Imaging prices at Finley Hospital
Dubuque, IA · every code in this section with a posted price and a Medicare benchmark.
273 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) | $6,418.03 | $8,022.53 | 4.7× |
| Abdomen 1 View (74018) | $131.86 | $164.82 | 1.5× |
| Abdomen 2 views (74019) | $177.33 | $221.66 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,215.77 | $1,519.71 | 3.1× |
| Angio pulmonary bilat (75743) | $3,128.09 | $3,910.11 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $3,342.69 | $4,178.36 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $2,827.10 | $3,533.87 | 0.9× |
| Ankle 2 views (73600) | $205.51 | $256.88 | 2.4× |
| Artery X-Rays Abdomen (75726) | $9,783.72 | $12,229.64 | 1.8× |
| Arthrogram hip (73525) | $587.43 | $734.28 | 1.7× |
| Arthrogram Wrist (73115) | $484.68 | $605.84 | 1.4× |
| Basic radiation dosimetry calculation (77300) | $329.18 | $411.47 | 2.5× |
| Bone age studies (77072) | $205.51 | $256.88 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,119.39 | $1,399.23 | 2.8× |
| Bone Imaging Limited Area (78300) | $723.83 | $904.78 | 1.8× |
| Bone Imaging Whole Body (78306) | $894.79 | $1,118.48 | 2.3× |
| Bone survey infant (77076) | $565.60 | $706.99 | 5.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,003.73 | $1,254.66 | 1.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,964.40 | $3,705.50 | 2.1× |
| Chest 1 view (71045) | $190.96 | $238.69 | 2.2× |
| Chest 2 views (71046) | $195.51 | $244.38 | 2.3× |
| Chest 3 views (71047) | $207.34 | $259.17 | 2.4× |
| Chest 4 or more views (71048) | $216.43 | $270.53 | 2.1× |
| Clavicle complete (73000) | $203.69 | $254.61 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $192.67 | $240.83 | 1.9× |
| Continuing medical physics consltj pr wk (77336) | $395.56 | $494.45 | 3.0× |
| Contrast Exam Abdominl Aorta (75625) | $3,342.69 | $4,178.36 | 1.1× |
| Contrast X-Ray Bladder (74430) | $561.96 | $702.45 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $805.47 | $1,006.83 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,903.48 | $3,629.35 | 8.4× |
| CT abdomen and pelvis without contrast (74176) | $2,114.19 | $2,642.73 | 8.9× |
| CT abdomen w contrast (74160) | $1,745 | $2,181.24 | 10.0× |
| CT abdomen w wo contrast (74170) | $1,864.12 | $2,330.15 | 10.7× |
| CT abdomen w/o contrast (74150) | $1,251.24 | $1,564.04 | 12.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,278.52 | $1,598.14 | 3.7× |
| CT Angio Chest (71275) | $2,579.76 | $3,224.70 | 14.8× |
| CT Angio Head (70496) | $2,579.76 | $3,224.70 | 14.8× |
| CT angio hrt w/3d image (75574) | $1,588.60 | $1,985.74 | 4.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,833.20 | $2,291.50 | 10.5× |
| CT Angio Neck (70498) | $2,579.76 | $3,224.70 | 14.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,291.50 | $2,864.37 | 13.1× |
| CT cervical spine w/ contrast (72126) | $4,255.32 | $5,319.14 | 12.3× |
| CT cervical spine w/o contrast (72125) | $1,216.44 | $1,520.55 | 11.7× |
| CT cervical spine w/wo cont (72127) | $2,032.96 | $2,541.20 | 11.7× |
| CT chest w contrast (71260) | $1,653.16 | $2,066.44 | 9.5× |
| CT chest w/wo contrast (71270) | $1,812.29 | $2,265.36 | 10.4× |
| CT head/brain with contrast (70460) | $1,594.96 | $1,993.70 | 9.1× |
| CT head/brain without and with contrast (70470) | $1,624.07 | $2,030.08 | 9.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $451.03 | $563.78 | 1.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $88 | $110 | 1.0× |
| CT iac w contrast (70481) | $1,544.04 | $1,930.04 | 8.9× |
| CT l-spine w&w/o contrast (72133) | $1,707.72 | $2,134.64 | 9.8× |
| CT lower ext w/o (73700) | $1,303.07 | $1,628.83 | 12.5× |
| CT lower extremity w/contrast material (73701) | $1,776.83 | $2,221.03 | 10.2× |
| CT lumbar spine w contrast (72132) | $1,380.36 | $1,725.44 | 4.0× |
