Imaging prices at Labette Health
Parsons, KS · every code in this section with a posted price and a Medicare benchmark.
263 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) | $158.31 | $226.15 | 2.0× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$182.67–$241.54 | $260.95–$345.05 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $657.97 | $939.95 | 1.8× |
| Angiography extremity bilateral rs&i (75716) | $2,458.47 | $3,512.10 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $4,746.88 | $6,781.25 | 1.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,458.47 | $3,512.10 | 0.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$30.84–$204.54 | $44.05–$292.20 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,731.84 | $5,331.20 | 0.7× |
| Artery X-Rays Abdomen (75726) | $11,972.03 | $17,102.90 | 2.3× |
| Arthrogram hip (73525) | $415.49 | $593.55 | 1.3× |
| Bone age studies (77072) | $184.24 | $263.20 | 1.9× |
| Bone Imaging 3 Phase (78315) | $581.07 | $830.10 | 1.6× |
| Bone Imaging Limited Area (78300) | $222.43 | $317.75 | 0.6× |
| Bone Imaging Whole Body (78306) | $1,039.29 | $1,484.70 | 2.8× |
| Bone survey infant (77076) | $435.16 | $621.65 | 4.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,324.74 | $6,178.20 | 3.3× |
| Chest 1 view (71045) | $193.48 | $276.40 | 2.4× |
| Chest 2 views (71046) | $242.31 | $346.15 | 3.0× |
| Chest 3 views (71047) | $289.24 | $413.20 | 3.6× |
| Chest 4 or more views (71048) | $235.83 | $336.90 | 2.5× |
| Cholecystography Oral Contrast (74290) | $312.94 | $447.05 | 1.9× |
| Clavicle complete (73000) | $194.71 | $278.15 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $396.38 | $566.25 | 4.1× |
| Contrast X-Ray Bladder (74430) | $377.06 | $538.65 | 1.2× |
| Contrast X-Ray Of Elbow (73085) | $331.77 | $473.95 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $865.52 | $1,236.45 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $2,855.72 | $4,079.60 | 8.9× |
| CT abdomen and pelvis without contrast (74176) | $2,269.75 | $3,242.50 | 10.3× |
| CT abdomen w contrast (74160) | $1,746.29 | $2,494.70 | 10.8× |
| CT abdomen w wo contrast (74170) | $2,284.59 | $3,263.70 | 14.2× |
| CT abdomen w/o contrast (74150) | $1,610.32 | $2,300.45 | 16.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,370.96 | $4,815.65 | 10.5× |
| CT Angio Chest (71275) | $2,860.20 | $4,086 | 17.7× |
| CT Angio Head (70496) | $3,078.85 | $4,398.35 | 19.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,860.20 | $4,086 | 17.7× |
| CT Angio Neck (70498) | $3,078.85 | $4,398.35 | 19.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,860.20 | $4,086 | 17.7× |
| CT cervical spine w/ contrast (72126) | $1,917.37 | $2,739.10 | 6.0× |
| CT cervical spine w/o contrast (72125) | $1,719.87 | $2,456.95 | 17.9× |
| CT cervical spine w/wo cont (72127) | $1,738.03 | $2,482.90 | 10.8× |
| CT chest w contrast (71260) | $1,781.40 | $2,544.85 | 11.0× |
| CT chest w/wo contrast (71270) | $1,932.46 | $2,760.65 | 12.0× |
| CT head/brain with contrast (70460) | $1,715.60 | $2,450.85 | 10.6× |
| CT head/brain without and with contrast (70470) | $2,133.88 | $3,048.40 | 13.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $77 | $110 | 1.0× |
| CT iac w contrast (70481) | $1,444.07 | $2,062.95 | 9.0× |
| CT l-spine w&w/o contrast (72133) | $2,006.03 | $2,865.75 | 12.4× |
| CT lower ext w/o (73700) | $1,719.87 | $2,456.95 | 17.9× |
| CT lower extremity w/contrast material (73701) | $1,550.71 | $2,215.30 | 9.6× |
| CT lumbar spine w contrast (72132) | $1,827.14 | $2,610.20 | 5.7× |
| CT lumbar spine w/o contrast (72131) | $1,610.32 | $2,300.45 | 16.7× |
