Imaging prices at Hillsboro Medical Center

Hillsboro, OR · every code in this section with a posted price and a Medicare benchmark.

295 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) $8,570.90 $13,186 5.6×
Abdomen 1 View (74018) $269.75 $415 2.8×
Abdomen 2 views (74019) $341.25 $525 2.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,486.55 $2,287 3.3×
Angio pulmonary bilat (75743) $5,181.15 $7,971 1.5×
Angiography extremity bilateral rs&i (75716) $6,490.25 $9,985 1.8×
Angiography extremity unilateral rs&i (75710) $7,627.10 $11,734 2.2×
Angiography pulmonary unilateral slctv rs&i (75741) $5,181.15 $7,971 1.5×
Ankle 2 views (73600) $269.75 $415 2.8×
Aortography thoracic serialography rs&i (75605) $13,319.15 $20,491 2.2×
Artery X-Rays Abdomen (75726) $13,319.15 $20,491 2.2×
Artery X-Rays Pelvis (75736) $13,319.15 $20,491 2.2×
Artery X-Rays Spine (75705) $6,335.55 $9,747 1.0×
Arthrogram ankle (73615) $1,006.85 $1,549 2.6×
Arthrogram hip (73525) $1,088.75 $1,675 2.8×
Arthrogram Wrist (73115) $1,036.75 $1,595 2.7×
Basic radiation dosimetry calculation (77300) $487.50 $750 3.3×
Bone age studies (77072) $328.25 $505 2.8×
Bone Imaging 3 Phase (78315) $1,413.75 $2,175 3.2×
Bone Imaging Limited Area (78300) $1,051.70 $1,618 2.4×
Bone Imaging Multiple Areas (78305) $1,051.70 $1,618 2.4×
Bone Imaging Whole Body (78306) $1,092.65 $1,681 2.5×
Bone survey infant (77076) $431.60 $664 3.7×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,134.90 $1,746 1.9×
Chest 1 view (71045) $285.35 $439 2.9×
Chest 2 views (71046) $332.80 $512 3.4×
Chest 3 views (71047) $389.35 $599 4.0×
Clavicle complete (73000) $269.75 $415 2.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,043.90 $1,606 9.0×
Continuing medical physics consltj pr wk (77336) $715.65 $1,101 4.8×
Contrast Exam Abdominl Aorta (75625) $7,627.10 $11,734 2.2×
Contrast X-Ray Bladder (74430) $289.25 $445 0.7×
Contrast X-Ray Of Elbow (73085) $1,019.20 $1,568 2.6×
Contrast X-Ray Of Knee Joint (73580) $1,141.40 $1,756 2.9×
CT abdomen and pelvis without and with contrast (74178) $3,724.50 $5,730 9.6×
CT abdomen and pelvis without contrast (74176) $2,772.90 $4,266 10.5×
CT abdomen w contrast (74160) $1,920.10 $2,954 9.8×
CT abdomen w wo contrast (74170) $2,334.15 $3,591 12.0×
CT abdomen w/o contrast (74150) $1,546.35 $2,379 13.3×
CT Angio Abdomen and Pelvis (74174) $3,302.65 $5,081 8.5×
CT Angio Chest (71275) $2,265.25 $3,485 11.6×
CT Angio Head (70496) $2,232.10 $3,434 11.4×
CT angio hrt w/3d image (75574) $879.45 $1,353 2.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,227.55 $3,427 11.4×
CT Angio Neck (70498) $2,049.45 $3,153 10.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,597.05 $2,457 8.2×
CT cervical spine w/ contrast (72126) $2,062.45 $3,173 5.3×
CT cervical spine w/o contrast (72125) $1,748.50 $2,690 15.0×
CT cervical spine w/wo cont (72127) $2,549.30 $3,922 13.1×
CT chest w contrast (71260) $1,887.60 $2,904 9.7×
CT chest w/wo contrast (71270) $2,158 $3,320 11.1×
CT head/brain with contrast (70460) $1,616.55 $2,487 8.3×
CT head/brain without and with contrast (70470) $1,892.15 $2,911 9.7×
CT iac w contrast (70481) $1,220.05 $1,877 6.3×
CT l-spine w&w/o contrast (72133) $2,245.75 $3,455 11.5×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$1,441.05–$2,593.89 $2,217–$3,990.60 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,662.05–$2,991.69 $2,557–$4,602.60 varies
CT lumbar spine w contrast (72132) $2,054.65 $3,161 5.3×
CT lumbar spine w/o contrast (72131) $1,732.25 $2,665 14.9×
CT maxillofacial w contrast (70487) $1,741.35 $2,679 8.9×
CT maxillofacial wo contrast (70486) $1,084.85 $1,669 9.3×
