Imaging prices at Lake Granbury Medical Center
Granbury, TX · every code in this section with a posted price and a Medicare benchmark.
228 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 5 matching MRF lines |
$20.52–$159.66 | $114–$887 | varies |
| Abdomen 2 views (74019) | $25.20 | $140 | 0.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,174.86 | $6,527 | 2.9× |
| Angio pulmonary bilat (75743) | $1,786.32 | $9,924 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $1,664.46 | $9,247 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,522.08 | $8,456 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,786.32 | $9,924 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,786.32 | $9,924 | 0.6× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$27.72–$299.88 | $154–$1,666 | varies |
| Arthrogram hip (73525) | $451.62 | $2,509 | 1.3× |
| Arthrogram Wrist (73115) | $451.62 | $2,509 | 1.3× |
| Bone age studies (77072) range across 5 matching MRF lines |
$141.84–$154.98 | $788–$861 | varies |
| Bone Imaging 3 Phase (78315) | $1,260.36 | $7,002 | 3.1× |
| Bone Imaging Limited Area (78300) | $640.98 | $3,561 | 1.6× |
| Bone Imaging Whole Body (78306) | $1,071.18 | $5,951 | 2.6× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$22.50–$198.72 | $125–$1,104 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$28.08–$222.48 | $156–$1,236 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$203.76–$222.48 | $1,132–$1,236 | varies |
| Clavicle complete (73000) range across 10 matching MRF lines |
$30.06–$479.34 | $167–$2,663 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$220.14–$2,021.22 | $1,223–$11,229 | varies |
| Contrast Exam Abdominl Aorta (75625) | $1,565.28 | $8,696 | 0.5× |
| Contrast X-Ray Bladder (74430) | $321.30 | $1,785 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) | $425.88 | $2,366 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$507.96–$4,215.24 | $2,822–$23,418 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$371.70–$3,346.20 | $2,065–$18,590 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$255.24–$2,123.64 | $1,418–$11,798 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$297.36–$2,280.42 | $1,652–$12,669 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$210.60–$1,823.94 | $1,170–$10,133 | varies |
| CT Angio Abdomen and Pelvis (74174) | $883.08 | $4,906 | 2.5× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$315.18–$476.46 | $1,751–$2,647 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$336.42–$461.34 | $1,869–$2,563 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$277.56–$581.76 | $1,542–$3,232 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$437.22–$461.34 | $2,429–$2,563 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$376.92–$596.52 | $2,094–$3,314 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,994.40–$2,104.20 | $11,080–$11,690 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$208.62–$1,915.56 | $1,159–$10,642 | varies |
| CT cervical spine w/wo cont (72127) | $772.74 | $4,293 | 4.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$280.80–$2,291.58 | $1,560–$12,731 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$320.76–$2,460.78 | $1,782–$13,671 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$257.94–$1,776.78 | $1,433–$9,871 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$294.84–$2,195.28 | $1,638–$12,196 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,232.82–$1,300.68 | $6,849–$7,226 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,176.56–$2,296.26 | $12,092–$12,757 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$185.04–$2,547.18 | $1,028–$14,151 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$1,734.48–$2,797.92 | $9,636–$15,544 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$2,010.06–$2,120.76 | $11,167–$11,782 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$212.04–$1,945.98 | $1,178–$10,811 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$807.30–$851.76 | $4,485–$4,732 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$187.02–$1,330.02 | $1,039–$7,389 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$310.68–$1,647 | $1,726–$9,150 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,326.42–$1,399.32 | $7,369–$7,774 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$187.02–$1,238.76 | $1,039–$6,882 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$418.68–$1,616.22 | $2,326–$8,979 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$175.86–$1,382.04 | $977–$7,678 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,898.64–$3,004.56 | $10,548–$16,692 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,862.46–$1,964.88 | $10,347–$10,916 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$271.80–$1,497.06 | $1,510–$8,317 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$219.96–$1,457.82 | $1,222–$8,099 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,681.20–$1,773.72 | $9,340–$9,854 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$175.86–$1,614.60 | $977–$8,970 | varies |
