Imaging prices at INTEGRIS Miami Hospital
Miami, OK · every code in this section with a posted price and a Medicare benchmark.
283 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) | $99.80 | $499 | 1.2× |
| Abdomen 2 views (74019) | $133.60 | $668 | 1.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $251.20 | $1,256 | 0.7× |
| Angio pulmonary bilat (75743) | $1,081.40 | $5,407 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $925.20 | $4,626 | 0.3× |
| Angiography extremity unilateral rs&i (75710) | $817.20 | $4,086 | 0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,081.40 | $5,407 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,081.40 | $5,407 | 0.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$89.60–$148.80 | $448–$744 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,508.60 | $7,543 | 0.3× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,508.60 | $7,543 | 0.3× |
| Arthrogram hip (73525) | $187 | $935 | 0.6× |
| Arthrogram Wrist (73115) | $162.60 | $813 | 0.5× |
| Bone age studies (77072) | $64.80 | $324 | 0.6× |
| Bone Imaging 3 Phase (78315) | $288.60 | $1,443 | 0.8× |
| Bone Imaging Limited Area (78300) | $194.40 | $972 | 0.5× |
| Bone Imaging Whole Body (78306) | $254.40 | $1,272 | 0.7× |
| Bone marrow imaging; whole body (78104) | $366.40 | $1,832 | 1.0× |
| Bone survey infant (77076) | $56.60 | $283 | 0.6× |
| Brain Flow Imaging Only (78610) | $204.60 | $1,023 | 0.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $743.40 | $3,717 | 0.5× |
| Cat Scan Follow-Up Study (76380) | $162.20 | $811 | 1.9× |
| Chest 1 view (71045) | $51.80 | $259 | 0.6× |
| Chest 2 views (71046) | $142.20 | $711 | 1.7× |
| Chest 3 views (71047) | $156.40 | $782 | 1.9× |
| Chest 4 or more views (71048) | $172 | $860 | 1.7× |
| Cholecystography Oral Contrast (74290) | $156 | $780 | 0.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$108.20–$175.80 | $541–$879 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $107.80 | $539 | 1.1× |
| Contrast Exam Abdominl Aorta (75625) | $817.20 | $4,086 | 0.3× |
| Contrast X-Ray Bladder (74430) | $190.80 | $954 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $230.40 | $1,152 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $1,651.60 | $8,258 | 4.9× |
| CT abdomen and pelvis without contrast (74176) | $1,279.40 | $6,397 | 5.6× |
| CT abdomen w contrast (74160) | $505.40 | $2,527 | 3.0× |
| CT abdomen w wo contrast (74170) | $631.60 | $3,158 | 3.7× |
| CT abdomen w/o contrast (74150) | $404.20 | $2,021 | 4.0× |
| CT Angio Abdomen and Pelvis (74174) | $650.20 | $3,251 | 1.9× |
| CT Angio Chest (71275) | $858.80 | $4,294 | 5.1× |
| CT Angio Head (70496) | $510.60 | $2,553 | 3.0× |
| CT angio hrt w/3d image (75574) | $303.40 | $1,517 | 0.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $642.60 | $3,213 | 3.8× |
| CT Angio Neck (70498) | $520.40 | $2,602 | 3.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $158.80 | $794 | 0.9× |
| CT cervical spine w/ contrast (72126) | $682.80 | $3,414 | 2.0× |
| CT cervical spine w/o contrast (72125) | $546.20 | $2,731 | 5.4× |
| CT cervical spine w/wo cont (72127) | $853.60 | $4,268 | 5.1× |
| CT chest w contrast (71260) | $523 | $2,615 | 3.1× |
| CT chest w/wo contrast (71270) | $653.80 | $3,269 | 3.9× |
| CT head/brain with contrast (70460) | $744 | $3,720 | 4.4× |
| CT head/brain without and with contrast (70470) | $831.60 | $4,158 | 4.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $33.60 | $168 | 0.4× |
| CT iac w contrast (70481) | $508 | $2,540 | 3.0× |
| CT l-spine w&w/o contrast (72133) | $722 | $3,610 | 4.3× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$650–$1,097.80 | $3,250–$5,489 | varies |
| CT lower extremity w/contrast material (73701) | $976 | $4,880 | 5.8× |
| CT lumbar spine w contrast (72132) | $577.60 | $2,888 | 1.7× |
| CT lumbar spine w/o contrast (72131) | $462 | $2,310 | 4.6× |
| CT maxillofacial w contrast (70487) | $906.60 | $4,533 | 5.4× |
| CT maxillofacial wo contrast (70486) | $764.40 | $3,822 | 7.6× |
| CT neck tissue combo (70492) | $1,089 | $5,445 | 6.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $592.40 | $2,962 | 3.5× |
| CT orbits w/o contrast (70480) | $396.80 | $1,984 | 3.9× |
| CT pelvis w&w/o contrast (72194) | $586.80 | $2,934 | 3.5× |
| CT pelvis w/o contrast (72192) | $375.60 | $1,878 | 3.7× |
| CT scan of leg combo (73702) | $1,015.40 | $5,077 | 6.0× |
| CT scans face/jaw combo (70488) | $1,146 | $5,730 | 6.8× |
| CT soft tissue neck w contrast (70491) | $935.20 | $4,676 | 5.5× |
| CT soft tissue neck w/o contrast (70490) | $808.20 | $4,041 | 8.0× |
| CT thoracic spine w contrast (72129) | $479.20 | $2,396 | 2.8× |
| CT thoracic spine w/o contrast (72128) | $383.40 | $1,917 | 3.8× |
