Imaging prices at Massena Hospital
Massena, NY · every code in this section with a posted price and a Medicare benchmark.
251 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) | $231.22 | $355.73 | 2.1× |
| Abdomen 2 views (74019) | $300.59 | $462.45 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $647.89 | $996.75 | 1.3× |
| Ankle 2 views (73600) | $276.64 | $425.60 | 2.5× |
| Arthrogram hip (73525) | $757.36 | $1,165.17 | 1.7× |
| Arthrogram Wrist (73115) | $729.70 | $1,122.61 | 1.7× |
| Bone age studies (77072) | $290.35 | $446.69 | 2.2× |
| Bone Imaging 3 Phase (78315) | $1,383.92 | $2,129.11 | 2.8× |
| Bone Imaging Limited Area (78300) | $631.17 | $971.03 | 1.3× |
| Bone Imaging Whole Body (78306) | $1,252.04 | $1,926.22 | 2.5× |
| Bone survey infant (77076) | $257.36 | $395.94 | 2.0× |
| Chest 1 view (71045) | $236.83 | $364.35 | 2.2× |
| Chest 2 views (71046) | $343.87 | $529.03 | 3.2× |
| Chest 3 views (71047) | $257.36 | $395.94 | 2.4× |
| Chest 4 or more views (71048) | $229.09 | $352.45 | 1.8× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $253.19 | $389.52 | 1.9× |
| Clavicle complete (73000) | $201.70 | $310.31 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $247.40 | $380.61 | 1.9× |
| Contrast X-Ray Bladder (74430) | $347.28 | $534.28 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $555.38 | $854.43 | 1.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $335.35 | $515.92 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $3,764.67 | $5,791.80 | 8.6× |
| CT abdomen and pelvis without contrast (74176) | $2,545.87 | $3,916.72 | 8.5× |
| CT abdomen w contrast (74160) | $1,591.83 | $2,448.97 | 7.3× |
| CT abdomen w wo contrast (74170) | $2,105.10 | $3,238.62 | 9.6× |
| CT abdomen w/o contrast (74150) | $1,283.98 | $1,975.35 | 9.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,208.60 | $3,397.84 | 5.1× |
| CT Angio Chest (71275) | $1,988.76 | $3,059.63 | 9.1× |
| CT Angio Head (70496) | $1,765.60 | $2,716.31 | 8.1× |
| CT angio hrt w/3d image (75574) | $1,819.73 | $2,799.59 | 4.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,514.51 | $2,330.01 | 6.9× |
| CT Angio Neck (70498) | $1,765.60 | $2,716.31 | 8.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,514.51 | $2,330.01 | 6.9× |
| CT cervical spine w/ contrast (72126) | $1,694.54 | $2,606.99 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,386.34 | $2,132.83 | 10.6× |
| CT cervical spine w/wo cont (72127) | $2,207.46 | $3,396.10 | 10.1× |
| CT chest w contrast (71260) | $1,694.54 | $2,606.99 | 7.7× |
| CT chest w/wo contrast (71270) | $2,207.46 | $3,396.10 | 10.1× |
| CT colonography screening (74263) | $2,261.24 | $3,478.83 | 7.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $288.38 | $443.66 | 1.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,208.60 | $3,397.84 | 16.9× |
| CT head/brain with contrast (70460) | $1,386.34 | $2,132.83 | 6.3× |
| CT head/brain without and with contrast (70470) | $1,899.65 | $2,922.54 | 8.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $203.65 | $313.31 | 1.9× |
| CT iac w contrast (70481) | $1,386.34 | $2,132.83 | 6.3× |
| CT l-spine w&w/o contrast (72133) | $1,537.20 | $2,364.93 | 7.0× |
| CT lower ext w/o (73700) | $1,181.27 | $1,817.34 | 9.1× |
| CT lower extremity w/contrast material (73701) | $1,489.08 | $2,290.90 | 6.8× |
| CT lumbar spine w contrast (72132) | $1,694.54 | $2,606.99 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $1,386.34 | $2,132.83 | 10.6× |
| CT maxillofacial w contrast (70487) | $1,386.34 | $2,132.83 | 6.3× |
| CT maxillofacial wo contrast (70486) | $1,078.52 | $1,659.26 | 8.3× |
| CT neck tissue combo (70492) | $1,899.65 | $2,922.54 | 8.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,009.89 | $1,553.67 | 4.6× |
| CT orbits w/o contrast (70480) | $1,078.52 | $1,659.26 | 8.3× |
| CT pelvis w&w/o contrast (72194) | $1,418.38 | $2,182.12 | 6.5× |
| CT pelvis w/o contrast (72192) | $1,386.34 | $2,132.83 | 10.6× |
| CT scan of leg combo (73702) | $1,009.89 | $1,553.67 | 4.6× |
| CT scans face/jaw combo (70488) | $1,615.02 | $2,484.65 | 7.4× |
| CT soft tissue neck w contrast (70491) | $1,386.34 | $2,132.83 | 6.3× |
| CT soft tissue neck w/o contrast (70490) | $1,078.52 | $1,659.26 | 8.3× |
| CT thoracic spine w contrast (72129) | $1,694.54 | $2,606.99 | 7.7× |
