Imaging prices at Kentucky River Medical Center
Jackson, KY · every code in this section with a posted price and a Medicare benchmark.
234 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $385.64 | $642.73 | 3.9× |
| Acute gastrointestinal blood loss imaging (78278) | $1,626.03 | $2,710.05 | 4.3× |
| Angiography extremity bilateral rs&i (75716) | $5,830.06 | $9,716.76 | 2.0× |
| Angiography extremity unilateral rs&i (75710) | $5,852.06 | $9,753.43 | 2.0× |
| Angiography internal mammary rs&i (75756) | $2,307.73 | $3,846.21 | 0.8× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $5,833.84 | $9,723.07 | 2.0× |
| Angrph Cath F-Up Std Tcat Other Than Thrombylsis (75898) | $960.29 | $1,600.48 | 0.3× |
| Ankle 2 views (73600) | $317.32 | $528.86 | 3.9× |
| Antegrade urography radiological supvj & interpj (74425) | $466.10 | $776.83 | 1.4× |
| Aortogram thoracic (75605) | $7,056.79 | $11,761.31 | 1.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $5,469.47 | $9,115.79 | 1.8× |
| Aortography abdominal serialography rs&i (75625) | $5,830.06 | $9,716.76 | 2.0× |
| Arthrogram shoulder (73040) | $801.63 | $1,336.05 | 2.4× |
| Arthrography knee lt (73580) | $801.63 | $1,336.05 | 2.4× |
| Bone &/Joint Imaging Limited Area (78300) | $1,347.44 | $2,245.73 | 3.6× |
| Bone &/joint imaging whole body (78306) | $2,216.63 | $3,694.39 | 5.9× |
| Bone age studies (77072) | $772.04 | $1,286.73 | 7.9× |
| Bone Imaging 3 Phase (78315) | $1,552.41 | $2,587.35 | 4.1× |
| Bone survey complete (77075) | $1,563.03 | $2,605.05 | 15.9× |
| Cervical spine 2 or 3 views (72040) | $490.40 | $817.33 | 6.0× |
| Chest 1 view (71045) | $359.83 | $599.72 | 4.4× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,117.43 | $1,862.39 | 6.8× |
| Clavicle complete (73000) | $317.32 | $528.86 | 3.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $300.34 | $500.56 | 3.1× |
| CT abdomen and pelvis without and with contrast (74178) | $7,640.56 | $12,734.26 | 23.3× |
| CT abdomen and pelvis without contrast (74176) | $5,960.62 | $9,934.37 | 26.6× |
| CT abdomen w contrast (74160) | $3,080.51 | $5,134.19 | 18.7× |
| CT abdomen w wo contrast (74170) | $3,819.90 | $6,366.50 | 23.2× |
| CT abdomen w/o contrast (74150) | $2,981.06 | $4,968.44 | 30.4× |
| CT angio hrt w/3d image (75574) | $3,080.51 | $5,134.19 | 9.4× |
| CT angiography upper extremity lt (73206) | $3,080.51 | $5,134.19 | 18.7× |
| CT c-spine w/o contrast (72125) | $2,981.06 | $4,968.44 | 30.4× |
| CT cervical spine w&w/o contrast (72127) | $3,819.90 | $6,366.50 | 23.2× |
| CT cervical spine with contrast (72126) | $3,078.99 | $5,131.65 | 9.4× |
| CT chest w/wo contrast (71270) | $3,819.90 | $6,366.50 | 23.2× |
| CT chest with contrast (71260) | $3,080.51 | $5,134.19 | 18.7× |
| CT colonography w/dye (74262) | $3,556.48 | $5,927.47 | 21.6× |
| CT colonography w/o cntrst (74261) | $3,080.51 | $5,134.19 | 31.4× |
| CT head/brain with contrast (70460) | $3,080.51 | $5,134.19 | 18.7× |
| CT head/brain without and with contrast (70470) | $3,819.90 | $6,366.50 | 23.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $3,080.51 | $5,134.19 | 37.7× |
| CT hrt w/3d image congen (75573) | $3,318.88 | $5,531.47 | 10.1× |
| CT iac w contrast (70481) | $2,382.88 | $3,971.46 | 14.5× |
| CT limited/localized follow up study (76380) | $1,098.45 | $1,830.75 | 13.5× |
| CT lower ext w/o (73700) | $2,382.88 | $3,971.46 | 24.3× |
