Imaging prices at Hillcrest Hospital Claremore
Claremore, OK · every code in this section with a posted price and a Medicare benchmark.
239 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) | $357.30 | $1,191 | 4.3× |
| Abdomen 2 views (74019) | $393 | $1,310 | 3.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,252.80 | $4,176 | 3.3× |
| Angiography extremity bilateral rs&i (75716) | $3,468.90 | $11,563 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $3,280.20 | $10,934 | 1.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$475.80–$713.70 | $1,586–$2,379 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,280.20 | $10,934 | 0.6× |
| Artery X-Rays Abdomen (75726) | $2,909.70 | $9,699 | 0.5× |
| Bone age studies (77072) | $570.60 | $1,902 | 5.7× |
| Bone Imaging 3 Phase (78315) | $3,242.10 | $10,807 | 8.4× |
| Bone Imaging Limited Area (78300) | $1,165.20 | $3,884 | 3.0× |
| Bone Imaging Multiple Areas (78305) | $2,679.90 | $8,933 | 7.0× |
| Bone Imaging Whole Body (78306) | $2,210.40 | $7,368 | 5.7× |
| Bone survey infant (77076) | $106.50 | $355 | 1.1× |
| Cat Scan Follow-Up Study (76380) | $491.10 | $1,637 | 5.9× |
| Chest 1 view (71045) | $497.70 | $1,659 | 5.9× |
| Chest 2 views (71046) | $560.10 | $1,867 | 6.7× |
| Chest 3 views (71047) | $608.40 | $2,028 | 7.3× |
| Chest 4 or more views (71048) | $678 | $2,260 | 6.7× |
| Clavicle complete (73000) | $610.80 | $2,036 | 7.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,146.90 | $3,823 | 11.4× |
| Contrast Exam Abdominl Aorta (75625) | $3,280.20 | $10,934 | 1.1× |
| Contrast X-Ray Bladder (74430) | $553.80 | $1,846 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $2,760.90 | $9,203 | 8.2× |
| CT abdomen and pelvis without contrast (74176) | $2,208.60 | $7,362 | 9.6× |
| CT abdomen w contrast (74160) | $1,025.10 | $3,417 | 6.1× |
| CT abdomen w wo contrast (74170) | $1,280.40 | $4,268 | 7.6× |
| CT abdomen w/o contrast (74150) | $913.20 | $3,044 | 9.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,455.60 | $4,852 | 4.3× |
| CT Angio Chest (71275) | $1,569.60 | $5,232 | 9.3× |
| CT Angio Head (70496) | $2,410.50 | $8,035 | 14.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$177.90–$266.85 | $593–$889.50 | varies |
| CT Angio Neck (70498) | $1,371.60 | $4,572 | 8.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,292.10 | $4,307 | 7.7× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $161.40 | $538 | 1.0× |
| CT cervical spine w/ contrast (72126) | $1,554.90 | $5,183 | 4.6× |
| CT cervical spine w/o contrast (72125) | $1,376.40 | $4,588 | 13.7× |
| CT cervical spine w/wo cont (72127) | $1,709.70 | $5,699 | 10.1× |
| CT chest w contrast (71260) | $1,045.80 | $3,486 | 6.2× |
| CT chest w/wo contrast (71270) | $1,515.60 | $5,052 | 9.0× |
| CT head/brain with contrast (70460) | $1,384.20 | $4,614 | 8.2× |
| CT head/brain without and with contrast (70470) | $1,615.50 | $5,385 | 9.6× |
| CT iac w contrast (70481) | $1,868.70 | $6,229 | 11.1× |
| CT l-spine w&w/o contrast (72133) | $1,352.40 | $4,508 | 8.0× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$882–$1,323 | $2,940–$4,410 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,420.20–$2,130.30 | $4,734–$7,101 | varies |
| CT lumbar spine w contrast (72132) | $1,068.90 | $3,563 | 3.2× |
| CT lumbar spine w/o contrast (72131) | $1,024.80 | $3,416 | 10.2× |
| CT maxillofacial w contrast (70487) | $1,250.70 | $4,169 | 7.4× |
| CT maxillofacial wo contrast (70486) | $1,365.30 | $4,551 | 13.6× |
| CT neck tissue combo (70492) | $1,893.90 | $6,313 | 11.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,988.10 | $6,627 | 11.8× |
| CT orbits w/o contrast (70480) | $1,674.60 | $5,582 | 16.7× |
| CT pelvis w&w/o contrast (72194) | $1,199.40 | $3,998 | 7.1× |
| CT pelvis w/o contrast (72192) | $969 | $3,230 | 9.6× |
| CT scan of leg combo (73702) | $1,896.30 | $6,321 | 11.2× |
| CT scans face/jaw combo (70488) | $2,625.90 | $8,753 | 15.6× |
| CT soft tissue neck w contrast (70491) | $1,721.10 | $5,737 | 10.2× |
| CT soft tissue neck w/o contrast (70490) | $1,635.60 | $5,452 | 16.3× |
| CT thoracic spine w contrast (72129) | $1,602.30 | $5,341 | 9.5× |
