Imaging prices at Deaconess Illinois Crossroads
Mount Vernon, IL · every code in this section with a posted price and a Medicare benchmark.
295 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) | $180.42 | $820.08 | 1.9× |
| Abdomen 2 views (74019) | $191.39 | $869.94 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $688.53 | $3,129.66 | 1.6× |
| Ankle 2 views (73600) | $170.18 | $773.53 | 1.8× |
| Arthrogram ankle (73615) | $351.97 | $1,599.84 | 0.9× |
| Arthrogram hip (73525) | $412.42 | $1,874.61 | 1.1× |
| Arthrogram Wrist (73115) | $555.26 | $2,523.88 | 1.5× |
| Bone age studies (77072) | $224.30 | $1,019.52 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,360.25 | $6,182.93 | 3.2× |
| Bone Imaging Limited Area (78300) | $650.02 | $2,954.61 | 1.5× |
| Bone Imaging Whole Body (78306) | $888.79 | $4,039.91 | 2.1× |
| Bone marrow imaging; multiple areas (78103) | $601.70 | $2,735 | 1.4× |
| Bone survey infant (77076) | $203.76 | $926.17 | 1.8× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $2,274 | $10,336.35 | 3.9× |
| Cardiac Shunt Detection (78428) | $681.06 | $3,095.71 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $708.11 | $3,218.67 | 7.6× |
| Chest 1 view (71045) | $179.49 | $815.83 | 1.9× |
| Chest 2 views (71046) | $222.43 | $1,011.04 | 2.4× |
| Chest 3 views (71047) | $272.61 | $1,239.13 | 2.9× |
| Chest 4 or more views (71048) | $282.18 | $1,282.63 | 2.5× |
| Clavicle complete (73000) | $251.14 | $1,141.53 | 2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $550.84 | $2,503.80 | 4.9× |
| Contrast Exam Abdominl Aorta (75625) | $916.09 | $4,164.03 | 0.3× |
| Contrast X-Ray Bladder (74430) | $304.59 | $1,384.47 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $253.24 | $1,151.08 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $351.97 | $1,599.84 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,730.76 | $12,412.53 | 7.3× |
| CT abdomen and pelvis without contrast (74176) | $2,110.46 | $9,592.98 | 8.3× |
| CT abdomen w contrast (74160) | $1,134.95 | $5,158.84 | 6.0× |
| CT abdomen w wo contrast (74170) | $1,418.53 | $6,447.83 | 7.5× |
| CT abdomen w/o contrast (74150) | $1,060.38 | $4,819.89 | 9.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,655.14 | $12,068.80 | 7.1× |
| CT Angio Chest (71275) | $1,327.57 | $6,034.40 | 7.1× |
| CT Angio Head (70496) | $1,327.57 | $6,034.40 | 7.1× |
| CT angio hrt w/3d image (75574) | $1,002.05 | $4,554.73 | 2.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,327.57 | $6,034.40 | 7.1× |
| CT Angio Neck (70498) | $1,327.57 | $6,034.40 | 7.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,330.37 | $6,047.13 | 7.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,424.81 | $6,476.39 | 7.6× |
| CT cervical spine w/ contrast (72126) | $1,050.93 | $4,776.91 | 2.8× |
| CT cervical spine w/o contrast (72125) | $1,180.11 | $5,364.13 | 10.5× |
| CT cervical spine w/wo cont (72127) | $1,241.70 | $5,644.06 | 6.6× |
| CT chest w contrast (71260) | $1,116.25 | $5,073.86 | 5.9× |
| CT chest w/wo contrast (71270) | $1,300.68 | $5,912.18 | 6.9× |
| CT head/brain with contrast (70460) | $1,290.81 | $5,867.31 | 6.9× |
| CT head/brain without and with contrast (70470) | $1,451.72 | $6,598.70 | 7.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,002.05 | $4,554.73 | 2.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $39.60 | $180 | 0.4× |
| CT iac w contrast (70481) | $1,389.75 | $6,317.02 | 7.4× |
| CT l-spine w&w/o contrast (72133) | $1,312.24 | $5,964.70 | 7.0× |
| CT lower ext w/o (73700) | $1,053.02 | $4,786.41 | 9.4× |
| CT lower extremity w/contrast material (73701) | $1,092.31 | $4,965.01 | 5.8× |
| CT lumbar spine w contrast (72132) | $1,215.40 | $5,524.53 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $1,180.11 | $5,364.13 | 10.5× |
| CT maxillofacial w contrast (70487) | $1,293.75 | $5,880.67 | 6.9× |
| CT maxillofacial wo contrast (70486) | $1,255.31 | $5,705.94 | 11.2× |
| CT neck tissue combo (70492) | $1,483.65 | $6,743.82 | 7.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,203.22 | $5,469.16 | 6.4× |
| CT orbits w/o contrast (70480) | $1,347.11 | $6,123.20 | 12.0× |
