Imaging prices at Grinnell Regional Medical Center
Grinnell, IA · every code in this section with a posted price and a Medicare benchmark.
256 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) | $181.60 | $226.99 | 2.2× |
| Abdomen 2 views (74019) | $314.92 | $393.65 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,063.05 | $1,328.81 | 2.7× |
| Ankle 2 views (73600) | $248.98 | $311.22 | 2.9× |
| Arthrogram ankle (73615) | $1,148.07 | $1,435.08 | 3.4× |
| Arthrogram hip (73525) | $1,148.07 | $1,435.08 | 3.4× |
| Arthrogram Wrist (73115) | $598.13 | $747.66 | 1.8× |
| Bone age studies (77072) | $280.69 | $350.86 | 2.8× |
| Bone Imaging 3 Phase (78315) | $1,527.80 | $1,909.74 | 3.9× |
| Bone Imaging Limited Area (78300) | $898.18 | $1,122.72 | 2.3× |
| Bone Imaging Multiple Areas (78305) | $1,086.58 | $1,358.22 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,572.76 | $1,965.94 | 4.1× |
| Brain Image W/Flow < 4 Views (78601) | $2,647.19 | $3,308.98 | 6.8× |
| Cat Scan Follow-Up Study (76380) | $839.61 | $1,049.51 | 9.9× |
| Chest 1 view (71045) | $185.94 | $232.42 | 2.2× |
| Chest 2 views (71046) | $185.94 | $232.42 | 2.2× |
| Chest 3 views (71047) | $185.94 | $232.42 | 2.2× |
| Chest 4 or more views (71048) | $224.95 | $281.18 | 2.2× |
| Clavicle complete (73000) | $185.75 | $232.18 | 2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $271.42 | $339.27 | 2.7× |
| Contrast X-Ray Bladder (74430) | $533.61 | $667.01 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $628.48 | $785.60 | 1.9× |
| Contrast X-Ray Of Knee Joint (73580) | $1,148.07 | $1,435.08 | 3.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,290.41 | $4,113.01 | 9.7× |
| CT abdomen and pelvis without contrast (74176) | $2,096.53 | $2,620.66 | 9.1× |
| CT abdomen w contrast (74160) | $2,356.52 | $2,945.64 | 13.8× |
| CT abdomen w wo contrast (74170) | $2,356.52 | $2,945.64 | 13.8× |
| CT abdomen w/o contrast (74150) | $1,410 | $1,762.49 | 13.9× |
| CT Angio Abdomen and Pelvis (74174) | $4,239.14 | $5,298.92 | 12.5× |
| CT Angio Chest (71275) | $2,207.32 | $2,759.15 | 13.0× |
| CT Angio Head (70496) | $2,400.68 | $3,000.84 | 14.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,297.74 | $2,872.17 | 13.5× |
| CT Angio Neck (70498) | $2,423.57 | $3,029.46 | 14.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,757.30 | $2,196.62 | 10.3× |
| CT bone density (77078) | $385.15 | $481.43 | 4.6× |
| CT cervical spine w/ contrast (72126) | $2,121.31 | $2,651.63 | 6.3× |
| CT cervical spine w/o contrast (72125) | $1,646.89 | $2,058.61 | 16.2× |
| CT chest w contrast (71260) | $2,380.66 | $2,975.82 | 14.0× |
| CT chest w/wo contrast (71270) | $2,659.97 | $3,324.96 | 15.6× |
| CT head/brain with contrast (70460) | $2,031.32 | $2,539.15 | 11.9× |
| CT head/brain without and with contrast (70470) | $2,276.88 | $2,846.09 | 13.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $88 | $110 | 1.0× |
| CT iac w contrast (70481) | $1,871.86 | $2,339.82 | 11.0× |
| CT l-spine w&w/o contrast (72133) | $2,342.11 | $2,927.63 | 13.8× |
| CT lower ext w/o (73700) | $1,204.88 | $1,506.10 | 11.9× |
| CT lower extremity w/contrast material (73701) | $2,013.69 | $2,517.11 | 11.8× |
| CT lumbar spine w contrast (72132) | $2,121.31 | $2,651.63 | 6.3× |
| CT lumbar spine w/o contrast (72131) | $1,568 | $1,960 | 15.5× |
| CT maxillofacial w contrast (70487) | $1,761.11 | $2,201.38 | 10.3× |
| CT maxillofacial wo contrast (70486) | $1,326.36 | $1,657.94 | 13.1× |
| CT neck tissue combo (70492) | $1,952.25 | $2,440.31 | 11.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,483.02 | $3,103.77 | 14.6× |
| CT orbits w/o contrast (70480) | $1,600.57 | $2,000.71 | 15.8× |
| CT pelvis w&w/o contrast (72194) | $2,297.75 | $2,872.18 | 13.5× |
| CT pelvis w/o contrast (72192) | $1,374.84 | $1,718.54 | 13.6× |
| CT scan of leg combo (73702) | $2,013.69 | $2,517.11 | 11.8× |
| CT scans face/jaw combo (70488) | $1,823.88 | $2,279.84 | 10.7× |
| CT soft tissue neck w contrast (70491) | $2,121.31 | $2,651.63 | 12.5× |
| CT soft tissue neck w/o contrast (70490) | $1,391.76 | $1,739.69 | 13.7× |
| CT thoracic spine w contrast (72129) | $2,059.09 | $2,573.86 | 12.1× |
| CT thoracic spine w/o contrast (72128) | $1,234.96 | $1,543.70 | 12.2× |
| CT thorax w/o contrast (71250) | $1,263.48 | $1,579.35 | 12.5× |
| CT unlisted procedure (76497) | $285.14 | $356.42 | 3.4× |
| CT upper ext wo (73200) | $1,468.83 | $1,836.03 | 14.5× |
