Imaging prices at Greene County General Hospital
Linton, IN · every code in this section with a posted price and a Medicare benchmark.
254 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) | $274.95 | $458.25 | 3.0× |
| Abdomen 2 views (74019) | $320.16 | $533.60 | 2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,170.60 | $1,951 | 2.8× |
| Ankle 2 views (73600) | $283.08 | $471.80 | 3.1× |
| Arthrogram hip (73525) | $1,014.75 | $1,691.25 | 2.7× |
| Bone age studies (77072) | $396.15 | $660.25 | 3.6× |
| Bone Imaging 3 Phase (78315) | $1,736.70 | $2,894.50 | 4.1× |
| Bone Imaging Limited Area (78300) | $1,029.72 | $1,716.20 | 2.4× |
| Bone Imaging Multiple Areas (78305) | $976.98 | $1,628.30 | 2.3× |
| Bone Imaging Whole Body (78306) | $1,472.97 | $2,454.95 | 3.5× |
| Bone marrow imaging limited area (78102) | $752.70 | $1,254.50 | 1.8× |
| Bone marrow imaging; multiple areas (78103) | $1,037.13 | $1,728.55 | 2.5× |
| Bone marrow imaging; whole body (78104) | $1,063.86 | $1,773.10 | 2.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,266.45 | $2,110.75 | 2.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$198.66–$360.18 | $331.10–$600.30 | varies |
| Chest 2 views (71046) | $257.91 | $429.85 | 2.8× |
| Chest 3 views (71047) | $511.17 | $851.95 | 5.6× |
| Chest 4 or more views (71048) | $614.97 | $1,024.95 | 5.6× |
| Cholecystography Oral Contrast (74290) | $488.94 | $814.90 | 2.6× |
| Clavicle complete (73000) | $327.48 | $545.80 | 3.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $491.61 | $819.35 | 4.4× |
| Contrast X-Ray Bladder (74430) | $655.89 | $1,093.15 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $3,275.46 | $5,459.10 | 8.9× |
| CT abdomen and pelvis without contrast (74176) | $2,603.10 | $4,338.50 | 10.3× |
| CT abdomen w contrast (74160) | $1,959.60 | $3,266 | 10.6× |
| CT abdomen w wo contrast (74170) | $2,289.54 | $3,815.90 | 12.3× |
| CT abdomen w/o contrast (74150) | $1,394.73 | $2,324.55 | 12.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,535.95 | $5,893.25 | 9.6× |
| CT Angio Chest (71275) | $2,359.23 | $3,932.05 | 12.7× |
| CT Angio Head (70496) | $2,351.82 | $3,919.70 | 12.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,366.67 | $3,944.45 | 12.8× |
| CT Angio Neck (70498) | $2,351.82 | $3,919.70 | 12.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,862.63 | $4,771.05 | 15.4× |
| CT bone density (77078) | $290.28 | $483.80 | 3.2× |
| CT cervical spine w/ contrast (72126) | $2,370.84 | $3,951.40 | 6.4× |
| CT cervical spine w/o contrast (72125) | $1,679.28 | $2,798.80 | 15.2× |
| CT cervical spine w/wo cont (72127) | $2,776.29 | $4,627.15 | 15.0× |
| CT chest w contrast (71260) | $1,947.72 | $3,246.20 | 10.5× |
| CT chest w/wo contrast (71270) | $2,272.77 | $3,787.95 | 12.2× |
| CT head/brain with contrast (70460) | $1,943.70 | $3,239.50 | 10.5× |
| CT head/brain without and with contrast (70470) | $2,275.59 | $3,792.65 | 12.3× |
| CT iac w contrast (70481) | $1,943.70 | $3,239.50 | 10.5× |
| CT l-spine w&w/o contrast (72133) | $2,777.04 | $4,628.40 | 15.0× |
| CT lower ext w/o (73700) | $1,470.27 | $2,450.45 | 13.3× |
| CT lower extremity w/contrast material (73701) | $1,946.94 | $3,244.90 | 10.5× |
| CT lumbar spine w contrast (72132) | $1,953.51 | $3,255.85 | 5.3× |
| CT lumbar spine w/o contrast (72131) | $1,599.93 | $2,666.55 | 14.5× |
| CT maxillofacial w contrast (70487) | $1,943.70 | $3,239.50 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,457.58 | $2,429.30 | 13.2× |
| CT neck tissue combo (70492) | $1,783.53 | $2,972.55 | 9.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,274.84 | $3,791.40 | 12.3× |
