Imaging prices at Ketchikan Medical Center
Ketchikan, AK · every code in this section with a posted price and a Medicare benchmark.
249 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) | $196.30 | $302 | 2.0× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$241.15–$371.15 | $371–$571 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,586.65 | $2,441 | 3.6× |
| Angiography extremity unilateral rs&i (75710) | $5,213.65 | $8,021 | 1.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$232.70–$465.40 | $358–$716 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$947.05–$1,041.95 | $1,457–$1,603 | varies |
| Arthrogram Wrist (73115) | $1,036.75 | $1,595 | 2.7× |
| Bone age studies (77072) | $212.55 | $327 | 1.8× |
| Bone Imaging 3 Phase (78315) | $1,885.65 | $2,901 | 4.3× |
| Bone Imaging Limited Area (78300) | $956.80 | $1,472 | 2.2× |
| Bone Imaging Whole Body (78306) | $1,333.15 | $2,051 | 3.0× |
| Bone survey infant (77076) | $280.80 | $432 | 2.4× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,337.05 | $2,057 | 3.0× |
| Cardiac Shunt Detection (78428) | $1,167.40 | $1,796 | 2.6× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$163.15–$326.30 | $251–$502 | varies |
| Chest 2 views (71046) | $236.60 | $364 | 2.4× |
| Chest 3 views (71047) | $359.45 | $553 | 3.7× |
| Chest 4 or more views (71048) | $444.60 | $684 | 3.8× |
| Clavicle complete (73000) | $241.80 | $372 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $205.40 | $316 | 1.8× |
| Contrast X-Ray Bladder (74430) | $603.85 | $929 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $957.45 | $1,473 | 2.5× |
| Contrast X-Ray Of Knee Joint (73580) | $949.65 | $1,461 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $3,157.05 | $4,857 | 8.2× |
| CT abdomen and pelvis without contrast (74176) | $1,773.20 | $2,728 | 6.7× |
| CT abdomen w contrast (74160) | $2,179.45 | $3,353 | 11.2× |
| CT abdomen w wo contrast (74170) | $2,546.05 | $3,917 | 13.1× |
| CT abdomen w/o contrast (74150) | $1,467.70 | $2,258 | 12.6× |
| CT Angio Abdomen and Pelvis (74174) | $5,255.25 | $8,085 | 13.6× |
| CT Angio Chest (71275) | $3,281.20 | $5,048 | 16.9× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$4,275.05–$6,860.10 | $6,577–$10,554 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,281.15–$1,787.50 | $1,971–$2,750 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,634.15 | $5,591 | 18.7× |
| CT Angio Neck (70498) | $4,435.60 | $6,824 | 22.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,239.90 | $3,446 | 11.5× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $3,268.20 | $5,028 | 16.8× |
| CT cervical spine w/ contrast (72126) | $1,816.10 | $2,794 | 4.7× |
| CT cervical spine w/o contrast (72125) | $1,726.40 | $2,656 | 14.9× |
| CT cervical spine w/wo cont (72127) | $2,032.55 | $3,127 | 10.4× |
| CT chest w contrast (71260) | $2,133.95 | $3,283 | 11.0× |
| CT chest w/wo contrast (71270) | $2,436.85 | $3,749 | 12.5× |
| CT colonography screening (74263) | $1,415.70 | $2,178 | 5.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,560 | $2,400 | 13.4× |
| CT head/brain with contrast (70460) | $1,249.30 | $1,922 | 6.4× |
| CT head/brain without and with contrast (70470) | $1,636.05 | $2,517 | 8.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $631.80 | $972 | 1.6× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$124.80–$200.85 | $192–$309 | varies |
| CT iac w contrast (70481) | $1,517.10 | $2,334 | 7.8× |
| CT l-spine w&w/o contrast (72133) | $2,512.25 | $3,865 | 12.9× |
| CT lower ext w/o (73700) | $1,481.35 | $2,279 | 12.8× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,140.45–$4,280.90 | $3,293–$6,586 | varies |
| CT lumbar spine w contrast (72132) | $2,122.25 | $3,265 | 5.5× |
| CT lumbar spine w/o contrast (72131) | $1,700.40 | $2,616 | 14.7× |
| CT maxillofacial w contrast (70487) | $2,464.15 | $3,791 | 12.7× |
| CT maxillofacial wo contrast (70486) | $1,832.35 | $2,819 | 15.8× |
| CT neck tissue combo (70492) | $1,529.45 | $2,353 | 7.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,863.55 | $2,867 | 9.6× |
| CT orbits w/o contrast (70480) | $958.10 | $1,474 | 8.3× |
| CT pelvis w&w/o contrast (72194) | $1,757.60 | $2,704 | 9.0× |
| CT pelvis w/o contrast (72192) | $1,710.15 | $2,631 | 14.7× |
| CT scan of leg combo (73702) | $1,610.70 | $2,478 | 8.3× |
| CT scans face/jaw combo (70488) | $1,517.10 | $2,334 | 7.8× |
| CT soft tissue neck w contrast (70491) | $2,183.35 | $3,359 | 11.2× |
