Imaging prices at Deaconess Illinois Union County
Anna, IL · every code in this section with a posted price and a Medicare benchmark.
241 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) | $248.81 | $672.44 | 2.7× |
| Abdomen 2 views (74019) | $353.40 | $955.12 | 3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,022.88 | $2,764.52 | 2.4× |
| Ankle 2 views (73600) | $186.13 | $503.05 | 2.0× |
| Bone age studies (77072) | $222.40 | $601.06 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,875.97 | $5,070.18 | 4.4× |
| Bone Imaging Limited Area (78300) | $1,030.12 | $2,784.09 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,563.85 | $4,226.61 | 3.7× |
| Bone marrow imaging; multiple areas (78103) | $1,563.85 | $4,226.61 | 3.7× |
| Bone survey infant (77076) | $896.27 | $2,422.35 | 8.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,740.27 | $7,406.11 | 7.3× |
| Cat Scan Follow-Up Study (76380) | $1,470.97 | $3,975.59 | 15.8× |
| Chest 1 view (71045) | $184.46 | $498.52 | 2.0× |
| Chest 2 views (71046) | $240.42 | $649.78 | 2.6× |
| Chest 3 views (71047) | $267.54 | $723.06 | 2.9× |
| Clavicle complete (73000) | $212.54 | $574.43 | 2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $866.13 | $2,340.87 | 7.7× |
| CT abdomen and pelvis without and with contrast (74178) | $4,292.87 | $11,602.33 | 11.5× |
| CT abdomen and pelvis without contrast (74176) | $3,136.62 | $8,477.33 | 12.3× |
| CT abdomen w contrast (74160) | $1,436.56 | $3,882.59 | 7.6× |
| CT abdomen w wo contrast (74170) | $2,275.29 | $6,149.41 | 12.1× |
| CT abdomen w/o contrast (74150) | $1,436.56 | $3,882.59 | 12.8× |
| CT Angio Abdomen and Pelvis (74174) | $4,353.69 | $11,766.72 | 11.6× |
| CT Angio Chest (71275) | $2,176.85 | $5,883.36 | 11.6× |
| CT Angio Head (70496) | $2,176.85 | $5,883.36 | 11.6× |
| CT Angio Neck (70498) | $2,176.85 | $5,883.36 | 11.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,326.48 | $6,287.76 | 12.4× |
| CT cervical spine w/ contrast (72126) | $2,391.93 | $6,464.66 | 6.4× |
| CT cervical spine w/o contrast (72125) | $2,182.25 | $5,897.96 | 19.5× |
| CT cervical spine w/wo cont (72127) | $2,391.53 | $6,463.58 | 12.7× |
| CT chest w contrast (71260) | $2,275.29 | $6,149.41 | 12.1× |
| CT chest w/wo contrast (71270) | $3,127.61 | $8,453 | 16.6× |
| CT head/brain with contrast (70460) | $1,434.96 | $3,878.26 | 7.6× |
| CT head/brain without and with contrast (70470) | $2,275.29 | $6,149.41 | 12.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $66.60 | $180 | 0.7× |
| CT iac w contrast (70481) | $1,180.66 | $3,190.96 | 6.3× |
| CT l-spine w&w/o contrast (72133) | $2,391.53 | $6,463.58 | 12.7× |
| CT lower ext w/o (73700) | $2,068.81 | $5,591.36 | 18.5× |
| CT lower extremity w/contrast material (73701) | $2,068.81 | $5,591.36 | 11.0× |
| CT lumbar spine w contrast (72132) | $2,136.63 | $5,774.66 | 5.7× |
| CT lumbar spine w/o contrast (72131) | $2,375.52 | $6,420.32 | 21.2× |
| CT maxillofacial w contrast (70487) | $1,139.85 | $3,080.65 | 6.1× |
| CT maxillofacial wo contrast (70486) | $1,180.66 | $3,190.96 | 10.5× |
| CT neck tissue combo (70492) | $2,391.93 | $6,464.66 | 12.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,014.78 | $5,445.35 | 10.7× |
| CT orbits w/o contrast (70480) | $1,180.66 | $3,190.96 | 10.5× |
| CT pelvis w&w/o contrast (72194) | $2,275.29 | $6,149.41 | 12.1× |
| CT pelvis w/o contrast (72192) | $1,888.74 | $5,104.68 | 16.9× |
| CT scan of leg combo (73702) | $2,378.93 | $6,429.52 | 12.7× |
| CT scans face/jaw combo (70488) | $1,821.51 | $4,922.99 | 9.7× |
| CT soft tissue neck w contrast (70491) | $2,137.83 | $5,777.91 | 11.4× |
| CT soft tissue neck w/o contrast (70490) | $1,434.96 | $3,878.26 | 12.8× |
| CT thoracic spine w contrast (72129) | $2,136.63 | $5,774.66 | 11.4× |
| CT thoracic spine w/o contrast (72128) | $2,167.24 | $5,857.40 | 19.3× |
| CT thoracic spine w/wo cont (72130) | $2,391.53 | $6,463.58 | 12.7× |
| CT thorax w/o contrast (71250) | $2,141.64 | $5,788.19 | 19.1× |
| CT upper ext wo (73200) | $2,068.81 | $5,591.36 | 18.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,378.93 | $6,429.52 | 12.7× |
| CT upper extremity with contrast (73201) | $1,970.29 | $5,325.10 | 5.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,265.27 | $8,825.04 | 17.4× |
