Imaging prices at Holy Cross Hospital A Div of Taos Health Systems
Taos, NM · every code in this section with a posted price and a Medicare benchmark.
238 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) | $245.60 | $307 | 2.9× |
| Abdomen 2 views (74019) | $331.60 | $414.50 | 3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,155.20 | $1,444 | 2.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$243.20–$387.60 | $304–$484.50 | varies |
| Arthrogram hip (73525) | $851.60 | $1,064.50 | 2.5× |
| Arthrogram Wrist (73115) | $662.40 | $828 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,473.20 | $1,841.50 | 3.7× |
| Bone Imaging Limited Area (78300) | $900.80 | $1,126 | 2.3× |
| Bone Imaging Whole Body (78306) | $1,392.40 | $1,740.50 | 3.5× |
| Bone survey infant (77076) | $394.80 | $493.50 | 3.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,276.80 | $1,596 | 3.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$230.40–$243.20 | $288–$304 | varies |
| Chest 2 views (71046) | $275.20 | $344 | 3.2× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$311.60–$342.40 | $389.50–$428 | varies |
| Chest 4 or more views (71048) | $394.80 | $493.50 | 3.8× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$258.40–$413.60 | $323–$517 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $293.20 | $366.50 | 2.8× |
| Contrast X-Ray Bladder (74430) | $518.80 | $648.50 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $752.40 | $940.50 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,537.60 | $3,172 | 7.3× |
| CT abdomen and pelvis without contrast (74176) | $1,918.80 | $2,398.50 | 8.1× |
| CT abdomen w contrast (74160) | $1,962.40 | $2,453 | 11.3× |
| CT abdomen w wo contrast (74170) | $2,280 | $2,850 | 13.1× |
| CT abdomen w/o contrast (74150) | $1,669.60 | $2,087 | 16.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,989.60 | $2,487 | 5.8× |
| CT Angio Chest (71275) | $2,278 | $2,847.50 | 13.1× |
| CT Angio Head (70496) | $2,131.20 | $2,664 | 12.3× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$254.40–$584 | $318–$730 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,291.60 | $2,864.50 | 13.2× |
| CT Angio Neck (70498) | $2,106.40 | $2,633 | 12.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,050 | $2,562.50 | 11.8× |
| CT cervical spine w/ contrast (72126) | $2,035.60 | $2,544.50 | 5.9× |
| CT cervical spine w/o contrast (72125) | $1,784.80 | $2,231 | 17.2× |
| CT cervical spine w/wo cont (72127) | $2,301.20 | $2,876.50 | 13.3× |
| CT chest w contrast (71260) | $1,890.40 | $2,363 | 10.9× |
| CT chest w/wo contrast (71270) | $2,215.60 | $2,769.50 | 12.8× |
| CT colonography screening (74263) | $795.20 | $994 | 3.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,158 | $1,447.50 | 6.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $795.20 | $994 | 7.7× |
| CT head/brain with contrast (70460) | $1,755.20 | $2,194 | 10.1× |
| CT head/brain without and with contrast (70470) | $2,046.80 | $2,558.50 | 11.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,780 | $2,225 | 5.2× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$62–$164.80 | $77.50–$206 | varies |
| CT hrt w/3d image congen (75573) | $2,016.40 | $2,520.50 | 5.8× |
| CT iac w contrast (70481) | $1,707.20 | $2,134 | 9.8× |
| CT l-spine w&w/o contrast (72133) | $2,312.80 | $2,891 | 13.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,517.60–$2,426.80 | $1,897–$3,033.50 | varies |
| CT lower extremity w/contrast material (73701) | $1,752.80 | $2,191 | 10.1× |
| CT lumbar spine w contrast (72132) | $2,071.20 | $2,589 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $1,793.20 | $2,241.50 | 17.3× |
| CT maxillofacial w contrast (70487) | $1,768 | $2,210 | 10.2× |
| CT maxillofacial wo contrast (70486) | $1,473.20 | $1,841.50 | 14.2× |
| CT neck tissue combo (70492) | $2,044.40 | $2,555.50 | 11.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,968 | $2,460 | 11.3× |
| CT orbits w/o contrast (70480) | $1,564 | $1,955 | 15.1× |
| CT pelvis w&w/o contrast (72194) | $2,168.80 | $2,711 | 12.5× |
| CT pelvis w/o contrast (72192) | $1,609.20 | $2,011.50 | 15.5× |
| CT scan of leg combo (73702) | $2,001.20 | $2,501.50 | 11.5× |
| CT scans face/jaw combo (70488) | $1,936.80 | $2,421 | 11.2× |
