Imaging prices at Cuyuna Regional Medical Center
Crosby, MN · every code in this section with a posted price and a Medicare benchmark.
270 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) | $229.50 | $675 | 2.6× |
| Abdomen 2 views (74019) | $493.68 | $1,452 | 4.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $810.22 | $2,383 | 2.0× |
| Ankle 2 views (73600) | $199.92 | $588 | 2.2× |
| Bone age studies (77072) | $109.48 | $322 | 1.0× |
| Bone Imaging 3 Phase (78315) | $2,225.30 | $6,545 | 5.4× |
| Bone Imaging Limited Area (78300) | $415.14 | $1,221 | 1.0× |
| Bone Imaging Whole Body (78306) | $1,223.66 | $3,599 | 3.0× |
| Bone survey infant (77076) | $572.22 | $1,683 | 5.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,234.20 | $3,630 | 0.8× |
| Cat Scan Follow-Up Study (76380) | $1,062.84 | $3,126 | 11.8× |
| Chest 1 view (71045) | $197.88 | $582 | 2.2× |
| Chest 2 views (71046) | $237.32 | $698 | 2.6× |
| Chest 3 views (71047) | $237.32 | $698 | 2.6× |
| Clavicle complete (73000) | $380.12 | $1,118 | 4.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $405.96 | $1,194 | 3.8× |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$520.20–$1,726.86 | $1,530–$5,079 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,576.18 | $7,577 | 7.2× |
| CT abdomen and pelvis without contrast (74176) | $2,576.18 | $7,577 | 10.5× |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$1,786.70–$1,803.36 | $5,255–$5,304 | varies |
| CT abdomen w wo contrast (74170) | $2,493.90 | $7,335 | 13.8× |
| CT abdomen w/o contrast (74150) | $1,681.64 | $4,946 | 15.6× |
| CT Angio Abdomen and Pelvis (74174) | $1,743.52 | $5,128 | 4.8× |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$2,077.74–$2,527.22 | $6,111–$7,433 | varies |
| CT Angio Head (70496) | $1,912.84 | $5,626 | 10.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,527.22 | $7,433 | 14.0× |
| CT Angio Neck (70498) | $2,527.22 | $7,433 | 14.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,803.02 | $5,303 | 10.0× |
| CT cervical spine w/ contrast (72126) | $1,726.86 | $5,079 | 4.8× |
| CT cervical spine w/o contrast (72125) | $1,675.52 | $4,928 | 15.5× |
| CT cervical spine w/wo cont (72127) | $272.68 | $802 | 1.5× |
| CT chest w contrast (71260) | $2,086.24 | $6,136 | 11.5× |
| CT chest w/wo contrast (71270) | $2,077.74 | $6,111 | 11.5× |
| CT colonography screening (74263) | $1,803.36 | $5,304 | 7.3× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,803.36 | $5,304 | 10.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,803.36 | $5,304 | 16.7× |
| CT head/brain with contrast (70460) | $1,627.92 | $4,788 | 9.0× |
| CT head/brain without and with contrast (70470) | $1,786.70 | $5,255 | 9.9× |
| CT iac w contrast (70481) | $1,968.26 | $5,789 | 10.9× |
| CT l-spine w&w/o contrast (72133) | $2,000.56 | $5,884 | 11.1× |
| CT lower ext w/o (73700) | $1,575.22 | $4,633 | 14.6× |
| CT lower extremity w/contrast material (73701) | $1,726.86 | $5,079 | 9.5× |
| CT lumbar spine w contrast (72132) | $2,231.08 | $6,562 | 6.2× |
| CT lumbar spine w/o contrast (72131) | $2,007.70 | $5,905 | 18.6× |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$1,660.90–$1,681.64 | $4,885–$4,946 | varies |
| CT maxillofacial wo contrast (70486) | $1,681.64 | $4,946 | 15.6× |
| CT neck tissue combo (70492) | $1,726.86 | $5,079 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,726.86 | $5,079 | 9.5× |
| CT orbits w/o contrast (70480) | $1,861.84 | $5,476 | 17.3× |
| CT pelvis w&w/o contrast (72194) | $2,401.42 | $7,063 | 13.3× |
| CT pelvis w/o contrast (72192) | $1,968.26 | $5,789 | 18.2× |
| CT scan of leg combo (73702) | $1,726.86 | $5,079 | 9.5× |
| CT scans face/jaw combo (70488) | $1,958.74 | $5,761 | 10.8× |
| CT soft tissue neck w contrast (70491) | $1,701.02 | $5,003 | 9.4× |
