Imaging prices at Foothills Hospital

Boulder, CO · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $2,591 $5,182 1.8×
Abdomen 2 views (74019) $819 $1,638 7.3×
Acute gastrointestinal blood loss imaging (78278) $2,629.50 $5,259 6.2×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $4,462.50 $8,925 1.3×
Angiography extremity bilateral rs&i (75716) $9,837 $19,674 2.9×
Angiography extremity unilateral rs&i (75710) $10,112.50 $20,225 3.0×
Angiography internal mammary rs&i (75756) $4,462.50 $8,925 1.3×
Angiography pelvic slctv/supraslctv rs&i (75736) $4,422.50 $8,845 0.7×
Angiography pulmonary bilateral slctv rs&i (75743) $5,045 $10,090 1.5×
Angiography pulmonary unilateral slctv rs&i (75741) $4,212.50 $8,425 1.3×
Angiography Spinal Selective Rs&I (75705) $6,630 $13,260 1.1×
Angiography visceral slctv/supraslctv rs&i (75726) $4,422.50 $8,845 0.7×
Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) $5,097.50 $10,195 1.5×
Ankle 2 views (73600) $599.50 $1,199 6.5×
Antegrade urography radiological supvj & interpj (74425) $2,516 $5,032 6.8×
Aortogram thoracic (75605) $4,070.50 $8,141 0.7×
Aortography abdl bi iliofem low extrem cath rs&i (75630) $5,533.50 $11,067 1.6×
Aortography abdominal serialography rs&i (75625) $8,471.75 $16,943.50 2.5×
Aortography thoracic w/o serialography rs&i (75600) $32.50 $65 0.0×
Artery X-Rays Adrenal Gland (75731) $3,545 $7,090 1.1×
Arthrogram elbow (73085) $2,037.50 $4,075 5.5×
Arthrogram hip (73525) $2,017 $4,034 5.4×
Arthrogram shoulder (73040) $1,709.50 $3,419 4.6×
Arthrogram wrist (73115) $1,643 $3,286 4.4×
Arthrography knee lt (73580) $1,681.50 $3,363 4.5×
Basic radiation dosimetry calculation (77300) $1,779 $3,558 12.4×
Bone &/Joint Imaging Limited Area (78300) $1,992 $3,984 4.7×
Bone &/Joint Imaging Multiple Areas (78305) $2,404 $4,808 5.6×
Bone &/joint imaging whole body (78306) $3,136 $6,272 7.4×
Bone age studies (77072) $661 $1,322 5.9×
Bone Imaging 3 Phase (78315) $3,772.50 $7,545 8.8×
Bone survey complete (77075) $794 $1,588 7.1×
Brain Imaging Vascular Flow Only (78610) $2,070.50 $4,141 3.6×
Cardiac MRI w/w/o contrast & further seq (75561) $2,542.50 $5,085 6.8×
Cardiac shunt detection (78428) $3,378 $6,756 7.9×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $3,042.50 $6,085 5.3×
Cervical spine 2 or 3 views (72040) $798 $1,596 8.6×
Chest 1 view (71045) $599.50 $1,199 6.5×
Chest 3 views (71047) $700 $1,400 7.5×
Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) $1,623.50 $3,247 8.7×
Clavicle complete (73000) $642.50 $1,285 6.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $622 $1,244 5.6×
Corpora cavernosography (74445) $7,214.50 $14,429 64.7×
CT abdomen and pelvis without and with contrast (74178) $2,102 $4,204 5.6×
CT abdomen and pelvis without contrast (74176) $2,102 $4,204 8.3×
CT abdomen w contrast (74160) $2,102 $4,204 11.2×
CT abdomen w wo contrast (74170) $2,102 $4,204 11.2×
CT abdomen w/o contrast (74150) $2,102 $4,204 18.9×
CT angio hrt w/3d image (75574) $2,102 $4,204 5.6×
CT angiography upper extremity lt (73206) $2,102 $4,204 11.2×
CT c-spine w/o contrast (72125) $2,102 $4,204 18.9×
CT cervical spine w&w/o contrast (72127) $2,102 $4,204 11.2×
CT cervical spine with contrast (72126) $2,102 $4,204 5.6×
CT chest with contrast (71260) $2,102 $4,204 11.2×
CT colonography screening (74263) $622 $1,244 2.4×
CT colonography w/dye (74262) $286 $572 1.5×
CT colonography w/o cntrst (74261) $1,944.50 $3,889 17.4×
CT head/brain with contrast (70460) $2,102 $4,204 11.2×
CT head/brain without and with contrast (70470) $2,102 $4,204 11.2×
CT heart contrast eval cardiac structure&morph (75572) $2,102 $4,204 5.6×
