Imaging prices at Kittitas Valley Healthcare
Ellensburg, WA · every code in this section with a posted price and a Medicare benchmark.
223 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 |
$357–$409.70 | $420–$482 | varies |
| Abdomen 2 views (74019) | $524.45 | $617 | 4.5× |
| Angiography extremity bilateral rs&i (75716) | $327.25 | $385 | 0.1× |
| Angiography extremity unilateral rs&i (75710) | $301.75 | $355 | 0.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$365.50–$548.25 | $430–$645 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$235.45 | $277 | 0.0× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$328.95 | $387 | 0.1× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$272.85 | $321 | 0.0× |
| Arthrogram ankle (73615) | $871.25 | $1,025 | 2.2× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$928.20–$942.65 | $1,092–$1,109 | varies |
| Arthrogram Wrist (73115) | $862.75 | $1,015 | 2.2× |
| Bone age studies (77072) | $374 | $440 | 3.2× |
| Bone survey infant (77076) | $318.75 | $375 | 2.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$100.30–$351.90 | $118–$414 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$150.45–$429.25 | $177–$505 | varies |
| Chest 3 views (71047) | $675.75 | $795 | 7.0× |
| Chest 4 or more views (71048) | $633.25 | $745 | 5.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$369.75–$555.05 | $435–$653 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,623.50 | $1,910 | 13.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$93.50–$96.90 | $110–$114 | varies |
| Contrast X-Ray Of Elbow (73085) | $722.50 | $850 | 1.9× |
| Contrast X-Ray Of Knee Joint (73580) | $985.15 | $1,159 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$5,261.50–$5,474 | $6,190–$6,440 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$2,522.80–$4,683.50 | $2,968–$5,510 | varies |
| CT abdomen w contrast (74160) | $2,830.50 | $3,330 | 14.5× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$3,034.50–$3,153.50 | $3,570–$3,710 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,980.50–$2,057 | $2,330–$2,420 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$5,261.50–$5,474 | $6,190–$6,440 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,856–$3,714.50 | $3,360–$4,370 | varies |
| CT Angio Head (70496) | $3,578.50 | $4,210 | 18.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,166.20 | $1,372 | 6.0× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$3,442.50–$3,570 | $4,050–$4,200 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,156.85–$1,204.45 | $1,361–$1,417 | varies |
| CT cervical spine w/ contrast (72126) | $2,660.50 | $3,130 | 6.8× |
| CT cervical spine w/o contrast (72125) | $2,303.50 | $2,710 | 19.8× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,550–$4,862 | $3,000–$5,720 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,813.50–$3,043 | $3,310–$3,580 | varies |
| CT head/brain with contrast (70460) | $2,465 | $2,900 | 12.6× |
| CT head/brain without and with contrast (70470) | $3,017.50 | $3,550 | 15.4× |
| CT iac w contrast (70481) | $2,155.60 | $2,536 | 11.0× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,702.55–$2,554.25 | $2,003–$3,005 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,063.80–$3,095.70 | $2,428–$3,642 | varies |
| CT lumbar spine w contrast (72132) | $2,881.50 | $3,390 | 7.4× |
| CT lumbar spine w/o contrast (72131) | $2,465 | $2,900 | 21.2× |
| CT maxillofacial w contrast (70487) | $2,048.50 | $2,410 | 10.5× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,583.55–$1,640.50 | $1,863–$1,930 | varies |
| CT neck tissue combo (70492) | $2,295 | $2,700 | 11.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,363.85 | $2,781 | 12.1× |
| CT orbits w/o contrast (70480) | $1,708.50 | $2,010 | 14.7× |
| CT pelvis w&w/o contrast (72194) | $2,975 | $3,500 | 15.2× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,702.55–$2,405.50 | $2,003–$2,830 | varies |
| CT scans face/jaw combo (70488) | $2,337.50 | $2,750 | 12.0× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,123.30–$4,760 | $2,498–$5,600 | varies |
| CT soft tissue neck w/o contrast (70490) | $1,437.35 | $1,691 | 12.3× |
| CT thoracic spine w contrast (72129) | $3,043 | $3,580 | 15.6× |
