Imaging prices at Henrico Doctors' Hospital

Richmond, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $10,649 $10,649 7.7×
Abdomen 1 View (74018) $1,337 $1,337 15.3×
Abdomen 2 views (74019) $1,460 $1,460 13.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,890 $1,890 4.7×
Angio pulmonary bilat (75743) $10,360 $10,360 3.3×
Angiography extremity bilateral rs&i (75716) $13,198 $13,198 4.2×
Angiography extremity unilateral rs&i (75710) $13,198 $13,198 4.2×
Angiography pulmonary unilateral slctv rs&i (75741) $2,602 $2,602 0.8×
Ankle 2 views (73600) $995 $995 11.4×
Artery X-Rays Abdomen (75726) $8,560 $8,560 1.5×
Artery X-Rays Pelvis (75736) $7,459 $7,459 1.3×
Artery X-Rays Spine (75705) $6,120 $6,120 1.1×
Arthrogram hip (73525) $2,237 $2,237 6.4×
Basic radiation dosimetry calculation (77300) $655 $655 4.9×
Bone age studies (77072) $1,058 $1,058 10.1×
Bone Imaging 3 Phase (78315) $4,620 $4,620 11.5×
Bone Imaging Limited Area (78300) $2,879 $2,879 7.2×
Bone Imaging Multiple Areas (78305) $4,069 $4,069 10.1×
Bone Imaging Whole Body (78306) $4,488 $4,488 11.2×
Bone survey infant (77076) $1,213 $1,213 11.6×
Brachytx isodose complex (77318) $1,829 $1,829 4.9×
Brachytx isodose intermed (77317) $2,798 $2,798 7.4×
Brachytx Isodose Plan Simple (77316) $1,525 $1,525 4.1×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $3,594 $3,594 6.6×
Brain Imaging Pet Metabolic Evaluation (78608) $10,851 $10,851 7.6×
Cardiac MRI w/w/o contrast & further seq (75561) $7,750 $7,750 22.1×
Cat Scan Follow-Up Study (76380) $3,123 $3,123 35.8×
Chest 1 view (71045) $842 $842 9.6×
Chest 2 views (71046) $1,119 $1,119 12.8×
Chest 3 views (71047) $1,438 $1,438 16.5×
Chest 4 or more views (71048) $1,500 $1,500 14.3×
Clavicle complete (73000) $1,337 $1,337 15.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $281 $281 2.7×
Continuing medical physics consltj pr wk (77336) $1,992 $1,992 14.8×
Contrast Exam Abdominl Aorta (75625) $5,711 $5,711 1.8×
Contrast X-Ray Bladder (74430) $1,839 $1,839 5.3×
Contrast X-Ray Of Knee Joint (73580) $2,346 $2,346 6.7×
CT abdomen and pelvis without and with contrast (74178) $20,098 $20,098 57.4×
CT abdomen and pelvis without contrast (74176) $11,436 $11,436 47.8×
CT abdomen w contrast (74160) $8,436 $8,436 47.9×
CT abdomen w wo contrast (74170) $9,052 $9,052 51.4×
CT abdomen w/o contrast (74150) $4,962 $4,962 47.3×
CT Angio Abdomen and Pelvis (74174) $16,786 $16,786 48.0×
CT Angio Chest (71275) $9,406 $9,406 53.5×
CT Angio Head (70496) $8,705 $8,705 49.5×
CT angio hrt w/3d image (75574) $8,972 $8,972 25.6×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines		 $7,904–$8,287 $7,904–$8,287 varies
CT Angio Neck (70498) $9,235 $9,235 52.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $6,800 $6,800 38.6×
CT cervical spine w/ contrast (72126) $6,764 $6,764 19.3×
CT cervical spine w/o contrast (72125) $6,632 $6,632 63.2×
CT cervical spine w/wo cont (72127) $6,182 $6,182 35.1×
CT chest w contrast (71260) $8,531 $8,531 48.5×
CT chest w/wo contrast (71270) $8,531 $8,531 48.5×
CT head/brain with contrast (70460) $7,344 $7,344 41.7×
CT head/brain without and with contrast (70470) $8,262 $8,262 47.0×
CT heart contrast eval cardiac structure&morph (75572) $8,972 $8,972 25.6×
