Imaging prices at ECU Health Bertie Hospital
Windsor, NC · every code in this section with a posted price and a Medicare benchmark.
233 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) | $204.96 | $366 | 2.5× |
| Abdomen 2 views (74019) | $409.36 | $731 | 4.1× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$379.12–$568.40 | $677–$1,015 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$478.24–$956.48 | $854–$1,708 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$683.20–$1,393.84 | $1,220–$2,489 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$265.44–$530.32 | $474–$947 | varies |
| Bone age studies (77072) | $199.92 | $357 | 2.0× |
| Bone survey infant (77076) | $141.68 | $253 | 1.4× |
| Cat Scan Follow-Up Study (76380) | $370.72 | $662 | 4.5× |
| Chest 1 view (71045) | $229.60 | $410 | 2.8× |
| Chest 2 views (71046) | $329.28 | $588 | 4.0× |
| Chest 3 views (71047) | $362.32 | $647 | 4.4× |
| Chest 4 or more views (71048) | $394.24 | $704 | 3.9× |
| Cholecystography Oral Contrast (74290) | $219.52 | $392 | 1.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$292.32–$584.64 | $522–$1,044 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $80.64 | $144 | 0.8× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$478.24–$956.48 | $854–$1,708 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$478.24–$956.48 | $854–$1,708 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,295.76 | $7,671 | 12.9× |
| CT abdomen and pelvis without contrast (74176) | $2,283.68 | $4,078 | 10.0× |
| CT abdomen w contrast (74160) | $3,646.72 | $6,512 | 21.8× |
| CT abdomen w wo contrast (74170) | $4,337.20 | $7,745 | 25.9× |
| CT abdomen w/o contrast (74150) | $3,226.16 | $5,761 | 32.3× |
| CT Angio Abdomen and Pelvis (74174) | $3,780 | $6,750 | 11.3× |
| CT Angio Chest (71275) | $2,925.44 | $5,224 | 17.4× |
| CT Angio Head (70496) | $1,907.92 | $3,407 | 11.4× |
| CT angio hrt w/3d image (75574) | $539.28 | $963 | 1.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$396.48–$594.72 | $708–$1,062 | varies |
| CT Angio Neck (70498) | $2,563.68 | $4,578 | 15.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$396.48–$594.72 | $708–$1,062 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $271.04 | $484 | 1.6× |
| CT cervical spine w/ contrast (72126) | $2,155.44 | $3,849 | 6.5× |
| CT cervical spine w/o contrast (72125) | $2,134.72 | $3,812 | 21.4× |
| CT cervical spine w/wo cont (72127) | $2,232.72 | $3,987 | 13.3× |
| CT chest w contrast (71260) | $2,062.48 | $3,683 | 12.3× |
| CT chest w/wo contrast (71270) | $2,147.60 | $3,835 | 12.8× |
| CT colonography screening (74263) | $1,910.16 | $3,411 | 8.4× |
| CT head/brain with contrast (70460) | $1,550.64 | $2,769 | 9.2× |
| CT head/brain without and with contrast (70470) | $1,620.64 | $2,894 | 9.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $370.16 | $661 | 4.5× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,316.56–$1,512 | $2,351–$2,700 | varies |
| CT l-spine w&w/o contrast (72133) | $2,152.08 | $3,843 | 12.8× |
| CT lower ext w/o (73700) range across 21 matching MRF lines |
$829.92–$1,659.28 | $1,482–$2,963 | varies |
| CT lower extremity w/contrast material (73701) range across 21 matching MRF lines |
$971.04–$1,941.52 | $1,734–$3,467 | varies |
| CT lumbar spine w contrast (72132) | $2,151.52 | $3,842 | 6.5× |
| CT lumbar spine w/o contrast (72131) | $1,929.76 | $3,446 | 19.3× |
| CT maxillofacial w contrast (70487) | $1,942.64 | $3,469 | 11.6× |
| CT maxillofacial wo contrast (70486) | $1,917.44 | $3,424 | 19.2× |
| CT neck tissue combo (70492) | $2,617.44 | $4,674 | 15.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$1,663.20–$3,780 | $2,970–$6,750 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$1,012.48–$1,134 | $1,808–$2,025 | varies |
| CT pelvis w&w/o contrast (72194) | $1,992.48 | $3,558 | 11.9× |
| CT pelvis w/o contrast (72192) | $1,942.64 | $3,469 | 19.4× |
| CT scan of leg combo (73702) range across 21 matching MRF lines |
$1,191.68–$2,383.36 | $2,128–$4,256 | varies |
| CT scans face/jaw combo (70488) | $1,965.60 | $3,510 | 11.7× |
| CT soft tissue neck w contrast (70491) | $2,610.72 | $4,662 | 15.6× |
| CT soft tissue neck w/o contrast (70490) | $1,537.76 | $2,746 | 15.4× |
| CT thoracic spine w contrast (72129) | $975.52 | $1,742 | 5.8× |
