Imaging prices at Mayo Clinic Hospital — Phoenix
Phoenix, AZ · every code in this section with a posted price and a Medicare benchmark.
263 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) | $4,326.75 | $5,769 | 2.9× |
| Abdomen 1 View (74018) | $237.75 | $317 | 2.6× |
| Abdomen 2 views (74019) | $260.25 | $347 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,115.25 | $1,487 | 2.6× |
| Angio pulmonary bilat (75743) | $6,908.25 | $9,211 | 2.1× |
| Angiography extremity bilateral rs&i (75716) | $8,395.50 | $11,194 | 2.5× |
| Angiography extremity unilateral rs&i (75710) | $6,633.75 | $8,845 | 2.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,145.25 | $9,527 | 2.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$202.50–$218.25 | $270–$291 | varies |
| Aortography thoracic serialography rs&i (75605) | $7,752.75 | $10,337 | 1.3× |
| Artery X-Rays Abdomen (75726) | $10,189.50 | $13,586 | 1.7× |
| Artery X-Rays Pelvis (75736) | $11,356.50 | $15,142 | 1.9× |
| Artery X-Rays Spine (75705) | $12,346.50 | $16,462 | 2.1× |
| Basic radiation dosimetry calculation (77300) | $530.25 | $707 | 3.7× |
| Bone Imaging 3 Phase (78315) | $993.75 | $1,325 | 2.3× |
| Bone Imaging Whole Body (78306) | $987 | $1,316 | 2.3× |
| Bone marrow imaging; whole body (78104) | $999.75 | $1,333 | 2.3× |
| Brachytx isodose complex (77318) | $493.50 | $658 | 1.2× |
| Brachytx Isodose Plan Simple (77316) | $982.50 | $1,310 | 2.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,027.50 | $5,370 | 2.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,127 | $2,836 | 5.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,729.25 | $3,639 | 3.3× |
| Cardiac Shunt Detection (78428) | $993.75 | $1,325 | 2.3× |
| Cerebrospinal Fluid Scan (78630) | $1,249.50 | $1,666 | 2.2× |
| Chest 1 view (71045) | $120 | $160 | 1.3× |
| Chest 2 views (71046) | $177.75 | $237 | 1.9× |
| Clavicle complete (73000) | $219.75 | $293 | 2.4× |
| Continuing medical physics consltj pr wk (77336) | $512.25 | $683 | 3.6× |
| Contrast Exam Abdominl Aorta (75625) | $7,045.50 | $9,394 | 2.1× |
| Contrast X-Ray Bladder (74430) | $922.50 | $1,230 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,731.75 | $2,309 | 4.7× |
| CT abdomen and pelvis without contrast (74176) | $1,266 | $1,688 | 5.0× |
| CT abdomen w contrast (74160) | $1,105.50 | $1,474 | 5.9× |
| CT abdomen w wo contrast (74170) | $1,366.50 | $1,822 | 7.3× |
| CT abdomen w/o contrast (74150) | $639.75 | $853 | 5.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,534.25 | $3,379 | 6.8× |
| CT Angio Chest (71275) | $1,506 | $2,008 | 8.0× |
| CT Angio Head (70496) | $1,377.75 | $1,837 | 7.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,008.75 | $1,345 | 5.4× |
| CT Angio Neck (70498) | $1,377.75 | $1,837 | 7.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $959.25 | $1,279 | 5.1× |
| CT cervical spine w/ contrast (72126) | $1,251.75 | $1,669 | 3.4× |
| CT cervical spine w/o contrast (72125) | $766.50 | $1,022 | 6.9× |
| CT cervical spine w/wo cont (72127) | $1,312.50 | $1,750 | 7.0× |
| CT chest w contrast (71260) | $1,013.25 | $1,351 | 5.4× |
| CT chest w/wo contrast (71270) | $1,352.25 | $1,803 | 7.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,038.75 | $1,385 | 5.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $631.50 | $842 | 5.7× |
| CT head/brain with contrast (70460) | $704.25 | $939 | 3.8× |
| CT head/brain without and with contrast (70470) | $822 | $1,096 | 4.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $381.75 | $509 | 4.1× |
| CT iac w contrast (70481) | $831 | $1,108 | 4.4× |
| CT lower ext w/o (73700) | $666 | $888 | 6.0× |
| CT lower extremity w/contrast material (73701) | $831 | $1,108 | 4.4× |
| CT lumbar spine w contrast (72132) | $1,251.75 | $1,669 | 3.4× |
| CT lumbar spine w/o contrast (72131) | $787.50 | $1,050 | 7.1× |
| CT maxillofacial w contrast (70487) | $825.75 | $1,101 | 4.4× |
| CT maxillofacial wo contrast (70486) | $815.25 | $1,087 | 7.3× |
| CT orbits w/o contrast (70480) | $612.75 | $817 | 5.5× |
| CT pelvis w&w/o contrast (72194) | $1,074 | $1,432 | 5.7× |
| CT pelvis w/o contrast (72192) | $693.75 | $925 | 6.2× |
| CT scan of leg combo (73702) | $831 | $1,108 | 4.4× |
| CT soft tissue neck w contrast (70491) | $1,539 | $2,052 | 8.2× |
| CT soft tissue neck w/o contrast (70490) | $668.25 | $891 | 6.0× |
| CT thoracic spine w contrast (72129) | $1,002 | $1,336 | 5.4× |
| CT thoracic spine w/o contrast (72128) | $871.50 | $1,162 | 7.8× |