CT heart no contrast quant eval coronry calcium (75571) $1,534 $1,534 17.6×
CT hrt w/3d image congen (75573) $8,972 $8,972 25.6×
CT iac w contrast (70481) $8,262 $8,262 47.0×
CT l-spine w&w/o contrast (72133) $6,900 $6,900 39.2×
CT lower ext w/o (73700)
range across 5 matching MRF lines		 $5,446–$6,104 $5,446–$6,104 varies
CT lower extremity w/contrast material (73701) $7,644 $7,644 43.4×
CT lumbar spine w contrast (72132) $7,028 $7,028 20.1×
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines		 $6,198–$6,632 $6,198–$6,632 varies
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines		 $8,789–$8,838 $8,789–$8,838 varies
CT maxillofacial wo contrast (70486) $7,156 $7,156 68.2×
CT neck tissue combo (70492) $8,789 $8,789 49.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $9,844 $9,844 55.9×
CT orbits w/o contrast (70480) $4,972 $4,972 47.4×
CT pelvis w&w/o contrast (72194) $11,047 $11,047 62.8×
CT pelvis w/o contrast (72192) $6,479 $6,479 61.8×
CT scan of leg combo (73702) $7,470 $7,470 42.5×
CT scans face/jaw combo (70488) $8,789 $8,789 49.9×
CT soft tissue neck w contrast (70491) $8,137 $8,137 46.2×
CT soft tissue neck w/o contrast (70490) $5,843 $5,843 55.7×
CT thoracic spine w contrast (72129) $6,104 $6,104 34.7×
CT thoracic spine w/o contrast (72128) $6,632 $6,632 63.2×
CT thoracic spine w/wo cont (72130) $6,498 $6,498 36.9×
CT thorax w/o contrast (71250) $8,531 $8,531 81.3×
CT upper ext wo (73200) $5,446 $5,446 51.9×
CT upper extremity w/o & w/contrast material (73202) $6,360 $6,360 36.1×
CT upper extremity with contrast (73201) $6,360 $6,360 18.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $11,512 $11,512 65.4×
Cta Abdomen (74175) $9,498 $9,498 54.0×
CTA pelvis (72191) $11,488 $11,488 65.3×
Dilation ureters/urethra rs&i (74485)
range across 2 matching MRF lines		 $2,626–$2,785 $2,626–$2,785 varies
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $2,557 $2,557 24.4×
Doppler Echo Fetal Spectral Display Complete (76827) $2,557 $2,557 24.4×
Doppler Fetal Mid Cerebral Artery (76821) $2,386 $2,386 22.7×
Dxa Bone Density Axial (77080) $2,456 $2,456 23.4×
Echo exam of fetal heart (76825) $2,625 $2,625 4.8×
Echo Guide For Artery Repair (76936) $737 $737 3.4×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $1,928 $1,928 8.1×
Esophagram (74220) $1,648 $1,648 9.4×
Fetal Biophys Profile W/Nst (76818) $1,923 $1,923 18.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,608 $1,608 15.3×
Fluoroscopy up to 1 hr (76000) $2,993 $2,993 12.5×
Follow-Up Angiography (75898) $7,868 $7,868 2.5×
Foot 2 views (73620) $1,033 $1,033 11.8×
Forearm 2 views (73090) $1,058 $1,058 12.1×
Gastric emptying imaging study (78264) $3,087 $3,087 7.7×
Gated Heart Planar Single (78472) $3,341 $3,341 8.3×
Hand 2 views (73120) $1,033 $1,033 9.8×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $11,008 $11,008 15.8×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $10,341 $10,341 14.8×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $5,500 $5,500 1.7×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $6,501 $6,501 2.1×
Hepatobil Syst Image W/Drug (78227) $3,087 $3,087 5.7×
Hepatobiliary System Imaging (78226) $3,087 $3,087 7.7×
Ht Muscle Image Spect Sing (78451) $7,174 $7,174 5.5×
Hysterosalpingogram (74740) $2,845 $2,845 11.9×
