Imaging prices at HCA Florida Palms West Hospital
Loxahatchee, FL · every code in this section with a posted price and a Medicare benchmark.
264 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) | $2,818 | $2,818 | 31.0× |
| Abdomen 2 views (74019) | $2,943 | $2,943 | 27.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,440 | $4,440 | 10.6× |
| Angio pulmonary bilat (75743) | $15,612 | $15,612 | 4.7× |
| Angiography extremity bilateral rs&i (75716) | $9,769 | $9,769 | 3.0× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$9,421–$9,769 | $9,421–$9,769 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,045 | $10,045 | 3.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$490–$977 | $490–$977 | varies |
| Aortography thoracic serialography rs&i (75605) | $14,449 | $14,449 | 2.5× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$11,497–$12,417 | $11,497–$12,417 | varies |
| Arthrogram hip (73525) | $2,575 | $2,575 | 7.1× |
| Bone age studies (77072) | $1,581 | $1,581 | 14.5× |
| Bone Imaging 3 Phase (78315) | $8,401 | $8,401 | 20.1× |
| Bone Imaging Limited Area (78300) | $6,853 | $6,853 | 16.4× |
| Bone Imaging Whole Body (78306) | $8,021 | $8,021 | 19.2× |
| Bone survey infant (77076) | $1,678 | $1,678 | 15.4× |
| Brain Flow Imaging Only (78610) | $2,140 | $2,140 | 3.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $19,981 | $19,981 | 54.8× |
| Cat Scan Follow-Up Study (76380) | $5,342 | $5,342 | 58.8× |
| Cerebrospinal Fluid Scan (78630) | $4,406 | $4,406 | 7.8× |
| Chest 1 view (71045) | $2,151 | $2,151 | 23.7× |
| Chest 2 views (71046) | $2,028 | $2,028 | 22.3× |
| Chest 3 views (71047) | $2,217 | $2,217 | 24.4× |
| Chest 4 or more views (71048) | $2,060 | $2,060 | 18.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$2,217–$4,439 | $2,217–$4,439 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $14,928.50 | $14,928.50 | 136.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$13,168–$22,991 | $13,168–$22,991 | varies |
| Contrast X-Ray Bladder (74430) | $2,441 | $2,441 | 6.7× |
| Contrast X-Ray Of Elbow (73085) | $2,297 | $2,297 | 6.3× |
| Contrast X-Ray Of Knee Joint (73580) | $5,320 | $5,320 | 14.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $954 | $954 | 5.2× |
| CT abdomen and pelvis without and with contrast (74178) | $38,736 | $38,736 | 106.3× |
| CT abdomen and pelvis without contrast (74176) | $29,346 | $29,346 | 117.8× |
| CT abdomen w contrast (74160) | $16,137 | $16,137 | 88.1× |
| CT abdomen w wo contrast (74170) | $19,365 | $19,365 | 105.7× |
| CT abdomen w/o contrast (74150) | $14,673 | $14,673 | 134.4× |
| CT Angio Abdomen and Pelvis (74174) | $36,390 | $36,390 | 99.9× |
| CT Angio Chest (71275) | $18,197 | $18,197 | 99.3× |
| CT Angio Head (70496) | $18,197 | $18,197 | 99.3× |
| CT angio hrt w/3d image (75574) | $2,397 | $2,397 | 6.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $18,197 | $18,197 | 99.3× |
| CT Angio Neck (70498) | $18,197 | $18,197 | 99.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $18,197 | $18,197 | 99.3× |
| CT cervical spine w/ contrast (72126) | $15,911 | $15,911 | 43.7× |
| CT cervical spine w/o contrast (72125) | $14,463 | $14,463 | 132.5× |
| CT chest w contrast (71260) | $15,529 | $15,529 | 84.8× |
| CT chest w/wo contrast (71270) | $18,630 | $18,630 | 101.7× |
| CT head/brain with contrast (70460) | $12,613 | $12,613 | 68.9× |
| CT head/brain without and with contrast (70470) | $15,133 | $15,133 | 82.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $355 | $355 | 3.9× |
| CT iac w contrast (70481) | $14,054 | $14,054 | 76.7× |
| CT lower ext w/o (73700) | $15,209 | $15,209 | 139.3× |