CT neck tissue combo (70492) $1,986.40 $3,056 10.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,606.80 $2,472 8.2×
CT orbits w/o contrast (70480) $1,105 $1,700 9.5×
CT pelvis w&w/o contrast (72194) $2,111.20 $3,248 10.8×
CT pelvis w/o contrast (72192) $1,538.55 $2,367 13.2×
CT scan of leg combo (73702) $2,158 $3,320 11.1×
CT scans face/jaw combo (70488) $1,758.25 $2,705 9.0×
CT soft tissue neck w contrast (70491) $1,839.50 $2,830 9.4×
CT soft tissue neck w/o contrast (70490) $1,484.60 $2,284 12.8×
CT thoracic spine w contrast (72129) $1,999.40 $3,076 10.3×
CT thoracic spine w/o contrast (72128) $1,669.85 $2,569 14.4×
CT thoracic spine w/wo cont (72130) $2,030.60 $3,124 10.4×
CT thorax w/o contrast (71250) $1,535.30 $2,362 13.2×
CT unlisted procedure (76497) $269.75 $415 2.8×
CT upper ext wo (73200)
range across 2 matching MRF lines
$1,411.15–$2,540.07 $2,171–$3,907.80 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$1,683.50–$3,030.30 $2,590–$4,662 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,941.55 $2,987 10.0×
Cta Abdomen (74175) $2,187.90 $3,366 11.2×
CTA pelvis (72191) $1,687.40 $2,596 8.7×
Doppler Fetal Mid Cerebral Artery (76821) $351 $540 3.0×
Dxa Bone Density Axial (77080) $474.50 $730 4.1×
Echo exam uterus (76831) $744.25 $1,145 2.8×
Esophagram (74220) $587.60 $904 3.0×
Fetal Biophys Profile W/Nst (76818) $279.50 $430 2.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $473.85 $729 4.1×
Fluoroscopy up to 1 hr (76000) $744.25 $1,145 2.8×
Follow-Up Angiography (75898) $7,627.10 $11,734 2.2×
Foot 2 views (73620) $269.75 $415 2.8×
Forearm 2 views (73090) $271.70 $418 2.8×
Gastric emptying imaging study (78264) $1,244.10 $1,914 2.8×
Gated Heart Planar Single (78472) $1,083.55 $1,667 2.4×
Hand 2 views (73120)
range across 3 matching MRF lines
$328.25–$590.85 $505–$909 varies
Hepatobil Syst Image W/Drug (78227) $1,439.75 $2,215 2.4×
Hepatobiliary System Imaging (78226) $1,324.05 $2,037 3.0×
Ht Muscle Image Spect Sing (78451) $3,166.15 $4,871 2.2×
Hysterosalpingogram (74740) $787.80 $1,212 3.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $520.65 $801 5.4×
Infant hip ultrasound, limited static exam (76886) $473.85 $729 4.9×
Joint Survey Single View (77077) $328.25 $505 2.8×
K Flow/Funct Image Multiple (78709) $1,134.90 $1,746 1.9×
K Flow/Funct Image W/Drug (78708) $1,134.90 $1,746 1.9×
K Flow/Funct Image W/O Drug (78707) $1,134.90 $1,746 1.9×
Knee 3 Views (73562) $314.60 $484 3.3×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,051.70 $1,618 2.4×
Lung perfusion differential (78597) $1,051.70 $1,618 2.4×
Lung Ventilat&Perfus Imaging (78582) $1,509.30 $2,322 2.5×
Lung Ventilation Imaging (78579) $1,051.70 $1,618 2.4×
Lymph System Imaging (78195) $1,443.65 $2,221 2.4×
Magnetic Image Jaw Joint (70336) $1,584.05 $2,437 6.0×
Mammary ductogram or galactogram single (77053) $784.55 $1,207 3.0×
Meckels Divert Exam (78290) $1,051.70 $1,618 2.4×
Mlc imrt design & construction per imrt plan (77338) $1,499.55 $2,307 3.6×
Mra Head W/O & W/Contrast Material (70546) $1,032.20 $1,588 2.7×
MRA head w/o contrast (70544) $1,832.35 $2,819 6.9×
MRA neck w contrast (70548) $2,190.50 $3,370 5.6×
Mra Neck W/O &W/Contrast Material (70549) $3,403.40 $5,236 8.8×
MRA neck w/o contrast (70547) $1,991.60 $3,064 7.5×
MRI abdomen w/o contrast (74181) $2,308.80 $3,552 8.7×
MRI any jt lower extrem w/contrast material (73722) $2,862.60 $4,404 3.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,718.65 $5,721 9.6×
MRI any jt upper extremity w/contrast matrl (73222) $2,804.75 $4,315 3.2×
MRI Breast W/O Contrast Bilateral (77047) $3,771.30 $5,802 14.2×
MRI Breast Without Contrast Material Unilateral (77046) $3,246.10 $4,994 12.2×