| CT orbits w/o contrast (70480) | $1,565.82 | $2,609.70 | 14.2× |
| CT pelvis w&w/o contrast (72194) | $2,269.50 | $3,782.50 | 12.2× |
| CT pelvis w/o contrast (72192) | $1,383.27 | $2,305.45 | 12.5× |
| CT scan of leg combo (73702) | $2,770.17 | $4,616.95 | 14.9× |
| CT scans face/jaw combo (70488) | $2,275.59 | $3,792.65 | 12.3× |
| CT soft tissue neck w contrast (70491) | $1,681.44 | $2,802.40 | 9.1× |
| CT soft tissue neck w/o contrast (70490) | $1,500.63 | $2,501.05 | 13.6× |
| CT thoracic spine w contrast (72129) | $2,380.92 | $3,968.20 | 12.8× |
| CT thoracic spine w/o contrast (72128) | $1,594.59 | $2,657.65 | 14.4× |
| CT thoracic spine w/wo cont (72130) | $2,777.04 | $4,628.40 | 15.0× |
| CT thorax w/o contrast (71250) | $1,382.43 | $2,304.05 | 12.5× |
| CT upper ext wo (73200) | $1,491.42 | $2,485.70 | 13.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,770.92 | $4,618.20 | 14.9× |
| CT upper extremity with contrast (73201) | $1,946.94 | $3,244.90 | 5.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,558.88 | $4,264.80 | 13.8× |
| Cta Abdomen (74175) | $2,138.97 | $3,564.95 | 11.5× |
| Dxa Bone Density Axial (77080) | $374.88 | $624.80 | 3.4× |
| Dxa bone density study (77085) | $417.30 | $695.50 | 3.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $125.13 | $208.55 | 1.4× |
| Echo exam uterus (76831) | $522.72 | $871.20 | 2.1× |
| Esophagram (74220) | $538.44 | $897.40 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $609.75 | $1,016.25 | 5.5× |
| Fluoroscopy up to 1 hr (76000) | $564.42 | $940.70 | 2.2× |
| Foot 2 views (73620) | $281.58 | $469.30 | 3.1× |
| Forearm 2 views (73090) | $296.31 | $493.85 | 3.2× |
| Gastric emptying imaging study (78264) | $1,323.90 | $2,206.50 | 3.1× |
| Gated Heart Planar Single (78472) | $1,706.52 | $2,844.20 | 4.0× |
| Hand 2 views (73120) | $283.08 | $471.80 | 2.6× |
| Hepatobiliary System Imaging (78226) | $1,808.13 | $3,013.55 | 4.3× |
| Ht Muscle Image Spect Sing (78451) | $3,489.48 | $5,815.80 | 2.5× |
| Hysterosalpingogram (74740) | $1,029.78 | $1,716.30 | 4.1× |
| K Flow/Funct Image W/Drug (78708) | $1,562.61 | $2,604.35 | 2.7× |
| K Flow/Funct Image W/O Drug (78707) | $1,534.80 | $2,558 | 2.7× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,140.66 | $1,901.10 | 2.7× |
| Kidney Imaging Morphol (78700) | $1,431.66 | $2,386.10 | 3.4× |
| Knee 3 Views (73562) | $382.95 | $638.25 | 4.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,389.54 | $2,315.90 | 3.3× |
| Lung Ventilat&Perfus Imaging (78582) | $2,700.51 | $4,500.85 | 4.7× |
| Lung Ventilation Imaging (78579) | $1,360.86 | $2,268.10 | 3.2× |
| Lymph System Imaging (78195) | $1,245.60 | $2,076 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $2,139.78 | $3,566.30 | 8.5× |
| Mammary ductogram or galactogram multiple (77054) | $725.67 | $1,209.45 | 2.9× |
| Mammary ductogram or galactogram single (77053) | $491.28 | $818.80 | 1.9× |
| Meckels Divert Exam (78290) | $1,189.83 | $1,983.05 | 2.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,798.13 | $4,663.55 | 7.6× |
| MRA head w/o contrast (70544) | $2,109.42 | $3,515.70 | 8.4× |
| MRA head with contrast (70545) | $2,601.90 | $4,336.50 | 7.0× |
| MRA neck w contrast (70548) | $2,225.16 | $3,708.60 | 6.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,639.58 | $4,399.30 | 7.2× |
| MRA neck w/o contrast (70547) | $2,109.42 | $3,515.70 | 8.4× |
| MRI abdomen w contrast (74182) | $2,744.52 | $4,574.20 | 7.4× |
| MRI abdomen w/o contrast (74181) | $2,138.85 | $3,564.75 | 8.5× |
