Imaging prices at Ephraim McDowell James B. Haggin Hospital
Harrodsburg, KY · every code in this section with a posted price and a Medicare benchmark.
300 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | — | $2,739.25 | — |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
— | $258.50–$278.50 | — |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
— | $263.50–$537.25 | — |
| Acute Gastrointestinal Blood Loss Imaging (78278) | — | $750.50 | — |
| Angio internal mammary (75756) | — | $2,758.75 | — |
| Angio pulmonary bilat (75743) | — | $3,103 | — |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | — | $7,892 | — |
| Angiography extremity bilateral rs&i (75716) | — | $3,463 | — |
| Angiography extremity unilateral rs&i (75710) | — | $3,103 | — |
| Angiography pulmonary unilateral slctv rs&i (75741) | — | $3,103 | — |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | — | $7,245.75 | — |
| Ankle 2 views (73600) range across 3 matching MRF lines |
— | $202.50–$212.75 | — |
| Aortography thoracic serialography rs&i (75605) | — | $11,213 | — |
| Aortography thoracic w/o serialography rs&i (75600) | — | $7,892 | — |
| Artery X-Rays Abdomen (75726) | — | $7,892 | — |
| Artery X-Rays Adrenal Gland (75731) | — | $7,892 | — |
| Artery X-Rays Pelvis (75736) | — | $11,212 | — |
| Artery X-Rays Spine (75705) | — | $7,892 | — |
| Arthrogram hip (73525) | — | $511.75 | — |
| Basic radiation dosimetry calculation (77300) | — | $262.75 | — |
| Bone age studies (77072) | — | $281.25 | — |
| Bone Imaging 3 Phase (78315) | — | $2,640.75 | — |
| Bone Imaging Limited Area (78300) | — | $1,374.25 | — |
| Bone Imaging Whole Body (78306) | — | $2,737.75 | — |
| Bone marrow imaging limited area (78102) | — | $907.25 | — |
| Bone survey infant (77076) | — | $273.25 | — |
| Brachytx isodose complex (77318) | — | $725.75 | — |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | — | $982.75 | — |
| Brain Imaging Minimum 4 Static Views (78605) | — | $536.75 | — |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | — | $3,391.75 | — |
| Cat Scan Follow-Up Study (76380) | — | $983.25 | — |
| Cerebrospinal Fluid Scan (78630) | — | $1,570 | — |
| Chest 1 view (71045) range across 4 matching MRF lines |
— | $278.50–$411.25 | — |
| Chest 2 views (71046) range across 2 matching MRF lines |
— | $294.50–$394.75 | — |
| Chest 3 views (71047) | — | $390 | — |
| Clavicle complete (73000) | — | $354.25 | — |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | — | $190.25 | — |
| Continuing medical physics consltj pr wk (77336) | — | $403 | — |
| Contrast Exam Abdominl Aorta (75625) | — | $3,551.50 | — |
| Contrast X-Ray Bladder (74430) | — | $637.50 | — |
| Contrast X-Ray Of Knee Joint (73580) | — | $466.25 | — |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
— | $5,532–$6,521 | — |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
— | $4,322–$5,309.25 | — |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
— | $2,471–$3,075 | — |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
— | $2,789.50–$3,357.75 | — |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
— | $2,161.50–$2,941.75 | — |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
— | $3,144.75–$3,198 | — |
| CT Angio Chest (71275) range across 2 matching MRF lines |
— | $2,653.50–$3,084 | — |
| CT Angio Head (70496) range across 2 matching MRF lines |
— | $2,653.50–$2,970 | — |
| CT angio hrt w/3d image (75574) | — | $935.75 | — |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | — | $2,307.50 | — |
| CT Angio Neck (70498) range across 2 matching MRF lines |
— | $1,962.75–$3,168.25 | — |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | — | $2,307.50 | — |
| CT bone density (77078) | — | $598.25 | — |
| CT cervical spine w/ contrast (72126) | — | $2,151.25 | — |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
— | $1,921.75–$3,128.25 | — |
| CT chest w contrast (71260) range across 2 matching MRF lines |
— | $2,471–$3,010 | — |
| CT chest w/wo contrast (71270) | — | $2,653.50 | — |