| CT thoracic spine w/wo cont (72130) | $1,905.48 | $10,586 | 10.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$227.34–$2,086.20 | $1,263–$11,590 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$189.72–$2,611.62 | $1,054–$14,509 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$702.36–$3,080.52 | $3,902–$17,114 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$550.98–$872.10 | $3,061–$4,845 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$410.58–$441.54 | $2,281–$2,453 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$315.90–$441.54 | $1,755–$2,453 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $955.08 | $5,306 | 2.7× |
| CTA pelvis (72191) | $444.42 | $2,469 | 2.5× |
| Dxa Bone Density Axial (77080) | $138.96 | $772 | 1.3× |
| Dxa bone density study (77085) | $118.08 | $656 | 1.1× |
| Esophageal Motility Study (78258) | $408.78 | $2,271 | 1.0× |
| Esophagram (74220) | $309.24 | $1,718 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) | $199.08 | $1,106 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$118.98–$199.08 | $661–$1,106 | varies |
| Fluoroscopy up to 1 hr (76000) | $257.04 | $1,428 | 1.1× |
| Foot 2 views (73620) range across 10 matching MRF lines |
$27–$291.42 | $150–$1,619 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$27.18–$307.26 | $151–$1,707 | varies |
| Gastric emptying imaging study (78264) | $1,517.94 | $8,433 | 3.7× |
| Gated Heart Planar Single (78472) | $655.20 | $3,640 | 1.6× |
| Hand 2 views (73120) range across 9 matching MRF lines |
$25.92–$279.18 | $144–$1,551 | varies |
| Hepatobiliary System Imaging (78226) | $1,517.76 | $8,432 | 3.7× |
| Ht Muscle Image Spect Sing (78451) | $2,205.36 | $12,252 | 1.7× |
| Hysterosalpingogram (74740) | $279.90 | $1,555 | 1.1× |
| K Flow/Funct Image Multiple (78709) | $596.16 | $3,312 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,169.46 | $6,497 | 2.1× |
| Knee 3 Views (73562) range across 10 matching MRF lines |
$34.02–$399.24 | $189–$2,218 | varies |
| Liver imaging static only (78201) | $1,376.64 | $7,648 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,354.14 | $7,523 | 2.4× |
| Lung Ventilation Imaging (78579) | $793.62 | $4,409 | 1.9× |
| Lymph System Imaging (78195) | $1,216.62 | $6,759 | 2.2× |
| Meckels Divert Exam (78290) | $571.14 | $3,173 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$648.54–$1,881.54 | $3,603–$10,453 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$423.72–$2,074.32 | $2,354–$11,524 | varies |
| MRA neck w contrast (70548) | $2,074.32 | $11,524 | 5.8× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,966.14–$2,074.32 | $10,923–$11,524 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$423.72–$2,074.32 | $2,354–$11,524 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$603.54–$615.24 | $3,353–$3,418 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$358.02–$2,388.06 | $1,989–$13,267 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$619.38–$1,792.26 | $3,441–$9,957 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$631.44–$4,060.98 | $3,508–$22,561 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$457.74–$2,407.14 | $2,543–$13,373 | varies |
| MRI cervical spine w contrast (72142) | $2,735.10 | $15,195 | 7.7× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$416.16–$1,175.58 | $2,312–$6,531 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,830.06–$1,930.68 | $10,167–$10,726 | varies |
| MRI chest with contrast (71551) | $1,503.72 | $8,354 | 1.9× |
| MRI chest wo w contrast (71552) | $1,653.84 | $9,188 | 4.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$2,288.52–$3,691.98 | $12,714–$20,511 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$2,265.48–$3,654.90 | $12,586–$20,305 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$374.40–$2,215.08 | $2,080–$12,306 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$576.72–$1,607.76 | $3,204–$8,932 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$702.18–$1,603.08 | $3,901–$8,906 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$423.72–$2,756.88 | $2,354–$15,316 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$714.96–$3,063.24 | $3,972–$17,018 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$613.44–$2,628.54 | $3,408–$14,603 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$363.60–$2,365.56 | $2,020–$13,142 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$363.42–$2,365.02 | $2,019–$13,139 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$617.40–$2,407.14 | $3,430–$13,373 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$366.12–$3,574.26 | $2,034–$19,857 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,509.56–$2,647.62 | $13,942–$14,709 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$615.78–$1,453.50 | $3,421–$8,075 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$613.26–$2,627.82 | $3,407–$14,599 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$496.80–$1,400.22 | $2,760–$7,779 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$366.12–$3,574.26 | $2,034–$19,857 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,337.22–$2,116.26 | $7,429–$11,757 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$704.16–$1,607.76 | $3,912–$8,932 | varies |