| CT pelvis w&w/o contrast (72194) | $1,249.85 | $5,681.12 | 6.6× |
| CT pelvis w/o contrast (72192) | $1,000.09 | $4,545.85 | 8.9× |
| CT scan of leg combo (73702) | $1,139.57 | $5,179.85 | 6.1× |
| CT scans face/jaw combo (70488) | $1,447.31 | $6,578.64 | 7.7× |
| CT soft tissue neck w contrast (70491) | $1,272.12 | $5,782.33 | 6.8× |
| CT soft tissue neck w/o contrast (70490) | $1,158.90 | $5,267.69 | 10.3× |
| CT thoracic spine w contrast (72129) | $1,180.11 | $5,364.13 | 6.3× |
| CT thoracic spine w/o contrast (72128) | $1,050.93 | $4,776.91 | 9.4× |
| CT thoracic spine w/wo cont (72130) | $1,312.24 | $5,964.70 | 7.0× |
| CT thorax w/o contrast (71250) | $1,060.38 | $4,819.89 | 9.5× |
| CT upper ext wo (73200) | $1,158.90 | $5,267.69 | 10.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,148.61 | $5,220.91 | 6.1× |
| CT upper extremity with contrast (73201) | $1,187.04 | $5,395.63 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,327.57 | $6,034.40 | 7.1× |
| Cta Abdomen (74175) | $1,327.57 | $6,034.40 | 7.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,655.14 | $12,068.80 | 7.1× |
| CTA pelvis (72191) | $1,327.57 | $6,034.40 | 7.1× |
| Dilation ureters/urethra rs&i (74485) | $923.56 | $4,197.98 | 0.4× |
| Dxa Bone Density Axial (77080) | $157.78 | $717.17 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $68.86 | $312.97 | 0.7× |
| Echo Guide For Artery Repair (76936) | $911.19 | $4,141.75 | 3.9× |
| Esophagram (74220) | $454.90 | $2,067.69 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) | $507.41 | $2,306.40 | 4.5× |
| Fluoroscopy up to 1 hr (76000) | $357.58 | $1,625.34 | 1.4× |
| Follow-Up Angiography (75898) | $499.94 | $2,272.45 | 0.1× |
| Foot 2 views (73620) | $131.89 | $599.46 | 1.4× |
| Forearm 2 views (73090) | $166.42 | $756.42 | 1.8× |
| Gastric emptying imaging study (78264) | $1,043.06 | $4,741.16 | 2.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,089.74 | $4,953.34 | 2.5× |
| Gated Heart Planar Single (78472) | $1,329.67 | $6,043.95 | 3.1× |
| Hand 2 views (73120) | $150.47 | $683.92 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $960.20 | $4,364.54 | 1.7× |
| Hepatobiliary System Imaging (78226) | $960.20 | $4,364.54 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $1,575.91 | $7,163.20 | 1.1× |
| Hysterosalpingogram (74740) | $263.79 | $1,199.03 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $1,187.77 | $5,398.92 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $907.69 | $4,125.84 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,187.77 | $5,398.92 | 2.0× |
| Kidney Imaging Morphol (78700) | $418.96 | $1,904.32 | 1.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $547.32 | $2,487.81 | 1.3× |
| Knee 3 Views (73562) | $209.84 | $953.78 | 2.3× |
| Leveen/Shunt Patency Exam (78291) | $425.02 | $1,931.90 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $485.24 | $2,205.61 | 1.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $650.72 | $2,957.79 | 1.5× |
| Liver imaging static only (78201) | $453.26 | $2,060.27 | 0.8× |
| Liver imaging w/vascular flow (78202) | $589.80 | $2,680.89 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $1,026.49 | $4,665.84 | 1.8× |
| Lung perfusion differential (78597) | $1,561.44 | $7,097.42 | 3.6× |
| Lung Ventilat&Perfus Imaging (78582) | $791.46 | $3,597.51 | 1.4× |
| Lung Ventilation Imaging (78579) | $720.50 | $3,275 | 1.7× |
| Lymph System Imaging (78195) | $944.80 | $4,294.52 | 1.6× |
| Magnetic Image Jaw Joint (70336) | $1,169.61 | $5,316.39 | 4.6× |
| Mammary ductogram or galactogram multiple (77054) | $305.76 | $1,389.78 | 1.2× |
| Mammary ductogram or galactogram single (77053) | $266.08 | $1,209.43 | 1.0× |
| Meckels Divert Exam (78290) | $531.69 | $2,416.73 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,335.43 | $10,615.58 | 6.2× |
| MRA head w/o contrast (70544) | $1,201.33 | $5,460.56 | 4.7× |
| MRA head with contrast (70545) | $1,978.12 | $8,991.45 | 5.3× |
| MRA neck w contrast (70548) | $1,532.17 | $6,964.39 | 4.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,823.10 | $8,286.79 | 4.9× |