| MRI any jt lower extrem w/contrast material (73722) | $2,650.83 | $4,418.05 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,038.94 | $5,064.90 | 8.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,650.83 | $4,418.05 | 3.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $945.33 | $1,575.55 | 3.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $736.83 | $1,228.05 | 2.9× |
| MRI cervical spine w contrast (72142) | $2,751.78 | $4,586.30 | 7.5× |
| MRI cervical spine w/o cont (72141) | $2,141.31 | $3,568.85 | 8.5× |
| MRI chest w/o contrast (71550) | $2,138.85 | $3,564.75 | 8.5× |
| MRI chest with contrast (71551) | $2,662.35 | $4,437.25 | 3.2× |
| MRI chest wo w contrast (71552) | $2,887.17 | $4,811.95 | 7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,650.08 | $4,416.80 | 7.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,038.94 | $5,064.90 | 8.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,126.19 | $3,543.65 | 8.4× |
| MRI lumbar spine w contrast (72149) | $2,751.03 | $4,585.05 | 7.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,890.47 | $4,817.45 | 7.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,125.44 | $3,542.40 | 8.4× |
| MRI orbit face neck w contrast (70542) | $2,650.08 | $4,416.80 | 7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,955.96 | $4,926.60 | 8.0× |
| MRI pelvis w contrast (72196) | $2,169.90 | $3,616.50 | 5.9× |
| MRI pelvis w/o & w contrast (72197) | $2,879.46 | $4,799.10 | 7.8× |
| MRI pelvis w/o contrast (72195) | $2,138.85 | $3,564.75 | 8.5× |
| MRI thoracic spine w/o contrast (72146) | $2,141.31 | $3,568.85 | 8.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,650.08 | $4,416.80 | 7.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,126.97 | $3,544.95 | 8.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,038.94 | $5,064.90 | 8.2× |
| MRI, abdomen, combo (74183) | $2,879.46 | $4,799.10 | 7.8× |
| MRI, dorsal spine combo (72157) | $2,890.47 | $4,817.45 | 7.8× |
| MRI, dorsal spine contrast (72147) | $2,751.03 | $4,585.05 | 7.5× |
| MRI, joint upper extrem (73221) | $2,127.72 | $3,546.20 | 8.4× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,039.72–$3,102.33 | $5,066.20–$5,170.55 | varies |
| MRI, lumbar spine combo (72158) | $2,561.67 | $4,269.45 | 6.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,230.60 | $2,051 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $3,988.92 | $6,648.20 | 2.9× |
| Neck soft tissue (70360) | $329.16 | $548.60 | 3.6× |
| Optic foramina (70190) | $384.63 | $641.05 | 4.2× |
| Parathyroid Planar Imaging (78070) | $896.52 | $1,494.20 | 2.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$290.94–$294.09 | $484.90–$490.15 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,388.70 | $2,314.50 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $600.51 | $1,000.85 | 5.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $678.93 | $1,131.55 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $297.90 | $496.50 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $296.31 | $493.85 | 3.2× |
| Radex elbow complete minimum 3 views (73080) | $321.42 | $535.70 | 3.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $418.38 | $697.30 | 3.8× |
| Radex fingr minimum 2 views (73140) | $269.13 | $448.55 | 2.9× |
| Radex foot complete minimum 3 views (73630) | $297.12 | $495.20 | 3.2× |
| Radex Hand Minimum 3 Views (73130) | $306.81 | $511.35 | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) | $167.28 | $278.80 | 1.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $491.40 | $819 | 4.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $328.32 | $547.20 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $334.05 | $556.75 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) | $329.94 | $549.90 | 3.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $310.59 | $517.65 | 3.4× |
