Imaging prices at Mad River Community Hospital
Arcata, CA · every code in this section with a posted price and a Medicare benchmark.
249 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) | $807.96 | $807.96 | 7.2× |
| Abdomen 2 views (74019) | $677.83 | $677.83 | 5.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,534.95 | $2,534.95 | 4.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$523.72–$786.19 | $523.72–$786.19 | varies |
| Arthrogram ankle (73615) | $2,275.52 | $2,275.52 | 5.1× |
| Arthrogram hip (73525) | $2,275.52 | $2,275.52 | 5.1× |
| Arthrogram Wrist (73115) | $2,049.17 | $2,049.17 | 4.6× |
| Bone age studies (77072) | $818.69 | $818.69 | 6.1× |
| Bone Imaging 3 Phase (78315) | $2,492 | $2,492 | 4.8× |
| Bone Imaging Limited Area (78300) | $1,297.85 | $1,297.85 | 2.5× |
| Bone Imaging Whole Body (78306) | $2,224.89 | $2,224.89 | 4.3× |
| Bone survey infant (77076) | $801.85 | $801.85 | 6.0× |
| Cerebrospinal Fluid Scan (78630) | $2,630.27 | $2,630.27 | 3.8× |
| Chest 1 view (71045) | $743.49 | $743.49 | 6.6× |
| Chest 2 views (71046) | $986.70 | $986.70 | 8.8× |
| Chest 3 views (71047) | $801.85 | $801.85 | 7.2× |
| Chest 4 or more views (71048) | $851.21 | $851.21 | 6.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$555.04–$831.93 | $555.04–$831.93 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,098.88 | $1,098.88 | 8.2× |
| Contrast X-Ray Bladder (74430) | $1,420.68 | $1,420.68 | 3.2× |
| Contrast X-Ray Of Elbow (73085) | $2,275.52 | $2,275.52 | 5.1× |
| Contrast X-Ray Of Knee Joint (73580) | $2,828.13 | $2,828.13 | 6.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,415.86 | $1,415.86 | 6.3× |
| CT abdomen and pelvis without and with contrast (74178) | $5,764.88 | $5,764.88 | 12.8× |
| CT abdomen and pelvis without contrast (74176) | $3,008.72 | $3,008.72 | 9.8× |
| CT abdomen w contrast (74160) | $3,484.29 | $3,484.29 | 15.4× |
| CT abdomen w wo contrast (74170) | $3,484.29 | $3,484.29 | 15.4× |
| CT abdomen w/o contrast (74150) | $2,882.31 | $2,882.31 | 21.4× |
| CT Angio Abdomen and Pelvis (74174) | $5,863.34 | $5,863.34 | 13.1× |
| CT Angio Chest (71275) | $5,863.34 | $5,863.34 | 26.0× |
| CT Angio Head (70496) | $5,863.34 | $5,863.34 | 26.0× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$6,857.81–$8,109.95 | $6,857.81–$8,109.95 | varies |
| CT cervical spine w/ contrast (72126) | $3,598.68 | $3,598.68 | 8.0× |
| CT cervical spine w/o contrast (72125) | $3,008.72 | $3,008.72 | 22.4× |
| CT cervical spine w/wo cont (72127) | $4,502.86 | $4,502.86 | 20.0× |
| CT chest w contrast (71260) | $3,598.68 | $3,598.68 | 16.0× |
| CT chest w/wo contrast (71270) | $4,502.86 | $4,502.86 | 20.0× |
| CT head/brain with contrast (70460) | $2,885.93 | $2,885.93 | 12.8× |
| CT head/brain without and with contrast (70470) | $3,598.68 | $3,598.68 | 16.0× |
| CT iac w contrast (70481) | $2,882.31 | $2,882.31 | 12.8× |
| CT l-spine w&w/o contrast (72133) | $4,502.86 | $4,502.86 | 20.0× |
| CT lower ext w/o (73700) | $2,519.92 | $2,519.92 | 18.7× |
| CT lower extremity w/contrast material (73701) | $3,008.72 | $3,008.72 | 13.3× |
| CT lumbar spine w contrast (72132) | $3,598.68 | $3,598.68 | 8.0× |
| CT lumbar spine w/o contrast (72131) | $3,008.72 | $3,008.72 | 22.4× |
| CT maxillofacial w contrast (70487) | $2,882.31 | $2,882.31 | 12.8× |
| CT maxillofacial wo contrast (70486) | $2,405.54 | $2,405.54 | 17.9× |
| CT neck tissue combo (70492) | $3,598.68 | $3,598.68 | 16.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,560.65 | $4,560.65 | 20.2× |
| CT orbits w/o contrast (70480) | $2,405.54 | $2,405.54 | 17.9× |
| CT pelvis w&w/o contrast (72194) | $4,312.63 | $4,312.63 | 19.1× |
