Imaging prices at Matagorda Regional Medical Center
Bay City, TX · every code in this section with a posted price and a Medicare benchmark.
262 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) | $170.50 | $341 | 1.9× |
| Abdomen 2 views (74019) | $283 | $566 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $829 | $1,658 | 2.0× |
| Angiography extremity unilateral rs&i (75710) | $3,884 | $7,768 | 1.2× |
| Ankle 2 views (73600) | $170.50 | $341 | 1.9× |
| Arthrogram ankle (73615) | $1,127.50 | $2,255 | 3.2× |
| Arthrogram hip (73525) | $1,127.50 | $2,255 | 3.2× |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$526.50–$717 | $1,053–$1,434 | varies |
| Bone age studies (77072) | $283 | $566 | 2.7× |
| Bone Imaging 3 Phase (78315) | $829 | $1,658 | 2.0× |
| Bone Imaging Limited Area (78300) | $553 | $1,106 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $615.50 | $1,231 | 1.5× |
| Bone Imaging Whole Body (78306) | $719 | $1,438 | 1.8× |
| Bone survey infant (77076) | $581.50 | $1,163 | 5.5× |
| Cat Scan Follow-Up Study (76380) | $222 | $444 | 2.5× |
| Chest 1 view (71045) range across 6 matching MRF lines |
$44–$170.50 | $88–$341 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$44–$184.50 | $88–$369 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$44–$224.50 | $88–$449 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$60–$61.50 | $120–$123 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$178–$221.50 | $356–$443 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $765 | $1,530 | 7.2× |
| Contrast Exam Abdominl Aorta (75625) | $3,884 | $7,768 | 1.2× |
| Contrast X-Ray Bladder (74430) | $676.50 | $1,353 | 1.9× |
| Contrast X-Ray Of Elbow (73085) | $1,127.50 | $2,255 | 3.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,127.50 | $2,255 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) | $1,052.50 | $2,105 | 3.0× |
| CT abdomen and pelvis without contrast (74176) | $825 | $1,650 | 3.4× |
| CT abdomen w contrast (74160) | $855.50 | $1,711 | 4.8× |
| CT abdomen w wo contrast (74170) | $992.50 | $1,985 | 5.6× |
| CT abdomen w/o contrast (74150) | $765 | $1,530 | 7.2× |
| CT Angio Abdomen and Pelvis (74174) | $768 | $1,536 | 2.2× |
| CT Angio Chest (71275) | $768 | $1,536 | 4.3× |
| CT Angio Head (70496) | $768 | $1,536 | 4.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $768 | $1,536 | 4.3× |
| CT Angio Neck (70498) | $768 | $1,536 | 4.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $768 | $1,536 | 4.3× |
| CT cervical spine w/ contrast (72126) | $1,325 | $2,650 | 3.7× |
| CT cervical spine w/o contrast (72125) | $765 | $1,530 | 7.2× |
| CT cervical spine w/wo cont (72127) | $992.50 | $1,985 | 5.6× |
| CT chest w contrast (71260) | $855.50 | $1,711 | 4.8× |
| CT chest w/wo contrast (71270) | $992.50 | $1,985 | 5.6× |
| CT head/brain with contrast (70460) | $855.50 | $1,711 | 4.8× |
| CT head/brain without and with contrast (70470) | $992.50 | $1,985 | 5.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $110 | $220 | 1.2× |
| CT iac w contrast (70481) | $855.50 | $1,711 | 4.8× |
| CT l-spine w&w/o contrast (72133) | $992.50 | $1,985 | 5.6× |
| CT lower ext w/o (73700) | $765 | $1,530 | 7.2× |
| CT lower extremity w/contrast material (73701) | $855.50 | $1,711 | 4.8× |
| CT lumbar spine w contrast (72132) | $1,325 | $2,650 | 3.7× |
| CT lumbar spine w/o contrast (72131) | $765 | $1,530 | 7.2× |
| CT maxillofacial w contrast (70487) | $855.50 | $1,711 | 4.8× |
| CT maxillofacial wo contrast (70486) | $765 | $1,530 | 7.2× |
| CT neck tissue combo (70492) | $992.50 | $1,985 | 5.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $992.50 | $1,985 | 5.6× |
| CT orbits w/o contrast (70480) | $765 | $1,530 | 7.2× |
| CT pelvis w&w/o contrast (72194) | $992.50 | $1,985 | 5.6× |
| CT pelvis w/o contrast (72192) | $765 | $1,530 | 7.2× |
| CT scan of leg combo (73702) | $992.50 | $1,985 | 5.6× |
| CT scans face/jaw combo (70488) | $992.50 | $1,985 | 5.6× |
| CT soft tissue neck w contrast (70491) | $855.50 | $1,711 | 4.8× |
| CT soft tissue neck w/o contrast (70490) | $765 | $1,530 | 7.2× |
| CT thoracic spine w contrast (72129) | $855.50 | $1,711 | 4.8× |
| CT thoracic spine w/o contrast (72128) | $765 | $1,530 | 7.2× |
| CT thoracic spine w/wo cont (72130) | $992.50 | $1,985 | 5.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$60–$765 | $120–$1,530 | varies |