CT heart no contrast quant eval coronry calcium (75571) $622 $1,244 6.7×
CT iac w contrast (70481) $2,102 $4,204 11.2×
CT lower ext w/o (73700) $2,102 $4,204 18.9×
CT lower extremity w wo contrast (73702) $2,102 $4,204 11.2×
CT lower extremity with contrast (73701) $2,102 $4,204 11.2×
CT lumbar spine w & w/o contrast (72133) $2,102 $4,204 11.2×
CT lumbar spine w/o contrast (72131) $2,102 $4,204 18.9×
CT lumbar spine with contrast (72132) $2,102 $4,204 5.6×
CT maxillofacial w contrast (70487) $2,102 $4,204 11.2×
CT maxillofacial w/o contrast (70486) $2,102 $4,204 18.9×
CT maxillofacial w/wo contrast (70488) $1,944.50 $3,889 10.4×
CT neck soft tissue w contrast (70491) $2,102 $4,204 11.2×
CT orbit sella/post fossa/ear w/o & w/contr matr (70482) $2,102 $4,204 11.2×
CT orbits w/o contrast (70480) $2,102 $4,204 18.9×
CT pelvis w & w/o contrast (72194) $2,102 $4,204 11.2×
CT pelvis w/o contrast (72192) $2,102 $4,204 18.9×
CT soft tissue neck w/o & w/contrast material (70492) $2,102 $4,204 11.2×
CT soft tissue neck w/o contrast (70490) $2,102 $4,204 18.9×
CT thoracic spine w/contrast (72129) $2,102 $4,204 11.2×
CT thoracic spine w/o contrast (72128) $2,102 $4,204 18.9×
CT thoracic spine w/wo contrast (72130) $2,102 $4,204 11.2×
CT thorax w/o contrast (71250) $1,944.50 $3,889 17.4×
CT upper extremity w/o & w/contrast material (73202) $2,102 $4,204 11.2×
CT upper extremity w/o contrast rt (73200) $2,102 $4,204 18.9×
CT upper extremity with contrast (73201) $2,102 $4,204 5.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,102 $4,204 11.2×
Cta Abdomen (74175) $2,102 $4,204 11.2×
CTA abdomen pelvis (74174) $2,102 $4,204 5.6×
CTA chest (71275) $2,102 $4,204 11.2×
Cta Head (70496) $2,102 $4,204 11.2×
CTA lwr ext w&w/o contrast (73706) $2,102 $4,204 11.2×
Cta Neck (70498) $2,102 $4,204 11.2×
Cta Pelvis (72191) $2,102 $4,204 11.2×
Cystography minimum 3 views rs&i (74430) $1,468.50 $2,937 3.9×
Diskogram cervical (72285) $3,995.50 $7,991 1.9×
Diskography lumbar (72295) $2,772 $5,544 1.3×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $840.50 $1,681 7.5×
Doppler Echo Fetal Spectral Display Complete (76827) $263.50 $527 2.4×
Doppler Fetal Mid Cerebral Artery (76821) $504 $1,008 4.5×
Dxa bone density study 1/> sites axial skel (77080) $503 $1,006 4.5×
Dxa bone density study axial skeleton (77085) $533.50 $1,067 4.8×
Echo exam of fetal heart (76825) $792 $1,584 1.4×
Echo fetal cardiovasc w/wo m-mode repeat std (76826) $792 $1,584 3.1×
Echoencephalography real time imaging (76506) $1,453 $2,906 13.0×
Esophagus (74220) $1,271 $2,542 6.8×
Fetal biophysical profile non-stress testing (76818) $683.25 $1,366.50 6.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $414 $828 3.7×
Fluoroscopy up to 1 hr (76000) $895.50 $1,791 3.5×
Foot 2 views (73620) $599.50 $1,199 6.5×
Forearm 2 views (73090) $642.50 $1,285 6.9×
Gated Heart Planar Single (78472) $3,171 $6,342 7.4×
Hand 2 views (73120) $680.50 $1,361 6.1×
Hand 3 views (73130) $719.50 $1,439 7.8×
Hepatc vngrph wdg/fr w/o hemodyn eval rs&i (75891) $3,983 $7,966 1.2×
Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) $3,136 $6,272 5.4×
Hepatobiliary syst imaging including gallbladder (78226) $2,737.50 $5,475 6.4×
Ht muscle image spect sing (78451) $6,526.50 $13,053 4.7×
Humerus Min 2 Views Left (73060) $642.50 $1,285 6.9×
Hysterosalpingogram (74740) $935 $1,870 3.7×
Kidney imaging morphology (78700) $2,106.50 $4,213 4.9×
Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) $3,097.50 $6,195 5.3×
Kidney img morphology vascular flow 1 w/rx (78708) $3,172 $6,344 5.5×
Knee 3 views (73562) $760 $1,520 8.2×