| CT pelvis w/o contrast (72192) | $3,008.72 | $3,008.72 | 22.4× |
| CT scan of leg combo (73702) | $3,775.66 | $3,775.66 | 16.7× |
| CT scans face/jaw combo (70488) | $3,598.68 | $3,598.68 | 16.0× |
| CT soft tissue neck w contrast (70491) | $2,882.31 | $2,882.31 | 12.8× |
| CT soft tissue neck w/o contrast (70490) | $2,405.54 | $2,405.54 | 17.9× |
| CT thoracic spine w contrast (72129) | $3,598.68 | $3,598.68 | 16.0× |
| CT thoracic spine w/o contrast (72128) | $3,008.72 | $3,008.72 | 22.4× |
| CT thoracic spine w/wo cont (72130) | $4,502.86 | $4,502.86 | 20.0× |
| CT thorax w/o contrast (71250) | $3,008.72 | $3,008.72 | 22.4× |
| CT upper ext wo (73200) | $2,519.92 | $2,519.92 | 18.7× |
| CT upper extremity w/o & w/contrast material (73202) | $3,775.66 | $3,775.66 | 16.7× |
| CT upper extremity with contrast (73201) | $3,008.72 | $3,008.72 | 6.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,776.45 | $7,776.45 | 34.5× |
| Cta Abdomen (74175) | $3,484.29 | $3,484.29 | 15.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $433.42 | $433.42 | 3.2× |
| Dxa Bone Density Axial (77080) | $852.41 | $852.41 | 6.3× |
| Dxa bone density study (77085) | $540.48 | $540.48 | 4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $417.78 | $417.78 | 3.7× |
| Echo exam uterus (76831) | $650.14 | $650.14 | 2.1× |
| Esophagram (74220) | $1,279.81 | $1,279.81 | 5.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $793.42 | $793.42 | 5.9× |
| Fluoroscopy up to 1 hr (76000) | $1,414.66 | $1,414.66 | 4.6× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$523.72–$786.19 | $523.72–$786.19 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$349.15–$831.93 | $349.15–$831.93 | varies |
| Gastric emptying imaging study (78264) | $2,154.71 | $2,154.71 | 4.2× |
| Gated Heart Planar Single (78472) | $2,878.53 | $2,878.53 | 5.6× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$523.72–$786.19 | $523.72–$786.19 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,341.16 | $2,341.16 | 3.4× |
| Hepatobiliary System Imaging (78226) | $1,908.55 | $1,908.55 | 3.7× |
| Ht Muscle Image Spect Sing (78451) | $8,206.12 | $8,206.12 | 4.9× |
| Hysterosalpingogram (74740) | $1,414.66 | $1,414.66 | 4.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $752.49 | $752.49 | 6.7× |
| K Flow/Funct Image W/Drug (78708) | $2,898.43 | $2,898.43 | 4.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$909.60–$936.70 | $909.60–$936.70 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,525.16 | $1,525.16 | 3.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,813.22 | $1,813.22 | 3.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,673.91 | $1,673.91 | 2.4× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$2,125.38–$2,534.95 | $2,125.38–$2,534.95 | varies |
| Magnetic Image Jaw Joint (70336) | $2,990.66 | $2,990.66 | 9.7× |
| Magnetic Resonance Elastography (76391) | $1,748.13 | $1,748.13 | 5.7× |
| Meckels Divert Exam (78290) | $1,591.15 | $1,591.15 | 3.1× |
| Mr safety determination physician/other qhp (76016) | $447.52 | $447.52 | 4.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $124.48 | $124.48 | 3.3× |
| MRA head w/o contrast (70544) | $3,032.81 | $3,032.81 | 9.9× |
| MRA neck w contrast (70548) | $3,032.81 | $3,032.81 | 6.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,898.97 | $4,898.97 | 10.9× |
| MRA neck w/o contrast (70547) | $3,032.81 | $3,032.81 | 9.9× |
| MRI abdomen w/o contrast (74181) | $2,950.93 | $2,950.93 | 9.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$3,595.06–$3,790.10 | $3,595.06–$3,790.10 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,654.35 | $6,654.35 | 14.8× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$3,790.10–$6,553.21 | $3,790.10–$6,553.21 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,748.13 | $1,748.13 | 5.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,748.13 | $1,748.13 | 5.7× |
