Imaging prices at Duke Health Lake Norman Hospital
Mooresville, NC · every code in this section with a posted price and a Medicare benchmark.
268 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) | $182.79 | $677 | 2.2× |
| Abdomen 2 views (74019) | $263.79 | $977 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $818.37 | $3,031 | 2.1× |
| Angiography extremity bilateral rs&i (75716) | $2,397.06 | $8,878 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $2,767.50 | $10,250 | 0.9× |
| Ankle 2 views (73600) | $238.41 | $883 | 2.8× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,398.68 | $8,884 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,398.41 | $8,883 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,398.68 | $8,884 | 0.4× |
| Arthrogram ankle (73615) | $354.24 | $1,312 | 1.0× |
| Arthrogram hip (73525) | $384.48 | $1,424 | 1.1× |
| Arthrogram Wrist (73115) | $276.48 | $1,024 | 0.8× |
| Bone age studies (77072) | $146.34 | $542 | 1.4× |
| Bone Imaging 3 Phase (78315) | $1,018.98 | $3,774 | 2.6× |
| Bone Imaging Whole Body (78306) | $1,068.12 | $3,956 | 2.7× |
| Bone survey infant (77076) | $244.89 | $907 | 2.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $630.99 | $2,337 | 1.2× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,018.71 | $3,773 | 2.6× |
| Cerebrospinal Fluid Scan (78630) | $818.37 | $3,031 | 1.6× |
| Chest 1 view (71045) | $127.17 | $471 | 1.5× |
| Chest 2 views (71046) | $233.82 | $866 | 2.8× |
| Chest 3 views (71047) | $196.83 | $729 | 2.3× |
| Chest 4 or more views (71048) | $309.42 | $1,146 | 3.0× |
| Clavicle complete (73000) | $230.58 | $854 | 2.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $708.75 | $2,625 | 7.0× |
| Contrast Exam Abdominl Aorta (75625) | $2,397.06 | $8,878 | 0.8× |
| Contrast X-Ray Bladder (74430) | $462.78 | $1,714 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $318.60 | $1,180 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) | $279.99 | $1,037 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,714.04 | $10,052 | 8.0× |
| CT abdomen and pelvis without contrast (74176) | $2,199.69 | $8,147 | 9.5× |
| CT abdomen w contrast (74160) | $1,529.28 | $5,664 | 9.0× |
| CT abdomen w wo contrast (74170) | $1,424.79 | $5,277 | 8.4× |
| CT abdomen w/o contrast (74150) | $1,118.07 | $4,141 | 11.0× |
| CT Angio Abdomen and Pelvis (74174) | $511.38 | $1,894 | 1.5× |
| CT Angio Chest (71275) | $732.78 | $2,714 | 4.3× |
| CT Angio Head (70496) | $954.45 | $3,535 | 5.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $973.89 | $3,607 | 5.7× |
| CT Angio Neck (70498) | $958.50 | $3,550 | 5.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $973.89 | $3,607 | 5.7× |
| CT cervical spine w/ contrast (72126) | $1,337.31 | $4,953 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,129.68 | $4,184 | 11.1× |
| CT cervical spine w/wo cont (72127) | $1,113.21 | $4,123 | 6.5× |
| CT chest w contrast (71260) | $1,279.53 | $4,739 | 7.5× |
| CT chest w/wo contrast (71270) | $2,042.28 | $7,564 | 12.0× |
| CT head/brain with contrast (70460) | $1,117.80 | $4,140 | 6.6× |
| CT head/brain without and with contrast (70470) | $1,368.36 | $5,068 | 8.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$29.16–$186.57 | $108–$691 | varies |
| CT iac w contrast (70481) | $1,095.66 | $4,058 | 6.4× |
| CT l-spine w&w/o contrast (72133) | $1,264.95 | $4,685 | 7.4× |
| CT lower ext w/o (73700) | $1,108.35 | $4,105 | 10.9× |
| CT lower extremity w/contrast material (73701) | $1,141.02 | $4,226 | 6.7× |
| CT lumbar spine w contrast (72132) | $1,379.97 | $5,111 | 4.1× |
| CT lumbar spine w/o contrast (72131) | $1,147.23 | $4,249 | 11.3× |
| CT maxillofacial w contrast (70487) | $916.38 | $3,394 | 5.4× |
| CT maxillofacial wo contrast (70486) | $891.81 | $3,303 | 8.8× |
| CT neck tissue combo (70492) | $1,210.41 | $4,483 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,139.94 | $4,222 | 6.7× |
| CT orbits w/o contrast (70480) | $1,139.94 | $4,222 | 11.2× |
| CT pelvis w&w/o contrast (72194) | $1,457.46 | $5,398 | 8.6× |
| CT pelvis w/o contrast (72192) | $1,124.82 | $4,166 | 11.1× |
| CT scan of leg combo (73702) | $1,132.38 | $4,194 | 6.6× |
| CT scans face/jaw combo (70488) | $1,099.17 | $4,071 | 6.4× |
| CT soft tissue neck w contrast (70491) | $1,112.13 | $4,119 | 6.5× |
| CT soft tissue neck w/o contrast (70490) | $940.14 | $3,482 | 9.3× |
| CT thoracic spine w contrast (72129) | $646.92 | $2,396 | 3.8× |
| CT thoracic spine w/o contrast (72128) | $643.41 | $2,383 | 6.3× |