| CT soft tissue neck w contrast (70491) | $1,790 | $2,237.50 | 10.3× |
| CT soft tissue neck w/o contrast (70490) | $1,543.20 | $1,929 | 14.9× |
| CT thoracic spine w contrast (72129) | $1,921.60 | $2,402 | 11.1× |
| CT thoracic spine w/o contrast (72128) | $1,710.80 | $2,138.50 | 16.5× |
| CT thoracic spine w/wo cont (72130) | $2,218.40 | $2,773 | 12.8× |
| CT thorax w/o contrast (71250) | $1,622.40 | $2,028 | 15.7× |
| CT upper ext wo (73200) | $1,507.60 | $1,884.50 | 14.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,879.60 | $2,349.50 | 10.8× |
| CT upper extremity with contrast (73201) | $1,670.80 | $2,088.50 | 4.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,513.60 | $3,142 | 14.5× |
| Cta Abdomen (74175) | $2,049.20 | $2,561.50 | 11.8× |
| CTA pelvis (72191) | $2,217.20 | $2,771.50 | 12.8× |
| Dxa Bone Density Axial (77080) | $404 | $505 | 3.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $236.40 | $295.50 | 2.7× |
| Esophagram (74220) | $451.60 | $564.50 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $693.60 | $867 | 6.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $399.20 | $499 | 3.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$470–$484.40 | $587.50–$605.50 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$245.60–$392.80 | $307–$491 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$258.40–$412.80 | $323–$516 | varies |
| Gastric emptying imaging study (78264) | $1,244.40 | $1,555.50 | 3.1× |
| Gated Heart Planar Single (78472) | $1,363.60 | $1,704.50 | 3.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$247.60–$396.40 | $309.50–$495.50 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,388.80 | $1,736 | 2.6× |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$142.80–$2,116 | $178.50–$2,645 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$143.20–$1,528 | $179–$1,910 | varies |
| Hysterosalpingogram (74740) | $639.20 | $799 | 2.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $146.80 | $183.50 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $1,376.40 | $1,720.50 | 2.6× |
| Liver & Spleen Imaging Static Only (78215) | $1,133.20 | $1,416.50 | 2.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,480.40 | $1,850.50 | 2.8× |
| Lung Ventilation Imaging (78579) | $951.60 | $1,189.50 | 2.4× |
| Lymph System Imaging (78195) | $1,239.60 | $1,549.50 | 2.3× |
| Magnetic Image Jaw Joint (70336) | $1,698.40 | $2,123 | 7.2× |
| Meckels Divert Exam (78290) | $987.20 | $1,234 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,263.60 | $2,829.50 | 6.6× |
| MRA head w/o contrast (70544) | $1,629.20 | $2,036.50 | 6.9× |
| MRA head with contrast (70545) | $1,744.40 | $2,180.50 | 5.1× |
| MRA neck w contrast (70548) | $1,723.60 | $2,154.50 | 5.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,258 | $2,822.50 | 6.5× |
| MRA neck w/o contrast (70547) | $1,595.60 | $1,994.50 | 6.8× |
| MRI abdomen w contrast (74182) | $2,555.20 | $3,194 | 7.4× |
| MRI abdomen w/o contrast (74181) | $1,812.40 | $2,265.50 | 7.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$1,251.20–$2,930.40 | $1,564–$3,663 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,711.20 | $3,389 | 7.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,216.40 | $2,770.50 | 2.9× |
| MRI cervical spine w contrast (72142) | $2,358.80 | $2,948.50 | 6.8× |
| MRI cervical spine w/o cont (72141) | $1,885.20 | $2,356.50 | 8.0× |
| MRI chest w/o contrast (71550) | $1,828.40 | $2,285.50 | 7.7× |
| MRI chest with contrast (71551) | $1,828.40 | $2,285.50 | 2.4× |
| MRI chest wo w contrast (71552) | $2,548 | $3,185 | 7.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,487.20 | $3,109 | 7.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,040.40 | $3,800.50 | 8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,286 | $2,857.50 | 9.7× |
| MRI lumbar spine w contrast (72149) | $2,319.20 | $2,899 | 6.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,659.20 | $3,324 | 7.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,781.60 | $2,227 | 7.5× |
| MRI orbit face neck w contrast (70542) | $1,045.60 | $1,307 | 3.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,471.60 | $3,089.50 | 7.2× |
| MRI pelvis w contrast (72196) | $1,946.40 | $2,433 | 5.6× |
