Imaging prices at ECU Health Edgecombe Hospital

Tarboro, NC · every code in this section with a posted price and a Medicare benchmark.

281 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $324.24 $579 3.9×
Abdomen 2 views (74019) $343.28 $613 3.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $474.88 $848 1.2×
Ankle 2 views (73600)
range across 3 matching MRF lines
$477.12–$694.40 $852–$1,240 varies
Arthrogram ankle (73615)
range across 3 matching MRF lines
$399.28–$798 $713–$1,425 varies
Arthrogram hip (73525)
range across 3 matching MRF lines
$586.32–$1,172.64 $1,047–$2,094 varies
Arthrogram Wrist (73115)
range across 3 matching MRF lines
$456.96–$913.36 $816–$1,631 varies
Bone age studies (77072) $529.20 $945 5.3×
Bone Imaging 3 Phase (78315) $1,134 $2,025 3.0×
Bone Imaging Limited Area (78300) $321.44 $574 0.8×
Bone Imaging Multiple Areas (78305) $430.64 $769 1.1×
Bone Imaging Whole Body (78306) $959.28 $1,713 2.5×
Bone marrow imaging limited area (78102) $798 $1,425 2.1×
Bone marrow imaging; multiple areas (78103) $805.84 $1,439 2.1×
Bone marrow imaging; whole body (78104) $1,408.40 $2,515 3.7×
Bone survey infant (77076) $75.60 $135 0.8×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,208.48 $2,158 2.3×
Cat Scan Follow-Up Study (76380) $417.76 $746 5.0×
Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) $2,113.44 $3,774 4.1×
Cerebrospinal Fluid Scan (78630) $2,366 $4,225 4.6×
Chest 1 view (71045) $249.76 $446 3.0×
Chest 2 views (71046) $366.24 $654 4.4×
Chest 3 views (71047) $411.04 $734 4.9×
Chest 4 or more views (71048) $425.60 $760 4.3×
Cholecystography Oral Contrast (74290) $190.96 $341 1.1×
Clavicle complete (73000)
range across 3 matching MRF lines
$334.32–$668.08 $597–$1,193 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $292.88 $523 2.9×
Contrast X-Ray Bladder (74430) $384.16 $686 1.2×
Contrast X-Ray Of Elbow (73085)
range across 3 matching MRF lines
$569.52–$1,138.48 $1,017–$2,033 varies
Contrast X-Ray Of Knee Joint (73580)
range across 3 matching MRF lines
$569.52–$1,138.48 $1,017–$2,033 varies
CT abdomen and pelvis without and with contrast (74178) $5,724.88 $10,223 17.2×
CT abdomen and pelvis without contrast (74176) $4,487.84 $8,014 19.7×
CT abdomen w contrast (74160) $2,299.36 $4,106 13.7×
CT abdomen w wo contrast (74170) $2,599.52 $4,642 15.5×
CT abdomen w/o contrast (74150) $2,148.16 $3,836 21.5×
CT Angio Abdomen and Pelvis (74174) $4,762.80 $8,505 14.3×
CT Angio Chest (71275) $2,925.44 $5,224 17.4×
CT Angio Head (70496) $3,120.32 $5,572 18.6×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$2,867.76–$4,158 $5,121–$7,425 varies
CT Angio Neck (70498) $2,943.92 $5,257 17.6×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 3 matching MRF lines
$2,867.76–$4,158 $5,121–$7,425 varies
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $271.04 $484 1.6×
CT cervical spine w/ contrast (72126) $2,336.32 $4,172 7.0×
CT cervical spine w/o contrast (72125) $2,135.28 $3,813 21.4×
CT cervical spine w/wo cont (72127) $2,509.36 $4,481 15.0×
CT chest w contrast (71260) $2,337.44 $4,174 13.9×
CT chest w/wo contrast (71270) $2,376.64 $4,244 14.2×
CT colonography screening (74263) $1,589.84 $2,839 7.0×
CT colonogrphy dx image postprocess w/o contrast (74261) $693.28 $1,238 6.9×
CT head/brain with contrast (70460) $1,763.44 $3,149 10.5×
CT head/brain without and with contrast (70470) $1,908.48 $3,408 11.4×
CT iac w contrast (70481)
range across 3 matching MRF lines
$1,941.52–$2,116.80 $3,467–$3,780 varies
CT l-spine w&w/o contrast (72133) $2,559.20 $4,570 15.3×
CT lower ext w/o (73700)
range across 21 matching MRF lines
$1,673.28–$3,355.52 $2,988–$5,992 varies
CT lower extremity w/contrast material (73701)
range across 21 matching MRF lines
$1,718.64–$3,437.28 $3,069–$6,138 varies
