Imaging prices at Martin Luther King, Jr. Community Hospital
Los Angeles, CA · every code in this section with a posted price and a Medicare benchmark.
234 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) | $381.52 | $2,008 | 3.4× |
| Abdomen 2 views (74019) | $297.35 | $1,565 | 2.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $660.44 | $3,476 | 1.3× |
| Angio pulmonary bilat (75743) | $1,963.46 | $10,334 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $3,542.55 | $18,645 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $1,771.37 | $9,323 | 0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,866.91 | $15,089 | 0.7× |
| Ankle 2 views (73600) | $371.45 | $1,955 | 3.3× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$866.59 | $4,561 | 0.1× |
| Bone age studies (77072) | $506.16 | $2,664 | 3.8× |
| Bone Imaging 3 Phase (78315) | $626.81 | $3,299 | 1.2× |
| Bone Imaging Whole Body (78306) | $626.81 | $3,299 | 1.2× |
| Bone survey infant (77076) | $402.99 | $2,121 | 3.0× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $505.21 | $2,659 | 0.7× |
| Cardiac Shunt Detection (78428) | $302.29 | $1,591 | 0.6× |
| Chest 1 view (71045) | $380.19 | $2,001 | 3.4× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$517.94–$761.33 | $2,726–$4,007 | varies |
| Chest 3 views (71047) | $319.01 | $1,679 | 2.9× |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$372.78–$762.28 | $1,962–$4,012 | varies |
| Clavicle complete (73000) | $341.24 | $1,796 | 3.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $104.31 | $549 | 0.8× |
| Contrast Exam Abdominl Aorta (75625) | $1,576.24 | $8,296 | 0.4× |
| Contrast X-Ray Bladder (74430) | $656.26 | $3,454 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,170.15–$3,484.79 | $16,685–$18,341 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,740.40–$2,543.53 | $9,160–$13,387 | varies |
| CT abdomen w contrast (74160) | $3,033.35 | $15,965 | 13.4× |
| CT abdomen w wo contrast (74170) | $3,484.79 | $18,341 | 15.4× |
| CT abdomen w/o contrast (74150) | $2,543.53 | $13,387 | 18.9× |
| CT Angio Abdomen and Pelvis (74174) | $5,221.20 | $27,480 | 11.6× |
| CT Angio Chest (71275) | $2,976.16 | $15,664 | 13.2× |
| CT Angio Head (70496) | $3,112.39 | $16,381 | 13.8× |
| CT angio hrt w/3d image (75574) | $3,494.29 | $18,391 | 7.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,494.29 | $18,391 | 15.5× |
| CT Angio Neck (70498) | $3,205.11 | $16,869 | 14.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,105.36 | $16,344 | 13.8× |
| CT cervical spine w/ contrast (72126) | $3,442.04 | $18,116 | 7.7× |
| CT cervical spine w/o contrast (72125) | $2,823.02 | $14,858 | 21.0× |
| CT cervical spine w/wo cont (72127) | $3,664.72 | $19,288 | 16.2× |
| CT chest w contrast (71260) | $2,886.67 | $15,193 | 12.8× |
| CT chest w/wo contrast (71270) | $2,789.39 | $14,681 | 12.4× |
| CT head/brain with contrast (70460) | $2,703.51 | $14,229 | 12.0× |
| CT head/brain without and with contrast (70470) | $3,075.72 | $16,188 | 13.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $3,116 | $16,400 | 27.8× |
| CT iac w contrast (70481) | $2,868.43 | $15,097 | 12.7× |
| CT l-spine w&w/o contrast (72133) | $3,760.67 | $19,793 | 16.7× |
| CT lower ext w/o (73700) | $3,116 | $16,400 | 23.2× |
| CT lower extremity w/contrast material (73701) | $3,116 | $16,400 | 13.8× |
| CT lumbar spine w contrast (72132) | $3,359.39 | $17,681 | 7.5× |
| CT lumbar spine w/o contrast (72131) | $2,972.74 | $15,646 | 22.1× |
| CT maxillofacial w contrast (70487) | $2,563.29 | $13,491 | 11.4× |
| CT maxillofacial wo contrast (70486) | $2,285.51 | $12,029 | 17.0× |
| CT neck tissue combo (70492) | $2,709.40 | $14,260 | 12.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,346.09 | $17,611 | 14.8× |
| CT orbits w/o contrast (70480) | $2,351.25 | $12,375 | 17.5× |
| CT pelvis w&w/o contrast (72194) | $3,386.18 | $17,822 | 15.0× |
| CT pelvis w/o contrast (72192) | $2,491.85 | $13,115 | 18.5× |
| CT scan of leg combo (73702) | $3,826.41 | $20,139 | 17.0× |
| CT scans face/jaw combo (70488) | $3,176.61 | $16,719 | 14.1× |
| CT soft tissue neck w contrast (70491) | $2,578.11 | $13,569 | 11.4× |
| CT soft tissue neck w/o contrast (70490) | $2,261.19 | $11,901 | 16.8× |
| CT thoracic spine w contrast (72129) | $3,545.78 | $18,662 | 15.7× |
