Imaging prices at Maury Regional Medical Center

Columbia, TN · every code in this section with a posted price and a Medicare benchmark.

333 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $2,086.08 $5,088 1.6×
Abdomen 1 View (74018) $169.74 $414 2.0×
Abdomen 2 views (74019) $196.39 $479 2.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $392.78 $958 1.0×
Angio internal mammary (75756) $1,141.85 $2,785 0.4×
Angio pulmonary bilat (75743) $277.98 $678 0.1×
Angiography extremity bilateral rs&i (75716) $272.65 $665 0.1×
Angiography extremity unilateral rs&i (75710) $266.91 $651 0.1×
Angiography pulmonary unilateral slctv rs&i (75741) $274.29 $669 0.1×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $305.86 $746 0.1×
Ankle 2 views (73600) $134.48 $328 1.6×
Aortography thoracic serialography rs&i (75605)
likely a partial charge, not the full procedure		 $258.71 $631 0.0×
Artery X-Rays Abdomen (75726)
likely a partial charge, not the full procedure		 $296.43 $723 0.1×
Artery X-Rays Pelvis (75736)
unusually low: confirm this is the full procedure		 $2,039.34 $4,974 0.4×
Arthrogram ankle (73615) $168.51 $411 0.5×
Arthrogram hip (73525) $186.55 $455 0.6×
Arthrogram Wrist (73115) $289.05 $705 0.9×
Basic radiation dosimetry calculation (77300) $227.14 $554 1.8×
Bone age studies (77072) $116.03 $283 1.2×
Bone Imaging 3 Phase (78315) $753.58 $1,838 2.0×
Bone Imaging Limited Area (78300) $449.77 $1,097 1.2×
Bone Imaging Whole Body (78306) $595.32 $1,452 1.6×
Bone survey infant (77076) $234.11 $571 2.3×
Brachytx isodose complex (77318) $577.28 $1,408 1.6×
Brachytx isodose intermed (77317) $507.17 $1,237 1.4×
Brachytx Isodose Plan Simple (77316) $348.50 $850 1.0×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $619.51 $1,511 1.2×
Cerebrospinal Fluid Scan (78630) $771.62 $1,882 1.5×
Chest 1 view (71045) $170.56 $416 2.0×
Chest 2 views (71046) $218.12 $532 2.6×
Chest 3 views (71047) $93.89 $229 1.1×
Chest 4 or more views (71048) $97.58 $238 1.0×
Clavicle complete (73000) $132.02 $322 1.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $758.09 $1,849 7.6×
Continuing medical physics consltj pr wk (77336) $313.65 $765 2.4×
Contrast Exam Abdominl Aorta (75625) $236.57 $577 0.1×
Contrast X-Ray Bladder (74430) $232.06 $566 0.7×
Contrast X-Ray Of Elbow (73085) $226.73 $553 0.7×
Contrast X-Ray Of Knee Joint (73580) $184.09 $449 0.6×
CT abdomen and pelvis without and with contrast (74178) $1,751.11 $4,271 5.2×
CT abdomen and pelvis without contrast (74176) $1,564.97 $3,817 6.8×
CT abdomen w contrast (74160) $736.36 $1,796 4.4×
CT abdomen w wo contrast (74170) $906.10 $2,210 5.4×
CT abdomen w/o contrast (74150) $674.45 $1,645 6.7×
CT Angio Abdomen and Pelvis (74174) $1,848.28 $4,508 5.5×
CT Angio Chest (71275) $821.23 $2,003 4.9×
CT Angio Head (70496) $821.23 $2,003 4.9×
CT angio hrt w/3d image (75574) $1,002.45 $2,445 3.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,039.76 $2,536 6.2×
CT Angio Neck (70498) $821.23 $2,003 4.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $749.89 $1,829 4.5×
CT cervical spine w/ contrast (72126) $821.23 $2,003 2.5×
CT cervical spine w/o contrast (72125) $971.29 $2,369 9.7×
CT cervical spine w/wo cont (72127) $925.37 $2,257 5.5×
CT chest w contrast (71260) $1,026.23 $2,503 6.1×
CT chest w/wo contrast (71270) $905.28 $2,208 5.4×
