Imaging prices at Lincoln Medical Center
Fayetteville, TN · every code in this section with a posted price and a Medicare benchmark.
245 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 |
$55.93–$136.51 | $118–$288 | varies |
| Abdomen 2 views (74019) | $147.89 | $312 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $490.12 | $1,034 | 1.4× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$9.97–$200.03 | $21.03–$422 | varies |
| Arthrogram hip (73525) | $436.08 | $920 | 1.4× |
| Arthrogram Wrist (73115) | $295.78 | $624 | 0.9× |
| Bone age studies (77072) range across 2 matching MRF lines |
$60.67–$82.95 | $128–$175 | varies |
| Bone Imaging 3 Phase (78315) | $790.63 | $1,668 | 2.2× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$539.89–$677.82 | $1,139–$1,430 | varies |
| Bone Imaging Whole Body (78306) | $695.36 | $1,467 | 1.9× |
| Bone survey infant (77076) | $143.15 | $302 | 1.5× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$266.39–$622.84 | $562–$1,314 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$6.29–$118.97 | $13.26–$251 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$7.96–$154.52 | $16.79–$326 | varies |
| Chest 3 views (71047) | $142.67 | $301 | 1.8× |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$117.55–$134.62 | $248–$284 | varies |
| Cholecystography Oral Contrast (74290) | $147.89 | $312 | 0.9× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$8.96–$143.43 | $18.91–$302.60 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $684.93 | $1,445 | 7.2× |
| Contrast X-Ray Bladder (74430) | $235.58 | $497 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $349.81 | $738 | 1.1× |
| Contrast X-Ray Of Knee Joint (73580) | $482.06 | $1,017 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $2,300.32 | $4,853 | 7.3× |
| CT abdomen and pelvis without contrast (74176) | $1,929.65 | $4,071 | 8.9× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$965.06–$1,136.65 | $2,036–$2,398 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,116.74–$1,322.93 | $2,356–$2,791 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$822.39–$914.46 | $1,735–$1,929.25 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,251.50 | $4,750 | 7.1× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,232.35–$1,235.72 | $2,599.89–$2,607 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,279.80–$1,648.10 | $2,700–$3,477 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,521.54–$1,648.10 | $3,210–$3,477 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,045.64–$2,274.25 | $2,206–$4,798 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,229.08–$1,978 | $2,593–$4,173 | varies |
| CT cervical spine w/ contrast (72126) | $989.71 | $2,088 | 3.1× |
| CT cervical spine w/o contrast (72125) | $914.46 | $1,929.25 | 9.6× |
| CT cervical spine w/wo cont (72127) | $1,207.28 | $2,547 | 7.6× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$965.06–$1,133.69 | $2,036–$2,391.75 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$930.46–$1,232.35 | $1,963–$2,599.89 | varies |
| CT head/brain with contrast (70460) | $1,023.37 | $2,159 | 6.4× |
| CT head/brain without and with contrast (70470) | $1,137.13 | $2,399 | 7.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $65.41 | $138 | 0.8× |
| CT iac w contrast (70481) | $995.40 | $2,100 | 6.3× |
| CT l-spine w&w/o contrast (72133) | $1,207.28 | $2,547 | 7.6× |
| CT lower ext w/o (73700) | $853.01 | $1,799.60 | 9.0× |
| CT lower extremity w/contrast material (73701) | $935.72 | $1,974.10 | 5.9× |
| CT lumbar spine w contrast (72132) | $989.71 | $2,088 | 3.1× |
| CT lumbar spine w/o contrast (72131) | $904.87 | $1,909 | 9.5× |
| CT maxillofacial w contrast (70487) | $1,096.36 | $2,313 | 6.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$699.62–$822.39 | $1,476–$1,735 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$930.46–$1,141.39 | $1,963–$2,408 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 5 matching MRF lines |
$809.59–$1,073.14 | $1,708–$2,264 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$595.82–$903.92 | $1,257–$1,907 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,116.74–$1,273.16 | $2,356–$2,686 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$822.39–$842.30 | $1,735–$1,777 | varies |
| CT scan of leg combo (73702) | $1,018.15 | $2,148 | 6.4× |
| CT scans face/jaw combo (70488) | $1,164.25 | $2,456.22 | 7.3× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$803.90–$1,107.26 | $1,696–$2,336 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$595.82–$827.13 | $1,257–$1,745 | varies |
