Imaging prices at Jackson Park Hospital
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
278 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) | $254.98 | $318.73 | 2.7× |
| Abdomen 2 views (74019) | $254.98 | $318.73 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,598.74 | $1,998.43 | 3.7× |
| Angio internal mammary (75756) | $1,358.50 | $1,698.13 | 0.4× |
| Angio pulmonary bilat (75743) | $3,833.90 | $4,792.37 | 1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,833.90 | $4,792.37 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $5,665.06 | $7,081.32 | 1.7× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$4,356.51–$5,354.27 | $5,445.64–$6,692.84 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,035.68 | $5,044.60 | 1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,358.50 | $1,698.13 | 0.4× |
| Ankle 2 views (73600) | $275.16 | $343.95 | 3.0× |
| Artery X-Rays Abdomen (75726) | $6,279.02 | $7,848.78 | 1.1× |
| Artery X-Rays Adrenal Gland (75731) | $3,833.90 | $4,792.37 | 1.1× |
| Artery X-Rays Pelvis (75736) | $5,223.68 | $6,529.60 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $177.60 | $222 | 1.2× |
| Bone age studies (77072) | $274.21 | $342.76 | 2.4× |
| Bone Imaging 3 Phase (78315) | $1,979.88 | $2,474.85 | 4.6× |
| Bone Imaging Limited Area (78300) | $872.78 | $1,090.98 | 2.0× |
| Bone Imaging Whole Body (78306) | $2,080 | $2,600 | 4.9× |
| Bone survey infant (77076) | $372.86 | $466.07 | 3.3× |
| Brain Flow Imaging Only (78610) | $356.14 | $445.17 | 0.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,508.98 | $1,886.23 | 2.6× |
| Cerebrospinal Fluid Scan (78630) | $1,413.68 | $1,767.10 | 2.4× |
| Chest 1 view (71045) | $500.77 | $625.96 | 5.4× |
| Chest 2 views (71046) range across 4 matching MRF lines |
$239.94–$278.39 | $299.92–$347.99 | varies |
| Chest 3 views (71047) | $300.13 | $375.16 | 3.2× |
| Chest 4 or more views (71048) | $735.68 | $919.60 | 6.6× |
| Cholecystography Oral Contrast (74290) | $331.90 | $414.87 | 1.8× |
| Clavicle complete (73000) | $388.18 | $485.23 | 4.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,817.32 | $3,521.65 | 25.1× |
| Contrast X-Ray Bladder (74430) | $842.23 | $1,052.79 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) | $307.65 | $384.56 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $5,285.06 | $6,606.33 | 14.1× |
| CT abdomen and pelvis without contrast (74176) | $2,807.43 | $3,509.29 | 11.0× |
| CT abdomen w contrast (74160) | $2,824.85 | $3,531.06 | 15.0× |
| CT abdomen w wo contrast (74170) | $3,177.13 | $3,971.41 | 16.9× |
| CT abdomen w/o contrast (74150) | $2,715.33 | $3,394.16 | 24.2× |
| CT Angio Abdomen and Pelvis (74174) | $6,850.80 | $8,563.50 | 18.3× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,625.27–$4,115.76 | $3,281.59–$5,144.70 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,763.02–$4,015.44 | $3,453.77–$5,019.30 | varies |
| CT angio hrt w/3d image (75574) | $3,511.20 | $4,389 | 9.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$3,027.86–$3,646.63 | $3,784.83–$4,558.29 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,761.60–$3,974.96 | $3,452–$4,968.70 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,453.88 | $3,067.35 | 13.1× |
| CT cervical spine w/ contrast (72126) | $2,715.33 | $3,394.16 | 7.3× |
| CT cervical spine w/o contrast (72125) | $2,715.33 | $3,394.16 | 24.2× |
| CT chest w contrast (71260) | $2,876.68 | $3,595.85 | 15.3× |
| CT chest w/wo contrast (71270) | $3,016.29 | $3,770.36 | 16.0× |
| CT head/brain with contrast (70460) | $2,259.93 | $2,824.91 | 12.0× |
| CT head/brain without and with contrast (70470) | $2,436.10 | $3,045.13 | 13.0× |
| CT iac w contrast (70481) | $2,824.85 | $3,531.06 | 15.0× |
| CT lower ext w/o (73700) | $2,138.49 | $2,673.11 | 19.1× |
| CT lower extremity w/contrast material (73701) | $2,432.53 | $3,040.66 | 12.9× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,920.63–$2,715.33 | $2,400.79–$3,394.16 | varies |
