Imaging prices at Gibson Community Hospital
Gibson City, IL · every code in this section with a posted price and a Medicare benchmark.
284 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) | $530 | $530 | 5.7× |
| Abdomen 2 views (74019) | $597 | $597 | 5.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,676 | $2,676 | 6.2× |
| Angiography extremity bilateral rs&i (75716) | $8,287 | $8,287 | 2.4× |
| Angiography extremity unilateral rs&i (75710) | $7,526 | $7,526 | 2.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$485–$971 | $485–$971 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$161–$359 | $161–$359 | varies |
| Artery X-Rays Pelvis (75736) | $10,148 | $10,148 | 1.7× |
| Arthrogram hip (73525) | $1,739 | $1,739 | 4.7× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$1,346–$1,413 | $1,346–$1,413 | varies |
| Bone age studies (77072) | $436 | $436 | 3.9× |
| Bone Imaging 3 Phase (78315) | $3,373 | $3,373 | 7.9× |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$1,315–$5,091 | $1,315–$5,091 | varies |
| Bone Imaging Multiple Areas (78305) | $3,369 | $3,369 | 7.9× |
| Bone Imaging Whole Body (78306) | $3,197 | $3,197 | 7.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,364 | $2,364 | 4.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,416 | $1,416 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $2,548 | $2,548 | 27.3× |
| Cerebrospinal Fluid Scan (78630) | $3,336 | $3,336 | 5.7× |
| Chest 1 view (71045) | $485 | $485 | 5.2× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$390–$494 | $390–$494 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$512–$585 | $512–$585 | varies |
| Chest 4 or more views (71048) | $693 | $693 | 6.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$665–$1,330 | $665–$1,330 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $3,797 | $3,797 | 33.9× |
| Contrast Exam Abdominl Aorta (75625) | $8,595 | $8,595 | 2.5× |
| Contrast X-Ray Bladder (74430) | $2,358 | $2,358 | 6.3× |
| Contrast X-Ray Of Elbow (73085) | $1,360 | $1,360 | 3.6× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,538–$1,615 | $1,538–$1,615 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $8,978 | $8,978 | 24.0× |
| CT abdomen and pelvis without contrast (74176) | $6,479 | $6,479 | 25.3× |
| CT abdomen w contrast (74160) | $4,624 | $4,624 | 24.6× |
| CT abdomen w wo contrast (74170) | $5,348 | $5,348 | 28.5× |
| CT abdomen w/o contrast (74150) | $3,973 | $3,973 | 35.5× |
| CT Angio Abdomen and Pelvis (74174) | $7,363 | $7,363 | 19.7× |
| CT Angio Chest (71275) | $6,656 | $6,656 | 35.4× |
| CT Angio Head (70496) | $6,078 | $6,078 | 32.3× |
| CT angio hrt w/3d image (75574) | $716 | $716 | 1.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$5,225–$10,449 | $5,225–$10,449 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$3,736–$6,078 | $3,736–$6,078 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $6,672 | $6,672 | 35.5× |
| CT bone density (77078) | $950 | $950 | 10.2× |
| CT cervical spine w/ contrast (72126) | $4,598 | $4,598 | 12.3× |
| CT cervical spine w/o contrast (72125) | $4,022 | $4,022 | 35.9× |
| CT cervical spine w/wo cont (72127) | $4,967 | $4,967 | 26.4× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$783–$4,598 | $783–$4,598 | varies |
| CT chest w/wo contrast (71270) | $5,091 | $5,091 | 27.1× |
| CT head/brain with contrast (70460) | $4,103 | $4,103 | 21.8× |
| CT head/brain without and with contrast (70470) | $4,659 | $4,659 | 24.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $5,229 | $5,229 | 14.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $106 | $106 | 1.1× |
| CT hrt w/3d image congen (75573) | $674 | $674 | 1.8× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$3,751–$3,857 | $3,751–$3,857 | varies |
| CT l-spine w&w/o contrast (72133) | $4,967 | $4,967 | 26.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$4,797–$9,593 | $4,797–$9,593 | varies |
| CT lower extremity w/contrast material (73701) | $4,062 | $4,062 | 21.6× |
| CT lumbar spine w contrast (72132) | $4,694 | $4,694 | 12.6× |