MRI cervical spine w contrast (72142) $2,358.20 $3,628 6.1×
MRI cervical spine w/o cont (72141) $2,337.40 $3,596 8.8×
MRI chest w/o contrast (71550) $744.25 $1,145 2.8×
MRI chest wo w contrast (71552) $3,070.60 $4,724 7.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,263.65 $5,021 8.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,239.90 $3,446 8.4×
MRI lumbar spine w contrast (72149) $2,635.10 $4,054 6.8×
Mri Neck Spine W/O & W/Dye (72156) $3,573.70 $5,498 9.2×
MRI orbit face &/neck w/o contrast (70540) $2,185.30 $3,362 8.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,252.60 $5,004 8.4×
MRI pelvis w contrast (72196) $2,256.15 $3,471 5.8×
MRI pelvis w/o & w contrast (72197) $3,933.80 $6,052 10.1×
MRI pelvis w/o contrast (72195) $2,261.35 $3,479 8.5×
MRI thoracic spine w/o contrast (72146) $2,327 $3,580 8.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,003.30 $3,082 7.6×
Mri Uppr Extremity W/O&W/Dye (73220) $3,040.70 $4,678 7.8×
MRI, abdomen, combo (74183) $3,529.50 $5,430 9.1×
MRI, dorsal spine combo (72157) $3,542.50 $5,450 9.1×
MRI, dorsal spine contrast (72147) $2,906.15 $4,471 7.5×
MRI, joint upper extrem (73221) $2,148.25 $3,305 8.1×
MRI, joint upper extrem combo (73223) $3,394.30 $5,222 8.8×
MRI, lumbar spine combo (72158) $3,600.35 $5,539 9.3×
Myocardial Spect Multiple Studies (78452) $3,780.40 $5,816 2.6×
Neck soft tissue (70360) $272.35 $419 2.8×
Ntsty modul radthx pln dose-vol histos (77301) $8,699.60 $13,384 5.7×
Nuclear Rx Oral Admin (79005) $695.50 $1,070 2.7×
Ob us nuchal meas 1 gest (76813) $328.25 $505 2.8×
Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510)
range across 2 matching MRF lines
$793.65–$1,428.57 $1,221–$2,197.80 varies
Parathyroid Planar Imaging (78070) $1,051.70 $1,618 2.4×
Pelvis 1 or 2 views (72170) $341.25 $525 2.9×
PET image w/CT, full body (78816) $4,774.25 $7,345 3.0×
PET imaging CT attenuation skull base mid-thigh (78815) $4,814.55 $7,407 3.0×
Pulmonary Perfusion Imaging Particulate (78580) $1,051.70 $1,618 2.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $410.80 $632 3.5×
Radex abscess/fistula/sinus tract rs&i (76080) $1,682.20 $2,588 2.8×
Radex Ankle Complete Minimum 3 Views (73610) $299 $460 3.1×
Radex Calcaneus Minimum 2 Views (73650) $269.75 $415 2.8×
Radex elbow complete minimum 3 views (73080) $297.70 $458 3.1×
Radex Facial Bones Complete Minimum 3 Views (70150) $396.50 $610 3.4×
Radex fingr minimum 2 views (73140) $239.20 $368 2.5×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$284.70–$512.46 $438–$788.40 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$354.90–$638.82 $546–$982.80 varies
Radex lower extremity infant minimum 2 views (73592) $269.75 $415 2.8×
Radex Nasal Bones Complete Minimum 3 Views (70160) $269.75 $415 2.8×
Radex Ribs Unilateral 2 Views (71100) $284.70 $438 2.9×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$372.45–$670.41 $573–$1,031.40 varies
Radex Sinuses Paransl < 3 Views (70210) $269.75 $415 2.8×
Radex Spine 1 View Specify Level (72020) $269.75 $415 2.8×
Radex Sternum Minimum 2 Views (71120) $321.10 $494 3.3×
Radex Toe Minimum 2 Views (73660) $269.75 $415 2.8×
Radex upper extremity infant minimum 2 views (73092) $328.25 $505 2.8×
Radex Wrist Complete Minimum 3 Views (73110) $284.70 $438 2.9×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $560.95 $863 4.8×
Radiation treatment delivery level 1 (77402) $270.40 $416 2.4×
Radiation treatment delivery level 3 (77412) $940.55 $1,447 1.5×
Radiolog exam mandible compl minimum 4 views (70110) $345.15 $531 3.0×
Radiologic exam colon double contrast study (74280) $1,067.95 $1,643 5.5×