| CT upper ext wo (73200) | $765 | $1,530 | 7.2× |
| CT upper extremity w/o & w/contrast material (73202) | $992.50 | $1,985 | 5.6× |
| CT upper extremity with contrast (73201) | $855.50 | $1,711 | 2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $768 | $1,536 | 4.3× |
| Cta Abdomen (74175) | $768 | $1,536 | 4.3× |
| CTA pelvis (72191) | $768 | $1,536 | 4.3× |
| Dxa Bone Density Axial (77080) | $182 | $364 | 1.7× |
| Esophagram (74220) | $676.50 | $1,353 | 3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $295 | $590 | 2.8× |
| Fluoroscopy up to 1 hr (76000) | $41 | $82 | 0.2× |
| Foot 2 views (73620) | $170.50 | $341 | 1.9× |
| Forearm 2 views (73090) | $169 | $338 | 1.9× |
| Gastric emptying imaging study (78264) | $829 | $1,658 | 2.0× |
| Gastric Mucosa Imaging (78261) | $539.50 | $1,079 | 1.3× |
| Gated Heart Planar Single (78472) | $742 | $1,484 | 1.8× |
| Gated Heart, Multiple (78473) | $762.50 | $1,525 | 1.9× |
| Hand 2 views (73120) | $283 | $566 | 2.7× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$648.50–$649 | $1,297–$1,298 | varies |
| Hepatobiliary System Imaging (78226) | $774 | $1,548 | 1.9× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,747.50–$1,748 | $3,495–$3,496 | varies |
| Hysterosalpingogram (74740) | $676.50 | $1,353 | 2.8× |
| Infant hip ultrasound, limited static exam (76886) | $217 | $434 | 2.5× |
| Infusion Ivp (74410) | $400 | $800 | 2.3× |
| K Flow/Funct Image Multiple (78709) | $829 | $1,658 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) | $553 | $1,106 | 1.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $712.50 | $1,425 | 1.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $553 | $1,106 | 1.4× |
| Knee 3 Views (73562) | $155 | $310 | 1.8× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$493–$506.50 | $986–$1,013 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $568.50 | $1,137 | 1.4× |
| Liver imaging static only (78201) | $472 | $944 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $857.50 | $1,715 | 1.6× |
| Lung Ventilation Imaging (78579) | $570.50 | $1,141 | 1.4× |
| Lymph System Imaging (78195) | $774 | $1,548 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $805.50 | $1,611 | 3.3× |
| Meckels Divert Exam (78290) | $829 | $1,658 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,381.50 | $2,763 | 3.9× |
| MRA head w/o contrast (70544) | $768 | $1,536 | 3.2× |
| MRA head with contrast (70545) | $860 | $1,720 | 2.4× |
| MRA neck w contrast (70548) | $860 | $1,720 | 2.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,381.50 | $2,763 | 3.9× |
| MRA neck w/o contrast (70547) | $768 | $1,536 | 3.2× |
| MRI abdomen w contrast (74182) | $1,325 | $2,650 | 3.7× |
| MRI abdomen w/o contrast (74181) | $908 | $1,816 | 3.8× |
| MRI any jt lower extrem w/contrast material (73722) | $1,988 | $3,976 | 2.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,437 | $2,874 | 4.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,988 | $3,976 | 2.5× |
| MRI cervical spine w contrast (72142) | $1,325 | $2,650 | 3.7× |
| MRI cervical spine w/o cont (72141) | $963.50 | $1,927 | 4.0× |
| MRI chest w/o contrast (71550) | $908 | $1,816 | 3.8× |
| MRI chest with contrast (71551) | $1,988 | $3,976 | 2.5× |
| MRI chest wo w contrast (71552) | $1,381.50 | $2,763 | 3.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $853.50 | $1,707 | 2.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,437 | $2,874 | 4.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $853.50 | $1,707 | 3.5× |
| MRI lumbar spine w contrast (72149) | $1,325 | $2,650 | 3.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,381.50 | $2,763 | 3.9× |
| MRI orbit face &/neck w/o contrast (70540) | $817.50 | $1,635 | 3.4× |
| MRI orbit face neck w contrast (70542) | $1,325 | $2,650 | 3.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,381.50 | $2,763 | 3.9× |
| MRI pelvis w contrast (72196) | $1,325 | $2,650 | 3.7× |
| MRI pelvis w/o & w contrast (72197) | $1,381.50 | $2,763 | 3.9× |
| MRI pelvis w/o contrast (72195) | $768 | $1,536 | 3.2× |
| MRI thoracic spine w/o contrast (72146) | $963.50 | $1,927 | 4.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,325 | $2,650 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $853.50 | $1,707 | 3.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,381.50 | $2,763 | 3.9× |
| MRI, abdomen, combo (74183) | $1,437 | $2,874 | 4.1× |
