Imaging prices at Crescent Medical Center Lancaster

Lancaster, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdomen 2 views (74019) $372 $572 3.5×
Angiography extremity bilateral rs&i (75716) $8,102 $12,464 2.6×
Angiography extremity unilateral rs&i (75710) $8,102 $12,464 2.6×
Angiography pulmonary bilateral slctv rs&i (75743) $8,102 $12,464 2.6×
Ankle 2 views (73600) $202 $311 2.3×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $9,682 $14,895 3.1×
Arthrogram elbow (73085) $1,483 $2,282 4.2×
Arthrogram hip (73525) $1,483 $2,282 4.2×
Arthrogram shoulder (73040) $1,483 $2,282 4.2×
Arthrogram wrist (73115) $822 $1,264 2.3×
Arthrography knee lt (73580) $1,483 $2,282 4.2×
Bone &/Joint Imaging Limited Area (78300) $1,136 $1,747 2.8×
Bone &/Joint Imaging Multiple Areas (78305) $1,136 $1,747 2.8×
Bone &/joint imaging whole body (78306) $1,136 $1,747 2.8×
Bone age studies (77072) $372 $572 3.5×
Bone Imaging 3 Phase (78315) $1,136 $1,747 2.8×
Bone Marrow Imaging Limited Area (78102) $1,226 $1,886 3.1×
Bone survey complete (77075) $372 $572 3.5×
Brain Imaging Vascular Flow Only (78610) $1,005.50 $1,546.50 1.8×
Cervical spine 2 or 3 views (72040) $202 $311 2.3×
Chest 1 view (71045) $202 $311 2.3×
Chest 3 views (71047) $202 $311 2.3×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $372 $572 2.1×
Cisternography Positive Contrast Rs&I (70015) $2,211 $3,402 2.8×
Clavicle complete (73000) $202 $311 2.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $865 $1,330 8.2×
Contrast Xray Throat/Cerv Esopha - Fl Esophagus Pharynx (74210) $822 $1,264 4.7×
CT abdomen and pelvis without and with contrast (74178) $2,440 $3,754 7.0×
CT abdomen and pelvis without contrast (74176) $1,539 $2,368 6.4×
CT abdomen w contrast (74160) $1,565 $2,408 8.9×
CT abdomen w wo contrast (74170) $1,752 $2,696 9.9×
CT abdomen w/o contrast (74150) $865 $1,330 8.2×
CT angiography upper extremity lt (73206) $1,832 $2,818 10.4×
CT c-spine w/o contrast (72125) $865 $1,330 8.2×
CT cervical spine w&w/o contrast (72127) $1,752 $2,696 9.9×
CT cervical spine with contrast (72126) $1,565 $2,408 4.5×
CT chest w/wo contrast (71270) $1,752 $2,696 9.9×
CT chest with contrast (71260) $1,565 $2,408 8.9×
CT colonography w/dye (74262) $1,565 $2,408 8.9×
CT colonography w/o cntrst (74261) $865 $1,330 8.2×
CT head/brain with contrast (70460) $1,565 $2,408 8.9×
CT head/brain without and with contrast (70470) $1,752 $2,696 9.9×
CT iac w contrast (70481) $1,565 $2,408 8.9×
CT limited/localized follow up study (76380) $761 $1,170 8.7×
CT lower ext w/o (73700) $865 $1,330 8.2×
CT lower extremity w wo contrast (73702) $1,752 $2,696 9.9×
CT lower extremity with contrast (73701) $1,698.50 $2,613 9.6×
CT lumbar spine w & w/o contrast (72133) $1,752 $2,696 9.9×
CT lumbar spine w/o contrast (72131) $865 $1,330 8.2×
CT lumbar spine with contrast (72132) $1,565 $2,408 4.5×
CT maxillofacial w contrast (70487) $1,565 $2,408 8.9×
CT maxillofacial w/o contrast (70486) $865 $1,330 8.2×
CT maxillofacial w/wo contrast (70488) $1,752 $2,696 9.9×
CT neck soft tissue w contrast (70491) $1,565 $2,408 8.9×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $1,752 $2,696 9.9×
CT orbits w/o contrast (70480) $865 $1,330 8.2×
CT pelvis w & w/o contrast (72194) $1,752 $2,696 9.9×
CT pelvis w/o contrast (72192) $865 $1,330 8.2×
CT scan for measuring calcium and other minerals in bone (77078) $761 $1,170 8.7×
CT soft tissue neck w/o & w/contrast material (70492) $1,752 $2,696 9.9×
CT soft tissue neck w/o contrast (70490) $865 $1,330 8.2×
