Imaging prices at Jupiter Medical Center

Jupiter, FL · every code in this section with a posted price and a Medicare benchmark.

334 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,443 $5,443 3.8×
Abdomen 1 View (74018) $468 $468 5.1×
Abdomen 2 views (74019) $677 $677 6.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,386 $1,386 3.3×
Angio pulmonary bilat (75743) $5,133 $5,133 1.6×
Angiography Adrenal Bilateral Slctv Rs&I (75733)
range across 2 matching MRF lines		 $3,893–$5,794 $3,893–$5,794 varies
Angiography extremity bilateral rs&i (75716) $3,757 $3,757 1.1×
Angiography extremity unilateral rs&i (75710) $3,757 $3,757 1.1×
Angiography pulmonary unilateral slctv rs&i (75741) $8,930 $8,930 2.7×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $4,025 $4,025 1.2×
Ankle 2 views (73600) $390 $390 4.3×
Aortography thoracic w/o serialography rs&i (75600) $15,797 $15,797 4.8×
Artery X-Rays Abdomen (75726) $5,292 $5,292 0.9×
Artery X-Rays Adrenal Gland (75731) $4,025 $4,025 1.2×
Artery X-Rays Pelvis (75736) $5,292 $5,292 0.9×
Artery X-Rays Spine (75705) $6,092 $6,092 1.0×
Arthrogram ankle (73615) $556 $556 1.5×
Arthrogram hip (73525) $463 $463 1.3×
Arthrogram Wrist (73115) $463 $463 1.3×
Basic radiation dosimetry calculation (77300) $1,209 $1,209 8.6×
Bone age studies (77072) $495 $495 4.5×
Bone Imaging 3 Phase (78315) $1,556 $1,556 3.7×
Bone Imaging Limited Area (78300) $1,593 $1,593 3.8×
Bone Imaging Whole Body (78306) $2,463 $2,463 5.9×
Bone survey infant (77076) $501 $501 4.6×
Brachytx isodose complex (77318) $2,537 $2,537 6.5×
Brachytx isodose intermed (77317) $2,108 $2,108 5.4×
Brachytx Isodose Plan Simple (77316) $1,497 $1,497 3.8×
Brain Flow Imaging Only (78610) $1,101 $1,101 1.9×
Brain Imaging Pet Metabolic Evaluation (78608)
range across 2 matching MRF lines		 $4,300–$4,644 $4,300–$4,644 varies
Cardiac MRI w/w/o contrast & further seq (75561) $3,666 $3,666 10.1×
Cerebrospinal Fluid Scan (78630) $1,616 $1,616 2.9×
Chest 1 view (71045)
range across 2 matching MRF lines		 $702–$1,185 $702–$1,185 varies
Chest 2 views (71046)
range across 2 matching MRF lines		 $501–$702 $501–$702 varies
Chest 3 views (71047) $1,003 $1,003 11.0×
Chest 4 or more views (71048) $1,117 $1,117 10.2×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $486 $486 4.5×
Cisternography Positive Contrast Rs&I (70015) $12,631 $12,631 15.4×
Clavicle complete (73000) $535 $535 5.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,510 $1,510 13.8×
Continuing medical physics consltj pr wk (77336) $1,449 $1,449 10.3×
Contrast Exam Abdominl Aorta (75625) $3,240 $3,240 1.0×
Contrast X-Ray Bladder (74430) $748 $748 2.1×
Contrast X-Ray Of Elbow (73085) $496 $496 1.4×
Contrast X-Ray Of Knee Joint (73580) $556 $556 1.5×
CT abdomen and pelvis without and with contrast (74178) $1,242 $1,242 3.4×
CT abdomen and pelvis without contrast (74176) $1,242 $1,242 5.0×
CT abdomen w contrast (74160) $1,242 $1,242 6.8×
CT abdomen w wo contrast (74170) $1,242 $1,242 6.8×
CT abdomen w/o contrast (74150) $1,242 $1,242 11.4×
CT Angio Abdomen and Pelvis (74174) $1,242 $1,242 3.4×
CT Angio Chest (71275) $1,242 $1,242 6.8×
CT Angio Head (70496) $1,242 $1,242 6.8×
CT angio hrt w/3d image (75574) $1,639 $1,639 4.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,863 $1,863 10.2×