| CT lumbar spine w/o contrast (72131) | $4,022 | $4,022 | 35.9× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,939–$4,034 | $3,939–$4,034 | varies |
| CT maxillofacial wo contrast (70486) | $3,797 | $3,797 | 33.9× |
| CT neck tissue combo (70492) | $4,753 | $4,753 | 25.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$4,379–$4,611 | $4,379–$4,611 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$3,397–$3,575 | $3,397–$3,575 | varies |
| CT pelvis w&w/o contrast (72194) | $5,852 | $5,852 | 31.1× |
| CT pelvis w/o contrast (72192) | $3,973 | $3,973 | 35.5× |
| CT scan of leg combo (73702) | $4,611 | $4,611 | 24.5× |
| CT scans face/jaw combo (70488) | $4,611 | $4,611 | 24.5× |
| CT soft tissue neck w contrast (70491) | $4,116 | $4,116 | 21.9× |
| CT soft tissue neck w/o contrast (70490) | $3,557 | $3,557 | 31.8× |
| CT thoracic spine w contrast (72129) | $4,611 | $4,611 | 24.5× |
| CT thoracic spine w/o contrast (72128) | $3,838 | $3,838 | 34.3× |
| CT thoracic spine w/wo cont (72130) | $4,967 | $4,967 | 26.4× |
| CT thorax w/o contrast (71250) | $3,797 | $3,797 | 33.9× |
| CT upper ext wo (73200) | $3,557 | $3,557 | 31.8× |
| CT upper extremity w/o & w/contrast material (73202) | $4,611 | $4,611 | 24.5× |
| CT upper extremity with contrast (73201) | $4,217 | $4,217 | 11.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,656 | $6,656 | 35.4× |
| Cta Abdomen (74175) | $6,656 | $6,656 | 35.4× |
| CTA pelvis (72191) | $6,672 | $6,672 | 35.5× |
| Diskography lumbar (72295) | $19,639 | $19,639 | 9.4× |
| Dxa Bone Density Axial (77080) | $998 | $998 | 8.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $645 | $645 | 6.9× |
| Esophagram (74220) | $1,031 | $1,031 | 5.5× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$2,023–$2,356 | $2,023–$2,356 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$1,093–$1,426 | $1,093–$1,426 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,150–$1,733 | $1,150–$1,733 | varies |
| Follow-Up Angiography (75898) | $4,102 | $4,102 | 1.2× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$485–$971 | $485–$971 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$759–$1,518 | $759–$1,518 | varies |
| Gastric emptying imaging study (78264) | $2,894 | $2,894 | 6.8× |
| Gated Heart Planar Single (78472) | $2,933 | $2,933 | 6.8× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$485–$971 | $485–$971 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,188 | $3,188 | 5.5× |
| Hepatobiliary System Imaging (78226) | $2,834 | $2,834 | 6.6× |
| Ht Musc Image Planar Mult (78454) | $5,960 | $5,960 | 4.3× |
| Ht Muscle Image Spect Sing (78451) | $5,111 | $5,111 | 3.7× |
| Hysterosalpingogram (74740) | $2,871 | $2,871 | 11.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,005 | $1,005 | 10.8× |
| Infant hip ultrasound, limited static exam (76886) | $943 | $943 | 10.1× |
| Infusion Ivp (74410) | $1,428 | $1,428 | 7.6× |
| Joint Survey Single View (77077) | $403 | $403 | 3.6× |
| K Flow/Funct Image W/Drug (78708) | $2,985 | $2,985 | 5.1× |
| K Flow/Funct Image W/O Drug (78707) | $2,821 | $2,821 | 4.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$775–$1,549 | $775–$1,549 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,483 | $2,483 | 5.8× |
| Lung Perf&Ventilat Diferentl (78598) | $2,365 | $2,365 | 4.1× |
| Lung perfusion differential (78597) | $1,865 | $1,865 | 4.4× |
| Lung Ventilat&Perfus Imaging (78582) | $2,115 | $2,115 | 3.6× |
| Lymph System Imaging (78195) | $2,784 | $2,784 | 4.8× |
| Magnetic Image Jaw Joint (70336) | $5,069 | $5,069 | 19.8× |
| Mammary ductogram or galactogram multiple (77054) | $3,010 | $3,010 | 11.8× |
| Mammary ductogram or galactogram single (77053) | $2,105 | $2,105 | 8.2× |
| Meckels Divert Exam (78290) | $2,365 | $2,365 | 5.5× |
| Mra Head W/O & W/Contrast Material (70546) | $6,286 | $6,286 | 16.8× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,763–$5,157 | $4,763–$5,157 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$5,443–$5,715 | $5,443–$5,715 | varies |