| CT soft tissue neck w/o contrast (70490) | $1,612.28 | $4,742 | 14.9× |
| CT thoracic spine w contrast (72129) | $1,858.10 | $5,465 | 10.3× |
| CT thoracic spine w/o contrast (72128) | $1,696.94 | $4,991 | 15.7× |
| CT thoracic spine w/wo cont (72130) | $2,000.56 | $5,884 | 11.1× |
| CT thorax w/o contrast (71250) range across 9 matching MRF lines |
$406.64–$2,086.24 | $1,196–$6,136 | varies |
| CT upper ext wo (73200) | $1,505.18 | $4,427 | 13.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,681.64 | $4,946 | 9.3× |
| CT upper extremity with contrast (73201) | $1,681.64 | $4,946 | 4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,434.06 | $7,159 | 13.4× |
| Cta Abdomen (74175) | $2,212.04 | $6,506 | 12.2× |
| CTA pelvis (72191) | $1,743.52 | $5,128 | 9.6× |
| Discography Cerv/Thor Spine (72285) | $113.56 | $334 | 0.1× |
| Diskography lumbar (72295) | $380.12 | $1,118 | 0.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $124.78 | $367 | 1.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $116.62 | $343 | 1.1× |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$123.42–$174.08 | $363–$512 | varies |
| Dxa bone density study (77085) range across 4 matching MRF lines |
$57.12–$174.08 | $168–$512 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $123.42 | $363 | 1.4× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$378.42–$625.60 | $1,113–$1,840 | varies |
| Echo exam uterus (76831) | $670.14 | $1,971 | 2.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $185.98 | $547 | 0.8× |
| Esophagram (74220) | $212.16 | $624 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) range across 6 matching MRF lines |
$535.16–$538.90 | $1,574–$1,585 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$101.66–$538.90 | $299–$1,585 | varies |
| Fluoroscopy up to 1 hr (76000) range across 11 matching MRF lines |
$64.60–$306.68 | $190–$902 | varies |
| Foot 2 views (73620) | $199.92 | $588 | 2.2× |
| Forearm 2 views (73090) | $295.80 | $870 | 3.3× |
| Gastric emptying imaging study (78264) | $571.88 | $1,682 | 1.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $392.70 | $1,155 | 1.0× |
| Gastric Mucosa Imaging (78261) | $208.08 | $612 | 0.5× |
| Gastroesophageal Reflux Exam (78262) | $273.36 | $804 | 0.7× |
| Gated Heart Planar Single (78472) | $850 | $2,500 | 2.1× |
| Hand 2 views (73120) | $295.80 | $870 | 2.7× |
| Hepatobil Syst Image W/Drug (78227) | $619.14 | $1,821 | 1.1× |
| Hepatobiliary System Imaging (78226) | $457.30 | $1,345 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $356.66 | $1,049 | 0.3× |
| Hysterosalpingogram (74740) | $856.46 | $2,519 | 3.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $522.24 | $1,536 | 5.8× |
| Joint Survey Single View (77077) | $392.70 | $1,155 | 3.6× |
| K Flow/Funct Image Multiple (78709) | $378.08 | $1,112 | 0.7× |
| K Flow/Funct Image W/Drug (78708) | $802.74 | $2,361 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $802.74 | $2,361 | 1.4× |
| Knee 3 Views (73562) | $233.24 | $686 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) | $320.28 | $942 | 0.6× |
| Lung perfusion differential (78597) | $990.42 | $2,913 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $990.42 | $2,913 | 1.8× |
| Lung Ventilation Imaging (78579) | $1,183.88 | $3,482 | 2.9× |
| Lymph System Imaging (78195) | $448.80 | $1,320 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $1,844.84 | $5,426 | 7.5× |
| Mammary ductogram or galactogram multiple (77054) | $679.66 | $1,999 | 2.8× |
| Mammary ductogram or galactogram single (77053) | $679.66 | $1,999 | 2.8× |
| Meckels Divert Exam (78290) | $1,052.30 | $3,095 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,844.84 | $5,426 | 5.1× |
| MRA head w/o contrast (70544) | $2,212.04 | $6,506 | 9.0× |
