Imaging prices at Doctors Hospital of Riverside, LLC
Riverside, CA · every code in this section with a posted price and a Medicare benchmark.
269 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) | $421.94 | $421.94 | 3.8× |
| Abdomen 2 views (74019) | $489 | $489 | 3.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,779.16 | $1,779.16 | 3.5× |
| Angio pulmonary bilat (75743) | $4,414.58 | $4,414.58 | 1.1× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$900–$10,019 | $900–$10,019 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$4,600–$7,585 | $4,600–$7,585 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$177.70–$371 | $177.70–$371 | varies |
| Artery X-Rays Abdomen (75726) | $4,414.58 | $4,414.58 | 0.6× |
| Artery X-Rays Pelvis (75736) | $4,414.58 | $4,414.58 | 0.6× |
| Arthrogram hip (73525) | $1,043.26 | $1,043.26 | 2.3× |
| Arthrogram Wrist (73115) | $998.56 | $998.56 | 2.2× |
| Bone age studies (77072) | $415 | $415 | 3.1× |
| Bone Imaging 3 Phase (78315) | $948 | $948 | 1.8× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$723–$1,032.78 | $723–$1,032.78 | varies |
| Bone Imaging Whole Body (78306) | $1,534.74 | $1,534.74 | 3.0× |
| Bone survey infant (77076) | $721 | $721 | 5.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,352.24 | $1,352.24 | 1.9× |
| Cerebrospinal Fluid Scan (78630) | $1,352.24 | $1,352.24 | 1.9× |
| Chest 1 view (71045) | $360.82 | $360.82 | 3.2× |
| Chest 2 views (71046) | $484.64 | $484.64 | 4.3× |
| Chest 3 views (71047) range across 4 matching MRF lines |
$414–$640 | $414–$640 | varies |
| Chest 4 or more views (71048) | $517.28 | $517.28 | 3.8× |
| Cholecystography Oral Contrast (74290) | $246.16 | $246.16 | 1.1× |
| Clavicle complete (73000) | $429 | $429 | 3.8× |
| Contrast Exam Abdominl Aorta (75625) | $4,793 | $4,793 | 1.2× |
| Contrast X-Ray Bladder (74430) | $872 | $872 | 1.9× |
| Contrast X-Ray Of Knee Joint (73580) | $1,138.36 | $1,138.36 | 2.5× |
| Corpora cavernosography (74445) | $451.56 | $451.56 | 3.4× |
| CT abdomen and pelvis without and with contrast (74178) | $6,447.78 | $6,447.78 | 14.4× |
| CT abdomen and pelvis without contrast (74176) | $4,821.83 | $4,821.83 | 15.7× |
| CT abdomen w contrast (74160) | $3,305 | $3,305 | 14.7× |
| CT abdomen w wo contrast (74170) | $3,772 | $3,772 | 16.7× |
| CT abdomen w/o contrast (74150) | $2,777 | $2,777 | 20.7× |
| CT Angio Abdomen and Pelvis (74174) | $5,858 | $5,858 | 13.1× |
| CT Angio Chest (71275) | $3,567.58 | $3,567.58 | 15.8× |
| CT Angio Head (70496) range across 5 matching MRF lines |
$2,883.57–$3,155 | $2,883.57–$3,155 | varies |
| CT angio hrt w/3d image (75574) | $3,753.38 | $3,753.38 | 8.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,083 | $3,083 | 13.7× |
| CT Angio Neck (70498) | $3,355 | $3,355 | 14.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,888 | $2,888 | 12.8× |
| CT cervical spine w/ contrast (72126) | $3,312.05 | $3,312.05 | 7.4× |
| CT cervical spine w/o contrast (72125) | $2,676 | $2,676 | 19.9× |
| CT cervical spine w/wo cont (72127) | $3,646 | $3,646 | 16.2× |
| CT chest w contrast (71260) | $2,955 | $2,955 | 13.1× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$3,607.14–$3,608.14 | $3,607.14–$3,608.14 | varies |
| CT colonography screening (74263) | $2,037.92 | $2,037.92 | 6.6× |
| CT head/brain with contrast (70460) | $2,579.86 | $2,579.86 | 11.4× |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$3,132.72–$3,848 | $3,132.72–$3,848 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $2,045.38 | $2,045.38 | 4.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,350 | $1,350 | 12.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,492.65–$2,758.53 | $2,492.65–$2,758.53 | varies |
| CT l-spine w&w/o contrast (72133) | $3,855 | $3,855 | 17.1× |
| CT lower ext w/o (73700) | $2,435.84 | $2,435.84 | 18.1× |
| CT lower extremity w/contrast material (73701) | $2,696 | $2,696 | 12.0× |