| Myocardial Spect Multiple Studies (78452) | $3,121.38 | $17,341 | 2.4× |
| Neck soft tissue (70360) range across 5 matching MRF lines |
$31.14–$168.66 | $173–$937 | varies |
| Nonvascular Shunt X-Ray (75809) | $155.70 | $865 | 1.5× |
| Parathyroid Planar Imaging (78070) | $2,494.98 | $13,861 | 6.1× |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$23.40–$273.96 | $130–$1,522 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$370.08–$404.28 | $2,056–$2,246 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 9 matching MRF lines |
$33.30–$391.68 | $185–$2,176 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$30.96–$334.26 | $172–$1,857 | varies |
| Radex elbow complete minimum 3 views (73080) range across 8 matching MRF lines |
$36–$398.52 | $200–$2,214 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 5 matching MRF lines |
$33.48–$336.42 | $186–$1,869 | varies |
| Radex fingr minimum 2 views (73140) range across 9 matching MRF lines |
$25.38–$274.14 | $141–$1,523 | varies |
| Radex foot complete minimum 3 views (73630) range across 10 matching MRF lines |
$32.40–$380.52 | $180–$2,114 | varies |
| Radex Hand Minimum 3 Views (73130) range across 10 matching MRF lines |
$30.96–$364.50 | $172–$2,025 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 5 matching MRF lines |
$28.80–$149.40 | $160–$830 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 5 matching MRF lines |
$24.48–$254.16 | $136–$1,412 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 10 matching MRF lines |
$25.74–$469.80 | $143–$2,610 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 5 matching MRF lines |
$27.54–$148.86 | $153–$827 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$36.90–$182.52 | $205–$1,014 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 5 matching MRF lines |
$28.98–$204.48 | $161–$1,136 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $315.54 | $1,753 | 3.5× |
| Radex Toe Minimum 2 Views (73660) range across 8 matching MRF lines |
$29.16–$314.46 | $162–$1,747 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 10 matching MRF lines |
$31.68–$372.42 | $176–$2,069 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $464.40 | $2,580 | 4.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 5 matching MRF lines |
$156.06–$178.92 | $867–$994 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 5 matching MRF lines |
$30.78–$241.92 | $171–$1,344 | varies |
| Radiologic exam colon double contrast study (74280) | $797.94 | $4,433 | 4.4× |
| Radiologic exam colon single contrast study (74270) | $624.78 | $3,471 | 3.5× |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$35.64–$482.22 | $198–$2,679 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $471.06 | $2,617 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $292.32 | $1,624 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $770.22 | $4,279 | 4.3× |
| Radiologic examination femur 1 view (73551) | $26.82 | $149 | 0.3× |
| Radiologic examination femur minimum 2 views (73552) range across 10 matching MRF lines |
$25.56–$359.82 | $142–$1,999 | varies |
| Radiologic examination knee 1/2 views (73560) range across 10 matching MRF lines |
$28.26–$352.80 | $157–$1,960 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 10 matching MRF lines |
$24.12–$341.64 | $134–$1,898 | varies |
| Ribs bilateral 3 views (71110) range across 5 matching MRF lines |
$29.34–$335.34 | $163–$1,863 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $562.32 | $3,124 | 1.0× |
| Scapula (73010) range across 8 matching MRF lines |
$29.52–$387.90 | $164–$2,155 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $33.48 | $186 | 1.4× |
| Shoulder 1 view (73020) range across 7 matching MRF lines |
$39.42–$359.10 | $219–$1,995 | varies |
| Shoulder Arthrography (73040) | $451.62 | $2,509 | 1.3× |
| Skull less than 4 views (70250) range across 5 matching MRF lines |
$33.12–$226.62 | $184–$1,259 | varies |
| Speech evaluation, complex (70371) | $290.34 | $1,613 | 1.2× |
| Thoracic spine 2 views (72070) range across 5 matching MRF lines |