| CT lumbar spine w/o contrast (72131) | $1,224.87 | $1,531.08 | 11.8× |
| CT maxillofacial w contrast (70487) | $1,614.05 | $2,017.56 | 9.3× |
| CT maxillofacial wo contrast (70486) | $1,124.84 | $1,406.04 | 10.8× |
| CT neck tissue combo (70492) | $1,673.16 | $2,091.45 | 9.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,229.67 | $2,787.08 | 12.8× |
| CT orbits w/o contrast (70480) | $1,400.36 | $1,750.45 | 13.5× |
| CT pelvis w&w/o contrast (72194) | $1,782.28 | $2,227.85 | 10.2× |
| CT pelvis w/o contrast (72192) | $951.16 | $1,188.94 | 9.2× |
| CT scans face/jaw combo (70488) | $1,620.43 | $2,025.53 | 9.3× |
| CT soft tissue neck w contrast (70491) | $1,505.84 | $1,882.30 | 8.6× |
| CT soft tissue neck w/o contrast (70490) | $1,253.05 | $1,566.31 | 12.1× |
| CT thoracic spine w contrast (72129) | $1,690.32 | $2,112.89 | 9.7× |
| CT thoracic spine w/o contrast (72128) | $1,224.87 | $1,531.08 | 11.8× |
| CT thoracic spine w/wo cont (72130) | $2,086.91 | $2,608.63 | 12.0× |
| CT thorax w/o contrast (71250) | $1,072.10 | $1,340.12 | 10.3× |
| CT upper ext wo (73200) | $1,303.07 | $1,628.83 | 12.5× |
| CT upper extremity with contrast (73201) | $1,776.83 | $2,221.03 | 5.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,769.81 | $3,462.26 | 15.9× |
| Cta Abdomen (74175) | $2,507.92 | $3,134.90 | 14.4× |
| Diskography lumbar (72295) | $2,881.65 | $3,602.06 | 1.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $222.17 | $277.71 | 2.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $222.17 | $277.71 | 2.1× |
| Dxa Bone Density Axial (77080) | $350.11 | $437.63 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $287.08 | $358.85 | 3.3× |
| Echo exam of fetal heart (76825) | $986.06 | $1,232.57 | 1.8× |
| Echo exam uterus (76831) | $484.68 | $605.84 | 2.0× |
| Echo Guide For Artery Repair (76936) | $239.16 | $298.94 | 1.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $469.57 | $586.96 | 2.0× |
| Esophagram (74220) | $381.01 | $476.26 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $247.33 | $309.16 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $296.44 | $370.55 | 1.2× |
| Foot 2 views (73620) | $195.51 | $244.38 | 2.3× |
| Forearm 2 views (73090) | $205.51 | $256.88 | 2.4× |
| Gastric emptying imaging study (78264) | $1,636.79 | $2,045.98 | 4.1× |
| Gated Heart Planar Single (78472) | $891.32 | $1,114.14 | 2.2× |
| Hand 2 views (73120) | $195.51 | $244.38 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) | $2,158.08 | $2,697.60 | 4.0× |
| Hepatobiliary System Imaging (78226) | $1,646.77 | $2,058.46 | 4.1× |
| Ht Muscle Image Spect Sing (78451) | $2,683.51 | $3,354.38 | 2.1× |
| Hysterosalpingogram (74740) | $518.32 | $647.89 | 2.2× |
| K Flow/Funct Image Multiple (78709) | $1,198.36 | $1,497.95 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,541.32 | $1,926.64 | 2.9× |
| K Flow/Funct Image W/O Drug (78707) | $995.59 | $1,244.48 | 1.8× |
| Knee 3 Views (73562) | $307.36 | $384.19 | 3.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $795.67 | $994.58 | 2.0× |
| Lung perfusion differential (78597) | $737.47 | $921.83 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,149.40 | $1,436.74 | 2.1× |
| Lymph System Imaging (78195) | $1,272.16 | $1,590.19 | 2.4× |
| Meckels Divert Exam (78290) | $1,243.05 | $1,553.81 | 3.1× |
| Mlc imrt design & construction per imrt plan (77338) | $1,000.27 | $1,250.33 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,153.28 | $2,691.60 | 6.2× |
| MRA head w/o contrast (70544) | $966.61 | $1,208.26 | 4.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,316.97 | $2,896.21 | 6.7× |
| MRA neck w/o contrast (70547) | $1,132.12 | $1,415.14 | 4.8× |
| MRI abdomen w/o contrast (74181) | $1,614.97 | $2,018.71 | 6.8× |