| CT thoracic spine w/wo cont (72130) | $1,188 | $1,584 | 6.3× |
| CT thorax w/o contrast (71250) | $690 | $920 | 6.2× |
| CT unlisted procedure (76497) | $652.50 | $870 | 7.0× |
| CT upper ext wo (73200) | $689.25 | $919 | 6.2× |
| CT upper extremity with contrast (73201) | $947.25 | $1,263 | 2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,832.25 | $2,443 | 9.8× |
| Cta Abdomen (74175) | $1,683.75 | $2,245 | 9.0× |
| CTA pelvis (72191) | $1,077.75 | $1,437 | 5.8× |
| Dxa Bone Density Axial (77080) | $402.75 | $537 | 3.6× |
| Esophagram (74220) | $430.50 | $574 | 2.3× |
| Fluoroscopy up to 1 hr (76000) | $555.75 | $741 | 2.2× |
| Follow-Up Angiography (75898) | $5,349 | $7,132 | 1.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$202.50–$213 | $270–$284 | varies |
| Forearm 2 views (73090) | $231.75 | $309 | 2.5× |
| Gastric emptying imaging study (78264) | $918 | $1,224 | 2.2× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $993 | $1,324 | 2.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$264.75–$271.50 | $353–$362 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $864 | $1,152 | 1.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,328 | $3,104 | 3.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,117.25 | $2,823 | 2.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,299.75 | $9,733 | 2.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,839.25 | $9,119 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,566 | $2,088 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,173.75 | $1,565 | 2.8× |
| Ht Muscle Image Spect Sing (78451) | $2,976 | $3,968 | 2.2× |
| Hysterosalpingogram (74740) | $594 | $792 | 2.3× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $14,234.25 | $18,979 | 1.8× |
| K Flow/Funct Image W/Drug (78708) | $1,197 | $1,596 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,171.50 | $1,562 | 2.0× |
| Knee 3 Views (73562) | $188.25 | $251 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $1,249.50 | $1,666 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,219.50 | $1,626 | 2.1× |
| Lymph System Imaging (78195) | $1,234.50 | $1,646 | 2.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $7,053.75 | $9,405 | 2.1× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $6,444 | $8,592 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $1,459.50 | $1,946 | 5.7× |
| Meckels Divert Exam (78290) | $987 | $1,316 | 2.3× |
| Mlc imrt design & construction per imrt plan (77338) | $1,276.50 | $1,702 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,672.25 | $3,563 | 7.2× |
| MRA head w/o contrast (70544) | $1,793.25 | $2,391 | 7.0× |
| MRA head with contrast (70545) | $1,928.25 | $2,571 | 5.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,555.25 | $3,407 | 6.9× |
| MRA neck w/o contrast (70547) | $1,416 | $1,888 | 5.6× |
| MRI abdomen w contrast (74182) | $1,947 | $2,596 | 5.2× |
| MRI abdomen w/o contrast (74181) | $1,767 | $2,356 | 6.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,011.50 | $2,682 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,226.75 | $2,969 | 6.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,070 | $2,760 | 2.5× |
| MRI brain functional w/o physician admnistration (70554) | $1,836.75 | $2,449 | 7.2× |
| MRI brain functional w/physician admnistration (70555) | $2,189.25 | $2,919 | 8.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,067.75 | $2,757 | 8.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,950 | $2,600 | 7.7× |
| MRI cardiac w/o contrast (75557) | $1,484.25 | $1,979 | 5.8× |
| MRI cervical spine w contrast (72142) | $1,827 | $2,436 | 4.9× |
| MRI cervical spine w/o cont (72141) | $1,517.25 | $2,023 | 6.0× |
| MRI chest w/o contrast (71550) | $1,637.25 | $2,183 | 6.4× |
| MRI chest wo w contrast (71552) | $2,386.50 | $3,182 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,839 | $2,452 | 4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,318.50 | $1,758 | 5.2× |
| MRI lumbar spine w contrast (72149) | $1,773 | $2,364 | 4.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,163.75 | $2,885 | 5.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,795.50 | $2,394 | 7.1× |
| MRI orbit face neck w contrast (70542) | $2,466 | $3,288 | 6.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,704.50 | $3,606 | 7.3× |
| MRI pelvis w contrast (72196) | $2,145 | $2,860 | 5.8× |
| MRI pelvis w/o & w contrast (72197) | $2,621.25 | $3,495 | 7.0× |
| MRI pelvis w/o contrast (72195) | $1,500 | $2,000 | 5.9× |
