Imaging prices at Lower Keys Medical Center
Key West, FL · every code in this section with a posted price and a Medicare benchmark.
239 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) | $135.80 | $502.95 | 1.5× |
| Abdomen 2 views (74019) | $114.82 | $425.25 | 1.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,042.15 | $3,859.80 | 2.5× |
| Angiography extremity bilateral rs&i (75716) | $781.33 | $2,893.80 | 0.2× |
| Angiography extremity unilateral rs&i (75710) | $781.33 | $2,893.80 | 0.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$186.54–$314.12 | $690.90–$1,163.40 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$250.05 | $926.10 | 0.0× |
| Artery X-Rays Abdomen (75726) | $4,447.55 | $16,472.40 | 0.8× |
| Bone age studies (77072) | $249.48 | $924 | 2.3× |
| Bone Imaging 3 Phase (78315) | $1,168.59 | $4,328.10 | 2.8× |
| Bone Imaging Limited Area (78300) | $799.47 | $2,961 | 1.9× |
| Bone Imaging Whole Body (78306) | $1,242.01 | $4,600.05 | 3.0× |
| Bone survey infant (77076) | $93.84 | $347.55 | 0.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $360.61 | $1,335.60 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $446.51 | $1,653.75 | 0.8× |
| Chest 1 view (71045) | $210.07 | $778.05 | 2.3× |
| Chest 2 views (71046) | $184.28 | $682.50 | 2.0× |
| Chest 3 views (71047) | $328.86 | $1,218 | 3.6× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$145.72–$284.35 | $539.70–$1,053.15 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $208.66 | $772.80 | 1.9× |
| Contrast Exam Abdominl Aorta (75625) | $2,976.18 | $11,022.90 | 0.9× |
| Contrast X-Ray Bladder (74430) | $786.71 | $2,913.75 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,279.81 | $12,147.45 | 9.0× |
| CT abdomen and pelvis without contrast (74176) | $2,007.46 | $7,435.05 | 8.1× |
| CT abdomen w contrast (74160) | $1,850.69 | $6,854.40 | 10.1× |
| CT abdomen w wo contrast (74170) | $2,230.58 | $8,261.40 | 12.2× |
| CT abdomen w/o contrast (74150) | $1,204.88 | $4,462.50 | 11.0× |
| CT Angio Abdomen and Pelvis (74174) | $3,086.18 | $11,430.30 | 8.5× |
| CT Angio Chest (71275) | $1,536.85 | $5,692.05 | 8.4× |
| CT Angio Head (70496) | $1,677.47 | $6,212.85 | 9.2× |
| CT angio hrt w/3d image (75574) | $873.18 | $3,234 | 2.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,828.01 | $6,770.40 | 10.0× |
| CT Angio Neck (70498) | $1,672.65 | $6,195 | 9.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,390.57 | $5,150.25 | 7.6× |
| CT cervical spine w/ contrast (72126) | $1,581.36 | $5,856.90 | 4.3× |
| CT cervical spine w/o contrast (72125) | $1,642.60 | $6,083.70 | 15.0× |
| CT cervical spine w/wo cont (72127) | $1,987.90 | $7,362.60 | 10.9× |
| CT chest w contrast (71260) | $1,583.63 | $5,865.30 | 8.6× |
| CT chest w/wo contrast (71270) | $2,010.02 | $7,444.50 | 11.0× |
| CT head/brain with contrast (70460) | $1,598.94 | $5,922 | 8.7× |
| CT head/brain without and with contrast (70470) | $1,871.67 | $6,932.10 | 10.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $118.50 | $438.90 | 1.3× |
| CT iac w contrast (70481) | $1,566.62 | $5,802.30 | 8.6× |
| CT l-spine w&w/o contrast (72133) | $2,087.41 | $7,731.15 | 11.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,153.56–$1,730.48 | $4,272.45–$6,409.20 | varies |
| CT lower extremity w/contrast material (73701) | $1,374.12 | $5,089.35 | 7.5× |
| CT lumbar spine w contrast (72132) | $1,803.34 | $6,679.05 | 4.9× |
| CT lumbar spine w/o contrast (72131) | $1,466.83 | $5,432.70 | 13.4× |
| CT maxillofacial w contrast (70487) | $1,368.74 | $5,069.40 | 7.5× |
| CT maxillofacial wo contrast (70486) | $1,333.30 | $4,938.15 | 12.2× |
| CT neck tissue combo (70492) | $1,904.55 | $7,053.90 | 10.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,949.63 | $7,220.85 | 10.6× |
| CT orbits w/o contrast (70480) | $1,327.06 | $4,915.05 | 12.2× |
| CT pelvis w&w/o contrast (72194) | $1,980.53 | $7,335.30 | 10.8× |
| CT pelvis w/o contrast (72192) | $1,016.06 | $3,763.20 | 9.3× |
| CT scan of leg combo (73702) | $1,817.80 | $6,732.60 | 9.9× |
| CT scans face/jaw combo (70488) | $1,173.41 | $4,345.95 | 6.4× |
| CT soft tissue neck w contrast (70491) | $1,646.57 | $6,098.40 | 9.0× |
| CT soft tissue neck w/o contrast (70490) | $1,344.36 | $4,979.10 | 12.3× |
| CT thoracic spine w contrast (72129) | $1,714.04 | $6,348.30 | 9.4× |
