Imaging prices at HCA Houston Healthcare Northwest

Houston, TX · every code in this section with a posted price and a Medicare benchmark.

271 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $1,749.57 $1,749.57 20.0×
Abdomen 2 views (74019) $2,329.30 $2,329.30 22.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $4,075.67 $4,075.67 10.1×
Angio pulmonary bilat (75743) $12,795.52 $12,795.52 4.0×
Angiography extremity bilateral rs&i (75716) $10,470.67 $10,470.67 3.3×
Angiography extremity unilateral rs&i (75710) $7,638.76 $7,638.76 2.4×
Angiography pulmonary unilateral slctv rs&i (75741) $10,055.52 $10,055.52 3.2×
Ankle 2 views (73600) $1,936.38 $1,936.38 22.2×
Aortography thoracic serialography rs&i (75605) $9,165.91 $9,165.91 1.6×
Artery X-Rays Abdomen (75726) $7,785.53 $7,785.53 1.4×
Artery X-Rays Pelvis (75736) $12,771.80 $12,771.80 2.3×
Artery X-Rays Spine (75705) $11,527.83 $11,527.83 2.1×
Arthrogram hip (73525)
range across 2 matching MRF lines
$1,404.10–$4,691.19 $1,404.10–$4,691.19 varies
Bone age studies (77072) $1,490.09 $1,490.09 14.2×
Bone Imaging 3 Phase (78315) $14,934.45 $14,934.45 37.2×
Bone Imaging Limited Area (78300) $6,580.76 $6,580.76 16.4×
Bone Imaging Whole Body (78306) $10,459.93 $10,459.93 26.0×
Bone survey infant (77076) $934.09 $934.09 8.9×
Brain Image W/Flow < 4 Views (78601) $2,612.80 $2,612.80 6.5×
Cat Scan Follow-Up Study (76380) $2,588.39 $2,588.39 29.6×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $4,480.33 $4,480.33 8.2×
Cerebrospinal Fluid Scan (78630) $7,516.70 $7,516.70 13.8×
Chest 1 view (71045) $2,108.37 $2,108.37 24.1×
Chest 2 views (71046) $2,372.29 $2,372.29 27.1×
Chest 3 views (71047) $2,158.78 $2,158.78 24.7×
Clavicle complete (73000) $1,970.48 $1,970.48 22.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $15,063.93 $15,063.93 143.4×
Contrast Exam Abdominl Aorta (75625) $12,374.43 $12,374.43 3.9×
Contrast X-Ray Bladder (74430) $5,674.22 $5,674.22 16.2×
Contrast X-Ray Of Knee Joint (73580) $2,287.78 $2,287.78 6.5×
CT abdomen and pelvis without and with contrast (74178) $40,539.37 $40,539.37 115.7×
CT abdomen and pelvis without contrast (74176) $32,859.53 $32,859.53 137.1×
CT abdomen w contrast (74160) $19,914.51 $19,914.51 113.0×
CT abdomen w wo contrast (74170) $20,900.76 $20,900.76 118.6×
CT abdomen w/o contrast (74150) $18,629.45 $18,629.45 177.4×
CT Angio Abdomen and Pelvis (74174) $29,870.23 $29,870.23 85.2×
CT Angio Chest (71275) $23,830.63 $23,830.63 135.2×
CT Angio Head (70496) $23,830.63 $23,830.63 135.2×
CT angio hrt w/3d image (75574) $23,830.63 $23,830.63 68.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $22,138.57 $22,138.57 125.6×
CT Angio Neck (70498) $23,830.63 $23,830.63 135.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $21,428.20 $21,428.20 121.6×
CT cervical spine w/ contrast (72126) $21,752.91 $21,752.91 62.1×
CT cervical spine w/o contrast (72125) $17,871.84 $17,871.84 170.2×
CT cervical spine w/wo cont (72127) $18,531.88 $18,531.88 105.2×
CT chest w contrast (71260) $15,853.55 $15,853.55 90.0×
CT chest w/wo contrast (71270) $16,010.57 $16,010.57 90.9×