| CT thoracic spine w/o contrast (72128) | $680.10 | $2,267 | 6.8× |
| CT thoracic spine w/wo cont (72130) | $1,762.50 | $5,875 | 10.4× |
| CT thorax w/o contrast (71250) | $936 | $3,120 | 9.3× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$875.40–$1,313.10 | $2,918–$4,377 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,578.60 | $5,262 | 9.4× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,076.40–$1,614.60 | $3,588–$5,382 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $177.90 | $593 | 1.1× |
| Cta Abdomen (74175) | $1,455.60 | $4,852 | 8.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,410.50 | $8,035 | 7.2× |
| CTA pelvis (72191) | $177.90 | $593 | 1.1× |
| Dxa Bone Density Axial (77080) | $696.60 | $2,322 | 6.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $156.60 | $522 | 1.9× |
| Echo Guide For Artery Repair (76936) | $249 | $830 | 1.2× |
| Esophagram (74220) | $567.90 | $1,893 | 3.4× |
| Fetal Biophys Profile W/Nst (76818) | $1,801.20 | $6,004 | 17.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $225.60 | $752 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $360.30 | $1,201 | 1.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$600.30–$900.45 | $2,001–$3,001.50 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$468.90–$703.35 | $1,563–$2,344.50 | varies |
| Gastric emptying imaging study (78264) | $1,552.50 | $5,175 | 4.0× |
| Gated Heart Planar Single (78472) | $2,036.70 | $6,789 | 5.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$477.60–$716.40 | $1,592–$2,388 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,425.20 | $8,084 | 4.6× |
| Hepatobiliary System Imaging (78226) | $2,204.40 | $7,348 | 5.7× |
| Ht Muscle Image Spect Sing (78451) | $2,885.10 | $9,617 | 2.3× |
| Hysterosalpingogram (74740) | $910.80 | $3,036 | 4.0× |
| K Flow/Funct Image Multiple (78709) | $2,686.50 | $8,955 | 5.1× |
| K Flow/Funct Image W/Drug (78708) | $2,442.30 | $8,141 | 4.7× |
| K Flow/Funct Image W/O Drug (78707) | $2,197.20 | $7,324 | 4.2× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$654.30–$981.45 | $2,181–$3,271.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,627.10 | $8,757 | 6.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,152.90 | $3,843 | 2.2× |
| Lung perfusion differential (78597) | $348.90 | $1,163 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,152.90 | $3,843 | 2.2× |
| Lung Ventilation Imaging (78579) | $1,152.90 | $3,843 | 3.0× |
| Lymph System Imaging (78195) | $449.40 | $1,498 | 0.9× |
| Meckels Divert Exam (78290) | $1,668.30 | $5,561 | 4.3× |
| MRA head w/o contrast (70544) | $758.70 | $2,529 | 3.3× |
| MRA neck w contrast (70548) | $717.30 | $2,391 | 2.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $910.50 | $3,035 | 2.7× |
| MRA neck w/o contrast (70547) | $651.90 | $2,173 | 2.8× |
| MRI abdomen w/o contrast (74181) | $1,042.80 | $3,476 | 4.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,434.30 | $4,781 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,564.20 | $5,214 | 4.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,393.80 | $4,646 | 1.8× |
| MRI cervical spine w/o cont (72141) | $1,124.10 | $3,747 | 4.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,330.20 | $4,434 | 4.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,692.90 | $5,643 | 5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,209.90 | $4,033 | 5.3× |
| MRI lumbar spine w contrast (72149) | $1,280.40 | $4,268 | 3.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,328.40 | $4,428 | 4.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,481.70 | $4,939 | 6.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,792.50 | $5,975 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $1,874.40 | $6,248 | 5.6× |
| MRI pelvis w/o contrast (72195) | $719.10 | $2,397 | 3.1× |
| MRI thoracic spine w/o contrast (72146) | $959.10 | $3,197 | 4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,042.80 | $3,476 | 4.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,523.70 | $5,079 | 4.5× |
| MRI, abdomen, combo (74183) | $1,290.60 | $4,302 | 3.8× |
| MRI, dorsal spine combo (72157) | $1,314.90 | $4,383 | 3.9× |
