Imaging prices at Lakeview Hospital
Stillwater, MN · every code in this section with a posted price and a Medicare benchmark.
254 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) | $172.05 | $465 | 1.9× |
| Abdomen 2 views (74019) | $177.60 | $480 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,042.66 | $2,818 | 2.5× |
| Angiography extremity bilateral rs&i (75716) | $2,905.24 | $7,852 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,905.24 | $7,852 | 0.9× |
| Ankle 2 views (73600) | $171.31 | $463 | 1.9× |
| Aortography thoracic serialography rs&i (75605) | $3,368.85 | $9,105 | 0.6× |
| Arthrogram ankle (73615) | $442.15 | $1,195 | 1.2× |
| Bone age studies (77072) | $213.12 | $576 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,035.63 | $2,799 | 2.5× |
| Bone Imaging Limited Area (78300) | $621.60 | $1,680 | 1.5× |
| Bone Imaging Whole Body (78306) | $749.99 | $2,027 | 1.8× |
| Bone marrow imaging limited area (78102) | $565.36 | $1,528 | 1.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,000.96 | $5,408 | 1.3× |
| Cerebrospinal Fluid Scan (78630) | $1,062.64 | $2,872 | 1.9× |
| Chest 1 view (71045) | $177.60 | $480 | 1.9× |
| Chest 2 views (71046) | $190.55 | $515 | 2.1× |
| Chest 3 views (71047) | $203.13 | $549 | 2.2× |
| Chest 4 or more views (71048) | $214.97 | $581 | 2.0× |
| Clavicle complete (73000) | $174.27 | $471 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $409.96 | $1,108 | 3.7× |
| Contrast Exam Abdominl Aorta (75625) | $3,368.85 | $9,105 | 1.0× |
| Contrast X-Ray Bladder (74430) | $279.72 | $756 | 0.8× |
| Contrast Xray Throat/Cerv Esopha (74210) | $250.86 | $678 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $1,282.42 | $3,466 | 3.5× |
| CT abdomen and pelvis without contrast (74176) | $550.19 | $1,487 | 2.2× |
| CT abdomen w contrast (74160) | $982.35 | $2,655 | 5.3× |
| CT abdomen w wo contrast (74170) | $1,198.80 | $3,240 | 6.5× |
| CT abdomen w/o contrast (74150) | $704.48 | $1,904 | 6.4× |
| CT Angio Abdomen and Pelvis (74174) | $1,633.92 | $4,416 | 4.5× |
| CT Angio Chest (71275) | $1,051.17 | $2,841 | 5.7× |
| CT Angio Head (70496) | $1,297.96 | $3,508 | 7.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,559.55 | $4,215 | 8.5× |
| CT Angio Neck (70498) | $1,297.96 | $3,508 | 7.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,411.55 | $3,815 | 7.7× |
| CT cervical spine w/ contrast (72126) | $931.29 | $2,517 | 2.5× |
| CT cervical spine w/o contrast (72125) | $752.21 | $2,033 | 6.9× |
| CT cervical spine w/wo cont (72127) | $1,171.79 | $3,167 | 6.4× |
| CT chest w contrast (71260) | $929.07 | $2,511 | 5.1× |
| CT chest w/wo contrast (71270) | $1,051.17 | $2,841 | 5.7× |
| CT colonography screening (74263) | $557.59 | $1,507 | 2.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $574.61 | $1,553 | 3.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $574.61 | $1,553 | 5.2× |
| CT head/brain with contrast (70460) | $748.88 | $2,024 | 4.1× |
| CT head/brain without and with contrast (70470) | $923.15 | $2,495 | 5.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $36.63 | $99 | 0.4× |
| CT iac w contrast (70481) | $772.19 | $2,087 | 4.2× |
| CT l-spine w&w/o contrast (72133) | $1,172.90 | $3,170 | 6.4× |
| CT lower ext w/o (73700) | $722.61 | $1,953 | 6.6× |
| CT lower extremity w/contrast material (73701) | $900.21 | $2,433 | 4.9× |
| CT lumbar spine w contrast (72132) | $929.07 | $2,511 | 2.5× |
| CT lumbar spine w/o contrast (72131) | $748.88 | $2,024 | 6.8× |
| CT maxillofacial w contrast (70487) | $925 | $2,500 | 5.0× |
| CT maxillofacial wo contrast (70486) | $754.80 | $2,040 | 6.9× |
| CT neck tissue combo (70492) | $1,120.73 | $3,029 | 6.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,256.52 | $3,396 | 6.8× |
| CT orbits w/o contrast (70480) | $915.75 | $2,475 | 8.4× |
| CT pelvis w&w/o contrast (72194) | $1,031.56 | $2,788 | 5.6× |
| CT pelvis w/o contrast (72192) | $710.03 | $1,919 | 6.5× |
| CT scan of leg combo (73702) | $1,196.58 | $3,234 | 6.5× |
| CT scans face/jaw combo (70488) | $1,156.62 | $3,126 | 6.3× |
| CT soft tissue neck w contrast (70491) | $890.59 | $2,407 | 4.8× |
| CT soft tissue neck w/o contrast (70490) | $715.95 | $1,935 | 6.5× |
| CT thoracic spine w contrast (72129) | $931.29 | $2,517 | 5.1× |