| CT thoracic spine w contrast (72129) | $699.62 | $1,476 | 4.4× |
| CT thoracic spine w/o contrast (72128) | $822.39 | $1,735 | 8.7× |
| CT thoracic spine w/wo cont (72130) | $809.59 | $1,708 | 5.1× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$684.93–$884.01 | $1,445–$1,865 | varies |
| CT upper ext wo (73200) | $837.40 | $1,766.66 | 8.8× |
| CT upper extremity w/o & w/contrast material (73202) | $809.59 | $1,708 | 5.1× |
| CT upper extremity with contrast (73201) | $1,036.64 | $2,187 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,251.50 | $4,750 | 14.1× |
| Cta Abdomen (74175) | $1,235.72 | $2,607 | 7.8× |
| CTA pelvis (72191) | $1,277.90 | $2,696 | 8.0× |
| Esophagram (74220) | $237.47 | $501 | 1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $326.11 | $688 | 3.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$124.19–$258.80 | $262–$546 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$8.46–$165.90 | $17.85–$350 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$8.12–$165.90 | $17.14–$350 | varies |
| Gastric emptying imaging study (78264) | $665.50 | $1,404 | 1.8× |
| Gastroesophageal Reflux Exam (78262) | $481.11 | $1,015 | 1.3× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$370.67–$687.30 | $782–$1,450 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$8.30–$165.90 | $17.50–$350 | varies |
| Hepatobil Syst Image W/Drug (78227) | $729.96 | $1,540 | 1.5× |
| Hepatobiliary System Imaging (78226) | $681.14 | $1,437 | 1.9× |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$837.56–$1,289.28 | $1,767–$2,720 | varies |
| Hysterosalpingogram (74740) | $420.02 | $886.12 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $136.99 | $289 | 1.7× |
| K Flow/Funct Image Multiple (78709) | $921.46 | $1,944 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $614.30 | $1,296 | 1.2× |
| Knee 3 Views (73562) | $160.21 | $338 | 2.0× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $571.64 | $1,206 | 1.6× |
| Leveen/Shunt Patency Exam (78291) | $334.64 | $706 | 0.9× |
| Liver & Spleen Imaging Static Only (78215) | $365.45 | $771 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $727.59 | $1,535 | 1.5× |
| Lymph System Imaging (78195) | $349.58 | $737.52 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $1,335.26 | $2,817 | 6.2× |
| Meckels Divert Exam (78290) | $303.83 | $641 | 0.8× |
| MRA head w/o contrast (70544) | $1,172.68 | $2,474 | 5.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,248.04 | $2,633 | 3.9× |
| MRA neck w/o contrast (70547) | $641.32 | $1,353 | 3.0× |
| MRI abdomen w contrast (74182) | $691.57 | $1,459 | 2.2× |
| MRI abdomen w/o contrast (74181) | $1,287.86 | $2,717 | 5.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 8 matching MRF lines |
$691.57–$1,335.26 | $1,459–$2,817 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$691.57–$1,509.69 | $1,459–$3,185 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,509.22 | $3,184 | 2.1× |
| MRI cervical spine w contrast (72142) | $829.97 | $1,751 | 2.6× |
| MRI cervical spine w/o cont (72141) | $1,363.22 | $2,876 | 6.3× |
| MRI chest w/o contrast (71550) | $1,367.02 | $2,884 | 6.3× |
| MRI chest with contrast (71551) | $691.57 | $1,459 | 1.0× |
| MRI chest wo w contrast (71552) | $860.78 | $1,816 | 2.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $691.57 | $1,459 | 2.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,676.93 | $3,537.82 | 5.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,335.26 | $2,817 | 6.2× |
| MRI lumbar spine w contrast (72149) | $829.97 | $1,751 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,938.19 | $4,089 | 6.1× |
| MRI orbit face &/neck w/o contrast (70540) | $641.32 | $1,353 | 3.0× |
| MRI orbit face neck w contrast (70542) | $691.57 | $1,459 | 2.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,899.32 | $4,007 | 6.0× |
| MRI pelvis w contrast (72196) | $1,335.26 | $2,817 | 4.2× |
| MRI pelvis w/o & w contrast (72197) | $1,827.27 | $3,855 | 5.8× |
| MRI pelvis w/o contrast (72195) | $1,335.26 | $2,817 | 6.2× |
| MRI thoracic spine w/o contrast (72146) | $1,398 | $2,949.36 | 6.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $641.32 | $1,353 | 2.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,248.04 | $2,633 | 5.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,688.86 | $3,563 | 5.3× |
| MRI, abdomen, combo (74183) | $1,894.10 | $3,996 | 6.0× |
