Imaging prices at Margaret Mary Health
Batesville, IN · every code in this section with a posted price and a Medicare benchmark.
238 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) | $6,014.06 | $7,159.59 | 4.1× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$167.61–$2,294.04 | $199.54–$2,731 | varies |
| Abdomen 2 views (74019) | $310.63 | $369.80 | 2.8× |
| Ankle 2 views (73600) | $401.85 | $478.39 | 4.4× |
| Basic radiation dosimetry calculation (77300) | $720.50 | $857.74 | 5.1× |
| Bone age studies (77072) | $245.28 | $292 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $1,185.95 | $1,411.84 | 12.9× |
| Chest 1 view (71045) | $240.97 | $286.87 | 2.6× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$168.60–$249.86 | $200.72–$297.45 | varies |
| Chest 4 or more views (71048) | $349.51 | $416.08 | 3.2× |
| Clavicle complete (73000) | $420.26 | $500.31 | 4.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $306.07 | $364.37 | 2.8× |
| Continuing medical physics consltj pr wk (77336) | $720.50 | $857.74 | 5.1× |
| Contrast X-Ray Bladder (74430) | $427.17 | $508.54 | 1.2× |
| Contrast Xray Throat/Cerv Esopha (74210) | $688.25 | $819.34 | 3.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,040.50 | $3,619.64 | 8.2× |
| CT abdomen and pelvis without contrast (74176) | $2,035.90 | $2,423.69 | 8.1× |
| CT abdomen w contrast (74160) | $1,804.59 | $2,148.32 | 9.7× |
| CT abdomen w wo contrast (74170) | $2,093.83 | $2,492.66 | 11.3× |
| CT abdomen w/o contrast (74150) | $1,804.59 | $2,148.32 | 16.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,910.74 | $3,465.17 | 7.9× |
| CT Angio Chest (71275) | $3,295.92 | $3,923.71 | 17.8× |
| CT Angio Head (70496) | $3,216.81 | $3,829.54 | 17.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,361.83 | $4,002.18 | 18.1× |
| CT Angio Neck (70498) | $3,216.81 | $3,829.54 | 17.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,863.48 | $2,218.43 | 10.0× |
| CT cervical spine w/ contrast (72126) | $2,098.26 | $2,497.93 | 5.7× |
| CT cervical spine w/o contrast (72125) | $1,845.53 | $2,197.06 | 16.7× |
| CT cervical spine w/wo cont (72127) | $2,629.74 | $3,130.64 | 14.2× |
| CT chest w contrast (71260) | $1,732 | $2,061.90 | 9.3× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,046.65–$2,096.44 | $2,436.49–$2,495.76 | varies |
| CT head/brain with contrast (70460) | $1,667.47 | $1,985.08 | 9.0× |
| CT head/brain without and with contrast (70470) | $1,865.13 | $2,220.39 | 10.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $41.16 | $49 | 0.4× |
| CT iac w contrast (70481) | $1,800.51 | $2,143.47 | 9.7× |
| CT l-spine w&w/o contrast (72133) | $3,826.61 | $4,555.49 | 20.6× |
| CT lower ext w/o (73700) | $2,523.41 | $3,004.06 | 22.8× |
| CT lower extremity w/contrast material (73701) | $2,523.41 | $3,004.06 | 13.6× |
| CT lumbar spine w contrast (72132) | $2,046.65 | $2,436.49 | 5.5× |
| CT lumbar spine w/o contrast (72131) | $2,046.65 | $2,436.49 | 18.5× |
| CT maxillofacial w contrast (70487) | $1,957.67 | $2,330.56 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,846.48 | $2,198.19 | 16.7× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$3,753.41–$3,922.19 | $4,468.35–$4,669.27 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,976.40 | $2,352.86 | 10.6× |
| CT orbits w/o contrast (70480) | $1,722.71 | $2,050.85 | 15.6× |
| CT pelvis w&w/o contrast (72194) | $2,046.65 | $2,436.49 | 11.0× |
| CT pelvis w/o contrast (72192) | $1,690.72 | $2,012.76 | 15.3× |
| CT scan of leg combo (73702) | $3,054.20 | $3,635.95 | 16.5× |
| CT scans face/jaw combo (70488) | $2,217.52 | $2,639.90 | 11.9× |
| CT soft tissue neck w contrast (70491) | $2,010.83 | $2,393.85 | 10.8× |
| CT soft tissue neck w/o contrast (70490) | $2,010.83 | $2,393.85 | 18.2× |
| CT thoracic spine w contrast (72129) | $3,826.61 | $4,555.49 | 20.6× |
| CT thoracic spine w/o contrast (72128) | $1,690.72 | $2,012.76 | 15.3× |
| CT thoracic spine w/wo cont (72130) | $3,826.61 | $4,555.49 | 20.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,690.72–$1,732 | $2,012.76–$2,061.90 | varies |
| CT upper ext wo (73200) | $3,299.13 | $3,927.53 | 29.8× |
| CT upper extremity w/o & w/contrast material (73202) | $3,476.74 | $4,138.98 | 18.7× |
