Imaging prices at Leonard J. Chabert Medical Center
Houma, LA · every code in this section with a posted price and a Medicare benchmark.
288 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) | $77.08 | $164 | 1.0× |
| Abdomen 2 views (74019) | $147.11 | $313 | 1.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $321.01 | $683 | 0.9× |
| Angio internal mammary (75756) | $1,276.99 | $2,717 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $2,542.70 | $5,410 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,542.70 | $5,410 | 0.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,489.43 | $3,169 | 0.3× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,383.37 | $5,071 | 0.5× |
| Arthrogram hip (73525) | $434.75 | $925 | 1.3× |
| Arthrogram Wrist (73115) | $237.35 | $505 | 0.7× |
| Bone age studies (77072) | $58.28 | $124 | 0.6× |
| Bone Imaging 3 Phase (78315) | $321.01 | $683 | 0.9× |
| Bone Imaging Limited Area (78300) | $321.01 | $683 | 0.9× |
| Bone Imaging Whole Body (78306) | $321.01 | $683 | 0.9× |
| Bone marrow imaging limited area (78102) | $561.65 | $1,195 | 1.5× |
| Chest 1 view (71045) | $77.08 | $164 | 1.0× |
| Chest 2 views (71046) | $77.08 | $164 | 1.0× |
| Chest 3 views (71047) | $77.08 | $164 | 1.0× |
| Chest 4 or more views (71048) | $147.11 | $313 | 1.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $101.99 | $217 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $2,542.70 | $5,410 | 0.9× |
| Contrast X-Ray Bladder (74430) | $222.78 | $474 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $464.83 | $989 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$455.43–$910.86 | $969–$1,938 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $249.57 | $531 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $433.34 | $922 | 1.3× |
| CT abdomen and pelvis without contrast (74176) | $251.45 | $535 | 1.1× |
| CT abdomen w contrast (74160) | $384.93 | $819 | 2.4× |
| CT abdomen w wo contrast (74170) | $432.40 | $920 | 2.6× |
| CT abdomen w/o contrast (74150) | $253.33 | $539 | 2.6× |
| CT Angio Abdomen and Pelvis (74174) | $482.22 | $1,026 | 1.5× |
| CT Angio Chest (71275) | $441.33 | $939 | 2.7× |
| CT Angio Head (70496) | $441.33 | $939 | 2.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$441.33–$882.66 | $939–$1,878 | varies |
| CT Angio Neck (70498) | $441.33 | $939 | 2.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $387.28 | $824 | 2.4× |
| CT cervical spine w/ contrast (72126) | $308.79 | $657 | 1.0× |
| CT cervical spine w/o contrast (72125) | $253.33 | $539 | 2.6× |
| CT cervical spine w/wo cont (72127) | $537.68 | $1,144 | 3.3× |
| CT chest w contrast (71260) | $384.93 | $819 | 2.4× |
| CT chest w/wo contrast (71270) | $442.27 | $941 | 2.7× |
| CT head/brain with contrast (70460) | $384.93 | $819 | 2.4× |
| CT head/brain without and with contrast (70470) | $432.40 | $920 | 2.6× |
| CT iac w contrast (70481) | $384.93 | $819 | 2.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$253.33–$506.66 | $539–$1,078 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$399.03–$798.06 | $849–$1,698 | varies |
| CT lumbar spine w contrast (72132) | $384.93 | $819 | 1.2× |
| CT lumbar spine w/o contrast (72131) | $253.33 | $539 | 2.6× |
| CT maxillofacial w contrast (70487) | $399.03 | $849 | 2.4× |
| CT maxillofacial wo contrast (70486) | $253.33 | $539 | 2.6× |
| CT neck tissue combo (70492) | $432.40 | $920 | 2.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $432.40 | $920 | 2.6× |
| CT orbits w/o contrast (70480) | $253.33 | $539 | 2.6× |
| CT pelvis w&w/o contrast (72194) | $432.40 | $920 | 2.6× |
| CT pelvis w/o contrast (72192) | $253.33 | $539 | 2.6× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$618.99–$1,237.98 | $1,317–$2,634 | varies |
| CT scans face/jaw combo (70488) | $442.27 | $941 | 2.7× |
| CT soft tissue neck w contrast (70491) | $384.93 | $819 | 2.4× |
| CT soft tissue neck w/o contrast (70490) | $253.33 | $539 | 2.6× |
| CT thoracic spine w contrast (72129) | $384.93 | $819 | 2.4× |
| CT thoracic spine w/o contrast (72128) | $253.33 | $539 | 2.6× |
| CT thorax w/o contrast (71250) | $253.33 | $539 | 2.6× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$253.33–$506.66 | $539–$1,078 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$383.52–$767.04 | $816–$1,632 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$384.93–$769.86 | $819–$1,638 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $441.33 | $939 | 2.7× |
| Cta Abdomen (74175) | $441.33 | $939 | 2.7× |