| CT lower extremity w/contrast material (73701) | $13,830 | $13,830 | 75.5× |
| CT lumbar spine w contrast (72132) | $14,199 | $14,199 | 39.0× |
| CT lumbar spine w/o contrast (72131) | $12,906 | $12,906 | 118.2× |
| CT maxillofacial w contrast (70487) | $14,075 | $14,075 | 76.8× |
| CT maxillofacial wo contrast (70486) | $12,798 | $12,798 | 117.2× |
| CT neck tissue combo (70492) | $17,689 | $17,689 | 96.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $11,716 | $11,716 | 64.0× |
| CT orbits w/o contrast (70480) | $10,643 | $10,643 | 97.5× |
| CT pelvis w&w/o contrast (72194) | $19,365 | $19,365 | 105.7× |
| CT pelvis w/o contrast (72192) | $14,673 | $14,673 | 134.4× |
| CT soft tissue neck w contrast (70491) | $14,742 | $14,742 | 80.5× |
| CT soft tissue neck w/o contrast (70490) | $13,402 | $13,402 | 122.8× |
| CT thoracic spine w contrast (72129) | $13,424 | $13,424 | 73.3× |
| CT thoracic spine w/o contrast (72128) | $12,200 | $12,200 | 111.8× |
| CT thorax w/o contrast (71250) | $14,112 | $14,112 | 129.3× |
| CT upper ext wo (73200) | $11,039 | $11,039 | 101.1× |
| CT upper extremity with contrast (73201) | $12,145 | $12,145 | 33.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $18,197 | $18,197 | 99.3× |
| Cta Abdomen (74175) | $18,197 | $18,197 | 99.3× |
| CTA pelvis (72191) | $18,197 | $18,197 | 99.3× |
| Dxa Bone Density Axial (77080) | $3,117 | $3,117 | 28.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,248 | $1,248 | 13.7× |
| Echo exam of fetal heart (76825) | $2,164 | $2,164 | 3.8× |
| Echo exam uterus (76831) | $2,044 | $2,044 | 8.2× |
| Esophagram (74220) | $2,060 | $2,060 | 11.2× |
| Fetal Biophys Profile W/Nst (76818) | $3,951 | $3,951 | 36.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,762 | $3,762 | 34.5× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,108 | $1,108 | 4.4× |
| Fluoroscopy up to 1 hr (76000) | $3,055 | $3,055 | 12.3× |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$2,838–$3,399 | $2,838–$3,399 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$341–$681 | $341–$681 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$2,010–$4,020 | $2,010–$4,020 | varies |
| Gastric emptying imaging study (78264) | $5,936 | $5,936 | 14.2× |
| Gastroesophageal Reflux Exam (78262) | $2,024 | $2,024 | 4.8× |
| Gated Heart Planar Single (78472) | $6,300 | $6,300 | 15.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$341–$681 | $341–$681 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $18,676 | $18,676 | 5.7× |
| Hepatobil Syst Image W/Drug (78227) | $1,977 | $1,977 | 3.5× |
| Hepatobiliary System Imaging (78226) | $1,977 | $1,977 | 4.7× |
| Ht Musc Image Planar Mult (78454) | $1,851 | $1,851 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $6,191 | $6,191 | 4.6× |
| Hysterosalpingogram (74740) | $1,710 | $1,710 | 6.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,432 | $1,432 | 15.8× |
| K Flow/Funct Image W/Drug (78708) | $7,422 | $7,422 | 13.1× |
| K Flow/Funct Image W/O Drug (78707) | $6,138 | $6,138 | 10.8× |
| Kidney Imaging Morphol (78700) | $5,652 | $5,652 | 13.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,461–$4,918 | $2,461–$4,918 | varies |
| Liver & Spleen Imaging Static Only (78215) | $6,161 | $6,161 | 14.8× |
| Lung Ventilat&Perfus Imaging (78582) | $2,133 | $2,133 | 3.8× |
| Lymph System Imaging (78195) | $5,849 | $5,849 | 10.3× |
| Magnetic Image Jaw Joint (70336) | $15,173 | $15,173 | 60.9× |
| Mammary ductogram or galactogram multiple (77054) | $2,124 | $2,124 | 8.5× |
| Mammary ductogram or galactogram single (77053) | $2,124 | $2,124 | 8.5× |
| Meckels Divert Exam (78290) | $4,483 | $4,483 | 10.7× |
