Imaging prices at HCA Florida Twin Cities Hospital
Niceville, FL · every code in this section with a posted price and a Medicare benchmark.
245 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) | $1,973 | $1,973 | 21.7× |
| Abdomen 2 views (74019) | $2,835 | $2,835 | 26.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $15,948 | $15,948 | 38.2× |
| Angiography extremity unilateral rs&i (75710) | $11,196 | $11,196 | 3.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$2,758–$3,722 | $2,758–$3,722 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$9,031–$26,381 | $9,031–$26,381 | varies |
| Arthrogram hip (73525) | $6,591 | $6,591 | 18.1× |
| Arthrogram Wrist (73115) | $8,676 | $8,676 | 23.8× |
| Bone age studies (77072) | $3,785 | $3,785 | 34.7× |
| Bone Imaging 3 Phase (78315) | $25,620 | $25,620 | 61.4× |
| Bone Imaging Limited Area (78300) | $11,297 | $11,297 | 27.1× |
| Bone Imaging Whole Body (78306) | $22,109 | $22,109 | 53.0× |
| Bone survey infant (77076) | $4,398 | $4,398 | 40.3× |
| Cat Scan Follow-Up Study (76380) | $5,882 | $5,882 | 64.7× |
| Chest 1 view (71045) | $1,900 | $1,900 | 20.9× |
| Chest 2 views (71046) | $3,212 | $3,212 | 35.3× |
| Chest 3 views (71047) | $3,401 | $3,401 | 37.4× |
| Chest 4 or more views (71048) | $3,779 | $3,779 | 34.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$3,735–$5,579 | $3,735–$5,579 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,700 | $2,700 | 24.7× |
| Contrast X-Ray Bladder (74430) | $3,950 | $3,950 | 10.8× |
| Contrast X-Ray Of Elbow (73085) | $5,880 | $5,880 | 16.1× |
| Contrast X-Ray Of Knee Joint (73580) | $8,267 | $8,267 | 22.7× |
| CT abdomen and pelvis without and with contrast (74178) | $51,420 | $51,420 | 141.1× |
| CT abdomen and pelvis without contrast (74176) | $28,337 | $28,337 | 113.7× |
| CT abdomen w contrast (74160) | $22,901 | $22,901 | 125.0× |
| CT abdomen w wo contrast (74170) | $26,123 | $26,123 | 142.6× |
| CT abdomen w/o contrast (74150) | $15,396 | $15,396 | 141.0× |
| CT Angio Abdomen and Pelvis (74174) | $50,070 | $50,070 | 137.4× |
| CT Angio Chest (71275) | $25,034 | $25,034 | 136.7× |
| CT Angio Head (70496) | $25,150 | $25,150 | 137.3× |
| CT angio hrt w/3d image (75574) | $23,376 | $23,376 | 64.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $22,761 | $22,761 | 124.3× |
| CT Angio Neck (70498) | $25,150 | $25,150 | 137.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $22,761 | $22,761 | 124.3× |
| CT cervical spine w/ contrast (72126) | $19,747 | $19,747 | 54.2× |
| CT cervical spine w/o contrast (72125) | $18,756 | $18,756 | 171.8× |
| CT chest w contrast (71260) | $25,034 | $25,034 | 136.7× |
| CT chest w/wo contrast (71270) | $26,523 | $26,523 | 144.8× |
| CT head/brain with contrast (70460) | $22,856 | $22,856 | 124.8× |
| CT head/brain without and with contrast (70470) | $25,803 | $25,803 | 140.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,700 | $2,700 | 29.7× |
| CT iac w contrast (70481) | $16,241 | $16,241 | 88.7× |
| CT l-spine w&w/o contrast (72133) | $27,577 | $27,577 | 150.6× |
| CT lower ext w/o (73700) | $15,750 | $15,750 | 144.3× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$17,289–$24,728 | $17,289–$24,728 | varies |
| CT lumbar spine w contrast (72132) | $21,360 | $21,360 | 58.6× |
| CT lumbar spine w/o contrast (72131) | $18,760 | $18,760 | 171.8× |
| CT maxillofacial w contrast (70487) | $23,571 | $23,571 | 128.7× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$14,458–$17,592 | $14,458–$17,592 | varies |
| CT neck tissue combo (70492) | $16,943 | $16,943 | 92.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $12,146 | $12,146 | 66.3× |
| CT orbits w/o contrast (70480) | $13,150 | $13,150 | 120.5× |
| CT pelvis w&w/o contrast (72194) | $27,072 | $27,072 | 147.8× |
| CT pelvis w/o contrast (72192) | $13,837 | $13,837 | 126.7× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$11,043–$16,276 | $11,043–$16,276 | varies |
| CT scans face/jaw combo (70488) | $25,074 | $25,074 | 136.9× |
| CT soft tissue neck w contrast (70491) | $28,539 | $28,539 | 155.8× |
| CT soft tissue neck w/o contrast (70490) | $15,961 | $15,961 | 146.2× |
| CT thoracic spine w contrast (72129) | $21,360 | $21,360 | 116.6× |
| CT thoracic spine w/o contrast (72128) | $18,625 | $18,625 | 170.6× |