| CTA pelvis (72191) | $441.33 | $939 | 2.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $138.65 | $295 | 1.4× |
| Dxa Bone Density Axial (77080) | $81.78 | $174 | 0.8× |
| Dxa bone density study (77085) | $117.50 | $250 | 1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $39.01 | $83 | 0.5× |
| Echo exam uterus (76831) | $201.63 | $429 | 0.9× |
| Echograp Trans R Pros Study (76873) | $141.47 | $301 | 1.5× |
| Esophagram (74220) | $113.74 | $242 | 0.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $337.93 | $719 | 1.5× |
| Fluoroscopy up to 1 hr (76000) | $111.39 | $237 | 0.5× |
| Follow-Up Angiography (75898) | $388.67 | $826.95 | 0.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Gastric emptying imaging study (78264) | $321.01 | $683 | 0.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $411.25 | $875 | 1.1× |
| Gated Heart Planar Single (78472) | $396.68 | $844 | 1.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $545.67 | $1,161 | 1.1× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $860.57 | $1,831 | 1.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $860.57 | $1,831 | 1.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $860.57 | $1,831 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $333.70 | $710 | 0.7× |
| Hepatobiliary System Imaging (78226) | $333.70 | $710 | 0.9× |
| Ht Muscle Image Spect Sing (78451) | $764.22 | $1,626 | 0.6× |
| Hysterosalpingogram (74740) | $272.60 | $580 | 1.2× |
| Joint Survey Single View (77077) | $117.50 | $250 | 1.2× |
| K Flow/Funct Image Multiple (78709) | $321.95 | $685 | 0.6× |
| K Flow/Funct Image W/Drug (78708) | $421.59 | $897 | 0.8× |
| K Flow/Funct Image W/O Drug (78707) | $421.59 | $897 | 0.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Liver & Spleen Imaging Static Only (78215) | $377.41 | $803 | 1.0× |
| Lung perfusion differential (78597) | $230.30 | $490 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $360.02 | $766 | 0.7× |
| Lymph System Imaging (78195) | $335.11 | $713 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $362.84 | $772 | 1.6× |
| Magnetic Resonance Elastography (76391) | $285.29 | $607 | 1.3× |
| Meckels Divert Exam (78290) | $411.25 | $875 | 1.1× |
| MRA head w/o contrast (70544) | $453.08 | $964 | 2.0× |
| MRA head with contrast (70545) | $549.43 | $1,169 | 1.7× |
| MRA neck w contrast (70548) | $549.43 | $1,169 | 1.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $694.19 | $1,477 | 2.1× |
| MRA neck w/o contrast (70547) | $453.08 | $964 | 2.0× |
| MRI abdomen w contrast (74182) | $1,052.80 | $2,240 | 3.2× |
| MRI abdomen w/o contrast (74181) | $453.08 | $964 | 2.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$549.43–$1,098.86 | $1,169–$2,338 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$694.19–$1,388.38 | $1,477–$2,954 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$549.43–$1,098.86 | $1,169–$2,338 | varies |
| MRI cervical spine w contrast (72142) | $549.43 | $1,169 | 1.7× |
| MRI cervical spine w/o cont (72141) | $453.08 | $964 | 2.0× |
| MRI chest w/o contrast (71550) | $453.08 | $964 | 2.0× |
| MRI chest wo w contrast (71552) | $694.19 | $1,477 | 2.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$548.49–$1,096.98 | $1,167–$2,334 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$688.55–$1,377.10 | $1,465–$2,930 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$453.08–$906.16 | $964–$1,928 | varies |
| MRI lumbar spine w contrast (72149) | $549.43 | $1,169 | 1.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $694.19 | $1,477 | 2.1× |
| MRI orbit face &/neck w/o contrast (70540) | $453.08 | $964 | 2.0× |
| MRI orbit face neck w contrast (70542) | $480.81 | $1,023 | 1.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $694.19 | $1,477 | 2.1× |
| MRI pelvis w contrast (72196) | $549.43 | $1,169 | 1.7× |
| MRI pelvis w/o & w contrast (72197) | $694.19 | $1,477 | 2.1× |
| MRI pelvis w/o contrast (72195) | $453.08 | $964 | 2.0× |
| MRI thoracic spine w/o contrast (72146) | $453.08 | $964 | 2.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$549.43–$1,098.86 | $1,169–$2,338 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$453.08–$906.16 | $964–$1,928 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $694.19 | $1,477 | 2.1× |
| MRI, abdomen, combo (74183) | $694.19 | $1,477 | 2.1× |
| MRI, dorsal spine combo (72157) | $694.19 | $1,477 | 2.1× |
| MRI, dorsal spine contrast (72147) | $480.81 | $1,023 | 1.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$453.08–$906.16 | $964–$1,928 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$694.19–$1,388.38 | $1,477–$2,954 | varies |