| CT upper extremity with contrast (73201) | $3,299.13 | $3,927.53 | 8.9× |
| Cta Abdomen (74175) | $3,216.81 | $3,829.54 | 17.3× |
| CTA pelvis (72191) | $3,062 | $3,645.24 | 16.5× |
| Dxa Bone Density Axial (77080) | $627.19 | $746.66 | 5.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $627.19 | $746.66 | 6.8× |
| Echo exam uterus (76831) | $844.12 | $1,004.91 | 3.3× |
| Esophagram (74220) | $570.18 | $678.79 | 3.1× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$611.09–$614.72 | $727.49–$731.81 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $473.73 | $563.97 | 4.3× |
| Foot 2 views (73620) | $309.74 | $368.74 | 3.4× |
| Forearm 2 views (73090) | $384.53 | $457.77 | 4.2× |
| Gated Heart Planar Single (78472) | $1,864.88 | $2,220.09 | 4.4× |
| Ht Muscle Image Spect Sing (78451) | $4,176.55 | $4,972.08 | 3.0× |
| Hysterosalpingogram (74740) | $759.62 | $904.31 | 3.0× |
| Infusion Ivp (74410) | $626.75 | $746.13 | 3.4× |
| K Flow/Funct Image W/Drug (78708) | $1,941.54 | $2,311.36 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,262.97 | $1,503.54 | 2.2× |
| Knee 3 Views (73562) | $523.77 | $623.54 | 5.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,621.14 | $1,929.93 | 3.8× |
| Lung Ventilat&Perfus Imaging (78582) | $2,011.43 | $2,394.56 | 3.5× |
| Lung Ventilation Imaging (78579) | $1,122.23 | $1,335.99 | 2.7× |
| Mlc imrt design & construction per imrt plan (77338) | $1,024.51 | $1,219.65 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $3,531.65 | $4,204.34 | 9.6× |
| MRA head w/o contrast (70544) | $2,720.29 | $3,238.44 | 10.8× |
| MRA head with contrast (70545) | $2,974.38 | $3,540.93 | 8.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,380.01 | $4,023.82 | 9.2× |
| MRA neck w/o contrast (70547) | $2,815.92 | $3,352.29 | 11.2× |
| MRI abdomen w contrast (74182) | $2,995.76 | $3,566.38 | 8.1× |
| MRI abdomen w/o contrast (74181) | $2,700.52 | $3,214.91 | 10.7× |
| MRI any jt lower extrem w/contrast material (73722) | $5,534.16 | $6,588.29 | 6.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,640.89 | $7,905.82 | 18.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,534.16 | $6,588.29 | 6.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,994.34 | $2,374.21 | 7.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,798.62 | $2,141.22 | 7.1× |
| MRI cervical spine w contrast (72142) | $2,822.44 | $3,360.05 | 7.6× |
| MRI cervical spine w/o cont (72141) | $2,700.52 | $3,214.91 | 10.7× |
| MRI chest w/o contrast (71550) | $2,700.52 | $3,214.91 | 10.7× |
| MRI chest with contrast (71551) | $2,567.85 | $3,056.96 | 3.1× |
| MRI chest wo w contrast (71552) | $3,839.54 | $4,570.88 | 10.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,981.26 | $4,739.60 | 10.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,981.26 | $4,739.60 | 10.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,210.30 | $7,393.22 | 24.6× |
| MRI lumbar spine w contrast (72149) | $2,766.74 | $3,293.74 | 7.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,241.49 | $3,858.92 | 8.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,822.44 | $3,360.05 | 11.2× |
| MRI orbit face neck w contrast (70542) | $2,557.43 | $3,044.56 | 6.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,241.49 | $3,858.92 | 8.8× |
| MRI pelvis w contrast (72196) | $2,488.72 | $2,962.76 | 6.7× |
| MRI pelvis w/o & w contrast (72197) | $3,124.74 | $3,719.93 | 8.5× |
| MRI pelvis w/o contrast (72195) | $2,500.26 | $2,976.50 | 9.9× |
| MRI thoracic spine w/o contrast (72146) | $2,720.29 | $3,238.44 | 10.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,080.67 | $6,048.42 | 13.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,534.16 | $6,588.29 | 21.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,552.35 | $8,990.89 | 20.5× |
| MRI, abdomen, combo (74183) | $4,036.28 | $4,805.10 | 10.9× |
| MRI, dorsal spine combo (72157) | $3,265.21 | $3,887.16 | 8.8× |
| MRI, dorsal spine contrast (72147) | $2,822.44 | $3,360.05 | 7.6× |
| MRI, joint upper extrem (73221) | $6,165.02 | $7,339.31 | 24.4× |
| MRI, joint upper extrem combo (73223) | $3,862.02 | $4,597.64 | 10.5× |
| MRI, lumbar spine combo (72158) | $3,265.21 | $3,887.16 | 8.8× |
| Myelogram cervical (72240) | $1,252.15 | $1,490.66 | 1.5× |