| CT thoracic spine w/o contrast (72128) | $751.47 | $2,031 | 6.9× |
| CT thoracic spine w/wo cont (72130) | $1,175.12 | $3,176 | 6.4× |
| CT thorax w/o contrast (71250) | $748.88 | $2,024 | 6.8× |
| CT unlisted procedure (76497) | $248.27 | $671 | 2.7× |
| CT upper ext wo (73200) | $721.13 | $1,949 | 6.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,193.62 | $3,226 | 6.5× |
| CT upper extremity with contrast (73201) | $892.81 | $2,413 | 2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,730.12 | $4,676 | 9.4× |
| Cta Abdomen (74175) | $1,025.27 | $2,771 | 5.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $421.80 | $1,140 | 1.2× |
| CTA pelvis (72191) | $1,493.69 | $4,037 | 8.1× |
| Dxa Bone Density Axial (77080) | $313.02 | $846 | 2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $124.69 | $337 | 1.4× |
| Echo exam uterus (76831) | $253.82 | $686 | 1.0× |
| Echo Guide For Artery Repair (76936) | $909.83 | $2,459 | 4.0× |
| Esophagram (74220) | $288.60 | $780 | 1.6× |
| Fetal Biophys Profile W/Nst (76818) | $286.01 | $773 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $222.37 | $601 | 2.0× |
| Fluoroscopy up to 1 hr (76000) | $380.36 | $1,028 | 1.5× |
| Foot 2 views (73620) | $163.91 | $443 | 1.8× |
| Forearm 2 views (73090) | $171.31 | $463 | 1.9× |
| Gastric emptying imaging study (78264) | $870.61 | $2,353 | 2.1× |
| Gated Heart Planar Single (78472) | $745.18 | $2,014 | 1.8× |
| Hand 2 views (73120) | $168.72 | $456 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,392.68 | $3,764 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,001.22 | $2,706 | 2.4× |
| Ht Muscle Image Spect Sing (78451) | $821.77 | $2,221 | 0.6× |
| Hysterosalpingogram (74740) | $225.33 | $609 | 0.9× |
| Joint Survey Single View (77077) | $126.91 | $343 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $452.14 | $1,222 | 0.8× |
| K Flow/Funct Image W/O Drug (78707) | $685.98 | $1,854 | 1.2× |
| Knee 3 Views (73562) | $222.74 | $602 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $926.48 | $2,504 | 1.6× |
| Lymph System Imaging (78195) | $1,024.16 | $2,768 | 1.8× |
| Magnetic Image Jaw Joint (70336) | $997.89 | $2,697 | 4.0× |
| Meckels Divert Exam (78290) | $993.45 | $2,685 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,601.47 | $7,031 | 7.1× |
| MRA head w/o contrast (70544) | $1,637.25 | $4,425 | 6.6× |
| MRA head with contrast (70545) | $1,626.15 | $4,395 | 4.5× |
| MRA neck w contrast (70548) | $1,712.36 | $4,628 | 4.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,601.47 | $7,031 | 7.1× |
| MRA neck w/o contrast (70547) | $1,632.81 | $4,413 | 6.5× |
| MRI abdomen w contrast (74182) | $1,710.88 | $4,624 | 4.7× |
| MRI abdomen w/o contrast (74181) | $1,193.99 | $3,227 | 4.8× |
| MRI any jt lower extrem w/contrast material (73722) | $1,405.26 | $3,798 | 1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,405.26 | $3,798 | 3.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,390.46 | $3,758 | 1.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,460.02 | $3,946 | 5.8× |
| MRI cervical spine w contrast (72142) | $1,490.73 | $4,029 | 4.1× |
| MRI cervical spine w/o cont (72141) | $1,191.03 | $3,219 | 4.8× |
| MRI chest w/o contrast (71550) | $1,499.61 | $4,053 | 6.0× |
| MRI chest wo w contrast (71552) | $2,267.73 | $6,129 | 6.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,484.44 | $4,012 | 4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,341.62 | $3,626 | 3.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,341.62 | $3,626 | 5.4× |
| MRI lumbar spine w contrast (72149) | $1,487.03 | $4,019 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,889.96 | $5,108 | 5.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,330.15 | $3,595 | 5.3× |
| MRI orbit face neck w contrast (70542) | $1,253.93 | $3,389 | 3.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,973.21 | $5,333 | 5.4× |
| MRI pelvis w/o & w contrast (72197) | $1,987.64 | $5,372 | 5.4× |
| MRI pelvis w/o contrast (72195) | $1,349.76 | $3,648 | 5.4× |
| MRI thoracic spine w/o contrast (72146) | $1,220.26 | $3,298 | 4.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,481.48 | $4,004 | 4.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,369.37 | $3,701 | 5.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,997.26 | $5,398 | 5.5× |