| CT thoracic spine w/o contrast (72128) | $725.20 | $1,295 | 7.3× |
| CT thoracic spine w/wo cont (72130) | $1,300.32 | $2,322 | 7.8× |
| CT thorax w/o contrast (71250) | $1,895.60 | $3,385 | 19.0× |
| CT upper ext wo (73200) range across 21 matching MRF lines |
$832.16–$1,672.16 | $1,486–$2,986 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 21 matching MRF lines |
$1,020.88–$2,041.20 | $1,823–$3,645 | varies |
| CT upper extremity with contrast (73201) range across 21 matching MRF lines |
$998.48–$1,996.40 | $1,783–$3,565 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $875.28 | $1,563 | 5.2× |
| Cta Abdomen (74175) | $1,512 | $2,700 | 9.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $621.04 | $1,109 | 1.9× |
| CTA pelvis (72191) | $1,285.20 | $2,295 | 7.7× |
| Dxa Bone Density Axial (77080) | $545.44 | $974 | 5.5× |
| Dxa bone density study (77085) | $261.52 | $467 | 2.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $188.16 | $336 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $263.20 | $470 | 2.6× |
| Fluoroscopy up to 1 hr (76000) | $379.12 | $677 | 1.7× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$347.20–$370.72 | $620–$662 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$198.80–$583.52 | $355–$1,042 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$82.88–$329.28 | $148–$588 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$476.56–$715.12 | $851–$1,277 | varies |
| Magnetic Image Jaw Joint (70336) | $952 | $1,700 | 4.2× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$287.84–$575.68 | $514–$1,028 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$255.92–$511.84 | $457–$914 | varies |
| Mr safety determination physician/other qhp (76016) | $133.28 | $238 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $37.52 | $67 | 1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $138.88 | $248 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $90.16 | $161 | 1.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $365.68 | $653 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $609.84 | $1,089 | 1.8× |
| MRA head w/o contrast (70544) | $542.08 | $968 | 2.4× |
| MRA head with contrast (70545) | $549.36 | $981 | 1.6× |
| MRA neck w contrast (70548) | $912.80 | $1,630 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,463.28 | $2,613 | 4.4× |
| MRA neck w/o contrast (70547) | $883.12 | $1,577 | 3.9× |
| MRI abdomen w contrast (74182) | $939.68 | $1,678 | 2.8× |
| MRI abdomen w/o contrast (74181) | $600.32 | $1,072 | 2.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 12 matching MRF lines |
$1,373.12–$2,745.68 | $2,452–$4,903 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 12 matching MRF lines |
$1,388.24–$2,775.92 | $2,479–$4,957 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 12 matching MRF lines |
$2,835.28–$3,612.56 | $5,063–$6,451 | varies |
| MRI bone marrow blood supply (77084) | $856.80 | $1,530 | 3.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,845.92 | $5,082 | 12.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,719.76 | $3,071 | 7.5× |
| MRI cervical spine w contrast (72142) | $693.84 | $1,239 | 2.1× |
| MRI cervical spine w/o cont (72141) | $443.52 | $792 | 1.9× |
| MRI chest w/o contrast (71550) | $943.60 | $1,685 | 4.1× |
| MRI chest with contrast (71551) | $995.12 | $1,777 | 1.3× |
| MRI chest wo w contrast (71552) | $1,098.16 | $1,961 | 3.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$1,029.84–$2,059.68 | $1,839–$3,678 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$1,098.16–$2,196.32 | $1,961–$3,922 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$615.44–$1,230.88 | $1,099–$2,198 | varies |
| MRI lumbar spine w contrast (72149) | $2,354.24 | $4,204 | 7.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $708.40 | $1,265 | 2.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,075.76 | $1,921 | 4.7× |
| MRI orbit face neck w contrast (70542) | $1,132.88 | $2,023 | 3.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,159.20 | $2,070 | 3.5× |
| MRI pelvis w contrast (72196) | $1,029.84 | $1,839 | 3.1× |
| MRI pelvis w/o & w contrast (72197) | $1,303.68 | $2,328 | 3.9× |
| MRI pelvis w/o contrast (72195) | $893.76 | $1,596 | 3.9× |