| MRI, dorsal spine combo (72157) | $1,900.27 | $4,009 | 6.0× |
| MRI, dorsal spine contrast (72147) | $1,475.09 | $3,112 | 4.7× |
| MRI, joint upper extrem (73221) | $1,261.79 | $2,662 | 5.8× |
| MRI, joint upper extrem combo (73223) | $2,052.42 | $4,330 | 6.5× |
| MRI, lumbar spine combo (72158) | $1,841.96 | $3,886 | 5.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $370.67 | $782 | 1.0× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$988.76–$2,109.77 | $2,086–$4,451 | varies |
| Neck soft tissue (70360) | $134.89 | $284.57 | 1.7× |
| Nm unlisted gi procedure (78299) | $481.11 | $1,015 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $432.76 | $913 | 2.0× |
| Optic foramina (70190) | $101.91 | $215 | 1.3× |
| Parathyroid Planar Imaging (78070) | $482.06 | $1,017 | 1.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $429.56 | $906.24 | 1.2× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$10.80–$141.25 | $22.79–$298 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $319.48 | $674 | 0.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $232.38 | $490.25 | 2.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $294.83 | $622 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$142.20–$232.73 | $300–$491 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$8.80–$142.67 | $18.56–$301 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$143.15–$202.40 | $302–$427 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $202.87 | $428 | 2.1× |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$11.47–$126.56 | $24.20–$267 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$147.41–$278.71 | $311–$588 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$143.15–$242.69 | $302–$512 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $119.45 | $252 | 1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $198.13 | $418 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $152.33 | $321.38 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $154.33 | $325.60 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$9.13–$191.97 | $19.26–$405 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $96.70 | $204 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $118.03 | $249 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $155.47 | $328 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $183.44 | $387 | 2.3× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$9.97–$141.73 | $21.03–$299 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$94.33–$150.73 | $199–$318 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$143.15–$242.69 | $302–$512 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$11.14–$184.39 | $23.50–$389 | varies |
| Radiologic exam colon double contrast study (74280) | $387.73 | $818 | 2.4× |
| Radiologic exam colon single contrast study (74270) | $300.99 | $635 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$109.02–$234.16 | $230–$494 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $165.43 | $349 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $278.02 | $586.53 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $240.32 | $507 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$408.11–$579.23 | $861–$1,222 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$95.75–$142.70 | $202–$301.05 | varies |
| Radiologic examination femur minimum 2 views (73552) | $142.70 | $301.05 | 1.8× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$10.47–$142.20 | $22.08–$300 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $262.60 | $554 | 2.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$9.47–$172.06 | $19.97–$363 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $162.58 | $343 | 0.3× |
| Ribs bilateral 3 views (71110) | $246.48 | $520 | 2.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $613.83 | $1,295 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $668.34 | $1,410 | 1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,230.03 | $2,595 | 1.0× |
| Scapula (73010) range across 3 matching MRF lines |
$9.80–$140.75 | $20.67–$296.95 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $26.92 | $56.80 | 1.2× |
| Sella turcica (70240) | $77.74 | $164 | 1.0× |
| Shoulder 1 view (73020) | $128.93 | $272 | 1.6× |
| Shoulder Arthrography (73040) | $436.08 | $920 | 1.4× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$10.97–$197.18 | $23.14–$416 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$10.64–$185.33 | $22.44–$391 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$9.13–$134.89 | $19.26–$284.57 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $240.79 | $508 | 0.7× |
