Imaging prices at Lovelace Medical Center
Albuquerque, NM · every code in this section with a posted price and a Medicare benchmark.
278 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $5,766.60 | $19,222 | 4.2× |
| Abdomen 1 View (74018) | $168.90 | $563 | 2.0× |
| Abdomen 2 views (74019) | $185.40 | $618 | 1.8× |
| Angio pulmonary bilat (75743) | $2,883 | $9,610 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $1,560 | $5,200 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,409.10 | $4,697 | 0.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$195.30–$292.95 | $651–$976.50 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,358.10 | $14,527 | 0.8× |
| Artery X-Rays Abdomen (75726) | $5,768.10 | $19,227 | 1.0× |
| Artery X-Rays Pelvis (75736) | $4,358.10 | $14,527 | 0.8× |
| Basic radiation dosimetry calculation (77300) | $436.50 | $1,455 | 3.3× |
| Bone age studies (77072) | $174.60 | $582 | 1.7× |
| Bone Imaging 3 Phase (78315) | $805.20 | $2,684 | 2.0× |
| Bone Imaging Limited Area (78300) | $437.70 | $1,459 | 1.1× |
| Bone Imaging Whole Body (78306) | $732.30 | $2,441 | 1.9× |
| Brachytx Isodose Plan Simple (77316) | $427.50 | $1,425 | 1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,837.50 | $6,125 | 1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $785.10 | $2,617 | 2.3× |
| Cat Scan Follow-Up Study (76380) | $87.30 | $291 | 1.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $503.40 | $1,678 | 0.9× |
| Cerebrospinal Fluid Scan (78630) | $586.80 | $1,956 | 1.1× |
| Chest 1 view (71045) | $121.80 | $406 | 1.4× |
| Chest 2 views (71046) | $162.30 | $541 | 1.9× |
| Chest 3 views (71047) | $200.40 | $668 | 2.3× |
| Chest 4 or more views (71048) | $261.60 | $872 | 2.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$212.40–$318.60 | $708–$1,062 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $500.70 | $1,669 | 4.8× |
| Continuing medical physics consltj pr wk (77336) | $942.30 | $3,141 | 7.1× |
| Contrast Exam Abdominl Aorta (75625) | $1,514.70 | $5,049 | 0.5× |
| Contrast X-Ray Bladder (74430) | $383.70 | $1,279 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $3,149.70 | $10,499 | 9.1× |
| CT abdomen and pelvis without contrast (74176) | $2,229 | $7,430 | 9.4× |
| CT abdomen w contrast (74160) | $1,294.50 | $4,315 | 7.5× |
| CT abdomen w wo contrast (74170) | $1,566.30 | $5,221 | 9.0× |
| CT abdomen w/o contrast (74150) | $1,119 | $3,730 | 10.8× |
| CT Angio Abdomen and Pelvis (74174) | $1,981.20 | $6,604 | 5.7× |
| CT Angio Chest (71275) | $1,431.60 | $4,772 | 8.2× |
| CT Angio Head (70496) | $1,697.70 | $5,659 | 9.8× |
| CT angio hrt w/3d image (75574) | $1,769.40 | $5,898 | 5.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,282.50–$1,923.75 | $4,275–$6,412.50 | varies |
| CT Angio Neck (70498) | $1,561.80 | $5,206 | 9.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,166.40–$1,749.60 | $3,888–$5,832 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $161.40 | $538 | 0.9× |
| CT cervical spine w/ contrast (72126) | $1,419.60 | $4,732 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,215.30 | $4,051 | 11.7× |
| CT cervical spine w/wo cont (72127) | $1,902 | $6,340 | 11.0× |
| CT chest w contrast (71260) | $1,244.70 | $4,149 | 7.2× |
| CT chest w/wo contrast (71270) | $1,435.80 | $4,786 | 8.3× |
| CT colonography screening (74263) | $448.50 | $1,495 | 1.9× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $448.50 | $1,495 | 2.6× |
| CT head/brain with contrast (70460) | $1,214.70 | $4,049 | 7.0× |
| CT head/brain without and with contrast (70470) | $1,463.40 | $4,878 | 8.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $249.60 | $832 | 0.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $199.20 | $664 | 2.3× |
| CT hrt w/3d image congen (75573) | $249.60 | $832 | 0.7× |
| CT iac w contrast (70481) | $1,278.90 | $4,263 | 7.4× |
| CT l-spine w&w/o contrast (72133) | $1,546.20 | $5,154 | 8.9× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,010.40–$1,515.60 | $3,368–$5,052 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,241.70–$1,862.55 | $4,139–$6,208.50 | varies |
| CT lumbar spine w contrast (72132) | $1,283.10 | $4,277 | 3.7× |
| CT lumbar spine w/o contrast (72131) | $1,110 | $3,700 | 10.7× |
| CT maxillofacial w contrast (70487) | $1,560.90 | $5,203 | 9.0× |
| CT maxillofacial wo contrast (70486) | $992.10 | $3,307 | 9.6× |
| CT neck tissue combo (70492) | $1,439.70 | $4,799 | 8.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,326.60 | $4,422 | 7.6× |
| CT orbits w/o contrast (70480) | $975.90 | $3,253 | 9.4× |
| CT pelvis w&w/o contrast (72194) | $1,584 | $5,280 | 9.1× |
| CT pelvis w/o contrast (72192) | $1,110.90 | $3,703 | 10.7× |
| CT scan of leg combo (73702) | $1,343.40 | $4,478 | 7.7× |
| CT scans face/jaw combo (70488) | $1,717.20 | $5,724 | 9.9× |