CT head/brain with contrast (70460) $854.03 $2,083 5.1×
CT head/brain without and with contrast (70470) $1,002.45 $2,445 6.0×
CT heart contrast eval cardiac structure&morph (75572) $840.50 $2,050 2.5×
CT heart no contrast quant eval coronry calcium (75571) $379.25 $925 4.5×
CT iac w contrast (70481) $666.25 $1,625 4.0×
CT l-spine w&w/o contrast (72133) $1,034.02 $2,522 6.1×
CT lower ext w/o (73700) $639.19 $1,559 6.4×
CT lower extremity w/contrast material (73701) $710.53 $1,733 4.2×
CT lumbar spine w contrast (72132) $881.50 $2,150 2.6×
CT lumbar spine w/o contrast (72131) $772.85 $1,885 7.7×
CT maxillofacial w contrast (70487) $733.08 $1,788 4.4×
CT maxillofacial wo contrast (70486) $783.10 $1,910 7.8×
CT neck tissue combo (70492) $778.59 $1,899 4.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $824.92 $2,012 4.9×
CT orbits w/o contrast (70480) $652.72 $1,592 6.5×
CT pelvis w&w/o contrast (72194) $845.01 $2,061 5.0×
CT pelvis w/o contrast (72192) $629.35 $1,535 6.3×
CT scan of leg combo (73702) $975.39 $2,379 5.8×
CT scans face/jaw combo (70488) $764.65 $1,865 4.5×
CT soft tissue neck w contrast (70491) $740.05 $1,805 4.4×
CT soft tissue neck w/o contrast (70490) $620.33 $1,513 6.2×
CT thoracic spine w contrast (72129) $737.18 $1,798 4.4×
CT thoracic spine w/o contrast (72128) $684.70 $1,670 6.8×
CT thoracic spine w/wo cont (72130) $833.53 $2,033 5.0×
CT thorax w/o contrast (71250) $715.04 $1,744 7.1×
CT upper ext wo (73200) $638.78 $1,558 6.4×
CT upper extremity w/o & w/contrast material (73202)
range across 10 matching MRF lines		 $887.24–$932.34 $2,164–$2,274 varies
CT upper extremity with contrast (73201) $710.53 $1,733 2.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $921.68 $2,248 5.5×
Cta Abdomen (74175) $889.70 $2,170 5.3×
CTA pelvis (72191) $848.29 $2,069 5.0×
Dilation ureters/urethra rs&i (74485) $251.33 $613 0.1×
Diskography lumbar (72295) $660.51 $1,611 0.4×
Dxa Bone Density Axial (77080) $116.03 $283 1.2×
Dxa bone density study (77085) $132.02 $322 1.3×
Echo exam uterus (76831) $269.78 $658 1.2×
Echograp Trans R Pros Study (76873) $254.20 $620 2.5×
Esophagram (74220) $134.48 $328 0.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $166.46 $406 1.7×
Fluoroscopy up to 1 hr (76000) $90.20 $220 0.4×
Follow-Up Angiography (75898) $571.13 $1,393 0.2×
Foot 2 views (73620) $116.03 $283 1.4×
Forearm 2 views (73090) $152.11 $371 1.8×
Gastric emptying imaging study (78264) $568.67 $1,387 1.5×
Gated Heart Planar Single (78472) $561.29 $1,369 1.5×
Hand 2 views (73120) $134.48 $328 1.3×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $2,449.34 $5,974 3.7×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $2,132 $5,200 3.2×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $656.41 $1,601 0.2×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $656.41 $1,601 0.2×
Hepatobil Syst Image W/Drug (78227) $861.82 $2,102 1.7×
Hepatobiliary System Imaging (78226) $694.95 $1,695 1.8×
Ht Muscle Image Spect Sing (78451) $874.53 $2,133 0.7×
Hysterosalpingogram (74740) $245.18 $598 1.1×
Infant hip ultrasound with hip movement (dynamic) (76885) $367.77 $897 4.4×
Infant hip ultrasound, limited static exam (76886) $256.25 $625 3.1×
Interstitial radiation source applic complex (77778) $2,019.25 $4,925 3.0×
Intracavitary Radiation Source Applic Complex (77763) $790.89 $1,929 1.2×