| Cta Abdomen (74175) | $2,176.85 | $5,883.36 | 11.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,353.69 | $11,766.72 | 11.6× |
| CTA pelvis (72191) | $2,176.85 | $5,883.36 | 11.6× |
| Dxa Bone Density Axial (77080) | $374.15 | $1,011.20 | 3.3× |
| Esophagram (74220) | $481.05 | $1,300.12 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $555.46 | $1,501.23 | 5.0× |
| Foot 2 views (73620) | $207.30 | $560.27 | 2.2× |
| Forearm 2 views (73090) | $219.25 | $592.56 | 2.4× |
| Gastric emptying imaging study (78264) | $1,474.10 | $3,984.04 | 3.4× |
| Gastroesophageal Reflux Exam (78262) | $1,532.60 | $4,142.15 | 3.6× |
| Gated Heart Planar Single (78472) | $1,491.82 | $4,031.94 | 3.5× |
| Hand 2 views (73120) | $207.30 | $560.27 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,511.45 | $4,084.98 | 2.6× |
| Hepatobiliary System Imaging (78226) | $1,511.45 | $4,084.98 | 3.5× |
| Ht Muscle Image Spect Sing (78451) | $2,013.55 | $5,442.01 | 1.5× |
| K Flow/Funct Image Multiple (78709) | $1,302.60 | $3,520.54 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,755.93 | $4,745.73 | 3.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,755.93 | $4,745.73 | 4.1× |
| Knee 3 Views (73562) | $256.14 | $692.26 | 2.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $965.52 | $2,609.51 | 2.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,649.02 | $4,456.81 | 2.8× |
| Lung perfusion differential (78597) | $1,480 | $4,000 | 3.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,649.02 | $4,456.81 | 2.8× |
| Lymph System Imaging (78195) | $798.41 | $2,157.85 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $2,740.27 | $7,406.11 | 10.7× |
| Meckels Divert Exam (78290) | $1,327.76 | $3,588.52 | 3.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $42.55 | $115 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $3,587.40 | $9,695.65 | 9.6× |
| MRA head w/o contrast (70544) | $2,740.27 | $7,406.11 | 10.7× |
| MRA head with contrast (70545) | $2,740.27 | $7,406.11 | 7.3× |
| MRA neck w contrast (70548) | $2,740.27 | $7,406.11 | 7.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,587.40 | $9,695.65 | 9.6× |
| MRA neck w/o contrast (70547) | $2,740.27 | $7,406.11 | 10.7× |
| MRI abdomen w contrast (74182) | $2,740.27 | $7,406.11 | 7.3× |
| MRI abdomen w/o contrast (74181) | $2,740.27 | $7,406.11 | 10.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,740.27 | $7,406.11 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,587.40 | $9,695.65 | 9.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,740.27 | $7,406.11 | 3.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,740.27 | $7,406.11 | 10.7× |
| MRI cardiac w/o contrast (75557) | $2,740.27 | $7,406.11 | 10.7× |
| MRI cervical spine w contrast (72142) | $2,740.27 | $7,406.11 | 7.3× |
| MRI cervical spine w/o cont (72141) | $2,740.27 | $7,406.11 | 10.7× |
| MRI chest w/o contrast (71550) | $2,740.27 | $7,406.11 | 10.7× |
| MRI chest with contrast (71551) | $2,740.27 | $7,406.11 | 3.3× |
| MRI chest wo w contrast (71552) | $3,587.40 | $9,695.65 | 9.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,740.27 | $7,406.11 | 7.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,587.40 | $9,695.65 | 9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,740.27 | $7,406.11 | 10.7× |
| MRI lumbar spine w contrast (72149) | $2,740.27 | $7,406.11 | 7.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,587.40 | $9,695.65 | 9.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,740.27 | $7,406.11 | 10.7× |
| MRI orbit face neck w contrast (70542) | $2,740.27 | $7,406.11 | 7.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,587.40 | $9,695.65 | 9.6× |
| MRI pelvis w contrast (72196) | $2,740.27 | $7,406.11 | 7.3× |
| MRI pelvis w/o & w contrast (72197) | $3,587.40 | $9,695.65 | 9.6× |
| MRI pelvis w/o contrast (72195) | $2,740.27 | $7,406.11 | 10.7× |
| MRI thoracic spine w/o contrast (72146) | $2,740.27 | $7,406.11 | 10.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,740.27 | $7,406.11 | 7.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,740.27 | $7,406.11 | 10.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,587.40 | $9,695.65 | 9.6× |
