Imaging prices at Hopedale Hospital
Hopedale, IL · every code in this section with a posted price and a Medicare benchmark.
242 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) | $247.89 | $354.13 | 2.7× |
| Abdomen 2 views (74019) | $299.36 | $427.65 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $871.53 | $1,245.04 | 2.0× |
| Angio pulmonary bilat (75743) | $274.40 | $392 | 0.1× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$284.90–$6,839.95 | $407–$9,771.36 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$260.40–$6,839.95 | $372–$9,771.36 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$224.70–$6,839.95 | $321–$9,771.36 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $190.40 | $272 | 0.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$256.54–$256.96 | $366.49–$367.08 | varies |
| Aortography thoracic serialography rs&i (75605) | $11,344.12 | $16,205.89 | 1.9× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$6,839.95 | $379–$9,771.36 | 1.1× |
| Artery X-Rays Pelvis (75736) | $6,839.95 | $9,771.36 | 1.1× |
| Bone age studies (77072) | $270.40 | $386.28 | 2.4× |
| Bone Imaging 3 Phase (78315) | $897.58 | $1,282.25 | 2.1× |
| Bone Imaging Limited Area (78300) | $850.28 | $1,214.68 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $858.45 | $1,226.35 | 2.0× |
| Bone Imaging Whole Body (78306) | $979.17 | $1,398.81 | 2.3× |
| Bone marrow imaging; whole body (78104) | $1,003.65 | $1,433.78 | 2.3× |
| Cardiovasc nucl exam unlisted (78499) | $850.28 | $1,214.68 | 2.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $882.16 | $1,260.23 | 1.5× |
| Chest 1 view (71045) | $179.62 | $256.60 | 1.9× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$151.25–$160.31 | $216.07–$229.01 | varies |
| Chest 3 views (71047) | $291.61 | $416.58 | 3.1× |
| Chest 4 or more views (71048) | $291.61 | $416.58 | 2.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$230.87–$346.30 | $329.81–$494.71 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $364.54 | $520.77 | 3.3× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$210.70–$6,839.95 | $301–$9,771.36 | varies |
| Contrast X-Ray Bladder (74430) | $995.01 | $1,421.44 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,312.62 | $4,732.31 | 8.9× |
| CT abdomen and pelvis without contrast (74176) | $2,657.14 | $3,795.91 | 10.4× |
| CT abdomen w contrast (74160) | $2,022.61 | $2,889.44 | 10.8× |
| CT abdomen w wo contrast (74170) | $2,321.06 | $3,315.80 | 12.3× |
| CT abdomen w/o contrast (74150) | $1,795.13 | $2,564.47 | 16.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,982.11 | $4,260.15 | 8.0× |
| CT Angio Chest (71275) | $2,568.95 | $3,669.93 | 13.7× |
| CT Angio Head (70496) | $2,155.79 | $3,079.70 | 11.5× |
| CT angio hrt w/3d image (75574) | $2,579.69 | $3,685.27 | 6.9× |
| CT Angio Neck (70498) | $2,568.95 | $3,669.93 | 13.7× |
| CT bone density (77078) | $31.50 | $45 | 0.3× |
| CT cervical spine w/ contrast (72126) | $1,903.55 | $2,719.35 | 5.1× |
| CT cervical spine w/o contrast (72125) | $1,819.71 | $2,599.58 | 16.2× |
| CT cervical spine w/wo cont (72127) | $1,903.55 | $2,719.35 | 10.1× |
| CT chest w contrast (71260) | $2,073.18 | $2,961.68 | 11.0× |
| CT chest w/wo contrast (71270) | $2,321.06 | $3,315.80 | 12.3× |
| CT head/brain with contrast (70460) | $1,914.58 | $2,735.11 | 10.2× |
| CT head/brain without and with contrast (70470) | $2,156.43 | $3,080.62 | 11.5× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$35–$105 | $50–$150 | varies |
| CT l-spine w&w/o contrast (72133) | $1,903.55 | $2,719.35 | 10.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,715.80–$1,781.49 | $2,451.14–$2,544.99 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,066.33–$1,996.32 | $1,523.33–$2,851.89 | varies |
| CT lumbar spine w contrast (72132) | $911.01 | $1,301.44 | 2.4× |
| CT lumbar spine w/o contrast (72131) | $1,795.13 | $2,564.47 | 16.0× |
| CT maxillofacial w contrast (70487) | $1,959.41 | $2,799.15 | 10.4× |
| CT maxillofacial wo contrast (70486) | $894.67 | $1,278.10 | 8.0× |
| CT neck tissue combo (70492) | $2,215.91 | $3,165.59 | 11.8× |
| CT orbits w/o contrast (70480) | $1,448.72 | $2,069.60 | 12.9× |
| CT pelvis w&w/o contrast (72194) | $2,321.70 | $3,316.71 | 12.4× |
| CT pelvis w/o contrast (72192) | $1,795.13 | $2,564.47 | 16.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,022.98–$2,070.70 | $2,889.97–$2,958.14 | varies |
| CT scans face/jaw combo (70488) | $2,207.30 | $3,153.29 | 11.7× |
| CT soft tissue neck w contrast (70491) | $1,968.03 | $2,811.47 | 10.5× |