| MRA head with contrast (70545) | $1,844.84 | $5,426 | 5.1× |
| MRA neck w contrast (70548) | $1,844.84 | $5,426 | 5.1× |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$1,844.84–$2,212.04 | $5,426–$6,506 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$1,844.84–$2,043.06 | $5,426–$6,009 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$2,212.04–$2,325.60 | $6,506–$6,840 | varies |
| MRI abdomen w/o contrast (74181) | $1,844.84 | $5,426 | 7.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,844.84 | $5,426 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,844.84 | $5,426 | 5.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,844.84 | $5,426 | 2.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,844.84 | $5,426 | 7.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,844.84 | $5,426 | 7.5× |
| MRI cervical spine w contrast (72142) | $1,844.84 | $5,426 | 5.1× |
| MRI cervical spine w/o cont (72141) | $1,844.84 | $5,426 | 7.5× |
| MRI chest w/o contrast (71550) | $1,844.84 | $5,426 | 7.5× |
| MRI chest with contrast (71551) | $1,844.84 | $5,426 | 2.3× |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$2,212.04–$2,325.60 | $6,506–$6,840 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,844.84 | $5,426 | 5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,212.04 | $6,506 | 6.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,844.84 | $5,426 | 7.5× |
| MRI lumbar spine w contrast (72149) | $1,844.84 | $5,426 | 5.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,844.84 | $5,426 | 5.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,844.84 | $5,426 | 7.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,844.84 | $5,426 | 5.1× |
| MRI pelvis w contrast (72196) | $1,844.84 | $5,426 | 5.1× |
| MRI pelvis w/o & w contrast (72197) | $1,844.84 | $5,426 | 5.1× |
| MRI pelvis w/o contrast (72195) | $1,844.84 | $5,426 | 7.5× |
| MRI thoracic spine w/o contrast (72146) | $1,844.84 | $5,426 | 7.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,844.84 | $5,426 | 7.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,844.84 | $5,426 | 5.1× |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$2,212.04–$2,325.60 | $6,506–$6,840 | varies |
| MRI, dorsal spine combo (72157) | $1,844.84 | $5,426 | 5.1× |
| MRI, dorsal spine contrast (72147) | $1,844.84 | $5,426 | 5.1× |
| MRI, joint upper extrem (73221) | $1,844.84 | $5,426 | 7.5× |
| MRI, joint upper extrem combo (73223) | $1,844.84 | $5,426 | 5.1× |
| MRI, lumbar spine combo (72158) | $1,844.84 | $5,426 | 5.1× |
| Myocardial Spect Multiple Studies (78452) | $1,441.60 | $4,240 | 1.1× |
| Neck soft tissue (70360) | $124.10 | $365 | 1.4× |
| Nm myocard infarct spect (78469) | $710.60 | $2,090 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $137.36 | $404 | 0.6× |
| Ob us nuchal meas 1 gest (76813) | $175.78 | $517 | 1.6× |
| Parathyroid Planar Imaging (78070) | $185.64 | $546 | 0.4× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$329.12–$530.40 | $968–$1,560 | varies |
| Pelvis 1 or 2 views (72170) | $221 | $650 | 2.0× |
| Pet Image W/Ct Lmtd (78814) | $1,220.94 | $3,591 | 0.8× |
| PET image w/CT, full body (78816) | $1,986.96 | $5,844 | 1.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,555.44 | $7,516 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $772.14 | $2,271 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $90.10 | $265 | 0.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $711.28 | $2,092 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $320.28 | $942 | 3.6× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$199.92–$233.24 | $588–$686 | varies |
| Radex elbow complete minimum 3 views (73080) | $337.96 | $994 | 3.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $520.20 | $1,530 | 4.8× |