| MRI, abdomen, combo (74183) | $1,990.23 | $5,379 | 5.4× |
| MRI, dorsal spine combo (72157) | $1,764.53 | $4,769 | 4.8× |
| MRI, dorsal spine contrast (72147) | $1,325.34 | $3,582 | 3.6× |
| MRI, joint upper extrem (73221) | $1,283.53 | $3,469 | 5.1× |
| MRI, joint upper extrem combo (73223) | $1,390.46 | $3,758 | 3.8× |
| MRI, lumbar spine combo (72158) | $1,887.37 | $5,101 | 5.2× |
| Myocardial Spect Multiple Studies (78452) | $1,589.89 | $4,297 | 1.2× |
| Neck soft tissue (70360) | $156.14 | $422 | 1.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $283.79 | $767 | 0.7× |
| Nuclear Rx Oral Admin (79005) | $209.42 | $566 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$134.68–$161.32 | $364–$436 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,270.58 | $3,434 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,113.70 | $3,010 | 2.7× |
| Pelvis 1 or 2 views (72170) | $176.86 | $478 | 1.6× |
| PET image w/CT, full body (78816) | $3,173.12 | $8,576 | 2.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,100.97 | $8,381 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $624.19 | $1,687 | 1.5× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $527.25 | $1,425 | 0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $234.95 | $635 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $202.02 | $546 | 2.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $168.72 | $456 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $228.66 | $618 | 2.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $247.90 | $670 | 2.3× |
| Radex fingr minimum 2 views (73140) | $206.09 | $557 | 2.3× |
| Radex foot complete minimum 3 views (73630) | $198.32 | $536 | 2.2× |
| Radex Hand Minimum 3 Views (73130) | $202.02 | $546 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $185.74 | $502 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $198.32 | $536 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $241.61 | $653 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) | $178.34 | $482 | 2.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $179.45 | $485 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $160.95 | $435 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $249.75 | $675 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $293.04 | $792 | 3.2× |
| Radex Toe Minimum 2 Views (73660) | $190.92 | $516 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $181.30 | $490 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $233.10 | $630 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $177.60 | $480 | 1.6× |
| Radiologic exam colon double contrast study (74280) | $690.79 | $1,867 | 3.8× |
| Radiologic exam colon single contrast study (74270) | $408.11 | $1,103 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) | $257.15 | $695 | 2.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $293.41 | $793 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $352.61 | $953 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $279.72 | $756 | 1.5× |
| Radiologic examination femur 1 view (73551) | $83.62 | $226 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) | $97.68 | $264 | 1.1× |
| Radiologic examination knee 1/2 views (73560) | $178.34 | $482 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $163.91 | $443 | 1.8× |
| Ribs bilateral 3 views (71110) | $306.36 | $828 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,620.60 | $4,380 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,013.43 | $2,739 | 1.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,270.58 | $3,434 | 2.2× |
| Scapula (73010) | $178.34 | $482 | 1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.70 | $110 | 1.7× |
| Shoulder 1 view (73020) | $140.60 | $380 | 1.5× |
| Skull less than 4 views (70250) | $202.02 | $546 | 1.8× |
| Sternoclavicular joints (71130) | $110.63 | $299 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,969.14 | $5,322 | 5.0× |
| Thoracic spine 2 views (72070) | $227.55 | $615 | 2.1× |
| Thoracic spine 3 views (72072) | $270.10 | $730 | 2.5× |
| Thoracolumbar 2 views (72080) | $82.14 | $222 | 0.9× |
| Thyroid Met Imaging Body (78018) | $986.79 | $2,667 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $275.28 | $744 | 0.7× |