| CT lower extremity with contrast (73701) | $2,677.42 | $4,462.37 | 16.3× |
| CT lumbar spine w & w/o contrast (72133) | $3,819.90 | $6,366.50 | 23.2× |
| CT lumbar spine w/o contrast (72131) | $3,078.99 | $5,131.65 | 31.4× |
| CT lumbar spine with contrast (72132) | $3,080.51 | $5,134.19 | 9.4× |
| CT maxillofacial w contrast (70487) | $3,080.51 | $5,134.19 | 18.7× |
| CT maxillofacial w/o contrast (70486) | $2,981.06 | $4,968.44 | 30.4× |
| CT maxillofacial w/wo contrast (70488) | $3,819.90 | $6,366.50 | 23.2× |
| CT neck soft tissue w contrast (70491) | $3,080.51 | $5,134.19 | 18.7× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $2,633.39 | $4,388.98 | 16.0× |
| CT orbits w/o contrast (70480) | $2,382.88 | $3,971.46 | 24.3× |
| CT pelvis w & w/o contrast (72194) | $3,819.90 | $6,366.50 | 23.2× |
| CT pelvis w/o contrast (72192) | $2,981.06 | $4,968.44 | 30.4× |
| CT scan for measuring calcium and other minerals in bone (77078) | $1,494.71 | $2,491.18 | 18.3× |
| CT soft tissue neck w/o & w/contrast material (70492) | $3,819.90 | $6,366.50 | 23.2× |
| CT soft tissue neck w/o contrast (70490) | $2,981.06 | $4,968.44 | 30.4× |
| CT thoracic spine w/contrast (72129) | $3,078.99 | $5,131.65 | 18.7× |
| CT thoracic spine w/o contrast (72128) | $2,981.06 | $4,968.44 | 30.4× |
| CT thoracic spine w/wo contrast (72130) | $3,819.90 | $6,366.50 | 23.2× |
| CT thorax w/o contrast (71250) | $2,981.06 | $4,968.44 | 30.4× |
| CT upper extremity w/o & w/contrast material (73202) | $3,309.76 | $5,516.27 | 20.1× |
| CT upper extremity w/o contrast rt (73200) | $2,382.88 | $3,971.46 | 24.3× |
| CT upper extremity with contrast (73201) | $2,677.42 | $4,462.37 | 8.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,080.51 | $5,134.19 | 18.7× |
| Cta Abdomen (74175) | $3,080.51 | $5,134.19 | 18.7× |
| CTA abdomen pelvis (74174) | $6,161.79 | $10,269.65 | 18.8× |
| CTA chest (71275) | $3,080.51 | $5,134.19 | 18.7× |
| Cta Head (70496) | $3,080.51 | $5,134.19 | 18.7× |
| CTA lwr ext w&w/o contrast (73706) | $3,080.51 | $5,134.19 | 18.7× |
| Cta Neck (70498) | $3,080.51 | $5,134.19 | 18.7× |
| Cta Pelvis (72191) | $3,080.51 | $5,134.19 | 18.7× |
| Cystography minimum 3 views rs&i (74430) | $960.29 | $1,600.48 | 2.9× |
| Dxa bone density study 1/> sites axial skel (77080) | $491.90 | $819.84 | 5.0× |
| Echoencephalography real time imaging (76506) | $721.35 | $1,202.25 | 7.4× |
| Esophagus (74220) | $901.07 | $1,501.79 | 5.5× |
| Fetal biophysical profile non-stress testing (76818) | $836.93 | $1,394.88 | 8.5× |
| Foot 2 views (73620) | $317.32 | $528.86 | 3.9× |
| Forearm 2 views (73090) | $317.32 | $528.86 | 3.9× |
| Gated Heart Planar Single (78472) | $2,271.29 | $3,785.49 | 6.1× |
| Hand 2 views (73120) | $317.32 | $528.86 | 3.2× |
| Hand 3 views (73130) | $385.64 | $642.73 | 4.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $2,073.16 | $3,455.26 | 4.1× |
| Hepatobiliary syst imaging including gallbladder (78226) | $1,676.89 | $2,794.82 | 4.5× |
| Ht muscle image spect sing (78451) | $2,073.92 | $3,456.53 | 1.7× |
| Humerus Min 2 Views Left (73060) | $317.32 | $528.86 | 3.9× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $1,672.34 | $2,787.23 | 3.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $1,672.34 | $2,787.23 | 3.3× |
| Knee 3 views (73562) | $385.64 | $642.73 | 4.7× |
| Liver & spleen imaging static only (78215) | $2,288 | $3,813.33 | 6.1× |
