Imaging prices at Hazard ARH Regional Medical Center
Hazard, KY · every code in this section with a posted price and a Medicare benchmark.
270 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,527.60 | $7,546 | 3.4× |
| Abdomen 1 View (74018) | $243 | $405 | 2.9× |
| Abdomen 2 views (74019) | $320.40 | $534 | 3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $985.80 | $1,643 | 2.6× |
| Angiography extremity bilateral rs&i (75716) | $4,980 | $8,300 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $3,111.60 | $5,186 | 1.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$222.60–$444.60 | $371–$741 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,111.60 | $5,186 | 0.6× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,410.80 | $4,018 | 0.4× |
| Arthrogram hip (73525) | $411.60 | $686 | 1.2× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$136.80–$458.40 | $228–$764 | varies |
| Bone age studies (77072) | $243 | $405 | 2.4× |
| Bone Imaging 3 Phase (78315) | $1,213.80 | $2,023 | 3.2× |
| Bone Imaging Limited Area (78300) | $1,097.40 | $1,829 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,314 | $2,190 | 3.4× |
| Bone survey infant (77076) | $320.40 | $534 | 3.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,462.80 | $2,438 | 2.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $511.80 | $853 | 1.5× |
| Chest 1 view (71045) | $223.80 | $373 | 2.7× |
| Chest 2 views (71046) | $265.80 | $443 | 3.2× |
| Chest 3 views (71047) | $340.80 | $568 | 4.1× |
| Chest 4 or more views (71048) | $300 | $500 | 3.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$243–$486.60 | $405–$811 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,919.40 | $3,199 | 19.1× |
| Continuing medical physics consltj pr wk (77336) | $702.60 | $1,171 | 5.4× |
| Contrast Exam Abdominl Aorta (75625) | $3,111.60 | $5,186 | 1.0× |
| Contrast X-Ray Bladder (74430) | $280.80 | $468 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $480.60 | $801 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $5,362.20 | $8,937 | 16.0× |
| CT abdomen and pelvis without contrast (74176) | $3,504 | $5,840 | 15.3× |
| CT abdomen w contrast (74160) | $2,048.40 | $3,414 | 12.1× |
| CT abdomen w wo contrast (74170) | $2,446.80 | $4,078 | 14.5× |
| CT abdomen w/o contrast (74150) | $1,663.20 | $2,772 | 16.5× |
| CT Angio Abdomen and Pelvis (74174) | $5,247 | $8,745 | 15.6× |
| CT Angio Chest (71275) | $2,918.40 | $4,864 | 17.3× |
| CT Angio Head (70496) | $2,276.40 | $3,794 | 13.5× |
| CT angio hrt w/3d image (75574) | $1,644.60 | $2,741 | 4.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,276.40–$4,552.20 | $3,794–$7,587 | varies |
| CT Angio Neck (70498) | $2,276.40 | $3,794 | 13.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,276.40–$4,552.20 | $3,794–$7,587 | varies |
| CT cervical spine w/ contrast (72126) | $2,464.20 | $4,107 | 7.3× |
| CT cervical spine w/o contrast (72125) | $2,133.60 | $3,556 | 21.2× |
| CT cervical spine w/wo cont (72127) | $2,918.40 | $4,864 | 17.3× |
| CT chest w contrast (71260) | $2,628 | $4,380 | 15.6× |
| CT chest w/wo contrast (71270) | $3,141 | $5,235 | 18.6× |
| CT head/brain with contrast (70460) | $1,710 | $2,850 | 10.1× |
| CT head/brain without and with contrast (70470) | $2,428.20 | $4,047 | 14.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,644.60 | $2,741 | 19.6× |
| CT iac w contrast (70481) | $1,999.80 | $3,333 | 11.8× |
| CT l-spine w&w/o contrast (72133) | $2,918.40 | $4,864 | 17.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,585.80–$3,171.60 | $2,643–$5,286 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,999.80–$3,999 | $3,333–$6,665 | varies |
| CT lumbar spine w contrast (72132) | $2,464.20 | $4,107 | 7.3× |
| CT lumbar spine w/o contrast (72131) | $1,789.80 | $2,983 | 17.8× |
| CT maxillofacial w contrast (70487) | $1,999.80 | $3,333 | 11.8× |
| CT maxillofacial wo contrast (70486) | $1,585.80 | $2,643 | 15.8× |
| CT neck tissue combo (70492) | $2,276.40 | $3,794 | 13.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,276.40 | $3,794 | 13.5× |
| CT orbits w/o contrast (70480) | $1,585.80 | $2,643 | 15.8× |
| CT pelvis w&w/o contrast (72194) | $2,918.40 | $4,864 | 17.3× |
| CT pelvis w/o contrast (72192) | $1,841.40 | $3,069 | 18.3× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,276.40–$4,552.20 | $3,794–$7,587 | varies |
| CT scans face/jaw combo (70488) | $2,276.40 | $3,794 | 13.5× |
| CT soft tissue neck w contrast (70491) | $1,999.80 | $3,333 | 11.8× |
| CT soft tissue neck w/o contrast (70490) | $1,585.80 | $2,643 | 15.8× |
| CT thoracic spine w contrast (72129) | $2,464.20 | $4,107 | 14.6× |
| CT thoracic spine w/o contrast (72128) | $2,177.40 | $3,629 | 21.6× |