| CT thoracic spine w/o contrast (72128) | $3,285.48 | $17,292 | 24.4× |
| CT thoracic spine w/wo cont (72130) | $4,103.24 | $21,596 | 18.2× |
| CT thorax w/o contrast (71250) | $2,445.87 | $12,873 | 18.2× |
| CT upper ext wo (73200) | $2,302.80 | $12,120 | 17.1× |
| CT upper extremity w/o & w/contrast material (73202) | $3,386.18 | $17,822 | 15.0× |
| CT upper extremity with contrast (73201) range across 18 matching MRF lines |
$2,834.99–$3,494.29 | $14,921–$18,391 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,228.67 | $16,993 | 14.3× |
| Cta Abdomen (74175) | $3,462.56 | $18,224 | 15.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $797.05 | $4,195 | 5.9× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$116.85–$852.34 | $615–$4,486 | varies |
| Esophagram (74220) | $716.11 | $3,769 | 3.2× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$146.30–$767.03 | $770–$4,037 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$116.85–$537.13 | $615–$2,827 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$247.95–$1,235.76 | $1,305–$6,504 | varies |
| Foot 2 views (73620) | $486.02 | $2,558 | 4.3× |
| Forearm 2 views (73090) | $379.43 | $1,997 | 3.4× |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$525.35–$546.63 | $2,765–$2,877 | varies |
| Hand 2 views (73120) | $534.66 | $2,814 | 4.0× |
| Heart first pass single,planar (78481) | $505.21 | $2,659 | 0.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,776.85 | $14,615 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,776.85 | $14,615 | 0.7× |
| Hepatobiliary System Imaging (78226) | $752.97 | $3,963 | 1.5× |
| Ht Musc Image Planar Mult (78454) range across 3 matching MRF lines |
$868.30–$1,075.59 | $4,570–$5,661 | varies |
| Hysterosalpingogram (74740) | $507.68 | $2,672 | 1.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$95–$359.48 | $500–$1,892 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$95–$359.48 | $500–$1,892 | varies |
| Knee 3 Views (73562) | $515.47 | $2,713 | 4.6× |
| Liver & Spleen Imaging Static Only (78215) | $752.97 | $3,963 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $888.06 | $4,674 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $4,192.92 | $22,068 | 13.7× |
| Mra Head W/O & W/Contrast Material (70546) | $3,660.35 | $19,265 | 8.2× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$3,461.04–$3,660.35 | $18,216–$19,265 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,736.19–$3,660.35 | $14,401–$19,265 | varies |
| MRA neck w contrast (70548) | $3,390.55 | $17,845 | 7.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,747.37 | $19,723 | 8.4× |
| MRA neck w/o contrast (70547) | $2,488.24 | $13,096 | 8.1× |
| MRI abdomen w contrast (74182) | $3,306.76 | $17,404 | 7.4× |
| MRI abdomen w/o contrast (74181) | $3,163.69 | $16,651 | 10.3× |
| MRI any jt lower extrem w/contrast material (73722) | $3,940.41 | $20,739 | 3.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,427.98 | $18,042 | 7.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,468.45 | $18,255 | 3.4× |
| MRI cervical spine w contrast (72142) | $4,182.66 | $22,014 | 9.3× |
| MRI cervical spine w/o cont (72141) | $3,138.61 | $16,519 | 10.2× |
| MRI chest w/o contrast (71550) | $3,138.61 | $16,519 | 10.2× |
| MRI chest with contrast (71551) | $4,182.66 | $22,014 | 4.1× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$3,138.61–$4,976.67 | $16,519–$26,193 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,442.04 | $18,116 | 7.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,039.21 | $21,259 | 9.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,442.61 | $18,119 | 11.2× |
| MRI lumbar spine w contrast (72149) | $2,917.07 | $15,353 | 6.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,976.67 | $26,193 | 11.1× |
| MRI orbit face &/neck w/o contrast (70540) | $3,784.61 | $19,919 | 12.3× |
| MRI orbit face neck w contrast (70542) | $4,107.99 | $21,621 | 9.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$4,700.98–$4,845.57 | $24,742–$25,503 | varies |
| MRI pelvis w contrast (72196) | $3,705 | $19,500 | 8.3× |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$1,510.31–$3,933.38 | $7,949–$20,702 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$1,232.53–$3,210.62 | $6,487–$16,898 | varies |