| MRI thoracic spine w/o contrast (72146) | $1,107.68 | $1,978 | 4.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 15 matching MRF lines |
$1,070.72–$2,141.44 | $1,912–$3,824 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 15 matching MRF lines |
$1,015.84–$2,031.68 | $1,814–$3,628 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 15 matching MRF lines |
$1,098.16–$2,196.32 | $1,961–$3,922 | varies |
| MRI, abdomen, combo (74183) | $1,252.16 | $2,236 | 3.8× |
| MRI, dorsal spine combo (72157) | $1,180.48 | $2,108 | 3.5× |
| MRI, dorsal spine contrast (72147) | $1,155.84 | $2,064 | 3.5× |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$1,765.68–$2,646 | $3,153–$4,725 | varies |
| MRI, joint upper extrem combo (73223) range across 12 matching MRF lines |
$3,780–$4,158 | $6,750–$7,425 | varies |
| MRI, lumbar spine combo (72158) | $2,403.52 | $4,292 | 7.2× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $5,103.84 | $9,114 | 2.4× |
| Neck soft tissue (70360) | $267.68 | $478 | 3.2× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $200.48 | $358 | 2.0× |
| Pelvis 1 or 2 views (72170) | $214.48 | $383 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $576.80 | $1,030 | 5.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$496.72–$744.80 | $887–$1,330 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$142.24–$283.92 | $254–$507 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$459.76–$689.92 | $821–$1,232 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $80.08 | $143 | 0.8× |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$179.76–$301.28 | $321–$538 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$458.08–$468.72 | $818–$837 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$314.72–$384.72 | $562–$687 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$145.60–$291.20 | $260–$520 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $247.52 | $442 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $411.04 | $734 | 4.9× |
| Radex Ribs Unilateral 2 Views (71100) | $194.32 | $347 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$399.84–$599.76 | $714–$1,071 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $94.64 | $169 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $238 | $425 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $134.40 | $240 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $227.92 | $407 | 2.7× |
| Radex Toe Minimum 2 Views (73660) range across 13 matching MRF lines |
$232.40–$463.68 | $415–$828 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$148.40–$296.24 | $265–$529 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$460.88–$691.60 | $823–$1,235 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $329.28 | $588 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $154.56 | $276 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $491.68 | $878 | 4.9× |
| Radiologic exam colon double contrast study (74280) | $585.76 | $1,046 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $425.04 | $759 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$526.96–$790.72 | $941–$1,412 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $259.28 | $463 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $486.64 | $869 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $147.28 | $263 | 0.9× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$115.36–$173.04 | $206–$309 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$154.56–$231.28 | $276–$413 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$224–$567.28 | $400–$1,013 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $397.60 | $710 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$249.76–$534.24 | $446–$954 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$276.08–$324.24 | $493–$579 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$233.52–$466.48 | $417–$833 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$29.68–$91.84 | $53–$164 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$64.40–$453.60 | $115–$810 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$478.24–$956.48 | $854–$1,708 | varies |
| Skull less than 4 views (70250) | $80.64 | $144 | 0.8× |
| Sternoclavicular joints (71130) | $162.40 | $290 | 2.0× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$243.60–$486.64 | $435–$869 | varies |