| CT thoracic spine w/wo cont (72130) | $2,025 | $3,375 | 12.0× |
| CT thorax w/o contrast (71250) | $1,919.40 | $3,199 | 19.1× |
| CT upper ext wo (73200) | $1,585.80 | $2,643 | 15.8× |
| CT upper extremity w/o & w/contrast material (73202) | $2,276.40 | $3,794 | 13.5× |
| CT upper extremity with contrast (73201) | $1,999.80 | $3,333 | 6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,276.40 | $3,794 | 13.5× |
| Cta Abdomen (74175) | $2,276.40 | $3,794 | 13.5× |
| CTA pelvis (72191) | $2,971.80 | $4,953 | 17.6× |
| Dxa Bone Density Axial (77080) | $170.40 | $284 | 1.7× |
| Dxa bone density study (77085) | $279.60 | $466 | 2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $79.20 | $132 | 0.9× |
| Echo Guide For Artery Repair (76936) | $828.60 | $1,381 | 4.0× |
| Esophagram (74220) | $574.20 | $957 | 3.4× |
| Fetal Biophys Profile W/Nst (76818) | $946.80 | $1,578 | 9.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $946.80 | $1,578 | 9.4× |
| Fluoroscopy up to 1 hr (76000) | $393.60 | $656 | 1.7× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$122.40–$441.60 | $204–$736 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$232.20–$463.80 | $387–$773 | varies |
| Gastric emptying imaging study (78264) | $1,340.40 | $2,234 | 3.5× |
| Gated Heart Planar Single (78472) | $1,314 | $2,190 | 3.4× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$122.40–$404.40 | $204–$674 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,314 | $2,190 | 2.5× |
| Hepatobiliary System Imaging (78226) | $688.80 | $1,148 | 1.8× |
| Ht Musc Image Planar Mult (78454) | $2,015.40 | $3,359 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $1,878 | $3,130 | 1.5× |
| Hysterosalpingogram (74740) | $453 | $755 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $714 | $1,190 | 8.5× |
| Infant hip ultrasound, limited static exam (76886) | $96 | $160 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $1,314 | $2,190 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,314 | $2,190 | 2.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$255–$511.80 | $425–$853 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,314 | $2,190 | 3.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,377 | $2,295 | 3.6× |
| Lung perfusion differential (78597) | $683.40 | $1,139 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,460.40 | $2,434 | 2.8× |
| Lymph System Imaging (78195) | $792.60 | $1,321 | 1.5× |
| Magnetic Resonance Elastography (76391) | $319.20 | $532 | 1.4× |
| Meckels Divert Exam (78290) | $1,314 | $2,190 | 3.4× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,294.80–$4,338 | $2,158–$7,230 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $2,816.40 | $4,694 | 8.4× |
| MRA head w/o contrast (70544) | $2,656.20 | $4,427 | 11.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,816.40 | $4,694 | 8.4× |
| MRA neck w/o contrast (70547) | $2,656.20 | $4,427 | 11.6× |
| MRI abdomen w contrast (74182) | $2,704.80 | $4,508 | 8.1× |
| MRI abdomen w/o contrast (74181) | $2,552.40 | $4,254 | 11.1× |
| MRI any jt lower extrem w/contrast material (73722) | $3,243.60 | $5,406 | 4.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,243.60–$6,487.20 | $5,406–$10,812 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,243.60 | $5,406 | 4.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,243.60 | $5,406 | 14.1× |
| MRI cardiac w/o contrast (75557) | $319.20 | $532 | 1.4× |
| MRI cervical spine w contrast (72142) | $3,242.40 | $5,404 | 9.7× |
| MRI cervical spine w/o cont (72141) | $3,060.60 | $5,101 | 13.3× |
| MRI chest w/o contrast (71550) | $3,243.60 | $5,406 | 14.1× |
| MRI chest wo w contrast (71552) | $3,243.60 | $5,406 | 9.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,243.60 | $5,406 | 9.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,243.60 | $5,406 | 9.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,060.60 | $5,101 | 13.3× |
| MRI lumbar spine w contrast (72149) | $3,384.60 | $5,641 | 10.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,926.60 | $8,211 | 14.7× |
| MRI orbit face &/neck w/o contrast (70540) | $3,060.60 | $5,101 | 13.3× |
| MRI orbit face neck w contrast (70542) | $3,243.60 | $5,406 | 9.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,181.60 | $8,636 | 15.4× |
| MRI pelvis w contrast (72196) | $3,243.60 | $5,406 | 9.7× |
| MRI pelvis w/o & w contrast (72197) | $3,243.60 | $5,406 | 9.7× |
| MRI pelvis w/o contrast (72195) | $3,060.60 | $5,101 | 13.3× |
| MRI thoracic spine w/o contrast (72146) | $3,243.60 | $5,406 | 14.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,751.60 | $4,586 | 8.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,338.80 | $3,898 | 10.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,243.60 | $5,406 | 9.7× |
