Imaging prices at Jackson General Hospital
Ripley, WV · every code in this section with a posted price and a Medicare benchmark.
221 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) range across 2 matching MRF lines |
$127.50–$134 | $255–$268 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$205–$215.50 | $410–$431 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $681.50 | $1,363 | 1.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$127–$133.50 | $254–$267 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$138–$145 | $276–$290 | varies |
| Bone Imaging 3 Phase (78315) | $732.50 | $1,465 | 1.9× |
| Bone Imaging Limited Area (78300) | $430.50 | $861 | 1.1× |
| Bone Imaging Whole Body (78306) | $714.50 | $1,429 | 1.9× |
| Bone survey infant (77076) | $117 | $234 | 1.2× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$117.50–$138 | $235–$276 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$158.50–$166.50 | $317–$333 | varies |
| Chest 3 views (71047) | $112 | $224 | 1.3× |
| Chest 4 or more views (71048) | $156.50 | $313 | 1.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$148–$296 | $296–$592 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $120 | $240 | 1.2× |
| Contrast X-Ray Bladder (74430) | $278.50 | $557 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,290.50–$2,405.50 | $4,581–$4,811 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,762–$1,850.50 | $3,524–$3,701 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$941–$988.50 | $1,882–$1,977 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,075.50–$1,129.50 | $2,151–$2,259 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$897–$942 | $1,794–$1,884 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,445.50–$1,518 | $2,891–$3,036 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$973.50–$1,022.50 | $1,947–$2,045 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,027.50–$1,079 | $2,055–$2,158 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,027.50–$2,055 | $2,055–$4,110 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,027.50–$1,079 | $2,055–$2,158 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $917.50 | $1,835 | 5.5× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,753.50 | $3,507 | 10.4× |
| CT cervical spine w/ contrast (72126) | $862.50 | $1,725 | 2.6× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$867.50–$911 | $1,735–$1,822 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$969–$1,017.50 | $1,938–$2,035 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,120.50–$1,177 | $2,241–$2,354 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$747–$784.50 | $1,494–$1,569 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$941–$988.50 | $1,882–$1,977 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $251.50 | $503 | 0.8× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$82.50–$99 | $165–$198 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$744.50–$782 | $1,489–$1,564 | varies |
| CT l-spine w&w/o contrast (72133) | $1,027.50 | $2,055 | 6.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$817–$858 | $1,634–$1,716 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,061.50–$1,115 | $2,123–$2,230 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$862.50–$906 | $1,725–$1,812 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$867.50–$911 | $1,735–$1,822 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$701.50–$737 | $1,403–$1,474 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$658–$691 | $1,316–$1,382 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$917.50–$963.50 | $1,835–$1,927 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $862.50 | $1,725 | 5.1× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$640–$672 | $1,280–$1,344 | varies |
| CT pelvis w&w/o contrast (72194) | $1,027.50 | $2,055 | 6.1× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$795.50–$835.50 | $1,591–$1,671 | varies |
| CT scan of leg combo (73702) | $835.50 | $1,671 | 5.0× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$785.50–$825 | $1,571–$1,650 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$897–$942 | $1,794–$1,884 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$654.50–$687.50 | $1,309–$1,375 | varies |
| CT thoracic spine w contrast (72129) | $862.50 | $1,725 | 5.1× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$867.50–$911 | $1,735–$1,822 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,040.50–$1,694 | $2,081–$3,388 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$790.50–$830.50 | $1,581–$1,661 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$701.50–$737 | $1,403–$1,474 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $725.50 | $1,451 | 4.3× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$795.50–$835.50 | $1,591–$1,671 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$917.50–$1,639.50 | $1,835–$3,279 | varies |
| Cta Abdomen (74175) | $1,345 | $2,690 | 8.0× |
| CTA pelvis (72191) | $1,270 | $2,540 | 7.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$303–$318.50 | $606–$637 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $117.50 | $235 | 1.4× |
| Esophagram (74220) | $221 | $442 | 1.3× |
| Fluoroscopy up to 1 hr (76000) | $279.50 | $559 | 1.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$127–$133.50 | $254–$267 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$127.50–$134 | $255–$268 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$714.50–$750.50 | $1,429–$1,501 | varies |
| Gated Heart Planar Single (78472) | $738.50 | $1,477 | 1.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$117–$246 | $234–$492 | varies |