| CT lumbar spine w contrast (72132) | $3,356 | $3,356 | 7.5× |
| CT lumbar spine w/o contrast (72131) | $2,680 | $2,680 | 19.9× |
| CT maxillofacial w contrast (70487) | $2,774 | $2,774 | 12.3× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,278.23–$2,408 | $1,278.23–$2,408 | varies |
| CT neck tissue combo (70492) | $3,369 | $3,369 | 14.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,391 | $3,391 | 15.0× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$2,408.10–$2,444.60 | $2,408.10–$2,444.60 | varies |
| CT pelvis w&w/o contrast (72194) | $3,548.71 | $3,548.71 | 15.7× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$1,593.90–$2,474 | $1,593.90–$2,474 | varies |
| CT scan of leg combo (73702) | $2,986.73 | $2,986.73 | 13.2× |
| CT scans face/jaw combo (70488) | $3,058.14 | $3,058.14 | 13.6× |
| CT soft tissue neck w contrast (70491) | $2,938.95 | $2,938.95 | 13.0× |
| CT soft tissue neck w/o contrast (70490) | $2,417.53 | $2,417.53 | 18.0× |
| CT thoracic spine w contrast (72129) | $3,033.67 | $3,033.67 | 13.4× |
| CT thoracic spine w/o contrast (72128) | $2,669.25 | $2,669.25 | 19.9× |
| CT thoracic spine w/wo cont (72130) | $3,779.61 | $3,779.61 | 16.8× |
| CT thorax w/o contrast (71250) | $2,711.70 | $2,711.70 | 20.2× |
| CT upper ext wo (73200) | $2,276.49 | $2,276.49 | 16.9× |
| CT upper extremity w/o & w/contrast material (73202) | $3,105.77 | $3,105.77 | 13.8× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$2,005.17–$2,729 | $2,005.17–$2,729 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,565 | $3,565 | 15.8× |
| Cta Abdomen (74175) | $3,369 | $3,369 | 14.9× |
| CTA pelvis (72191) | $3,282.43 | $3,282.43 | 14.6× |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) | $819.48 | $819.48 | 1.2× |
| Dilation ureters/urethra rs&i (74485) | $838.88 | $838.88 | 0.3× |
| Diskography lumbar (72295) | $3,150.42 | $3,150.42 | 1.3× |
| Dxa Bone Density Axial (77080) | $611.99 | $611.99 | 4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$70–$406.86 | $70–$406.86 | varies |
| Esophagram (74220) | $707.85 | $707.85 | 3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $983 | $983 | 7.3× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$279.45–$858 | $279.45–$858 | varies |
| Follow-Up Angiography (75898) | $675.33 | $675.33 | 0.2× |
| Foot 2 views (73620) range across 14 matching MRF lines |
$165.60–$391 | $165.60–$391 | varies |
| Forearm 2 views (73090) | $417.75 | $417.75 | 3.7× |
| Gastric emptying imaging study (78264) | $1,620.05 | $1,620.05 | 3.2× |
| Gated Heart Planar Single (78472) | $2,756.55 | $2,756.55 | 5.4× |
| Gated Heart, Multiple (78473) | $2,921.94 | $2,921.94 | 5.7× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$177.70–$384.97 | $177.70–$384.97 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,414.58 | $4,414.58 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,308.07 | $4,308.07 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $2,371.20 | $2,371.20 | 3.4× |
| Hepatobiliary System Imaging (78226) | $2,012 | $2,012 | 3.9× |
| Ht Musc Image Planar Mult (78454) | $1,062.03 | $1,062.03 | 0.6× |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$1,298.48–$1,827.38 | $1,298.48–$1,827.38 | varies |
| Hysterosalpingogram (74740) | $1,067.06 | $1,067.06 | 3.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $852 | $852 | 7.6× |
| Joint Survey Single View (77077) | $321 | $321 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $2,352 | $2,352 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,520.22 | $1,520.22 | 2.2× |
| Kidney Imaging Morphol (78700) | $815.66 | $815.66 | 1.6× |
| Knee 3 Views (73562) | $498.62 | $498.62 | 4.5× |
| Liver & Spleen Imaging Static Only (78215) | $1,666.50 | $1,666.50 | 3.2× |
| Liver imaging static only (78201) | $890.51 | $890.51 | 1.3× |
