Imaging prices at Gulf Breeze Hospital
Gulf Breeze, FL · every code in this section with a posted price and a Medicare benchmark.
260 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) | $122.85 | $819 | 1.4× |
| Abdomen 2 views (74019) | $140.40 | $936 | 1.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $497.85 | $3,319 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $1,864.20 | $12,428 | 0.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$124.50–$186.75 | $830–$1,245 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$157.35–$236.10 | $1,049–$1,574 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$323.25–$484.95 | $2,155–$3,233 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$222.15–$333.30 | $1,481–$2,222 | varies |
| Basic radiation dosimetry calculation (77300) | $208.65 | $1,391 | 1.5× |
| Bone age studies (77072) | $106.05 | $707 | 1.0× |
| Bone Imaging 3 Phase (78315) | $1,271.55 | $8,477 | 3.0× |
| Bone Imaging Limited Area (78300) | $713.85 | $4,759 | 1.7× |
| Bone Imaging Whole Body (78306) | $1,151.25 | $7,675 | 2.8× |
| Bone survey infant (77076) | $81.60 | $544 | 0.7× |
| Brain Image W/Flow < 4 Views (78601) | $378.75 | $2,525 | 0.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $817.80 | $5,452 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $119.70 | $798 | 1.3× |
| Chest 1 view (71045) | $109.65 | $731 | 1.2× |
| Chest 2 views (71046) | $177.75 | $1,185 | 2.0× |
| Chest 3 views (71047) | $192 | $1,280 | 2.1× |
| Chest 4 or more views (71048) | $207.45 | $1,383 | 1.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$98.10–$147.15 | $654–$981 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $188.40 | $1,256 | 1.7× |
| Continuing medical physics consltj pr wk (77336) | $136.50 | $910 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $1,608.30 | $10,722 | 0.5× |
| Contrast X-Ray Bladder (74430) | $229.95 | $1,533 | 0.6× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$135.45–$203.25 | $903–$1,355 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$267.30–$400.95 | $1,782–$2,673 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,400 | $16,000 | 6.6× |
| CT abdomen and pelvis without contrast (74176) | $1,800 | $12,000 | 7.2× |
| CT abdomen w contrast (74160) | $915 | $6,100 | 5.0× |
| CT abdomen w wo contrast (74170) | $960 | $6,400 | 5.2× |
| CT abdomen w/o contrast (74150) | $870 | $5,800 | 8.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,350 | $9,000 | 3.7× |
| CT Angio Chest (71275) | $1,425 | $9,500 | 7.8× |
| CT Angio Head (70496) | $1,275 | $8,500 | 7.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$765–$1,147.50 | $5,100–$7,650 | varies |
| CT Angio Neck (70498) | $1,275 | $8,500 | 7.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$960–$1,440 | $6,400–$9,600 | varies |
| CT cervical spine w/ contrast (72126) | $630 | $4,200 | 1.7× |
| CT cervical spine w/o contrast (72125) | $1,200 | $8,000 | 11.0× |
| CT cervical spine w/wo cont (72127) | $1,350 | $9,000 | 7.4× |
| CT chest w contrast (71260) | $855 | $5,700 | 4.7× |
| CT chest w/wo contrast (71270) | $960 | $6,400 | 5.2× |
| CT head/brain with contrast (70460) | $915 | $6,100 | 5.0× |
| CT head/brain without and with contrast (70470) | $960 | $6,400 | 5.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $38.85 | $259 | 0.4× |
| CT iac w contrast (70481) | $915 | $6,100 | 5.0× |
| CT l-spine w&w/o contrast (72133) | $1,350 | $9,000 | 7.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$675–$1,012.50 | $4,500–$6,750 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$720–$1,080 | $4,800–$7,200 | varies |
| CT lumbar spine w contrast (72132) | $1,275 | $8,500 | 3.5× |
| CT lumbar spine w/o contrast (72131) | $1,200 | $8,000 | 11.0× |
| CT maxillofacial w contrast (70487) | $960 | $6,400 | 5.2× |
| CT maxillofacial wo contrast (70486) | $903.75 | $6,025 | 8.3× |
| CT neck tissue combo (70492) | $960 | $6,400 | 5.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $960 | $6,400 | 5.2× |
| CT orbits w/o contrast (70480) | $870 | $5,800 | 8.0× |
| CT pelvis w&w/o contrast (72194) | $1,210.05 | $8,067 | 6.6× |
| CT pelvis w/o contrast (72192) | $870 | $5,800 | 8.0× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$765–$1,147.50 | $5,100–$7,650 | varies |
| CT scans face/jaw combo (70488) | $990 | $6,600 | 5.4× |
| CT soft tissue neck w contrast (70491) | $675 | $4,500 | 3.7× |
| CT soft tissue neck w/o contrast (70490) | $630 | $4,200 | 5.8× |
| CT thoracic spine w contrast (72129) | $1,275 | $8,500 | 7.0× |
| CT thoracic spine w/o contrast (72128) | $1,200 | $8,000 | 11.0× |
