Imaging prices at Longview Regional Medical Center
Longview, TX · every code in this section with a posted price and a Medicare benchmark.
261 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) | $166.05 | $922.52 | 1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $589.05 | $3,272.49 | 1.5× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$1,241.60–$1,303.57 | $6,897.80–$7,242.05 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,622.03–$1,703.05 | $9,011.29–$9,461.38 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,622.03–$1,703.05 | $9,011.29–$9,461.38 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$1,236.64–$1,298.36 | $6,870.23–$7,213.11 | varies |
| Ankle 2 views (73600) | $153.35 | $851.96 | 1.8× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,815.97 | $10,088.70 | 0.3× |
| Artery X-Rays Pelvis (75736) | $3,070.57 | $17,058.71 | 0.5× |
| Arthrogram ankle (73615) | $403.20 | $2,240.01 | 1.2× |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$298.17–$426.12 | $1,656.51–$2,367.34 | varies |
| Arthrogram Wrist (73115) | $510.51 | $2,836.19 | 1.5× |
| Bone age studies (77072) | $96.89 | $538.29 | 0.9× |
| Bone Imaging 3 Phase (78315) | $1,632.60 | $9,069.99 | 4.1× |
| Bone Imaging Whole Body (78306) | $886.43 | $4,924.59 | 2.2× |
| Brachytx isodose complex (77318) | $540.08 | $3,000.46 | 1.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $718.04 | $3,989.12 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $264.83 | $1,471.29 | 3.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $523.91 | $2,910.60 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $836.62 | $4,647.87 | 1.5× |
| Chest 1 view (71045) | $148.59 | $825.50 | 1.7× |
| Chest 2 views (71046) | $170.87 | $949.25 | 2.0× |
| Chest 3 views (71047) | $192.94 | $1,071.90 | 2.2× |
| Chest 4 or more views (71048) | $132.12 | $733.99 | 1.3× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$182.53–$273.81 | $1,014.03–$1,521.18 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $809.13 | $4,495.17 | 7.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,054.60–$2,157.30 | $11,414.46–$11,985 | varies |
| Contrast X-Ray Bladder (74430) | $343.17 | $1,906.50 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $275.90 | $1,532.75 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $355.47 | $1,974.85 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $2,363.59 | $13,131.05 | 6.7× |
| CT abdomen and pelvis without contrast (74176) | $1,588.64 | $8,825.79 | 6.6× |
| CT abdomen w contrast (74160) | $1,185.24 | $6,584.69 | 6.7× |
| CT abdomen w wo contrast (74170) | $1,258.77 | $6,993.16 | 7.1× |
| CT abdomen w/o contrast (74150) | $1,015.62 | $5,642.32 | 9.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,527.17 | $8,484.29 | 4.4× |
| CT Angio Chest (71275) | $916.84 | $5,093.55 | 5.2× |
| CT Angio Head (70496) | $1,339.19 | $7,439.94 | 7.6× |
| CT angio hrt w/3d image (75574) | $1,566.57 | $8,703.14 | 4.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$566.23–$989.57 | $3,145.71–$5,497.62 | varies |
| CT Angio Neck (70498) | $1,336.07 | $7,422.59 | 7.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$489.88–$734.71 | $2,721.53–$4,081.73 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,047.07 | $5,817.06 | 5.9× |
| CT cervical spine w/ contrast (72126) | $1,087.06 | $6,039.22 | 3.1× |
| CT cervical spine w/o contrast (72125) | $1,087.06 | $6,039.22 | 10.4× |
| CT cervical spine w/wo cont (72127) | $1,087.06 | $6,039.22 | 6.2× |
| CT chest w contrast (71260) | $1,162.07 | $6,455.97 | 6.6× |
| CT chest w/wo contrast (71270) | $1,441.29 | $8,007.18 | 8.2× |
| CT head/brain with contrast (70460) | $918.28 | $5,101.54 | 5.2× |
| CT head/brain without and with contrast (70470) | $1,047.07 | $5,817.06 | 5.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $923.73 | $5,131.86 | 2.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $868.52 | $4,825.10 | 9.9× |
