Imaging prices at East Liverpool City Hospital
East Liverpool, OH · every code in this section with a posted price and a Medicare benchmark.
257 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) | $81 | $475 | 1.0× |
| Abdomen 2 views (74019) | $98 | $787.57 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $376 | $1,767.45 | 1.0× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$81 | $311.50–$660.84 | 1.0× |
| Artery X-Rays Abdomen (75726) | $5,238 | $5,066.48 | 1.0× |
| Arthrogram ankle (73615) | $328 | $1,929.40 | 1.0× |
| Arthrogram hip (73525) | $328 | $1,929.40 | 1.0× |
| Arthrogram Wrist (73115) range across 6 matching MRF lines |
$328 | $1,929.40–$2,701.16 | 1.0× |
| Bone age studies (77072) range across 2 matching MRF lines |
$98 | $562.55–$787.57 | 1.0× |
| Bone Imaging 3 Phase (78315) | $376 | $1,767.45 | 1.0× |
| Bone Imaging Limited Area (78300) | $376 | $368.13 | 1.0× |
| Bone Imaging Whole Body (78306) | $376 | $2,372.26 | 1.0× |
| Bone marrow imaging limited area (78102) | $376 | $1,943.40 | 1.0× |
| Bone marrow imaging; multiple areas (78103) | $376 | $1,943.40 | 1.0× |
| Bone marrow imaging; whole body (78104) | $376 | $1,943.40 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $511 | $1,490.68 | 1.0× |
| Chest 1 view (71045) range across 7 matching MRF lines |
$81 | $311.50–$436.10 | 1.0× |
| Chest 2 views (71046) range across 4 matching MRF lines |
$81 | $311.50–$533.52 | 1.0× |
| Chest 3 views (71047) | $81 | $311.50 | 1.0× |
| Chest 4 or more views (71048) | $98 | $562.55 | 1.0× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$81 | $927.58–$958.28 | 1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $98 | $555.95 | 1.0× |
| Contrast X-Ray Bladder (74430) | $328 | $1,929.40 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $328 | $1,929.40 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $328 | $1,929.40 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $328 | $7,175.60 | 1.0× |
| CT abdomen and pelvis without contrast (74176) | $224 | $4,736.43 | 1.0× |
| CT abdomen w contrast (74160) | $165 | $3,678.57 | 1.0× |
| CT abdomen w wo contrast (74170) | $165 | $3,967.74 | 1.0× |
| CT abdomen w/o contrast (74150) | $98 | $2,201.10 | 1.0× |
| CT Angio Abdomen and Pelvis (74174) | $328 | $6,901 | 1.0× |
| CT Angio Chest (71275) | $165 | $4,468.86 | 1.0× |
| CT Angio Head (70496) | $165 | $3,697.79 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$165 | $1,008.70–$3,098 | 1.0× |
| CT Angio Neck (70498) | $165 | $3,749.10 | 1.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $165 | $1,008.70 | 1.0× |
| CT cervical spine w/ contrast (72126) | $328 | $2,701.16 | 1.0× |
| CT cervical spine w/o contrast (72125) | $98 | $3,043.07 | 1.0× |
| CT cervical spine w/wo cont (72127) | $165 | $1,008.70 | 1.0× |
| CT chest w contrast (71260) | $165 | $3,370.50 | 1.0× |
| CT chest w/wo contrast (71270) | $165 | $3,911 | 1.0× |
| CT head/brain with contrast (70460) | $165 | $3,082.88 | 1.0× |
| CT head/brain without and with contrast (70470) | $165 | $3,538 | 1.0× |
| CT iac w contrast (70481) range across 5 matching MRF lines |
$165 | $1,008.70–$1,223.50 | 1.0× |
| CT l-spine w&w/o contrast (72133) | $165 | $1,008.70 | 1.0× |
| CT lower ext w/o (73700) range across 17 matching MRF lines |
$98 | $653.35–$3,518.66 | 1.0× |
| CT lower extremity w/contrast material (73701) range across 13 matching MRF lines |
$165 | $1,008.70–$3,899.85 | 1.0× |
| CT lumbar spine w contrast (72132) | $328 | $3,337.12 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $98 | $2,899 | 1.0× |
| CT maxillofacial w contrast (70487) | $165 | $3,096.60 | 1.0× |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$98 | $724.09–$2,654.43 | 1.0× |
| CT neck tissue combo (70492) | $165 | $3,978 | 1.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 5 matching MRF lines |
$165 | $1,008.70–$1,223.50 | 1.0× |
| CT orbits w/o contrast (70480) range across 5 matching MRF lines |
$98 | $724.09–$2,731 | 1.0× |
| CT pelvis w&w/o contrast (72194) | $165 | $1,008.70 | 1.0× |
| CT pelvis w/o contrast (72192) | $98 | $2,569.32 | 1.0× |
| CT scan of leg combo (73702) range across 12 matching MRF lines |
$165 | $1,008.70–$1,223.50 | 1.0× |
| CT scans face/jaw combo (70488) | $165 | $1,008.70 | 1.0× |
| CT soft tissue neck w contrast (70491) | $165 | $3,413.88 | 1.0× |
| CT soft tissue neck w/o contrast (70490) | $98 | $2,353.40 | 1.0× |
| CT thoracic spine w contrast (72129) | $165 | $1,008.70 | 1.0× |
| CT thoracic spine w/o contrast (72128) | $98 | $2,901 | 1.0× |
| CT thoracic spine w/wo cont (72130) | $165 | $1,008.70 | 1.0× |