| CT head/brain with contrast (70460) | — | $2,310.25 | — |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
— | $2,717.25–$3,308.50 | — |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
— | $125–$987.75 | — |
| CT iac w contrast (70481) range across 8 matching MRF lines |
— | $2,151–$3,075 | — |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
— | $2,081.75–$2,368 | — |
| CT lower extremity w/contrast material (73701) | — | $2,104.50 | — |
| CT lumbar spine w contrast (72132) | — | $2,330.50 | — |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
— | $2,081.75–$3,209 | — |
| CT maxillofacial w contrast (70487) | — | $2,151 | — |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
— | $1,762.75–$2,368 | — |
| CT neck tissue combo (70492) | — | $2,471 | — |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | — | $2,408.75 | — |
| CT orbits w/o contrast (70480) range across 8 matching MRF lines |
— | $1,921.75–$2,875 | — |
| CT pelvis w&w/o contrast (72194) | — | $2,743.75 | — |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
— | $2,161.50–$2,368 | — |
| CT scan of leg combo (73702) | — | $2,137.75 | — |
| CT scans face/jaw combo (70488) | — | $2,408.75 | — |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
— | $2,081.75–$2,875 | — |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
— | $1,359.75–$2,368 | — |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
— | $2,081.75–$2,295.75 | — |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
— | $2,161.50–$2,674 | — |
| CT upper ext wo (73200) range across 4 matching MRF lines |
— | $1,434.50–$2,368 | — |
| CT upper extremity w/o & w/contrast material (73202) | — | $2,165.75 | — |
| CT upper extremity with contrast (73201) | — | $2,081.75 | — |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
— | $1,962.75–$2,970 | — |
| Cta Abdomen (74175) | — | $1,962.75 | — |
| CTA pelvis (72191) | — | $1,183.25 | — |
| Dxa Bone Density Axial (77080) | — | $601.25 | — |
| Dxa bone density study (77085) | — | $193.25 | — |
| Dxa bone density study 1/>sites appendiclr skel (77081) | — | $342.75 | — |
| Echo Guide For Artery Repair (76936) | — | $739.25 | — |
| Esophagram (74220) | — | $498.75 | — |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
— | $1,408.25–$1,691 | — |
| Follow-Up Angiography (75898) | — | $6,726.25 | — |
| Foot 2 views (73620) | — | $212.75 | — |
| Forearm 2 views (73090) range across 4 matching MRF lines |
— | $247.75–$335.25 | — |
| Gastric emptying imaging study (78264) | — | $2,064.50 | — |
| Gastroesophageal Reflux Exam (78262) | — | $442 | — |
| Gated Heart Planar Single (78472) | — | $3,391.75 | — |
| Gated Heart, Multiple (78473) | — | $762.25 | — |
| Hand 2 views (73120) | — | $212.75 | — |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | — | $7,892 | — |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | — | $7,892 | — |
| Hepatobil Syst Image W/Drug (78227) | — | $2,102 | — |
| Hepatobiliary System Imaging (78226) | — | $2,102 | — |
| Ht Muscle Image Spect Sing (78451) | — | $3,001.50 | — |
| Hysterosalpingogram (74740) | — | $838.50 | — |
| Infant hip ultrasound, limited static exam (76886) | — | $393 | — |
| Interstitial radiation source applic complex (77778) | — | $5,493.25 | — |
| K Flow/Funct Image W/Drug (78708) | — | $1,682.50 | — |
| K Flow/Funct Image W/O Drug (78707) | — | $1,406.25 | — |
| Kidney Imaging Morphol (78700) | — | $922.75 | — |
| Knee 3 Views (73562) | — | $458.50 | — |
| Leveen/Shunt Patency Exam (78291) | — | $1,001 | — |
| Liver & Spleen Imaging Static Only (78215) | — | $1,677.50 | — |
| Lung perfusion differential (78597) | — | $1,420.75 | — |
| Lung Ventilat&Perfus Imaging (78582) | — | $2,923.25 | — |
| Lymph System Imaging (78195) | — | $1,042.50 | — |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | — | $3,245.75 | — |
| Lymphangiography extremity only unilateral rs&i (75801) | — | $1,298.50 | — |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | — | $6,876.50 | — |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | — | $6,876 | — |
