Imaging prices at HCA Florida Lake City Hospital
Lake City, FL · every code in this section with a posted price and a Medicare benchmark.
218 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) | $689.50 | $689.50 | 7.6× |
| Abdomen 2 views (74019) | $1,997.75 | $1,997.75 | 18.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $10,206 | $10,206 | 24.4× |
| Angio internal mammary (75756) | $13,174.25 | $13,174.25 | 4.0× |
| Angiography extremity bilateral rs&i (75716) | $15,959 | $15,959 | 4.8× |
| Angiography extremity unilateral rs&i (75710) | $12,470.50 | $12,470.50 | 3.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,573–$3,140.25 | $1,573–$3,140.25 | varies |
| Aortography thoracic serialography rs&i (75605) | $20,376.75 | $20,376.75 | 3.5× |
| Artery X-Rays Abdomen (75726) | $20,376.75 | $20,376.75 | 3.5× |
| Artery X-Rays Pelvis (75736) | $20,376.75 | $20,376.75 | 3.5× |
| Arthrogram ankle (73615) | $4,051.50 | $4,051.50 | 11.1× |
| Arthrogram hip (73525) | $4,055.25 | $4,055.25 | 11.1× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$3,762.50–$4,051.50 | $3,762.50–$4,051.50 | varies |
| Basic radiation dosimetry calculation (77300) | $724 | $724 | 5.2× |
| Bone age studies (77072) | $698.25 | $698.25 | 6.4× |
| Bone Imaging 3 Phase (78315) | $6,410 | $6,410 | 15.4× |
| Bone Imaging Limited Area (78300) | $4,327.75 | $4,327.75 | 10.4× |
| Bone Imaging Whole Body (78306) | $11,166.75 | $11,166.75 | 26.7× |
| Bone survey infant (77076) | $1,547.50 | $1,547.50 | 14.2× |
| Chest 1 view (71045) | $689.50 | $689.50 | 7.6× |
| Chest 2 views (71046) | $1,365.75 | $1,365.75 | 15.0× |
| Chest 3 views (71047) | $2,179.75 | $2,179.75 | 24.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,555–$3,092.50 | $1,555–$3,092.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $982.50 | $982.50 | 9.0× |
| Continuing medical physics consltj pr wk (77336) | $356.75 | $356.75 | 2.5× |
| Contrast Exam Abdominl Aorta (75625) | $7,821 | $7,821 | 2.4× |
| Contrast X-Ray Bladder (74430) | $2,934 | $2,934 | 8.1× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$5,695.75–$6,377.50 | $5,695.75–$6,377.50 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$22,747–$25,026.50 | $22,747–$25,026.50 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$20,314–$22,339.75 | $20,314–$22,339.75 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$10,767.50–$11,846.25 | $10,767.50–$11,846.25 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$11,378.75–$12,517.50 | $11,378.75–$12,517.50 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,499 | $2,499 | 6.9× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$881.75–$12,517.50 | $881.75–$12,517.50 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $22,732.25 | $22,732.25 | 124.1× |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$881.75–$12,517.50 | $881.75–$12,517.50 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$11,101.50–$12,217.50 | $11,101.50–$12,217.50 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$21,253.50–$23,379 | $21,253.50–$23,379 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$9,546.25–$10,506.50 | $9,546.25–$10,506.50 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$10,767.50–$11,917 | $10,767.50–$11,917 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$11,378.75–$12,517.50 | $11,378.75–$12,517.50 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$10,767.50–$11,917 | $10,767.50–$11,917 | varies |
| CT l-spine w&w/o contrast (72133) | $24,425.50 | $24,425.50 | 133.3× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$7,321.50–$8,048.25 | $7,321.50–$8,048.25 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$7,922.50–$8,718.25 | $7,922.50–$8,718.25 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$11,101.50–$12,217.50 | $11,101.50–$12,217.50 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$10,767.50–$11,917 | $10,767.50–$11,917 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$11,378.75–$12,660.25 | $11,378.75–$12,660.25 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$11,378.75–$12,517.50 | $11,378.75–$12,517.50 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT scan of leg combo (73702) | $9,418.75 | $9,418.75 | 51.4× |