| MRA neck w/o contrast (70547) | $1,313.71 | $5,971.38 | 5.1× |
| MRI abdomen w/o contrast (74181) | $1,313.71 | $5,971.38 | 5.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,276.32 | $5,801.42 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,733.19 | $7,878.13 | 4.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,532.17 | $6,964.39 | 1.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,171.92 | $5,326.88 | 4.6× |
| MRI cervical spine w contrast (72142) | $1,532.17 | $6,964.39 | 4.1× |
| MRI cervical spine w/o cont (72141) | $1,313.71 | $5,971.38 | 5.1× |
| MRI chest w/o contrast (71550) | $1,313.71 | $5,971.38 | 5.1× |
| MRI chest with contrast (71551) | $1,419.58 | $6,452.61 | 1.7× |
| MRI chest wo w contrast (71552) | $1,750.21 | $7,955.47 | 4.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,825.20 | $8,296.34 | 4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,238.93 | $5,631.47 | 4.8× |
| MRI lumbar spine w contrast (72149) | $1,532.17 | $6,964.39 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,750.21 | $7,955.47 | 4.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,047.78 | $4,762.60 | 4.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,345.64 | $6,116.51 | 3.6× |
| MRI pelvis w contrast (72196) | $1,313.71 | $5,971.38 | 3.5× |
| MRI pelvis w/o & w contrast (72197) | $1,532.17 | $6,964.39 | 4.1× |
| MRI pelvis w/o contrast (72195) | $1,032.23 | $4,691.94 | 4.0× |
| MRI thoracic spine w/o contrast (72146) | $1,306.78 | $5,939.88 | 5.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,032.23 | $4,691.94 | 2.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $969.21 | $4,405.50 | 3.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,825.20 | $8,296.34 | 4.9× |
| MRI, abdomen, combo (74183) | $1,750.21 | $7,955.47 | 4.7× |
| MRI, dorsal spine combo (72157) | $1,750.21 | $7,955.47 | 4.7× |
| MRI, dorsal spine contrast (72147) | $1,532.17 | $6,964.39 | 4.1× |
| MRI, joint upper extrem (73221) | $1,268.54 | $5,766.09 | 5.0× |
| MRI, joint upper extrem combo (73223) | $1,684.46 | $7,656.62 | 4.5× |
| MRI, lumbar spine combo (72158) | $1,750.21 | $7,955.47 | 4.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $524.68 | $2,384.90 | 1.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,075.04 | $4,886.51 | 0.8× |
| Myocardial Spect Multiple Studies (78452) | $1,957.75 | $8,898.83 | 1.4× |
| Neck soft tissue (70360) | $177.39 | $806.28 | 1.9× |
| Nm myocard infarct spect (78469) | $1,260.82 | $5,730.98 | 2.2× |
| Nuclear Rx Oral Admin (79005) | $502.74 | $2,285.18 | 2.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,671.13 | $7,596.04 | 2.9× |
| Parathyroid Planar Imaging (78070) | $1,210.87 | $5,503.95 | 2.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,671.13 | $7,596.04 | 3.9× |
| Pelvis 1 or 2 views (72170) | $197.93 | $899.64 | 1.8× |
| PET image w/CT, full body (78816) | $1,772.44 | $8,056.54 | 1.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,772.44 | $8,056.54 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $780.95 | $3,549.77 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $307.62 | $1,398.27 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $252.07 | $1,145.77 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $193.97 | $881.68 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $174.59 | $793.55 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $193.75 | $880.65 | 2.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $179.49 | $815.83 | 1.6× |
| Radex fingr minimum 2 views (73140) | $166.42 | $756.42 | 1.8× |
| Radex foot complete minimum 3 views (73630) | $135.96 | $618 | 1.5× |
| Radex Hand Minimum 3 Views (73130) | $175.17 | $796.19 | 1.9× |
| Radex lower extremity infant minimum 2 views (73592) | $152.18 | $691.71 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $279.85 | $1,272.02 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $252.07 | $1,145.77 | 2.7× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $225.23 | $1,023.77 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $186.96 | $849.78 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) | $188.08 | $854.90 | 2.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $129.54 | $588.80 | 1.4× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $642.55 | $2,920.66 | 3.4× |