CT thoracic spine w/contrast (72129) $1,565 $2,408 8.9×
CT thoracic spine w/o contrast (72128) $865 $1,330 8.2×
CT thoracic spine w/wo contrast (72130) $1,752 $2,696 9.9×
CT thorax w/o contrast (71250) $865 $1,330 8.2×
CT upper extremity w/o & w/contrast material (73202) $1,752 $2,696 9.9×
CT upper extremity w/o contrast rt (73200) $865 $1,330 8.2×
CT upper extremity with contrast (73201) $1,565 $2,408 4.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,552 $2,388 8.8×
Cta Abdomen (74175) $1,832 $2,818 10.4×
CTA chest (71275) $1,832 $2,818 10.4×
Cta Head (70496) $1,832 $2,818 10.4×
CTA lwr ext w&w/o contrast (73706) $1,832 $2,818 10.4×
Cta Neck (70498) $1,832 $2,818 10.4×
Cta Pelvis (72191) $1,832 $2,818 10.4×
Cystography minimum 3 views rs&i (74430) $822 $1,264 2.3×
Diskogram cervical (72285) $5,234 $8,053 2.7×
Diskography lumbar (72295) $5,234 $8,053 2.7×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $372 $572 3.5×
Doppler Echo Fetal Spectral Display Complete (76827) $372 $572 3.5×
Dxa bone density study 1/> sites axial skel (77080) $372 $572 3.5×
Dxa bone density study 1/>sites appendiclr skel (77081) $202 $311 2.3×
Echoencephalography real time imaging (76506) $372 $572 3.5×
Esophagus (74220) $822 $1,264 4.7×
Fetal biophysical profile non-stress testing (76818) $372 $572 3.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $372 $572 3.5×
Fluoroscopy up to 1 hr (76000) $755 $1,162 3.1×
Foot 2 views (73620) $202 $311 2.3×
Forearm 2 views (73090) $202 $311 2.3×
Full Mouth X-Ray Of Teeth - Xr Teeth Full Mouth (70320) $755 $1,162 3.1×
Functional MRI brain by phys/psych (70555) $755 $1,162 3.1×
Functional MRI brain by tech (70554) $755 $1,162 3.1×
Gated Heart Planar Single (78472) $1,136 $1,747 2.8×
Hand 2 views (73120) $372 $572 3.5×
Hand 3 views (73130) $202 $311 2.3×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $1,472 $2,265 2.7×
Hepatobiliary syst imaging including gallbladder (78226) $1,136 $1,747 2.8×
Humerus Min 2 Views Left (73060) $202 $311 2.3×
Hysterosalpingogram (74740) $755 $1,162 3.1×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $1,472 $2,265 2.7×
Kidney img morphology vascular flow 1 w/rx (78708) $1,472 $2,265 2.7×
Kidney Img Morphology Vascular Flow Multiple (78709) $1,472 $2,265 2.7×
Knee 3 views (73562) $259 $399 3.0×
Liver & spleen imaging static only (78215) $1,136 $1,747 2.8×
Mammary ductogram or galactogram multiple (77054) $755 $1,162 3.1×
Mammary ductogram or galactogram single (77053) $755 $1,162 3.1×
Manual appl stress pfrmd phys/qhp joint films (77071) $202 $311 2.3×
MRA head w & w/o contrast (70546) $1,483 $2,282 4.2×
MRA head w/o contrast (70544) $755 $1,162 3.1×
MRA head with contrast (70545) $822 $1,264 2.3×
MRA neck w contrast (70548) $822 $1,264 2.3×
Mra Neck W/O &W/Contrast Material (70549) $1,483 $2,282 4.2×
MRA neck w/o contrast (70547) $755 $1,162 3.1×
MRI abdomen w contrast (74182) $1,483 $2,282 4.2×
MRI abdomen w/o & w/contrast material (74183) $1,483 $2,282 4.2×
MRI abdomen w/o contrast (74181) $755 $1,162 3.1×
MRI any jnt lwr ext with con lt (73722) $2,211 $3,402 2.8×
MRI any jt upper extremity w/contrast matrl (73222) $1,485 $2,285 1.9×
MRI bone marrow blood supply (77084) $755 $1,162 3.1×
MRI c-spine with contrast (72142) $1,483 $2,282 4.2×
MRI cervical spine w/o contrast (72141) $755 $1,162 3.1×
MRI chest w/o & w/contrast material (71552) $1,483 $2,282 4.2×
MRI chest w/o contrast (71550) $755 $1,162 3.1×