| CT scans face/jaw combo (70488) | $12,517.50 | $12,517.50 | 68.3× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$10,767.50–$11,917 | $10,767.50–$11,917 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT thoracic spine w contrast (72129) | $11,917 | $11,917 | 65.1× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$10,161.25–$11,172.50 | $10,161.25–$11,172.50 | varies |
| CT thoracic spine w/wo cont (72130) | $23,084 | $23,084 | 126.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$8,942–$9,832.50 | $8,942–$9,832.50 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$7,321.50–$8,048.25 | $7,321.50–$8,048.25 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $9,418.75 | $9,418.75 | 51.4× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$7,922.50–$8,718.25 | $7,922.50–$8,718.25 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$11,378.75–$12,517.50 | $11,378.75–$12,517.50 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$11,378.75–$12,517.50 | $11,378.75–$12,517.50 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$11,378.75–$12,517.50 | $11,378.75–$12,517.50 | varies |
| Esophagram (74220) | $2,939.75 | $2,939.75 | 16.0× |
| Fluoroscopy up to 1 hr (76000) | $2,119.50 | $2,119.50 | 8.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,405.25–$2,803.75 | $1,405.25–$2,803.75 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,997.75–$3,555.75 | $1,997.75–$3,555.75 | varies |
| Gastric emptying imaging study (78264) | $8,259.50 | $8,259.50 | 19.8× |
| Gated Heart Planar Single (78472) | $2,437 | $2,437 | 5.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,374.25–$2,744.75 | $1,374.25–$2,744.75 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,348.50 | $1,348.50 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,348.50 | $1,348.50 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $7,513 | $7,513 | 5.6× |
| K Flow/Funct Image Multiple (78709) | $7,902.50 | $7,902.50 | 13.9× |
| K Flow/Funct Image W/Drug (78708) | $8,852.75 | $8,852.75 | 15.6× |
| K Flow/Funct Image W/O Drug (78707) | $7,902.50 | $7,902.50 | 13.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,087–$4,168.50 | $2,087–$4,168.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $7,193.50 | $7,193.50 | 17.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,457.25 | $1,457.25 | 2.6× |
| Lung Ventilation Imaging (78579) | $933.75 | $933.75 | 2.2× |
| Lymph System Imaging (78195) | $7,527 | $7,527 | 13.3× |
| Mlc imrt design & construction per imrt plan (77338) | $1,013 | $1,013 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $8,844.50 | $8,844.50 | 24.3× |
| MRA head w/o contrast (70544) | $7,197.25 | $7,197.25 | 28.9× |
| MRA neck w contrast (70548) | $8,844.50 | $8,844.50 | 24.3× |
| MRA neck w/o contrast (70547) | $7,197.25 | $7,197.25 | 28.9× |
| MRI abdomen w/o contrast (74181) | $7,197.25 | $7,197.25 | 28.9× |
| MRI any jt lower extrem w/contrast material (73722) | $8,844.50 | $8,844.50 | 10.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,844.50 | $8,844.50 | 24.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,844.50 | $8,844.50 | 10.8× |
| MRI cervical spine w contrast (72142) | $8,844.50 | $8,844.50 | 24.3× |
| MRI cervical spine w/o cont (72141) | $7,197.25 | $7,197.25 | 28.9× |
| MRI chest w/o contrast (71550) | $6,426.50 | $6,426.50 | 25.8× |
| MRI chest wo w contrast (71552) | $7,641 | $7,641 | 21.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $8,844.50 | $8,844.50 | 24.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,197.25 | $7,197.25 | 28.9× |
| MRI lumbar spine w contrast (72149) | $8,844.50 | $8,844.50 | 24.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,844.50 | $8,844.50 | 24.3× |
| MRI orbit face &/neck w/o contrast (70540) | $7,197.25 | $7,197.25 | 28.9× |
| MRI orbit face neck w contrast (70542) | $8,844.50 | $8,844.50 | 24.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $8,844.50 | $8,844.50 | 24.3× |
| MRI pelvis w/o & w contrast (72197) | $8,844.50 | $8,844.50 | 24.3× |