| CT maxillofacial w contrast (70487) | $1,554.04 | $2,220.05 | 9.6× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$546.07–$1,633.21 | $780.10–$2,333.15 | varies |
| CT neck tissue combo (70492) | $1,932.74 | $2,761.05 | 12.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,134.69 | $3,049.55 | 13.2× |
| CT orbits w/o contrast (70480) | $1,596.91 | $2,281.30 | 16.6× |
| CT pelvis w&w/o contrast (72194) | $2,284.59 | $3,263.70 | 14.2× |
| CT pelvis w/o contrast (72192) | $1,610.32 | $2,300.45 | 16.7× |
| CT scan of leg combo (73702) | $2,058.95 | $2,941.35 | 12.8× |
| CT scans face/jaw combo (70488) | $1,829.63 | $2,613.75 | 11.3× |
| CT soft tissue neck w contrast (70491) | $1,506.12 | $2,151.60 | 9.3× |
| CT soft tissue neck w/o contrast (70490) | $1,312.22 | $1,874.60 | 13.6× |
| CT thoracic spine w contrast (72129) | $1,699.08 | $2,427.25 | 10.5× |
| CT thoracic spine w/o contrast (72128) | $1,719.87 | $2,456.95 | 17.9× |
| CT thoracic spine w/wo cont (72130) | $1,738.03 | $2,482.90 | 10.8× |
| CT thorax w/o contrast (71250) | $1,630.20 | $2,328.85 | 17.0× |
| CT upper ext wo (73200) | $1,719.87 | $2,456.95 | 17.9× |
| CT upper extremity w/o & w/contrast material (73202) | $2,016.42 | $2,880.60 | 12.5× |
| CT upper extremity with contrast (73201) | $1,757.04 | $2,510.05 | 5.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,303.86 | $4,719.80 | 20.5× |
| Cta Abdomen (74175) | $2,860.20 | $4,086 | 17.7× |
| CTA pelvis (72191) | $2,655.87 | $3,794.10 | 16.5× |
| Diskography lumbar (72295) | $2,190.72 | $3,129.60 | 1.2× |
| Dxa Bone Density Axial (77080) | $264.29 | $377.55 | 2.7× |
| Echo exam uterus (76831) | $714.46 | $1,020.65 | 3.3× |
| Echo Guide For Artery Repair (76936) | $447.30 | $639 | 2.3× |
| Esophagram (74220) | $287.39 | $410.55 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $161.70 | $231 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $133.28 | $190.40 | 1.4× |
| Fluoroscopy up to 1 hr (76000) | $414.23 | $591.75 | 1.9× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$26.71–$194.39 | $38.15–$277.70 | varies |
| Forearm 2 views (73090) | $184.87 | $264.10 | 2.3× |
| Gastric emptying imaging study (78264) | $657.97 | $939.95 | 1.8× |
| Gated Heart Planar Single (78472) | $1,058.68 | $1,512.40 | 2.9× |
| Hand 2 views (73120) | $201.11 | $287.30 | 2.1× |
| Hepatobiliary System Imaging (78226) | $1,168.09 | $1,668.70 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $1,817.10 | $2,595.85 | 1.5× |
| Hysterosalpingogram (74740) | $598.71 | $855.30 | 2.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $714.46 | $1,020.65 | 8.9× |
| K Flow/Funct Image W/Drug (78708) | $735 | $1,050 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,139.78 | $1,628.25 | 2.3× |
| Knee 3 Views (73562) | $262.36 | $374.80 | 3.3× |
| Lung Ventilat&Perfus Imaging (78582) | $690.90 | $987 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $2,007.01 | $2,867.15 | 9.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $21.46 | $30.65 | 0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $80.50 | $115 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,785.60 | $5,408 | 11.8× |
| MRA head w/o contrast (70544) | $2,591.61 | $3,702.30 | 11.8× |
| MRA head with contrast (70545) | $2,545.24 | $3,636.05 | 7.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,299.31 | $4,713.30 | 10.3× |
| MRA neck w/o contrast (70547) | $2,591.61 | $3,702.30 | 11.8× |
| MRI abdomen w contrast (74182) | $2,168.11 | $3,097.30 | 6.8× |
| MRI abdomen w/o contrast (74181) | $2,168.11 | $3,097.30 | 9.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,168.11 | $3,097.30 | 3.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,385.01 | $3,407.15 | 7.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,166.92 | $3,095.60 | 3.0× |
