Imaging prices at East Georgia Regional Medical Center
Statesboro, GA · every code in this section with a posted price and a Medicare benchmark.
271 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) | $177.39 | $657 | 2.3× |
| Abdomen 2 views (74019) | $137.70 | $510 | 1.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $649.89 | $2,407 | 1.8× |
| Angio internal mammary (75756) | $3,006.45 | $11,135 | 1.1× |
| Angio pulmonary bilat (75743) | $3,185.73 | $11,799 | 1.1× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,072.87–$3,799.98 | $11,381–$14,074 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$1,210.14–$3,342.60 | $4,482–$12,380 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,185.73 | $11,799 | 1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,123.09 | $11,567 | 1.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$192.78–$284.85 | $714–$1,055 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$5,543.37–$5,753.43 | $20,531–$21,309 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$1,606.50–$5,006.88 | $5,950–$18,544 | varies |
| Artery X-Rays Adrenal Gland (75731) | $3,358.26 | $12,438 | 1.2× |
| Artery X-Rays Pelvis (75736) | $2,857.68 | $10,584 | 0.6× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$417.69–$443.88 | $1,547–$1,644 | varies |
| Arthrogram Wrist (73115) | $291.60 | $1,080 | 0.9× |
| Bone age studies (77072) | $44.55 | $165 | 0.5× |
| Bone Imaging 3 Phase (78315) | $797.04 | $2,952 | 2.2× |
| Bone Imaging Limited Area (78300) | $1,155.33 | $4,279 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,404 | $5,200 | 3.9× |
| Bone marrow imaging limited area (78102) | $371.79 | $1,377 | 1.0× |
| Bone survey infant (77076) | $192.78 | $714 | 2.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,350.97 | $12,411 | 2.6× |
| Cerebrospinal Fluid Scan (78630) | $621.81 | $2,303 | 1.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$89.37–$169.02 | $331–$626 | varies |
| Chest 2 views (71046) | $181.98 | $674 | 2.3× |
| Chest 3 views (71047) | $69.93 | $259 | 0.9× |
| Chest 4 or more views (71048) | $128.79 | $477 | 1.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$213.57–$315.90 | $791–$1,170 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $978.75 | $3,625 | 10.5× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$3,072.87–$3,342.60 | $11,381–$12,380 | varies |
| Contrast X-Ray Bladder (74430) | $246.51 | $913 | 0.8× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$324.27–$403.11 | $1,201–$1,493 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $443.07 | $1,641 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,791.26 | $10,338 | 9.0× |
| CT abdomen and pelvis without contrast (74176) | $1,959.66 | $7,258 | 9.2× |
| CT abdomen w contrast (74160) | $1,094.85 | $4,055 | 7.0× |
| CT abdomen w wo contrast (74170) | $1,728.81 | $6,403 | 11.1× |
| CT abdomen w/o contrast (74150) | $574.83 | $2,129 | 6.2× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,791.26–$3,446.55 | $10,338–$12,765 | varies |
| CT Angio Chest (71275) | $1,674.81 | $6,203 | 10.7× |
| CT Angio Head (70496) | $690.93 | $2,559 | 4.4× |
| CT angio hrt w/3d image (75574) | $1,543.05 | $5,715 | 5.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,511–$3,766.50 | $9,300–$13,950 | varies |
| CT Angio Neck (70498) | $690.93 | $2,559 | 4.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,424.52 | $5,276 | 9.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $193.32 | $716 | 1.2× |
| CT cervical spine w/ contrast (72126) | $537.57 | $1,991 | 1.7× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,628.10–$1,722.87 | $6,030–$6,381 | varies |
| CT cervical spine w/wo cont (72127) | $532.17 | $1,971 | 3.4× |
| CT chest w contrast (71260) | $1,675.08 | $6,204 | 10.7× |
| CT chest w/wo contrast (71270) | $1,851.93 | $6,859 | 11.9× |
| CT head/brain with contrast (70460) | $2,016.36 | $7,468 | 12.9× |
| CT head/brain without and with contrast (70470) | $2,453.22 | $9,086 | 15.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $74.79 | $277 | 1.0× |
| CT iac w contrast (70481) | $2,110.86 | $7,818 | 13.5× |
| CT l-spine w&w/o contrast (72133) | $532.17 | $1,971 | 3.4× |
| CT lower ext w/o (73700) | $1,651.05 | $6,115 | 17.7× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,750.68–$2,632.50 | $6,484–$9,750 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$422.01–$1,722.87 | $1,563–$6,381 | varies |
| CT lumbar spine w/o contrast (72131) | $1,628.10 | $6,030 | 17.5× |
| CT maxillofacial w contrast (70487) | $1,286.82 | $4,766 | 8.2× |
| CT maxillofacial wo contrast (70486) | $944.46 | $3,498 | 10.1× |
| CT neck tissue combo (70492) | $2,666.52 | $9,876 | 17.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,406.51 | $8,913 | 15.4× |
| CT orbits w/o contrast (70480) | $1,339.74 | $4,962 | 14.4× |
| CT pelvis w&w/o contrast (72194) | $1,744.47 | $6,461 | 11.2× |