| CT soft tissue neck w/o contrast (70490) | $1,686.67 | $2,409.53 | 15.1× |
| CT thoracic spine w contrast (72129) | $1,903.55 | $2,719.35 | 10.1× |
| CT thoracic spine w/o contrast (72128) | $1,795.13 | $2,564.47 | 16.0× |
| CT thoracic spine w/wo cont (72130) | $1,903.55 | $2,719.35 | 10.1× |
| CT thorax w/o contrast (71250) | $1,795.13 | $2,564.47 | 16.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,715.80–$1,940.26 | $2,451.14–$2,771.80 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,142.77–$1,940.26 | $1,632.53–$2,771.80 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,940.26–$1,996.54 | $2,771.80–$2,852.20 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$376.60–$3,808.39 | $538–$5,440.56 | varies |
| Cta Abdomen (74175) | $2,568.95 | $3,669.93 | 13.7× |
| CTA pelvis (72191) | $2,568.95 | $3,669.93 | 13.7× |
| Dilation ureters/urethra rs&i (74485) | $4,616.23 | $6,594.61 | 2.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$57.40–$263.80 | $82–$376.86 | varies |
| Esophagram (74220) | $486.70 | $695.28 | 2.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$56.70–$608.64 | $81–$869.49 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$212.10–$4,126.54 | $303–$5,895.05 | varies |
| Foot 2 views (73620) | $213.16 | $304.51 | 2.3× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$217.78–$347.66 | $311.11–$496.66 | varies |
| Gastric emptying imaging study (78264) | $885.34 | $1,264.77 | 2.1× |
| Gastroesophageal Reflux Exam (78262) | $904.21 | $1,291.73 | 2.1× |
| Gated Heart Planar Single (78472) | $1,061.75 | $1,516.78 | 2.5× |
| Gated Heart, Multiple (78473) | $1,171.08 | $1,672.97 | 2.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$263.80–$302.74 | $376.86–$432.48 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,839.95 | $9,771.36 | 2.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $175 | $250 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,179.72 | $1,685.31 | 2.0× |
| Hepatobiliary System Imaging (78226) | $1,145.12 | $1,635.88 | 2.7× |
| Ht Muscle Image Spect Sing (78451) | $3,026.37 | $4,323.39 | 2.2× |
| Joint Survey Single View (77077) | $296.21 | $423.16 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $1,170.45 | $1,672.07 | 2.0× |
| Kidney Imaging Morphol (78700) | $1,038.16 | $1,483.08 | 2.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,152.19 | $1,645.99 | 2.7× |
| Knee 3 Views (73562) | $274.80 | $392.57 | 2.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,326.11 | $1,894.44 | 3.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,128.14 | $1,611.63 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $383.40 | $547.72 | 0.7× |
| Lung Ventilation Imaging (78579) | $850.28 | $1,214.68 | 2.0× |
| Lymph System Imaging (78195) | $1,627.04 | $2,324.34 | 2.8× |
| Meckels Divert Exam (78290) | $1,505.48 | $2,150.68 | 3.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,672.31 | $3,817.59 | 7.1× |
| MRA head w/o contrast (70544) | $2,320.93 | $3,315.61 | 9.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,672.31 | $3,817.59 | 7.1× |
| MRA neck w/o contrast (70547) | $2,320.93 | $3,315.61 | 9.1× |
| MRI abdomen w contrast (74182) | $3,055.21 | $4,364.59 | 8.2× |
| MRI abdomen w/o contrast (74181) | $2,675.14 | $3,821.63 | 10.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$1,246.41–$2,784.10 | $1,780.58–$3,977.29 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,104.61 | $4,435.16 | 8.3× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,823.60–$2,854.33 | $4,033.71–$4,077.62 | varies |
| MRI cervical spine w contrast (72142) | $2,837.14 | $4,053.06 | 7.6× |
| MRI cervical spine w/o cont (72141) | $2,459.88 | $3,514.12 | 9.6× |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$1,937.67–$3,479.30 | $2,768.10–$4,970.43 | varies |
| MRI chest with contrast (71551) | $2,486.59 | $3,552.27 | 3.0× |
| MRI chest wo w contrast (71552) | $2,606.76 | $3,723.94 | 7.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,853.70 | $4,076.71 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,104.61–$3,105.24 | $4,435.16–$4,436.06 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,509.33 | $3,584.76 | 9.8× |
| MRI lumbar spine w contrast (72149) | $2,837.14 | $4,053.06 | 7.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,081.93 | $4,402.76 | 8.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,508.28 | $3,583.26 | 9.8× |
| MRI orbit face neck w contrast (70542) | $2,773.49 | $3,962.13 | 7.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,018.29 | $4,311.84 | 8.1× |