Infant hip ultrasound with hip movement (dynamic) (76885) $1,183 $1,183 13.5×
Infant hip ultrasound, limited static exam (76886) $1,183 $1,183 13.5×
K Flow/Funct Image W/Drug (78708) $3,977 $3,977 7.3×
K Flow/Funct Image W/O Drug (78707) $3,977 $3,977 7.3×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $3,341 $3,341 8.3×
Knee 3 Views (73562)
range across 3 matching MRF lines		 $1,119–$2,235 $1,119–$2,235 varies
Liver & Spleen Imaging Static Only (78215) $3,422 $3,422 8.5×
Liver & Spleen Imaging W/Vascular Flow (78216) $3,594 $3,594 9.0×
Lung Ventilat&Perfus Imaging (78582) $6,261 $6,261 11.5×
Lung Ventilation Imaging (78579) $6,482 $6,482 16.2×
Lymph System Imaging (78195) $3,731 $3,731 6.8×
Meckels Divert Exam (78290) $2,957 $2,957 7.4×
Mlc imrt design & construction per imrt plan (77338) $1,996 $1,996 5.3×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $63 $63 2.2×
Mr safety implt electronics prepj supvj phys/qhp (76018) $239 $239 2.5×
Mr safety implt pos&/immoblj (76019) $155 $155 2.6×
Mra Head W/O & W/Contrast Material (70546) $4,006 $4,006 11.4×
MRA head w/o contrast (70544) $3,877 $3,877 16.2×
MRA head with contrast (70545) $3,877 $3,877 11.1×
MRA neck w contrast (70548) $3,877 $3,877 11.1×
Mra Neck W/O &W/Contrast Material (70549) $4,006 $4,006 11.4×
MRA neck w/o contrast (70547) $3,877 $3,877 16.2×
MRI abdomen w contrast (74182) $7,511 $7,511 21.5×
MRI abdomen w/o contrast (74181) $7,511 $7,511 31.4×
MRI any jt lower extrem w/contrast material (73722) $7,511 $7,511 9.6×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $7,750 $7,750 22.1×
MRI any jt upper extremity w/contrast matrl (73222) $7,511 $7,511 9.6×
MRI Breast W/O Contrast Bilateral (77047) $7,750 $7,750 32.4×
MRI Breast Without Contrast Material Unilateral (77046) $7,750 $7,750 32.4×
MRI cervical spine w contrast (72142) $7,737 $7,737 22.1×
MRI cervical spine w/o cont (72141) $7,737 $7,737 32.3×
MRI chest w/o contrast (71550) $7,511 $7,511 31.4×
MRI chest wo w contrast (71552) $7,750 $7,750 22.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $7,511 $7,511 21.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $7,750 $7,750 22.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $7,511 $7,511 31.4×
MRI lumbar spine w contrast (72149) $7,737 $7,737 22.1×
Mri Neck Spine W/O & W/Dye (72156) $7,981 $7,981 22.8×
MRI orbit face &/neck w/o contrast (70540) $7,511 $7,511 31.4×
MRI orbit face neck w contrast (70542) $7,511 $7,511 21.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $7,750 $7,750 22.1×
MRI pelvis w contrast (72196) $7,511 $7,511 21.5×
MRI pelvis w/o & w contrast (72197) $7,750 $7,750 22.1×
MRI pelvis w/o contrast (72195) $7,511 $7,511 31.4×
MRI thoracic spine w/o contrast (72146) $7,737 $7,737 32.3×
MRI upper extremity oth than jt w/contr matrl (73219) $7,511 $7,511 21.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $7,511 $7,511 31.4×
Mri Uppr Extremity W/O&W/Dye (73220) $7,750 $7,750 22.1×
MRI, abdomen, combo (74183) $7,750 $7,750 22.1×
MRI, dorsal spine combo (72157) $7,981 $7,981 22.8×
MRI, dorsal spine contrast (72147) $7,737 $7,737 22.1×
MRI, joint upper extrem (73221) $7,511 $7,511 31.4×
MRI, joint upper extrem combo (73223) $7,750 $7,750 22.1×
MRI, lumbar spine combo (72158) $7,981 $7,981 22.8×