$26.82–$179.82 | $149–$999 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$32.04–$286.20 | $178–$1,590 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $790.38 | $4,391 | 1.9× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$72.90–$332.10 | $405–$1,845 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$91.26–$553.14 | $507–$3,073 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$79.74–$553.14 | $443–$3,073 | varies |
| Unlisted us procedure (76999) | $383.76 | $2,132 | 4.3× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$74.16–$332.10 | $412–$1,845 | varies |
| Us chest (76604) | $320.94 | $1,783 | 3.0× |
| Us complete joint (76881) range across 3 matching MRF lines |
$106.38–$343.98 | $591–$1,911 | varies |
| Us exam, pelvic, limited (76857) | $418.68 | $2,326 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$147.24–$348.12 | $818–$1,934 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$99.18–$611.28 | $551–$3,396 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$85.14–$283.68 | $473–$1,576 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$99.18–$365.76 | $551–$2,032 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$96.12–$461.70 | $534–$2,565 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$97.38–$365.76 | $541–$2,032 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$81.54–$494.82 | $453–$2,749 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$71.28–$375.84 | $396–$2,088 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$92.34–$354.60 | $513–$1,970 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$100.98–$339.66 | $561–$1,887 | varies |
| Us transrectal (76872) | $350.10 | $1,945 | 3.3× |
| Vascular Flow Imaging (78445) | $331.38 | $1,841 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $1,349.10 | $7,495 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $855.90 | $4,755 | 0.5× |
| Wrist 2 views (73100) range across 10 matching MRF lines |
$26.46–$285.12 | $147–$1,584 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$29.88–$181.26 | $166–$1,007 | varies |
| X-Ray Aorta Leg Arteries (75630) | $1,607.76 | $8,932 | 0.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 9 matching MRF lines |
$30.06–$324.18 | $167–$1,801 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$32.22–$232.20 | $179–$1,290 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$32.22–$232.20 | $179–$1,290 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $464.40 | $2,580 | 4.3× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$24.12–$184.68 | $134–$1,026 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$24.12–$171.36 | $134–$952 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$40.14–$257.04 | $223–$1,428 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$80.28–$292.50 | $446–$1,625 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $292.50 | $1,625 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$53.46–$585 | $297–$3,250 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 5 matching MRF lines |
$38.88–$494.64 | $216–$2,748 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$32.58–$174.06 | $181–$967 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$403.20–$419.40 | $2,240–$2,330 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$30.78–$315.18 | $171–$1,751 | varies |
| X-ray humerus (73060) range across 9 matching MRF lines |
$26.28–$323.28 | $146–$1,796 | varies |
| X-ray IV pyelogram (ivp) (74400) | $701.82 | $3,899 | 3.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $35.64 | $198 | 0.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 5 matching MRF lines |
$28.26–$176.40 | $157–$980 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$27.72–$253.08 | $154–$1,406 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$29.34–$396.36 | $163–$2,202 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $50.94 | $283 | 0.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $217.98 | $1,211 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 5 matching MRF lines |
$26.64–$188.28 | $148–$1,046 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$34.74–$377.82 | $193–$2,099 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 5 matching MRF lines |
$369–$423 | $2,050–$2,350 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$37.44–$356.04 | $208–$1,978 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,117.08 | $6,206 | 3.1× |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$473.04–$721.08 | $2,628–$4,006 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$279.18–$365.76 | $1,551–$2,032 | varies |
| Xr facial bones less than 3 views (70140) range across 5 matching MRF lines |
$27.90–$196.92 | $155–$1,094 | varies |
| Xr orbits complete 4 views (70200) range across 5 matching MRF lines |
$192.96–$221.22 | $1,072–$1,229 | varies |
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.