CT lumbar spine w contrast (72132) $2,208.64 $3,944 6.6×
CT lumbar spine w/o contrast (72131) $1,971.20 $3,520 19.7×
CT maxillofacial w contrast (70487) $2,323.44 $4,149 13.9×
CT maxillofacial wo contrast (70486) $2,178.40 $3,890 21.8×
CT neck tissue combo (70492) $2,853.76 $5,096 17.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,395.12 $4,277 14.3×
CT orbits w/o contrast (70480)
range across 3 matching MRF lines
$1,083.60–$1,554.56 $1,935–$2,776 varies
CT pelvis w&w/o contrast (72194) $2,289.28 $4,088 13.7×
CT pelvis w/o contrast (72192) $1,809.92 $3,232 18.1×
CT scan of leg combo (73702)
range across 21 matching MRF lines
$1,790.32–$3,580.64 $3,197–$6,394 varies
CT scans face/jaw combo (70488) $2,743.44 $4,899 16.4×
CT soft tissue neck w contrast (70491) $2,469.04 $4,409 14.7×
CT soft tissue neck w/o contrast (70490) $2,177.28 $3,888 21.8×
CT thoracic spine w contrast (72129) $1,849.12 $3,302 11.0×
CT thoracic spine w/o contrast (72128) $1,802.64 $3,219 18.0×
CT thoracic spine w/wo cont (72130) $1,859.76 $3,321 11.1×
CT thorax w/o contrast (71250) $1,711.36 $3,056 17.1×
CT upper ext wo (73200)
range across 21 matching MRF lines
$1,956.64–$6,051.92 $3,494–$10,807 varies
CT upper extremity w/o & w/contrast material (73202)
range across 21 matching MRF lines
$4,254.32–$8,508.64 $7,597–$15,194 varies
CT upper extremity with contrast (73201)
range across 21 matching MRF lines
$4,235.84–$8,471.12 $7,564–$15,127 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,122.80 $2,005 6.7×
Cta Abdomen (74175) $3,918.88 $6,998 23.4×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $621.04 $1,109 1.9×
CTA pelvis (72191) $3,010.56 $5,376 18.0×
Dxa Bone Density Axial (77080) $374.08 $668 3.7×
Dxa bone density study (77085) $217.84 $389 2.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $157.92 $282 1.9×
Esophagram (74220) $403.76 $721 2.4×
Fluoroscopy up to 1 hr (76000) $294.56 $526 1.3×
Foot 2 views (73620)
range across 6 matching MRF lines
$365.12–$393.12 $652–$702 varies
Forearm 2 views (73090)
range across 6 matching MRF lines
$185.92–$445.20 $332–$795 varies
Gastric emptying imaging study (78264) $2,787.68 $4,978 7.3×
Gastroesophageal Reflux Exam (78262) $1,135.68 $2,028 3.0×
Gated Heart Planar Single (78472) $612.64 $1,094 1.6×
Gated Heart, Multiple (78473) $1,030.96 $1,841 2.7×
Hand 2 views (73120)
range across 6 matching MRF lines
$174.16–$453.60 $311–$810 varies
Hepatobil Syst Image W/Drug (78227) $2,532.88 $4,523 4.9×
Hepatobiliary System Imaging (78226) $2,343.60 $4,185 6.1×
Ht Muscle Image Spect Sing (78451) $2,539.60 $4,535 2.1×
Hysterosalpingogram (74740) $276.08 $493 1.2×
Infant hip ultrasound with hip movement (dynamic) (76885) $520.24 $929 6.3×
Infusion Ivp (74410) $352.80 $630 2.1×
K Flow/Funct Image Multiple (78709) $5,586.56 $9,976 10.8×
K Flow/Funct Image W/Drug (78708) $523.04 $934 1.0×
K Flow/Funct Image W/O Drug (78707) $1,405.60 $2,510 2.7×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,772.96 $3,166 4.6×
Knee 3 Views (73562)
range across 3 matching MRF lines
$449.12–$642.88 $802–$1,148 varies
Liver & Spleen Imaging Static Only (78215) $1,406.16 $2,511 3.7×
Lung Ventilat&Perfus Imaging (78582) $764.96 $1,366 1.5×
Lung Ventilation Imaging (78579) $567.28 $1,013 1.5×
Lymph System Imaging (78195) $1,525.44 $2,724 2.9×
Magnetic Image Jaw Joint (70336) $1,182.16 $2,111 5.2×
Mammary ductogram or galactogram multiple (77054)
range across 3 matching MRF lines
$255.92–$511.28 $457–$913 varies
Mammary ductogram or galactogram single (77053)
range across 3 matching MRF lines
$226.80–$453.04 $405–$809 varies
Meckels Divert Exam (78290) $1,218.56 $2,176 3.2×
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) $4,346.72 $7,762 13.0×
MRA head w/o contrast (70544) $3,108.56 $5,551 13.6×