| Magnetic Image Jaw Joint (70336) | — | $1,611.75 | — |
| Meckels Divert Exam (78290) | — | $1,091.25 | — |
| Mra Head W/O & W/Contrast Material (70546) | — | $2,839.25 | — |
| MRA head w/o contrast (70544) | — | $3,399 | — |
| MRA neck w contrast (70548) | — | $2,555.25 | — |
| MRA neck w/o contrast (70547) | — | $3,399 | — |
| MRI abdomen w/o contrast (74181) | — | $3,399 | — |
| MRI any jt lower extrem w/contrast material (73722) | — | $1,763 | — |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | — | $3,399 | — |
| MRI any jt upper extremity w/contrast matrl (73222) | — | $1,763 | — |
| MRI Breast W/O Contrast Bilateral (77047) | — | $866 | — |
| MRI cervical spine w contrast (72142) | — | $2,998 | — |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
— | $2,383.50–$3,399 | — |
| MRI chest w/o contrast (71550) | — | $2,050.50 | — |
| MRI chest wo w contrast (71552) | — | $2,870 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | — | $3,399 | — |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
— | $2,465.25–$3,399 | — |
| MRI lumbar spine w contrast (72149) | — | $2,807.50 | — |
| Mri Neck Spine W/O & W/Dye (72156) | — | $3,796.75 | — |
| MRI orbit face &/neck w/o contrast (70540) | — | $2,450 | — |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | — | $3,002 | — |
| MRI pelvis w/o & w contrast (72197) | — | $3,399 | — |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
— | $2,143–$3,399 | — |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
— | $2,383.50–$3,399 | — |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
— | $2,465.25–$3,399 | — |
| Mri Uppr Extremity W/O&W/Dye (73220) | — | $3,399 | — |
| MRI, abdomen, combo (74183) | — | $3,399 | — |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
— | $3,082–$3,399 | — |
| MRI, dorsal spine contrast (72147) | — | $3,399 | — |
| MRI, joint upper extrem (73221) range across 10 matching MRF lines |
— | $2,465.25–$3,399 | — |
| MRI, joint upper extrem combo (73223) | — | $3,080.25 | — |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
— | $3,083.25–$3,399 | — |
| Myelogram cervical (72240) | — | $813.75 | — |
| Myelogram Lumbar (72265) | — | $1,441.75 | — |
| Myelography thoracic (72255) | — | $1,721.75 | — |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | — | $484.25 | — |
| Myocardial Spect Multiple Studies (78452) | — | $4,145.75 | — |
| N-invas est c ffr sw aly CTA (75580) | — | $4,400 | — |
| Neck soft tissue (70360) range across 2 matching MRF lines |
— | $203.50–$327 | — |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | — | $663 | — |
| Nonvascular Shunt X-Ray (75809) | — | $585.75 | — |
| Nuclear Rx Oral Admin (79005) | — | $3,513.25 | — |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | — | $161.50 | — |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | — | $291.50 | — |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | — | $28 | — |
| Parathyroid imaging w/tomographic spect & CT (78072) | — | $1,480.50 | — |
| Parathyroid Planar Imaging (78070) | — | $408 | — |
| Parathyroid planar imaging w/wo subtraction (78071) | — | $945 | — |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
— | $237–$247.75 | — |
| Pet Image W/Ct Lmtd (78814) | — | $7,509.50 | — |
| PET image w/CT, full body (78816) | — | $7,509.50 | — |
| PET imaging CT attenuation skull base mid-thigh (78815) | — | $7,509.50 | — |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | — | $7,892 | — |
| Pulmonary Perfusion Imaging Particulate (78580) | — | $1,245 | — |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
— | $354.50–$661.75 | — |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
— | $914.50–$938 | — |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
— | $286–$361 | — |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
— | $258.50–$298.50 | — |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
— | $286–$335.25 | — |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
— | $378.75–$483.50 | — |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