| MRI thoracic spine w/o contrast (72146) | $1,265.25 | $1,687 | 5.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,269 | $1,692 | 5.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,088.75 | $2,785 | 5.6× |
| MRI, abdomen, combo (74183) | $2,633.25 | $3,511 | 7.1× |
| MRI, dorsal spine combo (72157) | $2,322 | $3,096 | 6.2× |
| MRI, dorsal spine contrast (72147) | $1,829.25 | $2,439 | 4.9× |
| MRI, joint upper extrem (73221) | $1,401 | $1,868 | 5.5× |
| MRI, joint upper extrem combo (73223) | $2,211 | $2,948 | 5.9× |
| MRI, lumbar spine combo (72158) | $2,188.50 | $2,918 | 5.9× |
| Myocardial Spect Multiple Studies (78452) | $3,615 | $4,820 | 2.6× |
| Neck soft tissue (70360) | $242.25 | $323 | 2.6× |
| Nm csf leak detection (78650) | $2,466 | $3,288 | 1.8× |
| Nm whole blood volume (78122) | $3,562.50 | $4,750 | 6.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,300 | $8,400 | 4.3× |
| Nuclear Rx Intra-Arterial (79445) | $1,225.50 | $1,634 | 4.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $781.50 | $1,042 | 7.0× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $238.50 | $318 | 7.7× |
| Panoramic X-ray of jaws (70355) | $215.25 | $287 | 2.3× |
| Pelvis 1 or 2 views (72170) | $267.75 | $357 | 2.4× |
| Pet Image Skull-Thigh (78812) | $4,463.25 | $5,951 | 2.9× |
| PET image w/CT, full body (78816) | $5,102.25 | $6,803 | 3.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,887 | $6,516 | 3.2× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,447 | $4,596 | 2.5× |
| PET whole body (78813) | $4,719 | $6,292 | 3.1× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $7,752 | $10,336 | 5.6× |
| Proton trmt simple w/comp (77522) | $3,538.50 | $4,718 | 2.7× |
| Proton tx delivery complex (77525) range across 2 matching MRF lines |
$3,538.50–$4,423.50 | $4,718–$5,898 | varies |
| Proton tx delivery intermediate (77523) range across 2 matching MRF lines |
$3,538.50–$4,423.50 | $4,718–$5,898 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $7,069.50 | $9,426 | 2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,168.50 | $1,558 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $238.50 | $318 | 2.6× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$222.75–$229.50 | $297–$306 | varies |
| Radex elbow complete minimum 3 views (73080) | $224.25 | $299 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $261.75 | $349 | 2.3× |
| Radex fingr minimum 2 views (73140) | $210.75 | $281 | 2.3× |
| Radex foot complete minimum 3 views (73630) | $225 | $300 | 2.4× |
| Radex Hand Minimum 3 Views (73130) | $219.75 | $293 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $205.50 | $274 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $210.75 | $281 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $192.75 | $257 | 2.1× |
| Radex Spine 1 View Specify Level (72020) | $177.75 | $237 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $188.25 | $251 | 2.0× |
| Radex Toe Minimum 2 Views (73660) | $210.75 | $281 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $189 | $252 | 2.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $14,234.25 | $18,979 | 1.8× |
| Radiation treatment delivery level 1 (77402) | $510 | $680 | 4.7× |
| Radiation treatment delivery level 2 (77407) range across 4 matching MRF lines |
$922.50–$4,423.50 | $1,230–$5,898 | varies |
| Radiation treatment delivery level 3 (77412) range across 5 matching MRF lines |
$987.75–$4,423.50 | $1,317–$5,898 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $263.25 | $351 | 2.4× |
| Radiologic exam colon single contrast study (74270) | $435.75 | $581 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) | $250.50 | $334 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $434.25 | $579 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $491.25 | $655 | 2.6× |
| Radiologic examination femur 1 view (73551) | $181.50 | $242 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $233.25 | $311 | 2.5× |
| Radiologic examination knee 1/2 views (73560) | $182.25 | $243 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $207 | $276 | 2.2× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $3,404.25 | $4,539 | 5.9× |
| Ribs bilateral 3 views (71110) | $253.50 | $338 | 2.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $600.75 | $801 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,016.50 | $4,022 | 5.2× |
| Rp Therapy Intravenous Administration (79101) | $641.25 | $855 | 2.6× |
| Scapula (73010) | $258.75 | $345 | 2.3× |