Myocardial Spect Multiple Studies (78452) $11,632 $11,632 9.0×
Neck soft tissue (70360) $1,058 $1,058 12.1×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $952 $952 2.4×
Nonvascular Shunt X-Ray (75809) $1,600 $1,600 15.3×
Ntsty modul radthx pln dose-vol histos (77301) $22,223 $22,223 16.0×
Nuclear Rx Intra-Arterial (79445) $845 $845 3.6×
Nuclear Rx Oral Admin (79005) $3,625 $3,625 15.5×
Ob us nuchal meas 1 gest (76813) $1,488 $1,488 14.2×
Parathyroid imaging w/tomographic spect & CT (78072) $9,708 $9,708 17.8×
Parathyroid planar imaging w/wo subtraction (78071) $7,765 $7,765 19.4×
Pelvis 1 or 2 views (72170) $1,337 $1,337 12.7×
Pet Image W/Ct Lmtd (78814) $11,341 $11,341 7.9×
PET image w/CT, full body (78816) $11,795 $11,795 8.2×
PET imaging CT attenuation skull base mid-thigh (78815) $11,795 $11,795 8.2×
Pulmonary Perfusion Imaging Particulate (78580) $4,162 $4,162 10.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $1,648 $1,648 15.7×
Radex abscess/fistula/sinus tract rs&i (76080) $996 $996 1.8×
Radex Ankle Complete Minimum 3 Views (73610) $1,278 $1,278 14.6×
Radex Calcaneus Minimum 2 Views (73650) $1,058 $1,058 12.1×
Radex elbow complete minimum 3 views (73080) $1,083 $1,083 12.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $1,278 $1,278 12.2×
Radex fingr minimum 2 views (73140) $1,119 $1,119 12.8×
Radex foot complete minimum 3 views (73630) $1,119 $1,119 12.8×
Radex Hand Minimum 3 Views (73130) $1,187 $1,187 13.6×
Radex lower extremity infant minimum 2 views (73592) $1,083 $1,083 12.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $1,278 $1,278 14.6×
Radex Ribs Unilateral 2 Views (71100) $1,377 $1,377 15.8×
Radex shoulder complete minimum 2 views (73030) $1,900 $1,900 21.8×
Radex Sinuses Paransl < 3 Views (70210) $1,058 $1,058 12.1×
Radex Spine 1 View Specify Level (72020) $930 $930 10.7×
Radex Sternum Minimum 2 Views (71120) $1,438 $1,438 16.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,721 $1,721 19.7×
Radex Toe Minimum 2 Views (73660) $1,058 $1,058 12.1×
Radex upper extremity infant minimum 2 views (73092) $1,083 $1,083 10.3×
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines		 $1,083–$2,167 $1,083–$2,167 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $1,185 $1,185 11.3×
Radiation Delivery Stereotactic Cranial Linear (77372) $23,017 $23,017 3.1×
Radiation treatment delivery level 1 (77402) $2,291 $2,291 22.4×
Radiation treatment delivery level 2 (77407) $2,696 $2,696 7.0×
Radiation treatment delivery level 3 (77412) $3,120 $3,120 5.6×
Radiolog exam mandible compl minimum 4 views (70110) $1,596 $1,596 15.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $1,648 $1,648 15.7×
Radiologic exam colon double contrast study (74280) $3,768 $3,768 21.4×
Radiologic exam colon single contrast study (74270) $3,299 $3,299 18.7×
Radiologic Exam Esophagus Double Contrast Study (74221) $1,648 $1,648 9.4×
Radiologic exam knee complete 4/more views (73564) $1,278 $1,278 12.2×
Radiologic exam pelvis compl minimum 3 views (72190) $1,438 $1,438 13.7×
Radiologic Exam Small Int Single Contrast Study (74250) $2,364 $2,364 13.4×
Radiologic exam swallow function contrast study (74230) $1,648 $1,648 9.4×
Radiologic exam upr gi trc double contrast study (74246) $1,900 $1,900 10.8×