| CT thoracic spine w/wo cont (72130) | $599 | $2,995 | 3.6× |
| CT thorax w/o contrast (71250) | $418.40 | $2,092 | 4.2× |
| CT upper ext wo (73200) | $382.20 | $1,911 | 3.8× |
| CT upper extremity w/o & w/contrast material (73202) | $597.40 | $2,987 | 3.5× |
| CT upper extremity with contrast (73201) | $478 | $2,390 | 1.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $481.40 | $2,407 | 2.9× |
| Cta Abdomen (74175) | $514.40 | $2,572 | 3.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $424.40 | $2,122 | 1.3× |
| CTA pelvis (72191) | $442.80 | $2,214 | 2.6× |
| Diskography lumbar (72295) | $1,264.20 | $6,321 | 0.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $51.20 | $256 | 0.5× |
| Dxa Bone Density Axial (77080) | $83.40 | $417 | 0.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $47.80 | $239 | 0.6× |
| Esophagram (74220) | $245.60 | $1,228 | 1.5× |
| Fetal Biophys Profile W/Nst (76818) | $212 | $1,060 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $80.80 | $404 | 0.8× |
| Fluoroscopy up to 1 hr (76000) | $102.20 | $511 | 0.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$85.20–$141.20 | $426–$706 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$106.40–$175 | $532–$875 | varies |
| Gastric emptying imaging study (78264) | $206.40 | $1,032 | 0.5× |
| Gated Heart Planar Single (78472) | $193.80 | $969 | 0.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$97.60–$160.40 | $488–$802 | varies |
| Hepatobil Syst Image W/Drug (78227) | $542.60 | $2,713 | 1.0× |
| Hepatobiliary System Imaging (78226) | $278.60 | $1,393 | 0.7× |
| Ht Muscle Image Spect Sing (78451) | $536.60 | $2,683 | 0.4× |
| Hysterosalpingogram (74740) | $252.60 | $1,263 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $62.60 | $313 | 0.7× |
| Joint Survey Single View (77077) | $56.60 | $283 | 0.6× |
| K Flow/Funct Image Multiple (78709) | $452.20 | $2,261 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $340.80 | $1,704 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $340.80 | $1,704 | 0.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $232 | $1,160 | 0.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$72–$118.40 | $360–$592 | varies |
| Liver & Spleen Imaging Static Only (78215) | $160.20 | $801 | 0.4× |
| Lung Perf&Ventilat Diferentl (78598) | $408.80 | $2,044 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $436.60 | $2,183 | 0.8× |
| Lung Ventilation Imaging (78579) | $252.60 | $1,263 | 0.7× |
| Lymph System Imaging (78195) | $574.80 | $2,874 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $560.40 | $2,802 | 2.4× |
| Meckels Divert Exam (78290) | $144.80 | $724 | 0.4× |
| Mra Head W/O & W/Contrast Material (70546) | $790.40 | $3,952 | 2.4× |
| MRA head w/o contrast (70544) | $505.80 | $2,529 | 2.2× |
| MRA head with contrast (70545) | $632.40 | $3,162 | 1.9× |
| MRA neck w contrast (70548) | $588 | $2,940 | 1.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $705.80 | $3,529 | 2.1× |
| MRA neck w/o contrast (70547) | $470.40 | $2,352 | 2.0× |
| MRI abdomen w contrast (74182) | $723 | $3,615 | 2.2× |
| MRI abdomen w/o contrast (74181) | $561.60 | $2,808 | 2.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,081.60 | $5,408 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,352 | $6,760 | 4.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,084.20 | $5,421 | 1.4× |
| MRI cervical spine w contrast (72142) | $718 | $3,590 | 2.1× |
| MRI cervical spine w/o cont (72141) | $574.20 | $2,871 | 2.5× |
| MRI chest w/o contrast (71550) | $323.60 | $1,618 | 1.4× |
| MRI chest with contrast (71551) | $404.40 | $2,022 | 0.5× |
| MRI chest wo w contrast (71552) | $505.60 | $2,528 | 1.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $532.20 | $2,661 | 1.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $665.20 | $3,326 | 2.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $425.60 | $2,128 | 1.9× |
| MRI lumbar spine w contrast (72149) | $1,020 | $5,100 | 3.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $897.60 | $4,488 | 2.7× |
| MRI orbit face &/neck w/o contrast (70540) | $656.60 | $3,283 | 2.9× |
| MRI orbit face neck w contrast (70542) | $820.80 | $4,104 | 2.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,026 | $5,130 | 3.1× |
| MRI pelvis w contrast (72196) | $580.60 | $2,903 | 1.7× |
| MRI pelvis w/o & w contrast (72197) | $725.80 | $3,629 | 2.2× |
| MRI pelvis w/o contrast (72195) | $464.60 | $2,323 | 2.0× |
| MRI thoracic spine w/o contrast (72146) | $549.80 | $2,749 | 2.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $907.40 | $4,537 | 2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $726 | $3,630 | 3.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,134.20 | $5,671 | 3.4× |
| MRI, abdomen, combo (74183) | $903.80 | $4,519 | 2.7× |