| CT thoracic spine w/wo cont (72130) | $1,350 | $9,000 | 7.4× |
| CT thorax w/o contrast (71250) | $825 | $5,500 | 7.6× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$870–$1,305 | $5,800–$8,700 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $960 | $6,400 | 5.2× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$915–$1,372.50 | $6,100–$9,150 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,341.60 | $8,944 | 7.3× |
| Cta Abdomen (74175) | $960 | $6,400 | 5.2× |
| CTA pelvis (72191) | $577.50 | $3,850 | 3.2× |
| Diskography lumbar (72295) | $1,021.05 | $6,807 | 0.5× |
| Dxa Bone Density Axial (77080) | $90.45 | $603 | 0.8× |
| Esophagram (74220) | $451.20 | $3,008 | 2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $50.85 | $339 | 0.5× |
| Fluoroscopy up to 1 hr (76000) | $232.20 | $1,548 | 0.9× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$129.75–$194.70 | $865–$1,298 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$289.65–$434.55 | $1,931–$2,897 | varies |
| Gastric emptying imaging study (78264) | $921.90 | $6,146 | 2.2× |
| Gated Heart Planar Single (78472) | $620.10 | $4,134 | 1.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$150.45–$225.75 | $1,003–$1,505 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,103.40 | $7,356 | 1.9× |
| Hepatobiliary System Imaging (78226) | $780.15 | $5,201 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $1,402.50 | $9,350 | 1.0× |
| Hysterosalpingogram (74740) | $340.50 | $2,270 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $631.50 | $4,210 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $430.35 | $2,869 | 0.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$134.25–$201.45 | $895–$1,343 | varies |
| Leveen/Shunt Patency Exam (78291) | $298.65 | $1,991 | 0.7× |
| Liver & Spleen Imaging Static Only (78215) | $406.20 | $2,708 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $374.70 | $2,498 | 0.7× |
| Lung Ventilat&Perfus Imaging (78582) | $625.05 | $4,167 | 1.1× |
| Lymph System Imaging (78195) | $841.95 | $5,613 | 1.5× |
| Mammary ductogram or galactogram multiple (77054) | $458.55 | $3,057 | 1.8× |
| Mammary ductogram or galactogram single (77053) | $316.65 | $2,111 | 1.3× |
| Meckels Divert Exam (78290) | $378.15 | $2,521 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $900.90 | $6,006 | 2.5× |
| MRA head w/o contrast (70544) | $657.45 | $4,383 | 2.6× |
| MRA neck w/o contrast (70547) | $673.20 | $4,488 | 2.7× |
| MRI abdomen w contrast (74182) | $765.45 | $5,103 | 2.1× |
| MRI abdomen w/o contrast (74181) | $649.65 | $4,331 | 2.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$849.15–$1,273.80 | $5,661–$8,492 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$918–$1,377 | $6,120–$9,180 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,132.20–$1,698.30 | $7,548–$11,322 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $459 | $3,060 | 1.8× |
| MRI cervical spine w contrast (72142) | $1,071 | $7,140 | 2.9× |
| MRI cervical spine w/o cont (72141) | $918 | $6,120 | 3.7× |
| MRI chest w/o contrast (71550) | $527.85 | $3,519 | 2.1× |
| MRI chest wo w contrast (71552) | $716.10 | $4,774 | 2.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $849.15 | $5,661 | 2.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$1,178.10–$1,767.15 | $7,854–$11,781 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$814.80–$1,222.20 | $5,432–$8,148 | varies |
| MRI lumbar spine w contrast (72149) | $1,224 | $8,160 | 3.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,224 | $8,160 | 3.4× |
| MRI orbit face &/neck w/o contrast (70540) | $636.45 | $4,243 | 2.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $791.85 | $5,279 | 2.2× |
| MRI pelvis w contrast (72196) | $994.50 | $6,630 | 2.7× |
| MRI pelvis w/o & w contrast (72197) | $1,071 | $7,140 | 2.9× |
| MRI pelvis w/o contrast (72195) | $975.45 | $6,503 | 3.9× |
| MRI thoracic spine w/o contrast (72146) | $918 | $6,120 | 3.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,132.20 | $7,548 | 3.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,086.30–$1,629.45 | $7,242–$10,863 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$1,178.10–$1,767.15 | $7,854–$11,781 | varies |
| MRI, abdomen, combo (74183) | $780.30 | $5,202 | 2.1× |
| MRI, dorsal spine combo (72157) | $1,224 | $8,160 | 3.4× |
| MRI, dorsal spine contrast (72147) | $1,071 | $7,140 | 2.9× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,086.30–$1,629.45 | $7,242–$10,863 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,178.10–$1,767.15 | $7,854–$11,781 | varies |