| CT thoracic spine w/o contrast (72128) | $1,386.34 | $2,132.83 | 10.6× |
| CT thorax w/o contrast (71250) | $1,386.34 | $2,132.83 | 10.6× |
| CT upper ext wo (73200) | $1,181.27 | $1,817.34 | 9.1× |
| CT upper extremity w/o & w/contrast material (73202) | $288.38 | $443.66 | 1.3× |
| CT upper extremity with contrast (73201) | $1,489.08 | $2,290.90 | 3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,208.60 | $3,397.84 | 10.1× |
| Cta Abdomen (74175) | $1,988.76 | $3,059.63 | 9.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $554 | $852.30 | 1.3× |
| CTA pelvis (72191) | $879.20 | $1,352.61 | 4.0× |
| Dxa Bone Density Axial (77080) | $594.77 | $915.03 | 4.6× |
| Echo exam uterus (76831) | $516.42 | $794.50 | 1.7× |
| Esophagram (74220) | $307.48 | $473.05 | 1.4× |
| Fetal Biophys Profile W/Nst (76818) | $273.94 | $421.44 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $550.68 | $847.20 | 4.2× |
| Fluoroscopy up to 1 hr (76000) | $289.03 | $444.66 | 1.0× |
| Foot 2 views (73620) | $269.75 | $415 | 2.5× |
| Forearm 2 views (73090) | $232.54 | $357.76 | 2.1× |
| Gastric emptying imaging study (78264) | $1,208.81 | $1,859.71 | 2.4× |
| Hand 2 views (73120) | $277.91 | $427.55 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,092.75 | $1,681.15 | 1.6× |
| Hepatobiliary System Imaging (78226) | $1,118.89 | $1,721.37 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $2,462.55 | $3,788.54 | 1.5× |
| Hysterosalpingogram (74740) | $375.53 | $577.74 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $762.18 | $1,172.58 | 7.0× |
| Infant hip ultrasound, limited static exam (76886) | $345.15 | $531 | 3.2× |
| Joint Survey Single View (77077) | $273.94 | $421.44 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $788.32 | $1,212.80 | 1.2× |
| Knee 3 Views (73562) | $219.69 | $337.99 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $861.38 | $1,325.20 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,085.92 | $1,670.64 | 1.6× |
| Magnetic Image Jaw Joint (70336) | $1,234.49 | $1,899.21 | 4.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,544.71 | $2,376.48 | 3.5× |
| MRA head w/o contrast (70544) | $2,435.40 | $3,746.77 | 8.2× |
| MRA head with contrast (70545) | $2,185.37 | $3,362.11 | 5.0× |
| MRA neck w contrast (70548) | $2,720.77 | $4,185.80 | 6.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,131.33 | $4,817.43 | 7.2× |
| MRA neck w/o contrast (70547) | $2,435.40 | $3,746.77 | 8.2× |
| MRI abdomen w contrast (74182) | $2,773.42 | $4,266.80 | 6.4× |
| MRI abdomen w/o contrast (74181) | $2,427.68 | $3,734.90 | 8.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,294.38 | $3,529.82 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,121.77 | $4,802.72 | 7.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,216.32 | $3,409.72 | 2.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,306.99 | $5,087.67 | 11.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $462.95 | $712.23 | 1.6× |
| MRI cervical spine w contrast (72142) | $2,294.38 | $3,529.82 | 5.3× |
| MRI cervical spine w/o cont (72141) | $2,427.68 | $3,734.90 | 8.2× |
| MRI chest w/o contrast (71550) | $1,067.55 | $1,642.38 | 3.6× |
| MRI chest wo w contrast (71552) | $1,963.67 | $3,021.03 | 4.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,773.42 | $4,266.80 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,121.77 | $4,802.72 | 7.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,427.68 | $3,734.90 | 8.2× |
| MRI lumbar spine w contrast (72149) | $2,773.42 | $4,266.80 | 6.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,714.60 | $5,714.77 | 8.5× |
| MRI orbit face &/neck w/o contrast (70540) | $2,435.40 | $3,746.77 | 8.2× |
| MRI orbit face neck w contrast (70542) | $2,294.38 | $3,529.82 | 5.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,131.33 | $4,817.43 | 7.2× |
| MRI pelvis w contrast (72196) | $2,387.53 | $3,673.13 | 5.5× |
| MRI pelvis w/o & w contrast (72197) | $3,121.77 | $4,802.72 | 7.2× |
| MRI pelvis w/o contrast (72195) | $2,427.68 | $3,734.90 | 8.2× |
| MRI thoracic spine w/o contrast (72146) | $2,427.68 | $3,734.90 | 8.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,544.71 | $2,376.48 | 3.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,427.68 | $3,734.90 | 8.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,720.77 | $4,185.80 | 6.2× |