MRI chest with contrast (71551) $2,211 $3,402 2.8×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $1,483 $2,282 4.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $822 $1,264 2.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $755 $1,162 3.1×
MRI orbit face &/neck w/o contrast (70540) $755 $1,162 3.1×
MRI orbit/face/neck w&w/o cont (70543) $1,483 $2,282 4.2×
MRI orbit/face/neck w/contrast (70542) $1,483 $2,282 4.2×
MRI pelvis w contrast (72196) $1,483 $2,282 4.2×
MRI pelvis w/o & w/contrast material (72197) $1,483 $2,282 4.2×
MRI pelvis w/o contrast (72195) $755 $1,162 3.1×
MRI scan of arm joint before and after contrast (73223) $1,483 $2,282 4.2×
MRI scan of leg joint before and after contrast (73723) $1,483 $2,282 4.2×
MRI spinal canal cervical w/o & w/contr matrl (72156) $1,483 $2,282 4.2×
MRI spinal canal lumbar w/contrast material (72149) $1,483 $2,282 4.2×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $1,483 $2,282 4.2×
MRI spinal canal thoracic w/contrast matrl (72147) $1,483 $2,282 4.2×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $1,483 $2,282 4.2×
MRI thoracic spine w/o contrast (72146) $755 $1,162 3.1×
MRI tmj (70336) $755 $1,162 3.1×
MRI upper ext joint w/o contrast (73221) $755 $1,162 3.1×
MRI upper extrem other than jt w/o & w/contras (73220) $1,483 $2,282 4.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $755 $1,162 3.1×
Myelogram Cervical (72240) $2,211 $3,402 2.8×
Myelogram Lumbar (72265) $2,211 $3,402 2.8×
Myelogram thoracic (72255) $2,211 $3,402 2.8×
Myelography 2 or more regions (72270) $2,211 $3,402 2.8×
Myocardial Spect Multiple Studies (78452) $3,908 $6,013 3.0×
Neck soft tissue (70360) $202 $311 2.3×
Nm bone marrow multiple (78103) $1,226 $1,886 3.1×
Nm bone marrow wb (78104) $1,226 $1,886 3.1×
Nm gastric emptying study (78264) $1,136 $1,747 2.8×
Nuclear medicine study of heart muscle at rest with stress (78453) $4,135 $6,361 3.2×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $372 $572 3.5×
Orthopantogram (70355) $202 $311 2.3×
Osseous survey infant (77076) $372 $572 3.5×
Osseous survey limited (77074) $372 $572 3.5×
Parathyroid imaging (78070) $1,136 $1,747 2.8×
Pelvis 1 or 2 views (72170) $372 $572 3.5×
Pr gi endoscopic ultrasound (76975) $755 $1,162 3.1×
Pr MRI brain w/o & w/ dye (70559) $822 $1,264 4.7×
Pr MRI brain w/o dye (70557) $755 $1,162 1.4×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $1,483 $2,282 4.2×
Pr red cell survival study (78130) $33 $50 0.1×
Pr sono bone density measure,peripheral (76977) $372 $572 3.5×
Pulmonary Ventilation & Perfusion Imaging (78582) $1,472 $2,265 2.7×
Radex abscess/fistula/sinus tract rs&i (76080) $755 $1,162 1.4×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $202 $311 2.3×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $372 $572 3.5×
Radex hips bilateral with pelvis 2 views (73521) $372 $572 3.5×
Radex mastoids compl minimum 3 views pr side (70130) $372 $572 3.5×
Radiolog exam mandible compl minimum 4 views (70110) $372 $572 3.5×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $202 $311 2.3×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $202 $311 2.3×
Radiologic exam colon single contrast study (74270) $822 $1,264 4.7×
Radiologic exam teeth prtl exam < full mouth (70310) $755 $1,162 3.1×
Radiologic exam upr gi trc double contrast study (74246) $822 $1,264 4.7×
Radiologic exam upr gi trc single contrast study (74240) $822 $1,264 4.7×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $202 $311 2.3×
Radiologic Examination Salivary Gland Calculus (70380) $202 $311 2.3×
Radiological examination surgical specimen (76098) $1,581 $2,433 2.9×