Radiologic exam colon single contrast study (74270) $838.50 $1,290 4.3×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$354.25–$637.65 $545–$981 varies
Radiologic exam pelvis compl minimum 3 views (72190) $488.15 $751 4.2×
Radiologic Exam Small Int Single Contrast Study (74250) $675.35 $1,039 3.5×
Radiologic exam swallow function contrast study (74230) $681.85 $1,049 3.5×
Radiologic exam upr gi trc double contrast study (74246) $751.40 $1,156 3.9×
Radiologic examination femur 1 view (73551) $269.75 $415 2.8×
Radiologic examination femur minimum 2 views (73552) $305.50 $470 3.2×
Radiologic examination knee 1/2 views (73560) $269.75 $415 2.8×
Radiologic examination tibia & fibula 2 views (73590) $274.30 $422 2.8×
Ribs bilateral 3 views (71110) $350.35 $539 3.0×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,051.70 $1,618 2.4×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $767 $1,180 1.7×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $3,166.15 $4,871 5.2×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,166.15 $4,871 5.2×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $3,166.15 $4,871 2.2×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $3,166.15 $4,871 2.2×
Rp Therapy Intravenous Administration (79101) $624.65 $961 2.4×
Scapula (73010) $328.25 $505 2.8×
Screening Digital Breast Tomosynthesis Bi (77063) $83.20 $128 3.6×
Shoulder 1 view (73020) $269.75 $415 2.8×
Shoulder Arthrography (73040) $989.95 $1,523 2.6×
Skull less than 4 views (70250) $341.25 $525 2.9×
Special dosimetry (77331) $672.75 $1,035 4.5×
Special Physics Consult (77370) $791.05 $1,217 5.3×
Special teletherapy port plan (77321) $1,122.55 $1,727 2.7×
Special treatment procedure (77470) $1,784.90 $2,746 2.9×
Stereotactic Body Radiation Delivery (77373) $5,426.85 $8,349 2.7×
Sternoclavicular joints (71130) $269.75 $415 2.8×
Telethx isodose pln cplx w/basic dosimetry (77307) $2,202.20 $3,388 5.3×
Telethx isodose pln smpl w/dosimetry calculation (77306) $789.75 $1,215 1.9×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,451.15 $3,771 5.9×
Ther rad simulaj-aided field setting simple (77280) $1,244.10 $1,914 8.3×
Thoracic spine 2 views (72070) $328.25 $505 2.8×
Thoracic spine 3 views (72072) $354.90 $546 3.1×
Thoracolumbar 2 views (72080) $347.10 $534 3.6×
Thyroid Met Imaging Body (78018) $1,376.70 $2,118 2.3×
Thyroid Uptake Measurement (78012) $1,051.70 $1,618 2.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,051.70 $1,618 2.4×
Tx Devices Design & Construction Complex (77334) $1,122.55 $1,727 2.7×
Ultrasound Breast Limited (76642)
range across 4 matching MRF lines
$409.50–$937.17 $630–$1,441.80 varies
Ultrasound Exam Aaa Screen (76706) $479.05 $737 4.1×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$509.60–$743.60 $784–$1,144 varies
Umbilical-artery Doppler (OB) (76820) $351 $540 3.0×
Unlisted Dx Radiographic Procedure (76499)
range across 2 matching MRF lines
$269.75–$439.40 $415–$676 varies
Unlisted fluoroscopic procedure (76496) $269.75 $415 2.8×
Unlisted us procedure (76999) $328.25 $505 3.4×
Upper gi w/o kub (74240) $689 $1,060 3.5×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $117.65 $181 10.6×
Urea breath test c-14 isotopic analysis (78268) $555.75 $855 5.9×
Urethrocystogram voiding (74455) $771.55 $1,187 2.9×
Urethrocystography retrograde (74450) $196.30 $302 0.7×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$409.50–$737.10 $630–$1,134 varies
Us chest (76604)
range across 4 matching MRF lines
$380.25–$677.30 $585–$1,042 varies
Us complete joint (76881) $86.45 $133 0.7×
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$279.50–$435.50 $430–$670 varies
Us head (76506) $328.25 $505 2.8×