| MRI, abdomen, combo (74183) | $3,121.77 | $4,802.72 | 7.2× |
| MRI, dorsal spine combo (72157) | $3,121.77 | $4,802.72 | 7.2× |
| MRI, dorsal spine contrast (72147) | $2,294.38 | $3,529.82 | 5.3× |
| MRI, joint upper extrem (73221) | $2,427.68 | $3,734.90 | 8.2× |
| MRI, joint upper extrem combo (73223) | $3,131.33 | $4,817.43 | 7.2× |
| MRI, lumbar spine combo (72158) | $3,176.26 | $4,886.56 | 7.3× |
| Myelogram cervical (72240) | $1,488.77 | $2,290.41 | 1.5× |
| Myelograpy 2/more regions rs&i (72270) | $2,162.45 | $3,326.85 | 2.2× |
| Myocardial Spect Multiple Studies (78452) | $3,146.79 | $4,841.21 | 1.9× |
| Neck soft tissue (70360) | $185.85 | $285.92 | 1.7× |
| Ob us nuchal meas 1 gest (76813) | $233.82 | $359.73 | 1.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $287.69 | $442.60 | 2.2× |
| Parathyroid Planar Imaging (78070) | $582.34 | $895.91 | 1.2× |
| Pelvis 1 or 2 views (72170) | $294.63 | $453.28 | 2.3× |
| Pet Image Skull-Thigh (78812) | $2,684.15 | $4,129.46 | 1.5× |
| PET image w/CT, full body (78816) | $4,012.45 | $6,173 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,249.61 | $8,076.33 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $300.59 | $462.45 | 2.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,500.73 | $2,308.81 | 2.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $219.69 | $337.99 | 2.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $216.23 | $332.66 | 2.0× |
| Radex elbow complete minimum 3 views (73080) | $219.69 | $337.99 | 2.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $339.13 | $521.74 | 2.6× |
| Radex fingr minimum 2 views (73140) | $174.29 | $268.14 | 1.6× |
| Radex foot complete minimum 3 views (73630) | $216.23 | $332.66 | 2.0× |
| Radex Hand Minimum 3 Views (73130) | $219.69 | $337.99 | 2.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $237.53 | $365.43 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $246.21 | $378.79 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $304.88 | $469.05 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) | $250.50 | $385.38 | 2.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $228.26 | $351.17 | 2.1× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$203.02–$283.47 | $312.34–$436.11 | varies |
| Radex Sternum Minimum 2 Views (71120) | $269.75 | $415 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $330.16 | $507.94 | 3.0× |
| Radex Toe Minimum 2 Views (73660) | $167.86 | $258.24 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) | $200.99 | $309.21 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $216.23 | $332.66 | 2.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $273.94 | $421.44 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $339.13 | $521.74 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $194.82 | $299.73 | 1.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $405.09 | $623.22 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) | $261.65 | $402.54 | 2.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $304.88 | $469.05 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $366.56 | $563.94 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $163.58 | $251.66 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $688.12 | $1,058.64 | 3.1× |
| Radiologic examination femur 1 view (73551) | $237.78 | $365.82 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) | $271.08 | $417.04 | 2.5× |
| Radiologic examination knee 1/2 views (73560) | $241.52 | $371.57 | 2.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $313.89 | $482.91 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $286.89 | $441.37 | 2.6× |
| Ribs bilateral 3 views (71110) | $426.50 | $656.16 | 3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,457.16 | $2,241.79 | 2.1× |
| Scapula (73010) | $286.89 | $441.37 | 2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $53.98 | $83.04 | 2.3× |
| Shoulder 1 view (73020) | $224.39 | $345.21 | 2.1× |
| Shoulder Arthrography (73040) | $758.76 | $1,167.33 | 1.7× |
| Skull less than 4 views (70250) | $282.20 | $434.15 | 2.2× |
| Special treatment procedure (77470) | $1,412.13 | $2,172.51 | 2.0× |
| Sternoclavicular joints (71130) | $208.53 | $320.82 | 1.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $317.36 | $488.25 | 1.4× |
| Thoracic spine 2 views (72070) | $288.20 | $443.39 | 2.2× |
| Thoracic spine 3 views (72072) | $315.18 | $484.89 | 2.4× |