| Radex Spine 1 View Specify Level (72020) | $158.25 | $719.29 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $293.15 | $1,332.49 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $129.54 | $588.80 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $156.38 | $710.80 | 1.7× |
| Radex upper extremity infant minimum 2 views (73092) | $123 | $559.09 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $133.70 | $607.70 | 1.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $704.17 | $3,200.74 | 6.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $339.90 | $1,545 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $191.39 | $869.94 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $569.73 | $2,589.66 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $327.69 | $1,489.50 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) | $222.43 | $1,011.04 | 2.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $197.93 | $899.64 | 1.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $390.25 | $1,773.82 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $347.77 | $1,580.74 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $132.34 | $601.53 | 0.7× |
| Radiologic examination femur 1 view (73551) | $56.65 | $257.48 | 0.6× |
| Radiologic examination femur minimum 2 views (73552) | $144.95 | $658.82 | 1.6× |
| Radiologic examination knee 1/2 views (73560) | $196.01 | $890.95 | 2.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $418.49 | $1,902.19 | 3.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $180.61 | $820.91 | 1.9× |
| Ribs bilateral 3 views (71110) | $196.06 | $891.16 | 1.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $719.51 | $3,270.50 | 1.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $667.52 | $3,034.17 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,169.80 | $5,317.23 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $821.45 | $3,733.85 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,249.85 | $5,681.12 | 2.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $918.43 | $4,174.64 | 0.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,040.96 | $4,731.61 | 0.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $918.43 | $4,174.64 | 0.7× |
| Scapula (73010) | $245.77 | $1,117.13 | 2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $15.18 | $68.96 | 0.6× |
| Sella turcica (70240) | $186.96 | $849.78 | 2.0× |
| Shoulder 1 view (73020) | $165.48 | $752.18 | 1.8× |
| Shoulder Arthrography (73040) | $443.93 | $2,017.83 | 1.2× |
| Sialogram (70390) | $370.17 | $1,682.59 | 1.4× |
| Skull less than 4 views (70250) | $222.90 | $1,013.16 | 2.0× |
| Spleen Imaging (78185) | $428.99 | $1,949.93 | 1.0× |
| Sternoclavicular joints (71130) | $234.80 | $1,067.27 | 2.5× |
| Testicular Imaging W/Flow (78761) | $430.86 | $1,958.42 | 1.0× |
| Thoracic spine 2 views (72070) | $288.02 | $1,309.15 | 2.6× |
| Thoracic spine 3 views (72072) | $297.59 | $1,352.65 | 2.7× |
| Thoracolumbar 2 views (72080) | $297.59 | $1,352.65 | 3.2× |
| Thyroid Imaging With Vascular Flow (78013) | $287.32 | $1,305.97 | 0.7× |
| Thyroid Met Imaging Body (78018) | $787.96 | $3,581.60 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,097.21 | $4,987.29 | 2.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$311.12–$435.53 | $1,414.18–$1,979.64 | varies |
| Ultrasound Elastography Parenchyma (76981) | $93.72 | $425.97 | 0.8× |
| Ultrasound Exam Aaa Screen (76706) | $102.93 | $467.86 | 0.9× |
| Ultrasound, abdomen limited (76705) | $327.23 | $1,487.38 | 2.9× |
| Unlisted magnetic resonance procedure (76498) | $39.89 | $181.28 | 0.4× |
| Unlisted us procedure (76999) | $120.44 | $547.42 | 1.3× |
| Upper gi w/o kub (74240) | $132.34 | $601.53 | 0.7× |
| Ureteral Reflux Study (78740) | $469.37 | $2,133.47 | 1.1× |
| Urethrocystogram voiding (74455) | $401.19 | $1,823.56 | 1.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$311.12–$435.53 | $1,414.18–$1,979.64 | varies |
| Us chest (76604) | $288.95 | $1,313.39 | 2.6× |