| CT thoracic spine w/wo cont (72130) | $925.29 | $3,427 | 5.4× |
| CT thorax w/o contrast (71250) | $1,340.55 | $4,965 | 13.2× |
| CT upper ext wo (73200) | $1,063.26 | $3,938 | 10.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,159.65 | $4,295 | 6.8× |
| CT upper extremity with contrast (73201) | $1,083.24 | $4,012 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $819.99 | $3,037 | 4.8× |
| Cta Abdomen (74175) | $428.76 | $1,588 | 2.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,912.95 | $7,085 | 5.6× |
| CTA pelvis (72191) | $422.01 | $1,563 | 2.5× |
| Dilation ureters/urethra rs&i (74485) | $1,718.55 | $6,365 | 0.8× |
| Dxa Bone Density Axial (77080) | $136.35 | $505 | 1.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $167.13 | $619 | 2.0× |
| Echo Guide For Artery Repair (76936) | $827.28 | $3,064 | 3.9× |
| Echograp Trans R Pros Study (76873) | $161.73 | $599 | 1.6× |
| Esophagram (74220) | $175.50 | $650 | 1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $450.63 | $1,669 | 4.4× |
| Fluoroscopy up to 1 hr (76000) | $254.61 | $943 | 1.1× |
| Follow-Up Angiography (75898) | $3,126.06 | $11,578 | 1.0× |
| Foot 2 views (73620) | $191.97 | $711 | 2.3× |
| Forearm 2 views (73090) | $242.19 | $897 | 2.9× |
| Gastric emptying imaging study (78264) | $1,303.83 | $4,829 | 3.4× |
| Gastroesophageal Reflux Exam (78262) | $574.56 | $2,128 | 1.5× |
| Gated Heart Planar Single (78472) | $823.50 | $3,050 | 2.1× |
| Gated Heart, Multiple (78473) | $1,168.02 | $4,326 | 3.0× |
| Hand 2 views (73120) | $102.60 | $380 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,398.68 | $8,884 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,099.98 | $4,074 | 2.1× |
| Hepatobiliary System Imaging (78226) | $756.27 | $2,801 | 1.9× |
| Ht Musc Image Planar Mult (78454) | $2,258.82 | $8,366 | 1.8× |
| Hysterosalpingogram (74740) | $471.42 | $1,746 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $352.62 | $1,306 | 4.2× |
| Interstitial radiation source applic complex (77778) | $1,159.92 | $4,296 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $623.97 | $2,311 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $672.84 | $2,492 | 1.3× |
| Knee 3 Views (73562) | $289.17 | $1,071 | 3.4× |
| Liver & Spleen Imaging Static Only (78215) | $537.30 | $1,990 | 1.4× |
| Lung Perf&Ventilat Diferentl (78598) | $389.61 | $1,443 | 0.7× |
| Lung perfusion differential (78597) | $227.34 | $842 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,689.39 | $6,257 | 3.2× |
| Lung Ventilation Imaging (78579) | $949.05 | $3,515 | 2.4× |
| Lymph System Imaging (78195) | $744.66 | $2,758 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $1,169.91 | $4,333 | 5.0× |
| Mammary ductogram or galactogram multiple (77054) | $313.47 | $1,161 | 1.4× |
| Mammary ductogram or galactogram single (77053) | $326.43 | $1,209 | 1.4× |
| Meckels Divert Exam (78290) | $669.33 | $2,479 | 1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $25.11 | $93 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,485 | $5,500 | 4.4× |
| MRA head w/o contrast (70544) | $1,283.85 | $4,755 | 5.5× |
| MRA head with contrast (70545) | $1,485 | $5,500 | 4.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,662.93 | $6,159 | 4.9× |
| MRA neck w/o contrast (70547) | $1,720.71 | $6,373 | 7.4× |
| MRI abdomen w contrast (74182) | $1,276.29 | $4,727 | 3.8× |
| MRI abdomen w/o contrast (74181) | $1,795.77 | $6,651 | 7.7× |
| MRI any jt lower extrem w/contrast material (73722) | $1,361.88 | $5,044 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,362.42 | $5,046 | 4.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,362.42 | $5,046 | 1.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $626.13 | $2,319 | 2.7× |
| MRI cervical spine w contrast (72142) | $1,484.73 | $5,499 | 4.4× |
| MRI cervical spine w/o cont (72141) | $1,177.74 | $4,362 | 5.1× |
| MRI chest w/o contrast (71550) | $1,128.06 | $4,178 | 4.9× |
| MRI chest wo w contrast (71552) | $1,564.38 | $5,794 | 4.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $352.08 | $1,304 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,362.42 | $5,046 | 4.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,238.49 | $4,587 | 5.3× |
| MRI lumbar spine w contrast (72149) | $1,435.59 | $5,317 | 4.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,392.66 | $5,158 | 4.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,431 | $5,300 | 6.2× |