CT head/brain with contrast (70460) $17,871.84 $17,871.84 101.4×
CT head/brain without and with contrast (70470) $20,074.56 $20,074.56 113.9×
CT heart contrast eval cardiac structure&morph (75572) $28,498.29 $28,498.29 81.3×
CT heart no contrast quant eval coronry calcium (75571) $15,063.93 $15,063.93 172.3×
CT iac w contrast (70481) $19,733.11 $19,733.11 112.0×
CT l-spine w&w/o contrast (72133) $23,027.27 $23,027.27 130.7×
CT lower ext w/o (73700) $7,562.45 $7,562.45 72.0×
CT lower extremity w/contrast material (73701) $12,745.35 $12,745.35 72.3×
CT lumbar spine w contrast (72132) $17,871.84 $17,871.84 51.0×
CT lumbar spine w/o contrast (72131) $16,138.60 $16,138.60 153.7×
CT maxillofacial w contrast (70487) $15,281.91 $15,281.91 86.7×
CT maxillofacial wo contrast (70486) $13,937.41 $13,937.41 132.7×
CT neck tissue combo (70492) $18,356.58 $18,356.58 104.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $21,412.95 $21,412.95 121.5×
CT orbits w/o contrast (70480) $18,307.80 $18,307.80 174.3×
CT pelvis w&w/o contrast (72194) $19,637.07 $19,637.07 111.4×
CT pelvis w/o contrast (72192) $14,231.60 $14,231.60 135.5×
CT scan of leg combo (73702)
range across 3 matching MRF lines
$9,920.66–$14,682.83 $9,920.66–$14,682.83 varies
CT scans face/jaw combo (70488) $16,117.27 $16,117.27 91.5×
CT soft tissue neck w contrast (70491) $18,190.43 $18,190.43 103.2×
CT soft tissue neck w/o contrast (70490) $17,004.47 $17,004.47 161.9×
CT thoracic spine w contrast (72129) $18,411.46 $18,411.46 104.5×
CT thoracic spine w/o contrast (72128) $20,338.28 $20,338.28 193.7×
CT thoracic spine w/wo cont (72130) $21,457.16 $21,457.16 121.8×
CT thorax w/o contrast (71250) $15,063.93 $15,063.93 143.4×
CT upper ext wo (73200) $13,932.83 $13,932.83 132.7×
CT upper extremity w/o & w/contrast material (73202) $10,307.48 $10,307.48 58.5×
CT upper extremity with contrast (73201) $7,562.45 $7,562.45 21.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $22,028.81 $22,028.81 125.0×
Cta Abdomen (74175) $24,521.17 $24,521.17 139.2×
CTA pelvis (72191) $23,830.63 $23,830.63 135.2×
Dilation ureters/urethra rs&i (74485) $2,434.56 $2,434.56 1.2×
Echo exam uterus (76831) $4,873.34 $4,873.34 20.3×
Esophagram (74220) $4,222.67 $4,222.67 24.0×
Fetal Biophys Profile W/Nst (76818) $5,849.74 $5,849.74 55.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $5,849.74 $5,849.74 55.7×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$2,957.94–$3,880.17 $2,957.94–$3,880.17 varies
Follow-Up Angiography (75898) $4,204.55 $4,204.55 1.3×
Foot 2 views (73620)
range across 4 matching MRF lines
$2,023.86–$2,023.89 $2,023.86–$2,023.89 varies
Forearm 2 views (73090) $2,087.61 $2,087.61 23.9×
Gastric emptying imaging study (78264) $13,772.87 $13,772.87 34.3×
Gated Heart Planar Single (78472) $8,959.22 $8,959.22 22.3×
Hand 2 views (73120) $1,937.87 $1,937.87 18.5×
Hepatobil Syst Image W/Drug (78227) $14,668.07 $14,668.07 26.9×
Hepatobiliary System Imaging (78226) $11,953.39 $11,953.39 29.8×
Ht Muscle Image Spect Sing (78451) $20,385.65 $20,385.65 15.7×
Hysterosalpingogram (74740) $4,771.27 $4,771.27 19.9×