| CT thoracic spine w/o contrast (72128) | $1,610.56 | $5,965.05 | 14.8× |
| CT thoracic spine w/wo cont (72130) | $1,311.75 | $4,858.35 | 7.2× |
| CT thorax w/o contrast (71250) | $1,019.47 | $3,775.80 | 9.3× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,317.14–$3,534.96 | $4,878.30–$13,092.45 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,311.75 | $4,858.35 | 7.2× |
| CT upper extremity with contrast (73201) | $1,432.53 | $5,305.65 | 3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,991.02 | $7,374.15 | 10.9× |
| Cta Abdomen (74175) | $1,607.45 | $5,953.50 | 8.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,348 | $12,400 | 9.2× |
| CTA pelvis (72191) | $1,311.75 | $4,858.35 | 7.2× |
| Dxa Bone Density Axial (77080) | $286.90 | $1,062.60 | 2.6× |
| Esophagram (74220) | $383.01 | $1,418.55 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $828.67 | $3,069.15 | 7.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $405.69 | $1,502.55 | 3.7× |
| Fluoroscopy up to 1 hr (76000) | $266.49 | $987 | 1.1× |
| Foot 2 views (73620) | $203.84 | $754.95 | 2.2× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$247.78–$405.97 | $917.70–$1,503.60 | varies |
| Gastric emptying imaging study (78264) | $1,045.26 | $3,871.35 | 2.5× |
| Gated Heart Planar Single (78472) | $1,179.93 | $4,370.10 | 2.8× |
| Gated Heart, Multiple (78473) | $1,419.48 | $5,257.35 | 3.4× |
| Hand 2 views (73120) | $46.78 | $173.25 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $472.59 | $1,750.35 | 0.8× |
| Hepatobiliary System Imaging (78226) | $1,001.04 | $3,707.55 | 2.4× |
| Ht Muscle Image Spect Sing (78451) | $1,758.27 | $6,512.10 | 1.3× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$217.73–$634.47 | $806.40–$2,349.90 | varies |
| K Flow/Funct Image W/Drug (78708) | $928.46 | $3,438.75 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $974.67 | $3,609.90 | 1.7× |
| Knee 3 Views (73562) | $809.39 | $2,997.75 | 8.9× |
| Liver & Spleen Imaging Static Only (78215) | $288.60 | $1,068.90 | 0.7× |
| Lung Ventilat&Perfus Imaging (78582) | $472.59 | $1,750.35 | 0.8× |
| Lymph System Imaging (78195) | $1,175.39 | $4,353.30 | 2.1× |
| Mammary ductogram or galactogram single (77053) | $148.84 | $551.25 | 0.6× |
| Meckels Divert Exam (78290) | $286.90 | $1,062.60 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,049.14 | $7,589.40 | 5.6× |
| MRA head w/o contrast (70544) | $1,762.80 | $6,528.90 | 7.1× |
| MRA head with contrast (70545) | $1,373.84 | $5,088.30 | 3.8× |
| MRA neck w contrast (70548) | $1,708.65 | $6,328.35 | 4.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,862.50 | $10,601.85 | 7.9× |
| MRA neck w/o contrast (70547) | $1,821.77 | $6,747.30 | 7.3× |
| MRI abdomen w contrast (74182) | $1,656.49 | $6,135.15 | 4.5× |
| MRI abdomen w/o contrast (74181) | $1,912.21 | $7,082.25 | 7.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,068.13 | $7,659.75 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,270.84 | $8,410.50 | 6.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,081.74 | $7,710.15 | 2.5× |
| MRI cardiac w/o contrast (75557) | $216.31 | $801.15 | 0.9× |
| MRI cervical spine w contrast (72142) | $2,143.26 | $7,938 | 5.9× |
| MRI cervical spine w/o cont (72141) | $2,032.13 | $7,526.40 | 8.2× |
| MRI chest w/o contrast (71550) | $1,557.27 | $5,767.65 | 6.2× |
| MRI chest wo w contrast (71552) | $2,280.47 | $8,446.20 | 6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,043.18 | $7,567.35 | 5.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,254.11 | $8,348.55 | 6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,725.95 | $6,392.40 | 6.9× |
| MRI lumbar spine w contrast (72149) | $2,467.02 | $9,137.10 | 6.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,618.12 | $9,696.75 | 7.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,876.49 | $6,949.95 | 7.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,388.49 | $8,846.25 | 6.6× |
| MRI pelvis w contrast (72196) | $1,475.62 | $5,465.25 | 4.1× |
| MRI pelvis w/o & w contrast (72197) | $2,543.85 | $9,421.65 | 7.0× |
| MRI pelvis w/o contrast (72195) | $1,780.95 | $6,596.10 | 7.1× |
| MRI thoracic spine w/o contrast (72146) | $1,988.75 | $7,365.75 | 8.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,874.50 | $6,942.60 | 5.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,685.69 | $6,243.30 | 6.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,719.14 | $6,367.20 | 4.7× |