| Radex Spine 1 View Specify Level (72020) | $309 | $515 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $330.84 | $551.40 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $479.55 | $799.25 | 5.2× |
| Radex Toe Minimum 2 Views (73660) | $251.49 | $419.15 | 2.7× |
| Radex upper extremity infant minimum 2 views (73092) | $167.28 | $278.80 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$297.90–$341.01 | $496.50–$568.35 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $450.72 | $751.20 | 4.1× |
| Radiologic exam colon double contrast study (74280) | $933.78 | $1,556.30 | 5.0× |
| Radiologic exam colon single contrast study (74270) | $783.24 | $1,305.40 | 4.2× |
| Radiologic exam knee complete 4/more views (73564) | $497.55 | $829.25 | 4.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $481.17 | $801.95 | 4.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $761.22 | $1,268.70 | 4.1× |
| Radiologic exam swallow function contrast study (74230) | $491.16 | $818.60 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $848.31 | $1,413.85 | 4.6× |
| Radiologic examination femur minimum 2 views (73552) | $329.16 | $548.60 | 3.6× |
| Radiologic examination knee 1/2 views (73560) | $327.48 | $545.80 | 3.6× |
| Radiologic Examination Salivary Gland Calculus (70380) | $378.24 | $630.40 | 4.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $326.73 | $544.55 | 3.5× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $493.29 | $822.15 | 0.9× |
| Ribs bilateral 3 views (71110) | $477.12 | $795.20 | 4.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,725.39 | $2,875.65 | 4.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,741.86 | $2,903.10 | 3.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,655.64–$1,910.85 | $2,759.40–$3,184.75 | varies |
| Scapula (73010) | $329.10 | $548.50 | 3.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $105.72 | $176.20 | 4.5× |
| Sella turcica (70240) | $336.03 | $560.05 | 3.6× |
| Shoulder 1 view (73020) | $295.47 | $492.45 | 3.2× |
| Shoulder Arthrography (73040) | $1,012.29 | $1,687.15 | 2.7× |
| Skull less than 4 views (70250) | $337.38 | $562.30 | 3.1× |
| Sternoclavicular joints (71130) | $333.30 | $555.50 | 3.6× |
| Testicular Imaging W/Flow (78761) | $1,122.93 | $1,871.55 | 2.7× |
| Thoracic spine 2 views (72070) | $438.93 | $731.55 | 4.0× |
| Thoracic spine 3 views (72072) | $378.15 | $630.25 | 3.4× |
| Thoracolumbar 2 views (72080) | $290.22 | $483.70 | 3.2× |
| Thyroid Imaging With Vascular Flow (78013) | $699.42 | $1,165.70 | 1.7× |
| Ultrasound Breast Limited (76642) | $449.61 | $749.35 | 4.9× |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$667.20–$911.19 | $1,112–$1,518.65 | varies |
| Unlisted us procedure (76999) | $736.59 | $1,227.65 | 8.0× |
| Upper gi w/o kub (74240) | $717.93 | $1,196.55 | 3.9× |
| Ureteral Reflux Study (78740) | $919.95 | $1,533.25 | 2.2× |
| Urethrocystogram voiding (74455) | $738.30 | $1,230.50 | 2.9× |
| Urethrocystography retrograde (74450) | $1,157.19 | $1,928.65 | 4.6× |
| Us breast unilateral complete (76641) | $563.52 | $939.20 | 5.1× |
| Us chest (76604) | $552.42 | $920.70 | 5.0× |
| Us complete joint (76881) | $839.52 | $1,399.20 | 7.6× |
| Us exam, pelvic, limited (76857) | $463.59 | $772.65 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $523.05 | $871.75 | 4.7× |
| Us ob detailed single fetus (76811) | $1,180.20 | $1,967 | 4.7× |