| CT upper extremity w/o & w/contrast material (73202) | $3,611.39 | $4,514.23 | 21.2× |
| CT upper extremity with contrast (73201) | $2,000.35 | $2,500.43 | 5.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,687.95 | $3,359.93 | 15.8× |
| Cta Abdomen (74175) | $2,446.99 | $3,058.73 | 14.4× |
| CTA pelvis (72191) | $2,479.30 | $3,099.12 | 14.6× |
| Dxa Bone Density Axial (77080) | $377.56 | $471.95 | 3.7× |
| Echo exam uterus (76831) | $782.62 | $978.27 | 3.4× |
| Esophagram (74220) | $431.53 | $539.41 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) | $1,018.80 | $1,273.49 | 10.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $885.87 | $1,107.33 | 8.7× |
| Fluoroscopy up to 1 hr (76000) | $479.77 | $599.71 | 2.1× |
| Foot 2 views (73620) | $193.28 | $241.60 | 2.3× |
| Forearm 2 views (73090) | $301.59 | $376.98 | 3.6× |
| Gastric emptying imaging study (78264) | $1,645.34 | $2,056.67 | 4.2× |
| Hand 2 views (73120) | $251.48 | $314.34 | 2.5× |
| Heart first pass single,planar (78481) | $1,170.52 | $1,463.15 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,734.97 | $2,168.71 | 3.3× |
| Hepatobiliary System Imaging (78226) | $1,326.98 | $1,658.72 | 3.4× |
| Ht Muscle Image Spect Sing (78451) | $2,501.08 | $3,126.35 | 2.0× |
| Hysterosalpingogram (74740) | $799.33 | $999.16 | 3.5× |
| K Flow/Funct Image W/Drug (78708) | $1,645.57 | $2,056.96 | 3.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,336.48 | $1,670.59 | 2.5× |
| Knee 3 Views (73562) | $207.56 | $259.44 | 2.5× |
| Liver & Spleen Imaging Static Only (78215) | $1,106.10 | $1,382.62 | 2.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,177.45 | $1,471.81 | 3.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,667.66 | $2,084.57 | 3.2× |
| Lung Ventilation Imaging (78579) | $898.88 | $1,123.60 | 2.3× |
| Lymph System Imaging (78195) | $1,287.84 | $1,609.80 | 2.4× |
| Meckels Divert Exam (78290) | $689.19 | $861.48 | 1.8× |
| MRA head w/o contrast (70544) | $2,789.18 | $3,486.47 | 12.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,794.19 | $4,742.73 | 11.2× |
| MRA neck w/o contrast (70547) | $3,103.16 | $3,878.94 | 13.4× |
| MRI abdomen w contrast (74182) | $3,468.07 | $4,335.08 | 10.2× |
| MRI abdomen w/o contrast (74181) | $3,098.99 | $3,873.73 | 13.4× |
| MRI any jt lower extrem w/contrast material (73722) | $3,475.69 | $4,344.61 | 4.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,031.43 | $5,039.28 | 11.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,648.60 | $4,560.75 | 4.8× |
| MRI cervical spine w contrast (72142) | $3,606.05 | $4,507.56 | 10.7× |
| MRI cervical spine w/o cont (72141) | $3,084.35 | $3,855.43 | 13.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,633.07 | $5,791.33 | 13.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,633.07 | $5,791.33 | 13.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,952.02 | $3,690.02 | 12.8× |
| MRI lumbar spine w contrast (72149) | $4,822.67 | $6,028.33 | 14.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,635.74 | $5,794.67 | 13.7× |
| MRI orbit face &/neck w/o contrast (70540) | $3,064.54 | $3,830.67 | 13.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,245.54 | $5,306.92 | 12.5× |
| MRI pelvis w/o & w contrast (72197) | $4,443.84 | $5,554.79 | 13.1× |
| MRI pelvis w/o contrast (72195) | $3,103.16 | $3,878.94 | 13.4× |
| MRI thoracic spine w/o contrast (72146) | $2,960.10 | $3,700.12 | 12.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,432.02 | $3,040.02 | 10.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,876.36 | $4,845.45 | 11.5× |
| MRI, abdomen, combo (74183) | $4,527.64 | $5,659.55 | 13.4× |
| MRI, dorsal spine combo (72157) | $4,865.19 | $6,081.48 | 14.4× |
| MRI, dorsal spine contrast (72147) | $3,946.47 | $4,933.08 | 11.7× |
| MRI, joint upper extrem (73221) | $2,955.31 | $3,694.13 | 12.8× |
| MRI, joint upper extrem combo (73223) | $4,044 | $5,054.99 | 11.9× |
| MRI, lumbar spine combo (72158) | $4,822.67 | $6,028.33 | 14.2× |
| Myelograpy 2/more regions rs&i (72270) | $2,084.02 | $2,605.02 | 2.7× |
| Myocardial Spect Multiple Studies (78452) | $3,054.36 | $3,817.94 | 2.4× |
| Neck soft tissue (70360) | $260.66 | $325.82 | 3.1× |
| Nonvascular Shunt X-Ray (75809) | $453.67 | $567.08 | 4.5× |
| Ob us nuchal meas 1 gest (76813) | $357 | $446.24 | 3.5× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $183.58 | $229.47 | 2.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $249.46 | $311.82 | 2.5× |