MRA head with contrast (70545) $4,059.44 $7,249 12.2×
MRA neck w contrast (70548) $2,865.52 $5,117 8.6×
Mra Neck W/O &W/Contrast Material (70549) $5,766.32 $10,297 17.3×
MRA neck w/o contrast (70547) $2,584.40 $4,615 11.3×
MRI abdomen w contrast (74182) $3,188.08 $5,693 9.6×
MRI abdomen w/o contrast (74181) $2,994.32 $5,347 13.1×
MRI any jt lower extrem w/contrast material (73722)
range across 12 matching MRF lines
$4,914–$5,292 $8,775–$9,450 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 12 matching MRF lines
$5,367.60–$8,938.72 $9,585–$15,962 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 12 matching MRF lines
$4,725.28–$5,103.28 $8,438–$9,113 varies
MRI Breast W/O Contrast Bilateral (77047) $4,660.32 $8,322 20.4×
MRI Breast Without Contrast Material Unilateral (77046) $2,415.84 $4,314 10.6×
MRI cervical spine w contrast (72142) $3,181.36 $5,681 9.5×
MRI cervical spine w/o cont (72141) $3,141.60 $5,610 13.8×
MRI chest w/o contrast (71550) $1,011.92 $1,807 4.4×
MRI chest with contrast (71551) $1,028.16 $1,836 1.4×
MRI chest wo w contrast (71552) $1,136.24 $2,029 3.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 9 matching MRF lines
$1,994.16–$3,987.76 $3,561–$7,121 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 9 matching MRF lines
$2,053.52–$4,124.96 $3,667–$7,366 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 9 matching MRF lines
$1,883.28–$3,766 $3,363–$6,725 varies
MRI lumbar spine w contrast (72149) $2,383.92 $4,257 7.1×
Mri Neck Spine W/O & W/Dye (72156) $4,996.32 $8,922 15.0×
MRI orbit face &/neck w/o contrast (70540) $1,394.40 $2,490 6.1×
MRI orbit face neck w contrast (70542) $1,555.12 $2,777 4.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,764 $3,150 5.3×
MRI pelvis w contrast (72196) $2,028.88 $3,623 6.1×
MRI pelvis w/o & w contrast (72197) $4,126.64 $7,369 12.4×
MRI pelvis w/o contrast (72195) $1,107.12 $1,977 4.9×
MRI thoracic spine w/o contrast (72146) $2,668.96 $4,766 11.7×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 15 matching MRF lines
$2,419.20–$3,024 $4,320–$5,400 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 15 matching MRF lines
$831.60–$2,268 $1,485–$4,050 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 15 matching MRF lines
$3,423.28–$6,567.68 $6,113–$11,728 varies
MRI, abdomen, combo (74183) $4,546.64 $8,119 13.6×
MRI, dorsal spine combo (72157) $3,813.60 $6,810 11.4×
MRI, dorsal spine contrast (72147) $2,902.48 $5,183 8.7×
MRI, joint upper extrem (73221)
range across 12 matching MRF lines
$3,024–$4,536 $5,400–$8,100 varies
MRI, joint upper extrem combo (73223)
range across 12 matching MRF lines
$5,292–$6,043.52 $9,450–$10,792 varies
MRI, lumbar spine combo (72158) $3,800.72 $6,787 11.4×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $2,579.92 $4,607 2.1×
Myocardial Spect Multiple Studies (78452)
range across 5 matching MRF lines
$12,783.12–$13,063.12 $22,827–$23,327 varies
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×
Nuclear Rx Oral Admin (79005) $620.48 $1,108 2.8×
Oph us dx ant sgm us immersion b-scan/hr biom (76513) $220.08 $393 2.2×
Optic foramina (70190) $152.32 $272 1.8×
Parathyroid Planar Imaging (78070) $2,170 $3,875 5.7×
Parathyroid planar imaging w/wo subtraction (78071) $3,118.64 $5,569 8.2×
Pelvis 1 or 2 views (72170) $330.40 $590 3.3×
PET imaging CT attenuation skull base mid-thigh (78815) $5,205.20 $9,295 3.8×
Pulmonary Perfusion Imaging Particulate (78580) $450.80 $805 1.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $571.20 $1,020 5.7×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$488.32–$731.92 $872–$1,307 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$202.16–$404.32 $361–$722 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$386.96–$774.48 $691–$1,383 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $241.92 $432 2.4×