| MRI, lumbar spine combo (72158) | $1,224 | $8,160 | 3.4× |
| Myocardial Spect Multiple Studies (78452) | $2,887.50 | $19,250 | 2.1× |
| Neck soft tissue (70360) | $183.60 | $1,224 | 2.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $230.25 | $1,535 | 0.6× |
| Nonvascular Shunt X-Ray (75809) | $137.10 | $914 | 1.3× |
| Optic foramina (70190) | $58.95 | $393 | 0.6× |
| Parathyroid Planar Imaging (78070) | $754.65 | $5,031 | 1.8× |
| Pelvis 1 or 2 views (72170) | $114.15 | $761 | 1.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,520 | $16,800 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $441.75 | $2,945 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $237.45 | $1,583 | 2.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $220.50 | $1,470 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$129.15–$193.80 | $861–$1,292 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$131.70–$197.55 | $878–$1,317 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$222.90–$334.35 | $1,486–$2,229 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $156.15 | $1,041 | 1.4× |
| Radex fingr minimum 2 views (73140) | $149.70 | $998 | 1.6× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$144.75–$217.20 | $965–$1,448 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$193.35–$290.10 | $1,289–$1,934 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$31.05–$46.65 | $207–$311 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $138.30 | $922 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $129.90 | $866 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) | $331.65 | $2,211 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$188.70–$283.05 | $1,258–$1,887 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $132.75 | $885 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $219.45 | $1,463 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $179.40 | $1,196 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $154.95 | $1,033 | 1.7× |
| Radex Toe Minimum 2 Views (73660) | $181.50 | $1,210 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$33.15–$49.80 | $221–$332 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$233.40–$350.10 | $1,556–$2,334 | varies |
| Radiation treatment delivery level 1 (77402) | $109.65 | $731 | 1.0× |
| Radiation treatment delivery level 2 (77407) | $199.05 | $1,327 | 0.5× |
| Radiation treatment delivery level 3 (77412) | $561.75 | $3,745 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $155.85 | $1,039 | 1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $284.25 | $1,895 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $520.50 | $3,470 | 2.8× |
| Radiologic exam colon single contrast study (74270) | $283.95 | $1,893 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$175.50–$263.25 | $1,170–$1,755 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $162.90 | $1,086 | 1.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $250.50 | $1,670 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $243.30 | $1,622 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $344.55 | $2,297 | 1.9× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$165.90–$248.85 | $1,106–$1,659 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$182.55–$273.90 | $1,217–$1,826 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$119.40–$179.10 | $796–$1,194 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $152.85 | $1,019 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$227.40–$341.10 | $1,516–$2,274 | varies |
| Ribs bilateral 3 views (71110) | $213.45 | $1,423 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $630.15 | $4,201 | 1.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $776.40 | $5,176 | 1.4× |
| Salivary Gland Function Study (78232) | $341.40 | $2,276 | 0.8× |
| Scapula (73010) range across 2 matching MRF lines |
$89.10–$133.65 | $594–$891 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $86.25 | $575 | 3.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$123.45–$185.25 | $823–$1,235 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$229.95–$345 | $1,533–$2,300 | varies |
| Skull less than 4 views (70250) | $145.50 | $970 | 1.3× |
| Special dosimetry (77331) | $227.55 | $1,517 | 1.6× |
| Special Physics Consult (77370) | $216.75 | $1,445 | 1.5× |
| Sternoclavicular joints (71130) | $137.25 | $915 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $513.60 | $3,424 | 1.3× |
| Ther rad simulaj-aided field setting simple (77280) | $229.05 | $1,527 | 1.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $291.15 | $1,941 | 1.6× |