| CT soft tissue neck w contrast (70491) | $1,207.50 | $4,025 | 7.0× |
| CT soft tissue neck w/o contrast (70490) | $1,039.20 | $3,464 | 10.0× |
| CT thoracic spine w contrast (72129) | $1,415.70 | $4,719 | 8.2× |
| CT thoracic spine w/o contrast (72128) | $1,106.40 | $3,688 | 10.7× |
| CT thoracic spine w/wo cont (72130) | $1,565.10 | $5,217 | 9.0× |
| CT thorax w/o contrast (71250) | $1,049.10 | $3,497 | 10.1× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$927.90–$1,391.85 | $3,093–$4,639.50 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,241.70–$1,862.55 | $4,139–$6,208.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,518 | $5,060 | 8.7× |
| Cta Abdomen (74175) | $1,494.30 | $4,981 | 8.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,758.80 | $9,196 | 8.0× |
| CTA pelvis (72191) | $1,509.90 | $5,033 | 8.7× |
| Esophagram (74220) | $496.80 | $1,656 | 2.9× |
| Fluoroscopy up to 1 hr (76000) | $273.90 | $913 | 1.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$189.90–$284.85 | $633–$949.50 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$173.70–$260.55 | $579–$868.50 | varies |
| Gastric emptying imaging study (78264) | $667.80 | $2,226 | 1.7× |
| Gated Heart Planar Single (78472) | $571.50 | $1,905 | 1.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$159.90–$239.85 | $533–$799.50 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,663.90 | $12,213 | 5.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,325.20 | $11,084 | 4.8× |
| Hepatobil Syst Image W/Drug (78227) | $710.70 | $2,369 | 1.3× |
| Hepatobiliary System Imaging (78226) | $610.20 | $2,034 | 1.5× |
| Ht Muscle Image Spect Sing (78451) | $1,452.90 | $4,843 | 1.1× |
| Hysterosalpingogram (74740) | $443.40 | $1,478 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $831 | $2,770 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) | $755.70 | $2,519 | 1.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$212.70–$319.05 | $709–$1,063.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $627.90 | $2,093 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,038.60 | $3,462 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) | $803.10 | $2,677 | 1.5× |
| Lung perfusion differential (78597) | $366.60 | $1,222 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,040.10 | $3,467 | 1.9× |
| Lymph System Imaging (78195) | $1,615.20 | $5,384 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $991.80 | $3,306 | 4.2× |
| Mlc imrt design & construction per imrt plan (77338) | $1,269 | $4,230 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,206.30 | $4,021 | 3.5× |
| MRA head w/o contrast (70544) | $876.60 | $2,922 | 3.7× |
| MRA head with contrast (70545) | $963.90 | $3,213 | 2.8× |
| MRA neck w contrast (70548) | $1,044.30 | $3,481 | 3.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,325.10 | $4,417 | 3.8× |
| MRA neck w/o contrast (70547) | $862.80 | $2,876 | 3.7× |
| MRI abdomen w contrast (74182) | $1,197 | $3,990 | 3.5× |
| MRI abdomen w/o contrast (74181) | $1,165.20 | $3,884 | 4.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,305.90 | $4,353 | 1.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,365.30–$2,047.95 | $4,551–$6,826.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,255.20 | $4,184 | 1.6× |
| MRI cardiac w/o cont stress (75559) | $246.60 | $822 | 0.5× |
| MRI cardiac w/o contrast (75557) | $589.20 | $1,964 | 2.5× |
| MRI cervical spine w/o cont (72141) | $1,178.10 | $3,927 | 5.0× |
| MRI chest w/o contrast (71550) | $1,233.30 | $4,111 | 5.2× |
| MRI chest wo w contrast (71552) | $1,387.80 | $4,626 | 4.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,380.30–$2,070.45 | $4,601–$6,901.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,140.30–$1,710.45 | $3,801–$5,701.50 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $1,931.10 | $6,437 | 5.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,185 | $3,950 | 5.0× |
| MRI orbit face neck w contrast (70542) | $1,254.60 | $4,182 | 3.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,347.30 | $4,491 | 3.9× |
| MRI pelvis w contrast (72196) | $1,194.60 | $3,982 | 3.5× |
| MRI pelvis w/o & w contrast (72197) | $1,246.80 | $4,156 | 3.6× |
| MRI pelvis w/o contrast (72195) | $1,156.20 | $3,854 | 4.9× |
| MRI thoracic spine w/o contrast (72146) | $1,236.60 | $4,122 | 5.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,313.70 | $4,379 | 3.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,022.40 | $3,408 | 4.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,378.80 | $4,596 | 4.0× |
| MRI, abdomen, combo (74183) | $1,246.80 | $4,156 | 3.6× |
| MRI, dorsal spine combo (72157) | $1,979.10 | $6,597 | 5.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,132.50–$1,698.75 | $3,775–$5,662.50 | varies |
| MRI, joint upper extrem combo (73223) | $1,343.10 | $4,477 | 3.9× |