| MRA neck w contrast (70548) | $5,292 | $5,292 | 14.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,827 | $6,827 | 18.3× |
| MRA neck w/o contrast (70547) | $5,048 | $5,048 | 19.7× |
| MRI abdomen w contrast (74182) | $5,843 | $5,843 | 15.6× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,133–$6,328 | $1,133–$6,328 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 8 matching MRF lines |
$2,774–$8,273 | $2,774–$8,273 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 7 matching MRF lines |
$7,017–$13,369 | $7,017–$13,369 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 9 matching MRF lines |
$4,675–$7,480 | $4,675–$7,480 | varies |
| MRI bone marrow blood supply (77084) | $5,190 | $5,190 | 20.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $11,904 | $11,904 | 46.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $5,952 | $5,952 | 23.3× |
| MRI cervical spine w contrast (72142) | $7,079 | $7,079 | 18.9× |
| MRI cervical spine w/o cont (72141) | $6,361 | $6,361 | 24.9× |
| MRI chest w/o contrast (71550) | $5,174 | $5,174 | 20.2× |
| MRI chest wo w contrast (71552) | $6,136 | $6,136 | 16.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 8 matching MRF lines |
$2,774–$6,087 | $2,774–$6,087 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 8 matching MRF lines |
$3,224–$8,087 | $3,224–$8,087 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$2,388–$10,135 | $2,388–$10,135 | varies |
| MRI lumbar spine w contrast (72149) | $6,165 | $6,165 | 16.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,806 | $7,806 | 20.9× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$4,763–$5,048 | $4,763–$5,048 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$5,190–$5,671 | $5,190–$5,671 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$6,043–$8,087 | $6,043–$8,087 | varies |
| MRI pelvis w contrast (72196) | $5,726 | $5,726 | 15.3× |
| MRI pelvis w/o & w contrast (72197) | $7,207 | $7,207 | 19.3× |
| MRI pelvis w/o contrast (72195) | $5,331 | $5,331 | 20.8× |
| MRI thoracic spine w/o contrast (72146) | $5,639 | $5,639 | 22.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 8 matching MRF lines |
$2,774–$5,871 | $2,774–$5,871 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 8 matching MRF lines |
$2,388–$5,210 | $2,388–$5,210 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$3,224–$6,827 | $3,224–$6,827 | varies |
| MRI, abdomen, combo (74183) | $8,087 | $8,087 | 21.6× |
| MRI, dorsal spine combo (72157) | $7,659 | $7,659 | 20.5× |
| MRI, dorsal spine contrast (72147) | $5,873 | $5,873 | 15.7× |
| MRI, joint upper extrem (73221) range across 10 matching MRF lines |
$4,020–$13,022 | $4,020–$13,022 | varies |
| MRI, joint upper extrem combo (73223) range across 10 matching MRF lines |
$4,543–$8,087 | $4,543–$8,087 | varies |
| MRI, lumbar spine combo (72158) | $8,087 | $8,087 | 21.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,028 | $2,028 | 4.7× |
| Myocardial Spect Multiple Studies (78452) | $7,286 | $7,286 | 5.3× |
| Neck soft tissue (70360) | $485 | $485 | 5.2× |
| Nm csf leak detection (78650) | $2,237 | $2,237 | 1.6× |
| Parathyroid Planar Imaging (78070) | $3,864 | $3,864 | 9.0× |
| Pelvis 1 or 2 views (72170) | $485 | $485 | 4.3× |
| Pet Image Skull-Thigh (78812) | $8,805 | $8,805 | 5.7× |
| Pet Image W/Ct Lmtd (78814) | $8,482 | $8,482 | 5.5× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$9,527–$10,003 | $9,527–$10,003 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,386 | $9,386 | 6.1× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $7,195 | $7,195 | 5.2× |