| Us ob limited 1 or more fetuses (76815) | $521.49 | $869.15 | 4.7× |
| Us ob transvaginal (76817) | $608.49 | $1,014.15 | 5.5× |
| Us pelvic non ob complete (76856) | $716.01 | $1,193.35 | 6.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $736.35 | $1,227.25 | 6.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$583.35–$619.89 | $972.25–$1,033.15 | varies |
| Us retroperitoneal complete (76770) | $729.15 | $1,215.25 | 6.6× |
| Us retroperitoneal limited (76775) | $665.61 | $1,109.35 | 6.0× |
| Us scrotum and contents (76870) | $718.71 | $1,197.85 | 6.5× |
| Us spinal canal and contents (76800) | $875.82 | $1,459.70 | 7.9× |
| Us thyroid (76536) range across 2 matching MRF lines |
$651.78–$690.96 | $1,086.30–$1,151.60 | varies |
| Vascular Flow Imaging (78445) | $1,117.26 | $1,862.10 | 2.6× |
| Venography extremity bilateral rs&i (75822) | $2,175.06 | $3,625.10 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $950.76 | $1,584.60 | 0.6× |
| Venous thrombosis imaging (78457) | $950.01 | $1,583.35 | 1.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,356.24 | $2,260.40 | 3.2× |
| Wrist 2 views (73100) | $297.06 | $495.10 | 3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $343.14 | $571.90 | 3.7× |
| X-ray antegrade pyelogram tube (74425) | $1,210.95 | $2,018.25 | 3.3× |
| X-Ray Bend Only L-S Spine (72120) | $570.39 | $950.65 | 5.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $283.08 | $471.80 | 3.1× |
| X-Ray Exam Breast Specimen (76098) | $336.03 | $560.05 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $417.03 | $695.05 | 3.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $299.49 | $499.15 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$334.05–$338.97 | $556.75–$564.95 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $435.48 | $725.80 | 3.9× |
| X-Ray Exam L-S Spine Bending (72114) | $627.84 | $1,046.40 | 5.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $354.57 | $590.95 | 3.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $534.99 | $891.65 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $419.22 | $698.70 | 3.8× |
| X-ray eye for foreign body (70030) | $329.16 | $548.60 | 3.6× |
| X-ray humerus (73060) | $327.48 | $545.80 | 3.6× |
| X-ray IV pyelogram (ivp) (74400) | $1,273.11 | $2,121.85 | 6.9× |
| X-ray IV pyelogram+tomography (74415) | $1,203.03 | $2,005.05 | 6.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $500.58 | $834.30 | 5.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $328.26 | $547.10 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $378.06 | $630.10 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $480.78 | $801.30 | 4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $334.11 | $556.85 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $328.32 | $547.20 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $413.52 | $689.20 | 4.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $479.55 | $799.25 | 4.3× |
| X-Ray Tmj Unilat (70328) | $379.83 | $633.05 | 4.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $683.37 | $1,138.95 | 1.9× |
| X-Rays Bone Length Studies (77073) | $430.38 | $717.30 | 3.9× |
| X-Rays Bone Survey Complete (77075) | $909.75 | $1,516.25 | 8.2× |
| Xr c-spine 4 or 5 views (72050) | $502.53 | $837.55 | 4.5× |
| Xr facial bones less than 3 views (70140) | $382.20 | $637 | 4.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $379.83 | $633.05 | 3.4× |
| Xr orbits complete 4 views (70200) | $382.95 | $638.25 | 3.5× |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$674.07–$1,027.38 | $1,123.45–$1,712.30 | varies |
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.