| Thoracic spine 2 views (72070) | $432.88 | $773 | 4.3× |
| Thoracic spine 3 views (72072) | $462.56 | $826 | 4.6× |
| Thoracolumbar 2 views (72080) | $166.32 | $297 | 2.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$962.64–$1,546.72 | $1,719–$2,762 | varies |
| Ultrasound Exam Aaa Screen (76706) | $245.84 | $439 | 2.5× |
| Ultrasound, abdomen limited (76705) | $248.08 | $443 | 2.5× |
| Unlisted us procedure (76999) | $322 | $575 | 3.9× |
| Upper gi w/o kub (74240) | $406 | $725 | 2.4× |
| Urethrocystography retrograde (74450) | $366.80 | $655 | 1.6× |
| Us bone density measurement (76977) | $67.20 | $120 | 0.7× |
| Us breast unilateral complete (76641) | $1,030.96 | $1,841 | 10.3× |
| Us chest (76604) | $111.44 | $199 | 1.1× |
| Us complete joint (76881) range across 3 matching MRF lines |
$119.28–$238.56 | $213–$426 | varies |
| Us exam, pelvic, limited (76857) | $1,036.56 | $1,851 | 10.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$64.40–$128.24 | $115–$229 | varies |
| Us ob limited 1 or more fetuses (76815) | $329.28 | $588 | 3.3× |
| Us ob transvaginal (76817) | $786.80 | $1,405 | 7.9× |
| Us pelvic non ob complete (76856) | $2,294.88 | $4,098 | 23.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $757.68 | $1,353 | 7.6× |
| Us retroperitoneal complete (76770) | $283.92 | $507 | 2.8× |
| Us retroperitoneal limited (76775) | $331.52 | $592 | 3.3× |
| Us scrotum and contents (76870) | $1,126.16 | $2,011 | 11.3× |
| Us thyroid (76536) | $1,197.84 | $2,139 | 12.0× |
| Us transrectal (76872) | $551.04 | $984 | 5.5× |
| Vertebral fracture assessment via dxa (77086) | $58.80 | $105 | 0.7× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$140–$604.80 | $250–$1,080 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $204.40 | $365 | 2.5× |
| X-Ray Bend Only L-S Spine (72120) | $477.68 | $853 | 4.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$115.36–$602 | $206–$1,075 | varies |
| X-Ray Exam Breast Specimen (76098) | $711.20 | $1,270 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $147.84 | $264 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $208.88 | $373 | 2.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $269.36 | $481 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$73.92–$389.76 | $132–$696 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $305.20 | $545 | 3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $360.64 | $644 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $395.36 | $706 | 4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $793.52 | $1,417 | 7.9× |
| X-Ray Exam L-S Spine Bending (72114) | $841.68 | $1,503 | 8.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $436.80 | $780 | 5.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $748.16 | $1,336 | 7.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $276.08 | $493 | 2.8× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$128.24–$255.92 | $229–$457 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$147.84–$416.64 | $264–$744 | varies |
| X-ray IV pyelogram (ivp) (74400) | $778.96 | $1,391 | 4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $121.52 | $217 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $66.64 | $119 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $381.36 | $681 | 3.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $329.28 | $588 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $96.32 | $172 | 1.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $86.24 | $154 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $286.72 | $512 | 3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $151.76 | $271 | 1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $82.32 | $147 | 0.8× |
| X-ray thoracic spine 4 vw (72074) | $486.64 | $869 | 4.9× |
| X-Ray Tmj Unilat (70328) | $113.68 | $203 | 1.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $825.44 | $1,474 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $484.96 | $866 | 4.9× |
| Xr c-spine 4 or 5 views (72050) | $675.36 | $1,206 | 6.8× |
| Xr facial bones less than 3 views (70140) | $61.60 | $110 | 0.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $101.36 | $181 | 1.0× |
| Xr orbits complete 4 views (70200) | $165.20 | $295 | 1.7× |
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.