| CT pelvis w/o contrast (72192) | $1,368.36 | $5,068 | 14.7× |
| CT scan of leg combo (73702) | $2,145.42 | $7,946 | 13.7× |
| CT scans face/jaw combo (70488) | $2,197.26 | $8,138 | 14.1× |
| CT soft tissue neck w contrast (70491) | $1,722.87 | $6,381 | 11.0× |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,473.12–$1,628.10 | $5,456–$6,030 | varies |
| CT thoracic spine w contrast (72129) | $1,067.58 | $3,954 | 6.8× |
| CT thoracic spine w/o contrast (72128) | $930.42 | $3,446 | 10.0× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$870.48–$1,435.59 | $3,224–$5,317 | varies |
| CT thorax w/o contrast (71250) | $1,109.97 | $4,111 | 11.9× |
| CT upper ext wo (73200) | $1,137.24 | $4,212 | 12.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,789.56 | $6,628 | 11.5× |
| CT upper extremity with contrast (73201) | $1,241.19 | $4,597 | 4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$573.75–$1,721.79 | $2,125–$6,377 | varies |
| Cta Abdomen (74175) | $1,085.40 | $4,020 | 6.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $385.02 | $1,426 | 1.2× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,536.57–$1,757.43 | $5,691–$6,509 | varies |
| Dilation ureters/urethra rs&i (74485) | $2,082.78 | $7,714 | 1.1× |
| Diskography lumbar (72295) | $605.34 | $2,242 | 0.3× |
| Dxa Bone Density Axial (77080) | $509.49 | $1,887 | 5.5× |
| Esophagram (74220) | $293.49 | $1,087 | 1.9× |
| Fetal Biophys Profile W/Nst (76818) | $618.57 | $2,291 | 6.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$404.46–$411.75 | $1,498–$1,525 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$151.47–$223.02 | $561–$826 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$213.03–$406.08 | $789–$1,504 | varies |
| Gastric emptying imaging study (78264) | $721.44 | $2,672 | 2.0× |
| Gated Heart Planar Single (78472) | $1,178.55 | $4,365 | 3.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$151.47–$288.63 | $561–$1,069 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,704.51 | $6,313 | 3.5× |
| Hepatobiliary System Imaging (78226) | $1,704.51 | $6,313 | 4.8× |
| Ht Muscle Image Spect Sing (78451) | $844.56 | $3,128 | 0.7× |
| Hysterosalpingogram (74740) | $380.97 | $1,411 | 1.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $92.61 | $343 | 1.2× |
| Infant hip ultrasound, limited static exam (76886) | $109.08 | $404 | 1.4× |
| Infusion Ivp (74410) | $449.28 | $1,664 | 2.9× |
| K Flow/Funct Image Multiple (78709) | $1,033.83 | $3,829 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $1,033.83 | $3,829 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,190.97 | $4,411 | 2.5× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$184.68–$367.74 | $684–$1,362 | varies |
| Liver & Spleen Imaging Static Only (78215) | $721.44 | $2,672 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $704.97 | $2,611 | 1.5× |
| Lung perfusion differential (78597) | $412.56 | $1,528 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,117.53 | $4,139 | 2.3× |
| Lymph System Imaging (78195) | $940.14 | $3,482 | 1.9× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,679.13–$2,218.86 | $6,219–$8,218 | varies |
| Mammary ductogram or galactogram single (77053) | $211.68 | $784 | 1.0× |
| Meckels Divert Exam (78290) | $568.89 | $2,107 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $27.54 | $102 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,733.40 | $6,420 | 5.6× |
| MRA head w/o contrast (70544) | $1,274.40 | $4,720 | 6.0× |
| MRA head with contrast (70545) | $861.30 | $3,190 | 2.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,335.31 | $12,353 | 10.7× |
| MRA neck w/o contrast (70547) | $1,569.78 | $5,814 | 7.4× |
| MRI abdomen w contrast (74182) | $2,310.93 | $8,559 | 7.4× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,949.13–$1,985.31 | $7,219–$7,353 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,705.67 | $10,021 | 3.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$940.95–$987.93 | $3,485–$3,659 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,705.67 | $10,021 | 3.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,949.13 | $7,219 | 9.2× |
| MRI cervical spine w contrast (72142) | $1,603.53 | $5,939 | 5.2× |
| MRI cervical spine w/o cont (72141) | $1,403.19 | $5,197 | 6.6× |
| MRI chest w/o contrast (71550) | $1,408.05 | $5,215 | 6.6× |
| MRI chest wo w contrast (71552) | $2,393.01 | $8,863 | 7.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$977.13–$981.72 | $3,619–$3,636 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$656.91–$663.39 | $2,433–$2,457 | varies |
| MRI lumbar spine w contrast (72149) | $1,914.30 | $7,090 | 6.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,572.56 | $9,528 | 8.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,740.15 | $6,445 | 8.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,335.31 | $12,353 | 10.7× |
| MRI pelvis w contrast (72196) | $1,914.30 | $7,090 | 6.2× |