Radex fingr minimum 2 views (73140)
range across 20 matching MRF lines
$175.84–$295.12 $314–$527 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$496.72–$744.80 $887–$1,330 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$394.24–$591.36 $704–$1,056 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $217.28 $388 2.2×
Radex Nasal Bones Complete Minimum 3 Views (70160)
range across 2 matching MRF lines
$426.72–$556.64 $762–$994 varies
Radex Ribs Unilateral 2 Views (71100) $315.84 $564 3.8×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$409.36–$613.76 $731–$1,096 varies
Radex Sinuses Paransl < 3 Views (70210) $77.84 $139 0.9×
Radex Spine 1 View Specify Level (72020) $381.92 $682 4.6×
Radex Sternum Minimum 2 Views (71120) $100.24 $179 1.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $155.12 $277 1.9×
Radex Toe Minimum 2 Views (73660)
range across 13 matching MRF lines
$217.84–$438.48 $389–$783 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$430.64–$862.40 $769–$1,540 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $522.48 $933 5.2×
Radiolog exam mandible compl minimum 4 views (70110) $120.40 $215 1.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $418.32 $747 4.2×
Radiologic exam colon double contrast study (74280) $722.40 $1,290 4.3×
Radiologic exam colon single contrast study (74270) $566.16 $1,011 3.4×
Radiologic Exam Esophagus Double Contrast Study (74221) $579.60 $1,035 3.5×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$477.68–$716.24 $853–$1,279 varies
Radiologic exam pelvis compl minimum 3 views (72190) $150.64 $269 1.5×
Radiologic Exam Small Int Single Contrast Study (74250) $907.20 $1,620 5.4×
Radiologic exam swallow function contrast study (74230) $400.40 $715 2.4×
Radiologic exam upr gi trc double contrast study (74246) $1,333.36 $2,381 8.0×
Radiologic examination femur 1 view (73551)
range across 3 matching MRF lines
$225.12–$450.24 $402–$804 varies
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$370.16–$739.20 $661–$1,320 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$411.04–$616 $734–$1,100 varies
Radiologic Examination Osseous Survey Limited (77074) $108.08 $193 1.1×
Radiologic examination tibia & fibula 2 views (73590)
range across 6 matching MRF lines
$254.80–$545.44 $455–$974 varies
Ribs bilateral 3 views (71110)
range across 3 matching MRF lines
$336.56–$397.04 $601–$709 varies
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $4,962.16 $8,861 9.6×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,437.12 $4,352 4.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $4,727.52 $8,442 9.1×
Scapula (73010)
range across 3 matching MRF lines
$338.80–$677.60 $605–$1,210 varies
Screening Digital Breast Tomosynthesis Bi (77063)
range across 3 matching MRF lines
$37.52–$97.44 $67–$174 varies
Sella turcica (70240) $100.24 $179 1.2×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$98–$453.60 $175–$810 varies
Shoulder Arthrography (73040)
range across 3 matching MRF lines
$569.52–$1,138.48 $1,017–$2,033 varies
Skull less than 4 views (70250) $116.48 $208 1.2×
Sternoclavicular joints (71130) $296.24 $529 3.6×
Temporomandble Jt Arthrography Rs&I (70332)
range across 3 matching MRF lines
$203.28–$406.56 $363–$726 varies
Thoracic spine 2 views (72070) $434 $775 4.3×
Thoracolumbar 2 views (72080) $206.64 $369 2.5×
Thyroid Imaging With Vascular Flow (78013) $340.48 $608 0.9×
Thyroid Uptake Measurement (78012) $234.64 $419 0.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $416.08 $743 1.1×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$1,491.28–$1,546.72 $2,663–$2,762 varies
Ultrasound Exam Aaa Screen (76706) $94.64 $169 0.9×