| CT soft tissue neck w/o contrast (70490) | $1,729 | $2,660 | 14.9× |
| CT thoracic spine w contrast (72129) | $1,638 | $2,520 | 8.4× |
| CT thoracic spine w/o contrast (72128) | $1,886.95 | $2,903 | 16.3× |
| CT thoracic spine w/wo cont (72130) | $2,021.50 | $3,110 | 10.4× |
| CT thorax w/o contrast (71250) | $1,604.20 | $2,468 | 13.8× |
| CT unlisted procedure (76497) | $230.10 | $354 | 2.4× |
| CT upper ext wo (73200) | $1,697.80 | $2,612 | 14.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,853.15 | $2,851 | 9.5× |
| CT upper extremity with contrast (73201) | $2,318.55 | $3,567 | 6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,924.70 | $6,038 | 20.2× |
| Cta Abdomen (74175) | $3,303.95 | $5,083 | 17.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$4,056.65–$6,509.10 | $6,241–$10,014 | varies |
| CTA pelvis (72191) | $2,928.25 | $4,505 | 15.0× |
| Dxa Bone Density Axial (77080) | $397.80 | $612 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $244.40 | $376 | 2.5× |
| Esophagram (74220) | $823.55 | $1,267 | 4.2× |
| Fetal Biophys Profile W/Nst (76818) | $535.60 | $824 | 4.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $583.70 | $898 | 5.0× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$461.50–$553.80 | $710–$852 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$219.70–$439.40 | $338–$676 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$221.65–$443.30 | $341–$682 | varies |
| Gastric emptying imaging study (78264) | $1,573 | $2,420 | 3.5× |
| Gated Heart Planar Single (78472) | $1,188.20 | $1,828 | 2.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$226.20–$452.40 | $348–$696 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,868.45 | $4,413 | 4.8× |
| Hepatobiliary System Imaging (78226) | $2,062.45 | $3,173 | 4.6× |
| Ht Muscle Image Spect Sing (78451) | $3,121.30 | $4,802 | 2.2× |
| Hysterosalpingogram (74740) | $646.10 | $994 | 2.4× |
| Joint Survey Single View (77077) | $322.40 | $496 | 2.8× |
| K Flow/Funct Image Multiple (78709) | $1,329.90 | $2,046 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,509.30 | $2,322 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,623.05 | $2,497 | 2.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$250.90–$501.80 | $386–$772 | varies |
| Lung perfusion differential (78597) | $858 | $1,320 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,153.75 | $1,775 | 1.9× |
| Lymph System Imaging (78195) | $1,507.35 | $2,319 | 2.5× |
| Magnetic Image Jaw Joint (70336) | $1,525.55 | $2,347 | 5.8× |
| Mra Head W/O & W/Contrast Material (70546) | $4,600.70 | $7,078 | 11.9× |
| MRA head w/o contrast (70544) | $3,042.65 | $4,681 | 11.5× |
| MRA head with contrast (70545) | $3,034.20 | $4,668 | 7.8× |
| MRA neck w contrast (70548) | $3,238.30 | $4,982 | 8.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,940.30 | $6,062 | 10.2× |
| MRA neck w/o contrast (70547) | $1,362.40 | $2,096 | 5.1× |
| MRI abdomen w/o contrast (74181) | $2,378.35 | $3,659 | 9.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,110.55–$2,624.05 | $3,247–$4,037 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,626 | $4,040 | 6.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,158 | $3,320 | 2.5× |
| MRI bone marrow blood supply (77084) | $1,386.45 | $2,133 | 5.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,215.50 | $1,870 | 4.6× |
| MRI cervical spine w contrast (72142) | $2,559.05 | $3,937 | 6.6× |
| MRI cervical spine w/o cont (72141) | $2,377.05 | $3,657 | 9.0× |
| MRI chest w/o contrast (71550) | $2,571.40 | $3,956 | 9.7× |
| MRI chest wo w contrast (71552) | $2,809.95 | $4,323 | 7.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,660.80 | $5,632 | 9.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,743.30 | $2,682 | 6.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,465.80 | $5,332 | 9.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,072.85 | $3,189 | 7.8× |
| MRI orbit face neck w contrast (70542) | $2,387.45 | $3,673 | 6.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,569.15 | $5,491 | 9.2× |
| MRI pelvis w/o & w contrast (72197) | $3,638.05 | $5,597 | 9.4× |
| MRI pelvis w/o contrast (72195) | $2,731.95 | $4,203 | 10.3× |
| MRI thoracic spine w/o contrast (72146) | $2,381.60 | $3,664 | 9.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,593.50 | $3,990 | 6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,702.05 | $4,157 | 10.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,052.40 | $4,696 | 7.9× |