| Lung Ventilation Imaging (78579) | $2,075.43 | $3,459.05 | 5.5× |
| Lymphoscintigraphy (78195) | $1,581.24 | $2,635.40 | 3.1× |
| Mammary ductogram or galactogram single (77053) | $907.91 | $1,513.18 | 4.1× |
| Meckels Diverticulum (78290) | $1,616.93 | $2,694.88 | 4.3× |
| MRA head w & w/o contrast (70546) | $3,926.39 | $6,543.99 | 12.0× |
| MRA head w/o contrast (70544) | $3,323.12 | $5,538.54 | 14.8× |
| MRA head with contrast (70545) | $3,927.08 | $6,545.13 | 12.0× |
| MRA neck w contrast (70548) | $3,927.08 | $6,545.13 | 12.0× |
| MRA neck w/o contrast (70547) | $3,323.12 | $5,538.54 | 14.8× |
| MRI abdomen w/o & w/contrast material (74183) | $3,926.39 | $6,543.99 | 12.0× |
| MRI abdomen w/o contrast (74181) | $3,614.18 | $6,023.63 | 16.1× |
| MRI any jnt lwr ext with con lt (73722) | $3,614.18 | $6,023.63 | 4.9× |
| MRI c-spine with contrast (72142) | $3,927.08 | $6,545.13 | 12.0× |
| MRI cervical spine w/o contrast (72141) | $3,323.12 | $5,538.54 | 14.8× |
| MRI chest w/o contrast (71550) | $3,614.18 | $6,023.63 | 16.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,323.12 | $5,538.54 | 14.8× |
| MRI orbit face &/neck w/o contrast (70540) | $3,963.30 | $6,605.50 | 17.7× |
| MRI orbit/face/neck w&w/o cont (70543) | $3,926.39 | $6,543.99 | 12.0× |
| MRI pelvis w contrast (72196) | $3,614.18 | $6,023.63 | 11.0× |
| MRI pelvis w/o & w/contrast material (72197) | $3,926.39 | $6,543.99 | 12.0× |
| MRI pelvis w/o contrast (72195) | $3,614.18 | $6,023.63 | 16.1× |
| MRI scan of arm joint before and after contrast (73223) | $3,926.39 | $6,543.99 | 12.0× |
| MRI scan of leg joint before and after contrast (73723) | $3,926.39 | $6,543.99 | 12.0× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $3,926.39 | $6,543.99 | 12.0× |
| MRI spinal canal lumbar w/contrast material (72149) | $3,614.18 | $6,023.63 | 11.0× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $3,926.39 | $6,543.99 | 12.0× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $3,614.18 | $6,023.63 | 11.0× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $3,926.39 | $6,543.99 | 12.0× |
| MRI thoracic spine w/o contrast (72146) | $3,323.12 | $5,538.54 | 14.8× |
| MRI tmj (70336) | $3,323.12 | $5,538.54 | 14.8× |
| MRI upper ext joint w/o contrast (73221) | $3,614.18 | $6,023.63 | 16.1× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $3,614.18 | $6,023.63 | 11.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,323.12 | $5,538.54 | 14.8× |
| Myocardial Spect Multiple Studies (78452) | $3,020.54 | $5,034.24 | 2.5× |
| Neck soft tissue (70360) | $258.11 | $430.18 | 3.2× |
| Nm gastric emptying study (78264) | $1,676.89 | $2,794.82 | 4.5× |
| Nuclear medicine of heart pumping function (78473) | $4,359.62 | $7,266.04 | 11.6× |
| Osseous survey limited (77074) | $1,589.60 | $2,649.34 | 16.2× |
| Parathyrd planar w/wo subtrj (78071) | $1,187.27 | $1,978.79 | 3.2× |
| Parathyroid imaging (78070) | $1,123.50 | $1,872.50 | 3.0× |
| Pelvis 1 or 2 views (72170) | $284.67 | $474.45 | 2.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $3,614.18 | $6,023.63 | 11.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,075.43 | $3,459.05 | 5.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $4,150.88 | $6,918.13 | 8.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $795.56 | $1,325.94 | 1.6× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $593.63 | $989.38 | 6.1× |