| MRI, dorsal spine combo (72157) | $859.20 | $4,296 | 2.6× |
| MRI, dorsal spine contrast (72147) | $687.40 | $3,437 | 2.0× |
| MRI, joint upper extrem (73221) | $867.40 | $4,337 | 3.8× |
| MRI, joint upper extrem combo (73223) | $1,355.40 | $6,777 | 4.0× |
| MRI, lumbar spine combo (72158) | $1,108 | $5,540 | 3.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $156.40 | $782 | 0.4× |
| Myocardial Spect Multiple Studies (78452) | $627.40 | $3,137 | 0.5× |
| Neck soft tissue (70360) | $103.60 | $518 | 1.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $145.60 | $728 | 0.4× |
| Nm myocard infarct spect (78469) | $464 | $2,320 | 0.9× |
| Nuclear Rx Oral Admin (79005) | $259.60 | $1,298 | 1.2× |
| Ob us nuchal meas 1 gest (76813) | $69 | $345 | 0.7× |
| Parathyroid Planar Imaging (78070) | $150.40 | $752 | 0.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $524.40 | $2,622 | 1.4× |
| Pelvis 1 or 2 views (72170) | $58.20 | $291 | 0.6× |
| Pet Image W/Ct Lmtd (78814) | $736.60 | $3,683 | 0.5× |
| PET image w/CT, full body (78816) | $826 | $4,130 | 0.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $816.40 | $4,082 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $313.60 | $1,568 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $176.40 | $882 | 1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $216.40 | $1,082 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$109–$179.60 | $545–$898 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$68–$112.20 | $340–$561 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$131.40–$216.40 | $657–$1,082 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $192.20 | $961 | 1.9× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$45.40–$75.40 | $227–$377 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$124–$204 | $620–$1,020 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$167.80–$275.60 | $839–$1,378 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $40.40 | $202 | 0.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $98.60 | $493 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $129.40 | $647 | 1.5× |
| Radex Ribs Unilateral 2 Views (71100) | $86.60 | $433 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$108.40–$177.80 | $542–$889 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $34.80 | $174 | 0.4× |
| Radex Spine 1 View Specify Level (72020) | $100.20 | $501 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $66 | $330 | 0.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $73 | $365 | 0.9× |
| Radex Toe Minimum 2 Views (73660) | $76.60 | $383 | 0.9× |
| Radex upper extremity infant minimum 2 views (73092) | $117.20 | $586 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$61.80–$101.60 | $309–$508 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $313 | $1,565 | 3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $180.60 | $903 | 1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $154.60 | $773 | 1.5× |
| Radiologic exam colon double contrast study (74280) | $250.60 | $1,253 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $177.60 | $888 | 1.1× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$143.80–$236.40 | $719–$1,182 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $67.60 | $338 | 0.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $146.60 | $733 | 0.9× |
| Radiologic exam swallow function contrast study (74230) | $137.40 | $687 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $454 | $2,270 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$120.80–$198.60 | $604–$993 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$42.20–$69.40 | $211–$347 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $104 | $520 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$97.80–$159.20 | $489–$796 | varies |
| Ribs bilateral 3 views (71110) | $98.80 | $494 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $756.40 | $3,782 | 1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $756.40 | $3,782 | 0.6× |
| Scapula (73010) | $118 | $590 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $20 | $100 | 0.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$100.40–$167 | $502–$835 | varies |
| Shoulder Arthrography (73040) | $191.40 | $957 | 0.6× |
| Skull less than 4 views (70250) | $136.20 | $681 | 1.4× |
| Sternoclavicular joints (71130) | $72.20 | $361 | 0.9× |
| Thoracic spine 2 views (72070) | $99.20 | $496 | 1.0× |
| Thoracic spine 3 views (72072) | $104 | $520 | 1.0× |
| Thoracolumbar 2 views (72080) | $97 | $485 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $377.20 | $1,886 | 1.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$160.80–$281 | $804–$1,405 | varies |
| Ultrasound Exam Aaa Screen (76706) | $97.60 | $488 | 1.0× |