K Flow/Funct Image W/Drug (78708) $14,812.17 $14,812.17 27.2×
K Flow/Funct Image W/O Drug (78707) $6,110.61 $6,110.61 11.2×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $10,029.09 $10,029.09 25.0×
Knee 3 Views (73562) $2,302.60 $2,302.60 26.3×
Leveen/Shunt Patency Exam (78291) $5,053.84 $5,053.84 12.6×
Liver & Spleen Imaging Static Only (78215) $8,142.62 $8,142.62 20.3×
Lung Perf&Ventilat Diferentl (78598) $5,307.11 $5,307.11 9.7×
Lung perfusion differential (78597) $18,515.21 $18,515.21 46.1×
Lung Ventilat&Perfus Imaging (78582) $8,286.72 $8,286.72 15.2×
Lung Ventilation Imaging (78579) $10,381.32 $10,381.32 25.9×
Lymph System Imaging (78195) $7,392.98 $7,392.98 13.6×
Magnetic Image Jaw Joint (70336) $17,230 $17,230 71.9×
Meckels Divert Exam (78290) $8,075.66 $8,075.66 20.1×
Mra Head W/O & W/Contrast Material (70546) $24,449.13 $24,449.13 69.8×
MRA head w/o contrast (70544) $21,967.73 $21,967.73 91.7×
Mra Neck W/O &W/Contrast Material (70549) $33,071.09 $33,071.09 94.4×
MRA neck w/o contrast (70547) $21,967.73 $21,967.73 91.7×
MRI abdomen w/o contrast (74181) $30,620.75 $30,620.75 127.8×
MRI any jt lower extrem w/contrast material (73722) $13,007.46 $13,007.46 16.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $22,872.45 $22,872.45 65.3×
MRI any jt upper extremity w/contrast matrl (73222) $12,576.05 $12,576.05 16.0×
MRI Breast W/O Contrast Bilateral (77047) $20,837.99 $20,837.99 86.9×
MRI Breast Without Contrast Material Unilateral (77046) $18,064.87 $18,064.87 75.4×
MRI cervical spine w contrast (72142) $17,970.21 $17,970.21 51.3×
MRI cervical spine w/o cont (72141) $22,009.63 $22,009.63 91.8×
MRI chest w/o contrast (71550) $21,797.02 $21,797.02 90.9×
MRI chest wo w contrast (71552) $26,793.92 $26,793.92 76.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $16,264.76 $16,264.76 46.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$10,519.87–$11,601.50 $10,519.87–$11,601.50 varies
MRI lumbar spine w contrast (72149) $14,833.97 $14,833.97 42.3×
Mri Neck Spine W/O & W/Dye (72156) $39,829.32 $39,829.32 113.6×
MRI orbit face &/neck w/o contrast (70540) $20,519.88 $20,519.88 85.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $30,180.02 $30,180.02 86.1×
MRI pelvis w/o & w contrast (72197) $24,840.17 $24,840.17 70.9×
MRI pelvis w/o contrast (72195) $18,064.87 $18,064.87 75.4×
MRI thoracic spine w/o contrast (72146) $21,388.91 $21,388.91 89.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $11,601.50 $11,601.50 48.4×
Mri Uppr Extremity W/O&W/Dye (73220) $16,869.97 $16,869.97 48.1×
MRI, abdomen, combo (74183) $33,074.20 $33,074.20 94.4×
MRI, dorsal spine combo (72157) $38,955.65 $38,955.65 111.2×
MRI, joint upper extrem (73221) $22,206.73 $22,206.73 92.6×
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$20,905.60–$24,838.63 $20,905.60–$24,838.63 varies
MRI, lumbar spine combo (72158) $38,626.65 $38,626.65 110.2×
Myocardial Spect Multiple Studies (78452) $21,158.58 $21,158.58 16.3×
Neck soft tissue (70360) $1,773.29 $1,773.29 20.3×
Nm csf leak detection (78650) $11,323.11 $11,323.11 8.7×
Nm myocard infarct spect (78469) $6,291.10 $6,291.10 11.5×