| CT thorax w/o contrast (71250) | $98 | $2,685.43 | 1.0× |
| CT upper ext wo (73200) range across 14 matching MRF lines |
$98 | $598.02–$2,729 | 1.0× |
| CT upper extremity w/o & w/contrast material (73202) range across 11 matching MRF lines |
$165 | $1,008.70–$1,184.30 | 1.0× |
| CT upper extremity with contrast (73201) range across 12 matching MRF lines |
$328 | $1,929.40–$2,848.26 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $165 | $1,223.50 | 1.0× |
| Cta Abdomen (74175) | $165 | $3,955 | 1.0× |
| CTA pelvis (72191) | $165 | $3,850 | 1.0× |
| Dxa Bone Density Axial (77080) | $98 | $787.57 | 1.0× |
| Dxa bone density study (77085) | $98 | $562.55 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $81 | $311.50 | 1.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$165 | $1,008.70–$1,412.18 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $98 | $562.55 | 1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $98 | $562.55 | 1.0× |
| Fluoroscopy up to 1 hr (76000) | $224 | $1,152.80 | 1.0× |
| Follow-Up Angiography (75898) | $2,972 | $1,125.79 | 1.0× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$81 | $401–$711.17 | 1.0× |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$81 | $756.49–$781.53 | 1.0× |
| Gastric emptying imaging study (78264) | $376 | $2,628.50 | 1.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $376 | $1,767.45 | 1.0× |
| Gated Heart Planar Single (78472) | $376 | $1,767.45 | 1.0× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$98 | $669–$787.57 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $511 | $2,500.62 | 1.0× |
| Hepatobiliary System Imaging (78226) | $376 | $2,497.25 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,218 | $6,146.90 | 1.0× |
| Hysterosalpingogram (74740) | $224 | $1,152.80 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $81 | $311.50 | 1.0× |
| Infant hip ultrasound, limited static exam (76886) | $81 | $311.50 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $511 | $2,277.60 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $511 | $2,359.90 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $511 | $2,277.60 | 1.0× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$81 | $856.51–$1,769.73 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $376 | $1,767.45 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $511 | $2,277.60 | 1.0× |
| Lung perfusion differential (78597) | $376 | $1,885.60 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $511 | $3,188.64 | 1.0× |
| Lung Ventilation Imaging (78579) | $376 | $1,767.45 | 1.0× |
| Lymph System Imaging (78195) | $511 | $2,277.60 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $224 | $2,541.94 | 1.0× |
| Meckels Divert Exam (78290) | $376 | $1,767.45 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $328 | $1,929.40 | 1.0× |
| MRA head w/o contrast (70544) | $224 | $3,715 | 1.0× |
| MRA head with contrast (70545) | $328 | $1,929.40 | 1.0× |
| MRA neck w contrast (70548) | $328 | $4,035 | 1.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $328 | $1,960.06 | 1.0× |
| MRA neck w/o contrast (70547) | $224 | $1,652.54 | 1.0× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$224 | $3,615.27–$3,975 | 1.0× |
| MRI any jt lower extrem w/contrast material (73722) | $738 | $3,458.75 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $328 | $1,929.40 | 1.0× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$738 | $3,458.75–$7,337.99 | 1.0× |
| MRI cervical spine w contrast (72142) | $328 | $3,501 | 1.0× |
| MRI cervical spine w/o cont (72141) | $224 | $3,991.80 | 1.0× |
| MRI chest w/o contrast (71550) | $224 | $1,508.88 | 1.0× |
| MRI chest with contrast (71551) | $738 | $3,458.75 | 1.0× |
| MRI chest wo w contrast (71552) | $328 | $1,929.40 | 1.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $328 | $1,929.40 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$328 | $1,929.40–$4,321.46 | 1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 10 matching MRF lines |
$224 | $1,508.88–$5,781.23 | 1.0× |
| MRI lumbar spine w contrast (72149) | $328 | $1,929.40 | 1.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $328 | $5,750 | 1.0× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$224 | $1,460.54–$1,508.88 | 1.0× |
| MRI orbit face neck w contrast (70542) | $328 | $1,929.40 | 1.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$328 | $1,929.40–$5,285 | 1.0× |
| MRI pelvis w contrast (72196) | $328 | $1,929.40 | 1.0× |
| MRI pelvis w/o & w contrast (72197) | $328 | $4,653.60 | 1.0× |
| MRI pelvis w/o contrast (72195) | $224 | $3,561.57 | 1.0× |