| Thyroid Uptake Measurement (78012) | $796.03 | $1,224.66 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $720.23 | $1,108.04 | 1.4× |
| Ultrasound Breast Limited (76642) | $358.40 | $551.39 | 3.3× |
| Ultrasound Elastography Parenchyma (76981) | $205.99 | $316.91 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) | $174.99 | $269.21 | 1.3× |
| Ultrasound, abdomen limited (76705) | $569.95 | $876.84 | 4.4× |
| Umbilical-artery Doppler (OB) (76820) | $263.64 | $405.60 | 2.0× |
| Unlisted us procedure (76999) | $200.99 | $309.21 | 1.9× |
| Upper gi w/o kub (74240) | $644.88 | $992.13 | 2.9× |
| Urethrocystography retrograde (74450) | $551.51 | $848.47 | 1.9× |
| Us breast unilateral complete (76641) | $518.56 | $797.79 | 4.0× |
| Us chest (76604) | $518.56 | $797.79 | 4.0× |
| Us complete joint (76881) | $592.63 | $911.74 | 4.5× |
| Us exam, pelvic, limited (76857) | $376.81 | $579.71 | 2.9× |
| Us head (76506) | $480.43 | $739.13 | 3.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $374.67 | $576.41 | 2.9× |
| Us ob detailed single fetus (76811) | $672.02 | $1,033.87 | 2.3× |
| Us ob limited 1 or more fetuses (76815) | $578.06 | $889.32 | 4.4× |
| Us ob transvaginal (76817) | $466.73 | $718.04 | 3.6× |
| Us pelvic non ob complete (76856) | $666.70 | $1,025.70 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $345.15 | $531 | 2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $273.94 | $421.44 | 2.1× |
| Us retroperitoneal complete (76770) | $1,000.68 | $1,539.51 | 7.7× |
| Us retroperitoneal limited (76775) | $740.36 | $1,139.01 | 5.7× |
| Us scrotum and contents (76870) | $592.63 | $911.74 | 4.5× |
| Us spinal canal and contents (76800) | $829 | $1,275.39 | 6.4× |
| Us thyroid (76536) | $547.25 | $841.93 | 4.2× |
| Wrist 2 views (73100) | $233.37 | $359.03 | 2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $240.99 | $370.76 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $377.68 | $581.04 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $290.35 | $446.69 | 2.7× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$134.79–$677.87 | $207.37–$1,042.87 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $271.08 | $417.04 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $406.37 | $625.18 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $200.99 | $309.21 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $357.54 | $550.06 | 3.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $269.35 | $414.38 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $492.87 | $758.26 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $514.70 | $791.84 | 3.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $280.46 | $431.48 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $517.71 | $796.47 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $315.18 | $484.89 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $400.36 | $615.94 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $297.19 | $457.21 | 2.3× |
| X-ray eye for foreign body (70030) | $237.78 | $365.82 | 2.2× |
| X-ray humerus (73060) | $248.35 | $382.08 | 2.3× |
| X-ray IV pyelogram (ivp) (74400) | $476.61 | $733.24 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $208.53 | $320.82 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$269.35–$315.18 | $414.38–$484.89 | varies |
| X-ray nose-rectum child f.b. (76010) | $211.15 | $324.84 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $335.72 | $516.49 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $289.03 | $444.66 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $269.75 | $415 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $273.21 | $420.33 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $297.19 | $457.21 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $376.81 | $579.71 | 2.9× |
| X-ray thoracic spine 4 vw (72074) | $411.92 | $633.73 | 3.2× |
| X-Ray Tmj Unilat (70328) | $200.99 | $309.21 | 1.9× |
| X-Rays Bone Length Studies (77073) | $257.36 | $395.94 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $372.12 | $572.49 | 2.9× |
| Xr c-spine 4 or 5 views (72050) | $417.49 | $642.29 | 3.2× |
| Xr facial bones less than 3 views (70140) | $219.69 | $337.99 | 2.0× |
| Xr orbits complete 4 views (70200) | $275.77 | $424.26 | 2.1× |
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.