| MRI pelvis w contrast (72196) | $3,009.69 | $4,299.55 | 8.1× |
| MRI pelvis w/o & w contrast (72197) | $3,341.83 | $4,774.04 | 8.9× |
| MRI pelvis w/o contrast (72195) | $2,675.14 | $3,821.63 | 10.5× |
| MRI thoracic spine w/o contrast (72146) | $2,489.89 | $3,556.98 | 9.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,853.70 | $4,076.71 | 7.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,445.78–$2,519.15 | $3,493.97–$3,598.79 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,104.61 | $4,435.16 | 8.3× |
| MRI, abdomen, combo (74183) | $2,935.86 | $4,194.09 | 7.9× |
| MRI, dorsal spine combo (72157) | $3,000.33 | $4,286.19 | 8.0× |
| MRI, dorsal spine contrast (72147) | $2,755.54 | $3,936.49 | 7.4× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$2,509.33–$2,602.79 | $3,584.76–$3,718.27 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$2,773.27–$3,260.59 | $3,961.82–$4,657.99 | varies |
| MRI, lumbar spine combo (72158) | $3,081.93 | $4,402.76 | 8.2× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$146.30–$1,774.05 | $209–$2,534.36 | varies |
| Myocardial Spect Multiple Studies (78452) | $3,026.57 | $4,323.67 | 2.2× |
| Neck soft tissue (70360) | $214.42 | $306.32 | 2.3× |
| Parathyroid Planar Imaging (78070) | $882.16 | $1,260.23 | 2.1× |
| Pelvis 1 or 2 views (72170) | $299.36 | $427.65 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $943.78 | $1,348.25 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $329.69 | $470.99 | 2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $75.60 | $108 | 0.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$263.99–$385.14 | $377.13–$550.20 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$213.16–$319.74 | $304.51–$456.77 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$289.21–$433.81 | $413.15–$619.73 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $302.67 | $432.38 | 2.7× |
| Radex fingr minimum 2 views (73140) | $213.16 | $304.52 | 2.3× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$213.16–$299.88 | $304.51–$428.40 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$169.81–$213.16 | $242.58–$304.52 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $214.22 | $306.03 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $214.42 | $306.32 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $203.29 | $290.42 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$221.87–$338.37 | $316.95–$483.39 | varies |
| Radex Spine 1 View Specify Level (72020) | $172.70 | $246.71 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $230.54 | $329.34 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $213.16 | $304.51 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) | $299.36 | $427.65 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$213.16–$254.70 | $304.51–$363.86 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $515.53 | $736.47 | 4.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $270.40 | $386.28 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $313.17 | $447.38 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) | $302.74 | $432.48 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $486.62 | $695.17 | 2.6× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$281.57–$289.74 | $402.24–$413.91 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$281.57–$289.74 | $402.24–$413.91 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$213.16–$319.75 | $304.52–$456.78 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$283.83–$425.75 | $405.47–$608.21 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$882.16–$2,833.30 | $1,260.23–$4,047.57 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,939.55 | $4,199.35 | 5.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,468.75 | $2,098.22 | 2.5× |
| Salivary Gland Imaging (78230) | $871.53 | $1,245.04 | 2.0× |
| Scapula (73010) range across 3 matching MRF lines |
$299.36–$338.37 | $427.65–$483.39 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $118.24 | $168.92 | 5.1× |
| Shoulder 1 view (73020) | $213.16 | $304.51 | 2.3× |
| Skull less than 4 views (70250) | $277.94 | $397.05 | 2.5× |
| Spleen Imaging (78185) | $882.16 | $1,260.23 | 2.1× |
| Sternoclavicular joints (71130) | $226.34 | $323.34 | 2.4× |
| Testicular Imaging W/Flow (78761) | $910.19 | $1,300.27 | 2.1× |
| Thoracic spine 2 views (72070) | $302.74 | $432.48 | 2.7× |
| Thoracic spine 3 views (72072) | $302.74 | $432.48 | 2.7× |
| Thoracolumbar 2 views (72080) | $281.57 | $402.24 | 3.0× |