| Tx devices design & construction simple (77332) | $231.25 | $625 | 1.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$30.71–$273.43 | $83–$739 | varies |
| Ultrasound Exam Aaa Screen (76706) | $311.91 | $843 | 2.8× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$58.83–$311.54 | $159–$842 | varies |
| Umbilical-artery Doppler (OB) (76820) | $101.38 | $274 | 0.9× |
| Upper gi w/o kub (74240) | $340.77 | $921 | 1.9× |
| Urethrocystogram voiding (74455) | $322.64 | $872 | 1.3× |
| Urethrocystography retrograde (74450) | $260.85 | $705 | 1.0× |
| Us breast unilateral complete (76641) | $294.52 | $796 | 2.7× |
| Us chest (76604) range across 2 matching MRF lines |
$30.71–$244.94 | $83–$662 | varies |
| Us complete joint (76881) | $152.81 | $413 | 1.4× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$83.99–$255.30 | $227–$690 | varies |
| Us head (76506) | $297.11 | $803 | 2.7× |
| Us kidney transplant (76776) | $365.93 | $989 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$26.64–$109.52 | $72–$296 | varies |
| Us ob detailed single fetus (76811) | $692.27 | $1,871 | 2.8× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$58.83–$241.61 | $159–$653 | varies |
| Us ob transvaginal (76817) | $268.25 | $725 | 2.4× |
| Us pelvic non ob complete (76856) | $361.86 | $978 | 3.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $332.63 | $899 | 3.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $296.74 | $802 | 2.7× |
| Us retroperitoneal complete (76770) | $390.72 | $1,056 | 3.6× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$51.43–$338.92 | $139–$916 | varies |
| Us scrotum and contents (76870) | $367.04 | $992 | 3.4× |
| Us spinal canal and contents (76800) | $170.94 | $462 | 1.6× |
| Us thyroid (76536) range across 2 matching MRF lines |
$47.36–$355.94 | $128–$962 | varies |
| Us transrectal (76872) | $438.08 | $1,184 | 4.0× |
| Venography extremity unilateral rs&i (75820) | $1,010.84 | $2,732 | 0.6× |
| Wrist 2 views (73100) | $185.74 | $502 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $200.54 | $542 | 2.2× |
| X-ray antegrade pyelogram tube (74425) | $304.14 | $822 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $2,905.24 | $7,852 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $174.27 | $471 | 1.9× |
| X-Ray Exam Breast Specimen (76098) | $246.42 | $666 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $83.62 | $226 | 0.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $88.80 | $240 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $125.06 | $338 | 1.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $64.75 | $175 | 0.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $120.99 | $327 | 1.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $147.26 | $398 | 1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $165.39 | $447 | 1.5× |
| X-Ray Exam L-S Spine Bending (72114) | $137.64 | $372 | 1.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $262.70 | $710 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $228.66 | $618 | 2.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $293.41 | $793 | 2.7× |
| X-ray eye for foreign body (70030) | $165.39 | $447 | 1.8× |
| X-ray humerus (73060) | $178.34 | $482 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $208.68 | $564 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $178.34 | $482 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $281.57 | $761 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $407 | $1,100 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $250.49 | $677 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $169.46 | $458 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $207.20 | $560 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $222 | $600 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $253.82 | $686 | 2.3× |
| X-Ray Stress View (77071) | $117.66 | $318 | 1.3× |
| X-Rays Bone Length Studies (77073) | $157.62 | $426 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $341.14 | $922 | 3.1× |
| Xr c-spine 4 or 5 views (72050) | $367.04 | $992 | 3.4× |
| Xr orbits complete 4 views (70200) | $106.19 | $287 | 1.0× |
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.