| MRI, abdomen, combo (74183) | $3,653.65 | $5,621 | 9.4× |
| MRI, dorsal spine combo (72157) | $3,177.85 | $4,889 | 8.2× |
| MRI, dorsal spine contrast (72147) | $2,181.40 | $3,356 | 5.6× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,683.50–$3,367 | $2,590–$5,180 | varies |
| MRI, joint upper extrem combo (73223) | $3,389.75 | $5,215 | 8.8× |
| MRI, lumbar spine combo (72158) | $3,428.10 | $5,274 | 8.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,919.80 | $4,492 | 2.0× |
| Myocardial Spect Multiple Studies (78452) | $2,582.45 | $3,973 | 1.8× |
| Neck soft tissue (70360) | $241.80 | $372 | 2.5× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $207.35 | $319 | 2.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $278.85 | $429 | 2.4× |
| Parathyroid Planar Imaging (78070) | $1,369.55 | $2,107 | 3.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$228.15–$373.75 | $351–$575 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,073.80 | $1,652 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $343.20 | $528 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$272.35–$544.70 | $419–$838 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$228.80–$278.85 | $352–$429 | varies |
| Radex elbow complete minimum 3 views (73080) | $258.05 | $397 | 2.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $418.60 | $644 | 3.6× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$230.75–$287.95 | $355–$443 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$250.25–$500.50 | $385–$770 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$261.95–$523.90 | $403–$806 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $311.35 | $479 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$283.40–$300.95 | $436–$463 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$248.30–$314.60 | $382–$484 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$265.20–$530.40 | $408–$816 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $286.65 | $441 | 3.0× |
| Radex Spine 1 View Specify Level (72020) | $179.40 | $276 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$244.40–$308.75 | $376–$475 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $366.60 | $564 | 3.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$258.05–$289.90 | $397–$446 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $314.60 | $484 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$315.90–$631.80 | $486–$972 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $337.35 | $519 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$358.80–$452.40 | $552–$696 | varies |
| Radiologic exam colon double contrast study (74280) | $984.75 | $1,515 | 5.1× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$759.85–$793 | $1,169–$1,220 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$241.15–$924.30 | $371–$1,422 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$332.15–$413.40 | $511–$636 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $843.70 | $1,298 | 4.3× |
| Radiologic exam swallow function contrast study (74230) | $614.90 | $946 | 3.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $456.95 | $703 | 2.3× |
| Radiologic examination femur 1 view (73551) | $209.95 | $323 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$293.80–$587.60 | $452–$904 | varies |
| Radiologic examination knee 1/2 views (73560) | $218.40 | $336 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$215.80–$431.60 | $332–$664 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$219.70–$430.95 | $338–$663 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,385.50 | $3,670 | 4.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,617.90 | $5,566 | 2.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,391.70 | $5,218 | 2.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,190.20 | $4,908 | 2.2× |
| Scapula (73010) | $336.05 | $517 | 2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.30 | $62 | 1.7× |
| Shoulder 1 view (73020) | $183.95 | $283 | 1.9× |
| Shoulder Arthrography (73040) | $954.20 | $1,468 | 2.5× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$265.85–$316.55 | $409–$487 | varies |
| Sternoclavicular joints (71130) | $285.35 | $439 | 3.0× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $141.05 | $217 | 1.5× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$265.85–$356.20 | $409–$548 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$377–$402.35 | $580–$619 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$286–$344.50 | $440–$530 | varies |