| MRI cervical spine w contrast (72142) | $4,425.79 | $4,425.79 | 9.9× |
| MRI cervical spine w/o cont (72141) | $2,950.93 | $2,950.93 | 9.6× |
| MRI chest w/o contrast (71550) | $2,950.93 | $2,950.93 | 9.6× |
| MRI chest wo w contrast (71552) | $6,626.66 | $6,626.66 | 14.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,790.10 | $3,790.10 | 8.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,349.95 | $4,349.95 | 9.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,999.09 | $2,999.09 | 9.8× |
| MRI lumbar spine w contrast (72149) | $3,537.27 | $3,537.27 | 7.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,806.74 | $5,806.74 | 12.9× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,949.73–$3,327.78 | $2,949.73–$3,327.78 | varies |
| MRI orbit face neck w contrast (70542) | $3,670.91 | $3,670.91 | 8.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$4,435.43–$6,654.35 | $4,435.43–$6,654.35 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,580.11–$6,665.18 | $2,580.11–$6,665.18 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,580.11–$3,007.53 | $2,580.11–$3,007.53 | varies |
| MRI thoracic spine w/o contrast (72146) | $3,271.20 | $3,271.20 | 10.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,790.10 | $3,790.10 | 8.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,999.09 | $2,999.09 | 9.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,349.95 | $4,349.95 | 9.7× |
| MRI, abdomen, combo (74183) | $6,566.46 | $6,566.46 | 14.6× |
| MRI, dorsal spine combo (72157) | $5,806.74 | $5,806.74 | 12.9× |
| MRI, dorsal spine contrast (72147) | $3,537.27 | $3,537.27 | 7.9× |
| MRI, joint upper extrem (73221) | $2,938.90 | $2,938.90 | 9.6× |
| MRI, joint upper extrem combo (73223) | $6,654.35 | $6,654.35 | 14.8× |
| MRI, lumbar spine combo (72158) | $5,807.96 | $5,807.96 | 12.9× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$6,145.68–$10,667.74 | $6,145.68–$10,667.74 | varies |
| Neck soft tissue (70360) | $697.10 | $697.10 | 6.2× |
| Parathyroid Planar Imaging (78070) | $2,169.37 | $2,169.37 | 4.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,757.64 | $2,757.64 | 5.4× |
| Pelvis 1 or 2 views (72170) | $555.04 | $555.04 | 4.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $13,572.37 | $13,572.37 | 3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,789.13 | $1,789.13 | 3.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,002.92 | $1,002.92 | 7.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$764.53–$3,073.74 | $764.53–$3,073.74 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$821.97–$845.20 | $821.97–$845.20 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$503.27–$753.70 | $503.27–$753.70 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$909.60–$936.70 | $909.60–$936.70 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $851.21 | $851.21 | 6.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$452.70–$677.83 | $452.70–$677.83 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$821.97–$1,230.34 | $821.97–$1,230.34 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$821.97–$845.20 | $821.97–$845.20 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $523.72 | $523.72 | 4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $555.04 | $555.04 | 5.0× |
| Radex Ribs Unilateral 2 Views (71100) | $624.85 | $624.85 | 5.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$909.60–$936.70 | $909.60–$936.70 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $677.83 | $677.83 | 6.1× |