| MRI any jt lower extrem w/contrast material (73722) | $2,030.53 | $2,538.16 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,411.53 | $3,014.41 | 7.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,238.76 | $2,798.44 | 2.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $426.48 | $533.09 | 1.8× |
| MRI cervical spine w contrast (72142) | $2,230.70 | $2,788.37 | 6.4× |
| MRI cervical spine w/o cont (72141) | $1,421.35 | $1,776.68 | 6.0× |
| MRI chest w/o contrast (71550) | $1,595.87 | $1,994.83 | 6.7× |
| MRI chest wo w contrast (71552) | $2,517.01 | $3,146.26 | 7.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,030.53 | $2,538.16 | 5.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,531.56 | $3,164.45 | 7.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,639.52 | $2,049.39 | 6.9× |
| MRI lumbar spine w contrast (72149) | $2,741.24 | $3,426.54 | 7.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,230.68 | $2,788.34 | 6.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,764.10 | $2,205.12 | 7.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,511.56 | $3,139.45 | 7.2× |
| MRI pelvis w/o & w contrast (72197) | $2,511.56 | $3,139.45 | 7.2× |
| MRI pelvis w/o contrast (72195) | $1,595.87 | $1,994.83 | 6.7× |
| MRI thoracic spine w/o contrast (72146) | $1,595.87 | $1,994.83 | 6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,639.52 | $2,049.39 | 6.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,592.49 | $3,240.61 | 7.5× |
| MRI, abdomen, combo (74183) | $2,361.52 | $2,951.90 | 6.8× |
| MRI, dorsal spine combo (72157) | $2,741.24 | $3,426.54 | 7.9× |
| MRI, dorsal spine contrast (72147) | $2,521.56 | $3,151.94 | 7.3× |
| MRI, joint upper extrem (73221) | $1,639.52 | $2,049.39 | 6.9× |
| MRI, joint upper extrem combo (73223) | $2,683.42 | $3,354.27 | 7.7× |
| MRI, lumbar spine combo (72158) | $2,707.98 | $3,384.97 | 7.8× |
| Myocardial Spect Multiple Studies (78452) | $2,186.93 | $2,733.66 | 1.7× |
| Neck soft tissue (70360) | $131.86 | $164.82 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,569.63 | $6,962.03 | 4.0× |
| Parathyroid Planar Imaging (78070) | $1,811.39 | $2,264.23 | 4.6× |
| Pelvis 1 or 2 views (72170) | $209.15 | $261.43 | 2.0× |
| PET image w/CT, full body (78816) | $4,973.11 | $6,216.38 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,973.11 | $6,216.38 | 3.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $785.65 | $982.06 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $343.73 | $429.66 | 3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $986.06 | $1,232.57 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $213.69 | $267.11 | 2.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $205.51 | $256.88 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $209.15 | $261.43 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $267.35 | $334.18 | 2.6× |
| Radex fingr minimum 2 views (73140) | $205.51 | $256.88 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $205.51 | $256.88 | 2.4× |
| Radex Hand Minimum 3 Views (73130) | $205.51 | $256.88 | 2.4× |
| Radex lower extremity infant minimum 2 views (73592) | $106.39 | $132.98 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $230.97 | $288.71 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $284.62 | $355.77 | 3.3× |
| Radex shoulder complete minimum 2 views (73030) | $222.80 | $278.49 | 2.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $193.69 | $242.11 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $151.86 | $189.82 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $341.92 | $427.39 | 4.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $288.73 | $360.91 | 3.3× |
| Radex Toe Minimum 2 Views (73660) | $205.51 | $256.88 | 2.4× |
| Radex upper extremity infant minimum 2 views (73092) | $204.60 | $255.75 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $205.51 | $256.88 | 2.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $16,049.40 | $20,061.74 | 2.2× |