| Liver imaging w/vascular flow (78202) | $773.40 | $773.40 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $2,488 | $2,488 | 3.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,471.97 | $1,471.97 | 2.1× |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$1,298.24–$2,815.94 | $1,298.24–$2,815.94 | varies |
| Magnetic Image Jaw Joint (70336) | $1,734.43 | $1,734.43 | 5.7× |
| Meckels Divert Exam (78290) | $928.88 | $928.88 | 1.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,954.95 | $2,954.95 | 6.6× |
| MRA head w/o contrast (70544) | $2,878.43 | $2,878.43 | 9.4× |
| MRA head with contrast (70545) | $3,494.27 | $3,494.27 | 7.8× |
| MRA neck w contrast (70548) | $2,197.65 | $2,197.65 | 4.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,724.47 | $2,724.47 | 6.1× |
| MRA neck w/o contrast (70547) | $2,235.38 | $2,235.38 | 7.3× |
| MRI abdomen w/o contrast (74181) | $4,117 | $4,117 | 13.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,566.80 | $2,566.80 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$2,064.85–$2,188.74 | $2,064.85–$2,188.74 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,711.20 | $1,711.20 | 1.7× |
| MRI brain functional w/physician admnistration (70555) | $5,953.02 | $5,953.02 | 19.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,871.65 | $1,871.65 | 6.1× |
| MRI cervical spine w contrast (72142) | $2,370.15 | $2,370.15 | 5.3× |
| MRI cervical spine w/o cont (72141) | $2,492.58 | $2,492.58 | 8.1× |
| MRI chest w/o contrast (71550) | $3,037.73 | $3,037.73 | 9.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,196.26 | $5,196.26 | 11.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,015.30 | $3,015.30 | 9.8× |
| MRI lumbar spine w contrast (72149) | $4,076 | $4,076 | 9.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,351.51 | $3,351.51 | 7.5× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$2,442.55–$3,515 | $2,442.55–$3,515 | varies |
| MRI orbit face neck w contrast (70542) | $2,170.46 | $2,170.46 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,669 | $4,669 | 10.4× |
| MRI pelvis w contrast (72196) | $2,208.64 | $2,208.64 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $3,534 | $3,534 | 7.9× |
| MRI pelvis w/o contrast (72195) | $2,397.17 | $2,397.17 | 7.8× |
| MRI thoracic spine w/o contrast (72146) | $2,492.58 | $2,492.58 | 8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,015.30 | $3,015.30 | 9.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,539.81 | $2,539.81 | 5.7× |
| MRI, abdomen, combo (74183) | $3,132.25 | $3,132.25 | 7.0× |
| MRI, dorsal spine combo (72157) | $3,351.51 | $3,351.51 | 7.5× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$1,598.11–$3,504.80 | $1,598.11–$3,504.80 | varies |
| MRI, joint upper extrem combo (73223) | $2,064.85 | $2,064.85 | 4.6× |
| MRI, lumbar spine combo (72158) | $3,351.51 | $3,351.51 | 7.5× |
| Myelogram cervical (72240) | $1,972.75 | $1,972.75 | 2.0× |
| Myelogram Lumbar (72265) | $1,944.67 | $1,944.67 | 1.9× |
| Myelography thoracic (72255) | $1,889.11 | $1,889.11 | 1.9× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$2,756.55–$6,338.34 | $2,756.55–$6,338.34 | varies |
| Neck soft tissue (70360) | $411 | $411 | 3.7× |
| Nonvascular Shunt X-Ray (75809) | $412.16 | $412.16 | 3.1× |
| Parathyroid Planar Imaging (78070) | $1,570.71 | $1,570.71 | 3.1× |
| Pelvis 1 or 2 views (72170) | $431.93 | $431.93 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,537 | $1,537 | 3.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $804.76 | $804.76 | 6.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$410.26–$1,002.80 | $410.26–$1,002.80 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $505.11 | $505.11 | 4.5× |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$188.05–$389 | $188.05–$389 | varies |
| Radex elbow complete minimum 3 views (73080) | $505.53 | $505.53 | 4.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $656.38 | $656.38 | 4.9× |
| Radex fingr minimum 2 views (73140) | $357 | $357 | 3.2× |