| Radex Spine 1 View Specify Level (72020) | $376 | $376 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $706.73 | $706.73 | 6.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $198.66 | $198.66 | 1.8× |
| Radex Toe Minimum 2 Views (73660) | $452.70 | $452.70 | 4.0× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$523.72–$786.19 | $523.72–$786.19 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$821.97–$1,643.94 | $821.97–$1,643.94 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $677.83 | $677.83 | 5.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $677.83 | $677.83 | 5.0× |
| Radiologic exam colon double contrast study (74280) | $2,417.58 | $2,417.58 | 10.7× |
| Radiologic exam colon single contrast study (74270) | $1,854.11 | $1,854.11 | 8.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,046.75 | $2,046.75 | 9.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$677.83–$1,014.94 | $677.83–$1,014.94 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $831.93 | $831.93 | 6.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,414.66 | $1,414.66 | 6.3× |
| Radiologic exam swallow function contrast study (74230) | $1,414.66 | $1,414.66 | 6.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,833.65 | $1,833.65 | 8.1× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$349.15–$936.70 | $349.15–$936.70 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$555.04–$831.93 | $555.04–$831.93 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $813.89 | $813.89 | 6.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$555.04–$831.93 | $555.04–$831.93 | varies |
| Ribs bilateral 3 views (71110) | $851.21 | $851.21 | 6.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,082.79 | $3,082.79 | 4.4× |
| Salivary Gland Imaging (78230) | $1,144.92 | $1,144.92 | 2.2× |
| Scapula (73010) range across 3 matching MRF lines |
$555.04–$831.93 | $555.04–$831.93 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$104.80–$209.60 | $104.80–$209.60 | varies |
| Sella turcica (70240) | $452.70 | $452.70 | 4.0× |
| Shoulder 1 view (73020) | $503.27 | $503.27 | 4.5× |
| Shoulder Arthrography (73040) | $2,275.52 | $2,275.52 | 5.1× |
| Sialogram (70390) | $2,470.55 | $2,470.55 | 8.1× |
| Skull less than 4 views (70250) | $677.83 | $677.83 | 5.0× |
| Sternoclavicular joints (71130) | $768.13 | $768.13 | 6.9× |
| Thoracic spine 2 views (72070) | $706.73 | $706.73 | 5.3× |
| Thoracic spine 3 views (72072) | $801.85 | $801.85 | 6.0× |
| Thoracolumbar 2 views (72080) | $728.40 | $728.40 | 6.5× |
| Thyroid Met Imaging Body (78018) | $2,214.42 | $2,214.42 | 3.2× |
| Thyroid Uptake Measurement (78012) | $1,342.90 | $1,342.90 | 2.6× |
| Ultrasound elastography first target lesion (76982) | $853.06 | $853.06 | 6.3× |
| Ultrasound Elastography Parenchyma (76981) | $853.06 | $853.06 | 6.3× |
| Ultrasound Exam Aaa Screen (76706) | $650.14 | $650.14 | 4.8× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $1,529.59 | $1,529.59 | 3.4× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$642.92–$1,014.76 | $642.92–$1,014.76 | varies |
| Umbilical-artery Doppler (OB) (76820) | $988.47 | $988.47 | 7.4× |
| Unlisted Dx Radiographic Procedure (76499) | $84 | $84 | 0.8× |
| Upper gi w/o kub (74240) | $929.77 | $929.77 | 4.1× |
| Urethrocystogram voiding (74455) | $1,218.41 | $1,218.41 | 4.0× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$516.51–$751.87 | $516.51–$751.87 | varies |
| Us chest (76604) | $639.31 | $639.31 | 4.8× |
| Us complete joint (76881) | $697.10 | $697.10 | 5.2× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$601.99–$819.90 | $601.99–$819.90 | varies |
| Us head (76506) | $697.10 | $697.10 | 5.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$374.87–$551.42 | $374.87–$551.42 | varies |