| Radiation treatment delivery level 1 (77402) | $404.65 | $505.81 | 4.0× |
| Radiation treatment delivery level 3 (77412) | $738.37 | $922.96 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $376.47 | $470.58 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $204.60 | $255.75 | 2.0× |
| Radiologic exam colon double contrast study (74280) | $718.36 | $897.95 | 4.1× |
| Radiologic exam colon single contrast study (74270) | $755.65 | $944.56 | 4.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $384.38 | $480.47 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) | $370.09 | $462.61 | 3.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $220.06 | $275.07 | 2.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $774.76 | $968.44 | 4.4× |
| Radiologic exam swallow function contrast study (74230) | $412.84 | $516.04 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $498.31 | $622.88 | 2.9× |
| Radiologic examination femur 1 view (73551) | $259.16 | $323.95 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) | $259.16 | $323.95 | 3.0× |
| Radiologic examination knee 1/2 views (73560) | $205.51 | $256.88 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $222.80 | $278.49 | 2.6× |
| Ribs bilateral 3 views (71110) | $393.75 | $492.18 | 3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $923.12 | $1,153.90 | 2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,061.59 | $1,326.98 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,364.25 | $2,955.31 | 4.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,536.38 | $3,170.47 | 4.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,683.42 | $3,354.27 | 2.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,043.52 | $3,804.39 | 2.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,683.42 | $3,354.27 | 2.1× |
| Scapula (73010) | $320.08 | $400.10 | 3.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $22.74 | $28.42 | 1.0× |
| Shoulder 1 view (73020) | $203.69 | $254.61 | 2.4× |
| Shoulder Arthrography (73040) | $494.68 | $618.35 | 1.4× |
| Skull less than 4 views (70250) | $232.98 | $291.22 | 2.2× |
| Special dosimetry (77331) | $380.10 | $475.12 | 2.8× |
| Special Physics Consult (77370) | $657.44 | $821.80 | 4.9× |
| Special teletherapy port plan (77321) | $1,624.97 | $2,031.21 | 4.4× |
| Special treatment procedure (77470) | $2,171.48 | $2,714.34 | 4.0× |
| Stereotactic Body Radiation Delivery (77373) | $10,023.49 | $12,529.36 | 5.6× |
| Sternoclavicular joints (71130) | $341.92 | $427.39 | 4.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,015.72 | $1,269.64 | 2.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $578.34 | $722.92 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,870.48 | $2,338.10 | 5.0× |
| Ther rad simulaj-aided field setting simple (77280) | $1,133.03 | $1,416.28 | 8.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $718.36 | $897.95 | 4.1× |
| Thoracic spine 2 views (72070) | $249.16 | $311.44 | 2.4× |
| Thoracic spine 3 views (72072) | $320.08 | $400.10 | 3.1× |
| Thoracolumbar 2 views (72080) | $199.24 | $249.04 | 2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $489.22 | $611.52 | 1.2× |
| Tx Devices Design & Construction Complex (77334) | $900.24 | $1,125.30 | 2.4× |
| Tx devices design & construction intermediate (77333) | $559.24 | $699.04 | 4.2× |
| Tx devices design & construction simple (77332) | $555.60 | $694.50 | 4.2× |
| Ultrasound Breast Limited (76642) | $312.82 | $391.02 | 3.6× |
| Ultrasound Exam Aaa Screen (76706) | $269.16 | $336.45 | 2.6× |
| Ultrasound, abdomen limited (76705) | $586.52 | $733.14 | 5.6× |
| Upper gi w/o kub (74240) | $440.12 | $550.14 | 2.5× |
| Urethrocystogram voiding (74455) | $583.80 | $729.74 | 2.5× |