| MRI, lumbar spine combo (72158) | $1,947.90 | $6,493 | 5.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,298.70 | $4,329 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $2,172.30 | $7,241 | 1.7× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,233.50 | $7,445 | 1.0× |
| Neck soft tissue (70360) | $218.70 | $729 | 2.5× |
| Nm csf leak detection (78650) | $1,343.10 | $4,477 | 1.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,327.40 | $17,758 | 3.9× |
| Nuclear Rx Intra-Arterial (79445) | $249.90 | $833 | 1.1× |
| Nuclear Rx Oral Admin (79005) | $1,211.40 | $4,038 | 5.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $658.20 | $2,194 | 1.2× |
| Parathyroid Planar Imaging (78070) | $544.20 | $1,814 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $598.50 | $1,995 | 1.5× |
| Pelvis 1 or 2 views (72170) | $181.20 | $604 | 1.8× |
| PET image w/CT, full body (78816) | $2,166.60 | $7,222 | 1.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,025 | $6,750 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $507.60 | $1,692 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $351.30 | $1,171 | 3.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $464.70 | $1,549 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$209.40–$314.10 | $698–$1,047 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$166.50–$249.75 | $555–$832.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$190.50–$285.75 | $635–$952.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $268.80 | $896 | 2.6× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$150.30–$225.45 | $501–$751.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$262.20–$393.30 | $874–$1,311 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$189.90–$284.85 | $633–$949.50 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $198.60 | $662 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $269.40 | $898 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$219.30–$328.95 | $731–$1,096.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $174.60 | $582 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $190.80 | $636 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $235.80 | $786 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $336.90 | $1,123 | 3.9× |
| Radex Toe Minimum 2 Views (73660) | $137.70 | $459 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$204.90–$307.35 | $683–$1,024.50 | varies |
| Radiation treatment delivery level 3 (77412) | $710.10 | $2,367 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $285 | $950 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $255.30 | $851 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $653.40 | $2,178 | 3.8× |
| Radiologic exam colon single contrast study (74270) | $496.80 | $1,656 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$302.10–$453.15 | $1,007–$1,510.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $208.80 | $696 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $719.10 | $2,397 | 4.1× |
| Radiologic exam swallow function contrast study (74230) | $547.20 | $1,824 | 3.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $535.50 | $1,785 | 3.1× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$219.60–$329.40 | $732–$1,098 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$190.20–$285.30 | $634–$951 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$192–$288 | $640–$960 | varies |
| Renal Cyst Study (74470) | $521.70 | $1,739 | 1.0× |
| Ribs bilateral 3 views (71110) | $279 | $930 | 2.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $465.90 | $1,553 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,023.30 | $3,411 | 1.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,158.60 | $3,862 | 2.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,517.40 | $5,058 | 1.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,337.70 | $4,459 | 1.0× |
| Rp Therapy Intravenous Administration (79101) | $525 | $1,750 | 2.3× |
| Scapula (73010) | $201.30 | $671 | 1.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $110.40 | $368 | 4.7× |
| Shoulder 1 view (73020) | $168.30 | $561 | 2.0× |
| Skull less than 4 views (70250) | $322.50 | $1,075 | 3.1× |
| Special dosimetry (77331) | $372.60 | $1,242 | 2.8× |
| Special Physics Consult (77370) | $651.30 | $2,171 | 4.9× |
| Special teletherapy port plan (77321) | $1,175.10 | $3,917 | 3.2× |
| Special treatment procedure (77470) | $2,109.90 | $7,033 | 3.9× |
| Srs Multisource (77371) | $25,926 | $86,420 | 3.6× |
| Stereotactic Body Radiation Delivery (77373) | $4,324.80 | $14,416 | 2.4× |
| Sternoclavicular joints (71130) | $205.80 | $686 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,169.40 | $3,898 | 3.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $468.30 | $1,561 | 1.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,043.60 | $6,812 | 5.5× |