| Shoulder 1 view (73020) | $211.50 | $282 | 2.3× |
| Skull less than 4 views (70250) | $247.50 | $330 | 2.2× |
| Special dosimetry (77331) | $492.75 | $657 | 3.4× |
| Special Physics Consult (77370) | $738 | $984 | 5.1× |
| Special teletherapy port plan (77321) | $607.50 | $810 | 1.5× |
| Special treatment procedure (77470) | $1,350.75 | $1,801 | 2.3× |
| Stereotactic Body Radiation Delivery (77373) | $10,111.50 | $13,482 | 5.3× |
| Superior sagittal sinus venogram (75870) | $2,774.25 | $3,699 | 0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $936 | $1,248 | 2.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $909.75 | $1,213 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,398.50 | $3,198 | 6.0× |
| Ther rad simulaj-aided field setting simple (77280) | $790.50 | $1,054 | 5.5× |
| Thoracic spine 2 views (72070) | $304.50 | $406 | 2.7× |
| Thoracic spine 3 views (72072) | $346.50 | $462 | 3.1× |
| Tx Devices Design & Construction Complex (77334) | $1,240.50 | $1,654 | 3.1× |
| Tx devices design & construction intermediate (77333) | $536.25 | $715 | 3.7× |
| Tx devices design & construction simple (77332) | $433.50 | $578 | 3.0× |
| Ultrasound Breast Limited (76642) | $313.50 | $418 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $399.75 | $533 | 3.6× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $797.25 | $1,063 | 2.1× |
| Ultrasound, abdomen limited (76705) | $408 | $544 | 3.7× |
| Unlisted fluoroscopic procedure (76496) | $428.25 | $571 | 4.6× |
| Unlisted magnetic resonance procedure (76498) | $4,352.25 | $5,803 | 46.9× |
| Upper gi w/o kub (74240) | $493.50 | $658 | 2.6× |
| Us chest (76604) | $318 | $424 | 2.9× |
| Us complete joint (76881) | $354.75 | $473 | 3.2× |
| Us exam, pelvic, limited (76857) | $294 | $392 | 2.6× |
| Us kidney transplant (76776) | $494.25 | $659 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $285.75 | $381 | 2.6× |
| Us ob transvaginal (76817) | $307.50 | $410 | 2.8× |
| Us pelvic non ob complete (76856) | $358.50 | $478 | 3.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $416.25 | $555 | 3.7× |
| Us retroperitoneal complete (76770) | $448.50 | $598 | 4.0× |
| Us retroperitoneal limited (76775) | $326.25 | $435 | 2.9× |
| Us scrotum and contents (76870) | $369 | $492 | 3.3× |
| Us thyroid (76536) | $382.50 | $510 | 3.4× |
| Vein X-Ray Chest (75827) | $3,588.75 | $4,785 | 2.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,249 | $8,332 | 1.9× |
| Venogram Sinus/Jugular (75860) | $6,630.75 | $8,841 | 2.0× |
| Venography caval inferior serialography rs&i (75825) | $7,032.75 | $9,377 | 2.1× |
| Venography extremity bilateral rs&i (75822) | $3,654.75 | $4,873 | 2.2× |
| Venography extremity unilateral rs&i (75820) | $3,306.75 | $4,409 | 2.0× |
| Venography Renal Unilateral (75831) | $6,863.25 | $9,151 | 2.0× |
| Venous sampling by catheter (75893) | $12,521.25 | $16,695 | 2.1× |
| Wrist 2 views (73100) | $192 | $256 | 2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $237.75 | $317 | 2.6× |
| X-ray antegrade pyelogram tube (74425) | $859.50 | $1,146 | 2.3× |
| X-Ray Aorta Leg Arteries (75630) | $10,056.75 | $13,409 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$221.25–$231.75 | $295–$309 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,029 | $1,372 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $264 | $352 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $189.75 | $253 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $213.75 | $285 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $255.75 | $341 | 2.3× |
| X-Ray Exam L-S Spine Bending (72114) | $306 | $408 | 2.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $213.75 | $285 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $327.75 | $437 | 2.9× |
| X-ray eye for foreign body (70030) | $219.75 | $293 | 2.4× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$237.75–$242.25 | $317–$323 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $267.75 | $357 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $249 | $332 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $229.50 | $306 | 2.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $560.25 | $747 | 1.5× |
| X-Rays Bone Length Studies (77073) | $255.75 | $341 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $278.25 | $371 | 2.5× |
| Xr c-spine 4 or 5 views (72050) | $288 | $384 | 2.6× |
| Xr orbits complete 4 views (70200) | $259.50 | $346 | 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.