| Urethrocystography retrograde (74450) | $405.57 | $506.96 | 1.7× |
| Us breast unilateral complete (76641) | $312.82 | $391.02 | 3.0× |
| Us chest (76604) | $805.67 | $1,007.08 | 7.8× |
| Us complete joint (76881) | $497.40 | $621.75 | 4.8× |
| Us exam, pelvic, limited (76857) | $207.34 | $259.17 | 2.0× |
| Us head (76506) | $617.44 | $771.79 | 5.9× |
| Us kidney transplant (76776) | $230.07 | $287.58 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $497.40 | $621.75 | 4.8× |
| Us ob limited 1 or more fetuses (76815) | $210.07 | $262.58 | 2.0× |
| Us ob transvaginal (76817) | $608.34 | $760.42 | 5.9× |
| Us pelvic non ob complete (76856) | $779.30 | $974.12 | 7.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $645.63 | $807.03 | 6.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $270.99 | $338.73 | 2.6× |
| Us retroperitoneal complete (76770) | $937.52 | $1,171.90 | 9.0× |
| Us retroperitoneal limited (76775) | $481.04 | $601.29 | 4.6× |
| Us scrotum and contents (76870) | $819.31 | $1,024.13 | 7.9× |
| Us spinal canal and contents (76800) | $893.88 | $1,117.34 | 8.6× |
| Us thyroid (76536) | $561.06 | $701.32 | 5.4× |
| Venography caval inferior serialography rs&i (75825) | $3,342.69 | $4,178.36 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $2,883.90 | $3,604.87 | 1.8× |
| Venography extremity unilateral rs&i (75820) | $2,883.90 | $3,604.87 | 1.8× |
| Wrist 2 views (73100) | $195.51 | $244.38 | 2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $250.07 | $312.58 | 2.9× |
| X-ray antegrade pyelogram tube (74425) | $648.35 | $810.43 | 1.9× |
| X-Ray Aorta Leg Arteries (75630) | $3,201.73 | $4,002.16 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $299.18 | $373.97 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $203.69 | $254.61 | 2.4× |
| X-Ray Exam Breast Specimen (76098) | $490.12 | $612.65 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $201.93 | $252.41 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $244.29 | $305.36 | 2.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $244.29 | $305.36 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $242.79 | $303.48 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $242.79 | $303.48 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $291.90 | $364.87 | 2.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $291.90 | $364.87 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $291.90 | $364.87 | 2.8× |
| X-Ray Exam L-S Spine Bending (72114) | $561.06 | $701.32 | 5.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $269.16 | $336.45 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $389.20 | $486.50 | 3.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $365.56 | $456.94 | 3.5× |
| X-ray eye for foreign body (70030) | $149.13 | $186.41 | 1.7× |
| X-ray humerus (73060) | $260.08 | $325.09 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $244.61 | $305.76 | 2.4× |
| X-ray nose-rectum child f.b. (76010) | $168.97 | $211.21 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $521.04 | $651.30 | 5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $275.53 | $344.41 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $220.06 | $275.07 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $341.92 | $427.39 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $232.98 | $291.22 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $320.08 | $400.10 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $585.61 | $732.01 | 1.7× |
| X-Rays Bone Length Studies (77073) | $400.11 | $500.13 | 3.8× |
| X-Rays Bone Survey Complete (77075) | $1,023 | $1,278.75 | 9.8× |
| Xr c-spine 4 or 5 views (72050) | $289.16 | $361.45 | 2.8× |
| Xr facial bones less than 3 views (70140) | $182.64 | $228.30 | 2.1× |
| Xr orbits complete 4 views (70200) | $204.60 | $255.75 | 2.0× |