CT Angio Neck (70498) $1,242 $1,242 6.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,242 $1,242 6.8×
CT cervical spine w/ contrast (72126) $1,242 $1,242 3.4×
CT cervical spine w/o contrast (72125) $1,242 $1,242 11.4×
CT cervical spine w/wo cont (72127) $1,242 $1,242 6.8×
CT chest w contrast (71260) $1,242 $1,242 6.8×
CT chest w/wo contrast (71270) $1,242 $1,242 6.8×
CT colonography screening (74263) $935 $935 3.8×
CT colonogrphy dx image postprocess w/o contrast (74261) $935 $935 8.6×
CT head/brain with contrast (70460) $1,242 $1,242 6.8×
CT head/brain without and with contrast (70470) $1,242 $1,242 6.8×
CT heart contrast eval cardiac structure&morph (75572) $1,639 $1,639 4.5×
CT heart no contrast quant eval coronry calcium (75571) $1,480 $1,480 16.3×
CT iac w contrast (70481) $1,242 $1,242 6.8×
CT l-spine w&w/o contrast (72133) $1,242 $1,242 6.8×
CT lower ext w/o (73700) $1,242 $1,242 11.4×
CT lower extremity w/contrast material (73701) $1,242 $1,242 6.8×
CT lumbar spine w contrast (72132) $1,242 $1,242 3.4×
CT lumbar spine w/o contrast (72131) $1,242 $1,242 11.4×
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines		 $1,150–$1,242 $1,150–$1,242 varies
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines		 $1,150–$1,242 $1,150–$1,242 varies
CT neck tissue combo (70492) $1,242 $1,242 6.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,150 $1,150 6.3×
CT orbits w/o contrast (70480)
range across 2 matching MRF lines		 $1,150–$1,242 $1,150–$1,242 varies
CT pelvis w&w/o contrast (72194) $1,242 $1,242 6.8×
CT pelvis w/o contrast (72192) $1,242 $1,242 11.4×
CT soft tissue neck w contrast (70491) $1,242 $1,242 6.8×
CT soft tissue neck w/o contrast (70490) $1,242 $1,242 11.4×
CT thoracic spine w contrast (72129) $1,242 $1,242 6.8×
CT thoracic spine w/o contrast (72128) $1,242 $1,242 11.4×
CT thorax w/o contrast (71250) $1,242 $1,242 11.4×
CT unlisted procedure (76497) $1,610 $1,610 17.7×
CT upper ext wo (73200) $1,242 $1,242 11.4×
CT upper extremity with contrast (73201) $1,242 $1,242 3.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,242 $1,242 6.8×
Cta Abdomen (74175) $1,242 $1,242 6.8×
CTA pelvis (72191) $1,242 $1,242 6.8×
Diskography lumbar (72295) $2,054 $2,054 1.0×
Dxa Bone Density Axial (77080) $617 $617 5.7×
Dxa bone density study (77085) $486 $486 4.5×
Esophagram (74220) $613 $613 3.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,920 $1,920 17.6×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines		 $618–$668 $618–$668 varies
Follow-Up Angiography (75898) $4,041 $4,041 1.2×
Foot 2 views (73620) $508 $508 5.6×
Forearm 2 views (73090) $501 $501 5.5×
Gastric emptying imaging study (78264) $1,654 $1,654 4.0×
Gated Heart Planar Single (78472) $2,198 $2,198 5.3×
Hand 2 views (73120) $501 $501 4.6×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $7,916 $7,916 10.9×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $7,794 $7,794 10.7×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $7,673 $7,673 10.5×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $3,307 $3,307 1.0×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $4,308 $4,308 1.3×
Hepatobil Syst Image W/Drug (78227)
range across 2 matching MRF lines		 $1,085–$1,172 $1,085–$1,172 varies
Ht Muscle Image Spect Sing (78451) $6,525 $6,525 4.8×
Hysterosalpingogram (74740) $1,672 $1,672 6.7×