| CT thorax w/o contrast (71250) | $15,876 | $15,876 | 145.4× |
| CT upper ext wo (73200) | $15,750 | $15,750 | 144.3× |
| CT upper extremity w/o & w/contrast material (73202) | $10,559 | $10,559 | 57.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$14,586–$15,750 | $14,586–$15,750 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $25,034 | $25,034 | 136.7× |
| Cta Abdomen (74175) | $25,034 | $25,034 | 136.7× |
| CTA pelvis (72191) | $25,034 | $25,034 | 136.7× |
| Dxa Bone Density Axial (77080) | $2,331 | $2,331 | 21.4× |
| Echo exam uterus (76831) | $4,428 | $4,428 | 17.8× |
| Esophagram (74220) | $5,003 | $5,003 | 27.3× |
| Fluoroscopy up to 1 hr (76000) | $3,670 | $3,670 | 14.7× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$4,591–$6,821 | $4,591–$6,821 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$3,524–$5,273 | $3,524–$5,273 | varies |
| Gastric emptying imaging study (78264) | $11,832 | $11,832 | 28.3× |
| Gated Heart Planar Single (78472) | $26,254 | $26,254 | 62.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$2,822–$4,214 | $2,822–$4,214 | varies |
| Hepatobil Syst Image W/Drug (78227) | $21,786 | $21,786 | 38.4× |
| Hepatobiliary System Imaging (78226) | $23,760 | $23,760 | 56.9× |
| Ht Muscle Image Spect Sing (78451) | $21,970 | $21,970 | 16.3× |
| Hysterosalpingogram (74740) | $5,057 | $5,057 | 20.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $4,173 | $4,173 | 45.9× |
| K Flow/Funct Image W/Drug (78708) | $21,203 | $21,203 | 37.4× |
| K Flow/Funct Image W/O Drug (78707) | $16,967 | $16,967 | 29.9× |
| Knee 3 Views (73562) | $3,722 | $3,722 | 41.0× |
| Liver & Spleen Imaging Static Only (78215) | $10,892 | $10,892 | 26.1× |
| Lung Ventilat&Perfus Imaging (78582) | $24,927 | $24,927 | 44.0× |
| Lymph System Imaging (78195) | $9,583 | $9,583 | 16.9× |
| Mammary ductogram or galactogram single (77053) | $5,034 | $5,034 | 20.2× |
| Meckels Divert Exam (78290) | $9,123 | $9,123 | 21.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $216 | $216 | 7.2× |
| Mra Head W/O & W/Contrast Material (70546) | $5,030 | $5,030 | 13.8× |
| MRA head w/o contrast (70544) | $2,902 | $2,902 | 11.6× |
| MRA head with contrast (70545) | $4,024 | $4,024 | 11.0× |
| MRA neck w contrast (70548) | $3,484 | $3,484 | 9.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,030 | $5,030 | 13.8× |
| MRA neck w/o contrast (70547) | $2,902 | $2,902 | 11.6× |
| MRI abdomen w contrast (74182) | $4,024 | $4,024 | 11.0× |
| MRI abdomen w/o contrast (74181) | $4,024 | $4,024 | 16.1× |
| MRI any jt lower extrem w/contrast material (73722) | $4,024 | $4,024 | 4.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$4,299–$6,706 | $4,299–$6,706 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,693–$4,024 | $3,693–$4,024 | varies |
| MRI cervical spine w contrast (72142) | $4,024 | $4,024 | 11.0× |
| MRI cervical spine w/o cont (72141) | $3,354 | $3,354 | 13.5× |
| MRI chest w/o contrast (71550) | $4,024 | $4,024 | 16.1× |
| MRI chest with contrast (71551) | $4,024 | $4,024 | 4.9× |
| MRI chest wo w contrast (71552) | $5,030 | $5,030 | 13.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,350–$6,706 | $4,350–$6,706 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,902 | $2,902 | 11.6× |
| MRI lumbar spine w contrast (72149) | $4,024 | $4,024 | 11.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,030 | $5,030 | 13.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,902 | $2,902 | 11.6× |
| MRI orbit face neck w contrast (70542) | $4,024 | $4,024 | 11.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,484 | $3,484 | 9.6× |
| MRI pelvis w contrast (72196) | $4,364 | $4,364 | 12.0× |
| MRI pelvis w/o & w contrast (72197) | $5,030 | $5,030 | 13.8× |
| MRI pelvis w/o contrast (72195) | $3,354 | $3,354 | 13.5× |
| MRI thoracic spine w/o contrast (72146) | $3,354 | $3,354 | 13.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,354 | $3,354 | 13.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$4,350–$5,595 | $4,350–$5,595 | varies |
| MRI, abdomen, combo (74183) | $5,030 | $5,030 | 13.8× |
| MRI, dorsal spine combo (72157) | $5,030 | $5,030 | 13.8× |
| MRI, dorsal spine contrast (72147) | $4,024 | $4,024 | 11.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$3,354–$5,030 | $3,354–$5,030 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$5,030–$7,462 | $5,030–$7,462 | varies |