Us kidney transplant (76776) $622.70 $958 5.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$435.50–$563.55 $670–$867 varies
Us ob detailed single fetus (76811) $629.20 $968 2.4×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$397.15–$515.45 $611–$793 varies
Us ob transvaginal (76817)
range across 2 matching MRF lines
$279.50–$335.40 $430–$516 varies
Us pelvic non ob complete (76856) $279.50 $430 2.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $473.85 $729 4.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $385.45 $593 3.3×
Us retroperitoneal complete (76770) $648.70 $998 5.6×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$547.30–$712.40 $842–$1,096 varies
Us scrotum and contents (76870)
range across 2 matching MRF lines
$590.85–$765.70 $909–$1,178 varies
Us spinal canal and contents (76800) $509.60 $784 4.4×
Us thyroid (76536)
range across 2 matching MRF lines
$629.85–$816.40 $969–$1,256 varies
Us transrectal (76872) $86.45 $133 0.7×
Vein X-Ray Chest (75827) $3,655.60 $5,624 2.1×
Vein X-Ray Liver W/O Hemodyn (75887) $7,627.10 $11,734 2.2×
Venography caval inferior serialography rs&i (75825) $7,627.10 $11,734 2.2×
Venography extremity bilateral rs&i (75822) $3,655.60 $5,624 2.1×
Venography extremity unilateral rs&i (75820) $3,655.60 $5,624 2.1×
Venography Renal Unilateral (75831) $5,181.15 $7,971 1.5×
Venous sampling by catheter (75893) $13,319.15 $20,491 2.2×
Wrist 2 views (73100) $269.75 $415 2.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $332.15 $511 3.4×
X-ray antegrade pyelogram tube (74425) $748.15 $1,151 1.9×
X-Ray Aorta Leg Arteries (75630) $7,627.10 $11,734 2.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $269.75 $415 2.8×
X-Ray Exam Breast Specimen (76098) $1,682.20 $2,588 2.8×
X-Ray Exam Entire Spi 1 Vw (72081) $269.75 $415 2.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $573.95 $883 4.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $439.40 $676 3.8×
X-Ray Exam Hip Uni 1 View (73501) $269.75 $415 2.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $490.10 $754 5.1×
X-Ray Exam Hips Bi 2 Views (73521) $550.55 $847 4.7×
X-Ray Exam Hips Bi 5/> Views (73523) $575.90 $886 5.0×
X-Ray Exam L-S Spine Bending (72114) $447.20 $688 3.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $354.25 $545 3.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $475.80 $732 4.1×
X-Ray Exam Unilat Ribs/Chest (71101) $339.30 $522 2.9×
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
$269.75–$485.55 $415–$747 varies
X-ray humerus (73060) $269.75 $415 2.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $284.70 $438 2.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $269.75 $415 2.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $347.10 $534 3.0×
X-ray nose-rectum child f.b. (76010) $421.85 $649 4.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $485.55 $747 4.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $328.25 $505 2.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $328.25 $505 2.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $281.45 $433 2.9×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $416 $640 4.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $435.50 $670 3.7×
X-ray thoracic spine 4 vw (72074) $404.95 $623 3.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $289.25 $445 0.7×
X-Rays Bone Length Studies (77073) $520.65 $801 4.5×
X-Rays Bone Survey Complete (77075) $390 $600 3.4×
Xr c-spine 4 or 5 views (72050) $493.35 $759 4.2×
Xr facial bones less than 3 views (70140) $313.30 $482 3.2×
Xr orbits complete 4 views (70200) $328.25 $505 2.8×

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.