Nonvascular Shunt X-Ray (75809) $1,543.46 $1,543.46 14.7×
Nuclear Rx Intra-Arterial (79445)
range across 2 matching MRF lines
$868.84–$2,062.59 $868.84–$2,062.59 varies
Nuclear Rx Oral Admin (79005) $1,521.09 $1,521.09 6.5×
Parathyroid planar imaging w/wo subtraction (78071) $7,596.76 $7,596.76 18.9×
Pelvis 1 or 2 views (72170) $2,052.02 $2,052.02 19.5×
Pet Image W/Ct Lmtd (78814) $20,293.82 $20,293.82 14.1×
PET image w/CT, full body (78816) $20,293.82 $20,293.82 14.1×
PET imaging CT attenuation skull base mid-thigh (78815) $20,293.82 $20,293.82 14.1×
Pulmonary Perfusion Imaging Particulate (78580) $10,381.32 $10,381.32 25.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $3,592.54 $3,592.54 34.2×
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines
$1,814.79–$20,689.31 $1,814.79–$20,689.31 varies
Radex Ankle Complete Minimum 3 Views (73610) $2,370.80 $2,370.80 27.1×
Radex Calcaneus Minimum 2 Views (73650) $1,937.87 $1,937.87 22.2×
Radex elbow complete minimum 3 views (73080) $2,093.54 $2,093.54 23.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $2,267.01 $2,267.01 21.6×
Radex fingr minimum 2 views (73140) $1,694.71 $1,694.71 19.4×
Radex foot complete minimum 3 views (73630) $2,441.96 $2,441.96 27.9×
Radex Hand Minimum 3 Views (73130) $2,115.79 $2,115.79 24.2×
Radex lower extremity infant minimum 2 views (73592)
range across 5 matching MRF lines
$1,749.57–$2,149.90 $1,749.57–$2,149.90 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,863.73 $1,863.73 21.3×
Radex Ribs Unilateral 2 Views (71100)
range across 3 matching MRF lines
$615.31–$2,412.32 $615.31–$2,412.32 varies
Radex shoulder complete minimum 2 views (73030) $2,449.39 $2,449.39 28.0×
Radex Sinuses Paransl < 3 Views (70210) $2,237.36 $2,237.36 25.6×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $6,557.89 $6,557.89 37.2×
Radex Spine 1 View Specify Level (72020) $911.84 $911.84 10.4×
Radex Sternum Minimum 2 Views (71120) $2,189.90 $2,189.90 25.1×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $3,341.96 $3,341.96 38.2×
Radex Toe Minimum 2 Views (73660) $1,963.05 $1,963.05 22.5×
Radex upper extremity infant minimum 2 views (73092) $1,943.78 $1,943.78 18.5×
Radex Wrist Complete Minimum 3 Views (73110) $1,961.59 $1,961.59 22.4×
Radiolog exam mandible compl minimum 4 views (70110) $2,766.68 $2,766.68 26.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $2,043.13 $2,043.13 19.5×
Radiologic exam colon double contrast study (74280) $6,769.91 $6,769.91 38.4×
Radiologic exam colon single contrast study (74270) $5,177.53 $5,177.53 29.4×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$2,990.58–$5,982.61 $2,990.58–$5,982.61 varies
Radiologic exam pelvis compl minimum 3 views (72190) $2,646.58 $2,646.58 25.2×
Radiologic Exam Small Int Single Contrast Study (74250) $5,735 $5,735 32.5×
Radiologic exam swallow function contrast study (74230) $4,019.54 $4,019.54 22.8×
Radiologic exam upr gi trc double contrast study (74246) $5,981.13 $5,981.13 33.9×
Radiologic examination femur 1 view (73551) $1,485.64 $1,485.64 17.0×