| Thyroid Imaging With Vascular Flow (78013) | $970.19 | $1,385.99 | 2.3× |
| Thyroid Met Imaging Body (78018) | $1,133.38 | $1,619.12 | 1.9× |
| Thyroid Uptake Measurement (78012) | $882.16 | $1,260.23 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $882.16 | $1,260.23 | 2.1× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$224–$1,415.33 | $320–$2,021.90 | varies |
| Ultrasound Exam Aaa Screen (76706) | $239.40 | $342 | 2.1× |
| Ultrasound, abdomen limited (76705) | $707.67 | $1,010.95 | 6.3× |
| Unlisted fluoroscopic procedure (76496) | $234.87 | $335.53 | 2.5× |
| Ureteral Reflux Study (78740) | $882.16 | $1,260.23 | 2.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$667.80–$707.67 | $954–$1,010.95 | varies |
| Us chest (76604) | $529.90 | $757 | 4.7× |
| Us exam, pelvic, limited (76857) | $487.90 | $697 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$121.80–$461.30 | $174–$659 | varies |
| Us ob limited 1 or more fetuses (76815) | $247.88 | $354.11 | 2.2× |
| Us pelvic non ob complete (76856) | $707.67 | $1,010.95 | 6.3× |
| Us retroperitoneal complete (76770) | $818.86 | $1,169.80 | 7.3× |
| Us retroperitoneal limited (76775) range across 6 matching MRF lines |
$208.60–$866.81 | $298–$1,238.30 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$81.90–$748.30 | $117–$1,069 | varies |
| Us thyroid (76536) range across 6 matching MRF lines |
$252.70–$685.30 | $361–$979 | varies |
| Us transrectal (76872) | $266.96 | $381.37 | 2.4× |
| Vascular Flow Imaging (78445) | $974.68 | $1,392.40 | 2.3× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$175.70–$1,657.54 | $251–$2,367.91 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$184.10–$6,839.95 | $263–$9,771.36 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$166.60–$4,025.89 | $238–$5,751.27 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$123.20–$1,657.54 | $176–$2,367.91 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$205.10–$6,839.95 | $293–$9,771.36 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$179.20–$6,839.95 | $256–$9,771.36 | varies |
| Venous sampling by catheter (75893) | $11,344.12 | $16,205.89 | 1.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $882.16 | $1,260.23 | 2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $304.90 | $435.57 | 3.3× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$272.30–$6,839.95 | $389–$9,771.36 | varies |
| X-Ray Bend Only L-S Spine (72120) | $292.06 | $417.23 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$214.22–$321.34 | $306.03–$459.05 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$28–$1,286.25 | $40–$1,837.50 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $289.74 | $413.91 | 3.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $334.64 | $478.06 | 3.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $515.53 | $736.47 | 4.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $289.74 | $413.91 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $289.74 | $413.91 | 3.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $325.21 | $464.59 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $325.21 | $464.59 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $325.21 | $464.59 | 2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $501 | $715.72 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $413.57 | $590.81 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $270.40 | $386.28 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $277.94 | $397.05 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $302.74 | $432.48 | 2.7× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$283.83–$413.76 | $405.47–$591.08 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $213.16 | $304.52 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $302.74 | $432.48 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $198.34 | $283.34 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $313.58 | $447.97 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $299.36 | $427.65 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $231.99 | $331.41 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $272.47 | $389.24 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $302.74 | $432.48 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,019.89 | $1,456.98 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $717.98 | $1,025.68 | 6.4× |
| Xr c-spine 4 or 5 views (72050) | $322.06 | $460.08 | 2.9× |
| Xr orbits complete 4 views (70200) | $270.40 | $386.28 | 2.4× |
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.