Intracavitary Radiation Source Applic Intermed (77762) $574.41 $1,401 1.1×
Intracavitary radiation source applic simple (77761) $501.02 $1,222 0.9×
K Flow/Funct Image Multiple (78709) $708.48 $1,728 1.4×
K Flow/Funct Image W/Drug (78708) $578.92 $1,412 1.1×
K Flow/Funct Image W/O Drug (78707) $482.57 $1,177 0.9×
Knee 3 Views (73562) $202.95 $495 2.4×
Liver & Spleen Imaging Static Only (78215) $536.28 $1,308 1.4×
Lung perfusion differential (78597) $439.93 $1,073 1.1×
Lung Ventilat&Perfus Imaging (78582) $577.69 $1,409 1.1×
Lung Ventilation Imaging (78579) $377.20 $920 1.0×
Lymph System Imaging (78195) $525.62 $1,282 1.0×
Magnetic Image Jaw Joint (70336) $1,020.08 $2,488 4.5×
Mammary ductogram or galactogram multiple (77054) $248.05 $605 1.1×
Mammary ductogram or galactogram single (77053) $201.31 $491 0.9×
Meckels Divert Exam (78290) $373.51 $911 1.0×
Mlc imrt design & construction per imrt plan (77338) $393.60 $960 1.1×
Mra Head W/O & W/Contrast Material (70546) $1,211.96 $2,956 3.6×
MRA head w/o contrast (70544) $839.68 $2,048 3.7×
MRA head with contrast (70545) $990.56 $2,416 3.0×
MRA neck w contrast (70548) $922.91 $2,251 2.8×
Mra Neck W/O &W/Contrast Material (70549) $1,211.96 $2,956 3.6×
MRA neck w/o contrast (70547) $786.79 $1,919 3.4×
MRI abdomen w contrast (74182) $1,100.03 $2,683 3.3×
MRI abdomen w/o contrast (74181) $922.09 $2,249 4.0×
MRI any jt lower extrem w/contrast material (73722) $1,039.76 $2,536 1.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,257.47 $3,067 3.8×
MRI any jt upper extremity w/contrast matrl (73222) $1,042.22 $2,542 1.4×
MRI Breast W/O Contrast Bilateral (77047) $1,054.93 $2,573 4.6×
MRI Breast Without Contrast Material Unilateral (77046) $966.78 $2,358 4.2×
MRI cervical spine w contrast (72142) $1,223.03 $2,983 3.7×
MRI cervical spine w/o cont (72141) $1,002.45 $2,445 4.4×
MRI chest w/o contrast (71550) $872.89 $2,129 3.8×
MRI chest with contrast (71551) $1,033.61 $2,521 1.4×
MRI chest wo w contrast (71552) $1,121.76 $2,736 3.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,204.17 $2,937 3.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,320.20 $3,220 3.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $910.20 $2,220 4.0×
MRI lumbar spine w contrast (72149) $1,115.61 $2,721 3.3×
Mri Neck Spine W/O & W/Dye (72156) $1,429.26 $3,486 4.3×
MRI orbit face &/neck w/o contrast (70540) $973.75 $2,375 4.3×
MRI orbit face neck w contrast (70542) $1,271.82 $3,102 3.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,228.77 $2,997 3.7×
MRI pelvis w contrast (72196) $969.65 $2,365 2.9×
MRI pelvis w/o & w contrast (72197) $1,367.35 $3,335 4.1×
MRI pelvis w/o contrast (72195) $819.18 $1,998 3.6×
MRI thoracic spine w/o contrast (72146) $969.65 $2,365 4.2×
MRI upper extremity oth than jt w/contr matrl (73219) $1,086.50 $2,650 3.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $932.34 $2,274 4.1×
Mri Uppr Extremity W/O&W/Dye (73220) $1,120.94 $2,734 3.3×
MRI, abdomen, combo (74183) $1,284.12 $3,132 3.8×
MRI, dorsal spine combo (72157) $1,422.29 $3,469 4.2×
MRI, dorsal spine contrast (72147) $1,055.34 $2,574 3.2×
MRI, joint upper extrem (73221) $913.89 $2,229 4.0×
MRI, joint upper extrem combo (73223) $1,476.41 $3,601 4.4×
MRI, lumbar spine combo (72158) $1,380.47 $3,367 4.1×
Myocardial Spect Multiple Studies (78452) $1,023.36 $2,496 0.8×