| Mra Head W/O & W/Contrast Material (70546) | $19,981 | $19,981 | 54.8× |
| MRA head w/o contrast (70544) | $15,173 | $15,173 | 60.9× |
| MRA head with contrast (70545) | $16,617 | $16,617 | 45.6× |
| MRA neck w contrast (70548) | $16,617 | $16,617 | 45.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $19,981 | $19,981 | 54.8× |
| MRA neck w/o contrast (70547) | $15,173 | $15,173 | 60.9× |
| MRI abdomen w contrast (74182) | $16,617 | $16,617 | 45.6× |
| MRI abdomen w/o contrast (74181) | $15,173 | $15,173 | 60.9× |
| MRI any jt lower extrem w/contrast material (73722) | $16,617 | $16,617 | 20.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $19,981 | $19,981 | 54.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $16,617 | $16,617 | 20.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $15,173 | $15,173 | 60.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,035 | $1,035 | 4.2× |
| MRI cardiac w/o contrast (75557) | $1,031 | $1,031 | 4.1× |
| MRI cervical spine w contrast (72142) | $16,617 | $16,617 | 45.6× |
| MRI cervical spine w/o cont (72141) | $16,617 | $16,617 | 66.7× |
| MRI chest w/o contrast (71550) | $15,173 | $15,173 | 60.9× |
| MRI chest with contrast (71551) | $16,617 | $16,617 | 20.3× |
| MRI chest wo w contrast (71552) | $19,981 | $19,981 | 54.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $16,617 | $16,617 | 45.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $19,981 | $19,981 | 54.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $15,173 | $15,173 | 60.9× |
| MRI lumbar spine w contrast (72149) | $16,617 | $16,617 | 45.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $19,981 | $19,981 | 54.8× |
| MRI orbit face &/neck w/o contrast (70540) | $15,173 | $15,173 | 60.9× |
| MRI orbit face neck w contrast (70542) | $16,617 | $16,617 | 45.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $19,981 | $19,981 | 54.8× |
| MRI pelvis w contrast (72196) | $16,617 | $16,617 | 45.6× |
| MRI pelvis w/o & w contrast (72197) | $19,981 | $19,981 | 54.8× |
| MRI pelvis w/o contrast (72195) | $15,173 | $15,173 | 60.9× |
| MRI spectroscopy (76390) | $15,173 | $15,173 | 167.0× |
| MRI thoracic spine w/o contrast (72146) | $15,173 | $15,173 | 60.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $16,617 | $16,617 | 45.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $15,173 | $15,173 | 60.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $19,981 | $19,981 | 54.8× |
| MRI, abdomen, combo (74183) | $19,981 | $19,981 | 54.8× |
| MRI, dorsal spine combo (72157) | $19,981 | $19,981 | 54.8× |
| MRI, dorsal spine contrast (72147) | $16,617 | $16,617 | 45.6× |
| MRI, joint upper extrem (73221) | $15,173 | $15,173 | 60.9× |
| MRI, joint upper extrem combo (73223) | $19,981 | $19,981 | 54.8× |
| MRI, lumbar spine combo (72158) | $19,981 | $19,981 | 54.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,649 | $1,649 | 3.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,172 | $1,172 | 0.9× |
| Myocardial Spect Multiple Studies (78452) | $11,790 | $11,790 | 8.7× |
| Neck soft tissue (70360) | $1,876 | $1,876 | 20.6× |
| Nuclear Rx Oral Admin (79005) | $6,393 | $6,393 | 26.2× |
| Ob us nuchal meas 1 gest (76813) | $1,346 | $1,346 | 12.3× |
| Panoramic X-ray of jaws (70355) | $456 | $456 | 5.0× |
| Parathyroid Planar Imaging (78070) | $2,721 | $2,721 | 6.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,721 | $2,721 | 6.5× |
| Pelvis 1 or 2 views (72170) | $2,051 | $2,051 | 18.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,851 | $1,851 | 4.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $3,307 | $3,307 | 30.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,773 | $2,773 | 4.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$2,232–$4,457 | $2,232–$4,457 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,610–$3,224 | $1,610–$3,224 | varies |