| MRI bone marrow blood supply (77084) | $2,007.01 | $2,867.15 | 9.1× |
| MRI cervical spine w contrast (72142) | $2,287.99 | $3,268.55 | 7.1× |
| MRI cervical spine w/o cont (72141) | $2,424.52 | $3,463.60 | 11.0× |
| MRI chest w/o contrast (71550) | $2,168.11 | $3,097.30 | 9.9× |
| MRI chest with contrast (71551) | $2,011 | $2,872.85 | 2.8× |
| MRI chest wo w contrast (71552) | $2,413.22 | $3,447.45 | 7.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,168.11 | $3,097.30 | 6.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,322.95 | $3,318.50 | 7.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,385.01 | $3,407.15 | 10.9× |
| MRI lumbar spine w contrast (72149) | $2,297.82 | $3,282.60 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,934.68 | $4,192.40 | 9.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,168.11 | $3,097.30 | 9.9× |
| MRI orbit face neck w contrast (70542) | $2,168.11 | $3,097.30 | 6.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,383.61 | $3,405.15 | 7.4× |
| MRI pelvis w contrast (72196) | $2,167.62 | $3,096.60 | 6.8× |
| MRI pelvis w/o & w contrast (72197) | $2,836.65 | $4,052.35 | 8.8× |
| MRI pelvis w/o contrast (72195) | $2,385.01 | $3,407.15 | 10.9× |
| MRI thoracic spine w/o contrast (72146) | $2,424.52 | $3,463.60 | 11.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,146.48 | $3,066.40 | 6.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,385.01 | $3,407.15 | 10.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,312.77 | $3,303.95 | 7.2× |
| MRI, abdomen, combo (74183) | $2,509.68 | $3,585.25 | 7.8× |
| MRI, dorsal spine combo (72157) | $2,804.97 | $4,007.10 | 8.7× |
| MRI, dorsal spine contrast (72147) | $2,287.99 | $3,268.55 | 7.1× |
| MRI, joint upper extrem (73221) | $2,384.27 | $3,406.10 | 10.9× |
| MRI, joint upper extrem combo (73223) | $2,219.28 | $3,170.40 | 6.9× |
| MRI, lumbar spine combo (72158) | $2,787.65 | $3,982.35 | 8.7× |
| Myelogram Lumbar (72265) | $2,788.10 | $3,983 | 3.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,254.58 | $1,792.25 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $1,817.10 | $2,595.85 | 1.5× |
| Neck soft tissue (70360) | $197.33 | $281.90 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $429.07 | $612.95 | 2.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $416.50 | $595 | 4.3× |
| Optic foramina (70190) | $137.55 | $196.50 | 1.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,113.18 | $1,590.25 | 3.0× |
| Pelvis 1 or 2 views (72170) | $261.49 | $373.55 | 2.7× |
| PET image w/CT, full body (78816) | $4,366.01 | $6,237.15 | 3.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,324.74 | $6,178.20 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $411.22 | $587.45 | 4.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $421.40 | $602 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $221.10 | $315.85 | 2.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $170.21 | $243.15 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $215.64 | $308.05 | 2.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $261.49 | $373.55 | 2.7× |
| Radex fingr minimum 2 views (73140) | $201.11 | $287.30 | 2.5× |
| Radex foot complete minimum 3 views (73630) | $221.76 | $316.80 | 2.8× |
| Radex Hand Minimum 3 Views (73130) | $232.58 | $332.25 | 2.9× |
| Radex lower extremity infant minimum 2 views (73592) | $176.75 | $252.50 | 2.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $296.42 | $423.45 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $244.02 | $348.60 | 3.0× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $591.15 | $844.50 | 7.4× |