| CT maxillofacial w contrast (70487) | $2,824.85 | $3,531.06 | 15.0× |
| CT maxillofacial wo contrast (70486) | $2,715.33 | $3,394.16 | 24.2× |
| CT neck tissue combo (70492) | $2,483.73 | $3,104.66 | 13.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,127.52 | $3,909.40 | 16.6× |
| CT orbits w/o contrast (70480) | $2,715.33 | $3,394.16 | 24.2× |
| CT pelvis w&w/o contrast (72194) | $3,559.71 | $4,449.64 | 18.9× |
| CT pelvis w/o contrast (72192) | $2,715.33 | $3,394.16 | 24.2× |
| CT scan of leg combo (73702) | $7,164.96 | $8,956.20 | 38.1× |
| CT scans face/jaw combo (70488) | $3,016.29 | $3,770.36 | 16.0× |
| CT soft tissue neck w contrast (70491) | $2,513.87 | $3,142.34 | 13.4× |
| CT soft tissue neck w/o contrast (70490) | $2,138.49 | $2,673.11 | 19.1× |
| CT thoracic spine w/o contrast (72128) | $2,715.33 | $3,394.16 | 24.2× |
| CT thorax w/o contrast (71250) | $2,715.33 | $3,394.16 | 24.2× |
| CT upper ext wo (73200) | $2,138.49 | $2,673.11 | 19.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,951.22 | $2,439.03 | 10.4× |
| CT upper extremity with contrast (73201) | $1,939.52 | $2,424.40 | 5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,769.75 | $4,712.19 | 20.1× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$3,644.08–$4,212.56 | $4,555.10–$5,265.70 | varies |
| CTA pelvis (72191) | $3,347.52 | $4,184.40 | 17.8× |
| Dxa Bone Density Axial (77080) | $733.04 | $916.30 | 6.5× |
| Dxa bone density study (77085) | $733.04 | $916.30 | 6.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $463.76 | $579.70 | 5.0× |
| Echo exam uterus (76831) | $1,492.48 | $1,865.60 | 5.8× |
| Esophagram (74220) | $715.99 | $894.99 | 3.8× |
| Fetal Biophys Profile W/Nst (76818) | $1,146.64 | $1,433.30 | 10.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $700.48 | $875.60 | 6.3× |
| Fluoroscopy up to 1 hr (76000) | $696.39 | $870.49 | 2.7× |
| Follow-Up Angiography (75898) | $1,560.82 | $1,951.02 | 0.5× |
| Foot 2 views (73620) | $256.90 | $321.12 | 2.8× |
| Forearm 2 views (73090) | $345.95 | $432.44 | 3.7× |
| Gastric emptying imaging study (78264) | $1,803.28 | $2,254.10 | 4.2× |
| Gated Heart Planar Single (78472) | $1,889.70 | $2,362.12 | 4.4× |
| Gated Heart, Multiple (78473) | $1,858.43 | $2,323.04 | 4.3× |
| Hand 2 views (73120) | $338.90 | $423.63 | 3.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,544.30 | $5,680.37 | 1.3× |
| Hepatobiliary System Imaging (78226) | $1,664.08 | $2,080.10 | 3.9× |
| Ht Muscle Image Spect Sing (78451) range across 8 matching MRF lines |
$2,745.10–$3,109.09 | $3,431.38–$3,886.36 | varies |
| Hysterosalpingogram (74740) | $1,138.28 | $1,422.85 | 4.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $280.06 | $350.08 | 3.0× |
| Infusion Ivp (74410) | $588.54 | $735.68 | 3.1× |
| Joint Survey Single View (77077) | $424.26 | $530.32 | 3.8× |
| K Flow/Funct Image Multiple (78709) | $1,746.41 | $2,183.01 | 3.0× |
| K Flow/Funct Image W/Drug (78708) | $2,339.44 | $2,924.30 | 4.0× |
| K Flow/Funct Image W/O Drug (78707) | $2,387.73 | $2,984.66 | 4.1× |
| Knee 3 Views (73562) | $390.55 | $488.19 | 4.2× |
| Liver & Spleen Imaging Static Only (78215) | $1,476.64 | $1,845.80 | 3.4× |
| Liver imaging static only (78201) | $1,289.18 | $1,611.47 | 2.2× |
| Lung Ventilation Imaging (78579) | $1,489.75 | $1,862.19 | 3.5× |
| Lymph System Imaging (78195) | $2,073.54 | $2,591.93 | 3.6× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $739.86 | $924.83 | 0.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $739.86 | $924.83 | 0.2× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $893.20 | $1,116.50 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $3,931.84 | $4,914.80 | 15.4× |
| Mammary ductogram or galactogram single (77053) | $859.76 | $1,074.70 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) | $3,773.87 | $4,717.34 | 10.1× |
| MRA head w/o contrast (70544) | $2,609.99 | $3,262.49 | 10.2× |
| MRA head with contrast (70545) | $2,748.77 | $3,435.96 | 7.4× |