| MRI, lumbar spine combo (72158) | $5,030 | $5,030 | 13.8× |
| Myelogram cervical (72240) | $16,122 | $16,122 | 19.7× |
| Myelogram Lumbar (72265) | $4,214 | $4,214 | 5.1× |
| Myelography thoracic (72255) | $6,240 | $6,240 | 7.6× |
| Myelograpy 2/more regions rs&i (72270) | $18,544 | $18,544 | 22.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $10,241 | $10,241 | 24.5× |
| Myocardial Spect Multiple Studies (78452) | $25,404 | $25,404 | 18.8× |
| Neck soft tissue (70360) | $4,467 | $4,467 | 49.2× |
| Nonvascular Shunt X-Ray (75809) | $1,847 | $1,847 | 16.9× |
| Parathyroid Planar Imaging (78070) | $8,862 | $8,862 | 21.2× |
| Pelvis 1 or 2 views (72170) | $3,997 | $3,997 | 36.6× |
| Perineogram (74775) | $4,266 | $4,266 | 17.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $8,805 | $8,805 | 21.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $4,699 | $4,699 | 8.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$4,856–$6,821 | $4,856–$6,821 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$3,105–$4,654 | $3,105–$4,654 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$3,887–$5,835 | $3,887–$5,835 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $5,586 | $5,586 | 51.2× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$3,486–$5,210 | $3,486–$5,210 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$5,742–$8,060 | $5,742–$8,060 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$3,759–$5,579 | $3,759–$5,579 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$1,102–$1,617 | $1,102–$1,617 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 4 matching MRF lines |
$1,662–$2,472 | $1,662–$2,472 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $4,334 | $4,334 | 47.7× |
| Radex Ribs Unilateral 2 Views (71100) | $5,067 | $5,067 | 55.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$4,172–$6,198 | $4,172–$6,198 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $3,553 | $3,553 | 39.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,263 | $2,263 | 12.4× |
| Radex Spine 1 View Specify Level (72020) | $2,692 | $2,692 | 29.6× |
| Radex Sternum Minimum 2 Views (71120) | $4,077 | $4,077 | 44.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,813 | $2,813 | 31.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$2,692–$4,033 | $2,692–$4,033 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,102–$1,617 | $1,102–$1,617 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$3,624–$5,396 | $3,624–$5,396 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $4,944 | $4,944 | 45.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $4,660 | $4,660 | 42.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $5,669 | $5,669 | 51.9× |
| Radiologic exam colon double contrast study (74280) | $9,638 | $9,638 | 52.6× |
| Radiologic exam colon single contrast study (74270) | $7,161 | $7,161 | 39.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $5,084 | $5,084 | 27.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$4,549–$6,821 | $4,549–$6,821 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $5,659 | $5,659 | 51.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $7,145 | $7,145 | 39.0× |
| Radiologic exam swallow function contrast study (74230) | $4,247 | $4,247 | 23.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $9,020 | $9,020 | 49.2× |
| Radiologic examination femur 1 view (73551) | $3,553 | $3,553 | 39.1× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$3,100–$4,964 | $3,100–$4,964 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$2,449–$3,722 | $2,449–$3,722 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $5,713 | $5,713 | 52.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$4,537–$6,821 | $4,537–$6,821 | varies |
| Ribs bilateral 3 views (71110) | $6,220 | $6,220 | 57.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $11,297 | $11,297 | 27.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $12,797 | $12,797 | 22.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,984 | $6,984 | 12.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $9,654 | $9,654 | 17.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $9,654 | $9,654 | 7.1× |
| Scapula (73010) range across 3 matching MRF lines |
$3,601–$5,396 | $3,601–$5,396 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $375 | $375 | 16.0× |