| Radex elbow complete minimum 3 views (73080) | $2,226 | $2,226 | 24.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,985 | $2,985 | 27.3× |
| Radex fingr minimum 2 views (73140) | $1,861 | $1,861 | 20.5× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$2,117–$4,237 | $2,117–$4,237 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$2,055–$4,107 | $2,055–$4,107 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$2,344–$4,693 | $2,344–$4,693 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,087 | $2,087 | 23.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$2,242–$4,491 | $2,242–$4,491 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,876 | $1,876 | 20.6× |
| Radex Spine 1 View Specify Level (72020) | $2,280 | $2,280 | 25.1× |
| Radex Sternum Minimum 2 Views (71120) | $2,212 | $2,212 | 24.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,539 | $2,539 | 27.9× |
| Radex Toe Minimum 2 Views (73660) | $2,087 | $2,087 | 23.0× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,887–$4,155 | $1,887–$4,155 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,028–$4,050 | $2,028–$4,050 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,833 | $2,833 | 26.0× |
| Radiologic exam colon double contrast study (74280) | $4,630 | $4,630 | 25.3× |
| Radiologic exam colon single contrast study (74270) | $5,535 | $5,535 | 30.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $862 | $862 | 4.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $4,491 | $4,491 | 24.5× |
| Radiologic exam swallow function contrast study (74230) | $4,280 | $4,280 | 23.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $954 | $954 | 5.2× |
| Radiologic examination femur minimum 2 views (73552) | $2,242 | $2,242 | 24.7× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$341–$681 | $341–$681 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,484 | $1,484 | 13.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$2,076–$4,155 | $2,076–$4,155 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,711 | $1,711 | 4.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,012 | $7,012 | 12.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $8,059 | $8,059 | 14.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,156 | $6,156 | 10.9× |
| Scapula (73010) range across 3 matching MRF lines |
$1,743–$3,484 | $1,743–$3,484 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $334 | $334 | 14.3× |
| Shoulder 1 view (73020) | $341 | $341 | 3.8× |
| Shoulder Arthrography (73040) | $5,320 | $5,320 | 14.6× |
| Skull less than 4 views (70250) | $2,435 | $2,435 | 22.3× |
| Sternoclavicular joints (71130) | $2,546 | $2,546 | 28.0× |
| Thoracic spine 3 views (72072) | $490 | $490 | 4.5× |
| Thoracolumbar 2 views (72080) | $2,263 | $2,263 | 24.9× |
| Thyroid Imaging With Vascular Flow (78013) | $2,126 | $2,126 | 5.1× |
| Thyroid Uptake Measurement (78012) | $2,077 | $2,077 | 5.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,542 | $4,542 | 10.9× |
| Ultrasound Breast Limited (76642) | $627 | $627 | 6.9× |
| Ultrasound, abdomen limited (76705) | $4,306 | $4,306 | 39.4× |
| Umbilical-artery Doppler (OB) (76820) | $1,024 | $1,024 | 9.4× |
| Upper gi w/o kub (74240) | $954 | $954 | 5.2× |
| Urethrocystogram voiding (74455) | $3,984 | $3,984 | 16.0× |
| Urethrocystography retrograde (74450) | $2,124 | $2,124 | 8.5× |
| Us breast unilateral complete (76641) | $627 | $627 | 5.7× |
| Us chest (76604) range across 2 matching MRF lines |
$1,393–$1,501 | $1,393–$1,501 | varies |