| Radex hips bilateral with pelvis 2 views (73521) | $658.91 | $1,098.19 | 6.7× |
| Radex mastoids compl minimum 3 views pr side (70130) | $1,066.57 | $1,777.61 | 10.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $658.91 | $1,098.19 | 6.7× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $289.22 | $482.04 | 3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $422.83 | $704.72 | 4.3× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $490.40 | $817.33 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $752.29 | $1,253.82 | 4.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,072.64 | $1,787.73 | 6.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $317.32 | $528.86 | 3.9× |
| Radiological examination surgical specimen (76098) | $896.52 | $1,494.20 | 1.7× |
| Ribs bilateral 3 views (71110) | $663.47 | $1,105.78 | 6.8× |
| Rp loclzj tum plnr whole body single day imaging (78802) | $1,534.19 | $2,556.98 | 3.0× |
| Scanogram (77073) | $965.61 | $1,609.35 | 9.8× |
| Scapula complete (73010) | $341.62 | $569.36 | 3.5× |
| Screening digital breast tomosynthesis (77063) | $581.29 | $968.82 | 24.9× |
| Small bowel series (74250) | $751.54 | $1,252.56 | 4.6× |
| Spine thoracic 3 views (72072) | $490.40 | $817.33 | 5.0× |
| Testicular Imaging With Vascular Flow (78761) | $1,230.53 | $2,050.89 | 3.3× |
| Therapeutic Enema (74283) | $752.29 | $1,253.82 | 4.6× |
| Thoracolumbar 2 views (72080) | $490.40 | $817.33 | 6.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,005.08 | $1,675.14 | 2.7× |
| Thyroid uptake measurement (78012) | $1,005.08 | $1,675.14 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,672.34 | $2,787.23 | 4.5× |
| Tomogram (76100) | $913.22 | $1,522.03 | 9.3× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $1,534.19 | $2,556.98 | 4.1× |
| Ultrasound, abdomen limited (76705) | $777.94 | $1,296.57 | 7.9× |
| Unlisted Ultrasound Procedure (76999) | $221.59 | $369.31 | 2.7× |
| Upper Extremity Infant (73092) | $317.32 | $528.86 | 3.2× |
| Ureteral Reflux Study Rp Voiding Cystogram (78740) | $1,152.35 | $1,920.59 | 3.1× |
| Urethrocystography retrograde rs&i (74450) | $649.80 | $1,083 | 2.9× |
| Urography (pyelography), intravenous, with or without KUB, with or without tomography (74400) | $1,252.55 | $2,087.58 | 7.6× |
| Us breast unilateral complete (76641) | $647.22 | $1,078.70 | 6.6× |
| Us breast unilateral limited (76642) | $647.22 | $1,078.70 | 7.9× |
| Us chest (76604) | $739.69 | $1,232.81 | 7.5× |
| Us compl joint r-t w/image documentation (76881) | $777.94 | $1,296.57 | 7.9× |
| Us pelvic non ob complete (76856) | $867.22 | $1,445.36 | 8.8× |
| Us pregnancy ltd (76815) | $721.35 | $1,202.25 | 7.4× |
| Us retroperitoneal complete (76770) | $756.42 | $1,260.70 | 7.7× |
| Us retroperitoneal limited (76775) | $799.46 | $1,332.44 | 8.2× |
| Us scrotum and contents (76870) | $568.31 | $947.19 | 5.8× |
| Us soft tissue head/neck (76536) | $709.40 | $1,182.33 | 7.2× |
| Us spinal canal and contents (76800) | $721.35 | $1,202.25 | 7.4× |
| Us transrectal (76872) | $721.35 | $1,202.25 | 7.4× |
| Us xtr non-vasc lmtd (76882) | $387.38 | $645.64 | 3.9× |
| Venogram extremity bilateral (75822) | $1,907.67 | $3,179.45 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $6,444.95 | $10,741.58 | 2.2× |
| Venography extremity unilateral rs&i (75820) | $1,630.58 | $2,717.64 | 1.1× |