| MRI, abdomen, combo (74183) | $2,523.43 | $9,346.05 | 6.9× |
| MRI, dorsal spine combo (72157) | $2,728.12 | $10,104.15 | 7.5× |
| MRI, dorsal spine contrast (72147) | $2,058.49 | $7,624.05 | 5.7× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,752.88–$4,502.26 | $6,492.15–$16,675.05 | varies |
| MRI, joint upper extrem combo (73223) | $2,255.81 | $8,354.85 | 6.2× |
| MRI, lumbar spine combo (72158) | $2,728.69 | $10,106.25 | 7.5× |
| Myocardial Spect Multiple Studies (78452) | $2,952.09 | $10,933.65 | 2.2× |
| Neck soft tissue (70360) | $133.25 | $493.50 | 1.5× |
| Nonvascular Shunt X-Ray (75809) | $98.66 | $365.40 | 0.9× |
| Nuclear Rx Oral Admin (79005) | $842 | $3,118.50 | 3.5× |
| Parathyroid Planar Imaging (78070) | $867.79 | $3,214.05 | 2.1× |
| Pelvis 1 or 2 views (72170) | $131.83 | $488.25 | 1.2× |
| Pet Image Skull-Thigh (78812) | $4,051.78 | $15,006.60 | 2.7× |
| PET image w/CT, full body (78816) | $3,210.64 | $11,891.25 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,504.06 | $12,978 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $349.84 | $1,295.70 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $621.72 | $2,302.65 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$263.09–$818.18 | $974.40–$3,030.30 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$117.65–$176.90 | $435.75–$655.20 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$261.10–$441.69 | $967.05–$1,635.90 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $283.78 | $1,051.05 | 2.6× |
| Radex fingr minimum 2 views (73140) | $139.48 | $516.60 | 1.5× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$277.26–$776.51 | $1,026.90–$2,875.95 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$244.94–$468.06 | $907.20–$1,733.55 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $540.07 | $2,000.25 | 5.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $167.27 | $619.50 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $210.36 | $779.10 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$265.92–$495.56 | $984.90–$1,835.40 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $154.22 | $571.20 | 1.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $557.36 | $2,064.30 | 3.0× |
| Radex Spine 1 View Specify Level (72020) | $142.32 | $527.10 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $203.84 | $754.95 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $196.75 | $728.70 | 2.2× |
| Radex Toe Minimum 2 Views (73660) | $141.18 | $522.90 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$274.43–$985.45 | $1,016.40–$3,649.80 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $363.73 | $1,347.15 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $123.89 | $458.85 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $695.71 | $2,576.70 | 3.8× |
| Radiologic exam colon single contrast study (74270) | $619.73 | $2,295.30 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) | $361.75 | $1,339.80 | 3.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $257.13 | $952.35 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $300.23 | $1,111.95 | 1.6× |
| Radiologic exam swallow function contrast study (74230) | $99.23 | $367.50 | 0.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $612.93 | $2,270.10 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$254.02–$381.02 | $940.80–$1,411.20 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$165.85–$432.90 | $614.25–$1,603.35 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$257.42–$804.29 | $953.40–$2,978.85 | varies |
| Ribs bilateral 3 views (71110) | $231.90 | $858.90 | 2.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $819.88 | $3,036.60 | 2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $744.19 | $2,756.25 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,169.44 | $4,331.25 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,251.37 | $4,634.70 | 2.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $744.19 | $2,756.25 | 0.6× |
| Rp Therapy Intravenous Administration (79101) | $243.24 | $900.90 | 1.0× |
| Scapula (73010) | $256.85 | $951.30 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$29.48–$58.68 | $109.20–$217.35 | varies |