| Us complete joint (76881) | $3,307 | $3,307 | 30.3× |
| Us exam, pelvic, limited (76857) | $861 | $861 | 7.9× |
| Us head (76506) | $4,268 | $4,268 | 39.1× |
| Us kidney transplant (76776) | $4,008 | $4,008 | 36.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,656 | $1,656 | 15.2× |
| Us ob detailed single fetus (76811) | $4,666 | $4,666 | 18.7× |
| Us ob limited 1 or more fetuses (76815) | $3,634 | $3,634 | 33.3× |
| Us ob transvaginal (76817) | $765 | $765 | 7.0× |
| Us pelvic non ob complete (76856) | $4,806 | $4,806 | 44.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,011 | $1,011 | 9.3× |
| Us retroperitoneal complete (76770) | $4,803 | $4,803 | 44.0× |
| Us retroperitoneal limited (76775) | $4,306 | $4,306 | 39.4× |
| Us scrotum and contents (76870) | $4,568 | $4,568 | 41.8× |
| Us spinal canal and contents (76800) | $1,605 | $1,605 | 14.7× |
| Us thyroid (76536) | $4,672 | $4,672 | 42.8× |
| Vein X-Ray Chest (75827) | $10,656 | $10,656 | 6.5× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$11,178–$16,926 | $11,178–$16,926 | varies |
| Venography extremity bilateral rs&i (75822) | $3,801 | $3,801 | 2.3× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$2,195–$2,371 | $2,195–$2,371 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$341–$681 | $341–$681 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $2,151 | $2,151 | 23.7× |
| X-Ray Aorta Leg Arteries (75630) | $17,423 | $17,423 | 5.3× |
| X-Ray Bend Only L-S Spine (72120) | $3,205 | $3,205 | 29.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$2,232–$4,457 | $2,232–$4,457 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,333 | $1,333 | 2.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $490 | $490 | 5.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $567 | $567 | 5.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,080 | $1,080 | 9.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$1,016–$2,474 | $1,016–$2,474 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,474 | $2,474 | 27.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $3,643 | $3,643 | 33.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $3,297 | $3,297 | 30.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $3,297 | $3,297 | 30.2× |
| X-Ray Exam L-S Spine Bending (72114) | $4,038 | $4,038 | 37.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,206 | $2,206 | 24.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $3,254 | $3,254 | 29.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,474 | $2,474 | 22.7× |
| X-ray humerus (73060) | $2,076 | $2,076 | 22.8× |
| X-ray IV pyelogram (ivp) (74400) | $4,881 | $4,881 | 26.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $451 | $451 | 5.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,205 | $3,205 | 29.4× |
| X-ray nose-rectum child f.b. (76010) | $1,347 | $1,347 | 14.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,575 | $2,575 | 23.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,851 | $1,851 | 17.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,268 | $1,268 | 14.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,985 | $2,985 | 32.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $3,141 | $3,141 | 28.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,416 | $3,416 | 9.4× |
| X-Rays Bone Length Studies (77073) | $2,184 | $2,184 | 20.0× |
| X-Rays Bone Survey Complete (77075) | $1,678 | $1,678 | 15.4× |
| Xr c-spine 4 or 5 views (72050) | $3,134 | $3,134 | 28.7× |
| Xr facial bones less than 3 views (70140) | $451 | $451 | 5.0× |
| Xr orbits complete 4 views (70200) | $2,818 | $2,818 | 25.8× |
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.