| Shoulder 1 view (73020) | $3,134 | $3,134 | 34.5× |
| Shoulder Arthrography (73040) | $18,265 | $18,265 | 50.1× |
| Skull less than 4 views (70250) | $2,885 | $2,885 | 26.4× |
| Sternoclavicular joints (71130) | $1,456 | $1,456 | 16.0× |
| Thoracic spine 2 views (72070) | $5,323 | $5,323 | 48.8× |
| Thoracolumbar 2 views (72080) | $3,648 | $3,648 | 40.1× |
| Thyroid Imaging With Vascular Flow (78013) | $5,631 | $5,631 | 13.5× |
| Thyroid Uptake Measurement (78012) | $5,540 | $5,540 | 13.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $15,845 | $15,845 | 38.0× |
| Ultrasound Breast Limited (76642) | $2,579 | $2,579 | 28.4× |
| Ultrasound Exam Aaa Screen (76706) | $3,294 | $3,294 | 30.2× |
| Ultrasound, abdomen limited (76705) | $5,502 | $5,502 | 50.4× |
| Upper gi w/o kub (74240) | $9,402 | $9,402 | 51.3× |
| Urethrocystogram voiding (74455) | $4,587 | $4,587 | 18.4× |
| Us breast unilateral complete (76641) | $4,896 | $4,896 | 44.8× |
| Us chest (76604) | $3,539 | $3,539 | 32.4× |
| Us complete joint (76881) | $4,054 | $4,054 | 37.1× |
| Us exam, pelvic, limited (76857) | $2,703 | $2,703 | 24.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $3,243 | $3,243 | 29.7× |
| Us ob limited 1 or more fetuses (76815) | $1,781 | $1,781 | 16.3× |
| Us ob transvaginal (76817) | $5,875 | $5,875 | 53.8× |
| Us pelvic non ob complete (76856) | $6,345 | $6,345 | 58.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,840 | $3,840 | 35.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,707 | $1,707 | 15.6× |
| Us retroperitoneal complete (76770) | $6,775 | $6,775 | 62.1× |
| Us retroperitoneal limited (76775) | $3,590 | $3,590 | 32.9× |
| Us scrotum and contents (76870) | $6,081 | $6,081 | 55.7× |
| Us spinal canal and contents (76800) | $6,222 | $6,222 | 57.0× |
| Us thyroid (76536) | $6,870 | $6,870 | 62.9× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$4,028–$10,705 | $4,028–$10,705 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$4,028–$6,698 | $4,028–$6,698 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$3,624–$5,396 | $3,624–$5,396 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $3,486 | $3,486 | 38.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$2,919–$4,347 | $2,919–$4,347 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$420–$3,735 | $420–$3,735 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,111 | $2,111 | 19.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,919 | $2,919 | 26.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $3,257 | $3,257 | 35.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $4,339 | $4,339 | 47.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $4,339 | $4,339 | 39.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $4,507 | $4,507 | 41.3× |
| X-Ray Exam L-S Spine Bending (72114) | $7,316 | $7,316 | 67.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $4,945 | $4,945 | 54.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $4,456 | $4,456 | 40.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $5,585 | $5,585 | 51.2× |
| X-ray eye for foreign body (70030) | $1,452 | $1,452 | 16.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$3,666–$5,457 | $3,666–$5,457 | varies |
| X-ray IV pyelogram (ivp) (74400) | $15,230 | $15,230 | 83.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $997 | $997 | 11.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $5,880 | $5,880 | 53.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $7,294 | $7,294 | 66.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $2,700 | $2,700 | 24.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $4,783 | $4,783 | 52.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $5,242 | $5,242 | 57.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $5,961 | $5,961 | 54.6× |
| X-Ray Tmj Unilat (70328) | $1,734 | $1,734 | 19.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $7,943 | $7,943 | 21.8× |
| X-Rays Bone Length Studies (77073) | $1,336 | $1,336 | 12.2× |
| X-Rays Bone Survey Complete (77075) | $5,113 | $5,113 | 46.8× |
| Xr c-spine 4 or 5 views (72050) | $6,951 | $6,951 | 63.7× |
| Xr facial bones less than 3 views (70140) | $3,289 | $3,289 | 36.2× |
| Xr orbits complete 4 views (70200) | $4,814 | $4,814 | 44.1× |
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.