Liver & spleen imaging static only (78215) $2,685.50 $5,371 6.3×
Liver imaging static only (78201) $2,383.50 $4,767 4.1×
Lung perf&ventilat diferentl (78598) $4,086.50 $8,173 7.1×
Lymphangio Abd/Pelv Bilat - Ir Lymphangiogram Abdomen Pelvis Bilat (75807) $5,062 $10,124 1.5×
Lymphangio extrem unilat - ir lymphangiogram extremity (75801) $1,188.50 $2,377 1.8×
Lymphangiography extremity only bilateral rs&i (75803) $4,367 $8,734 2.6×
Lymphangiography Pelvic/Abdominal Unilat Rs&I (75805) $4,367 $8,734 1.3×
Lymphoscintigraphy (78195) $2,311 $4,622 4.0×
Mammary ductogram or galactogram multiple (77054) $861.50 $1,723 3.4×
Mammary ductogram or galactogram single (77053) $654.50 $1,309 2.6×
Meckels Diverticulum (78290) $2,570.50 $5,141 6.0×
MRA head w & w/o contrast (70546) $2,542.50 $5,085 6.8×
MRA head w/o contrast (70544) $2,542.50 $5,085 10.0×
MRA neck w contrast (70548) $2,542.50 $5,085 6.8×
Mra Neck W/O &W/Contrast Material (70549) $2,542.50 $5,085 6.8×
MRA neck w/o contrast (70547) $2,542.50 $5,085 10.0×
MRI abdomen w contrast (74182) $2,542.50 $5,085 6.8×
MRI abdomen w/o & w/contrast material (74183) $2,542.50 $5,085 6.8×
MRI abdomen w/o contrast (74181) $2,542.50 $5,085 10.0×
MRI any jnt lwr ext with con lt (73722) $2,542.50 $5,085 3.0×
MRI any jt upper extremity w/contrast matrl (73222) $2,542.50 $5,085 3.0×
MRI bone marrow blood supply (77084) $2,542.50 $5,085 10.0×
MRI breast w/o contrast bilateral (77047) $1,647 $3,294 6.5×
MRI c-spine with contrast (72142) $2,542.50 $5,085 6.8×
MRI cardiac w/o contrast (75557) $2,542.50 $5,085 10.0×
MRI cervical spine w/o contrast (72141) $2,542.50 $5,085 10.0×
MRI chest w/o & w/contrast material (71552) $2,542.50 $5,085 6.8×
MRI chest w/o contrast (71550) $2,542.50 $5,085 10.0×
MRI chest with contrast (71551) $2,542.50 $5,085 3.0×
MRI Forearm w/ Contrast Bilateral 73219 (73219) $2,542.50 $5,085 6.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,542.50 $5,085 6.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,542.50 $5,085 10.0×
MRI orbit face &/neck w/o contrast (70540) $2,542.50 $5,085 10.0×
MRI orbit/face/neck w&w/o cont (70543) $2,542.50 $5,085 6.8×
MRI orbit/face/neck w/contrast (70542) $2,542.50 $5,085 6.8×
MRI pelvis w contrast (72196) $2,542.50 $5,085 6.8×
MRI pelvis w/o & w/contrast material (72197) $2,542.50 $5,085 6.8×
MRI pelvis w/o contrast (72195) $2,542.50 $5,085 10.0×
MRI scan of arm joint before and after contrast (73223) $2,542.50 $5,085 6.8×
MRI scan of leg joint before and after contrast (73723) $2,542.50 $5,085 6.8×
MRI spectroscopy (76390) $2,542.50 $5,085 27.4×
MRI spinal canal cervical w/o & w/contr matrl (72156) $2,542.50 $5,085 6.8×
MRI spinal canal lumbar w/contrast material (72149) $2,542.50 $5,085 6.8×
MRI spinal canal lumbar w/o & w/contr matrl (72158) $2,542.50 $5,085 6.8×
MRI spinal canal thoracic w/contrast matrl (72147) $2,542.50 $5,085 6.8×
MRI spinal canal thoracic w/o & w/contr matrl (72157) $2,542.50 $5,085 6.8×
MRI thoracic spine w/o contrast (72146) $2,542.50 $5,085 10.0×
MRI tmj (70336) $2,542.50 $5,085 10.0×
MRI upper ext joint w/o contrast (73221) $2,542.50 $5,085 10.0×
MRI upper extrem other than jt w/o & w/contras (73220) $2,542.50 $5,085 6.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,542.50 $5,085 10.0×
Myelogram Cervical (72240) $3,004 $6,008 3.6×
Myelogram Lumbar (72265) $2,889.50 $5,779 3.5×
Myelogram thoracic (72255) $2,845.50 $5,691 3.4×
Myelography 2 or more regions (72270) $3,760 $7,520 4.5×
Myocardial Imaging Pet Metabolic Evaluation (78459) $10,312.50 $20,625 7.5×
Myocardial Spect Multiple Studies (78452) $8,193.50 $16,387 5.9×