Infant hip ultrasound with hip movement (dynamic) (76885) $947 $947 10.4×
Infant hip ultrasound, limited static exam (76886) $486 $486 5.3×
Intracavitary Radiation Source Applic Complex (77763) $13,581.40 $13,581.40 18.7×
Intracavitary Radiation Source Applic Intermed (77762) $21,588.70 $21,588.70 37.4×
Intracavitary radiation source applic simple (77761) $23,494.05 $23,494.05 40.7×
Intraop radiaj tx deliver electrons sngl tx sess (77425) $21,887 $21,887 2.8×
K Flow/Funct Image W/Drug (78708) $1,507 $1,507 2.7×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $8,027 $8,027 19.2×
Knee 3 Views (73562) $501 $501 5.5×
Liver & Spleen Imaging Static Only (78215) $1,820 $1,820 4.4×
Liver imaging static only (78201) $3,986 $3,986 7.0×
Lung Perf&Ventilat Diferentl (78598) $1,108 $1,108 2.0×
Lung perfusion differential (78597) $730 $730 1.7×
Lung Ventilat&Perfus Imaging (78582) $948 $948 1.7×
Lymph System Imaging (78195) $666 $666 1.2×
Magnetic Image Jaw Joint (70336) $1,533 $1,533 6.2×
Meckels Divert Exam (78290) $1,338 $1,338 3.2×
Mlc imrt design & construction per imrt plan (77338) $632 $632 1.6×
Mr safety determination physician/other qhp (76016) $354 $354 3.9×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $98 $98 3.2×
Mr safety implt electronics prepj supvj phys/qhp (76018) $369 $369 3.7×
Mr safety implt pos&/immoblj (76019) $238 $238 3.9×
Mr safety med physics xm customization plng&mntr (76017) $971 $971 3.9×
Mra Head W/O & W/Contrast Material (70546) $1,533 $1,533 4.2×
MRA head w/o contrast (70544) $1,533 $1,533 6.2×
MRA head with contrast (70545) $1,533 $1,533 4.2×
MRA neck w contrast (70548) $1,533 $1,533 4.2×
Mra Neck W/O &W/Contrast Material (70549) $1,533 $1,533 4.2×
MRA neck w/o contrast (70547) $1,533 $1,533 6.2×
MRI abdomen w contrast (74182) $1,533 $1,533 4.2×
MRI abdomen w/o contrast (74181) $1,533 $1,533 6.2×
MRI any jt lower extrem w/contrast material (73722)
range across 5 matching MRF lines		 $1,419–$7,493 $1,419–$7,493 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,300 $2,300 6.3×
MRI any jt upper extremity w/contrast matrl (73222)
range across 6 matching MRF lines		 $1,419–$1,533 $1,419–$1,533 varies
MRI Breast W/O Contrast Bilateral (77047) $2,300 $2,300 9.2×
MRI Breast Without Contrast Material Unilateral (77046) $1,533 $1,533 6.2×
MRI cardiac w/o contrast (75557) $4,024 $4,024 16.1×
MRI cervical spine w contrast (72142) $1,533 $1,533 4.2×
MRI cervical spine w/o cont (72141) $1,533 $1,533 6.2×
MRI chest w/o contrast (71550) $1,533 $1,533 6.2×
MRI chest with contrast (71551) $1,419 $1,419 1.7×
MRI chest wo w contrast (71552) $1,533 $1,533 4.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,419 $1,419 3.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,300 $2,300 6.3×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,300 $2,300 9.2×
MRI lumbar spine w contrast (72149) $1,533 $1,533 4.2×
Mri Neck Spine W/O & W/Dye (72156) $1,533 $1,533 4.2×
MRI orbit face &/neck w/o contrast (70540)
range across 2 matching MRF lines		 $1,419–$1,533 $1,419–$1,533 varies
MRI orbit face neck w contrast (70542) $1,533 $1,533 4.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 2 matching MRF lines		 $1,419–$1,533 $1,419–$1,533 varies
MRI pelvis w contrast (72196) $1,533 $1,533 4.2×
MRI pelvis w/o & w contrast (72197) $1,533 $1,533 4.2×