| Hepatobil Syst Image W/Drug (78227) | $895.50 | $1,791 | 1.7× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$655–$688 | $1,310–$1,376 | varies |
| Ht Muscle Image Spect Sing (78451) | $910 | $1,820 | 0.7× |
| Hysterosalpingogram (74740) | $273 | $546 | 1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $141.50 | $283 | 1.7× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$647–$679.50 | $1,294–$1,359 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$168–$336 | $336–$672 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $938.50 | $1,877 | 1.8× |
| Meckels Divert Exam (78290) | $526 | $1,052 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,122 | $2,244 | 3.4× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$757–$795 | $1,514–$1,590 | varies |
| MRA neck w contrast (70548) | $889.50 | $1,779 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,467.50 | $2,935 | 4.4× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$795.50–$835.50 | $1,591–$1,671 | varies |
| MRI abdomen w contrast (74182) | $526.50 | $1,053 | 1.6× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,224–$1,346.50 | $2,448–$2,693 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,168 | $2,336 | 1.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,500.50–$1,651 | $3,001–$3,302 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,168 | $2,336 | 1.6× |
| MRI cervical spine w contrast (72142) | $1,480.50 | $2,961 | 4.4× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,344.50–$1,412 | $2,689–$2,824 | varies |
| MRI chest w/o contrast (71550) | $1,533.50 | $3,067 | 6.7× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,058–$2,264 | $4,116–$4,528 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,500.50–$1,651 | $3,001–$3,302 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,186.50–$1,305.50 | $2,373–$2,611 | varies |
| MRI lumbar spine w contrast (72149) | $1,376 | $2,752 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,742.50–$1,830 | $3,485–$3,660 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,248 | $2,496 | 5.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,036–$2,237.50 | $4,072–$4,475 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,584.50–$1,743 | $3,169–$3,486 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,138.50–$1,252.50 | $2,277–$2,505 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,222.50–$1,284 | $2,445–$2,568 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,376 | $2,752 | 4.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,150–$1,265 | $2,300–$2,530 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,500.50–$1,651 | $3,001–$3,302 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,651–$1,816.50 | $3,302–$3,633 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$1,742.50–$1,830 | $3,485–$3,660 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,250.50–$1,376 | $2,501–$2,752 | varies |
| MRI, joint upper extrem combo (73223) | $1,176.50 | $2,353 | 3.5× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,932.50–$2,029.50 | $3,865–$4,059 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,973.50–$2,072.50 | $3,947–$4,145 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$141–$148.50 | $282–$297 | varies |
| Nonvascular Shunt X-Ray (75809) | $99.50 | $199 | 1.0× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $82.50 | $165 | 1.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $816 | $1,632 | 1.6× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$533.50–$560.50 | $1,067–$1,121 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $636 | $1,272 | 1.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$112.50–$118.50 | $225–$237 | varies |
| PET image w/CT, full body (78816) | $2,494 | $4,988 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,494 | $4,988 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $413.50 | $827 | 1.1× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $891 | $1,782 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$218.50–$229.50 | $437–$459 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$171.50–$180.50 | $343–$361 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$154.50–$162.50 | $309–$325 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$138.50–$145.50 | $277–$291 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$198.50–$208.50 | $397–$417 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$100.50–$201 | $201–$402 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$171.50–$343 | $343–$686 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$150–$315 | $300–$630 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $171 | $342 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$123.50–$130 | $247–$260 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$154–$162 | $308–$324 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$171–$360 | $342–$720 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$56.50–$59.50 | $113–$119 | varies |
| Radex Spine 1 View Specify Level (72020) | $78 | $156 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$157–$165 | $314–$330 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$198.50–$208.50 | $397–$417 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$89.50–$94 | $179–$188 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$151–$318 | $302–$636 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $242.50 | $485 | 2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$145–$152.50 | $290–$305 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $218.50 | $437 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $533 | $1,066 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $416 | $832 | 2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $320 | $640 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$263.50–$277 | $527–$554 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$157–$165 | $314–$330 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $237 | $474 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $320 | $640 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $416 | $832 | 2.5× |