| MRI orbit face neck w contrast (70542) | $1,488.78 | $5,514 | 4.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,409.94 | $5,222 | 4.2× |
| MRI pelvis w/o & w contrast (72197) | $3,495.69 | $12,947 | 10.3× |
| MRI pelvis w/o contrast (72195) | $969.84 | $3,592 | 4.2× |
| MRI thoracic spine w/o contrast (72146) | $1,284.39 | $4,757 | 5.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,249.02 | $4,626 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,202.85 | $4,455 | 5.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,791.45 | $6,635 | 5.3× |
| MRI, abdomen, combo (74183) | $1,409.94 | $5,222 | 4.2× |
| MRI, dorsal spine combo (72157) | $1,199.07 | $4,441 | 3.5× |
| MRI, dorsal spine contrast (72147) | $1,460.16 | $5,408 | 4.3× |
| MRI, joint upper extrem (73221) | $1,171.26 | $4,338 | 5.1× |
| MRI, joint upper extrem combo (73223) | $1,094.58 | $4,054 | 3.2× |
| MRI, lumbar spine combo (72158) | $1,321.65 | $4,895 | 3.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $684.18 | $2,534 | 1.8× |
| Myocardial Spect Multiple Studies (78452) | $2,018.79 | $7,477 | 1.6× |
| Neck soft tissue (70360) | $223.56 | $828 | 2.6× |
| Nuclear Rx Oral Admin (79005) | $632.61 | $2,343 | 2.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $759.51 | $2,813 | 1.4× |
| Parathyroid Planar Imaging (78070) | $403.65 | $1,495 | 1.0× |
| Pelvis 1 or 2 views (72170) | $209.52 | $776 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $712.53 | $2,639 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $337.23 | $1,249 | 3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $434.16 | $1,608 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $267.03 | $989 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $215.73 | $799 | 2.6× |
| Radex elbow complete minimum 3 views (73080) | $264.33 | $979 | 3.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $253.53 | $939 | 2.5× |
| Radex fingr minimum 2 views (73140) | $262.17 | $971 | 3.1× |
| Radex foot complete minimum 3 views (73630) | $243 | $900 | 2.9× |
| Radex Hand Minimum 3 Views (73130) | $246.51 | $913 | 2.9× |
| Radex lower extremity infant minimum 2 views (73592) | $131.76 | $488 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $283.50 | $1,050 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $281.61 | $1,043 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) | $179.82 | $666 | 2.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $104.76 | $388 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $162.54 | $602 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $236.52 | $876 | 2.8× |
| Radex Toe Minimum 2 Views (73660) | $212.76 | $788 | 2.5× |
| Radex upper extremity infant minimum 2 views (73092) | $156.60 | $580 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $245.70 | $910 | 2.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $274.05 | $1,015 | 2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $263.79 | $977 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $602.10 | $2,230 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $625.32 | $2,316 | 3.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $263.25 | $975 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $253.53 | $939 | 2.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $428.49 | $1,587 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $312.93 | $1,159 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $561.33 | $2,079 | 3.3× |
| Radiologic examination femur 1 view (73551) | $62.10 | $230 | 0.7× |
| Radiologic examination femur minimum 2 views (73552) | $253.53 | $939 | 3.0× |
| Radiologic examination knee 1/2 views (73560) | $190.89 | $707 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $267.03 | $989 | 3.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $781.38 | $2,894 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,252.53 | $4,639 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,252.53 | $4,639 | 2.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,252.53 | $4,639 | 1.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,920.51 | $7,113 | 1.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,835 | $10,500 | 2.3× |
| Salivary Gland Imaging Serial Images (78231) | $576.99 | $2,137 | 1.5× |
| Scapula (73010) | $194.13 | $719 | 1.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $112.86 | $418 | 4.8× |
| Shoulder 1 view (73020) | $174.15 | $645 | 2.1× |
| Shoulder Arthrography (73040) | $360.99 | $1,337 | 1.1× |