| CT iac w contrast (70481) | $351.50 | $1,952.80 | 2.0× |
| CT l-spine w&w/o contrast (72133) | $1,080.61 | $6,003.39 | 6.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$866.63–$1,300.05 | $4,814.62–$7,222.48 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$989.57–$1,058.53 | $5,497.62–$5,880.74 | varies |
| CT lumbar spine w contrast (72132) | $1,080.61 | $6,003.39 | 3.1× |
| CT lumbar spine w/o contrast (72131) | $1,080.61 | $6,003.39 | 10.3× |
| CT maxillofacial w contrast (70487) | $934.75 | $5,193.05 | 5.3× |
| CT maxillofacial wo contrast (70486) | $967.05 | $5,372.48 | 9.2× |
| CT neck tissue combo (70492) | $1,499.04 | $8,328.01 | 8.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,684.89 | $9,360.50 | 9.6× |
| CT orbits w/o contrast (70480) | $1,107.30 | $6,151.68 | 10.5× |
| CT pelvis w&w/o contrast (72194) | $1,093.11 | $6,072.84 | 6.2× |
| CT pelvis w/o contrast (72192) | $1,005.20 | $5,584.44 | 9.6× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,250.24–$1,875.35 | $6,945.75–$10,418.63 | varies |
| CT scans face/jaw combo (70488) | $1,062.90 | $5,904.99 | 6.0× |
| CT soft tissue neck w contrast (70491) | $1,128.98 | $6,272.12 | 6.4× |
| CT soft tissue neck w/o contrast (70490) | $1,012.29 | $5,623.85 | 9.6× |
| CT thoracic spine w contrast (72129) | $972.26 | $5,401.42 | 5.5× |
| CT thoracic spine w/o contrast (72128) | $494.04 | $2,744.68 | 4.7× |
| CT thoracic spine w/wo cont (72130) | $1,464.02 | $8,133.42 | 8.3× |
| CT thorax w/o contrast (71250) | $1,013.34 | $5,629.64 | 9.6× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,124.81–$1,125.21 | $6,248.97–$6,251.18 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,043.30 | $5,796.12 | 5.9× |
| CT upper extremity with contrast (73201) | $405.93 | $2,255.17 | 1.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,519.68 | $8,442.67 | 8.6× |
| Cta Abdomen (74175) | $803.92 | $4,466.23 | 4.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,676.16 | $14,867.53 | 7.6× |
| CTA pelvis (72191) | $781.60 | $4,342.20 | 4.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $75.72 | $420.67 | 0.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $75.72 | $420.67 | 0.7× |
| Dxa Bone Density Axial (77080) | $111.08 | $617.13 | 1.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $63.35 | $351.97 | 0.7× |
| Echo exam of fetal heart (76825) | $356.47 | $1,980.39 | 0.6× |
| Echo exam uterus (76831) | $233.38 | $1,296.54 | 1.0× |
| Esophagram (74220) | $272.32 | $1,512.90 | 1.5× |
| Fetal Biophys Profile W/Nst (76818) | $259.42 | $1,441.24 | 2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $161.89 | $899.37 | 1.5× |
| Fluoroscopy up to 1 hr (76000) | $261.11 | $1,450.62 | 1.1× |
| Follow-Up Angiography (75898) | $270.88 | $1,504.91 | 0.1× |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$185.45–$277.98 | $1,030.29–$1,544.33 | varies |
| Gastric emptying imaging study (78264) | $1,097.48 | $6,097.10 | 2.7× |
| Gated Heart, Multiple (78473) | $585.13 | $3,250.73 | 1.5× |
| Hand 2 views (73120) | $55.02 | $305.67 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,108.94 | $6,160.77 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $1,529.06 | $8,494.76 | 1.2× |
| Hysterosalpingogram (74740) | $380.68 | $2,114.87 | 1.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $115 | $638.90 | 1.3× |
| Interstitial radiation source applic complex (77778) | $2,722.78 | $15,126.57 | 3.9× |
| K Flow/Funct Image Multiple (78709) | $1,205.24 | $6,695.76 | 2.2× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $653.05 | $3,628.05 | 1.6× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$197.56–$296.29 | $1,097.54–$1,646.03 | varies |
| Liver & Spleen Imaging Static Only (78215) | $726.58 | $4,036.53 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,206.48 | $6,702.65 | 2.2× |