| Thyroid Uptake Measurement (78012) | $798.20 | $1,228 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,359.80 | $2,092 | 3.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$405.60–$811.20 | $624–$1,248 | varies |
| Ultrasound Exam Aaa Screen (76706) | $226.85 | $349 | 2.0× |
| Ultrasound, abdomen limited (76705) | $529.10 | $814 | 4.6× |
| Umbilical-artery Doppler (OB) (76820) | $300.95 | $463 | 2.6× |
| Upper gi w/o kub (74240) | $456.95 | $703 | 2.3× |
| Urethrocystogram voiding (74455) | $663.65 | $1,021 | 2.5× |
| Urethrocystography retrograde (74450) | $663.65 | $1,021 | 2.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$468.65–$937.30 | $721–$1,442 | varies |
| Us chest (76604) | $380.25 | $585 | 3.3× |
| Us complete joint (76881) | $612.30 | $942 | 5.3× |
| Us exam, pelvic, limited (76857) | $457.60 | $704 | 3.9× |
| Us head (76506) | $200.85 | $309 | 1.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$219.70–$439.40 | $338–$676 | varies |
| Us ob detailed single fetus (76811) | $629.20 | $968 | 2.4× |
| Us ob limited 1 or more fetuses (76815) | $417.30 | $642 | 3.6× |
| Us ob transvaginal (76817) | $449.15 | $691 | 3.9× |
| Us pelvic non ob complete (76856) | $570.70 | $878 | 4.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $542.10 | $834 | 4.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $545.35 | $839 | 4.7× |
| Us retroperitoneal complete (76770) | $607.10 | $934 | 5.2× |
| Us retroperitoneal limited (76775) | $280.80 | $432 | 2.4× |
| Us scrotum and contents (76870) | $569.40 | $876 | 4.9× |
| Us thyroid (76536) | $573.95 | $883 | 4.9× |
| Us transrectal (76872) | $265.85 | $409 | 2.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$263.90–$527.80 | $406–$812 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $365.95 | $563 | 3.8× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$284.70–$367.25 | $438–$565 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$232.70–$465.40 | $358–$716 | varies |
| X-Ray Exam Breast Specimen (76098) | $338.65 | $521 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $250.25 | $385 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$43.55–$540.15 | $67–$831 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $238.55 | $367 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$172.90–$319.15 | $266–$491 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $304.20 | $468 | 2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$70.20–$375.70 | $108–$578 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$472.55–$572.65 | $727–$881 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$490.75–$607.10 | $755–$934 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$351–$386.75 | $540–$595 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$566.80–$583.70 | $872–$898 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$342.55–$402.35 | $527–$619 | varies |
| X-ray eye for foreign body (70030) | $288.60 | $444 | 3.0× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$188.50–$465.40 | $290–$716 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$200.20–$287.95 | $308–$443 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $250.90 | $386 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $251.55 | $387 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $176.80 | $272 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$417.95–$510.25 | $643–$785 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$305.50–$348.40 | $470–$536 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $278.85 | $429 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $250.90 | $386 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$152.75–$356.20 | $235–$548 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $510.25 | $785 | 4.4× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$391.30–$454.35 | $602–$699 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $957.45 | $1,473 | 2.5× |
| X-Rays Bone Length Studies (77073) | $356.20 | $548 | 3.1× |
| X-Rays Bone Survey Complete (77075) | $656.50 | $1,010 | 5.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$434.20–$506.35 | $668–$779 | varies |
| Xr facial bones less than 3 views (70140) | $263.90 | $406 | 2.7× |
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.