| MRI pelvis w/o & w contrast (72197) | $2,477.20 | $3,096.50 | 7.2× |
| MRI pelvis w/o contrast (72195) | $1,755.20 | $2,194 | 7.4× |
| MRI thoracic spine w/o contrast (72146) | $1,878 | $2,347.50 | 8.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,414.80 | $3,018.50 | 7.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$2,219.60–$2,286 | $2,774.50–$2,857.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,930.40 | $3,663 | 8.5× |
| MRI, abdomen, combo (74183) | $2,499.20 | $3,124 | 7.2× |
| MRI, dorsal spine combo (72157) | $2,640.40 | $3,300.50 | 7.6× |
| MRI, dorsal spine contrast (72147) | $2,330 | $2,912.50 | 6.7× |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$1,251.20–$1,876.80 | $1,564–$2,346 | varies |
| MRI, joint upper extrem combo (73223) | $2,698 | $3,372.50 | 7.8× |
| MRI, lumbar spine combo (72158) | $2,661.20 | $3,326.50 | 7.7× |
| Myelogram cervical (72240) | $1,102 | $1,377.50 | 1.4× |
| Myelogram Lumbar (72265) | $1,102 | $1,377.50 | 1.4× |
| Myelography thoracic (72255) | $1,102 | $1,377.50 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,102 | $1,377.50 | 1.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$168–$2,116 | $210–$2,645 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,441.60 | $3,052 | 2.9× |
| Neck soft tissue (70360) | $250 | $312.50 | 2.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$111.20–$189.60 | $139–$237 | varies |
| Parathyroid Planar Imaging (78070) | $1,024.40 | $1,280.50 | 2.6× |
| Pelvis 1 or 2 views (72170) | $252.40 | $315.50 | 2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,065.60 | $1,332 | 2.7× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $2,280 | $2,850 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $438.40 | $548 | 4.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,184 | $1,480 | 2.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$288–$461.20 | $360–$576.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$239.60–$382.80 | $299.50–$478.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$290–$462.80 | $362.50–$578.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $383.60 | $479.50 | 3.7× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$214.80–$342.40 | $268.50–$428 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$285.20–$456 | $356.50–$570 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$286.40–$457.60 | $358–$572 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $159.60 | $199.50 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $286.40 | $358 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) | $300.80 | $376 | 3.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$300.80–$480 | $376–$600 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $238 | $297.50 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $242 | $302.50 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $288 | $360 | 3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $370 | $462.50 | 4.3× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$243.20–$387.60 | $304–$484.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $107.20 | $134 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$282.80–$451.60 | $353.50–$564.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $375.20 | $469 | 3.6× |
| Radiologic exam colon double contrast study (74280) | $818.80 | $1,023.50 | 4.7× |
| Radiologic exam colon single contrast study (74270) | $641.60 | $802 | 3.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $451.60 | $564.50 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$366.80–$585.20 | $458.50–$731.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $333.60 | $417 | 3.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $551.20 | $689 | 3.2× |
| Radiologic exam swallow function contrast study (74230) | $502.80 | $628.50 | 2.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $727.20 | $909 | 4.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$293.20–$468 | $366.50–$585 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$262–$419.60 | $327.50–$524.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $494 | $617.50 | 4.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$274.40–$439.20 | $343–$549 | varies |
| Ribs bilateral 3 views (71110) | $392.80 | $491 | 3.8× |