| MRI, dorsal spine contrast (72147) | $1,055.40 | $3,518 | 3.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,427.70–$2,141.55 | $4,759–$7,138.50 | varies |
| MRI, joint upper extrem combo (73223) | $1,602.60 | $5,342 | 4.8× |
| MRI, lumbar spine combo (72158) | $1,397.40 | $4,658 | 4.2× |
| Myocardial Spect Multiple Studies (78452) | $3,375.30 | $11,251 | 2.7× |
| Neck soft tissue (70360) | $310.20 | $1,034 | 3.7× |
| Parathyroid Planar Imaging (78070) | $1,465.80 | $4,886 | 3.8× |
| Pelvis 1 or 2 views (72170) | $664.50 | $2,215 | 6.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,306.20 | $4,354 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $543 | $1,810 | 5.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$680.70–$1,021.05 | $2,269–$3,403.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $571.80 | $1,906 | 6.8× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$413.10–$619.65 | $1,377–$2,065.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,044.60 | $3,482 | 10.4× |
| Radex fingr minimum 2 views (73140) | $358.20 | $1,194 | 4.3× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$647.70–$971.55 | $2,159–$3,238.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$624.90–$937.35 | $2,083–$3,124.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $296.70 | $989 | 3.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $796.20 | $2,654 | 9.5× |
| Radex Ribs Unilateral 2 Views (71100) | $864.60 | $2,882 | 10.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$669.90–$1,004.85 | $2,233–$3,349.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $673.80 | $2,246 | 8.1× |
| Radex Spine 1 View Specify Level (72020) | $636.90 | $2,123 | 7.6× |
| Radex Sternum Minimum 2 Views (71120) | $576.90 | $1,923 | 6.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $690.60 | $2,302 | 8.3× |
| Radex Toe Minimum 2 Views (73660) | $473.40 | $1,578 | 5.7× |
| Radex upper extremity infant minimum 2 views (73092) | $243 | $810 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$624.90–$937.35 | $2,083–$3,124.50 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,326.30 | $4,421 | 13.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,092.30 | $3,641 | 10.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $432.60 | $1,442 | 4.3× |
| Radiologic exam colon double contrast study (74280) | $1,017 | $3,390 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $722.40 | $2,408 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$709.80–$1,064.70 | $2,366–$3,549 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,065.90 | $3,553 | 10.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $682.50 | $2,275 | 4.0× |
| Radiologic exam swallow function contrast study (74230) | $635.10 | $2,117 | 3.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $778.80 | $2,596 | 4.6× |
| Radiologic examination femur 1 view (73551) | $202.50 | $675 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$458.10–$687.15 | $1,527–$2,290.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$595.80–$893.70 | $1,986–$2,979 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$468.90–$703.35 | $1,563–$2,344.50 | varies |
| Ribs bilateral 3 views (71110) | $1,186.80 | $3,956 | 11.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,238.70 | $4,129 | 2.4× |
| Scapula (73010) | $640.80 | $2,136 | 6.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $55.50 | $185 | 2.4× |
| Shoulder 1 view (73020) | $565.80 | $1,886 | 6.8× |
| Shoulder Arthrography (73040) | $447 | $1,490 | 1.3× |
| Skull less than 4 views (70250) | $500.40 | $1,668 | 5.0× |
| Speech evaluation, complex (70371) | $434.40 | $1,448 | 1.9× |
| Sternoclavicular joints (71130) | $356.10 | $1,187 | 4.3× |
| Thoracic spine 2 views (72070) | $709.80 | $2,366 | 7.1× |
| Thoracic spine 3 views (72072) | $950.70 | $3,169 | 9.5× |
| Thoracolumbar 2 views (72080) | $102 | $340 | 1.2× |
| Thyroid Uptake Measurement (78012) | $458.70 | $1,529 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,919.70 | $6,399 | 5.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$520.20–$780.30 | $1,734–$2,601 | varies |
| Ultrasound elastography first target lesion (76982) | $276.60 | $922 | 2.8× |
| Ultrasound Elastography Parenchyma (76981) | $276.60 | $922 | 2.8× |