N-Invas Est C Ffr Augmnt Sw Alys Cta I&R Phy/Qhp (75580) $1,591.50 $3,183 1.7×
Neck soft tissue (70360) $621.50 $1,243 6.7×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $329 $658 0.8×
Nm bone marrow wb (78104) $2,252 $4,504 5.3×
Nm cisternogram (78630) $3,415 $6,830 5.9×
Nm csf leak detection (78650) $2,721 $5,442 2.0×
Nm gastric emptying study (78264) $2,947 $5,894 6.9×
Nuclear medicine study of heart muscle at rest with stress (78453) $2,737.50 $5,475 2.0×
Nuclear medicine study to assess blood clot in vein of side (78457) $3,028.50 $6,057 5.2×
Nuclear Rx Oral Admin (79005) $2,385.50 $4,771 9.6×
Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) $239.50 $479 2.1×
Osseous survey infant (77076) $814 $1,628 7.3×
Parathyrd planar w/spect&CT (78072) $2,649 $5,298 4.6×
Parathyroid imaging (78070) $2,421 $4,842 5.7×
Pelvis 1 or 2 views (72170) $642.50 $1,285 5.8×
Peritoneogram rs&i (74190) $1,050.50 $2,101 1.8×
Pr MRI brain w/o dye (70557) $2,542.50 $5,085 4.4×
Pr MRI, lower extr, w/o contrast f/u by contrast (73720) $2,542.50 $5,085 6.8×
Pr sono bone density measure,peripheral (76977) $3 $6 0.0×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $4,726 $9,452 1.4×
Prq transhepatc portograpy w/o hemodyn evl intrp (75887) $4,047.50 $8,095 1.2×
Pulmonary Perfusion Imaging Particulate (78580) $2,629.50 $5,259 6.2×
Pulmonary Ventilation & Perfusion Imaging (78582) $3,980.50 $7,961 6.9×
Radex abscess/fistula/sinus tract rs&i (76080) $1,077 $2,154 1.8×
Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) $167.50 $335 1.8×
Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) $1,155.50 $2,311 10.4×
Radex hips bilateral with pelvis 2 views (73521) $785 $1,570 7.0×
Radex mastoids compl minimum 3 views pr side (70130) $819 $1,638 7.3×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $1,155.50 $2,311 10.4×
Radiolog exam mandible compl minimum 4 views (70110) $918.50 $1,837 8.2×
Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) $621.50 $1,243 6.7×
Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) $680.50 $1,361 7.3×
Radiologic exam colon single contrast study (74270) $1,575 $3,150 8.4×
Radiologic exam upr gi trc double contrast study (74246) $1,575 $3,150 8.4×
Radiologic exam upr gi trc single contrast study (74240) $1,642.50 $3,285 8.8×
Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) $700 $1,400 7.5×
Radiological examination surgical specimen (76098) $399.50 $799 0.7×
Review by radiologist of adrenal gland vein image (75840) $3,348.50 $6,697 1.0×
Review by radiologist of liver vein image with assessment of blood flow (75889) $3,688.50 $7,377 1.1×
Ribs bilateral 3 views (71110) $301.50 $603 2.7×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $3,117.50 $6,235 7.3×
Rp loclzj tum plnr whole body single day imaging (78802) $3,269.50 $6,539 5.6×
Rp loclzj tum spect 1 area single day imaging (78803) $3,695.50 $7,391 6.4×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $3,836 $7,672 2.8×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $5,096.50 $10,193 3.3×
Rp loclzj tum spect w/CT 1 area 1 day imaging (78830) $4,956 $9,912 3.6×
Rp therapy intra-arterial particulate admn (79445) $1,590.50 $3,181 6.4×
Rp Therapy Intravenous Administration (79101) $1,410.50 $2,821 5.7×
Sacroiliac Joints < 3 Views (72200) $580.50 $1,161 5.2×
Saline Infus Sonohysterography W/Color Doppler (76831) $718.50 $1,437 2.8×
Salivary gland imaging (78230) $678 $1,356 1.6×
Scanogram (77073) $878.50 $1,757 7.9×
Scapula complete (73010) $661 $1,322 5.9×
Screening digital breast tomosynthesis (77063) $26.50 $53 1.1×
Sella turcica (70240) $362.50 $725 3.9×
Shuntogram indwelling nonvascular shunt rs&i (75809) $216 $432 1.9×