| MRI, dorsal spine combo (72157) | $1,263.50 | $2,527 | 3.6× |
| MRI, dorsal spine contrast (72147) | $1,325 | $2,650 | 3.7× |
| MRI, joint upper extrem (73221) | $853.50 | $1,707 | 3.5× |
| MRI, joint upper extrem combo (73223) | $1,437 | $2,874 | 4.1× |
| MRI, lumbar spine combo (72158) | $1,263.50 | $2,527 | 3.6× |
| Myelogram cervical (72240) | $1,690.50 | $3,381 | 2.1× |
| Myelogram Lumbar (72265) | $1,690.50 | $3,381 | 2.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,690.50 | $3,381 | 2.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $464 | $928 | 1.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,215–$1,747.50 | $2,430–$3,495 | varies |
| Neck soft tissue (70360) | $170.50 | $341 | 1.9× |
| Nonvascular Shunt X-Ray (75809) | $146.50 | $293 | 1.4× |
| Ob us nuchal meas 1 gest (76813) | $283 | $566 | 2.7× |
| Optic foramina (70190) | $190.50 | $381 | 2.2× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$349.50–$506.50 | $699–$1,013 | varies |
| Pelvis 1 or 2 views (72170) | $283 | $566 | 2.7× |
| Peritoneogram Rs&I (74190) | $266 | $532 | 0.5× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $1,147.50 | $2,295 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $571 | $1,142 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $272.50 | $545 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$287.50–$450 | $575–$900 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$178–$354.50 | $356–$709 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $170.50 | $341 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $210.50 | $421 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $275 | $550 | 2.6× |
| Radex fingr minimum 2 views (73140) | $152.50 | $305 | 1.7× |
| Radex foot complete minimum 3 views (73630) range across 8 matching MRF lines |
$170.50–$334 | $341–$668 | varies |
| Radex Hand Minimum 3 Views (73130) | $210.50 | $421 | 2.4× |
| Radex lower extremity infant minimum 2 views (73592) | $152.50 | $305 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$263–$283 | $526–$566 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $152.50 | $305 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $185 | $370 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$190–$308 | $380–$616 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $149 | $298 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $170.50 | $341 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $185 | $370 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $243 | $486 | 2.8× |
| Radex Toe Minimum 2 Views (73660) | $170.50 | $341 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $283 | $566 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $210.50 | $421 | 2.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $168 | $336 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $284.50 | $569 | 2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $311 | $622 | 2.9× |
| Radiologic exam colon double contrast study (74280) | $527 | $1,054 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $676.50 | $1,353 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $311 | $622 | 2.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $283 | $566 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $411.50 | $823 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $283 | $566 | 1.6× |
| Radiologic exam teeth complete full mouth (70320) | $564.50 | $1,129 | 2.3× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $564.50 | $1,129 | 2.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$676.50–$1,087 | $1,353–$2,174 | varies |
| Radiologic examination femur minimum 2 views (73552) | $178 | $356 | 2.0× |
| Radiologic examination knee 1/2 views (73560) | $170.50 | $341 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $178 | $356 | 2.0× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $170.50 | $341 | 1.9× |
| Ribs bilateral 3 views (71110) | $283 | $566 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,428 | $2,856 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $752 | $1,504 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $822 | $1,644 | 1.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $775 | $1,550 | 0.6× |
| Scapula (73010) | $283 | $566 | 2.7× |
| Sella turcica (70240) | $177 | $354 | 2.0× |
| Shoulder 1 view (73020) | $170.50 | $341 | 1.9× |