— | $212.75–$312.50 | — |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
— | $274.25–$335.25 | — |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
— | $318–$335.25 | — |
| Radex lower extremity infant minimum 2 views (73592) | — | $335.25 | — |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | — | $519.25 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
— | $371.25–$372.75 | — |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
— | $411.25–$463 | — |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
— | $258.50–$354.25 | — |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
— | $153–$180.25 | — |
| Radex Sternum Minimum 2 Views (71120) | — | $335.25 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | — | $367.25 | — |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
— | $212.75–$263.25 | — |
| Radex upper extremity infant minimum 2 views (73092) | — | $479.75 | — |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
— | $286–$361 | — |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
— | $446.50–$498.75 | — |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | — | $263.50 | — |
| Radiologic exam colon double contrast study (74280) | — | $959.75 | — |
| Radiologic exam colon single contrast study (74270) | — | $661.75 | — |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
— | $308.25–$610.50 | — |
| Radiologic exam pelvis compl minimum 3 views (72190) | — | $371.25 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) | — | $554.25 | — |
| Radiologic exam swallow function contrast study (74230) | — | $616 | — |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
— | $705.50–$1,162.50 | — |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
— | $301.25–$334.75 | — |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
— | $307.50–$324.75 | — |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
— | $307.50–$335.25 | — |
| Ribs bilateral 3 views (71110) | — | $924.25 | — |
| Rp loclzj tum plnr 1 area single day imaging (78800) | — | $863.25 | — |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
— | $1,664–$3,979.75 | — |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | — | $2,237 | — |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
— | $1,585–$1,751.50 | — |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | — | $3,184.25 | — |
| Rp Therapy Intravenous Administration (79101) | — | $877.75 | — |
| Scapula (73010) | — | $335.25 | — |
| Screening Digital Breast Tomosynthesis Bi (77063) | — | $79.50 | — |
| Shoulder 1 view (73020) | — | $129.25 | — |
| Shoulder Arthrography (73040) | — | $466.25 | — |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
— | $346.25–$354.25 | — |
| Special dosimetry (77331) | — | $925.75 | — |
| Special Physics Consult (77370) | — | $419 | — |
| Special treatment procedure (77470) | — | $823.75 | — |
| Sternoclavicular joints (71130) | — | $335.25 | — |
| Superior sagittal sinus venogram (75870) | — | $2,758.75 | — |
| Testicular Imaging W/Flow (78761) | — | $709.50 | — |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | — | $1,015 | — |
| Ther rad simulaj-aided field setting simple (77280) | — | $403 | — |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
— | $384.50–$519.25 | — |
| Thyroid Imaging With Vascular Flow (78013) | — | $600.25 | — |
| Thyroid Met Imaging Body (78018) | — | $1,147.25 | — |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | — | $1,374.25 | — |
| Tx Devices Design & Construction Complex (77334) | — | $691.25 | — |
| Tx devices design & construction simple (77332) | — | $451.25 | — |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
— | $143–$513.50 | — |
| Ultrasound Elastography Parenchyma (76981) | — | $117 | — |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
— | $328.75–$759.50 | — |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
— | $291.50–$1,279.50 | — |
| Unlisted us procedure (76999) | — | $141.75 | — |
| Upper gi w/o kub (74240) | — | $600 | — |
| Ureteral Reflux Study (78740) | — | $642 | — |