| CT thoracic spine w/o contrast (72128) | $2,439.50 | $2,870 | 20.9× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$2,116.50–$3,782.50 | $2,490–$4,450 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,599.70–$2,496.45 | $1,882–$2,937 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,275.45–$3,413.60 | $2,677–$4,016 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,287 | $6,220 | 27.0× |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$3,306.50–$5,474 | $3,890–$6,440 | varies |
| CTA pelvis (72191) | $2,796.50 | $3,290 | 14.3× |
| Dxa Bone Density Axial (77080) | $494.70 | $582 | 4.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $289 | $340 | 3.0× |
| Echo exam uterus (76831) range across 5 matching MRF lines |
$90.95–$697 | $107–$820 | varies |
| Echo Guide For Artery Repair (76936) | $133.45 | $157 | 0.6× |
| Esophagram (74220) | $723.35 | $851 | 3.7× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$69.70–$212.50 | $82–$250 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 7 matching MRF lines |
$56.95–$790.50 | $67–$930 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$86.70–$841.50 | $102–$990 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$361.25–$542.30 | $425–$638 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$390.15–$585.65 | $459–$689 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$384.20–$576.30 | $452–$678 | varies |
| Hysterosalpingogram (74740) | $1,008.95 | $1,187 | 3.8× |
| Joint Survey Single View (77077) | $31.45 | $37 | 0.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$488.75–$733.55 | $575–$863 | varies |
| Magnetic Image Jaw Joint (70336) | $2,958 | $3,480 | 11.1× |
| Mra Head W/O & W/Contrast Material (70546) | $4,513.50 | $5,310 | 11.6× |
| MRA head w/o contrast (70544) | $3,289.50 | $3,870 | 12.4× |
| MRA head with contrast (70545) | $3,493.50 | $4,110 | 9.0× |
| MRA neck w contrast (70548) | $3,595.50 | $4,230 | 9.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,360.50 | $5,130 | 11.2× |
| MRA neck w/o contrast (70547) | $3,043 | $3,580 | 11.4× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$3,289.50–$4,513.50 | $3,870–$5,310 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$3,034.50–$4,551.75 | $3,570–$5,355 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$4,165–$6,247.50 | $4,900–$7,350 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,328.60–$4,992.90 | $3,916–$5,874 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,868.75 | $3,375 | 10.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,912.50 | $2,250 | 7.2× |
| MRI cervical spine w contrast (72142) | $3,697.50 | $4,350 | 9.5× |
| MRI cervical spine w/o cont (72141) | $3,289.50 | $3,870 | 12.4× |
| MRI chest w/o contrast (71550) | $3,162 | $3,720 | 11.9× |
| MRI chest with contrast (71551) | $3,493.50 | $4,110 | 4.0× |
| MRI chest wo w contrast (71552) | $4,692 | $5,520 | 12.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$3,493.50–$5,240.25 | $4,110–$6,165 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$4,836.50–$7,254.75 | $5,690–$8,535 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,289.50–$4,934.25 | $3,870–$5,805 | varies |
| MRI lumbar spine w contrast (72149) | $3,697.50 | $4,350 | 9.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,032 | $5,920 | 12.9× |
| MRI orbit face &/neck w/o contrast (70540) | $3,493.50 | $4,110 | 13.1× |
| MRI orbit face neck w contrast (70542) | $4,012 | $4,720 | 10.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$4,693.70–$5,032 | $5,522–$5,920 | varies |
| MRI pelvis w contrast (72196) | $3,553 | $4,180 | 9.1× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,836.50–$5,032 | $5,690–$5,920 | varies |
| MRI pelvis w/o contrast (72195) | $3,289.50 | $3,870 | 12.4× |
| MRI thoracic spine w/o contrast (72146) | $3,289.50 | $3,870 | 12.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,502–$5,253 | $4,120–$6,180 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$2,949.50–$4,424.25 | $3,470–$5,205 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$4,233–$6,349.50 | $4,980–$7,470 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,513.50–$4,692 | $5,310–$5,520 | varies |
| MRI, dorsal spine combo (72157) | $5,032 | $5,920 | 12.9× |