| MRI pelvis w/o contrast (72195) | $7,197.25 | $7,197.25 | 28.9× |
| MRI thoracic spine w/o contrast (72146) | $7,197.25 | $7,197.25 | 28.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $7,197.25 | $7,197.25 | 28.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $8,844.50 | $8,844.50 | 24.3× |
| MRI, abdomen, combo (74183) | $8,844.50 | $8,844.50 | 24.3× |
| MRI, dorsal spine combo (72157) | $8,844.50 | $8,844.50 | 24.3× |
| MRI, dorsal spine contrast (72147) | $8,844.50 | $8,844.50 | 24.3× |
| MRI, joint upper extrem (73221) | $7,197.25 | $7,197.25 | 28.9× |
| MRI, lumbar spine combo (72158) | $8,844.50 | $8,844.50 | 24.3× |
| Myocardial Spect Multiple Studies (78452) | $23,745 | $23,745 | 17.6× |
| Neck soft tissue (70360) | $1,840.75 | $1,840.75 | 20.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,246 | $6,246 | 4.3× |
| Parathyroid Planar Imaging (78070) | $6,959.50 | $6,959.50 | 16.7× |
| Pelvis 1 or 2 views (72170) | $1,942.25 | $1,942.25 | 17.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $6,952.75 | $6,952.75 | 16.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,329.50 | $2,329.50 | 21.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $923.75 | $923.75 | 1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$2,136.25–$4,256 | $2,136.25–$4,256 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$2,004.75–$4,002.75 | $2,004.75–$4,002.75 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$2,290.75–$4,571.50 | $2,290.75–$4,571.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,391.25 | $2,391.25 | 21.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$1,673.50–$2,985.50 | $1,673.50–$2,985.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,979.25–$3,951.50 | $1,979.25–$3,951.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$2,056–$4,106.50 | $2,056–$4,106.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$1,996–$3,991.75 | $1,996–$3,991.75 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,171 | $2,171 | 23.9× |
| Radex Ribs Unilateral 2 Views (71100) | $1,365.75 | $1,365.75 | 15.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$2,298.75–$4,093.75 | $2,298.75–$4,093.75 | varies |
| Radex Spine 1 View Specify Level (72020) | $346.25 | $346.25 | 3.8× |
| Radex Sternum Minimum 2 Views (71120) | $2,050.50 | $2,050.50 | 22.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,373.50 | $2,373.50 | 26.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$1,573–$2,803.75 | $1,573–$2,803.75 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $3,991.75 | $3,991.75 | 36.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,964.75–$3,925.75 | $1,964.75–$3,925.75 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,694.50 | $2,694.50 | 24.7× |
| Radiologic exam colon double contrast study (74280) | $4,490.75 | $4,490.75 | 24.5× |
| Radiologic exam colon single contrast study (74270) | $4,542 | $4,542 | 24.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$2,252.75–$3,867.50 | $2,252.75–$3,867.50 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $3,287.75 | $3,287.75 | 17.9× |
| Radiologic exam swallow function contrast study (74230) | $2,467.75 | $2,467.75 | 13.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,344 | $4,344 | 23.7× |
| Radiologic examination femur 1 view (73551) | $1,100.50 | $1,100.50 | 12.1× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$2,201–$4,391 | $2,201–$4,391 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,923.25–$3,426.75 | $1,923.25–$3,426.75 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,547.50 | $1,547.50 | 14.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$2,041.25–$4,077.25 | $2,041.25–$4,077.25 | varies |
| Ribs bilateral 3 views (71110) | $1,547.50 | $1,547.50 | 14.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,095.25 | $3,095.25 | 7.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $18,904.25 | $18,904.25 | 33.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $9,942.50 | $9,942.50 | 17.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,764.75 | $5,764.75 | 10.2× |