| Radex foot complete minimum 3 views (73630) | $476.19 | $476.19 | 4.3× |
| Radex Hand Minimum 3 Views (73130) | $454.70 | $454.70 | 4.1× |
| Radex lower extremity infant minimum 2 views (73592) | $344.50 | $344.50 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$318.96–$505.81 | $318.96–$505.81 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $468.27 | $468.27 | 4.2× |
| Radex shoulder complete minimum 2 views (73030) | $519.92 | $519.92 | 4.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $409.82 | $409.82 | 3.7× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$235.88–$389.99 | $235.88–$389.99 | varies |
| Radex Sternum Minimum 2 Views (71120) | $466.86 | $466.86 | 4.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $574 | $574 | 5.1× |
| Radex Toe Minimum 2 Views (73660) | $350 | $350 | 3.1× |
| Radex upper extremity infant minimum 2 views (73092) | $359 | $359 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $496.98 | $496.98 | 4.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $618.91 | $618.91 | 4.6× |
| Radiologic exam colon double contrast study (74280) | $1,309.75 | $1,309.75 | 5.8× |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$742.02–$819 | $742.02–$819 | varies |
| Radiologic exam knee complete 4/more views (73564) | $658.24 | $658.24 | 4.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $552 | $552 | 4.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $962 | $962 | 4.3× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$463.20–$490.99 | $463.20–$490.99 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $1,118.77 | $1,118.77 | 5.0× |
| Radiologic examination femur minimum 2 views (73552) | $603.68 | $603.68 | 5.4× |
| Radiologic examination knee 1/2 views (73560) | $418.11 | $418.11 | 3.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $558.90 | $558.90 | 4.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $422 | $422 | 3.8× |
| Ribs bilateral 3 views (71110) | $581 | $581 | 4.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,060.88 | $1,060.88 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 5 matching MRF lines |
$1,548.55–$3,149 | $1,548.55–$3,149 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$789.23–$2,354.64 | $789.23–$2,354.64 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$465.85–$469.85 | $465.85–$469.85 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$148.35–$371.70 | $148.35–$371.70 | varies |
| Shoulder Arthrography (73040) | $1,073 | $1,073 | 2.4× |
| Skull less than 4 views (70250) | $509.94 | $509.94 | 3.8× |
| Sternoclavicular joints (71130) | $423.75 | $423.75 | 3.8× |
| Thoracic spine 2 views (72070) | $508 | $508 | 3.8× |
| Thoracic spine 3 views (72072) | $603 | $603 | 4.5× |
| Thoracolumbar 2 views (72080) | $527.14 | $527.14 | 4.7× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $841.98 | $841.98 | 1.6× |
| Thyroid Imaging With Vascular Flow (78013) | $924.35 | $924.35 | 1.8× |
| Thyroid Met Imaging Body (78018) | $1,468.17 | $1,468.17 | 2.1× |
| Ultrasound Breast Limited (76642) | $586.95 | $586.95 | 5.2× |
| Ultrasound, abdomen limited (76705) range across 9 matching MRF lines |
$650.59–$904 | $650.59–$904 | varies |
| Umbilical-artery Doppler (OB) (76820) | $434 | $434 | 3.2× |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$574.15–$1,128 | $574.15–$1,128 | varies |
| Urethrocystogram voiding (74455) | $965.92 | $965.92 | 3.1× |
| Urethrocystography retrograde (74450) | $909 | $909 | 3.0× |
| Us breast unilateral complete (76641) | $586.95 | $586.95 | 4.4× |
| Us chest (76604) range across 2 matching MRF lines |
$558.90–$588.90 | $558.90–$588.90 | varies |
| Us complete joint (76881) | $841.93 | $841.93 | 6.3× |
| Us exam, pelvic, limited (76857) | $801.43 | $801.43 | 6.0× |
| Us head (76506) | $408.85 | $408.85 | 3.0× |
| Us kidney transplant (76776) | $873.62 | $873.62 | 6.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $650.05 | $650.05 | 4.8× |