| Lymph System Imaging (78195) | $743.05 | $4,128.03 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $1,459.84 | $8,110.20 | 6.1× |
| Meckels Divert Exam (78290) | $711.99 | $3,955.50 | 1.8× |
| Mra Head W/O & W/Contrast Material (70546) | $1,304.61 | $7,247.84 | 3.7× |
| MRA head w/o contrast (70544) | $1,027.92 | $5,710.68 | 4.3× |
| MRA neck w contrast (70548) | $1,144.61 | $6,358.95 | 3.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $491.56 | $2,730.89 | 1.4× |
| MRA neck w/o contrast (70547) | $980.79 | $5,448.83 | 4.1× |
| MRI abdomen w contrast (74182) | $1,366.28 | $7,590.44 | 3.9× |
| MRI abdomen w/o contrast (74181) | $995.82 | $5,532.35 | 4.2× |
| MRI any jt lower extrem w/contrast material (73722) | $1,511.35 | $8,396.37 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,923.92–$2,885.76 | $10,688.46–$16,032.01 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,452.16 | $8,067.55 | 1.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $819.95 | $4,555.26 | 3.4× |
| MRI cervical spine w contrast (72142) | $1,424.23 | $7,912.37 | 4.1× |
| MRI cervical spine w/o cont (72141) | $1,270.23 | $7,056.83 | 5.3× |
| MRI chest w/o contrast (71550) | $548.22 | $3,045.66 | 2.3× |
| MRI chest with contrast (71551) | $709.31 | $3,940.61 | 0.9× |
| MRI chest wo w contrast (71552) | $1,135.23 | $6,306.86 | 3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,435.89 | $7,977.14 | 4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,623.02–$2,434.44 | $9,016.80–$13,524.64 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,256.09–$1,884.09 | $6,978.28–$10,467.14 | varies |
| MRI lumbar spine w contrast (72149) | $1,399.42 | $7,774.56 | 4.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,005.39 | $11,141.04 | 5.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,311.51 | $7,286.15 | 5.5× |
| MRI orbit face neck w contrast (70542) | $1,436.09 | $7,978.25 | 4.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,684.05 | $9,355.82 | 4.8× |
| MRI pelvis w contrast (72196) | $1,314.43 | $7,302.41 | 3.8× |
| MRI pelvis w/o & w contrast (72197) | $1,776.38 | $9,868.75 | 5.1× |
| MRI pelvis w/o contrast (72195) | $1,124.57 | $6,247.59 | 4.7× |
| MRI thoracic spine w/o contrast (72146) | $1,210.25 | $6,723.60 | 5.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $300.25 | $1,668.08 | 1.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,460.30 | $8,112.75 | 4.2× |
| MRI, abdomen, combo (74183) | $1,739.51 | $9,663.97 | 5.0× |
| MRI, dorsal spine combo (72157) | $1,648.23 | $9,156.82 | 4.7× |
| MRI, dorsal spine contrast (72147) | $1,584.87 | $8,804.84 | 4.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,386.32–$2,079.36 | $7,701.79–$11,552 | varies |
| MRI, joint upper extrem combo (73223) | $467.40 | $2,596.66 | 1.3× |
| MRI, lumbar spine combo (72158) | $1,782.63 | $9,903.48 | 5.1× |
| Myocardial Spect Multiple Studies (78452) | $2,659.23 | $14,773.50 | 2.0× |
| Neck soft tissue (70360) | $151.72 | $842.87 | 1.7× |
| Nonvascular Shunt X-Ray (75809) | $209.41 | $1,163.41 | 2.0× |
| Nuclear Rx Oral Admin (79005) | $552.39 | $3,068.81 | 2.4× |
| Parathyroid Planar Imaging (78070) | $690.95 | $3,838.63 | 1.7× |
| Pelvis 1 or 2 views (72170) | $179.20 | $995.56 | 1.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,157.30 | $11,985 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $570.54 | $3,169.69 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $291.52 | $1,619.57 | 2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $267.36 | $1,485.34 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$182.13–$273.17 | $1,011.82–$1,517.60 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$147.95–$222.11 | $821.92–$1,233.97 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$210.46–$315.68 | $1,169.21–$1,753.80 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $199.39 | $1,107.74 | 1.9× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$150.03–$225.04 | $833.49–$1,250.24 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$179.60–$269.20 | $997.76–$1,495.55 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$198.35–$297.58 | $1,101.95–$1,653.20 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$189.22–$283.78 | $1,051.24–$1,576.58 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $117.33 | $651.85 | 1.3× |