| MRA neck w contrast (70548) | $3,832.65 | $4,790.81 | 10.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,558.86 | $4,448.57 | 9.5× |
| MRA neck w/o contrast (70547) | $2,576.55 | $3,220.69 | 10.1× |
| MRI abdomen w contrast (74182) | $3,262.91 | $4,078.64 | 8.7× |
| MRI abdomen w/o contrast (74181) | $2,911.54 | $3,639.42 | 11.4× |
| MRI any jt lower extrem w/contrast material (73722) | $3,670.48 | $4,588.10 | 4.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,391.02 | $5,488.78 | 11.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,994.50 | $4,993.12 | 4.8× |
| MRI cervical spine w contrast (72142) | $3,222.78 | $4,028.48 | 8.6× |
| MRI cervical spine w/o cont (72141) | $3,122.47 | $3,903.09 | 12.2× |
| MRI chest w/o contrast (71550) | $2,742.92 | $3,428.65 | 10.7× |
| MRI chest with contrast (71551) | $3,160.08 | $3,950.10 | 3.8× |
| MRI chest wo w contrast (71552) | $3,886.96 | $4,858.70 | 10.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,307.92 | $4,134.90 | 8.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,563.89 | $5,704.86 | 12.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,763.55 | $3,454.44 | 10.8× |
| MRI lumbar spine w contrast (72149) | $3,554.32 | $4,442.90 | 9.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,022 | $5,027.50 | 10.8× |
| MRI orbit face &/neck w/o contrast (70540) | $3,906.90 | $4,883.62 | 15.3× |
| MRI orbit face neck w contrast (70542) | $3,155.06 | $3,943.83 | 8.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,924.60 | $4,905.75 | 10.5× |
| MRI pelvis w contrast (72196) | $3,678.55 | $4,598.19 | 9.8× |
| MRI pelvis w/o & w contrast (72197) | $4,422.79 | $5,528.49 | 11.8× |
| MRI pelvis w/o contrast (72195) | $2,791.37 | $3,489.21 | 10.9× |
| MRI thoracic spine w/o contrast (72146) | $3,124.58 | $3,905.73 | 12.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,981.18 | $3,726.47 | 8.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,183.26 | $3,979.07 | 12.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,396.16 | $6,745.20 | 14.4× |
| MRI, abdomen, combo (74183) | $4,121.92 | $5,152.40 | 11.0× |
| MRI, dorsal spine combo (72157) | $4,692.75 | $5,865.94 | 12.6× |
| MRI, dorsal spine contrast (72147) | $3,554.32 | $4,442.90 | 9.5× |
| MRI, joint upper extrem (73221) | $2,874.26 | $3,592.83 | 11.2× |
| MRI, joint upper extrem combo (73223) | $4,199.79 | $5,249.74 | 11.2× |
| MRI, lumbar spine combo (72158) | $4,095.57 | $5,119.46 | 11.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,444.61 | $1,805.76 | 3.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,075.60 | $3,844.50 | 2.2× |
| Neck soft tissue (70360) | $349.23 | $436.54 | 3.7× |
| Parathyroid Planar Imaging (78070) | $1,458.82 | $1,823.53 | 3.4× |
| Pelvis 1 or 2 views (72170) | $344.40 | $430.50 | 3.1× |
| Peritoneogram Rs&I (74190) | $836.84 | $1,046.05 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,215.72 | $1,519.65 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $597.70 | $747.12 | 5.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,120.71 | $1,400.89 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $378.95 | $473.69 | 4.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $370.34 | $462.92 | 4.0× |
| Radex elbow complete minimum 3 views (73080) | $418.18 | $522.73 | 4.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $707.63 | $884.54 | 6.3× |
| Radex fingr minimum 2 views (73140) | $287.17 | $358.96 | 3.1× |
| Radex foot complete minimum 3 views (73630) | $395.73 | $494.66 | 4.2× |
| Radex Hand Minimum 3 Views (73130) | $395.61 | $494.51 | 4.2× |
| Radex lower extremity infant minimum 2 views (73592) | $209.84 | $262.30 | 2.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $313.50 | $391.88 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $746.24 | $932.80 | 8.0× |