| MRI, abdomen, combo (74183) | $3,587.40 | $9,695.65 | 9.6× |
| MRI, dorsal spine combo (72157) | $3,587.40 | $9,695.65 | 9.6× |
| MRI, dorsal spine contrast (72147) | $2,740.27 | $7,406.11 | 7.3× |
| MRI, joint upper extrem (73221) | $2,710.85 | $7,326.62 | 10.6× |
| MRI, joint upper extrem combo (73223) | $3,587.40 | $9,695.65 | 9.6× |
| MRI, lumbar spine combo (72158) | $3,587.40 | $9,695.65 | 9.6× |
| Myocardial Spect Multiple Studies (78452) | $2,940.76 | $7,948 | 2.1× |
| Neck soft tissue (70360) | $211.71 | $572.17 | 2.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,938.28 | $5,238.58 | 3.3× |
| Parathyroid Planar Imaging (78070) | $1,404.55 | $3,796.07 | 3.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,938.28 | $5,238.58 | 4.5× |
| Pelvis 1 or 2 views (72170) | $249.64 | $674.70 | 2.2× |
| Pet Image W/Ct Lmtd (78814) | $1,692.48 | $4,574.25 | 1.1× |
| PET image w/CT, full body (78816) | $2,894.10 | $7,821.88 | 1.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,894.10 | $7,821.88 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,409.31 | $3,808.94 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $404.96 | $1,094.48 | 3.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $216.11 | $584.06 | 2.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $200.81 | $542.71 | 2.2× |
| Radex elbow complete minimum 3 views (73080) | $223.66 | $604.46 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $339.78 | $918.30 | 3.0× |
| Radex fingr minimum 2 views (73140) | $172.09 | $465.10 | 1.8× |
| Radex foot complete minimum 3 views (73630) | $229.31 | $619.75 | 2.5× |
| Radex Hand Minimum 3 Views (73130) | $230.15 | $622.02 | 2.5× |
| Radex lower extremity infant minimum 2 views (73592) | $176.49 | $476.99 | 1.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $291.78 | $788.57 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $239.37 | $646.94 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $241.26 | $652.04 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $249.64 | $674.70 | 2.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $249.64 | $674.70 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $140.44 | $379.56 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $249.64 | $674.70 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $479.37 | $1,295.59 | 5.1× |
| Radex Toe Minimum 2 Views (73660) | $162.03 | $437.90 | 1.7× |
| Radex upper extremity infant minimum 2 views (73092) | $145.68 | $393.72 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $224.91 | $607.85 | 2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $344.60 | $931.33 | 3.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $353.40 | $955.12 | 3.2× |
| Radiologic exam colon double contrast study (74280) | $782.67 | $2,115.31 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $633.01 | $1,710.83 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) | $383.37 | $1,036.13 | 3.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $362.10 | $978.63 | 3.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $535.75 | $1,447.97 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $528.21 | $1,427.58 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $647.87 | $1,751 | 3.4× |
| Radiologic examination femur 1 view (73551) | $160.46 | $433.66 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) | $320.91 | $867.31 | 3.4× |
| Radiologic examination knee 1/2 views (73560) | $217.37 | $587.46 | 2.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,149.69 | $3,107.25 | 10.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $249.64 | $674.70 | 2.7× |
| Ribs bilateral 3 views (71110) | $356.96 | $964.75 | 3.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,611.87 | $4,356.39 | 3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,443.42 | $3,901.13 | 3.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,526.12 | $4,124.64 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,491.83 | $6,734.66 | 4.3× |
| Scapula (73010) | $249.64 | $674.70 | 2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $65.94 | $178.19 | 2.8× |
| Shoulder 1 view (73020) | $186.13 | $503.05 | 2.0× |
| Skull less than 4 views (70250) | $323.64 | $874.68 | 2.9× |