| Radiologic examination femur 1 view (73551) | $117.50 | $235 | 1.4× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$147–$154.50 | $294–$309 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$106–$223 | $212–$446 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$146–$307 | $292–$614 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$149–$156.50 | $298–$313 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,199 | $4,398 | 1.8× |
| Scapula (73010) range across 2 matching MRF lines |
$85.50–$90 | $171–$180 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$41–$67 | $82–$134 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$117–$123 | $234–$246 | varies |
| Skull less than 4 views (70250) | $91.50 | $183 | 0.9× |
| Sternoclavicular joints (71130) | $132.50 | $265 | 1.6× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$147–$154.50 | $294–$309 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$181–$190.50 | $362–$381 | varies |
| Thoracolumbar 2 views (72080) | $220.50 | $441 | 2.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$592.50–$622.50 | $1,185–$1,245 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$266–$532 | $532–$1,064 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$288.50–$309 | $577–$618 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$351.50–$376.50 | $703–$753 | varies |
| Upper gi w/o kub (74240) | $308.50 | $617 | 1.8× |
| Urethrocystography retrograde (74450) | $837 | $1,674 | 3.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$244.50–$489 | $489–$978 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$198–$212 | $396–$424 | varies |
| Us complete joint (76881) | $198 | $396 | 2.0× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$323–$346 | $646–$692 | varies |
| Us kidney transplant (76776) | $437.50 | $875 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$198–$635 | $396–$1,270 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$211–$226 | $422–$452 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$270.50–$289.50 | $541–$579 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$352–$377 | $704–$754 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $437.50 | $875 | 4.4× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$237–$254 | $474–$508 | varies |
| Us retroperitoneal limited (76775) | $267.50 | $535 | 2.7× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$272–$291.50 | $544–$583 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$365.50–$391.50 | $731–$783 | varies |
| Us transrectal (76872) | $189.50 | $379 | 1.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$117–$246 | $234–$492 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $171 | $342 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$117–$234 | $234–$468 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$224–$235.50 | $448–$471 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $164.50 | $329 | 1.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$197–$212 | $394–$424 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $91.50 | $183 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$157–$165 | $314–$330 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $164.50 | $329 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$185.50–$195 | $371–$390 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$164.50–$173 | $329–$346 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $164.50 | $329 | 1.6× |
| X-Ray Exam L-S Spine Bending (72114) | $351 | $702 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$138.50–$145.50 | $277–$291 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$162–$170.50 | $324–$341 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$207.50–$218 | $415–$436 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$82.50–$87 | $165–$174 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$138.50–$145.50 | $277–$291 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $208.50 | $417 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$140.50–$148 | $281–$296 | varies |
| X-ray nose-rectum child f.b. (76010) | $198 | $396 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$220.50–$232 | $441–$464 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$157–$165 | $314–$330 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$140.50–$148 | $281–$296 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$206–$216.50 | $412–$433 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$147–$154.50 | $294–$309 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$277.50–$291.50 | $555–$583 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$424.50–$446 | $849–$892 | varies |
| X-Rays Bone Length Studies (77073) | $174.50 | $349 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $207 | $414 | 2.1× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$251.50–$264.50 | $503–$529 | varies |
| Xr facial bones less than 3 views (70140) | $157 | $314 | 1.9× |
| Xr orbits complete 4 views (70200) | $133 | $266 | 1.3× |
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.