| Ultrasound Exam Aaa Screen (76706) | $388.50 | $1,295 | 3.9× |
| Ultrasound, abdomen limited (76705) | $1,235.70 | $4,119 | 12.3× |
| Umbilical-artery Doppler (OB) (76820) | $194.10 | $647 | 1.9× |
| Upper gi w/o kub (74240) | $1,393.50 | $4,645 | 8.3× |
| Urethrocystogram voiding (74455) | $553.80 | $1,846 | 2.4× |
| Urethrocystography retrograde (74450) | $628.50 | $2,095 | 2.7× |
| Us breast unilateral complete (76641) | $570.90 | $1,903 | 5.7× |
| Us chest (76604) | $611.70 | $2,039 | 6.1× |
| Us complete joint (76881) | $910.80 | $3,036 | 9.1× |
| Us exam, pelvic, limited (76857) | $1,092.30 | $3,641 | 10.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$279–$418.50 | $930–$1,395 | varies |
| Us ob detailed single fetus (76811) | $225.60 | $752 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $794.40 | $2,648 | 7.9× |
| Us ob transvaginal (76817) | $1,467.90 | $4,893 | 14.6× |
| Us pelvic non ob complete (76856) | $1,290.90 | $4,303 | 12.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,467.90 | $4,893 | 14.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $989.10 | $3,297 | 9.8× |
| Us retroperitoneal complete (76770) | $1,237.80 | $4,126 | 12.3× |
| Us retroperitoneal limited (76775) | $929.40 | $3,098 | 9.2× |
| Us scrotum and contents (76870) | $1,199.40 | $3,998 | 11.9× |
| Us thyroid (76536) | $1,293.90 | $4,313 | 12.9× |
| Venography extremity unilateral rs&i (75820) | $1,164.60 | $3,882 | 0.8× |
| Wrist 2 views (73100) | $477.60 | $1,592 | 5.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,485.30 | $4,951 | 17.7× |
| X-Ray Aorta Leg Arteries (75630) | $2,460.30 | $8,201 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $677.10 | $2,257 | 6.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $452.40 | $1,508 | 5.4× |
| X-Ray Exam Breast Specimen (76098) | $1,397.40 | $4,658 | 2.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,097.10 | $3,657 | 13.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,205.40 | $4,018 | 12.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,326 | $4,420 | 13.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $451.50 | $1,505 | 5.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $492.60 | $1,642 | 5.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $541.80 | $1,806 | 5.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $541.80 | $1,806 | 5.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $775.20 | $2,584 | 7.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $851.70 | $2,839 | 8.5× |
| X-Ray Exam L-S Spine Bending (72114) | $1,173.90 | $3,913 | 11.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $634.80 | $2,116 | 7.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,184.70 | $3,949 | 11.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $969 | $3,230 | 9.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$473.40–$710.10 | $1,578–$2,367 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $993.30 | $3,311 | 11.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $494.40 | $1,648 | 5.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $880.50 | $2,935 | 8.8× |
| X-ray nose-rectum child f.b. (76010) | $81.30 | $271 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,306.20 | $4,354 | 13.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $723 | $2,410 | 7.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $188.40 | $628 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $613.20 | $2,044 | 7.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $853.20 | $2,844 | 10.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,470 | $4,900 | 14.6× |
| X-ray thoracic spine 4 vw (72074) | $1,272 | $4,240 | 12.7× |
| X-Ray Tmj Unilat (70328) | $459.90 | $1,533 | 5.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $872.40 | $2,908 | 2.6× |
| X-Rays Bone Length Studies (77073) | $1,235.40 | $4,118 | 12.3× |
| X-Rays Bone Survey Complete (77075) | $1,152 | $3,840 | 11.5× |
| Xr c-spine 4 or 5 views (72050) | $1,077.30 | $3,591 | 10.7× |
| Xr facial bones less than 3 views (70140) | $634.80 | $2,116 | 7.6× |
| Xr orbits complete 4 views (70200) | $864.90 | $2,883 | 8.6× |
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.