Ultrasound, abdomen limited (76705) $1,826.16 $3,261 18.3×
Unlisted us procedure (76999) $358.96 $641 4.3×
Upper gi w/o kub (74240) $358.40 $640 2.1×
Ureteral Reflux Study (78740) $889.84 $1,589 2.3×
Urethrocystogram voiding (74455) $311.36 $556 1.4×
Us breast unilateral complete (76641) $2,405.76 $4,296 24.1×
Us chest (76604) $77.28 $138 0.8×
Us complete joint (76881)
range across 3 matching MRF lines
$572.88–$1,145.76 $1,023–$2,046 varies
Us exam, pelvic, limited (76857) $574.56 $1,026 5.7×
Us head (76506) $89.60 $160 0.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$1,354.64–$2,708.72 $2,419–$4,837 varies
Us ob limited 1 or more fetuses (76815) $288.96 $516 2.9×
Us ob transvaginal (76817) $1,914.64 $3,419 19.2×
Us pelvic non ob complete (76856) $2,391.20 $4,270 23.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,842.96 $3,291 18.4×
Us retroperitoneal complete (76770) $145.04 $259 1.5×
Us retroperitoneal limited (76775) $147.28 $263 1.5×
Us scrotum and contents (76870) $1,486.80 $2,655 14.9×
Us thyroid (76536) $2,008.72 $3,587 20.1×
Us transrectal (76872) $616 $1,100 6.2×
Venography extremity bilateral rs&i (75822) $2,230.48 $3,983 1.5×
Venography extremity unilateral rs&i (75820) $1,115.52 $1,992 0.7×
Vertebral fracture assessment via dxa (77086) $107.52 $192 1.3×
Wrist 2 views (73100)
range across 6 matching MRF lines
$269.36–$627.20 $481–$1,120 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $81.76 $146 1.0×
X-ray antegrade pyelogram tube (74425) $329.28 $588 1.0×
X-Ray Bend Only L-S Spine (72120) $607.60 $1,085 6.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 6 matching MRF lines
$168–$453.60 $300–$810 varies
X-Ray Exam Breast Specimen (76098) $439.04 $784 0.8×
X-Ray Exam Entire Spi 1 Vw (72081) $162.40 $290 2.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $354.48 $633 3.5×
X-Ray Exam Entire Spi 4/5 Vw (72083) $438.48 $783 4.4×
X-Ray Exam Hip Uni 1 View (73501)
range across 3 matching MRF lines
$190.40–$389.76 $340–$696 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $308.56 $551 3.7×
X-Ray Exam Hip Uni 4/> Views (73503) $385.84 $689 3.9×
X-Ray Exam Hips Bi 2 Views (73521) $398.16 $711 4.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $787.36 $1,406 7.9×
X-Ray Exam Hips Bi 5/> Views (73523) $950.32 $1,697 9.5×
X-Ray Exam L-S Spine Bending (72114) $789.60 $1,410 7.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $458.08 $818 5.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $734.16 $1,311 7.3×
X-Ray Exam Unilat Ribs/Chest (71101) $442.40 $790 4.4×
X-ray eye for foreign body (70030) $222.32 $397 2.7×
X-ray humerus (73060)
range across 6 matching MRF lines
$204.40–$652.40 $365–$1,165 varies
X-ray IV pyelogram (ivp) (74400) $649.04 $1,159 3.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $108.64 $194 1.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $124.88 $223 1.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $454.72 $812 4.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $557.76 $996 5.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $356.72 $637 3.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $340.48 $608 3.4×
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) $248.08 $443 3.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $201.60 $360 2.0×
X-ray thoracic spine 4 vw (72074) $584.08 $1,043 5.8×
X-Ray Tmj Unilat (70328) $77.84 $139 0.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $692.72 $1,237 2.1×
X-Rays Bone Survey Complete (77075) $206.64 $369 2.1×
Xr c-spine 4 or 5 views (72050) $518.56 $926 5.2×
Xr facial bones less than 3 views (70140) $96.88 $173 1.2×
XR Mastoids < 3 Views Bilateral (70120) $78.96 $141 0.8×
Xr orbits complete 4 views (70200) $334.88 $598 3.4×

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.