Radiologic examination femur minimum 2 views (73552) $1,998.65 $1,998.65 22.9×
Radiologic examination knee 1/2 views (73560) $1,883.01 $1,883.01 21.5×
Radiologic examination tibia & fibula 2 views (73590) $2,237.36 $2,237.36 25.6×
Ribs bilateral 3 views (71110) $4,995.15 $4,995.15 47.6×
Rp loclzj tum plnr 1 area single day imaging (78800) $8,874.79 $8,874.79 22.1×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $7,944.66 $7,944.66 19.8×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $8,084.38 $8,084.38 14.8×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $5,740.88 $5,740.88 10.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $4,122.25 $4,122.25 7.6×
Rp Therapy Intravenous Administration (79101) $1,657.93 $1,657.93 7.1×
Scapula (73010) $2,095.03 $2,095.03 19.9×
Shoulder 1 view (73020) $1,917.10 $1,917.10 21.9×
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$4,304.20–$4,691.19 $4,304.20–$4,691.19 varies
Skull less than 4 views (70250) $2,194.38 $2,194.38 20.9×
Sternoclavicular joints (71130)
range across 2 matching MRF lines
$821.41–$1,810.76 $821.41–$1,810.76 varies
Testicular Imaging W/Flow (78761) $2,583.68 $2,583.68 6.4×
Thoracic spine 2 views (72070) $759.13 $759.13 7.2×
Thoracic spine 3 views (72072) $3,647.39 $3,647.39 34.7×
Thyroid Met Imaging Body (78018) $4,809.30 $4,809.30 8.8×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $9,180.45 $9,180.45 22.9×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$6,909.79–$6,986.24 $6,909.79–$6,986.24 varies
Ultrasound Exam Aaa Screen (76706) $1,097.55 $1,097.55 10.5×
Ultrasound, abdomen limited (76705) $3,077.74 $3,077.74 29.3×
Umbilical-artery Doppler (OB) (76820) $693.86 $693.86 6.6×
Unlisted Dx Radiographic Procedure (76499) $12,220.95 $12,220.95 139.8×
Upper gi w/o kub (74240)
range across 2 matching MRF lines
$5,350.98–$13,873.42 $5,350.98–$13,873.42 varies
Urethrocystogram voiding (74455) $5,208.65 $5,208.65 21.7×
Urethrocystography retrograde (74450) $4,203.39 $4,203.39 17.5×
Us breast unilateral complete (76641) $7,088.62 $7,088.62 67.5×
Us chest (76604) $6,237.71 $6,237.71 59.4×
Us exam, pelvic, limited (76857) $1,233.12 $1,233.12 11.7×
Us head (76506) $3,859.46 $3,859.46 36.7×
Us kidney transplant (76776) $1,417.73 $1,417.73 13.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $3,366.20 $3,366.20 32.1×
Us ob detailed single fetus (76811) $3,200.34 $3,200.34 13.4×
Us ob limited 1 or more fetuses (76815) $3,545.02 $3,545.02 33.8×
Us ob transvaginal (76817) $3,508.97 $3,508.97 33.4×
Us pelvic non ob complete (76856) $5,618.99 $5,618.99 53.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $4,475.29 $4,475.29 42.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $2,172.01 $2,172.01 20.7×
Us retroperitoneal complete (76770) $5,285.82 $5,285.82 50.3×
Us retroperitoneal limited (76775) $5,776.19 $5,776.19 55.0×
Us scrotum and contents (76870) $4,299.33 $4,299.33 40.9×
Us spinal canal and contents (76800)
range across 2 matching MRF lines
$5,822.31–$5,822.34 $5,822.31–$5,822.34 varies
Us thyroid (76536) $4,205.58 $4,205.58 40.0×
Us transrectal (76872) $2,023.47 $2,023.47 19.3×