Radiologic examination femur 1 view (73551) $706 $706 8.1×
Radiologic examination femur minimum 2 views (73552) $1,408 $1,408 16.1×
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines		 $995–$1,987 $995–$1,987 varies
Radiologic Examination Osseous Survey Limited (77074) $3,075 $3,075 29.3×
Radiologic examination tibia & fibula 2 views (73590) $1,083 $1,083 12.4×
Ribs bilateral 3 views (71110) $1,460 $1,460 13.9×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,562 $1,562 3.9×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $4,869 $4,869 8.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $4,869 $4,869 8.9×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $4,751 $4,751 8.7×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $4,869 $4,869 3.7×
Rp Therapy Intravenous Administration (79101) $2,987 $2,987 12.8×
Scapula (73010) $1,337 $1,337 12.7×
Screening Digital Breast Tomosynthesis Bi (77063) $43 $43 1.8×
Shoulder 1 view (73020) $1,033 $1,033 11.8×
Shoulder Arthrography (73040) $2,328 $2,328 6.7×
Skull less than 4 views (70250) $1,337 $1,337 12.7×
Special Physics Consult (77370) $1,292 $1,292 9.6×
Special teletherapy port plan (77321) $1,829 $1,829 4.9×
Special treatment procedure (77470) $3,423 $3,423 6.2×
Stereotactic Body Radiation Delivery (77373) $4,480 $4,480 2.5×
Sternoclavicular joints (71130) $1,033 $1,033 11.8×
Telethx isodose pln cplx w/basic dosimetry (77307) $3,548 $3,548 9.4×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $3,742 $3,742 10.0×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $2,997 $2,997 8.0×
Ther rad simulaj-aided field setting simple (77280) $1,934 $1,934 14.3×
Thoracic spine 2 views (72070) $1,596 $1,596 15.2×
Thoracic spine 3 views (72072) $1,900 $1,900 18.1×
Thoracolumbar 2 views (72080) $1,738 $1,738 19.9×
Thyroid Met Imaging Body (78018) $3,594 $3,594 6.6×
Thyroid Uptake Measurement (78012) $3,884 $3,884 9.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $5,348 $5,348 13.3×
Tx Devices Design & Construction Complex (77334) $4,883 $4,883 13.0×
Tx devices design & construction intermediate (77333) $1,504 $1,504 11.2×
Tx devices design & construction simple (77332) $1,190 $1,190 8.8×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines		 $1,881–$3,756 $1,881–$3,756 varies
Ultrasound elastography first target lesion (76982) $1,011 $1,011 9.6×
Ultrasound Elastography Parenchyma (76981) $1,011 $1,011 9.6×
Ultrasound Exam Aaa Screen (76706) $968 $968 9.2×
Ultrasound, abdomen limited (76705) $1,606 $1,606 15.3×
Umbilical-artery Doppler (OB) (76820) $2,386 $2,386 22.7×
Upper gi w/o kub (74240) $1,900 $1,900 10.8×
Urethrocystogram voiding (74455) $3,473 $3,473 14.5×
Urethrocystography retrograde (74450) $3,289 $3,289 13.7×
Us breast unilateral complete (76641)
range across 3 matching MRF lines		 $1,881–$3,756 $1,881–$3,756 varies
Us chest (76604) $1,612 $1,612 15.4×
Us complete joint (76881) $1,377 $1,377 13.1×
Us exam, pelvic, limited (76857) $1,578 $1,578 15.0×
Us head (76506) $1,189 $1,189 11.3×
Us kidney transplant (76776) $764 $764 7.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $1,183 $1,183 11.3×
Us ob detailed single fetus (76811) $2,414 $2,414 10.1×
Us ob limited 1 or more fetuses (76815) $2,557 $2,557 24.4×