| Thyroid Met Imaging Body (78018) | $550.31 | $1,161 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $355.50 | $750 | 1.0× |
| Ultrasound Breast Limited (76642) | $100.49 | $212 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) | $536.57 | $1,132 | 5.7× |
| Ultrasound, abdomen limited (76705) | $295.78 | $624 | 3.1× |
| Upper gi w/o kub (74240) | $300.99 | $635 | 1.9× |
| Urethrocystogram voiding (74455) | $315.68 | $666 | 1.5× |
| Us breast unilateral complete (76641) | $195.29 | $412 | 2.1× |
| Us chest (76604) range across 2 matching MRF lines |
$180.12–$211.40 | $380–$446 | varies |
| Us complete joint (76881) | $288.66 | $608.99 | 3.0× |
| Us exam, pelvic, limited (76857) | $185.81 | $392 | 2.0× |
| Us head (76506) | $294.83 | $622 | 3.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$170.17–$172.54 | $359–$364 | varies |
| Us ob detailed single fetus (76811) | $414.28 | $874 | 1.9× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$140.78–$191.02 | $297–$403 | varies |
| Us ob transvaginal (76817) | $268.28 | $566 | 2.8× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$393.89–$415.22 | $831–$876 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $297.41 | $627.44 | 3.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $156.89 | $331 | 1.7× |
| Us retroperitoneal complete (76770) | $187.23 | $395 | 2.0× |
| Us retroperitoneal limited (76775) | $354.55 | $748 | 3.7× |
| Us scrotum and contents (76870) | $289.61 | $611 | 3.1× |
| Us spinal canal and contents (76800) | $144.57 | $305 | 1.5× |
| Us thyroid (76536) range across 3 matching MRF lines |
$120.40–$294.83 | $254–$622 | varies |
| Us transrectal (76872) | $264.97 | $559 | 2.8× |
| Venography extremity bilateral rs&i (75822) | $821.44 | $1,733 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $821.44 | $1,733 | 0.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$9.63–$165.90 | $20.32–$350 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $107.60 | $227 | 1.4× |
| X-ray antegrade pyelogram tube (74425) | $229.42 | $484 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $183.91 | $388 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$8.96–$165.90 | $18.91–$350 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$221.60–$529.46 | $467.50–$1,117 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $267.34 | $564 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $132.72 | $280 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$14.15–$150.60 | $29.85–$317.72 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$88.64–$210.93 | $187–$445 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $337.96 | $713 | 3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$10.13–$154.05 | $21.38–$325 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $360.69 | $760.95 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$164.24–$210.93 | $346.50–$445 | varies |
| X-ray eye for foreign body (70030) | $149.78 | $316 | 1.9× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$9.63–$200.03 | $20.32–$422 | varies |
| X-ray IV pyelogram (ivp) (74400) | $385.84 | $814 | 2.4× |
| X-ray IV pyelogram+tomography (74415) | $474.47 | $1,001 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $171.11 | $361 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$11.14–$181.97 | $23.50–$383.90 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $246.48 | $520 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $124.42 | $262.48 | 1.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $91.07 | $192.13 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $162.98 | $343.85 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $204.06 | $430.50 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $224.56 | $473.75 | 2.4× |
| X-Ray Stress View (77071) | $55.93 | $118 | 0.7× |
| X-ray thoracic spine 4 vw (72074) | $202.40 | $427 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $231.79 | $489 | 0.7× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$111.39–$213.77 | $235–$451 | varies |
| X-Rays Bone Survey Complete (77075) | $401.95 | $848 | 4.2× |
| Xr c-spine 4 or 5 views (72050) | $223.25 | $471 | 2.4× |
| Xr orbits complete 4 views (70200) | $135.09 | $285 | 1.4× |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$162.11–$211.40 | $342–$446 | 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.