| Parathyroid Planar Imaging (78070) | $974.50 | $1,218.12 | 2.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $974.50 | $1,218.12 | 2.5× |
| Pelvis 1 or 2 views (72170) | $272.44 | $340.55 | 2.7× |
| Pet Image W/Ct Lmtd (78814) | $4,626.25 | $5,782.81 | 3.3× |
| PET image w/CT, full body (78816) | $4,243.60 | $5,304.50 | 3.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,243.60 | $5,304.50 | 3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,205.68 | $1,507.09 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $316.56 | $395.70 | 3.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $350.85 | $438.56 | 4.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $161.79 | $202.23 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $318.49 | $398.11 | 3.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $431.44 | $539.30 | 4.3× |
| Radex fingr minimum 2 views (73140) | $240.52 | $300.64 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $332.62 | $415.77 | 3.9× |
| Radex Hand Minimum 3 Views (73130) | $295.63 | $369.53 | 3.5× |
| Radex lower extremity infant minimum 2 views (73592) | $184.68 | $230.85 | 2.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $187.60 | $234.50 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $315.28 | $394.10 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $337 | $421.24 | 4.0× |
| Radex shoulder complete minimum 2 views (73030) | $322.13 | $402.66 | 3.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $184.68 | $230.85 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $220.98 | $276.22 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $204.37 | $255.46 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $238.46 | $298.07 | 2.8× |
| Radex Toe Minimum 2 Views (73660) | $241.94 | $302.42 | 2.9× |
| Radex upper extremity infant minimum 2 views (73092) | $150.24 | $187.80 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $316.10 | $395.12 | 3.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $339.27 | $424.08 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $270.23 | $337.78 | 2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $314.92 | $393.65 | 3.1× |
| Radiologic exam colon double contrast study (74280) | $592.90 | $741.12 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $592.90 | $741.12 | 3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $348.83 | $436.03 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $251.10 | $313.87 | 2.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $272.44 | $340.55 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $382.04 | $477.54 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $414.98 | $518.72 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $582.92 | $728.65 | 3.4× |
| Radiologic examination femur 1 view (73551) | $176.60 | $220.75 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) | $222.84 | $278.54 | 2.6× |
| Radiologic examination knee 1/2 views (73560) | $207.56 | $259.44 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $213.98 | $267.47 | 2.5× |
| Ribs bilateral 3 views (71110) | $288.86 | $361.07 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,664.18 | $4,580.22 | 7.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,108.98 | $2,636.22 | 4.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,566.53 | $3,208.16 | 2.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,911.96 | $3,639.95 | 2.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,566.53 | $3,208.16 | 2.0× |
| Scapula (73010) | $241.74 | $302.17 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $45.23 | $56.53 | 1.9× |
| Shoulder 1 view (73020) | $191.51 | $239.38 | 2.3× |
| Shoulder Arthrography (73040) | $836.76 | $1,045.94 | 2.5× |
| Skull less than 4 views (70250) | $262.24 | $327.80 | 2.6× |
| Sternoclavicular joints (71130) | $175.99 | $219.98 | 2.1× |
| Testicular Imaging W/Flow (78761) | $1,427.44 | $1,784.29 | 3.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $362.08 | $452.60 | 2.1× |
| Thoracic spine 2 views (72070) | $271.10 | $338.87 | 2.7× |
| Thoracic spine 3 views (72072) | $271.10 | $338.87 | 2.7× |
| Thoracolumbar 2 views (72080) | $323.16 | $403.95 | 3.8× |
| Thyroid Imaging With Vascular Flow (78013) | $461.76 | $577.20 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $974.50 | $1,218.12 | 2.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$365.03–$730.05 | $456.28–$912.56 | varies |
| Ultrasound elastography first target lesion (76982) | $758.04 | $947.55 | 7.5× |