| Radex fingr minimum 2 views (73140) | $233.24 | $686 | 2.6× |
| Radex foot complete minimum 3 views (73630) | $317.56 | $934 | 3.5× |
| Radex Hand Minimum 3 Views (73130) | $295.80 | $870 | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) | $212.16 | $624 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $301.58 | $887 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $136.68 | $402 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) | $358.70 | $1,055 | 4.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $151.98 | $447 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $238 | $700 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$39.78–$396.44 | $117–$1,166 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $477.02 | $1,403 | 5.3× |
| Radex Toe Minimum 2 Views (73660) | $233.24 | $686 | 2.6× |
| Radex upper extremity infant minimum 2 views (73092) | $212.16 | $624 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $301.58 | $887 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $447.44 | $1,316 | 4.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $229.50 | $675 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $1,052.64 | $3,096 | 5.8× |
| Radiologic exam colon single contrast study (74270) | $533.80 | $1,570 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) | $399.84 | $1,176 | 3.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $301.58 | $887 | 2.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $403.92 | $1,188 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $477.02 | $1,403 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $705.16 | $2,074 | 3.9× |
| Radiologic examination femur 1 view (73551) | $225.76 | $664 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) | $218.96 | $644 | 2.4× |
| Radiologic examination knee 1/2 views (73560) | $131.24 | $386 | 1.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $273.70 | $805 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $295.80 | $870 | 3.3× |
| Ribs bilateral 3 views (71110) | $442.68 | $1,302 | 4.1× |
| Scapula (73010) | $317.56 | $934 | 2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $68.34 | $201 | 2.9× |
| Shoulder 1 view (73020) | $349.86 | $1,029 | 3.9× |
| Shoulder Arthrography (73040) | $358.70 | $1,055 | 1.0× |
| Skull less than 4 views (70250) | $302.94 | $891 | 2.8× |
| Sternoclavicular joints (71130) | $313.14 | $921 | 3.5× |
| Tbs technical calculation only (77091) | $36.72 | $108 | 0.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $226.44 | $666 | 1.3× |
| Thoracic spine 2 views (72070) range across 5 matching MRF lines |
$396.44–$413.44 | $1,166–$1,216 | varies |
| Thoracic spine 3 views (72072) | $534.14 | $1,571 | 5.0× |
| Thoracolumbar 2 views (72080) | $413.44 | $1,216 | 4.6× |
| Thyroid Imaging With Vascular Flow (78013) | $998.58 | $2,937 | 2.4× |
| Thyroid Uptake Measurement (78012) | $84.32 | $248 | 0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,215.84 | $3,576 | 2.9× |
| Ultrasound Breast Limited (76642) | $861.56 | $2,534 | 9.6× |
| Ultrasound Exam Aaa Screen (76706) | $343.06 | $1,009 | 3.2× |
| Ultrasound, abdomen limited (76705) | $560.66 | $1,649 | 5.2× |
| Umbilical-artery Doppler (OB) (76820) | $224.74 | $661 | 2.1× |
| Unlisted Dx Radiographic Procedure (76499) | $166.26 | $489 | 1.9× |
| Unlisted magnetic resonance procedure (76498) | $185.98 | $547 | 2.1× |
| Unlisted us procedure (76999) | $575.62 | $1,693 | 6.4× |
| Upper gi w/o kub (74240) | $564.40 | $1,660 | 3.1× |
| Ureteral Reflux Study (78740) | $229.16 | $674 | 0.6× |
| Urethrocystogram voiding (74455) | $753.78 | $2,217 | 3.1× |
| Urethrocystography retrograde (74450) | $87.72 | $258 | 0.4× |
| Us breast unilateral complete (76641) | $958.80 | $2,820 | 8.9× |
| Us chest (76604) | $297.16 | $874 | 2.8× |