| Myelogram Lumbar (72265) | $1,252.15 | $1,490.66 | 1.5× |
| Myelography thoracic (72255) | $1,505.24 | $1,791.95 | 1.8× |
| Myelograpy 2/more regions rs&i (72270) | $2,249.15 | $2,677.56 | 2.7× |
| Neck soft tissue (70360) | $214.03 | $254.80 | 2.3× |
| Nonvascular Shunt X-Ray (75809) | $436.77 | $519.97 | 3.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,734.56 | $8,017.33 | 4.6× |
| Pelvis 1 or 2 views (72170) | $171.48 | $204.14 | 1.6× |
| PET image w/CT, full body (78816) | $6,334.94 | $7,541.60 | 4.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,027.12 | $9,556.10 | 5.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,122.50 | $1,336.31 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $497.29 | $592.01 | 4.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$690.11–$745.43 | $821.56–$887.42 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $452.76 | $539 | 4.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $393.68 | $468.67 | 4.3× |
| Radex elbow complete minimum 3 views (73080) | $554.11 | $659.66 | 6.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $214.03 | $254.80 | 1.9× |
| Radex fingr minimum 2 views (73140) | $323.21 | $384.77 | 3.5× |
| Radex foot complete minimum 3 views (73630) | $381.74 | $454.45 | 4.1× |
| Radex Hand Minimum 3 Views (73130) | $366.57 | $436.39 | 4.0× |
| Radex lower extremity infant minimum 2 views (73592) | $376.26 | $447.93 | 4.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $422.05 | $502.44 | 3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $178.03 | $211.94 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $221.75 | $263.99 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) | $409.21 | $487.16 | 4.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $350.50 | $417.26 | 3.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $621.45 | $739.82 | 3.3× |
| Radex Spine 1 View Specify Level (72020) | $168.60 | $200.72 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $189.44 | $225.52 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $234.50 | $279.17 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $176.15 | $209.70 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $359.84 | $428.38 | 3.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $475.47 | $566.04 | 5.2× |
| Radiation treatment delivery level 1 (77402) | $643.57 | $766.15 | 6.0× |
| Radiation treatment delivery level 2 (77407) | $643.57 | $766.15 | 1.6× |
| Radiation treatment delivery level 3 (77412) | $917.54 | $1,092.31 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $214.03 | $254.80 | 1.9× |
| Radiologic exam colon double contrast study (74280) | $842.85 | $1,003.39 | 4.5× |
| Radiologic exam colon single contrast study (74270) | $759.62 | $904.31 | 4.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $621.45 | $739.82 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) | $309.65 | $368.63 | 2.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $475.47 | $566.04 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $590.12 | $702.52 | 3.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$629.89–$741.19 | $749.87–$882.37 | varies |
| Radiologic examination femur minimum 2 views (73552) | $189.44 | $225.52 | 2.1× |
| Radiologic examination knee 1/2 views (73560) | $228.71 | $272.27 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $176.15 | $209.70 | 1.9× |
| Ribs bilateral 3 views (71110) | $273.02 | $325.02 | 2.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,186.67 | $1,412.70 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,500.57 | $4,167.34 | 6.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,313.37 | $5,134.96 | 7.5× |
| Scapula (73010) | $393.68 | $468.67 | 3.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$98.12–$99.03 | $116.81–$117.89 | varies |
| Shoulder 1 view (73020) | $317.10 | $377.50 | 3.4× |
| Skull less than 4 views (70250) | $214.03 | $254.80 | 1.9× |
| Special dosimetry (77331) | $720.50 | $857.74 | 5.1× |
| Special Physics Consult (77370) | $720.50 | $857.74 | 5.1× |
| Special teletherapy port plan (77321) | $1,656.45 | $1,971.97 | 4.2× |
| Special treatment procedure (77470) | $2,458.54 | $2,926.83 | 4.2× |
| Stereotactic Body Radiation Delivery (77373) | $6,581.66 | $7,835.31 | 3.5× |