Sialogram (70390) $1,358 $2,716 5.3×
Small bowel series (74250) $1,576.50 $3,153 8.4×
Spec medical radj physics consltj (77370) $280.50 $561 2.0×
Spine thoracic 3 views (72072) $878.50 $1,757 7.9×
Tbs Technical Calculation Only (77091) $110 $220 1.2×
Telethx isodose pln cplx w/basic dosimetry (77307) $700.50 $1,401 1.8×
Temporomandble Jt Arthrography Rs&I (70332) $441.50 $883 1.7×
Testicular Imaging With Vascular Flow (78761) $1,954.50 $3,909 4.6×
Thoracolumbar 2 views (72080) $726.50 $1,453 7.8×
Thyroid carcinoma metastases img whole body (78018) $3,415 $6,830 5.9×
Thyroid Imaging With Vascular Flow (78013) $1,576.50 $3,153 3.7×
Thyroid uptake measurement (78012) $1,429 $2,858 3.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,703.50 $5,407 6.3×
Tmj unilateral (70328) $661 $1,322 7.1×
Tomogram (76100) $1,316.50 $2,633 11.8×
Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) $4,069.50 $8,139 7.0×
Ultrasound, abdomen limited (76705) $1,662.50 $3,325 14.9×
Umbilical-artery Doppler (OB) (76820) $308.75 $617.50 2.8×
Upper Extremity Infant (73092) $478.50 $957 4.3×
Urethrocystography retrograde rs&i (74450) $7,214.50 $14,429 28.3×
Urethrocystography voiding (74455) $1,448 $2,896 5.7×
Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) $1,831 $3,662 9.8×
Us abdl aorta screen aaa (76706) $63 $126 0.6×
Us breast unilateral complete (76641) $218.75 $437.50 2.0×
Us breast unilateral limited (76642) $143 $286 1.5×
Us chest (76604) $1,281 $2,562 11.5×
Us compl joint r-t w/image documentation (76881) $43 $86 0.4×
Us fetal nuchal translucency 1st gestation (76813) $792 $1,584 7.1×
Us guided compression repair (76936) $2,311 $4,622 10.0×
Us infant hips dynamic (76885) $1,692.50 $3,385 18.2×
Us kidney transplant (76776) $763.50 $1,527 6.8×
Us ob detailed single fetus (76811) $547 $1,094 2.1×
Us ob transvaginal (76817) $314.75 $629.50 2.8×
Us pelvic non ob complete (76856) $943 $1,886 8.5×
Us pelvic nonobstetric image dcmtn limited/f/u (76857) $1,014.50 $2,029 9.1×
Us pregnancy ltd (76815) $463 $926 4.2×
Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) $419.25 $838.50 3.8×
Us retroperitoneal complete (76770) $1,756 $3,512 15.7×
Us retroperitoneal limited (76775) $1,318 $2,636 11.8×
Us scrotum and contents (76870) $1,604 $3,208 14.4×
Us soft tissue head/neck (76536) $1,491 $2,982 13.4×
Us spinal canal and contents (76800) $1,293.50 $2,587 11.6×
Us transrectal (76872) $1,642.50 $3,285 14.7×
Us transrectal prostate volume (76873) $398.50 $797 3.6×
Us xtr non-vasc lmtd (76882) $461.50 $923 4.1×
Venogram extremity bilateral (75822) $3,328 $6,656 2.0×
Venogram orbital (75880) $1,188.50 $2,377 1.8×
Venography caval inferior serialography rs&i (75825) $4,070.50 $8,141 1.2×
Venography caval superior serialography rs&i (75827) $4,070.50 $8,141 2.4×
Venography epidural rs&i (75872) $1,188.50 $2,377 1.8×
Venography extremity unilateral rs&i (75820) $2,237 $2,285 1.3×
Venography Renal Bilateral (75833) $4,898.50 $9,797 1.5×
Venography renal unilateral selective rs&i (75831) $4,120.75 $8,241.50 1.2×
Venography venous sinus/jugular cath rs&i (75860) $3,497 $6,994 1.0×
Venous sampling thru cath w/wo angiography rs& (75893) $4,047.50 $8,095 0.7×
Wrist 2 views (73100) $661 $1,322 7.1×
X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) $1,055.50 $2,111 9.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $680.50 $1,361 7.3×
X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) $680.50 $1,361 7.3×
X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) $2,008.50 $4,017 10.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $599.50 $1,199 6.5×