| Radex Ribs Unilateral 2 Views (71100) | $213.78 | $1,187.67 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$205.25–$307.75 | $1,140.26–$1,709.70 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $148.34 | $824.12 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $158.76 | $882 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $133.16 | $739.78 | 1.5× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$141.05–$211.70 | $783.60–$1,176.09 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$181.09–$271.53 | $1,006.04–$1,508.49 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$182.33–$273.37 | $1,012.92–$1,518.70 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $126.46 | $702.57 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $147.75 | $820.82 | 1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $261.31 | $1,451.72 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $409.06 | $2,272.53 | 2.3× |
| Radiologic exam colon single contrast study (74270) | $263.79 | $1,465.50 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$285.87–$428.85 | $1,588.16–$2,382.50 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $315.04 | $1,750.22 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $275.05 | $1,528.07 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$179.60–$269.45 | $997.76–$1,496.92 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$177.51–$266.32 | $986.19–$1,479.56 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$197.76–$296.53 | $1,098.65–$1,647.41 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,558.83 | $8,660.14 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,312.54 | $12,847.43 | 4.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $989.57 | $5,497.62 | 1.8× |
| Rp Therapy Intravenous Administration (79101) | $299.41 | $1,663.40 | 1.3× |
| Scapula (73010) range across 4 matching MRF lines |
$173.15–$259.62 | $961.94–$1,442.34 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $13.94 | $77.45 | 0.6× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$153.55–$230.45 | $853.06–$1,280.28 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$419.67–$629.68 | $2,331.51–$3,498.23 | varies |
| Skull less than 4 views (70250) | $178.56 | $991.98 | 1.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $394.47 | $2,191.50 | 1.0× |
| Thoracic spine 2 views (72070) | $228.17 | $1,267.60 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $584.88 | $3,249.34 | 1.5× |
| Thyroid Met Imaging Body (78018) | $504.74 | $2,804.10 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $874.32 | $4,857.34 | 2.2× |
| Tx devices design & construction simple (77332) | $274.41 | $1,524.48 | 2.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$100.86–$201.73 | $560.34–$1,120.70 | varies |
| Ultrasound Exam Aaa Screen (76706) | $147.30 | $818.33 | 1.4× |
| Ultrasound, abdomen limited (76705) | $374.67 | $2,081.52 | 3.6× |
| Umbilical-artery Doppler (OB) (76820) | $139.61 | $775.61 | 1.3× |
| Unlisted Dx Radiographic Procedure (76499) | $72.09 | $400.48 | 0.8× |
| Upper gi w/o kub (74240) | $426.97 | $2,372.03 | 2.4× |
| Urethrocystogram voiding (74455) | $266.72 | $1,481.76 | 1.1× |
| Urethrocystography retrograde (74450) | $394.47 | $2,191.50 | 1.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$100.86–$201.73 | $560.34–$1,120.70 | varies |
| Us chest (76604) | $255.45 | $1,419.19 | 2.4× |
| Us complete joint (76881) | $231.69 | $1,287.17 | 2.2× |