| PET whole body (78813) | $8,794 | $8,794 | 5.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,958 | $1,958 | 4.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $824 | $824 | 7.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,155 | $1,155 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$732–$1,464 | $732–$1,464 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$485–$971 | $485–$971 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$626–$1,252 | $626–$1,252 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $821 | $821 | 7.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$22–$595 | $22–$595 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$717–$1,434 | $717–$1,434 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$818–$1,635 | $818–$1,635 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$427–$897 | $427–$897 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $500 | $500 | 4.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $523 | $523 | 5.6× |
| Radex Ribs Unilateral 2 Views (71100) | $524 | $524 | 5.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$648–$1,296 | $648–$1,296 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $398 | $398 | 4.3× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$415–$485 | $415–$485 | varies |
| Radex Sternum Minimum 2 Views (71120) | $519 | $519 | 5.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $765 | $765 | 8.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$389–$485 | $389–$485 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $394 | $394 | 3.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$818–$1,635 | $818–$1,635 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $714 | $714 | 6.4× |
| Radiologic exam colon double contrast study (74280) | $1,744 | $1,744 | 9.3× |
| Radiologic exam colon single contrast study (74270) | $1,578 | $1,578 | 8.4× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,132–$2,263 | $1,132–$2,263 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $635 | $635 | 5.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,361 | $1,361 | 7.2× |
| Radiologic exam swallow function contrast study (74230) | $1,092 | $1,092 | 5.8× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$1,368–$2,032 | $1,368–$2,032 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$88–$248 | $88–$248 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$525–$1,052 | $525–$1,052 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$669–$1,339 | $669–$1,339 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$681–$1,362 | $681–$1,362 | varies |
| Ribs bilateral 3 views (71110) | $739 | $739 | 6.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,366 | $1,366 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$3,423–$9,219 | $3,423–$9,219 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,761 | $3,761 | 6.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$3,047–$4,726 | $3,047–$4,726 | varies |
| Scapula (73010) | $506 | $506 | 4.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$485–$971 | $485–$971 | varies |
| Shoulder Arthrography (73040) | $1,739 | $1,739 | 4.7× |
| Skull less than 4 views (70250) | $534 | $534 | 4.8× |
| Sternoclavicular joints (71130) | $467 | $467 | 5.0× |
| Testicular Imaging W/Flow (78761) | $1,705 | $1,705 | 4.0× |
| Thoracic spine 2 views (72070) | $545 | $545 | 4.9× |
| Thoracic spine 3 views (72072) | $699 | $699 | 6.2× |
| Thoracolumbar 2 views (72080) | $570 | $570 | 6.1× |
| Thyroid Imaging With Vascular Flow (78013) | $1,565 | $1,565 | 3.7× |
| Thyroid Met Imaging Body (78018) | $3,168 | $3,168 | 5.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,610 | $2,610 | 6.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,150–$2,297 | $1,150–$2,297 | varies |
| Ultrasound Elastography Parenchyma (76981) | $998 | $998 | 8.9× |
| Ultrasound Exam Aaa Screen (76706) | $1,551 | $1,551 | 13.8× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,698–$1,812 | $1,698–$1,812 | varies |
| Umbilical-artery Doppler (OB) (76820) | $831 | $831 | 7.4× |
| Unlisted us procedure (76999) | $913 | $913 | 9.8× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$1,244–$1,539 | $1,244–$1,539 | varies |
| Urethrocystogram voiding (74455) | $2,358 | $2,358 | 9.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,435–$2,705 | $1,435–$2,705 | varies |
| Us chest (76604) | $1,361 | $1,361 | 12.1× |
| Us complete joint (76881) range across 5 matching MRF lines |