| MRI, lumbar spine combo (72158) | $694.19 | $1,477 | 2.1× |
| Myocardial Spect Multiple Studies (78452) | $1,004.39 | $2,137 | 0.8× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,784.12 | $3,796 | 1.3× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,784.12 | $3,796 | 1.3× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,781.93 | $5,919 | 1.4× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $3,399.98 | $7,234 | 1.7× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $3,399.98 | $7,234 | 2.4× |
| Neck soft tissue (70360) | $58.28 | $124 | 0.7× |
| Nuclear Rx Oral Admin (79005) | $282.94 | $602 | 1.3× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $124.55 | $265 | 1.3× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $48.88 | $104 | 1.8× |
| Panoramic X-ray of jaws (70355) | $58.28 | $124 | 0.7× |
| Parathyroid Planar Imaging (78070) | $288.11 | $613 | 0.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $411.25 | $875 | 1.1× |
| Pelvis 1 or 2 views (72170) | $58.28 | $124 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $267.90 | $570 | 0.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $39.01 | $83 | 0.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $58.28 | $124 | 0.6× |
| Radex fingr minimum 2 views (73140) | $58.28 | $124 | 0.7× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $58.28 | $124 | 0.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $58.28 | $124 | 0.7× |
| Radex Ribs Unilateral 2 Views (71100) | $58.28 | $124 | 0.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $58.28 | $124 | 0.7× |
| Radex Spine 1 View Specify Level (72020) | $58.28 | $124 | 0.7× |
| Radex Sternum Minimum 2 Views (71120) | $58.28 | $124 | 0.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $58.28 | $124 | 0.7× |
| Radex Toe Minimum 2 Views (73660) | $58.28 | $124 | 0.7× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $237.35 | $505 | 2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $58.28 | $124 | 0.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $147.11 | $313 | 1.5× |
| Radiologic exam colon double contrast study (74280) | $183.77 | $391 | 1.1× |
| Radiologic exam colon single contrast study (74270) | $113.74 | $242 | 0.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $225.60 | $480 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $58.28 | $124 | 0.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $113.74 | $242 | 0.7× |
| Radiologic exam swallow function contrast study (74230) | $58.28 | $124 | 0.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $312.55 | $665 | 1.9× |
| Radiologic examination femur 1 view (73551) | $75.20 | $160 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$75.20–$150.40 | $160–$320 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $97.76 | $208 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $240.17 | $511 | 0.7× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $240.17 | $511 | 0.7× |
| Ribs bilateral 3 views (71110) | $58.28 | $124 | 0.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,571.68 | $3,344 | 3.1× |
| Scapula (73010) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $23.50 | $50 | 1.0× |
| Sella turcica (70240) | $58.28 | $124 | 0.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$232.18–$464.36 | $494–$988 | varies |
| Skull less than 4 views (70250) | $58.28 | $124 | 0.6× |
| Sternoclavicular joints (71130) | $58.28 | $124 | 0.7× |
| Tbs technical calculation only (77091) | $93.06 | $198 | 1.1× |
| Testicular Imaging W/Flow (78761) | $543.79 | $1,157 | 1.5× |
| Thoracic spine 2 views (72070) | $58.28 | $124 | 0.6× |
| Thoracic spine 3 views (72072) | $58.28 | $124 | 0.6× |
| Thoracolumbar 2 views (72080) | $58.28 | $124 | 0.7× |
| Thyroid Met Imaging Body (78018) | $376.47 | $801 | 0.7× |
| Thyroid Uptake Measurement (78012) | $124.40 | $264.68 | 0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $254.27 | $541 | 0.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$118.44–$236.88 | $252–$504 | varies |
| Ultrasound elastography first target lesion (76982) | $139.12 | $296 | 1.4× |
| Ultrasound Elastography Parenchyma (76981) | $139.12 | $296 | 1.4× |
| Ultrasound Exam Aaa Screen (76706) | $139.12 | $296 | 1.4× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $249.57 | $531 | 0.8× |
| Ultrasound, abdomen limited (76705) | $126.43 | $269 | 1.3× |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$50.29–$77.08 | $107–$164 | varies |
| Unlisted us procedure (76999) | $81.31 | $173 | 1.0× |