| MRI thoracic spine w/o contrast (72146) | $224 | $3,991.80 | 1.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $328 | $1,929.40 | 1.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 10 matching MRF lines |
$224 | $1,460.54–$5,872.14 | 1.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $328 | $1,929.40 | 1.0× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$328 | $4,733.77–$4,890.46 | 1.0× |
| MRI, dorsal spine combo (72157) | $328 | $5,295.41 | 1.0× |
| MRI, dorsal spine contrast (72147) | $328 | $1,929.40 | 1.0× |
| MRI, joint upper extrem (73221) range across 7 matching MRF lines |
$224 | $2,635.85–$6,057.32 | 1.0× |
| MRI, joint upper extrem combo (73223) | $328 | $1,929.40 | 1.0× |
| MRI, lumbar spine combo (72158) | $328 | $5,097.32 | 1.0× |
| Myelogram cervical (72240) | $738 | $3,458.75 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,218 | $8,605.66 | 1.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$81 | $390.96–$498 | 1.0× |
| Optic foramina (70190) | $81 | $311.50 | 1.0× |
| Parathyroid Planar Imaging (78070) | $376 | $1,767.45 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $376 | $1,767.45 | 1.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$98 | $562.55–$787.57 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $376 | $1,767.45 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$98 | $632.86–$835.79 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $514 | $2,487.45 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$81 | $765.93–$779.68 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$81 | $372.98–$629.50 | 1.0× |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$81 | $897.65–$927.36 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$98 | $562.55–$787.57 | 1.0× |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$81 | $626.29–$647.02 | 1.0× |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$81 | $749.98–$781.54 | 1.0× |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$81 | $794.29–$820.58 | 1.0× |
| Radex lower extremity infant minimum 2 views (73592) | $81 | $311.50 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $98 | $562.55 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $81 | $597 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$81 | $483.18–$567 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$81 | $806.08–$832.76 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$81 | $421–$434.94 | 1.0× |
| Radex Spine 1 View Specify Level (72020) range across 8 matching MRF lines |
$81 | $311.50–$400.54 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$81 | $619–$639.49 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$81 | $380.90–$393.51 | 1.0× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$81 | $311.50–$436.10 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $98 | $562.55 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$81 | $817.11–$844.16 | 1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $98 | $562.55 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $98 | $787.57 | 1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$98 | $562.55–$787.57 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $165 | $1,008.70 | 1.0× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$165 | $1,008.70–$1,412.18 | 1.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $165 | $911.10 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$98 | $1,000.33–$2,066.89 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$165 | $605.90–$625.96 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $165 | $796.52 | 1.0× |
| Radiologic exam teeth complete full mouth (70320) | $224 | $4,495.90 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$165 | $1,006.24–$1,412.18 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$81 | $311.50–$564.36 | 1.0× |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$81 | $670.59–$1,385.57 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$81 | $720–$743.83 | 1.0× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $81 | $3,991.97 | 1.0× |
| Ribs bilateral 3 views (71110) | $98 | $787.57 | 1.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $376 | $1,840.65 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $511 | $6,146.90 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $511 | $2,277.60 | 1.0× |
| Scapula (73010) range across 6 matching MRF lines |
$98 | $562.55–$836.81 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $21 | $653 | 0.9× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$81 | $311.50–$396.07 | 1.0× |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$328 | $1,929.40–$2,701.16 | 1.0× |