| Scapula (73010) | $272.80 | $341 | 2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $60 | $75 | 2.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$229.20–$366.80 | $286.50–$458.50 | varies |
| Skull less than 4 views (70250) | $291.20 | $364 | 2.8× |
| Sternoclavicular joints (71130) | $271.20 | $339 | 3.1× |
| Thoracic spine 3 views (72072) | $368.40 | $460.50 | 3.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,031.60 | $1,289.50 | 2.6× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$71.60–$535.20 | $89.50–$669 | varies |
| Ultrasound Exam Aaa Screen (76706) | $377.20 | $471.50 | 3.6× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$63.20–$480 | $79–$600 | varies |
| Umbilical-artery Doppler (OB) (76820) | $314 | $392.50 | 3.0× |
| Upper gi w/o kub (74240) | $665.60 | $832 | 3.8× |
| Urethrocystogram voiding (74455) | $622 | $777.50 | 2.6× |
| Urethrocystography retrograde (74450) | $593.20 | $741.50 | 2.5× |
| Us chest (76604) | $393.60 | $492 | 3.8× |
| Us complete joint (76881) range across 2 matching MRF lines |
$67.60–$240.40 | $84.50–$300.50 | varies |
| Us exam, pelvic, limited (76857) | $359.20 | $449 | 3.5× |
| Us head (76506) range across 2 matching MRF lines |
$282–$400.80 | $352.50–$501 | varies |
| Us kidney transplant (76776) | $545.60 | $682 | 5.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$52.80–$210 | $66–$262.50 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$70.80–$344 | $88.50–$430 | varies |
| Us ob transvaginal (76817) | $396.40 | $495.50 | 3.8× |
| Us pelvic non ob complete (76856) | $536.80 | $671 | 5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $529.60 | $662 | 5.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $326 | $407.50 | 3.1× |
| Us retroperitoneal complete (76770) | $533.60 | $667 | 5.2× |
| Us retroperitoneal limited (76775) | $443.20 | $554 | 4.3× |
| Us scrotum and contents (76870) | $488.40 | $610.50 | 4.7× |
| Us spinal canal and contents (76800) | $378.40 | $473 | 3.7× |
| Us thyroid (76536) | $453.60 | $567 | 4.4× |
| Us transrectal (76872) | $502 | $627.50 | 4.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$234–$372 | $292.50–$465 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $285.20 | $356.50 | 3.3× |
| X-Ray Bend Only L-S Spine (72120) | $148.80 | $186 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$237.20–$379.60 | $296.50–$474.50 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$137.20–$164.80 | $171.50–$206 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $290 | $362.50 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $211.20 | $264 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$272.80–$291.20 | $341–$364 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $390.80 | $488.50 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $249.20 | $311.50 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $316.40 | $395.50 | 3.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $509.60 | $637 | 4.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $372 | $465 | 3.6× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$268.40–$428.80 | $335.50–$536 | varies |
| X-ray IV pyelogram (ivp) (74400) | $755.60 | $944.50 | 4.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $270 | $337.50 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $342.40 | $428 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $252.40 | $315.50 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $470.40 | $588 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $254.80 | $318.50 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $292.40 | $365.50 | 3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $379.60 | $474.50 | 4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $443.20 | $554 | 4.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $684.40 | $855.50 | 2.0× |
| X-Rays Bone Length Studies (77073) | $255.20 | $319 | 2.5× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$246.40–$713.60 | $308–$892 | varies |
| Xr c-spine 4 or 5 views (72050) | $450.40 | $563 | 4.4× |
| Xr facial bones less than 3 views (70140) | $290 | $362.50 | 3.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $234 | $292.50 | 2.3× |
| Xr orbits complete 4 views (70200) | $359.20 | $449 | 3.5× |
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.