| Us ob detailed single fetus (76811) | $2,104.89 | $2,104.89 | 6.9× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$823.51–$1,014.76 | $823.51–$1,014.76 | varies |
| Us ob transvaginal (76817) | $1,095.39 | $1,095.39 | 8.1× |
| Us pelvic non ob complete (76856) | $1,095.39 | $1,095.39 | 8.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,198.78 | $1,198.78 | 8.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$542.99–$790.42 | $542.99–$790.42 | varies |
| Us retroperitoneal complete (76770) | $1,119.90 | $1,119.90 | 8.3× |
| Us retroperitoneal limited (76775) | $650.14 | $650.14 | 4.8× |
| Us scrotum and contents (76870) | $2,811.18 | $2,811.18 | 20.9× |
| Us spinal canal and contents (76800) | $769.33 | $769.33 | 5.7× |
| Us thyroid (76536) | $697.10 | $697.10 | 5.2× |
| Venography extremity bilateral rs&i (75822) | $2,407.94 | $2,407.94 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,603.69 | $1,603.69 | 0.8× |
| Vertebral fracture assessment via dxa (77086) | $221.54 | $221.54 | 2.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$523.72–$786.19 | $523.72–$786.19 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $728.40 | $728.40 | 6.5× |
| X-Ray Bend Only L-S Spine (72120) | $1,279.81 | $1,279.81 | 9.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$555.04–$831.93 | $555.04–$831.93 | varies |
| X-Ray Exam Breast Specimen (76098) | $764.53 | $764.53 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $728.40 | $728.40 | 6.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $750 | $750 | 5.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $503.27 | $503.27 | 4.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $624.85 | $624.85 | 5.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $881.26 | $881.26 | 6.6× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$515.91–$534 | $515.91–$534 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $642.92 | $642.92 | 4.8× |
| X-Ray Exam L-S Spine Bending (72114) | $1,279.81 | $1,279.81 | 9.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $955.18 | $955.18 | 8.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,218.41 | $1,218.41 | 9.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,060.32 | $1,060.32 | 7.9× |
| X-ray eye for foreign body (70030) | $452.70 | $452.70 | 4.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$624.85–$936.70 | $624.85–$936.70 | varies |
| X-ray IV pyelogram (ivp) (74400) | $834.35 | $834.35 | 3.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $555.04 | $555.04 | 5.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $523.72 | $523.72 | 4.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,060.32 | $1,060.32 | 7.9× |
| X-ray nose-rectum child f.b. (76010) | $555.04 | $555.04 | 5.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $974.01 | $974.01 | 7.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $677.83 | $677.83 | 5.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $624.85 | $624.85 | 5.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $851.21 | $851.21 | 7.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $974.01 | $974.01 | 7.2× |
| X-Ray Stress View (77071) | $347 | $347 | 3.1× |
| X-Ray Tmj Unilat (70328) | $457.52 | $457.52 | 4.1× |
| X-Rays Bone Length Studies (77073) | $851.21 | $851.21 | 6.3× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$801.85–$1,085.99 | $801.85–$1,085.99 | varies |
| Xr c-spine 4 or 5 views (72050) | $974.01 | $974.01 | 7.2× |
| Xr facial bones less than 3 views (70140) | $563 | $563 | 5.0× |
| Xr orbits complete 4 views (70200) | $851.21 | $851.21 | 6.3× |
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.