | $328 | $2,057 | 1.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $328 | $4,246.96 | 1.0× |
| MRI pelvis w contrast (72196) | $328 | $2,057 | 1.0× |
| MRI pelvis w/o & w contrast (72197) | $328 | $4,053.49 | 1.0× |
| MRI pelvis w/o contrast (72195) | $224 | $3,415.50 | 1.0× |
| MRI thoracic spine w/o contrast (72146) | $224 | $5,803.81 | 1.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $328 | $2,057 | 1.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $224 | $4,798.88 | 1.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$328 | $2,554–$2,967.20 | 1.0× |
| MRI, abdomen, combo (74183) | $328 | $5,617.27 | 1.0× |
| MRI, dorsal spine combo (72157) | $328 | $6,740.86 | 1.0× |
| MRI, dorsal spine contrast (72147) | $328 | $2,057 | 1.0× |
| MRI, joint upper extrem (73221) | $224 | $3,221.86 | 1.0× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$328 | $2,554–$4,471 | 1.0× |
| MRI, lumbar spine combo (72158) | $328 | $6,740.86 | 1.0× |
| Myelogram cervical (72240) | $738 | $2,075.25 | 1.0× |
| Myelogram Lumbar (72265) | $738 | $2,075.25 | 1.0× |
| Myelography thoracic (72255) | $738 | $2,075.25 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $738 | $2,075.25 | 1.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $376 | $1,060.47 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,218 | $8,605.66 | 1.0× |
| Neck soft tissue (70360) | $81 | $208.33 | 1.0× |
| Nm unlisted gi procedure (78299) | $376 | $1,060.47 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $376 | $1,060.47 | 1.0× |
| Pelvis 1 or 2 views (72170) | $98 | $208.33 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $376 | $1,060.47 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $98 | $310 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $514 | $625 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $81 | $404.50 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$81 | $208.33–$255 | 1.0× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$81 | $255–$413.05 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $98 | $250 | 1.0× |
| Radex fingr minimum 2 views (73140) | $81 | $273 | 1.0× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$81 | $255–$388 | 1.0× |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$81 | $255–$300 | 1.0× |
| Radex lower extremity infant minimum 2 views (73592) | $81 | $333 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $98 | $333 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $81 | $250 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $81 | $208.33 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$81 | $186.90–$333 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $81 | $166.67 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $81 | $208.33 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $81 | $291.67 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $81 | $208.33 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $98 | $333 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$81 | $255–$390 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $98 | $291.67 | 1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $98 | $712.78 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $165 | $1,237 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $165 | $1,049 | 1.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $165 | $911.10 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$98 | $291.67–$333 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $98 | $333 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $165 | $922.31 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $165 | $1,427 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$165 | $839.36–$1,338.08 | 1.0× |
| Radiologic examination femur 1 view (73551) | $81 | $425.60 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) | $81 | $255 | 1.0× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$81 | $208.33–$255 | 1.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $98 | $333 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$81 | $255–$368 | 1.0× |
| Ribs bilateral 3 views (71110) | $98 | $250 | 1.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $376 | $1,060.47 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $376 | $1,060.47 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $511 | $6,360.95 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $511 | $6,360.95 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$511 | $1,366.56–$6,360.95 | 1.0× |
| Scapula (73010) range across 2 matching MRF lines |
$98 | $208.33–$255 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $21 | $188.05 | 0.9× |
| Sella turcica (70240) | $81 | $254 | 1.0× |
| Shoulder 1 view (73020) | $81 | $166.67 | 1.0× |
| Sialogram (70390) | $224 | $550 | 1.0× |
| Skull less than 4 views (70250) | $98 | $250 | 1.0× |
| Sternoclavicular joints (71130) | $81 | $255 | 1.0× |
| Testicular Imaging W/Flow (78761) | $376 | $1,060.47 | 1.0× |
| Thoracic spine 2 views (72070) | $98 | $208.33 | 1.0× |
| Thoracic spine 3 views (72072) | $98 | $522.75 | 1.0× |
| Thoracolumbar 2 views (72080) | $81 | $208.33 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $376 | $1,060.47 | 1.0× |
| Thyroid Uptake Measurement (78012) | $376 | $1,060.47 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $376 | $2,474.43 | 1.0× |
| Ultrasound Breast Limited (76642) | $81 | $814.11 | 1.0× |
| Ultrasound Exam Aaa Screen (76706) | $98 | $854.50 | 1.0× |
| Ultrasound, abdomen limited (76705) | $98 | $1,832.42 | 1.0× |
| Unlisted respiratory px dx nuclear medicine (78599) | $376 | $1,060.47 | 1.0× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$165 | $475–$1,155 | 1.0× |
| Ureteral Reflux Study (78740) | $376 | $1,060.47 | 1.0× |
| Urethrocystogram voiding (74455) | $224 | $590.16 | 1.0× |
| Urethrocystography retrograde (74450) | $224 | $550 | 1.0× |
| Us breast unilateral complete (76641) | $98 | $976.80 | 1.0× |
| Us chest (76604) | $98 | $847.74 | 1.0× |
| Us complete joint (76881) | $98 | $1,166.03 | 1.0× |
| Us exam, pelvic, limited (76857) | $98 | $1,347.37 | 1.0× |
| Us head (76506) | $98 | $337.53 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $98 | $1,039.07 | 1.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$98 | $337.53–$855.20 | 1.0× |
| Us ob transvaginal (76817) | $98 | $1,318.33 | 1.0× |
| Us pelvic non ob complete (76856) | $98 | $1,270.72 | 1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $98 | $1,845.51 | 1.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $98 | $337.53 | 1.0× |
| Us retroperitoneal complete (76770) | $98 | $1,658.29 | 1.0× |
| Us retroperitoneal limited (76775) | $98 | $1,375.41 | 1.0× |
| Us scrotum and contents (76870) | $98 | $1,126.40 | 1.0× |
| Us thyroid (76536) | $98 | $1,454.48 | 1.0× |
| Us transrectal (76872) | $98 | $337.53 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $2,972 | $4,200 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,481 | $1,564 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,481 | $1,200 | 1.0× |
| Venous thrombosis imaging (78457) | $511 | $3,688.14 | 1.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $376 | $1,060.47 | 1.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$81 | $208.33–$255 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $81 | $208.33 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $328 | $625 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $2,972 | $4,410 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $98 | $333 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$81 | $208.33–$255 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $514 | $1,758.55 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $81 | $255 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$98 | $333–$394 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$81 | $255–$263 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $81 | $255 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $98 | $333 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) | $98 | $291.67 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $81 | $424 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $98 | $291.67 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $98 | $1,173.72 | 1.0× |
| X-ray eye for foreign body (70030) | $81 | $208.33 | 1.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$81 | $255–$411.95 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) | $165 | $605.22 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $81 | $325.50 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $98 | $350 | 1.0× |
| X-ray nose-rectum child f.b. (76010) | $81 | $959.85 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $98 | $291.67 | 1.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $98 | $208.33 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $81 | $560.82 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $81 | $250 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $98 | $291.67 | 1.0× |
| X-ray thoracic spine 4 vw (72074) | $98 | $255 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $328 | $1,157.64 | 1.0× |
| X-Rays Bone Length Studies (77073) | $98 | $208.33 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $98 | $291.67 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $98 | $633 | 1.0× |
| Xr facial bones less than 3 views (70140) | $81 | $186.90 | 1.0× |
| Xr orbits complete 4 views (70200) | $98 | $333 | 1.0× |
| Xr Tomogram Single Plane (76100) | $98 | $111 | 1.0× |
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.