| MRI, abdomen, combo (74183) | $2,704.80 | $4,508 | 8.1× |
| MRI, dorsal spine combo (72157) | $4,926.60 | $8,211 | 14.7× |
| MRI, dorsal spine contrast (72147) | $3,242.40 | $5,404 | 9.7× |
| MRI, joint upper extrem (73221) | $3,243.60 | $5,406 | 14.1× |
| MRI, joint upper extrem combo (73223) | $3,183 | $5,305 | 9.5× |
| MRI, lumbar spine combo (72158) | $4,051.80 | $6,753 | 12.1× |
| Myocardial Spect Multiple Studies (78452) | $1,185.60 | $1,976 | 1.0× |
| Neck soft tissue (70360) | $222.60 | $371 | 2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,614.80–$8,761.20 | $4,358–$14,602 | varies |
| Parathyroid Planar Imaging (78070) | $791.40 | $1,319 | 2.1× |
| Pelvis 1 or 2 views (72170) | $243 | $405 | 2.4× |
| PET image w/CT, full body (78816) | $5,751 | $9,585 | 4.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,751 | $9,585 | 4.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $684.60 | $1,141 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $556.20 | $927 | 5.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $675.60 | $1,126 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$265.80–$531.60 | $443–$886 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$232.20–$463.80 | $387–$773 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$273.60–$545.40 | $456–$909 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $355.20 | $592 | 3.5× |
| Radex fingr minimum 2 views (73140) | $197.40 | $329 | 2.4× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$250.80–$501.60 | $418–$836 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$243.60–$487.80 | $406–$813 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $630 | $1,050 | 6.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $243 | $405 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $477.60 | $796 | 5.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$243–$486.60 | $405–$811 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $243 | $405 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $243 | $405 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $243 | $405 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $393.60 | $656 | 4.7× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$183–$365.40 | $305–$609 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $176.40 | $294 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$269.40–$540.60 | $449–$901 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $679.80 | $1,133 | 6.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $11,584.80 | $19,308 | 1.6× |
| Radiation treatment delivery level 3 (77412) | $1,512 | $2,520 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $393.60 | $656 | 3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $332.40 | $554 | 3.3× |
| Radiologic exam colon double contrast study (74280) | $954 | $1,590 | 5.6× |
| Radiologic exam colon single contrast study (74270) | $877.80 | $1,463 | 5.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$300–$598.80 | $500–$998 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $320.40 | $534 | 3.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $466.20 | $777 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $579.60 | $966 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,225.20 | $2,042 | 7.3× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$120.60–$240 | $201–$400 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$243–$486.60 | $405–$811 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$229.20–$458.40 | $382–$764 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$250.80–$501.60 | $418–$836 | varies |
| Ribs bilateral 3 views (71110) | $477.60 | $796 | 4.7× |
| Rp Therapy Intravenous Administration (79101) | $592.80 | $988 | 2.6× |
| Scapula (73010) | $243 | $405 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $43.20 | $72 | 1.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$209.40–$418.20 | $349–$697 | varies |
| Shoulder Arthrography (73040) | $411.60 | $686 | 1.2× |
| Skull less than 4 views (70250) | $243 | $405 | 2.4× |
| Special Physics Consult (77370) | $754.80 | $1,258 | 5.8× |
| Special treatment procedure (77470) | $1,913.40 | $3,189 | 3.6× |
| Stereotactic Body Radiation Delivery (77373) | $2,581.80 | $4,303 | 1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,268.20 | $5,447 | 9.1× |
| Testicular Imaging W/Flow (78761) | $1,213.80 | $2,023 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$609.60–$2,041.20 | $1,016–$3,402 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$270–$905.40 | $450–$1,509 | varies |
| Thoracic spine 2 views (72070) | $328.80 | $548 | 3.3× |
| Thoracic spine 3 views (72072) | $370.80 | $618 | 3.7× |