N-invas est c ffr sw aly CTA (75580) $3,451.38 $8,418 4.2×
Neck soft tissue (70360) $144.73 $353 1.7×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $186.55 $455 0.5×
Nonvascular Shunt X-Ray (75809) $332.92 $812 3.3×
Ntsty modul radthx pln dose-vol histos (77301) $2,642.04 $6,444 2.0×
Nuclear Rx Oral Admin (79005) $460.02 $1,122 2.1×
Optic foramina (70190) $63.14 $154 0.8×
Parathyroid Planar Imaging (78070) $491.18 $1,198 1.3×
Pelvis 1 or 2 views (72170) $116.03 $283 1.2×
Peritoneogram Rs&I (74190) $210.74 $514 0.4×
Pet Image W/Ct Lmtd (78814) $2,367.34 $5,774 1.7×
PET image w/CT, full body (78816) $2,503.05 $6,105 1.8×
PET imaging CT attenuation skull base mid-thigh (78815) $2,503.05 $6,105 1.8×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $279.21 $681 0.1×
Pulmonary Perfusion Imaging Particulate (78580) $377.20 $920 1.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $291.92 $712 2.9×
Radex abscess/fistula/sinus tract rs&i (76080) $113.57 $277 0.2×
Radex Ankle Complete Minimum 3 Views (73610) $194.34 $474 2.3×
Radex Calcaneus Minimum 2 Views (73650) $116.03 $283 1.4×
Radex elbow complete minimum 3 views (73080) $149.24 $364 1.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $184.50 $450 1.8×
Radex fingr minimum 2 views (73140) $139.40 $340 1.7×
Radex foot complete minimum 3 views (73630) $189.42 $462 2.3×
Radex Hand Minimum 3 Views (73130) $189.83 $463 2.3×
Radex lower extremity infant minimum 2 views (73592) $116.03 $283 1.4×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $129.56 $316 1.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $116.03 $283 1.4×
Radex Ribs Unilateral 2 Views (71100) $116.03 $283 1.4×
Radex shoulder complete minimum 2 views (73030) $174.66 $426 2.1×
Radex Sinuses Paransl < 3 Views (70210) $116.03 $283 1.4×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $1,184.08 $2,888 7.0×
Radex Spine 1 View Specify Level (72020) $116.03 $283 1.4×
Radex Sternum Minimum 2 Views (71120) $76.67 $187 0.9×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $134.48 $328 1.6×
Radex Toe Minimum 2 Views (73660) $139.40 $340 1.7×
Radex upper extremity infant minimum 2 views (73092) $116.03 $283 1.2×
Radex Wrist Complete Minimum 3 Views (73110) $179.17 $437 2.1×
Radiation Delivery Stereotactic Cranial Linear (77372)
unusually low: confirm this is the full procedure		 $2,628.10 $6,410 0.4×
Radiation treatment delivery level 1 (77402) $276.75 $675 2.8×
Radiation treatment delivery level 2 (77407) $384.17 $937 1.0×
Radiation treatment delivery level 3 (77412) $430.91 $1,051 0.8×
Radiolog exam mandible compl minimum 4 views (70110) $184.50 $450 1.8×
Radiologic exam colon double contrast study (74280) $546.94 $1,334 3.3×
Radiologic exam colon single contrast study (74270) $351.78 $858 2.1×
Radiologic Exam Esophagus Double Contrast Study (74221) $253.79 $619 1.5×
Radiologic exam knee complete 4/more views (73564) $215.25 $525 2.1×
Radiologic exam pelvis compl minimum 3 views (72190) $95.12 $232 0.9×
Radiologic Exam Small Int Single Contrast Study (74250) $275.52 $672 1.6×
Radiologic exam swallow function contrast study (74230) $354.24 $864 2.1×
Radiologic exam upr gi trc double contrast study (74246) $321.03 $783 1.9×
Radiologic examination femur minimum 2 views (73552) $161.54 $394 1.9×
Radiologic examination knee 1/2 views (73560) $139.40 $340 1.7×