| Ultrasound, abdomen limited (76705) | $219.40 | $1,097 | 2.2× |
| Umbilical-artery Doppler (OB) (76820) | $53.40 | $267 | 0.5× |
| Unlisted Dx Radiographic Procedure (76499) | $102.20 | $511 | 1.2× |
| Unlisted us procedure (76999) | $91.40 | $457 | 1.1× |
| Upper gi w/o kub (74240) | $261.80 | $1,309 | 1.6× |
| Urethrocystogram voiding (74455) | $164.80 | $824 | 0.7× |
| Urethrocystography retrograde (74450) | $239.60 | $1,198 | 1.0× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$170.40–$298.20 | $852–$1,491 | varies |
| Us chest (76604) | $87.60 | $438 | 0.9× |
| Us complete joint (76881) | $130.20 | $651 | 1.3× |
| Us exam, pelvic, limited (76857) | $135.40 | $677 | 1.3× |
| Us head (76506) | $131.40 | $657 | 1.3× |
| Us kidney transplant (76776) | $189.60 | $948 | 1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $113.20 | $566 | 1.1× |
| Us ob limited 1 or more fetuses (76815) | $60.60 | $303 | 0.6× |
| Us ob transvaginal (76817) | $69.40 | $347 | 0.7× |
| Us pelvic non ob complete (76856) | $243.80 | $1,219 | 2.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $185.80 | $929 | 1.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $84.20 | $421 | 0.8× |
| Us retroperitoneal complete (76770) | $91.60 | $458 | 0.9× |
| Us retroperitoneal limited (76775) | $80 | $400 | 0.8× |
| Us scrotum and contents (76870) | $226 | $1,130 | 2.2× |
| Us spinal canal and contents (76800) | $191.60 | $958 | 1.9× |
| Us thyroid (76536) | $218 | $1,090 | 2.2× |
| Us transrectal (76872) | $75.80 | $379 | 0.8× |
| Vein X-Ray Chest (75827) | $308.80 | $1,544 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $817.20 | $4,086 | 0.3× |
| Venography extremity bilateral rs&i (75822) | $449.20 | $2,246 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $277 | $1,385 | 0.2× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$1,865.80 | $9,329 | 0.3× |
| Vertebral fracture assessment via dxa (77086) | $26.20 | $131 | 0.3× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$42.20–$70.20 | $211–$351 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $63.80 | $319 | 0.8× |
| X-ray antegrade pyelogram tube (74425) | $241.80 | $1,209 | 0.7× |
| X-Ray Aorta Leg Arteries (75630) | $872.20 | $4,361 | 0.3× |
| X-Ray Bend Only L-S Spine (72120) | $204.40 | $1,022 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$73.40–$122.20 | $367–$611 | varies |
| X-Ray Exam Breast Specimen (76098) | $110.40 | $552 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $58.60 | $293 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $173 | $865 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $269.20 | $1,346 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $39.60 | $198 | 0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $46.80 | $234 | 0.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $162.60 | $813 | 1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $206.60 | $1,033 | 2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $250.20 | $1,251 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $237.60 | $1,188 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $154.80 | $774 | 1.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $225.20 | $1,126 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $97.20 | $486 | 1.0× |
| X-ray eye for foreign body (70030) | $138.80 | $694 | 1.7× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$58.40–$96 | $292–$480 | varies |
| X-ray IV pyelogram (ivp) (74400) | $215.60 | $1,078 | 1.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $101.60 | $508 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $86 | $430 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $194.60 | $973 | 1.9× |
| X-ray nose-rectum child f.b. (76010) | $47 | $235 | 0.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $183.80 | $919 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $137.60 | $688 | 1.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $115.80 | $579 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $72.60 | $363 | 0.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $161.80 | $809 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $171.20 | $856 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $122.40 | $612 | 1.2× |
| X-Ray Tmj Unilat (70328) | $41.60 | $208 | 0.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $284.40 | $1,422 | 0.8× |
| X-Rays Bone Length Studies (77073) | $87 | $435 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $178.80 | $894 | 1.8× |
| Xr c-spine 4 or 5 views (72050) | $204.60 | $1,023 | 2.0× |
| Xr facial bones less than 3 views (70140) | $67 | $335 | 0.8× |
| Xr orbits complete 4 views (70200) | $56.60 | $283 | 0.6× |
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.