| Upper gi w/o kub (74240) | $113.74 | $242 | 0.7× |
| Urethrocystogram voiding (74455) | $222.78 | $474 | 1.0× |
| Urethrocystography retrograde (74450) | $318.66 | $678 | 1.4× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$118.44–$236.88 | $252–$504 | varies |
| Us chest (76604) | $79.90 | $170 | 0.8× |
| Us complete joint (76881) | $125.02 | $266 | 1.3× |
| Us exam, pelvic, limited (76857) | $81.31 | $173 | 0.8× |
| Us head (76506) | $81.31 | $173 | 0.8× |
| Us kidney transplant (76776) | $370.83 | $789 | 3.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $81.31 | $173 | 0.8× |
| Us ob limited 1 or more fetuses (76815) | $66.74 | $142 | 0.7× |
| Us ob transvaginal (76817) | $81.31 | $173 | 0.8× |
| Us pelvic non ob complete (76856) | $126.43 | $269 | 1.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $126.43 | $269 | 1.3× |
| Us retroperitoneal complete (76770) | $126.43 | $269 | 1.3× |
| Us retroperitoneal limited (76775) | $126.43 | $269 | 1.3× |
| Us scrotum and contents (76870) | $126.43 | $269 | 1.3× |
| Us spinal canal and contents (76800) | $111.39 | $237 | 1.1× |
| Us thyroid (76536) | $126.43 | $269 | 1.3× |
| Us transrectal (76872) | $126.43 | $269 | 1.3× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$863.39–$900.05 | $1,837–$1,915 | varies |
| Venography Adrenal Unilateral (75840) | $3,425.36 | $7,288 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $3,360.97 | $7,151 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $772.21 | $1,643 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $772.21 | $1,643 | 0.5× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$561.65 | $1,195 | 0.1× |
| Vertebral fracture assessment via dxa (77086) | $73.32 | $156 | 0.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $58.28 | $124 | 0.7× |
| X-ray antegrade pyelogram tube (74425) | $192.70 | $410 | 0.6× |
| X-Ray Aorta Leg Arteries (75630) | $2,542.70 | $5,410 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $112.33 | $239 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$58.28–$116.56 | $124–$248 | varies |
| X-Ray Exam Breast Specimen (76098) | $489.74 | $1,042 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $75.20 | $160 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $124.55 | $265 | 1.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $237.35 | $505 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $75.20 | $160 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $75.20 | $160 | 0.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $124.55 | $265 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $124.55 | $265 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $124.55 | $265 | 1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $237.35 | $505 | 2.4× |
| X-Ray Exam L-S Spine Bending (72114) | $97.76 | $208 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $70.97 | $151 | 0.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $97.76 | $208 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $253.33 | $539 | 2.6× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$55.46–$110.92 | $118–$236 | varies |
| X-ray humerus (73060) | $58.28 | $124 | 0.7× |
| X-ray IV pyelogram (ivp) (74400) | $222.78 | $474 | 1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $58.28 | $124 | 0.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $58.28 | $124 | 0.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $58.28 | $124 | 0.6× |
| X-ray nose-rectum child f.b. (76010) | $237.35 | $505 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $117.50 | $250 | 1.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $58.28 | $124 | 0.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $58.28 | $124 | 0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $58.28 | $124 | 0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $58.28 | $124 | 0.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $97.76 | $208 | 1.0× |
| X-ray thoracic spine 4 vw (72074) | $58.28 | $124 | 0.6× |
| X-Ray Tmj Unilat (70328) | $76.61 | $163 | 0.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $222.78 | $474 | 0.7× |
| X-Rays Bone Length Studies (77073) | $58.28 | $124 | 0.6× |
| X-Rays Bone Survey Complete (77075) | $97.76 | $208 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $97.76 | $208 | 1.0× |
| Xr facial bones less than 3 views (70140) | $58.28 | $124 | 0.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $144.76 | $308 | 1.5× |
| Xr orbits complete 4 views (70200) | $58.28 | $124 | 0.6× |
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.