| Shoulder 1 view (73020) | $150.26 | $556.50 | 1.7× |
| Shoulder Arthrography (73040) | $475.71 | $1,761.90 | 1.3× |
| Skull less than 4 views (70250) | $193.63 | $717.15 | 1.8× |
| Sternoclavicular joints (71130) | $159.04 | $589.05 | 1.8× |
| Thoracic spine 2 views (72070) | $349.27 | $1,293.60 | 3.2× |
| Thoracic spine 3 views (72072) | $350.12 | $1,296.75 | 3.2× |
| Thyroid Imaging With Vascular Flow (78013) | $211.21 | $782.25 | 0.5× |
| Thyroid Met Imaging Body (78018) | $1,393.97 | $5,162.85 | 2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $364.30 | $1,349.25 | 0.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$105.75–$158.48 | $391.65–$586.95 | varies |
| Ultrasound Exam Aaa Screen (76706) | $123.89 | $458.85 | 1.1× |
| Ultrasound, abdomen limited (76705) | $329.14 | $1,219.05 | 3.0× |
| Umbilical-artery Doppler (OB) (76820) | $152.52 | $564.90 | 1.4× |
| Upper gi w/o kub (74240) | $571.54 | $2,116.80 | 3.1× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$128.99–$398.03 | $477.75–$1,474.20 | varies |
| Us chest (76604) | $209.79 | $777 | 1.9× |
| Us complete joint (76881) | $143.17 | $530.25 | 1.3× |
| Us exam, pelvic, limited (76857) | $345.59 | $1,279.95 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$123.89–$310.72 | $458.85–$1,150.80 | varies |
| Us ob detailed single fetus (76811) | $504.06 | $1,866.90 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $213.48 | $790.65 | 2.0× |
| Us ob transvaginal (76817) | $384.14 | $1,422.75 | 3.5× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$264.22–$594.78 | $978.60–$2,202.90 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $264.22 | $978.60 | 2.4× |
| Us retroperitoneal complete (76770) | $349.84 | $1,295.70 | 3.2× |
| Us retroperitoneal limited (76775) | $412.49 | $1,527.75 | 3.8× |
| Us scrotum and contents (76870) | $380.46 | $1,409.10 | 3.5× |
| Us thyroid (76536) | $253.73 | $939.75 | 2.3× |
| Vein X-Ray Chest (75827) | $638.73 | $2,365.65 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $2,264.88 | $8,388.45 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $492.44 | $1,823.85 | 0.3× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$206.96–$426.67 | $766.50–$1,580.25 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,344.26 | $8,682.45 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $212.34 | $786.45 | 2.3× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$40.82–$46.78 | $151.20–$173.25 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $520.79 | $1,928.85 | 5.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $520.79 | $1,928.85 | 4.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $155.64 | $576.45 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $253.73 | $939.75 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $396.33 | $1,467.90 | 3.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $432.90 | $1,603.35 | 4.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $689.47 | $2,553.60 | 6.3× |
| X-Ray Exam L-S Spine Bending (72114) | $525.89 | $1,947.75 | 4.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $328.86 | $1,218 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $442.54 | $1,639.05 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $328.86 | $1,218 | 3.0× |
| X-ray eye for foreign body (70030) | $113.40 | $420 | 1.2× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$248.91–$711.30 | $921.90–$2,634.45 | varies |
| X-ray IV pyelogram (ivp) (74400) | $960.50 | $3,557.40 | 5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $209.51 | $775.95 | 1.9× |
| X-ray nose-rectum child f.b. (76010) | $242.39 | $897.75 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $390.10 | $1,444.80 | 3.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $162.16 | $600.60 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $214.61 | $794.85 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $441.13 | $1,633.80 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $389.53 | $1,442.70 | 3.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $680.40 | $2,520 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $730.86 | $2,706.90 | 6.7× |
| Xr c-spine 4 or 5 views (72050) | $555.38 | $2,056.95 | 5.1× |
| Xr orbits complete 4 views (70200) | $409.09 | $1,515.15 | 3.7× |
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.