| Radex Ribs Unilateral 2 Views (71100) | $402.71 | $503.39 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) | $431.27 | $539.09 | 4.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $228.23 | $285.29 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $346.50 | $433.13 | 3.7× |
| Radex Sternum Minimum 2 Views (71120) | $402.43 | $503.04 | 4.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $589.16 | $736.45 | 6.3× |
| Radex Toe Minimum 2 Views (73660) | $353.66 | $442.08 | 3.8× |
| Radex upper extremity infant minimum 2 views (73092) | $128.74 | $160.93 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $352.77 | $440.96 | 3.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 5 matching MRF lines |
$849.20–$4,158.88 | $1,061.50–$5,198.60 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $571.56 | $714.45 | 5.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $332.73 | $415.91 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $704.42 | $880.53 | 3.7× |
| Radiologic exam colon single contrast study (74270) | $767.37 | $959.21 | 4.1× |
| Radiologic exam knee complete 4/more views (73564) | $698.02 | $872.53 | 6.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $667.32 | $834.15 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $681.67 | $852.09 | 3.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $693.10 | $866.38 | 3.7× |
| Radiologic examination femur 1 view (73551) | $410.08 | $512.60 | 4.4× |
| Radiologic examination femur minimum 2 views (73552) | $574.64 | $718.30 | 6.2× |
| Radiologic examination knee 1/2 views (73560) | $350.62 | $438.28 | 3.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,020.80 | $1,276 | 9.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $395.27 | $494.09 | 4.2× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $240.77 | $300.96 | 0.4× |
| Ribs bilateral 3 views (71110) | $644.48 | $805.60 | 5.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,581.68 | $1,977.10 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,721.52 | $4,651.90 | 6.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,821.38 | $2,276.73 | 3.1× |
| Scapula (73010) | $394.04 | $492.55 | 3.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$123.90–$586.96 | $154.88–$733.70 | varies |
| Sella turcica (70240) | $185.59 | $231.99 | 2.0× |
| Shoulder 1 view (73020) | $280.93 | $351.16 | 3.0× |
| Sialogram (70390) | $383.73 | $479.66 | 1.5× |
| Skull less than 4 views (70250) | $399.10 | $498.88 | 3.6× |
| Sternoclavicular joints (71130) | $574.64 | $718.30 | 6.2× |
| Superior sagittal sinus venogram (75870) | $1,358.50 | $1,698.13 | 0.4× |
| Testicular Imaging W/Flow (78761) | $876.97 | $1,096.21 | 2.0× |
| Thoracic spine 2 views (72070) | $453.07 | $566.34 | 4.0× |
| Thoracic spine 3 views (72072) | $527.06 | $658.83 | 4.7× |
| Thoracolumbar 2 views (72080) | $486.54 | $608.17 | 5.2× |
| Thyroid Uptake Measurement (78012) | $950.54 | $1,188.17 | 2.2× |
| Ultrasound Breast Limited (76642) | $623.04 | $778.80 | 6.7× |
| Ultrasound Exam Aaa Screen (76706) | $638 | $797.50 | 5.7× |
| Ultrasound, abdomen limited (76705) | $792.50 | $990.63 | 7.1× |
| Upper gi w/o kub (74240) | $595.23 | $744.04 | 3.2× |
| Urethrocystogram voiding (74455) | $1,712.48 | $2,140.60 | 6.7× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$621.34–$862.75 | $776.68–$1,078.44 | varies |
| Us chest (76604) | $669.64 | $837.05 | 6.0× |
| Us complete joint (76881) | $802.73 | $1,003.41 | 7.2× |
| Us head (76506) | $452.28 | $565.35 | 4.0× |
| Us ob detailed single fetus (76811) | $1,051.60 | $1,314.50 | 4.1× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$584.76–$722.48 | $730.95–$903.10 | varies |
| Us ob transvaginal (76817) | $647.90 | $809.88 | 5.8× |
| Us pelvic non ob complete (76856) | $794.19 | $992.74 | 7.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$714.78–$735.68 | $893.48–$919.60 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $563.20 | $704 | 5.0× |
| Us retroperitoneal complete (76770) | $1,150.16 | $1,437.70 | 10.3× |
| Us retroperitoneal limited (76775) | $678.83 | $848.54 | 6.1× |