MRI pelvis w/o contrast (72195) $1,533 $1,533 6.2×
MRI spectroscopy (76390) $5,470 $5,470 60.2×
MRI thoracic spine w/o contrast (72146) $1,533 $1,533 6.2×
MRI upper extremity oth than jt w/contr matrl (73219) $1,419 $1,419 3.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,533 $1,533 6.2×
Mri Uppr Extremity W/O&W/Dye (73220) $1,533 $1,533 4.2×
MRI, abdomen, combo (74183) $1,533 $1,533 4.2×
MRI, dorsal spine combo (72157) $1,533 $1,533 4.2×
MRI, dorsal spine contrast (72147) $1,533 $1,533 4.2×
MRI, joint upper extrem (73221) $2,300 $2,300 9.2×
MRI, joint upper extrem combo (73223) $1,533 $1,533 4.2×
MRI, lumbar spine combo (72158) $1,533 $1,533 4.2×
Myocardial Spect Multiple Studies (78452) $1,556 $1,556 1.2×
N-invas est c ffr sw aly CTA (75580) $2,152 $2,152 2.4×
Neck soft tissue (70360) $519 $519 5.7×
Nonvascular Shunt X-Ray (75809) $626 $626 5.7×
Ntsty modul radthx pln dose-vol histos (77301) $5,139 $5,139 3.6×
Nuclear Rx Intra-Arterial (79445) $589 $589 2.4×
Nuclear Rx Oral Admin (79005)
range across 2 matching MRF lines		 $1,719–$1,857 $1,719–$1,857 varies
Optic foramina (70190) $185 $185 2.0×
Parathyroid Planar Imaging (78070) $1,398 $1,398 3.3×
Pelvis 1 or 2 views (72170) $501 $501 4.6×
Pet Image W/Ct Lmtd (78814) $4,644 $4,644 3.1×
PET image w/CT, full body (78816) $4,644 $4,644 3.1×
PET imaging CT attenuation skull base mid-thigh (78815) $4,644 $4,644 3.1×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $3,307 $3,307 1.0×
Pulmonary Perfusion Imaging Particulate (78580) $1,791 $1,791 4.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $668 $668 6.1×
Radex abscess/fistula/sinus tract rs&i (76080) $796 $796 1.4×
Radex Ankle Complete Minimum 3 Views (73610) $501 $501 5.5×
Radex Calcaneus Minimum 2 Views (73650) $518 $518 5.7×
Radex elbow complete minimum 3 views (73080) $501 $501 5.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $763 $763 7.0×
Radex fingr minimum 2 views (73140) $502 $502 5.5×
Radex foot complete minimum 3 views (73630) $532 $532 5.9×
Radex Hand Minimum 3 Views (73130) $501 $501 5.5×
Radex lower extremity infant minimum 2 views (73592) $363 $363 4.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $859 $859 7.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $646 $646 7.1×
Radex shoulder complete minimum 2 views (73030) $603 $603 6.6×
Radex Sinuses Paransl < 3 Views (70210) $430 $430 4.7×
Radex Spine 1 View Specify Level (72020) $501 $501 5.5×
Radex Sternum Minimum 2 Views (71120) $596 $596 6.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $1,280 $1,280 14.1×
Radex Toe Minimum 2 Views (73660) $498 $498 5.5×
Radex upper extremity infant minimum 2 views (73092) $360 $360 3.3×
Radex Wrist Complete Minimum 3 Views (73110) $645 $645 7.1×
Radiation Delivery Stereotactic Cranial Linear (77372) $20,778 $20,778 2.7×
Radiation treatment delivery level 1 (77402) $922 $922 8.7×
Radiation treatment delivery level 2 (77407) $1,156 $1,156 2.9×
Radiation treatment delivery level 3 (77412) $4,088 $4,088 7.1×
Radiolog exam mandible compl minimum 4 views (70110) $501 $501 4.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $599 $599 5.5×
Radiologic exam colon double contrast study (74280) $501 $501 2.7×
Radiologic exam colon single contrast study (74270) $501 $501 2.7×
Radiologic exam knee complete 4/more views (73564) $501 $501 4.6×