| Sternoclavicular joints (71130) | $189.44 | $225.52 | 2.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,656.45 | $1,971.97 | 4.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $720.50 | $857.74 | 1.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,656.45 | $1,971.97 | 4.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,656.45 | $1,971.97 | 4.2× |
| Ther rad simulaj-aided field setting simple (77280) | $720.50 | $857.74 | 5.1× |
| Thoracic spine 3 views (72072) | $249.14 | $296.59 | 2.3× |
| Tx Devices Design & Construction Complex (77334) | $1,209.84 | $1,440.28 | 3.1× |
| Tx devices design & construction intermediate (77333) | $1,209.84 | $1,440.28 | 8.5× |
| Tx devices design & construction simple (77332) | $957.13 | $1,139.44 | 6.7× |
| Ultrasound Breast Limited (76642) | $1,240.76 | $1,477.09 | 13.5× |
| Ultrasound Exam Aaa Screen (76706) | $606.90 | $722.50 | 5.5× |
| Ultrasound, abdomen limited (76705) | $563.79 | $671.18 | 5.1× |
| Umbilical-artery Doppler (OB) (76820) | $344.15 | $409.70 | 3.1× |
| Upper gi w/o kub (74240) | $629.89 | $749.87 | 3.4× |
| Urethrocystogram voiding (74455) | $779.55 | $928.04 | 3.1× |
| Us breast unilateral complete (76641) | $813.51 | $968.47 | 7.4× |
| Us chest (76604) | $507.21 | $603.82 | 4.6× |
| Us complete joint (76881) | $480.43 | $571.94 | 4.3× |
| Us exam, pelvic, limited (76857) | $337.90 | $402.26 | 3.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $653.58 | $778.07 | 5.9× |
| Us ob limited 1 or more fetuses (76815) | $352.18 | $419.26 | 3.2× |
| Us ob transvaginal (76817) | $293.76 | $349.71 | 2.7× |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$657.96–$686.06 | $783.28–$816.74 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $653.22 | $777.64 | 5.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $352.18 | $419.26 | 3.2× |
| Us retroperitoneal complete (76770) | $1,315.28 | $1,565.81 | 11.9× |
| Us retroperitoneal limited (76775) | $657.96 | $783.28 | 5.9× |
| Us scrotum and contents (76870) | $542.91 | $646.32 | 4.9× |
| Us thyroid (76536) | $507.21 | $603.82 | 4.6× |
| Us transrectal (76872) | $542.91 | $646.32 | 4.9× |
| Wrist 2 views (73100) | $372.50 | $443.45 | 4.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $213.05 | $253.63 | 2.3× |
| X-Ray Bend Only L-S Spine (72120) | $512.46 | $610.07 | 4.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $378.87 | $451.03 | 4.1× |
| X-Ray Exam Breast Specimen (76098) | $541.46 | $644.59 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $245.28 | $292 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $405.35 | $482.56 | 3.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $772.91 | $920.13 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $237.74 | $283.02 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$234.50–$237.74 | $279.17–$283.02 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $644.08 | $766.76 | 5.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $644.08 | $766.76 | 5.8× |
| X-Ray Exam L-S Spine Bending (72114) | $528.53 | $629.20 | 4.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $224.45 | $267.20 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $479.25 | $570.53 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $224.45 | $267.20 | 2.0× |
| X-ray eye for foreign body (70030) | $734.03 | $873.85 | 8.0× |
| X-ray humerus (73060) | $190.42 | $226.69 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $245.62 | $292.40 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $196.97 | $234.49 | 1.8× |
| X-ray nose-rectum child f.b. (76010) | $729.36 | $868.29 | 7.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $276.61 | $329.30 | 2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $214.03 | $254.80 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $214.03 | $254.80 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $247.25 | $294.35 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $332.46 | $395.78 | 3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $427.17 | $508.54 | 1.2× |
| X-Rays Bone Survey Complete (77075) | $1,001.13 | $1,191.82 | 9.1× |
| Xr c-spine 4 or 5 views (72050) | $479.25 | $570.53 | 4.3× |
| Xr orbits complete 4 views (70200) | $249.14 | $296.59 | 2.3× |
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.