| Us complete joint (76881) | $329.56 | $1,497.99 | 2.9× |
| Us exam, pelvic, limited (76857) | $284.98 | $1,295.36 | 2.5× |
| Us head (76506) | $324.89 | $1,476.77 | 2.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $164.78 | $749 | 1.5× |
| Us ob limited 1 or more fetuses (76815) | $306.69 | $1,394.02 | 2.7× |
| Us ob transvaginal (76817) | $322.09 | $1,464.04 | 2.9× |
| Us pelvic non ob complete (76856) | $514.65 | $2,339.28 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $500.88 | $2,276.69 | 4.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $500.88 | $2,276.69 | 4.5× |
| Us retroperitoneal complete (76770) | $284.98 | $1,295.36 | 2.5× |
| Us retroperitoneal limited (76775) | $240.64 | $1,093.79 | 2.1× |
| Us scrotum and contents (76870) | $348.23 | $1,582.86 | 3.1× |
| Us thyroid (76536) | $675.46 | $3,070.24 | 6.0× |
| Us transrectal (76872) | $483.60 | $2,198.18 | 4.3× |
| Vascular Flow Imaging (78445) | $441.83 | $2,008.28 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $402.85 | $1,831.11 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $81.23 | $369.19 | 0.9× |
| Wrist 2 views (73100) | $118.29 | $537.66 | 1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $240.17 | $1,091.67 | 2.6× |
| X-ray antegrade pyelogram tube (74425) | $186.96 | $849.78 | 0.5× |
| X-Ray Aorta Leg Arteries (75630) | $1,219.74 | $5,544.26 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $346.37 | $1,574.38 | 3.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $159.76 | $726.15 | 1.7× |
| X-Ray Exam Breast Specimen (76098) | $151.48 | $688.52 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $352.20 | $1,600.90 | 3.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $352.20 | $1,600.90 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $704.17 | $3,200.74 | 6.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $140.74 | $639.72 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $266.31 | $1,210.49 | 2.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $399.58 | $1,816.26 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $274.71 | $1,248.68 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $274.71 | $1,248.68 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $533.65 | $2,425.65 | 4.8× |
| X-Ray Exam L-S Spine Bending (72114) | $395.62 | $1,798.23 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $274.95 | $1,249.74 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $371.57 | $1,688.95 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $191.39 | $869.94 | 1.7× |
| X-ray eye for foreign body (70030) | $138.23 | $628.30 | 1.5× |
| X-ray humerus (73060) | $291.28 | $1,324 | 3.1× |
| X-ray IV pyelogram (ivp) (74400) | $535.19 | $2,432.64 | 2.8× |
| X-ray IV pyelogram+tomography (74415) | $448.60 | $2,039.05 | 2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $297.59 | $1,352.65 | 3.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $245.31 | $1,115.01 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $297.12 | $1,350.53 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $157.32 | $715.05 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $301.79 | $1,371.74 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $219.63 | $998.31 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $146.60 | $666.35 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $159.41 | $724.59 | 1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $232.47 | $1,056.66 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $352.44 | $1,601.96 | 3.1× |
| X-ray thoracic spine 4 vw (72074) | $331.58 | $1,507.15 | 3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $453.50 | $2,061.33 | 1.2× |
| X-Rays Bone Length Studies (77073) | $194.19 | $882.67 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $542.60 | $2,466.33 | 4.8× |
| Xr c-spine 4 or 5 views (72050) | $299.45 | $1,361.13 | 2.7× |
| Xr facial bones less than 3 views (70140) | $189.99 | $863.57 | 2.0× |
| Xr orbits complete 4 views (70200) | $252.07 | $1,145.77 | 2.3× |
| Xr Tomogram Single Plane (76100) | $375.08 | $1,704.87 | 3.3× |
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.