Radiologic Examination Osseous Survey Limited (77074) $114.80 $280 1.1×
Radiologic examination tibia & fibula 2 views (73590) $173.02 $422 2.1×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $210.74 $514 0.4×
Renal Cyst Study (74470) $199.26 $486 0.4×
Ribs bilateral 3 views (71110) $116.03 $283 1.2×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 3 matching MRF lines		 $279.62–$622.79 $682–$1,519 varies
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $1,047.14 $2,554 2.0×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $782.69 $1,909 1.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $717.91 $1,751 1.4×
Scapula (73010) $159.08 $388 1.6×
Screening Digital Breast Tomosynthesis Bi (77063) $45.92 $112 2.0×
Sella turcica (70240) $68.88 $168 0.8×
Shoulder 1 view (73020) $116.03 $283 1.4×
Shoulder Arthrography (73040) $319.80 $780 1.0×
Sialogram (70390) $321.03 $783 1.4×
Skull less than 4 views (70250) $116.03 $283 1.2×
Special dosimetry (77331) $206.64 $504 1.6×
Special Physics Consult (77370) $330.87 $807 2.6×
Special teletherapy port plan (77321) $438.70 $1,070 1.2×
Special treatment procedure (77470) $744.15 $1,815 1.4×
Stereotactic Body Radiation Delivery (77373) $2,733.47 $6,667 1.6×
Sternoclavicular joints (71130) $97.58 $238 1.2×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,273.87 $3,107 3.5×
Telethx isodose pln smpl w/dosimetry calculation (77306) $682.65 $1,665 1.9×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $693.31 $1,691 1.9×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $483.39 $1,179 1.3×
Ther rad simulaj-aided field setting simple (77280) $423.12 $1,032 3.3×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $151.29 $369 0.9×
Thoracic spine 2 views (72070) $145.96 $356 1.5×
Thoracic spine 3 views (72072) $207.87 $507 2.1×
Thyroid Imaging With Vascular Flow (78013) $306.68 $748 0.8×
Thyroid Met Imaging Body (78018) $653.13 $1,593 1.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $467.40 $1,140 1.2×
Tx Devices Design & Construction Complex (77334) $475.60 $1,160 1.3×
Tx devices design & construction intermediate (77333) $322.26 $786 2.5×
Tx devices design & construction simple (77332) $268.55 $655 2.1×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines		 $184.91–$387.86 $451–$946 varies
Ultrasound Elastography Parenchyma (76981) $241.08 $588 2.4×
Ultrasound Exam Aaa Screen (76706) $297.66 $726 3.0×
Ultrasound, abdomen limited (76705) $336.61 $821 3.4×
Umbilical-artery Doppler (OB) (76820) $74.21 $181 0.7×
Unlisted Dx Radiographic Procedure (76499) $225.91 $551 2.7×
Unlisted fluoroscopic procedure (76496) $134.48 $328 1.6×
Unlisted Procedure Clinical Brachytherapy (77799) $125.46 $306 1.3×
Upper gi w/o kub (74240) $274.29 $669 1.6×
Urethrocystogram voiding (74455) $279.21 $681 1.2×
Urethrocystography retrograde (74450) $184.91 $451 0.8×
Us breast unilateral complete (76641)
range across 3 matching MRF lines		 $243.95–$581.79 $595–$1,419 varies
Us chest (76604) $172.61 $421 1.7×
Us complete joint (76881) $191.06 $466 1.9×
Us exam, pelvic, limited (76857) $252.97 $617 2.5×
Us head (76506) $286.59 $699 2.9×
Us kidney transplant (76776) $406.72 $992 4.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $191.06 $466 1.9×
Us ob limited 1 or more fetuses (76815) $213.20 $520 2.1×