| Thoracic spine 2 views (72070) | $159.90 | $1,066 | 1.5× |
| Thoracic spine 3 views (72072) | $284.25 | $1,895 | 2.6× |
| Thoracolumbar 2 views (72080) | $150 | $1,000 | 1.7× |
| Thyroid Imaging With Vascular Flow (78013) | $349.65 | $2,331 | 0.8× |
| Thyroid Met Imaging Body (78018) | $702.60 | $4,684 | 1.2× |
| Thyroid Uptake Measurement (78012) | $273.75 | $1,825 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $493.05 | $3,287 | 1.2× |
| Tx Devices Design & Construction Complex (77334) | $401.25 | $2,675 | 1.0× |
| Tx devices design & construction intermediate (77333) | $288.90 | $1,926 | 2.1× |
| Tx devices design & construction simple (77332) | $240.75 | $1,605 | 1.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$249.45–$374.25 | $1,663–$2,495 | varies |
| Ultrasound Exam Aaa Screen (76706) | $112.95 | $753 | 1.0× |
| Ultrasound, abdomen limited (76705) | $470.40 | $3,136 | 4.3× |
| Unlisted us procedure (76999) | $200.10 | $1,334 | 2.2× |
| Upper gi w/o kub (74240) | $230.10 | $1,534 | 1.3× |
| Urethrocystogram voiding (74455) | $277.80 | $1,852 | 1.1× |
| Urethrocystography retrograde (74450) | $485.10 | $3,234 | 1.9× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$264.90–$397.35 | $1,766–$2,649 | varies |
| Us chest (76604) | $137.40 | $916 | 1.3× |
| Us complete joint (76881) | $246.45 | $1,643 | 2.3× |
| Us exam, pelvic, limited (76857) | $171.30 | $1,142 | 1.6× |
| Us kidney transplant (76776) | $426 | $2,840 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $234.30 | $1,562 | 2.1× |
| Us ob limited 1 or more fetuses (76815) | $217.80 | $1,452 | 2.0× |
| Us ob transvaginal (76817) | $64.20 | $428 | 0.6× |
| Us pelvic non ob complete (76856) | $332.40 | $2,216 | 3.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $151.20 | $1,008 | 1.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $48.15 | $321 | 0.4× |
| Us retroperitoneal complete (76770) | $335.55 | $2,237 | 3.1× |
| Us retroperitoneal limited (76775) | $453.60 | $3,024 | 4.2× |
| Us scrotum and contents (76870) | $410.55 | $2,737 | 3.8× |
| Us thyroid (76536) | $200.40 | $1,336 | 1.8× |
| Venography caval inferior serialography rs&i (75825) | $1,224.60 | $8,164 | 0.4× |
| Venography extremity bilateral rs&i (75822) | $670.20 | $4,468 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $605.85 | $4,039 | 0.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$211.95–$318 | $1,413–$2,120 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $156.75 | $1,045 | 1.7× |
| X-ray antegrade pyelogram tube (74425) | $239.55 | $1,597 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $139.80 | $932 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$169.95–$255 | $1,133–$1,700 | varies |
| X-Ray Exam Breast Specimen (76098) | $123.15 | $821 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $84.30 | $562 | 0.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $73.05 | $487 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $125.25 | $835 | 1.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $175.80 | $1,172 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $26.85 | $179 | 0.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $168.60 | $1,124 | 1.5× |
| X-Ray Exam L-S Spine Bending (72114) | $387 | $2,580 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $159 | $1,060 | 1.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $387.90 | $2,586 | 3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $334.35 | $2,229 | 3.1× |
| X-ray eye for foreign body (70030) | $107.70 | $718 | 1.2× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$223.35–$335.10 | $1,489–$2,234 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $69.45 | $463 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $225.15 | $1,501 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $58.95 | $393 | 0.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $237 | $1,580 | 2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $132.90 | $886 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $282.60 | $1,884 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $156.75 | $1,045 | 1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $256.20 | $1,708 | 2.3× |
| X-ray thoracic spine 4 vw (72074) | $298.35 | $1,989 | 2.7× |
| X-Rays Bone Length Studies (77073) | $125.85 | $839 | 1.2× |
| X-Rays Bone Survey Complete (77075) | $94.65 | $631 | 0.9× |
| Xr c-spine 4 or 5 views (72050) | $329.10 | $2,194 | 3.0× |
| Xr orbits complete 4 views (70200) | $194.40 | $1,296 | 1.8× |
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.