| MRI pelvis w/o & w contrast (72197) | $3,335.31 | $12,353 | 10.7× |
| MRI pelvis w/o contrast (72195) | $1,548.99 | $5,737 | 7.3× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,041.47–$2,052.81 | $7,561–$7,603 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $663.39 | $2,457 | 3.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $800.55 | $2,965 | 2.6× |
| MRI, abdomen, combo (74183) | $3,335.31 | $12,353 | 10.7× |
| MRI, dorsal spine combo (72157) | $3,176.82 | $11,766 | 10.2× |
| MRI, dorsal spine contrast (72147) | $2,185.92 | $8,096 | 7.0× |
| MRI, joint upper extrem (73221) | $663.39 | $2,457 | 3.1× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$883.98–$1,012.50 | $3,274–$3,750 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,164.67–$3,176.82 | $11,721–$11,766 | varies |
| Myocardial Spect Multiple Studies (78452) | $2,487.24 | $9,212 | 2.2× |
| Neck soft tissue (70360) | $201.42 | $746 | 2.6× |
| Nonvascular Shunt X-Ray (75809) | $126.09 | $467 | 1.4× |
| Parathyroid Planar Imaging (78070) | $437.94 | $1,622 | 1.2× |
| Pelvis 1 or 2 views (72170) | $179.55 | $665 | 1.9× |
| Pet Image W/Ct Lmtd (78814) | $3,350.97 | $12,411 | 2.6× |
| PET image w/CT, full body (78816) | $3,350.97 | $12,411 | 2.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,350.97 | $12,411 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $613.71 | $2,273 | 1.7× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,026.54 | $3,802 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $273.24 | $1,012 | 2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$214.65–$580.77 | $795–$2,151 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$231.12–$461.70 | $856–$1,710 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$209.25–$309.42 | $775–$1,146 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$213.03–$425.52 | $789–$1,576 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $179.82 | $666 | 1.9× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$183.06–$270.54 | $678–$1,002 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$213.57–$406.89 | $791–$1,507 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$166.86–$332.91 | $618–$1,233 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $85.32 | $316 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $240.84 | $892 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $86.94 | $322 | 1.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$201.69–$383.94 | $747–$1,422 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $136.62 | $506 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $123.12 | $456 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $132.84 | $492 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $227.61 | $843 | 2.9× |
| Radex Toe Minimum 2 Views (73660) | $158.22 | $586 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) | $135.81 | $503 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$213.03–$425.52 | $789–$1,576 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $531.90 | $1,970 | 5.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$204.93–$241.65 | $759–$895 | varies |
| Radiologic exam colon double contrast study (74280) | $695.79 | $2,577 | 4.5× |
| Radiologic exam colon single contrast study (74270) | $435.51 | $1,613 | 2.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $179.55 | $665 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $459 | $1,700 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $279.45 | $1,035 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $534.33 | $1,979 | 3.4× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$213.03–$314.28 | $789–$1,164 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$123.12–$234.63 | $456–$869 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $547.29 | $2,027 | 5.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$185.49–$369.63 | $687–$1,369 | varies |
| Ribs bilateral 3 views (71110) | $64.26 | $238 | 0.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,171.53 | $4,339 | 3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,274.13 | $4,719 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,762.29 | $6,527 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $865.35 | $3,205 | 1.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,314.90 | $4,870 | 2.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,534.68 | $5,684 | 1.3× |
| Scapula (73010) range across 2 matching MRF lines |
$159.57–$374.49 | $591–$1,387 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $35.91 | $133 | 1.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$137.43–$202.50 | $509–$750 | varies |
| Shoulder Arthrography (73040) | $471.15 | $1,745 | 1.5× |
| Skull less than 4 views (70250) | $211.14 | $782 | 2.3× |
| Sternoclavicular joints (71130) | $92.07 | $341 | 1.2× |
| Thoracic spine 2 views (72070) | $228.96 | $848 | 2.5× |