Us ob transvaginal (76817) $287.41 $701 2.9×
Us pelvic non ob complete (76856) $317.75 $775 3.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $704.79 $1,719 7.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $139.40 $340 1.4×
Us retroperitoneal complete (76770) $226.32 $552 2.3×
Us retroperitoneal limited (76775) $139.40 $340 1.4×
Us scrotum and contents (76870) $252.15 $615 2.5×
Us spinal canal and contents (76800) $291.51 $711 2.9×
Us thyroid (76536) $302.58 $738 3.0×
Us transrectal (76872) $280.44 $684 2.8×
Vein X-Ray Chest (75827) $499.79 $1,219 0.3×
Venography Adrenal Unilateral (75840) $1,225.90 $2,990 0.4×
Venography caval inferior serialography rs&i (75825) $1,189 $2,900 0.4×
Venography extremity bilateral rs&i (75822) $720.37 $1,757 0.5×
Venography extremity unilateral rs&i (75820) $560.88 $1,368 0.4×
Venography Renal Bilateral (75833) $1,225.90 $2,990 0.4×
Venous sampling by catheter (75893)
likely a partial charge, not the full procedure		 $590.40 $1,440 0.1×
Wrist 2 views (73100) $82.82 $202 1.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $90.20 $220 1.1×
X-ray antegrade pyelogram tube (74425) $231.65 $565 0.7×
X-Ray Aorta Leg Arteries (75630) $250.10 $610 0.1×
X-Ray Bend Only L-S Spine (72120) $116.03 $283 1.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $139.40 $340 1.7×
X-Ray Exam Breast Specimen (76098) $92.66 $226 0.2×
X-Ray Exam Entire Spi 1 Vw (72081) $116.03 $283 1.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $176.30 $430 1.8×
X-Ray Exam Hip Uni 1 View (73501) $134.48 $328 1.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $139.40 $340 1.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $152.52 $372 1.5×
X-Ray Exam Hips Bi 5/> Views (73523) $177.53 $433 1.8×
X-Ray Exam L-S Spine Bending (72114) $287 $700 2.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $175.07 $427 2.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $151.70 $370 1.5×
X-Ray Exam Unilat Ribs/Chest (71101) $149.24 $364 1.5×
X-ray eye for foreign body (70030) $72.98 $178 0.9×
X-ray humerus (73060) $127.51 $311 1.5×
X-ray IV pyelogram (ivp) (74400) $356.70 $870 2.1×
X-ray IV pyelogram+tomography (74415) $440.34 $1,074 2.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $93.89 $229 1.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $116.03 $283 1.4×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $234.11 $571 2.3×
X-ray nose-rectum child f.b. (76010) $116.03 $283 1.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $143.50 $350 1.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $116.03 $283 1.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $116.03 $283 1.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $86.51 $211 1.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $170.15 $415 1.7×
X-Ray Stress View (77071) $70.52 $172 0.8×
X-Ray Tmj Unilat (70328) $82.82 $202 1.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $166.46 $406 0.5×
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines		 $151.70–$379.25 $370–$925 varies
X-Rays Bone Survey Complete (77075) $231.65 $565 2.3×
Xr c-spine 4 or 5 views (72050) $212.79 $519 2.1×
Xr facial bones less than 3 views (70140) $116.03 $283 1.4×
Xr orbits complete 4 views (70200) $135.71 $331 1.4×
Xr Tomogram Single Plane (76100) $229.19 $559 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.