| Radex Ribs Unilateral 2 Views (71100) | $253.37 | $361.95 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) | $231.63 | $330.90 | 2.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $157.89 | $225.55 | 2.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $198.87 | $284.10 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $173.15 | $247.35 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $200.80 | $286.85 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $244.69 | $349.55 | 3.1× |
| Radex Toe Minimum 2 Views (73660) | $201.11 | $287.30 | 2.5× |
| Radex upper extremity infant minimum 2 views (73092) | $90.27 | $128.95 | 0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $217 | $310 | 2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $498.54 | $712.20 | 5.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $330.54 | $472.20 | 3.4× |
| Radiologic exam colon double contrast study (74280) | $1,420.79 | $2,029.70 | 8.8× |
| Radiologic exam colon single contrast study (74270) | $1,480.96 | $2,115.65 | 9.2× |
| Radiologic exam knee complete 4/more views (73564) | $262.50 | $375 | 2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $378.60 | $540.85 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $604.07 | $862.95 | 3.7× |
| Radiologic exam swallow function contrast study (74230) | $382.06 | $545.80 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) | $206.89 | $295.55 | 2.6× |
| Radiologic examination knee 1/2 views (73560) | $198.14 | $283.05 | 2.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $671.51 | $959.30 | 7.0× |
| Radiologic Examination Salivary Gland Calculus (70380) | $157.89 | $225.55 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $197.44 | $282.05 | 2.5× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $421.40 | $602 | 0.8× |
| Ribs bilateral 3 views (71110) | $329.60 | $470.85 | 3.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $760.10 | $1,085.85 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $920.96 | $1,315.65 | 1.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,142.30 | $1,631.85 | 2.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $760.10 | $1,085.85 | 0.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,142.30 | $1,631.85 | 1.0× |
| Scapula (73010) | $200.80 | $286.85 | 2.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $67.38 | $96.25 | 2.9× |
| Sella turcica (70240) | $159.99 | $228.55 | 2.0× |
| Shoulder 1 view (73020) | $189.21 | $270.30 | 2.4× |
| Shoulder Arthrography (73040) | $569.24 | $813.20 | 1.8× |
| Skull less than 4 views (70250) | $261.49 | $373.55 | 2.7× |
| Sternoclavicular joints (71130) | $137.55 | $196.50 | 1.7× |
| Thoracic spine 2 views (72070) | $261.49 | $373.55 | 2.7× |
| Thoracic spine 3 views (72072) | $307.72 | $439.60 | 3.2× |
| Thoracolumbar 2 views (72080) | $249.20 | $356 | 3.1× |
| Thyroid Met Imaging Body (78018) | $866.39 | $1,237.70 | 1.7× |
| Thyroid Uptake Measurement (78012) | $245 | $350 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $527.45 | $753.50 | 1.4× |
| Ultrasound Breast Limited (76642) | $169.26 | $241.80 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) | $146.97 | $209.95 | 1.5× |
| Ultrasound, abdomen limited (76705) | $347.45 | $496.35 | 3.6× |
| Umbilical-artery Doppler (OB) (76820) | $125.76 | $179.65 | 1.3× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$54.36–$2,340.98 | $77.65–$3,344.25 | varies |
| Unlisted us procedure (76999) | $98.07 | $140.10 | 1.2× |
| Upper gi w/o kub (74240) | $369.43 | $527.75 | 2.3× |
| Urethrocystogram voiding (74455) | $489.76 | $699.65 | 2.2× |
| Urethrocystography retrograde (74450) | $261.49 | $373.55 | 1.2× |