| Shoulder Arthrography (73040) | $1,127.50 | $2,255 | 3.2× |
| Sialogram (70390) | $564.50 | $1,129 | 2.3× |
| Skull less than 4 views (70250) | $185 | $370 | 1.7× |
| Sternoclavicular joints (71130) | $190.50 | $381 | 2.2× |
| Testicular Imaging W/Flow (78761) | $515 | $1,030 | 1.3× |
| Thoracic spine 2 views (72070) | $283 | $566 | 2.7× |
| Thyroid Imaging With Vascular Flow (78013) | $442.50 | $885 | 1.1× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$555.50–$702 | $1,111–$1,404 | varies |
| Thyroid Uptake Measurement (78012) range across 3 matching MRF lines |
$298–$506.50 | $596–$1,013 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $498 | $996 | 1.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$108.50–$114 | $217–$228 | varies |
| Ultrasound Exam Aaa Screen (76706) | $232.50 | $465 | 2.2× |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$459–$468.50 | $918–$937 | varies |
| Upper gi w/o kub (74240) | $237 | $474 | 1.3× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$370.50–$373.50 | $741–$747 | varies |
| Urethrocystography retrograde (74450) | $676.50 | $1,353 | 2.8× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$145–$289.50 | $290–$579 | varies |
| Us chest (76604) | $459 | $918 | 4.3× |
| Us complete joint (76881) | $306 | $612 | 2.9× |
| Us head (76506) | $354.50 | $709 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $283 | $566 | 2.7× |
| Us ob detailed single fetus (76811) | $321.50 | $643 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $283 | $566 | 2.7× |
| Us ob transvaginal (76817) | $411.50 | $823 | 3.9× |
| Us pelvic non ob complete (76856) | $411.50 | $823 | 3.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $385.50 | $771 | 3.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $283 | $566 | 2.7× |
| Us retroperitoneal limited (76775) | $448 | $896 | 4.2× |
| Us scrotum and contents (76870) | $362.50 | $725 | 3.4× |
| Us spinal canal and contents (76800) | $156 | $312 | 1.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$355–$362.50 | $710–$725 | varies |
| Vein X-Ray Chest (75827) | $178 | $356 | 0.1× |
| Venography extremity bilateral rs&i (75822) | $1,255.50 | $2,511 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,255.50 | $2,511 | 0.8× |
| Wrist 2 views (73100) | $169 | $338 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $197.50 | $395 | 2.2× |
| X-ray antegrade pyelogram tube (74425) | $676.50 | $1,353 | 1.9× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$3,866–$3,884 | $7,732–$7,768 | varies |
| X-Ray Bend Only L-S Spine (72120) | $185 | $370 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $168 | $336 | 1.9× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$566.50–$661.50 | $1,133–$1,323 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $170.50 | $341 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $194 | $388 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $311 | $622 | 2.9× |
| X-Ray Exam L-S Spine Bending (72114) | $354.50 | $709 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $216.50 | $433 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $299.50 | $599 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $297 | $594 | 2.8× |
| X-ray eye for foreign body (70030) | $190.50 | $381 | 2.2× |
| X-ray humerus (73060) | $178 | $356 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $170.50 | $341 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $170.50 | $341 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $283 | $566 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $297 | $594 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $283 | $566 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $283 | $566 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $228.50 | $457 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $205 | $410 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $333.50 | $667 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,127.50 | $2,255 | 3.2× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$283–$297 | $566–$594 | varies |
| X-Rays Bone Survey Complete (77075) | $339.50 | $679 | 3.2× |
| Xr c-spine 4 or 5 views (72050) | $283 | $566 | 2.7× |
| Xr facial bones less than 3 views (70140) | $208.50 | $417 | 2.4× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$228.50–$283 | $457–$566 | varies |
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.