| Ther rad simulaj-aided field setting simple (77280) | $1,053.60 | $3,512 | 7.9× |
| Thoracic spine 2 views (72070) | $269.70 | $899 | 2.6× |
| Thoracic spine 3 views (72072) | $294.30 | $981 | 2.8× |
| Thoracolumbar 2 views (72080) | $197.40 | $658 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) | $147.90 | $493 | 0.4× |
| Thyroid Met Imaging Body (78018) | $1,107.90 | $3,693 | 2.1× |
| Thyroid Uptake Measurement (78012) | $387.90 | $1,293 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $229.80 | $766 | 0.6× |
| Tx Devices Design & Construction Complex (77334) | $1,060.20 | $3,534 | 2.9× |
| Tx devices design & construction simple (77332) | $403.80 | $1,346 | 3.0× |
| Ultrasound Breast Limited (76642) | $120.30 | $401 | 1.4× |
| Ultrasound Exam Aaa Screen (76706) | $108 | $360 | 1.0× |
| Ultrasound, abdomen limited (76705) | $369.90 | $1,233 | 3.6× |
| Unlisted magnetic resonance procedure (76498) | $942.30 | $3,141 | 10.9× |
| Upper gi w/o kub (74240) | $515.40 | $1,718 | 3.0× |
| Urethrocystogram voiding (74455) | $481.20 | $1,604 | 2.0× |
| Urethrocystography retrograde (74450) | $365.40 | $1,218 | 1.5× |
| Us chest (76604) | $251.40 | $838 | 2.4× |
| Us complete joint (76881) range across 2 matching MRF lines |
$249.30–$373.95 | $831–$1,246.50 | varies |
| Us exam, pelvic, limited (76857) | $267.60 | $892 | 2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$199.50–$299.25 | $665–$997.50 | varies |
| Us ob limited 1 or more fetuses (76815) | $291.30 | $971 | 2.8× |
| Us ob transvaginal (76817) | $221.40 | $738 | 2.1× |
| Us pelvic non ob complete (76856) | $362.10 | $1,207 | 3.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $356.70 | $1,189 | 3.4× |
| Us retroperitoneal complete (76770) | $393.90 | $1,313 | 3.8× |
| Us retroperitoneal limited (76775) | $300.30 | $1,001 | 2.9× |
| Us scrotum and contents (76870) | $343.80 | $1,146 | 3.3× |
| Us thyroid (76536) | $305.40 | $1,018 | 3.0× |
| Us transrectal (76872) | $300.90 | $1,003 | 2.9× |
| Venography caval inferior serialography rs&i (75825) | $3,089.10 | $10,297 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $697.80 | $2,326 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $651.60 | $2,172 | 0.4× |
| Venography Renal Unilateral (75831) | $2,773.80 | $9,246 | 0.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$154.80–$232.20 | $516–$774 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $197.40 | $658 | 2.3× |
| X-ray antegrade pyelogram tube (74425) | $474.60 | $1,582 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) | $1,764.90 | $5,883 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $368.70 | $1,229 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$168.90–$253.35 | $563–$844.50 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $244.80 | $816 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $268.80 | $896 | 2.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $296.10 | $987 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $192.30 | $641 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $211.20 | $704 | 2.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $232.20 | $774 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $224.10 | $747 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $308.70 | $1,029 | 3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $330.30 | $1,101 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) | $411.30 | $1,371 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $262.80 | $876 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $369 | $1,230 | 3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $296.10 | $987 | 2.9× |
| X-ray eye for foreign body (70030) | $181.50 | $605 | 2.1× |
| X-ray humerus (73060) | $214.20 | $714 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $268.50 | $895 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $195.90 | $653 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $247.80 | $826 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $451.80 | $1,506 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $211.80 | $706 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $156 | $520 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $209.40 | $698 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $290.40 | $968 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $324.60 | $1,082 | 3.1× |
| X-Ray Tmj Unilat (70328) | $210.30 | $701 | 2.4× |
| X-Rays Bone Length Studies (77073) | $225.30 | $751 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $480.90 | $1,603 | 4.6× |
| Xr c-spine 4 or 5 views (72050) | $339.30 | $1,131 | 3.3× |
| Xr facial bones less than 3 views (70140) | $199.80 | $666 | 2.3× |
| Xr orbits complete 4 views (70200) | $294.30 | $981 | 2.8× |
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.