| Us breast unilateral complete (76641) | $169.26 | $241.80 | 1.8× |
| Us chest (76604) | $302.02 | $431.45 | 3.1× |
| Us complete joint (76881) | $208.74 | $298.20 | 2.2× |
| Us exam, pelvic, limited (76857) | $302.02 | $431.45 | 3.1× |
| Us head (76506) | $714.46 | $1,020.65 | 7.4× |
| Us kidney transplant (76776) | $114.63 | $163.75 | 1.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $156.59 | $223.70 | 1.6× |
| Us ob limited 1 or more fetuses (76815) | $161.81 | $231.15 | 1.7× |
| Us ob transvaginal (76817) | $165.55 | $236.50 | 1.7× |
| Us pelvic non ob complete (76856) | $347.45 | $496.35 | 3.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $153.30 | $219 | 1.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $126.07 | $180.10 | 1.3× |
| Us retroperitoneal complete (76770) | $347.45 | $496.35 | 3.6× |
| Us retroperitoneal limited (76775) | $302.02 | $431.45 | 3.1× |
| Us scrotum and contents (76870) | $347.45 | $496.35 | 3.6× |
| Us spinal canal and contents (76800) | $227.96 | $325.65 | 2.4× |
| Us thyroid (76536) | $714.46 | $1,020.65 | 7.4× |
| Venography caval inferior serialography rs&i (75825) | $2,458.47 | $3,512.10 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $1,427.23 | $2,038.90 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $706.48 | $1,009.25 | 0.5× |
| Wrist 2 views (73100) | $200.24 | $286.05 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $192.85 | $275.50 | 2.4× |
| X-ray antegrade pyelogram tube (74425) | $241.89 | $345.55 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $315.49 | $450.70 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $204.33 | $291.90 | 2.6× |
| X-Ray Exam Breast Specimen (76098) | $420.04 | $600.05 | 0.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $498.54 | $712.20 | 5.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $221.83 | $316.90 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $231.04 | $330.05 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $319.10 | $455.85 | 3.3× |
| X-Ray Exam L-S Spine Bending (72114) | $537.15 | $767.35 | 5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $263.59 | $376.55 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $374.78 | $535.40 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $273.04 | $390.05 | 2.8× |
| X-ray humerus (73060) | $159.36 | $227.65 | 2.0× |
| X-ray IV pyelogram (ivp) (74400) | $588.14 | $840.20 | 3.6× |
| X-ray IV pyelogram+tomography (74415) | $671.13 | $958.75 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $299.88 | $428.40 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $200.24 | $286.05 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $333.55 | $476.50 | 3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $366.84 | $524.05 | 3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $261.49 | $373.55 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $151.97 | $217.10 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $212.10 | $303 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $323.02 | $461.45 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $400.79 | $572.55 | 4.2× |
| X-ray thoracic spine 4 vw (72074) | $275.03 | $392.90 | 2.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $474.67 | $678.10 | 1.5× |
| X-Rays Bone Length Studies (77073) | $306.43 | $437.75 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $625.63 | $893.75 | 6.5× |
| Xr c-spine 4 or 5 views (72050) | $366.84 | $524.05 | 3.8× |
| Xr facial bones less than 3 views (70140) | $126.04 | $180.05 | 1.6× |
| Xr orbits complete 4 views (70200) | $261.49 | $373.55 | 2.7× |
| Xr Tomogram Single Plane (76100) | $176.26 | $251.80 | 1.8× |
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.