| Sternoclavicular joints (71130) | $323.64 | $874.68 | 3.5× |
| Thoracic spine 2 views (72070) | $260.54 | $704.16 | 2.3× |
| Thoracic spine 3 views (72072) | $313.78 | $848.05 | 2.8× |
| Thoracolumbar 2 views (72080) | $300.40 | $811.87 | 3.2× |
| Thyroid Imaging With Vascular Flow (78013) | $855.57 | $2,312.35 | 2.0× |
| Thyroid Uptake Measurement (78012) | $1,155.31 | $3,122.45 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,010.87 | $2,732.08 | 2.4× |
| Ultrasound Breast Limited (76642) | $334.61 | $904.34 | 3.6× |
| Ultrasound Exam Aaa Screen (76706) | $153.79 | $415.64 | 1.4× |
| Ultrasound, abdomen limited (76705) | $691.89 | $1,869.97 | 6.2× |
| Unlisted us procedure (76999) | $152.44 | $412 | 1.6× |
| Us breast unilateral complete (76641) | $334.61 | $904.34 | 3.0× |
| Us chest (76604) | $257.25 | $695.25 | 2.3× |
| Us complete joint (76881) | $335.31 | $906.24 | 3.0× |
| Us exam, pelvic, limited (76857) | $691.89 | $1,869.97 | 6.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $167.69 | $453.20 | 1.5× |
| Us ob limited 1 or more fetuses (76815) | $555.46 | $1,501.23 | 5.0× |
| Us ob transvaginal (76817) | $462.28 | $1,249.39 | 4.1× |
| Us pelvic non ob complete (76856) | $791.93 | $2,140.34 | 7.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $690.37 | $1,865.85 | 6.2× |
| Us retroperitoneal complete (76770) | $791.93 | $2,140.34 | 7.1× |
| Us retroperitoneal limited (76775) | $691.89 | $1,869.97 | 6.2× |
| Us scrotum and contents (76870) | $758.78 | $2,050.73 | 6.8× |
| Us thyroid (76536) | $758.78 | $2,050.73 | 6.8× |
| Us transrectal (76872) | $735.53 | $1,987.90 | 6.6× |
| Vascular Flow Imaging (78445) | $436.56 | $1,179.87 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,306.47 | $3,530.99 | 0.8× |
| Wrist 2 views (73100) | $194.10 | $524.58 | 2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $278.57 | $752.88 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) | $471.62 | $1,274.63 | 4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $207.30 | $560.27 | 2.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $260.54 | $704.16 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $260.54 | $704.16 | 2.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $190.75 | $515.52 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $273.33 | $738.72 | 2.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $348.79 | $942.66 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $348.79 | $942.66 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $424.25 | $1,146.60 | 3.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $848.70 | $2,293.76 | 7.6× |
| X-Ray Exam L-S Spine Bending (72114) | $471.62 | $1,274.63 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $265.37 | $717.19 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $447.72 | $1,210.04 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $257.25 | $695.25 | 2.3× |
| X-ray eye for foreign body (70030) | $236.02 | $637.88 | 2.5× |
| X-ray humerus (73060) | $233.72 | $631.65 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $92.50 | $249.98 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $217.37 | $587.46 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $354.86 | $959.08 | 3.2× |
| X-ray nose-rectum child f.b. (76010) | $61.36 | $165.83 | 0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $371.58 | $1,004.25 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $359.69 | $972.11 | 3.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $239.37 | $646.94 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $260.54 | $704.16 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $317.35 | $857.68 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $359.27 | $970.98 | 3.2× |
| X-ray thoracic spine 4 vw (72074) | $369.28 | $998.05 | 3.3× |
| X-Ray Tmj Unilat (70328) | $360.11 | $973.25 | 3.9× |
| X-Rays Bone Length Studies (77073) | $253.63 | $685.47 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $1,524.67 | $4,120.72 | 13.6× |
| Xr c-spine 4 or 5 views (72050) | $385.26 | $1,041.23 | 3.4× |
| Xr facial bones less than 3 views (70140) | $306.03 | $827.09 | 3.3× |
| Xr orbits complete 4 views (70200) | $344.60 | $931.33 | 3.1× |