$1,195–$2,860 | $1,195–$2,860 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,172–$1,286 | $1,172–$1,286 | varies |
| Us head (76506) | $1,307 | $1,307 | 11.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$88–$1,169 | $88–$1,169 | varies |
| Us ob detailed single fetus (76811) | $1,759 | $1,759 | 6.9× |
| Us ob limited 1 or more fetuses (76815) | $1,234 | $1,234 | 11.0× |
| Us ob transvaginal (76817) | $1,452 | $1,452 | 13.0× |
| Us pelvic non ob complete (76856) | $1,895 | $1,895 | 16.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,653 | $1,653 | 14.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$1,227–$2,242 | $1,227–$2,242 | varies |
| Us retroperitoneal complete (76770) | $1,864 | $1,864 | 16.6× |
| Us retroperitoneal limited (76775) | $1,551 | $1,551 | 13.8× |
| Us scrotum and contents (76870) | $1,741 | $1,741 | 15.5× |
| Us thyroid (76536) | $1,804 | $1,804 | 16.1× |
| Us transrectal (76872) range across 3 matching MRF lines |
$222–$1,783 | $222–$1,783 | varies |
| Venography extremity bilateral rs&i (75822) | $3,486 | $3,486 | 2.1× |
| Venography extremity unilateral rs&i (75820) | $2,856 | $2,856 | 1.7× |
| Vertebral fracture assessment via dxa (77086) | $586 | $586 | 6.3× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$462–$925 | $462–$925 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $516 | $516 | 5.5× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$8,514–$10,102 | $8,514–$10,102 | varies |
| X-Ray Bend Only L-S Spine (72120) | $821 | $821 | 7.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$415–$792 | $415–$792 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$638–$983 | $638–$983 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $498 | $498 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $937 | $937 | 8.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$333–$1,590 | $333–$1,590 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $993 | $993 | 10.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$77–$313 | $77–$313 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,778 | $1,778 | 15.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $324 | $324 | 2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $426 | $426 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $1,083 | $1,083 | 9.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $718 | $718 | 7.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,021 | $1,021 | 9.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $821 | $821 | 7.3× |
| X-ray eye for foreign body (70030) | $485 | $485 | 5.2× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$485–$971 | $485–$971 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,226–$2,358 | $1,226–$2,358 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $467 | $467 | 5.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $485 | $485 | 5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $815 | $815 | 7.3× |
| X-ray nose-rectum child f.b. (76010) | $512 | $512 | 5.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $983 | $983 | 8.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $526 | $526 | 4.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $420 | $420 | 3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $526 | $526 | 5.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $821 | $821 | 8.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $811 | $811 | 7.2× |
| X-Ray Stress View (77071) | $382 | $382 | 4.1× |
| X-ray thoracic spine 4 vw (72074) | $688 | $688 | 6.1× |
| X-Ray Tmj Unilat (70328) | $363 | $363 | 3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $141 | $141 | 0.4× |
| X-Rays Bone Length Studies (77073) | $1,094 | $1,094 | 9.8× |
| X-Rays Bone Survey Complete (77075) | $1,427 | $1,427 | 12.7× |
| Xr c-spine 4 or 5 views (72050) | $975 | $975 | 8.7× |
| Xr facial bones less than 3 views (70140) | $479 | $479 | 5.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $441 | $441 | 3.9× |
| Xr orbits complete 4 views (70200) | $689 | $689 | 6.2× |
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.