| Ultrasound Exam Aaa Screen (76706) | $600.97 | $751.21 | 5.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $758.04 | $947.55 | 2.2× |
| Ultrasound, abdomen limited (76705) | $623.02 | $778.77 | 6.1× |
| Umbilical-artery Doppler (OB) (76820) | $233.61 | $292.01 | 2.3× |
| Upper gi w/o kub (74240) | $432.09 | $540.11 | 2.5× |
| Ureteral Reflux Study (78740) | $730.98 | $913.72 | 1.9× |
| Urethrocystogram voiding (74455) | $612.42 | $765.52 | 2.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$365.03–$730.05 | $456.28–$912.56 | varies |
| Us chest (76604) | $409.91 | $512.38 | 4.0× |
| Us complete joint (76881) | $544.98 | $681.22 | 5.4× |
| Us exam, pelvic, limited (76857) | $365.73 | $457.16 | 3.6× |
| Us kidney transplant (76776) | $667.64 | $834.55 | 6.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $353.48 | $441.84 | 3.5× |
| Us ob detailed single fetus (76811) | $827.72 | $1,034.65 | 3.6× |
| Us ob limited 1 or more fetuses (76815) | $536.66 | $670.82 | 5.3× |
| Us ob transvaginal (76817) | $612.44 | $765.54 | 6.0× |
| Us pelvic non ob complete (76856) | $752.12 | $940.14 | 7.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $633.55 | $791.93 | 6.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $521.50 | $651.87 | 5.1× |
| Us retroperitoneal complete (76770) | $794.76 | $993.44 | 7.8× |
| Us retroperitoneal limited (76775) | $667.64 | $834.55 | 6.6× |
| Us scrotum and contents (76870) | $510.78 | $638.47 | 5.0× |
| Us thyroid (76536) | $617.23 | $771.53 | 6.1× |
| Us transrectal (76872) | $532.11 | $665.13 | 5.2× |
| Wrist 2 views (73100) | $259.80 | $324.74 | 3.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $199.41 | $249.26 | 2.4× |
| X-Ray Bend Only L-S Spine (72120) | $337.89 | $422.36 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $186.72 | $233.40 | 2.2× |
| X-Ray Exam Breast Specimen (76098) | $322.23 | $402.78 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $190.98 | $238.72 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $297.60 | $371.99 | 2.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $339.27 | $424.08 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $192.96 | $241.20 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $192.96 | $241.20 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $270.98 | $338.72 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $168.88 | $211.10 | 1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $177.93 | $222.41 | 1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $339.36 | $424.20 | 3.3× |
| X-Ray Exam L-S Spine Bending (72114) | $337.89 | $422.36 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $321.13 | $401.41 | 3.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $388.51 | $485.63 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $360.36 | $450.44 | 3.6× |
| X-ray eye for foreign body (70030) | $187.60 | $234.50 | 2.2× |
| X-ray humerus (73060) | $291.80 | $364.75 | 3.5× |
| X-ray IV pyelogram (ivp) (74400) | $652.09 | $815.11 | 3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $169.69 | $212.11 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $187.60 | $234.50 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $337.89 | $422.36 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $187.60 | $234.50 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $484.56 | $605.70 | 4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $208.20 | $260.24 | 2.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $184.68 | $230.85 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $301.92 | $377.39 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $269.88 | $337.35 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $299.24 | $374.05 | 3.0× |
| X-Ray Stress View (77071) | $187.60 | $234.50 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $271.10 | $338.87 | 2.7× |
| X-Ray Tmj Unilat (70328) | $165.52 | $206.89 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $752.52 | $940.64 | 2.2× |
| X-Rays Bone Length Studies (77073) | $241.65 | $302.06 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $776.07 | $970.08 | 7.7× |
| Xr c-spine 4 or 5 views (72050) | $388.51 | $485.63 | 3.8× |
| Xr facial bones less than 3 views (70140) | $219.74 | $274.67 | 2.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $187.60 | $234.50 | 1.8× |
| Xr orbits complete 4 views (70200) | $278.21 | $347.76 | 2.7× |
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.