Red Cell Volume Determination Spx 1 Sampling (78120) $7 $10 0.0×
Review by radiologist of liver vein image with assessment of blood flow (75889) $8,102 $12,464 2.6×
Ribs bilateral 3 views (71110) $372 $572 3.5×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,226 $1,886 3.1×
Rp loclzj tum plnr whole body single day imaging (78802) $4,245 $6,530 7.8×
Rp loclzj tum spect 1 area single day imaging (78803) $2,122 $3,264 3.9×
Sacroiliac Joints < 3 Views (72200) $372 $572 3.5×
Scanogram (77073) $372 $572 3.5×
Scapula complete (73010) $372 $572 3.5×
Sella turcica (70240) $202 $311 2.3×
Sialogram (70390) $755 $1,162 3.1×
Small bowel series (74250) $372 $572 2.1×
Speech evaluation complex (70371) $755 $1,162 3.1×
Spine thoracic 3 views (72072) $372 $572 3.5×
Temporomandble Jt Arthrography Rs&I (70332) $755 $1,162 3.1×
Thoracolumbar 2 views (72080) $202 $311 2.3×
Thyroid carcinoma metastases img whole body (78018) $1,472 $2,265 2.7×
Thyroid uptake measurement (78012) $1,136 $1,747 2.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,136 $1,747 2.8×
Tmj unilateral (70328) $202 $311 2.3×
Tomogram (76100) $372 $572 3.5×
Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) $1,226 $1,886 3.1×
Ultrasound, abdomen limited (76705) $372 $572 3.5×
Unlisted Diagnostic Radiographic Procedure (76499) $202 $311 2.3×
Unlisted Ultrasound Procedure (76999) $202 $311 2.3×
Upper Extremity Infant (73092) $372 $572 3.5×
Urethrocystography retrograde rs&i (74450) $755 $1,162 3.1×
Urethrocystography voiding (74455) $755 $1,162 3.1×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $822 $1,264 4.7×
Urograpy infusion drip &/bolus techq w/wo tomo (74415) $822 $1,264 4.7×
Us abdl aorta screen aaa (76706) $372 $572 3.5×
Us breast unilateral complete (76641) $372 $572 3.5×
Us chest (76604) $372 $572 3.5×
Us compl joint r-t w/image documentation (76881) $372 $572 3.5×
Us guided compression repair (76936) $809 $1,244 3.7×
Us infant hips dynamic (76885) $202 $311 2.3×
Us infant hips limited static (76886) $202 $311 2.3×
Us kidney transplant (76776) $372 $572 3.5×
Us ob detailed single fetus (76811) $372 $572 1.6×
Us ob transvaginal (76817) $372 $572 3.5×
Us pelvic non ob complete (76856) $372 $572 3.5×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $372 $572 3.5×
Us pregnancy ltd (76815) $372 $572 3.5×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $372 $572 3.5×
Us retroperitoneal complete (76770) $372 $572 3.5×
Us retroperitoneal limited (76775) $372 $572 3.5×
Us scrotum and contents (76870) $372 $572 3.5×
Us soft tissue head/neck (76536) $372 $572 3.5×
Us spinal canal and contents (76800) $372 $572 3.5×
Us transrectal (76872) $372 $572 3.5×
Us transrectal prostate volume (76873) $372 $572 3.5×
Us xtr non-vasc lmtd (76882) $372 $572 3.5×
Vasogram (74440) $755 $1,162 3.1×
Venography caval inferior serialography rs&i (75825) $8,102 $12,464 2.6×
Venography extremity unilateral rs&i (75820) $1,991 $3,063 1.3×
Vertebral fracture assessment via dxa (77086) $202 $311 2.3×
Wrist 2 views (73100) $202 $311 2.3×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $372 $572 3.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $202 $311 2.3×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $202 $311 2.3×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $822 $1,264 4.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $202 $311 2.3×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $202 $311 2.3×
X-ray exam entire spi 4/5 vw (72083) $372 $572 3.5×