| MRI thoracic spine w/o contrast (72146) | $3,535.14 | $18,606 | 11.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,102.51 | $16,329 | 6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 8 matching MRF lines |
$1,191.11–$3,102.51 | $6,269–$16,329 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$807.88–$2,104.06 | $4,252–$11,074 | varies |
| MRI, abdomen, combo (74183) | $3,374.78 | $17,762 | 7.5× |
| MRI, dorsal spine combo (72157) | $5,184.15 | $27,285 | 11.6× |
| MRI, dorsal spine contrast (72147) | $2,917.07 | $15,353 | 6.5× |
| MRI, joint upper extrem (73221) | $3,231.52 | $17,008 | 10.5× |
| MRI, joint upper extrem combo (73223) | $3,953.52 | $20,808 | 8.8× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,658.32–$4,318.70 | $8,728–$22,730 | varies |
| Myelogram cervical (72240) | $1,060.77 | $5,583 | 1.1× |
| Myelogram Lumbar (72265) | $1,060.77 | $5,583 | 1.1× |
| Myelography thoracic (72255) | $1,060.77 | $5,583 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,193.01 | $6,279 | 1.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $392.16 | $2,064 | 0.8× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $505.21 | $2,659 | 0.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$742.90–$920.36 | $3,910–$4,844 | varies |
| Myocardial Spect Multiple Studies (78452) | $828.02 | $4,358 | 0.5× |
| N-invas est c ffr sw aly CTA (75580) | $3,826.41 | $20,139 | 3.5× |
| Neck soft tissue (70360) | $313.31 | $1,649 | 2.8× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$116.85–$1,247.73 | $615–$6,567 | varies |
| Pelvis 1 or 2 views (72170) | $394.06 | $2,074 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $638.02 | $3,358 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $747.65 | $3,935 | 5.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $452.01 | $2,379 | 4.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $348.46 | $1,834 | 3.1× |
| Radex elbow complete minimum 3 views (73080) | $443.46 | $2,334 | 4.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $957.60 | $5,040 | 7.1× |
| Radex fingr minimum 2 views (73140) | $534.66 | $2,814 | 4.8× |
| Radex foot complete minimum 3 views (73630) | $542.64 | $2,856 | 4.8× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$654.55–$1,308.34 | $3,445–$6,886 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $578.74 | $3,046 | 5.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $627.57 | $3,303 | 5.6× |
| Radex Ribs Unilateral 2 Views (71100) | $412.11 | $2,169 | 3.7× |
| Radex shoulder complete minimum 2 views (73030) | $506.16 | $2,664 | 4.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $246.05 | $1,295 | 2.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $534.66 | $2,814 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $503.50 | $2,650 | 4.5× |
| Radex Sternum Minimum 2 Views (71120) | $584.44 | $3,076 | 5.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $335.73 | $1,767 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $358.72 | $1,888 | 3.2× |
| Radex upper extremity infant minimum 2 views (73092) | $362.71 | $1,909 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$574.56–$844.17 | $3,024–$4,443 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $805.41 | $4,239 | 6.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$569.05–$1,023.15 | $2,995–$5,385 | varies |
| Radiologic exam colon double contrast study (74280) | $1,064.57 | $5,603 | 4.7× |
| Radiologic exam colon single contrast study (74270) | $858.61 | $4,519 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $633.27 | $3,333 | 4.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $529.53 | $2,787 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $534.66 | $2,814 | 2.4× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$128.25–$658.35 | $675–$3,465 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $975.27 | $5,133 | 4.3× |
| Radiologic examination femur minimum 2 views (73552) | $578.74 | $3,046 | 5.2× |
| Radiologic examination knee 1/2 views (73560) | $492.86 | $2,594 | 4.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $402.99 | $2,121 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $738.15 | $3,885 | 6.6× |
| Ribs bilateral 3 views (71110) | $615.98 | $3,242 | 4.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,426.52 | $7,508 | 2.0× |