Radiologic exam pelvis compl minimum 3 views (72190) $501 $501 4.6×
Radiologic Exam Small Int Single Contrast Study (74250) $501 $501 2.7×
Radiologic exam swallow function contrast study (74230) $501 $501 2.7×
Radiologic exam upr gi trc double contrast study (74246) $501 $501 2.7×
Radiologic examination femur 1 view (73551) $501 $501 5.5×
Radiologic examination femur minimum 2 views (73552) $501 $501 5.5×
Radiologic examination knee 1/2 views (73560) $501 $501 5.5×
Radiologic Examination Osseous Survey Limited (77074) $1,308 $1,308 12.0×
Radiologic examination tibia & fibula 2 views (73590) $501 $501 5.5×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $1,421 $1,421 3.5×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $997 $997 2.5×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,295 $1,295 3.1×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,217 $2,217 3.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $3,024 $3,024 5.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,024 $3,024 5.3×
Scapula (73010) $681 $681 6.2×
Screening Digital Breast Tomosynthesis Bi (77063) $87 $87 3.7×
Shoulder 1 view (73020) $490 $490 5.4×
Shoulder Arthrography (73040) $556 $556 1.5×
Skull less than 4 views (70250) $623 $623 5.7×
Special dosimetry (77331) $476 $476 3.4×
Special Physics Consult (77370) $816 $816 5.8×
Special teletherapy port plan (77321) $1,023 $1,023 2.6×
Special treatment procedure (77470) $3,984 $3,984 6.9×
Stereotactic Body Radiation Delivery (77373) $18,778 $18,778 10.1×
Sternoclavicular joints (71130) $369 $369 4.1×
Tbs technical calculation only (77091) $278 $278 3.1×
Telethx isodose pln cplx w/basic dosimetry (77307) $2,448 $2,448 6.3×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $4,730 $4,730 12.1×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,029 $1,029 2.6×
Ther rad simulaj-aided field setting simple (77280) $2,866 $2,866 20.4×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $501 $501 2.7×
Thoracic spine 2 views (72070) $501 $501 4.6×
Thoracic spine 3 views (72072) $501 $501 4.6×
Thoracolumbar 2 views (72080) $501 $501 5.5×
Thyroid Met Imaging Body (78018) $1,221 $1,221 2.2×
Thyroid Uptake Measurement (78012) $685 $685 1.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,104 $1,104 2.6×
Tx Devices Design & Construction Complex (77334) $3,639 $3,639 9.3×
Tx devices design & construction intermediate (77333) $753 $753 5.4×
Tx devices design & construction simple (77332) $551 $551 3.9×
Ultrasound Breast Limited (76642) $730 $730 8.0×
Ultrasound Elastography Parenchyma (76981) $234 $234 2.1×
Ultrasound Exam Aaa Screen (76706) $535 $535 4.9×
Ultrasound, abdomen limited (76705) $1,096 $1,096 10.0×
Umbilical-artery Doppler (OB) (76820) $297 $297 2.7×
Unlisted Dx Radiographic Procedure (76499) $139 $139 1.5×
Unlisted magnetic resonance procedure (76498)
range across 2 matching MRF lines		 $206–$4,418 $206–$4,418 varies
Unlisted us procedure (76999) $367 $367 4.0×
Upper gi w/o kub (74240) $501 $501 2.7×
Urethrocystogram voiding (74455) $1,257 $1,257 5.0×
Urethrocystography retrograde (74450) $501 $501 2.0×
Us breast unilateral complete (76641) $765 $765 7.0×
Us chest (76604) $656 $656 6.0×
Us complete joint (76881) $663 $663 6.1×
Us exam, pelvic, limited (76857) $730 $730 6.7×
Us head (76506) $818 $818 7.5×