X-ray exam hip uni 1 view (73501) $202 $311 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $202 $311 2.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $354 $545 3.4×
X-ray exam of femur 1 (73551) $202 $311 2.3×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $372 $572 2.1×
X-ray eye for foreign body (70030) $202 $311 2.3×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $372 $572 3.5×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $202 $311 2.3×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $202 $311 2.3×
X-ray guide gu dilation - ir nephrostomy dilation (74485) $5,511 $8,478 2.6×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $202 $311 2.3×
X-ray IV pyelogram+drip infusn (74410) $822 $1,264 4.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $202 $311 2.3×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $372 $572 3.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $202 $311 2.3×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $202 $311 2.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $372 $572 3.5×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $372 $572 3.5×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $372 $572 3.5×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $202 $311 2.3×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $202 $311 2.3×
X-ray of voice box or throat (70370) $202 $311 2.3×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $372 $572 3.5×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $372 $572 3.5×
X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) $755 $1,162 1.4×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $1,483 $2,282 4.2×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $202 $311 2.3×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $14.50 $22 0.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $372 $572 3.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $372 $572 3.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $202 $311 2.3×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $202 $311 2.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $202 $311 2.3×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $202 $311 2.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $372 $572 3.5×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $372 $572 3.5×
X-Ray Spine One View - Xr Spine (72020) $202 $311 2.3×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $202 $311 2.3×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $202 $311 2.3×
X-Ray Teeth Single - Xr Teeth 1 View (70300) $141.50 $218 1.6×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $372 $572 3.5×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $372 $572 3.5×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $202 $311 2.3×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $259 $399 3.0×
Xr arthrogram ankle (73615) $1,483 $2,282 4.2×
Xr c-spine 6 or more views (72052) $372 $572 3.5×
Xr chest 4+ views (71048) $372 $572 3.5×
Xr Cholecystography Oral Contrast (74290) $822 $1,264 4.7×
Xr finger(s) 2+ views (73140) $202 $311 2.3×
Xr internal auditory meati complete (70134) $755 $1,162 1.4×
XR Mastoids < 3 Views Bilateral (70120) $372 $572 3.5×
Xr myelogram posterior fossa (70010) $1,483 $2,282 4.2×
Xr optic foramina (70190) $202 $311 2.3×
Xr shoulder 1 view (73020) $202 $311 2.3×
Xr spine cervical 4 or 5 views (72050) $372 $572 3.5×
Xr tibia/fibula 2 views (73590) $202 $311 2.3×
Xr tmj bilateral (70330) $202 $311 2.3×
Xray knee 1 or 2 views rt (73560) $202 $311 2.3×