| Thoracolumbar 2 views (72080) | $108 | $180 | 1.3× |
| Thyroid Imaging With Vascular Flow (78013) | $656.40 | $1,094 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $900 | $1,500 | 2.3× |
| Tx Devices Design & Construction Complex (77334) | $2,041.20 | $3,402 | 5.7× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$195–$653.40 | $325–$1,089 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$197.40–$394.20 | $329–$657 | varies |
| Ultrasound Elastography Parenchyma (76981) | $127.20 | $212 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) | $440.40 | $734 | 4.4× |
| Ultrasound, abdomen limited (76705) | $565.20 | $942 | 5.6× |
| Unlisted Dx Radiographic Procedure (76499) | $113.40 | $189 | 1.4× |
| Upper gi w/o kub (74240) | $1,149 | $1,915 | 6.8× |
| Urethrocystogram voiding (74455) | $340.80 | $568 | 1.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$392.40–$784.80 | $654–$1,308 | varies |
| Us chest (76604) | $933 | $1,555 | 9.3× |
| Us complete joint (76881) range across 5 matching MRF lines |
$250.20–$500.40 | $417–$834 | varies |
| Us exam, pelvic, limited (76857) | $194.40 | $324 | 1.9× |
| Us head (76506) | $783 | $1,305 | 7.8× |
| Us kidney transplant (76776) | $289.20 | $482 | 2.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$163.20–$327 | $272–$545 | varies |
| Us ob detailed single fetus (76811) | $1,299.60 | $2,166 | 5.7× |
| Us ob limited 1 or more fetuses (76815) | $702 | $1,170 | 7.0× |
| Us ob transvaginal (76817) | $883.80 | $1,473 | 8.8× |
| Us pelvic non ob complete (76856) | $778.80 | $1,298 | 7.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $883.80 | $1,473 | 8.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $883.80 | $1,473 | 8.8× |
| Us retroperitoneal complete (76770) | $495 | $825 | 4.9× |
| Us retroperitoneal limited (76775) | $440.40 | $734 | 4.4× |
| Us scrotum and contents (76870) | $883.80 | $1,473 | 8.8× |
| Us spinal canal and contents (76800) | $439.20 | $732 | 4.4× |
| Us thyroid (76536) | $702 | $1,170 | 7.0× |
| Venography caval inferior serialography rs&i (75825) | $4,980 | $8,300 | 1.6× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,995–$3,990 | $3,325–$6,650 | varies |
| Venography extremity unilateral rs&i (75820) | $1,575.60 | $2,626 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $105 | $175 | 1.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$221.40–$441.60 | $369–$736 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $320.40 | $534 | 3.8× |
| X-Ray Aorta Leg Arteries (75630) | $3,111.60 | $5,186 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $382.20 | $637 | 3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $208.80 | $348 | 2.5× |
| X-Ray Exam Breast Specimen (76098) | $702 | $1,170 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $487.80 | $813 | 4.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $235.20 | $392 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $239.40 | $399 | 2.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $250.20 | $417 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$466.20–$475.20 | $777–$792 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $469.80 | $783 | 4.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $34.80 | $58 | 0.3× |
| X-Ray Exam L-S Spine Bending (72114) | $679.80 | $1,133 | 6.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $273.60 | $456 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $477.60 | $796 | 4.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $379.80 | $633 | 3.8× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$243–$486.60 | $405–$811 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $124.20 | $207 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $418.20 | $697 | 5.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $280.20 | $467 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $542.40 | $904 | 5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $351.60 | $586 | 3.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $161.40 | $269 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $273.60 | $456 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $393 | $655 | 4.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $393.60 | $656 | 3.9× |
| X-Ray Stress View (77071) | $188.40 | $314 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $464.40 | $774 | 4.6× |
| X-Ray Tmj Unilat (70328) | $223.80 | $373 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $1,270.20 | $2,117 | 12.6× |
| Xr c-spine 4 or 5 views (72050) | $355.80 | $593 | 3.5× |
| Xr facial bones less than 3 views (70140) | $243 | $405 | 2.9× |
| Xr orbits complete 4 views (70200) | $404.40 | $674 | 4.0× |
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.