Us kidney transplant (76776) $776 $776 7.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $730 $730 6.7×
Us ob detailed single fetus (76811) $972 $972 3.9×
Us ob limited 1 or more fetuses (76815) $547 $547 5.0×
Us ob transvaginal (76817) $953 $953 8.7×
Us pelvic non ob complete (76856) $601 $601 5.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $601 $601 5.5×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines		 $832–$899 $832–$899 varies
Us retroperitoneal limited (76775) $898 $898 8.2×
Us scrotum and contents (76870) $877 $877 8.0×
Us spinal canal and contents (76800) $803 $803 7.4×
Us thyroid (76536) $735 $735 6.7×
Us transrectal (76872) $948 $948 8.7×
Vein X-Ray Chest (75827) $1,779 $1,779 1.1×
Vein X-Ray Liver W/O Hemodyn (75887) $4,025 $4,025 1.2×
Venogram Sinus/Jugular (75860) $3,024 $3,024 0.9×
Venography caval inferior serialography rs&i (75825) $3,024 $3,024 0.9×
Venography extremity bilateral rs&i (75822) $2,647 $2,647 1.6×
Venography extremity unilateral rs&i (75820) $1,779 $1,779 1.1×
Venography Renal Bilateral (75833) $4,107 $4,107 1.2×
Venography Renal Unilateral (75831) $4,107 $4,107 1.2×
Venous sampling by catheter (75893) $6,506 $6,506 1.1×
Vertebral fracture assessment via dxa (77086) $175 $175 1.9×
Wrist 2 views (73100) $695 $695 7.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $341 $341 3.8×
X-Ray Aorta Leg Arteries (75630) $3,240 $3,240 1.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $501 $501 5.5×
X-Ray Exam Breast Specimen (76098) $648 $648 1.1×
X-Ray Exam Entire Spi 1 Vw (72081)
range across 2 matching MRF lines		 $694–$750 $694–$750 varies
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines		 $694–$750 $694–$750 varies
X-Ray Exam Hip Uni 1 View (73501) $501 $501 5.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $501 $501 5.5×
X-Ray Exam Hip Uni 4/> Views (73503) $751 $751 6.9×
X-Ray Exam Hips Bi 2 Views (73521) $750 $750 6.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $751 $751 6.9×
X-Ray Exam Hips Bi 5/> Views (73523) $1,125 $1,125 10.3×
X-Ray Exam L-S Spine Bending (72114) $501 $501 4.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $501 $501 5.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $501 $501 4.6×
X-Ray Exam Unilat Ribs/Chest (71101) $524 $524 4.8×
X-ray eye for foreign body (70030) $1,046 $1,046 11.5×
X-ray humerus (73060) $550 $550 6.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $396 $396 4.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $501 $501 4.6×
X-ray nose-rectum child f.b. (76010)
range across 2 matching MRF lines		 $285–$308 $285–$308 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $594 $594 5.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $613 $613 5.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $667 $667 7.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $598 $598 6.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $501 $501 4.6×
X-ray thoracic spine 4 vw (72074) $501 $501 4.6×
X-Ray Urinary Tract Exam With Contrast Material (74420) $660 $660 1.8×
X-Rays Bone Length Studies (77073) $539 $539 4.9×
X-Rays Bone Survey Complete (77075) $501 $501 4.6×
Xr c-spine 4 or 5 views (72050) $501 $501 4.6×
Xr facial bones less than 3 views (70140) $574 $574 6.3×
Xr orbits complete 4 views (70200) $501 $501 4.6×

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.