| Scapula (73010) | $3,766.75 | $3,766.75 | 34.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $182.75 | $182.75 | 7.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,154–$2,298.75 | $1,154–$2,298.75 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$2,832.25–$3,169 | $2,832.25–$3,169 | varies |
| Skull less than 4 views (70250) | $1,616.75 | $1,616.75 | 14.8× |
| Sternoclavicular joints (71130) | $2,221.25 | $2,221.25 | 24.4× |
| Thoracic spine 2 views (72070) | $1,973.75 | $1,973.75 | 18.1× |
| Thoracic spine 3 views (72072) | $1,973.75 | $1,973.75 | 18.1× |
| Thyroid Uptake Measurement (78012) | $4,280.25 | $4,280.25 | 10.3× |
| Ultrasound Exam Aaa Screen (76706) | $425.75 | $425.75 | 3.9× |
| Ultrasound, abdomen limited (76705) | $3,662.50 | $3,662.50 | 33.5× |
| Upper gi w/o kub (74240) | $3,942.25 | $3,942.25 | 21.5× |
| Us breast unilateral complete (76641) | $2,166.75 | $2,166.75 | 19.8× |
| Us chest (76604) range across 2 matching MRF lines |
$222.50–$576.75 | $222.50–$576.75 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$404–$437.75 | $404–$437.75 | varies |
| Us exam, pelvic, limited (76857) | $241.75 | $241.75 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $303.25 | $303.25 | 2.8× |
| Us ob limited 1 or more fetuses (76815) | $224.25 | $224.25 | 2.1× |
| Us ob transvaginal (76817) | $464.25 | $464.25 | 4.3× |
| Us pelvic non ob complete (76856) | $4,339.75 | $4,339.75 | 39.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,773.25 | $3,773.25 | 34.6× |
| Us retroperitoneal complete (76770) | $3,307 | $3,307 | 30.3× |
| Us retroperitoneal limited (76775) | $1,658.50 | $1,658.50 | 15.2× |
| Us scrotum and contents (76870) | $3,354 | $3,354 | 30.7× |
| Us thyroid (76536) | $3,125 | $3,125 | 28.6× |
| Venography extremity bilateral rs&i (75822) | $2,648 | $2,648 | 1.6× |
| Venography extremity unilateral rs&i (75820) | $2,648 | $2,648 | 1.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,405.25–$2,803.75 | $1,405.25–$2,803.75 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,740.75 | $1,740.75 | 19.2× |
| X-Ray Aorta Leg Arteries (75630) | $17,459 | $17,459 | 5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,979.25–$3,207.75 | $1,979.25–$3,207.75 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,129.50 | $1,129.50 | 2.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $2,471.75 | $2,471.75 | 27.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,471.75 | $2,471.75 | 22.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,974.50 | $2,974.50 | 32.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $4,006.25 | $4,006.25 | 44.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $4,006.25 | $4,006.25 | 36.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $6,071 | $6,071 | 55.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $6,071 | $6,071 | 55.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $6,071 | $6,071 | 55.6× |
| X-Ray Exam L-S Spine Bending (72114) | $3,846 | $3,846 | 35.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,489 | $1,489 | 16.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $3,000 | $3,000 | 27.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,756 | $2,756 | 25.2× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$1,986.75–$3,537.50 | $1,986.75–$3,537.50 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,540.75 | $2,540.75 | 23.3× |
| X-ray nose-rectum child f.b. (76010) | $291.50 | $291.50 | 3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,555 | $4,555 | 41.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,221.25 | $2,221.25 | 20.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,842.50 | $1,842.50 | 20.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,721.25 | $2,721.25 | 29.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,846.75 | $2,846.75 | 26.1× |
| X-Rays Bone Survey Complete (77075) | $1,547.50 | $1,547.50 | 14.2× |
| Xr c-spine 4 or 5 views (72050) | $2,976.50 | $2,976.50 | 27.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $193.50 | $193.50 | 1.8× |
| Xr orbits complete 4 views (70200) | $2,531.25 | $2,531.25 | 23.2× |
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.