| Us head (76506) | $171.06 | $950.36 | 1.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $111.08 | $617.13 | 1.1× |
| Us ob detailed single fetus (76811) | $165.45 | $919.18 | 0.7× |
| Us ob limited 1 or more fetuses (76815) | $176.92 | $982.88 | 1.7× |
| Us ob transvaginal (76817) | $406.33 | $2,257.37 | 3.9× |
| Us pelvic non ob complete (76856) | $391.54 | $2,175.23 | 3.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $265.48 | $1,474.87 | 2.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $160.84 | $893.58 | 1.5× |
| Us retroperitoneal complete (76770) | $293.16 | $1,628.67 | 2.8× |
| Us retroperitoneal limited (76775) | $240.27 | $1,334.85 | 2.3× |
| Us scrotum and contents (76870) | $337.96 | $1,877.56 | 3.2× |
| Us spinal canal and contents (76800) | $255.26 | $1,418.09 | 2.4× |
| Us thyroid (76536) | $340.49 | $1,891.62 | 3.2× |
| Vein X-Ray Chest (75827) | $889.95 | $4,944.17 | 0.6× |
| Venogram Sinus/Jugular (75860) | $663.27 | $3,684.83 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $1,909.34 | $10,607.43 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $721.81 | $4,010.07 | 0.5× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$627.40–$672.05 | $3,485.56–$3,733.62 | varies |
| Venography Renal Bilateral (75833) | $2,212.76 | $12,293.10 | 0.7× |
| Venography Renal Unilateral (75831) | $2,212.76 | $12,293.10 | 0.7× |
| Wrist 2 views (73100) | $159.21 | $884.48 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $209.41 | $1,163.41 | 2.4× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,258.21–$2,371.08 | $12,545.62–$13,172.67 | varies |
| X-Ray Exam Breast Specimen (76098) | $374.23 | $2,079.04 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $63.35 | $351.97 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $63.35 | $351.97 | 0.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $126.46 | $702.57 | 1.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $132.96 | $738.68 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $164.22 | $912.32 | 1.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $246.28 | $1,368.20 | 2.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $158.56 | $880.90 | 1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $158.56 | $880.90 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $317.12 | $1,761.80 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $339 | $1,883.34 | 3.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $204.20 | $1,134.47 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $292.76 | $1,626.46 | 2.8× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$182.33–$273.61 | $1,012.92–$1,520.07 | varies |
| X-ray IV pyelogram (ivp) (74400) | $291.32 | $1,618.47 | 1.7× |
| X-ray IV pyelogram+tomography (74415) | $522.62 | $2,903.44 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $330.07 | $1,833.73 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $216.71 | $1,203.93 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $116.29 | $646.07 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $250.25 | $1,390.25 | 2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $200.24 | $1,112.42 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $192.55 | $1,069.70 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $269.45 | $1,496.92 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $277.53 | $1,541.85 | 2.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $482.18 | $2,678.80 | 1.4× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$151.20–$158.76 | $840–$882 | varies |
| X-Rays Bone Survey Complete (77075) | $326.75 | $1,815.27 | 3.1× |
| Xr c-spine 4 or 5 views (72050) | $297.13 | $1,650.72 | 2.8× |
| Xr facial bones less than 3 views (70140) | $126.06 | $700.36 | 1.4× |
| Xr orbits complete 4 views (70200) | $184.61 | $1,025.60 | 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.