| Thoracic spine 3 views (72072) | $252.72 | $936 | 2.7× |
| Thyroid Met Imaging Body (78018) | $407.70 | $1,510 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $395.01 | $1,463 | 1.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$152.82–$305.64 | $566–$1,132 | varies |
| Ultrasound Exam Aaa Screen (76706) | $223.29 | $827 | 2.4× |
| Ultrasound, abdomen limited (76705) | $340.47 | $1,261 | 3.7× |
| Unlisted us procedure (76999) | $405.81 | $1,503 | 5.2× |
| Upper gi w/o kub (74240) | $441.18 | $1,634 | 2.8× |
| Urethrocystogram voiding (74455) | $393.93 | $1,459 | 1.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$278.91–$418.23 | $1,033–$1,549 | varies |
| Us chest (76604) | $456.03 | $1,689 | 4.9× |
| Us complete joint (76881) range across 2 matching MRF lines |
$109.89–$219.78 | $407–$814 | varies |
| Us exam, pelvic, limited (76857) | $511.65 | $1,895 | 5.5× |
| Us head (76506) | $262.44 | $972 | 2.8× |
| Us kidney transplant (76776) | $446.31 | $1,653 | 4.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$224.10–$225.45 | $830–$835 | varies |
| Us ob limited 1 or more fetuses (76815) | $286.47 | $1,061 | 3.1× |
| Us ob transvaginal (76817) | $409.86 | $1,518 | 4.4× |
| Us pelvic non ob complete (76856) | $605.34 | $2,242 | 6.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $400.41 | $1,483 | 4.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $119.34 | $442 | 1.3× |
| Us retroperitoneal complete (76770) | $314.28 | $1,164 | 3.4× |
| Us retroperitoneal limited (76775) | $528.66 | $1,958 | 5.7× |
| Us scrotum and contents (76870) | $539.73 | $1,999 | 5.8× |
| Us spinal canal and contents (76800) | $374.76 | $1,388 | 4.0× |
| Us thyroid (76536) | $349.92 | $1,296 | 3.8× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,889.73–$2,234.79 | $6,999–$8,277 | varies |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$3,006.45–$3,185.73 | $11,135–$11,799 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$2,847.15–$2,989.44 | $10,545–$11,072 | varies |
| Venography extremity bilateral rs&i (75822) | $983.34 | $3,642 | 0.7× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$792.45–$1,101.06 | $2,935–$4,078 | varies |
| Venography Renal Bilateral (75833) | $3,072.87 | $11,381 | 1.1× |
| Venography Renal Unilateral (75831) | $3,072.87 | $11,381 | 1.1× |
| Venous sampling by catheter (75893) | $2,857.68 | $10,584 | 0.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$183.87–$350.73 | $681–$1,299 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $196.29 | $727 | 2.5× |
| X-ray antegrade pyelogram tube (74425) | $449.82 | $1,666 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$3,072.87–$3,358.26 | $11,381–$12,438 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$211.68–$402.84 | $784–$1,492 | varies |
| X-Ray Exam Breast Specimen (76098) | $419.04 | $1,552 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $265.95 | $985 | 3.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $265.95 | $985 | 2.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $531.90 | $1,970 | 5.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$90.18–$135 | $334–$500 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $167.94 | $622 | 2.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $251.91 | $933 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$210.06–$332.10 | $778–$1,230 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$210.06–$332.10 | $778–$1,230 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$419.58–$664.20 | $1,554–$2,460 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $619.65 | $2,295 | 6.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $215.19 | $797 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $375.57 | $1,391 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$177.39–$185.76 | $657–$688 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$169.56–$250.02 | $628–$926 | varies |
| X-ray IV pyelogram+tomography (74415) | $718.20 | $2,660 | 4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $223.02 | $826 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $246.51 | $913 | 3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $264.87 | $981 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $169.56 | $628 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $137.97 | $511 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $216 | $800 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $297.27 | $1,101 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $414.45 | $1,535 | 4.5× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$76.14–$125.55 | $282–$465 | varies |
| X-Rays Bone Survey Complete (77075) | $255.96 | $948 | 2.7× |
| Xr c-spine 4 or 5 views (72050) | $375.57 | $1,391 | 4.0× |
| Xr facial bones less than 3 views (70140) | $53.46 | $198 | 0.7× |
| Xr orbits complete 4 views (70200) | $228.42 | $846 | 2.5× |
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.