| Urethrocystogram voiding (74455) | — | $720.50 | — |
| Urethrocystography retrograde (74450) | — | $464.25 | — |
| Us breast unilateral complete (76641) | — | $513.50 | — |
| Us chest (76604) range across 2 matching MRF lines |
— | $281.25–$291.50 | — |
| Us complete joint (76881) | — | $563.50 | — |
| Us exam, pelvic, limited (76857) | — | $291.50 | — |
| Us kidney transplant (76776) | — | $375.50 | — |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
— | $291.50–$757.50 | — |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
— | $291.50–$644.50 | — |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
— | $291.50–$1,153.75 | — |
| Us pelvic non ob complete (76856) | — | $739.25 | — |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | — | $1,153.75 | — |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
— | $759.50–$1,218.25 | — |
| Us retroperitoneal limited (76775) | — | $291.50 | — |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
— | $291.50–$466.75 | — |
| Us thyroid (76536) range across 2 matching MRF lines |
— | $759.50–$817.75 | — |
| Us transrectal (76872) | — | $266.93 | — |
| Vein X-Ray Chest (75827) | — | $1,429.75 | — |
| Vein X-Ray Liver W/O Hemodyn (75887) | — | $2,758.75 | — |
| Vein X-Ray Skull Epidural (75872) | — | $7,245.75 | — |
| Venogram Sinus/Jugular (75860) | — | $7,245.75 | — |
| Venography Adrenal Unilateral (75840) | — | $7,892 | — |
| Venography caval inferior serialography rs&i (75825) | — | $3,103 | — |
| Venography extremity bilateral rs&i (75822) | — | $2,758.75 | — |
| Venography extremity unilateral rs&i (75820) | — | $3,305.25 | — |
| Venography Renal Bilateral (75833) | — | $7,892 | — |
| Venography Renal Unilateral (75831) | — | $7,892 | — |
| Venous sampling by catheter (75893) | — | $7,892 | — |
| Wrist 2 views (73100) | — | $361 | — |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | — | $354.25 | — |
| X-Ray Aorta Leg Arteries (75630) | — | $3,665.50 | — |
| X-Ray Bend Only L-S Spine (72120) | — | $169.25 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | — | $212.75 | — |
| X-Ray Exam Breast Specimen (76098) | — | $938 | — |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
— | $645.50–$661.75 | — |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | — | $967 | — |
| X-Ray Exam Hip Uni 1 View (73501) | — | $126.75 | — |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 7 matching MRF lines |
— | $403–$679.50 | — |
| X-Ray Exam Hips Bi 2 Views (73521) | — | $256.25 | — |
| X-Ray Exam Hips Bi 3-4 Views (73522) | — | $277.50 | — |
| X-Ray Exam Hips Bi 5/> Views (73523) | — | $527.50 | — |
| X-Ray Exam L-S Spine Bending (72114) | — | $813.75 | — |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
— | $371.25–$406.50 | — |
| X-Ray Exam Neck Spine 6/>Vws (72052) | — | $645.50 | — |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
— | $391.50–$738.50 | — |
| X-ray humerus (73060) range across 4 matching MRF lines |
— | $279.50–$298.50 | — |
| X-ray IV pyelogram (ivp) (74400) | — | $1,158.25 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
— | $307.50–$460.75 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
— | $426.50–$454.50 | — |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
— | $169.25–$204.50 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
— | $757.50–$1,200 | — |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | — | $371.25 | — |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
— | $346.25–$354.25 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
— | $465.75–$519.25 | — |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
— | $481.25–$580 | — |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | — | $602.50 | — |
| X-Rays Bone Length Studies (77073) | — | $337 | — |
| X-Rays Bone Survey Complete (77075) | — | $417.25 | — |
| Xr c-spine 4 or 5 views (72050) | — | $537.25 | — |
| XR Mastoids < 3 Views Bilateral (70120) | — | $519.25 | — |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
— | $394.75–$426.50 | — |
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.