| Skull less than 4 views (70250) | $253.80 | $940 | 2.5× |
| Special Physics Consult (77370) | $91.80 | $340 | 0.7× |
| Sternoclavicular joints (71130) | $161.19 | $597 | 1.9× |
| Thoracic spine 2 views (72070) | $189.54 | $702 | 1.9× |
| Thoracic spine 3 views (72072) | $189.54 | $702 | 1.9× |
| Thyroid Imaging With Vascular Flow (78013) | $218.70 | $810 | 0.6× |
| Thyroid Met Imaging Body (78018) | $755.19 | $2,797 | 1.4× |
| Thyroid Uptake Measurement (78012) | $486.54 | $1,802 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $734.13 | $2,719 | 1.9× |
| Ultrasound Breast Limited (76642) | $134.73 | $499 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) | $453.33 | $1,679 | 4.5× |
| Ultrasound, abdomen limited (76705) | $482.22 | $1,786 | 4.7× |
| Upper gi w/o kub (74240) | $228.42 | $846 | 1.3× |
| Ureteral Reflux Study (78740) | $346.68 | $1,284 | 0.9× |
| Urethrocystogram voiding (74455) | $423.36 | $1,568 | 1.8× |
| Urethrocystography retrograde (74450) | $359.37 | $1,331 | 1.5× |
| Us breast unilateral complete (76641) | $141.48 | $524 | 1.4× |
| Us chest (76604) | $306.99 | $1,137 | 3.0× |
| Us complete joint (76881) | $147.42 | $546 | 1.5× |
| Us exam, pelvic, limited (76857) | $174.15 | $645 | 1.7× |
| Us head (76506) | $356.67 | $1,321 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $128.79 | $477 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $335.07 | $1,241 | 3.3× |
| Us ob transvaginal (76817) | $457.11 | $1,693 | 4.5× |
| Us pelvic non ob complete (76856) | $484.92 | $1,796 | 4.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $114.75 | $425 | 1.1× |
| Us retroperitoneal complete (76770) | $135.81 | $503 | 1.3× |
| Us retroperitoneal limited (76775) | $453.33 | $1,679 | 4.5× |
| Us scrotum and contents (76870) | $474.12 | $1,756 | 4.7× |
| Us spinal canal and contents (76800) | $125.55 | $465 | 1.2× |
| Us thyroid (76536) | $432 | $1,600 | 4.3× |
| Us transrectal (76872) | $479.52 | $1,776 | 4.7× |
| Vein X-Ray Chest (75827) | $1,815.21 | $6,723 | 1.2× |
| Venogram Sinus/Jugular (75860) | $3,126.06 | $11,578 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $5,055.21 | $18,723 | 1.6× |
| Venography extremity bilateral rs&i (75822) | $774.09 | $2,867 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $1,682.37 | $6,231 | 1.1× |
| Venography Renal Bilateral (75833) | $2,398.68 | $8,884 | 0.8× |
| Venography Renal Unilateral (75831) | $2,398.68 | $8,884 | 0.8× |
| Wrist 2 views (73100) | $232.74 | $862 | 2.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $182.79 | $677 | 2.2× |
| X-ray antegrade pyelogram tube (74425) | $215.19 | $797 | 0.6× |
| X-Ray Aorta Leg Arteries (75630) | $2,397.06 | $8,878 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $253.53 | $939 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $245.43 | $909 | 2.9× |
| X-Ray Exam Breast Specimen (76098) | $581.04 | $2,152 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $135 | $500 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $62.10 | $230 | 0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $253.53 | $939 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $291.06 | $1,078 | 2.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $276.21 | $1,023 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $149.85 | $555 | 1.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $328.86 | $1,218 | 3.2× |
| X-ray eye for foreign body (70030) | $48.60 | $180 | 0.6× |
| X-ray humerus (73060) | $251.37 | $931 | 3.0× |
| X-ray IV pyelogram (ivp) (74400) | $462.51 | $1,713 | 2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $235.17 | $871 | 2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $208.17 | $771 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $210.33 | $779 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $152.28 | $564 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $223.02 | $826 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $273.24 | $1,012 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $307.26 | $1,138 | 3.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $475.20 | $1,760 | 4.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $356.67 | $1,321 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $755.19 | $2,797 | 7.4× |
| Xr c-spine 4 or 5 views (72050) | $175.77 | $651 | 1.7× |
| Xr facial bones less than 3 views (70140) | $373.68 | $1,384 | 4.4× |
| Xr orbits complete 4 views (70200) | $300.24 | $1,112 | 3.0× |
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.