| Us scrotum and contents (76870) | $730.69 | $913.36 | 6.5× |
| Us spinal canal and contents (76800) | $519.16 | $648.95 | 4.6× |
| Us thyroid (76536) | $789.57 | $986.96 | 7.0× |
| Us transrectal (76872) | $902.88 | $1,128.60 | 8.1× |
| Vein X-Ray Chest (75827) | $3,380.08 | $4,225.10 | 2.0× |
| Vein X-Ray Skull Epidural (75872) | $1,358.50 | $1,698.13 | 2.0× |
| Venogram Sinus/Jugular (75860) | $2,564.32 | $3,205.40 | 0.8× |
| Venography Adrenal Unilateral (75840) | $3,833.90 | $4,792.37 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $3,758.59 | $4,698.24 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $2,282.99 | $2,853.74 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $1,924.05 | $2,405.06 | 1.1× |
| Venography Orbital Rs&I (75880) | $1,358.50 | $1,698.13 | 2.0× |
| Venography Renal Bilateral (75833) | $3,833.90 | $4,792.37 | 1.1× |
| Venography Renal Unilateral (75831) | $3,833.90 | $4,792.37 | 1.1× |
| Venous sampling by catheter (75893) | $4,025.34 | $5,031.68 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $463.76 | $579.70 | 5.0× |
| Wrist 2 views (73100) | $347.28 | $434.10 | 3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $706.52 | $883.15 | 7.6× |
| X-ray antegrade pyelogram tube (74425) | $902.44 | $1,128.05 | 2.4× |
| X-Ray Aorta Leg Arteries (75630) | $3,833.90 | $4,792.37 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $307.50 | $384.37 | 3.3× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$649.01–$1,001.44 | $811.26–$1,251.80 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $302.72 | $378.40 | 3.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $604.56 | $755.70 | 5.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $762.42 | $953.02 | 6.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $430.32 | $537.90 | 4.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $528.88 | $661.10 | 5.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $626.56 | $783.20 | 5.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $794.64 | $993.30 | 7.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $916.96 | $1,146.20 | 8.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,056 | $1,320 | 9.4× |
| X-Ray Exam L-S Spine Bending (72114) | $618.26 | $772.82 | 5.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $461.04 | $576.30 | 4.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $633.23 | $791.54 | 5.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $555.66 | $694.57 | 5.0× |
| X-ray humerus (73060) | $427.42 | $534.28 | 4.6× |
| X-ray IV pyelogram (ivp) (74400) | $638.70 | $798.38 | 3.4× |
| X-ray IV pyelogram+tomography (74415) | $749.90 | $937.37 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $296.78 | $370.98 | 3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $508.37 | $635.46 | 4.5× |
| X-ray nose-rectum child f.b. (76010) | $239.94 | $299.92 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $647.99 | $809.99 | 5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $514.36 | $642.95 | 4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $486.54 | $608.18 | 5.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $730.40 | $913 | 7.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $448.94 | $561.17 | 4.0× |
| X-Ray Stress View (77071) | $381.92 | $477.40 | 4.1× |
| X-ray thoracic spine 4 vw (72074) | $405.46 | $506.83 | 3.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,526.80 | $1,908.50 | 4.1× |
| X-Rays Bone Length Studies (77073) | $479.60 | $599.50 | 4.3× |
| X-Rays Bone Survey Complete (77075) | $992.90 | $1,241.13 | 8.9× |
| Xr c-spine 4 or 5 views (72050) | $597.23 | $746.54 | 5.3× |
| Xr facial bones less than 3 views (70140) | $375.76 | $469.70 | 4.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $239.94 | $299.92 | 2.1× |
| Xr orbits complete 4 views (70200) | $680.83 | $851.04 | 6.1× |
| Xr Tomogram Single Plane (76100) | $400.45 | $500.56 | 3.6× |
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.