Vein X-Ray Chest (75827) $14,992.85 $14,992.85 9.5×
Venography caval inferior serialography rs&i (75825) $10,747.95 $10,747.95 3.4×
Venography extremity bilateral rs&i (75822) $7,480.11 $7,480.11 4.7×
Venography extremity unilateral rs&i (75820) $11,300.98 $11,300.98 7.1×
Venography Renal Unilateral (75831) $2,416.76 $2,416.76 0.8×
Venous sampling by catheter (75893) $8,967.24 $8,967.24 1.6×
Wrist 2 views (73100) $2,928.30 $2,928.30 33.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $2,169.16 $2,169.16 24.8×
X-ray antegrade pyelogram tube (74425)
range across 4 matching MRF lines
$1,567.19–$2,206.22 $1,567.19–$2,206.22 varies
X-Ray Aorta Leg Arteries (75630) $12,374.43 $12,374.43 3.9×
X-Ray Bend Only L-S Spine (72120) $2,154.34 $2,154.34 20.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,816.28 $1,816.28 20.8×
X-Ray Exam Breast Specimen (76098) $980.05 $980.05 1.8×
X-Ray Exam Entire Spi 1 Vw (72081) $954.85 $954.85 10.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $1,958.61 $1,958.61 18.6×
X-Ray Exam Entire Spi 4/5 Vw (72083) $3,608.85 $3,608.85 34.4×
X-Ray Exam Hip Uni 1 View (73501) $1,998.65 $1,998.65 22.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $2,256.64 $2,256.64 25.8×
X-Ray Exam Hip Uni 4/> Views (73503) $1,920.59 $1,920.59 18.3×
X-Ray Exam Hips Bi 2 Views (73521) $2,898.65 $2,898.65 27.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $2,487.93 $2,487.93 23.7×
X-Ray Exam Hips Bi 5/> Views (73523) $3,073.59 $3,073.59 29.3×
X-Ray Exam L-S Spine Bending (72114) $5,086.77 $5,086.77 48.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $2,225.50 $2,225.50 25.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $4,615.58 $4,615.58 43.9×
X-Ray Exam Unilat Ribs/Chest (71101)
range across 3 matching MRF lines
$4,582.97–$4,995.15 $4,582.97–$4,995.15 varies
X-ray humerus (73060) $1,970.48 $1,970.48 22.5×
X-ray IV pyelogram (ivp) (74400) $3,003.91 $3,003.91 17.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $1,541.99 $1,541.99 17.6×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $4,124.81 $4,124.81 47.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $2,275.91 $2,275.91 21.7×
X-ray nose-rectum child f.b. (76010) $2,176.57 $2,176.57 24.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
$1,829.63–$4,995.15 $1,829.63–$4,995.15 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $2,302.60 $2,302.60 21.9×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $2,126.18 $2,126.18 24.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $3,656.29 $3,656.29 41.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $4,093.67 $4,093.67 39.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $10,538.87 $10,538.87 30.1×
X-Rays Bone Length Studies (77073) $2,694.02 $2,694.02 25.7×
X-Rays Bone Survey Complete (77075) $6,212.42 $6,212.42 59.2×
Xr c-spine 4 or 5 views (72050) $4,161.88 $4,161.88 39.6×
Xr facial bones less than 3 views (70140) $2,977.21 $2,977.21 34.1×
XR Mastoids < 3 Views Bilateral (70120) $3,229.27 $3,229.27 30.7×
Xr orbits complete 4 views (70200) $2,837.84 $2,837.84 27.0×

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.