| MRI, dorsal spine contrast (72147) | $3,842 | $4,520 | 9.9× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,907–$4,360.50 | $3,420–$5,130 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,360.50–$6,540.75 | $5,130–$7,695 | varies |
| MRI, lumbar spine combo (72158) | $5,032 | $5,920 | 12.9× |
| Neck soft tissue (70360) | $336.60 | $396 | 3.5× |
| Ob us nuchal meas 1 gest (76813) range across 5 matching MRF lines |
$73.10–$390.15 | $86–$459 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$60.35–$355.30 | $71–$418 | varies |
| Pelvis 1 or 2 views (72170) | $395.25 | $465 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $646 | $760 | 5.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$454.75–$682.55 | $535–$803 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$331.50–$497.25 | $390–$585 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$467.50–$701.25 | $550–$825 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $658.75 | $775 | 5.7× |
| Radex fingr minimum 2 views (73140) | $314.50 | $370 | 3.2× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$454.75–$682.55 | $535–$803 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$450.50–$675.75 | $530–$795 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $297.50 | $350 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $389.30 | $458 | 4.0× |
| Radex Ribs Unilateral 2 Views (71100) | $480.25 | $565 | 5.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$484.50–$726.75 | $570–$855 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$352.75–$365.50 | $415–$430 | varies |
| Radex Spine 1 View Specify Level (72020) | $256.70 | $302 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $396.95 | $467 | 4.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $522.75 | $615 | 5.4× |
| Radex Toe Minimum 2 Views (73660) | $342.55 | $403 | 3.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$310.25–$465.80 | $365–$548 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$454.75–$682.55 | $535–$803 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $568.65 | $669 | 4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $556.75 | $655 | 4.8× |
| Radiologic exam colon double contrast study (74280) | $1,368.50 | $1,610 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $1,100.75 | $1,295 | 5.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$573.75–$861.05 | $675–$1,013 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $613.70 | $722 | 5.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $841.50 | $990 | 4.3× |
| Radiologic exam swallow function contrast study (74230) | $841.50 | $990 | 4.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$918–$1,003 | $1,080–$1,180 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$285.60–$428.40 | $336–$504 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$463.25–$695.30 | $545–$818 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$391–$586.50 | $460–$690 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $684.25 | $805 | 5.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$400.35–$600.95 | $471–$707 | varies |
| Ribs bilateral 3 views (71110) | $654.50 | $770 | 5.6× |
| Scapula (73010) range across 2 matching MRF lines |
$402.90–$604.35 | $474–$711 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $99.45 | $117 | 4.3× |
| Shoulder 1 view (73020) | $294.95 | $347 | 3.0× |
| Shoulder Arthrography (73040) | $1,133.05 | $1,333 | 2.9× |
| Skull less than 4 views (70250) | $454.75 | $535 | 3.9× |
| Sternoclavicular joints (71130) | $420.75 | $495 | 4.3× |
| Thoracic spine 2 views (72070) | $531.25 | $625 | 4.6× |
| Thoracic spine 3 views (72072) | $595 | $700 | 5.1× |
| Thoracolumbar 2 views (72080) | $522.75 | $615 | 5.4× |
| Ultrasound Breast Limited (76642) range across 9 matching MRF lines |
$110.50–$738.65 | $130–$869 | varies |
| Ultrasound Exam Aaa Screen (76706) | $223.55 | $263 | 1.9× |
| Ultrasound, abdomen limited (76705) range across 9 matching MRF lines |
$59.50–$671.50 | $70–$790 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$34.85–$89.25 | $41–$105 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$947.75–$1,024.25 | $1,115–$1,205 | varies |
| Urethrocystogram voiding (74455) | $923.10 | $1,086 | 3.5× |
| Us chest (76604) range across 6 matching MRF lines |