| Scapula (73010) | $456.76 | $2,404 | 3.4× |
| Shoulder 1 view (73020) | $348.46 | $1,834 | 3.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$396.53–$582.54 | $2,087–$3,066 | varies |
| Sternoclavicular joints (71130) | $654.55 | $3,445 | 5.8× |
| Thoracic spine 2 views (72070) | $584.44 | $3,076 | 4.3× |
| Ultrasound, abdomen limited (76705) range across 8 matching MRF lines |
$116.85–$802.56 | $615–$4,224 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$116.85–$359.48 | $615–$1,892 | varies |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$116.85–$521.55 | $615–$2,745 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$116.85–$932.14 | $615–$4,906 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$175.37–$619.40 | $923–$3,260 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$116.85–$688.94 | $615–$3,626 | varies |
| Us head (76506) | $116.85 | $615 | 0.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 19 matching MRF lines |
$116.85–$619.40 | $615–$3,260 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$116.85–$537.13 | $615–$2,827 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$116.85–$206.15 | $615–$1,085 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$116.85–$1,115.68 | $615–$5,872 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$116.85–$1,247.73 | $615–$6,567 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$116.85–$537.13 | $615–$2,827 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$116.85–$1,249.63 | $615–$6,577 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$116.85–$943.35 | $615–$4,965 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$116.85–$359.48 | $615–$1,892 | varies |
| Us thyroid (76536) range across 7 matching MRF lines |
$116.85–$866.59 | $615–$4,561 | varies |
| Vein X-Ray Chest (75827) | $1,441.34 | $7,586 | 0.7× |
| Venogram Sinus/Jugular (75860) | $1,192.06 | $6,274 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $1,217.52 | $6,408 | 0.3× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$2,064.73 | $10,867 | 0.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $680.39 | $3,581 | 1.3× |
| Wrist 2 views (73100) | $475.95 | $2,505 | 4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $348.46 | $1,834 | 3.1× |
| X-Ray Aorta Leg Arteries (75630) | $1,963.46 | $10,334 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $612.94 | $3,226 | 4.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$422.56–$443.46 | $2,224–$2,334 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $237.31 | $1,249 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $343.71 | $1,809 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $546.82 | $2,878 | 4.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $638.59 | $3,361 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $1,151.21 | $6,059 | 8.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $492.86 | $2,594 | 4.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,036.45 | $5,455 | 7.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $616.55 | $3,245 | 4.6× |
| X-ray eye for foreign body (70030) | $229.90 | $1,210 | 2.1× |
| X-ray humerus (73060) | $378.86 | $1,994 | 3.4× |
| X-ray IV pyelogram (ivp) (74400) | $1,136.77 | $5,983 | 5.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $598.50 | $3,150 | 5.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $323.95 | $1,705 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $517.94 | $2,726 | 3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $615.98 | $3,242 | 4.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $425.79 | $2,241 | 3.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $229.90 | $1,210 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $415.15 | $2,185 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $784.13 | $4,127 | 7.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $580.26 | $3,054 | 4.3× |
| X-Ray Tmj Unilat (70328) | $335.73 | $1,767 | 3.0× |
| X-Rays Bone Length Studies (77073) | $506.16 | $2,664 | 3.8× |
| X-Rays Bone Survey Complete (77075) | $402.99 | $2,121 | 3.0× |
| Xr c-spine 4 or 5 views (72050) | $929.29 | $4,891 | 6.9× |
| Xr facial bones less than 3 views (70140) | $429.40 | $2,260 | 3.8× |
| Xr orbits complete 4 views (70200) | $959.12 | $5,048 | 7.1× |
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.