| Us complete joint (76881) | $522.24 | $1,536 | 4.8× |
| Us exam, pelvic, limited (76857) | $99.28 | $292 | 0.9× |
| Us kidney transplant (76776) | $454.58 | $1,337 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $522.24 | $1,536 | 4.8× |
| Us ob detailed single fetus (76811) | $343.06 | $1,009 | 1.4× |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$115.26–$118.66 | $339–$349 | varies |
| Us ob transvaginal (76817) range across 6 matching MRF lines |
$178.84–$538.90 | $526–$1,585 | varies |
| Us pelvic non ob complete (76856) | $583.10 | $1,715 | 5.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $548.42 | $1,613 | 5.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$275.06–$824.84 | $809–$2,426 | varies |
| Us retroperitoneal complete (76770) | $599.08 | $1,762 | 5.6× |
| Us retroperitoneal limited (76775) | $454.58 | $1,337 | 4.2× |
| Us scrotum and contents (76870) | $516.12 | $1,518 | 4.8× |
| Us spinal canal and contents (76800) | $325.38 | $957 | 3.0× |
| Us thyroid (76536) | $789.14 | $2,321 | 7.3× |
| Us transrectal (76872) | $378.42 | $1,113 | 3.5× |
| Wrist 2 views (73100) | $216.24 | $636 | 2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $451.86 | $1,329 | 5.0× |
| X-ray antegrade pyelogram tube (74425) | $175.10 | $515 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $127.84 | $376 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $210.46 | $619 | 2.3× |
| X-Ray Exam Breast Specimen (76098) | $93.84 | $276 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 5 matching MRF lines |
$238–$413.44 | $700–$1,216 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $528.02 | $1,553 | 4.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $221.34 | $651 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $237.32 | $698 | 2.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $479.40 | $1,410 | 4.4× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 7 matching MRF lines |
$396.44–$479.40 | $1,166–$1,410 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 5 matching MRF lines |
$396.44–$479.40 | $1,166–$1,410 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$396.44–$479.40 | $1,166–$1,410 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $271.66 | $799 | 2.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $279.82 | $823 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $477.36 | $1,404 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $429.42 | $1,263 | 4.0× |
| X-ray eye for foreign body (70030) | $102 | $300 | 1.1× |
| X-ray humerus (73060) | $253.64 | $746 | 2.8× |
| X-ray IV pyelogram (ivp) (74400) | $626.62 | $1,843 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $233.24 | $686 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $396.44 | $1,166 | 3.7× |
| X-ray nose-rectum child f.b. (76010) | $160.48 | $472 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $531.76 | $1,564 | 4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $375.36 | $1,104 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$396.44–$447.44 | $1,166–$1,316 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $447.44 | $1,316 | 5.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $442 | $1,300 | 4.1× |
| X-Ray Stress View (77071) | $76.50 | $225 | 0.9× |
| X-Ray Tmj Unilat (70328) | $151.98 | $447 | 1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $256.02 | $753 | 0.7× |
| X-Rays Bone Length Studies (77073) | $392.70 | $1,155 | 3.6× |
| X-Rays Bone Survey Complete (77075) | $1,441.94 | $4,241 | 13.4× |
| Xr c-spine 4 or 5 views (72050) | $494.02 | $1,453 | 4.6× |
| Xr facial bones less than 3 views (70140) | $302.94 | $891 | 3.4× |
| Xr orbits complete 4 views (70200) | $514.08 | $1,512 | 4.8× |
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.