| Wrist 2 views (73100) | $317.32 | $528.86 | 3.9× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $686.25 | $1,143.75 | 7.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $317.32 | $528.86 | 3.9× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $385.64 | $642.73 | 4.7× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $1,107.56 | $1,845.94 | 6.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $317.32 | $528.86 | 3.9× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $385.64 | $642.73 | 4.7× |
| X-ray exam hip uni 1 view (73501) | $247.47 | $412.45 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $320.36 | $533.93 | 3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $795.56 | $1,325.94 | 8.1× |
| X-ray eye for foreign body (70030) | $356.02 | $593.37 | 4.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $644.49 | $1,074.15 | 6.6× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $548.08 | $913.46 | 6.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $385.64 | $642.73 | 4.7× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $317.32 | $528.86 | 3.9× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $516.20 | $860.34 | 5.3× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $385.64 | $642.73 | 4.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $490.40 | $817.33 | 5.0× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $359.83 | $599.72 | 4.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $623.99 | $1,039.99 | 6.4× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $663.47 | $1,105.78 | 6.8× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $568.58 | $947.64 | 1.7× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $362.11 | $603.51 | 4.4× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $422.83 | $704.72 | 4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $776.57 | $1,294.29 | 7.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $385.64 | $642.73 | 3.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $371.98 | $619.96 | 4.6× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $336.29 | $560.48 | 4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $658.91 | $1,098.19 | 8.1× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $422.83 | $704.72 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $743.18 | $1,238.64 | 7.6× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $438.77 | $731.28 | 4.5× |
| X-Ray Spine One View - Xr Spine (72020) | $315.79 | $526.32 | 3.9× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $317.32 | $528.86 | 3.9× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $359.83 | $599.72 | 4.4× |
| X-Ray Teeth Single - Xr Teeth 1 View (70300) | $230.01 | $383.35 | 2.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $258.11 | $430.18 | 3.2× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $385.64 | $642.73 | 4.7× |
| Xr chest 4+ views (71048) | $818.33 | $1,363.89 | 8.3× |
| Xr Cholecystography Oral Contrast (74290) | $658.91 | $1,098.19 | 4.0× |
| Xr finger(s) 2+ views (73140) | $258.11 | $430.18 | 3.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $510.89 | $851.48 | 5.2× |
| Xr optic foramina (70190) | $359.83 | $599.72 | 4.4× |
| Xr shoulder 1 view (73020) | $240.64 | $401.07 | 2.9× |
| Xr spine cervical 4 or 5 views (72050) | $686.25 | $1,143.75 | 7.0× |
| Xr tibia/fibula 2 views (73590) | $385.64 | $642.73 | 4.7× |
| Xr tmj bilateral (70330) | $510.89 | $851.48 | 6.3× |
| Xray knee 1 or 2 views rt (73560) | $317.32 | $528.86 | 3.9× |