| Sialogram (70390) | $224 | $1,152.80 | 1.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$98 | $562.55–$787.57 | 1.0× |
| Sternoclavicular joints (71130) | $81 | $311.50 | 1.0× |
| Thoracic spine 3 views (72072) | $98 | $787.57 | 1.0× |
| Thoracolumbar 2 views (72080) | $81 | $311.50 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $376 | $1,767.45 | 1.0× |
| Thyroid Uptake Measurement (78012) | $376 | $1,767.45 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $376 | $1,767.45 | 1.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$81 | $693–$1,281.89 | 1.0× |
| Ultrasound Exam Aaa Screen (76706) | $98 | $787.57 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$98 | $903–$1,105.52 | 1.0× |
| Umbilical-artery Doppler (OB) (76820) | $98 | $562.55 | 1.0× |
| Upper gi w/o kub (74240) | $165 | $1,008.70 | 1.0× |
| Urethrocystogram voiding (74455) | $224 | $1,152.80 | 1.0× |
| Us breast unilateral complete (76641) | $98 | $1,000.83 | 1.0× |
| Us chest (76604) | $98 | $787.57 | 1.0× |
| Us exam, pelvic, limited (76857) | $98 | $1,056.56 | 1.0× |
| Us kidney transplant (76776) | $98 | $562.55 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$98 | $593–$787.57 | 1.0× |
| Us ob detailed single fetus (76811) | $224 | $1,613.92 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $98 | $787.57 | 1.0× |
| Us ob transvaginal (76817) | $98 | $886.63 | 1.0× |
| Us pelvic non ob complete (76856) | $98 | $1,290 | 1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $98 | $980 | 1.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $98 | $562.55 | 1.0× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$98 | $1,056.56–$1,199 | 1.0× |
| Us retroperitoneal limited (76775) | $98 | $562.55 | 1.0× |
| Us scrotum and contents (76870) | $98 | $972.04 | 1.0× |
| Us spinal canal and contents (76800) | $98 | $562.55 | 1.0× |
| Us thyroid (76536) | $98 | $1,039.71 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $2,972 | $2,923.63 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,481 | $3,100.05 | 1.0× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$81 | $318.19–$664.45 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$81 | $452.93–$467.92 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $328 | $1,929.40 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$98 | $619–$639.49 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$81 | $348.06–$480 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $514 | $2,487.45 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$81 | $311.50–$542 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$98 | $562.55–$787.57 | 1.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $98 | $562.55 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$81 | $311.50–$458 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$81 | $311.50–$627.27 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $98 | $562.55 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$98 | $918.84–$1,083 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $81 | $624.43 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$98 | $879.90–$1,091.22 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$98 | $562.55–$787.57 | 1.0× |
| X-ray eye for foreign body (70030) | $81 | $451.83 | 1.0× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$81 | $808.45–$835.21 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$165 | $1,034.85–$1,069.10 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $81 | $621.43 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $81 | $325.50 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $98 | $787.57 | 1.0× |
| X-ray nose-rectum child f.b. (76010) | $81 | $311.50 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $98 | $933.35 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $98 | $562.55 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$81 | $488.50–$618.97 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$81 | $676.68–$713.78 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $98 | $885.21 | 1.0× |
| X-Ray Tmj Unilat (70328) | $81 | $311.50 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $328 | $1,929.40 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $98 | $1,306.26 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $98 | $887 | 1.0× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$81 | $847.71–$875.77 | 1.0× |
| Xr orbits complete 4 views (70200) | $98 | $787.57 | 1.0× |
| Xr Tomogram Single Plane (76100) | $98 | $562.55 | 1.0× |
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.