X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) $719.50 $1,439 7.8×
X-ray exam hip uni 1 view (73501) $599.50 $1,199 6.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $719.50 $1,439 7.8×
X-ray exam hip uni 4/> views (73503) $976.50 $1,953 8.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $978 $1,956 8.8×
X-Ray Exam Hips Bi 5/> Views (73523) $978 $1,956 8.8×
X-ray exam of femur 1 (73551) $700 $1,400 7.5×
X-ray exam of small bowel - fl small bowel series enteroclysis tube (74251) $1,732.50 $3,465 9.3×
X-ray eye for foreign body (70030) $167.50 $335 1.8×
X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) $959 $1,918 8.6×
X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) $700 $1,400 7.5×
X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) $680.50 $1,361 7.3×
X-ray guide gu dilation - ir nephrostomy dilation (74485) $2,082 $4,164 0.9×
X-Ray Heel - Xr Calcaneus 2 Views Right (73650) $661 $1,322 7.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $167.50 $335 1.8×
X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) $878.50 $1,757 7.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $599.50 $1,199 6.5×
X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) $621.50 $1,243 6.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $878.50 $1,757 7.9×
X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) $1,393.50 $2,787 12.5×
X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) $301.50 $603 2.7×
X-Ray Nasal Bones - Xr Nasal Bones (70160) $664 $1,328 7.2×
X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) $794 $1,588 8.6×
X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) $918.50 $1,837 8.2×
X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) $798 $1,596 7.2×
X-Ray Renal Cyst Xlumbar+Contrst - Xr Renal Cyst Lumbar W Contrast (74470) $1,863 $3,726 3.2×
X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) $1,613.50 $3,227 4.3×
X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) $923 $1,846 9.9×
X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) $878.50 $1,757 7.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $719.50 $1,439 6.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $741 $1,482 8.0×
X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) $741 $1,482 8.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $903 $1,806 9.7×
X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) $642.50 $1,285 6.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,077.50 $2,155 9.7×
X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) $700 $1,400 6.3×
X-Ray Spine One View - Xr Spine (72020) $680.50 $1,361 7.3×
X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) $680.50 $1,361 7.3×
X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) $719.50 $1,439 7.8×
X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) $798 $1,596 7.2×
X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) $998 $1,996 8.9×
X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) $599.50 $1,199 6.5×
X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) $700 $1,400 7.5×
Xr arthrogram ankle (73615) $1,754 $3,508 4.7×
Xr c-spine 6 or more views (72052) $1,491 $2,982 13.4×
Xr chest 4+ views (71048) $680.50 $1,361 6.1×
Xr finger(s) 2+ views (73140) $599.50 $1,199 6.5×
XR Mastoids < 3 Views Bilateral (70120) $301.50 $603 2.7×
Xr optic foramina (70190) $167.50 $335 1.8×
Xr shoulder 1 view (73020) $599.50 $1,199 6.5×
Xr spine cervical 4 or 5 views (72050) $1,293.50 $2,587 11.6×
Xr tibia/fibula 2 views (73590) $680.50 $1,361 7.3×
Xr tmj bilateral (70330) $918.50 $1,837 9.9×
Xray knee 1 or 2 views rt (73560) $621.50 $1,243 6.7×