Us ob transvaginal (76817) $1,838 $1,838 17.5×
Us pelvic non ob complete (76856) $2,198 $2,198 21.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,633 $1,633 15.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $1,715 $1,715 16.4×
Us retroperitoneal complete (76770) $2,437 $2,437 23.2×
Us retroperitoneal limited (76775) $1,474 $1,474 14.1×
Us scrotum and contents (76870) $1,775 $1,775 16.9×
Us spinal canal and contents (76800) $1,442 $1,442 13.7×
Us thyroid (76536) $1,339 $1,339 12.8×
Vein X-Ray Chest (75827) $6,255 $6,255 4.0×
Vein X-Ray Liver W/O Hemodyn (75887) $5,919 $5,919 1.9×
Vein X-Ray Spleen/Liver (75810) $8,518 $8,518 2.7×
Venogram Sinus/Jugular (75860) $5,217 $5,217 1.6×
Venography caval inferior serialography rs&i (75825) $6,799 $6,799 2.1×
Venography extremity bilateral rs&i (75822) $3,405 $3,405 2.2×
Venography extremity unilateral rs&i (75820) $3,874 $3,874 2.5×
Venography Renal Unilateral (75831) $5,799 $5,799 1.8×
Wrist 2 views (73100) $995 $995 11.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $1,213 $1,213 13.9×
X-Ray Aorta Leg Arteries (75630) $9,956 $9,956 3.1×
X-Ray Bend Only L-S Spine (72120) $1,521 $1,521 14.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $1,033 $1,033 11.8×
X-Ray Exam Breast Specimen (76098) $1,002 $1,002 1.8×
X-Ray Exam Entire Spi 1 Vw (72081) $380 $380 4.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $624 $624 5.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $1,185 $1,185 11.3×
X-Ray Exam Hip Uni 1 View (73501) $877 $877 10.0×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines		 $877–$1,278 $877–$1,278 varies
X-Ray Exam Hips Bi 2 Views (73521) $1,749 $1,749 16.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $2,550 $2,550 24.3×
X-Ray Exam Hips Bi 5/> Views (73523) $5,157 $5,157 49.2×
X-Ray Exam L-S Spine Bending (72114) $2,264 $2,264 21.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,337 $1,337 15.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,862 $1,862 17.8×
X-Ray Exam Unilat Ribs/Chest (71101) $1,460 $1,460 13.9×
X-ray eye for foreign body (70030) $2,235 $2,235 25.6×
X-ray humerus (73060) $1,329 $1,329 15.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $1,337 $1,337 15.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,083 $1,083 12.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $1,648 $1,648 15.7×
X-ray nose-rectum child f.b. (76010) $995 $995 11.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $1,596 $1,596 15.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,377 $1,377 13.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $967 $967 9.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,377 $1,377 15.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,563 $1,563 17.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $2,065 $2,065 19.7×
X-ray thoracic spine 4 vw (72074) $1,964 $1,964 18.7×
X-Ray Tmj Unilat (70328) $1,058 $1,058 12.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $2,364 $2,364 6.8×
X-Rays Bone Survey Complete (77075) $3,075 $3,075 29.3×
Xr c-spine 4 or 5 views (72050) $1,721 $1,721 16.4×
Xr facial bones less than 3 views (70140) $842 $842 9.6×
Xr orbits complete 4 views (70200) $1,438 $1,438 13.7×

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.