$56.95–$609.45 | $67–$717 | varies |
| Us complete joint (76881) | $154.70 | $182 | 1.3× |
| Us exam, pelvic, limited (76857) range across 13 matching MRF lines |
$37.40–$542.30 | $44–$638 | varies |
| Us head (76506) range across 4 matching MRF lines |
$151.30–$556.75 | $178–$655 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$45.90–$578 | $54–$680 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$92.65–$233.75 | $109–$275 | varies |
| Us ob limited 1 or more fetuses (76815) range across 15 matching MRF lines |
$50.15–$585.65 | $59–$689 | varies |
| Us ob transvaginal (76817) range across 12 matching MRF lines |
$54.40–$437.75 | $64–$515 | varies |
| Us pelvic non ob complete (76856) range across 8 matching MRF lines |
$69.70–$888.25 | $82–$1,045 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 11 matching MRF lines |
$73.10–$494.70 | $86–$582 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 9 matching MRF lines |
$71.40–$671.50 | $84–$790 | varies |
| Us retroperitoneal complete (76770) range across 9 matching MRF lines |
$192.95–$859.35 | $227–$1,011 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$51–$650.25 | $60–$765 | varies |
| Us scrotum and contents (76870) range across 5 matching MRF lines |
$182.75–$784.55 | $215–$923 | varies |
| Us spinal canal and contents (76800) range across 5 matching MRF lines |
$63.75–$242.25 | $75–$285 | varies |
| Us thyroid (76536) range across 13 matching MRF lines |
$54.40–$671.50 | $64–$790 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$157.25–$398.65 | $185–$469 | varies |
| Vein X-Ray Chest (75827) | $76.50 | $90 | 0.0× |
| Venogram Sinus/Jugular (75860) | $246.50 | $290 | 0.1× |
| Venography extremity bilateral rs&i (75822) | $259.25 | $305 | 0.1× |
| Venography extremity unilateral rs&i (75820) | $238 | $280 | 0.1× |
| Vertebral fracture assessment via dxa (77086) | $267.75 | $315 | 2.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$351.90–$545.70 | $414–$642 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $442.85 | $521 | 4.6× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$561–$578 | $660–$680 | varies |
| X-Ray Bend Only L-S Spine (72120) | $476 | $560 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$352.75–$529.55 | $415–$623 | varies |
| X-Ray Exam Breast Specimen (76098) | $480.25 | $565 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $314.50 | $370 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $280.50 | $330 | 2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $578 | $680 | 6.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $447.10 | $526 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $561.85 | $661 | 4.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $709.75 | $835 | 6.1× |
| X-Ray Exam L-S Spine Bending (72114) | $998.75 | $1,175 | 8.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $552.50 | $650 | 5.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $799 | $940 | 6.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $595 | $700 | 5.1× |
| X-ray eye for foreign body (70030) | $261.80 | $308 | 2.7× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$412.25–$618.80 | $485–$728 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $328.10 | $386 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $344.25 | $405 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $552.50 | $650 | 4.7× |
| X-ray nose-rectum child f.b. (76010) | $374 | $440 | 3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $675.75 | $795 | 5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $522.75 | $615 | 4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $514.25 | $605 | 5.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $633.25 | $745 | 6.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $688.50 | $810 | 5.9× |
| X-Ray Tmj Unilat (70328) | $300.05 | $353 | 3.1× |
| X-Rays Bone Length Studies (77073) | $514.25 | $605 | 4.4× |
| X-Rays Bone Survey Complete (77075) | $1,334.50 | $1,570 | 11.5× |
| Xr c-spine 4 or 5 views (72050) | $773.50 | $910 | 6.6× |
| Xr facial bones less than 3 views (70140) | $395.25 | $465 | 4.1× |
| Xr orbits complete 4 views (70200) | $531.25 | $625 | 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.