| Us ob detailed single fetus (76811) | $621 | $621 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $630 | $630 | 4.7× |
| Us ob transvaginal (76817) | $723 | $723 | 5.4× |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$801.43–$993 | $801.43–$993 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $877 | $877 | 6.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $621 | $621 | 4.6× |
| Us retroperitoneal complete (76770) range across 9 matching MRF lines |
$579.60–$1,022 | $579.60–$1,022 | varies |
| Us retroperitoneal limited (76775) | $818 | $818 | 6.1× |
| Us scrotum and contents (76870) | $836.50 | $836.50 | 6.2× |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$758.25–$758.28 | $758.25–$758.28 | varies |
| Us thyroid (76536) | $848.50 | $848.50 | 6.3× |
| Us transrectal (76872) | $708.15 | $708.15 | 5.3× |
| Vein X-Ray Chest (75827) | $1,463.01 | $1,463.01 | 0.7× |
| Venogram Sinus/Jugular (75860) | $2,444 | $2,444 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $4,414.58 | $4,414.58 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $1,429.40 | $1,429.40 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $1,429.40 | $1,429.40 | 0.7× |
| Venography Renal Unilateral (75831) | $4,166 | $4,166 | 1.0× |
| Wrist 2 views (73100) | $362.97 | $362.97 | 3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $455.68 | $455.68 | 4.1× |
| X-ray antegrade pyelogram tube (74425) | $451.56 | $451.56 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $4,414.58 | $4,414.58 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $391 | $391 | 3.5× |
| X-Ray Exam Breast Specimen (76098) | $404.63 | $404.63 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$232.88–$436.14 | $232.88–$436.14 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $905.37 | $905.37 | 6.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 8 matching MRF lines |
$333.77–$851 | $333.77–$851 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$333.77–$524.86 | $333.77–$524.86 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $592 | $592 | 4.4× |
| X-Ray Exam L-S Spine Bending (72114) | $854.62 | $854.62 | 6.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$318.16–$489 | $318.16–$489 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $875.50 | $875.50 | 6.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 7 matching MRF lines |
$162–$643.01 | $162–$643.01 | varies |
| X-ray eye for foreign body (70030) | $179.40 | $179.40 | 1.6× |
| X-ray humerus (73060) | $444.04 | $444.04 | 4.0× |
| X-ray IV pyelogram (ivp) (74400) | $1,184.34 | $1,184.34 | 5.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $446 | $446 | 4.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $445.11 | $445.11 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $533 | $533 | 4.0× |
| X-ray nose-rectum child f.b. (76010) | $129.40 | $129.40 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $786 | $786 | 5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $331.20 | $331.20 | 2.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $191.48 | $191.48 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $427.35 | $427.35 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $619 | $619 | 5.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $772 | $772 | 5.7× |
| X-ray thoracic spine 4 vw (72074) | $611 | $611 | 4.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,074 | $1,074 | 2.4× |
| X-Rays Bone Length Studies (77073) | $524 | $524 | 3.9× |
| X-Rays Bone Survey Complete (77075) | $1,084 | $1,084 | 8.1× |
| Xr c-spine 4 or 5 views (72050) | $800.85 | $800.85 | 6.0× |
| Xr facial bones less than 3 views (70140) | $447.78 | $447.78 | 4.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $212.20 | $212.20 | 1.6× |
| Xr orbits complete 4 views (70200) | $608.55 | $608.55 | 4.5× |
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.