Imaging prices at Mcalester Regional Health Center
Mcalester, OK · every code in this section with a posted price and a Medicare benchmark.
248 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) | $121.20 | $303 | 1.4× |
| Abdomen 2 views (74019) | $188.40 | $471 | 1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $419.20 | $1,048 | 1.1× |
| Angio pulmonary bilat (75743) | $2,800.80 | $7,002 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,213.20 | $8,033 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $3,213.20 | $8,033 | 1.1× |
| Ankle 2 views (73600) | $126.40 | $316 | 1.5× |
| Arthrogram hip (73525) | $397.20 | $993 | 1.2× |
| Arthrogram Wrist (73115) | $173.60 | $434 | 0.5× |
| Bone age studies (77072) | $115.20 | $288 | 1.1× |
| Bone Imaging 3 Phase (78315) | $972 | $2,430 | 2.5× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$174–$419.20 | $435–$1,048 | varies |
| Bone Imaging Whole Body (78306) | $628.40 | $1,571 | 1.6× |
| Bone marrow imaging limited area (78102) | $392.40 | $981 | 1.0× |
| Bone marrow imaging; whole body (78104) | $393.20 | $983 | 1.0× |
| Bone survey infant (77076) | $144.40 | $361 | 1.4× |
| Brain Image W/Flow < 4 Views (78601) | $461.60 | $1,154 | 1.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $599.20 | $1,498 | 1.1× |
| Cerebrospinal Fluid Scan (78630) | $409.20 | $1,023 | 0.8× |
| Chest 1 view (71045) | $181.20 | $453 | 2.2× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$101.20–$133.20 | $253–$333 | varies |
| Chest 3 views (71047) | $212 | $530 | 2.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$154.80–$207.20 | $387–$518 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $226 | $565 | 2.2× |
| Contrast Exam Abdominl Aorta (75625) | $3,213.20 | $8,033 | 1.1× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$160.80–$284 | $402–$710 | varies |
| Contrast X-Ray Of Elbow (73085) | $451.20 | $1,128 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $442.80 | $1,107 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,268.40 | $5,671 | 6.8× |
| CT abdomen and pelvis without contrast (74176) | $985.20 | $2,463 | 4.3× |
| CT abdomen w contrast (74160) | $919.20 | $2,298 | 5.4× |
| CT abdomen w wo contrast (74170) | $1,134.40 | $2,836 | 6.7× |
| CT abdomen w/o contrast (74150) | $715.60 | $1,789 | 7.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,664.80 | $4,162 | 5.0× |
| CT Angio Chest (71275) | $879.20 | $2,198 | 5.2× |
| CT Angio Head (70496) | $702.80 | $1,757 | 4.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $223.20 | $558 | 1.3× |
| CT Angio Neck (70498) | $702.80 | $1,757 | 4.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $257.20 | $643 | 1.5× |
| CT cervical spine w/ contrast (72126) | $933.20 | $2,333 | 2.8× |
| CT cervical spine w/o contrast (72125) | $772.40 | $1,931 | 7.7× |
| CT cervical spine w/wo cont (72127) | $995.20 | $2,488 | 5.9× |
| CT chest w contrast (71260) | $980.40 | $2,451 | 5.8× |
| CT chest w/wo contrast (71270) | $1,134.40 | $2,836 | 6.7× |
| CT head/brain with contrast (70460) | $887.20 | $2,218 | 5.3× |
| CT head/brain without and with contrast (70470) | $1,090.80 | $2,727 | 6.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $93.60 | $234 | 1.1× |
| CT iac w contrast (70481) | $782.80 | $1,957 | 4.6× |
| CT l-spine w&w/o contrast (72133) | $1,094.40 | $2,736 | 6.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$614.40–$837.60 | $1,536–$2,094 | varies |
| CT lower extremity w/contrast material (73701) | $732.40 | $1,831 | 4.3× |
| CT lumbar spine w contrast (72132) | $933.20 | $2,333 | 2.8× |
| CT lumbar spine w/o contrast (72131) | $772.40 | $1,931 | 7.7× |
| CT maxillofacial w contrast (70487) | $592.80 | $1,482 | 3.5× |
| CT maxillofacial wo contrast (70486) | $512.40 | $1,281 | 5.1× |
| CT neck tissue combo (70492) | $1,036.40 | $2,591 | 6.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,090.80 | $2,727 | 6.5× |
| CT orbits w/o contrast (70480) | $715.60 | $1,789 | 7.1× |
| CT pelvis w&w/o contrast (72194) | $1,134.40 | $2,836 | 6.7× |
| CT pelvis w/o contrast (72192) | $644.40 | $1,611 | 6.4× |
| CT scan of leg combo (73702) | $1,032.80 | $2,582 | 6.1× |
| CT scans face/jaw combo (70488) | $728 | $1,820 | 4.3× |
| CT soft tissue neck w contrast (70491) | $930.80 | $2,327 | 5.5× |
| CT soft tissue neck w/o contrast (70490) | $715.60 | $1,789 | 7.1× |
| CT thoracic spine w contrast (72129) | $933.20 | $2,333 | 5.5× |
| CT thoracic spine w/o contrast (72128) | $772.40 | $1,931 | 7.7× |
| CT thoracic spine w/wo cont (72130) | $963.20 | $2,408 | 5.7× |
| CT thorax w/o contrast (71250) | $757.20 | $1,893 | 7.5× |
| CT upper ext wo (73200) | $614.40 | $1,536 | 6.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,032.80 | $2,582 | 6.1× |
| CT upper extremity with contrast (73201) | $732.40 | $1,831 | 2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,134.40 | $2,836 | 6.7× |
| Cta Abdomen (74175) | $1,134.40 | $2,836 | 6.7× |
| CTA pelvis (72191) | $1,064 | $2,660 | 6.3× |
| Diskography lumbar (72295) | $2,296.40 | $5,741 | 1.2× |
| Dxa Bone Density Axial (77080) | $129.20 | $323 | 1.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $60.80 | $152 | 0.7× |
| Esophagram (74220) | $194.40 | $486 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$106.80–$164 | $267–$410 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$50.80–$246.40 | $127–$616 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$154.80–$310 | $387–$775 | varies |
| Gastric emptying imaging study (78264) | $419.20 | $1,048 | 1.1× |
| Gated Heart Planar Single (78472) | $535.60 | $1,339 | 1.4× |
| Hand 2 views (73120) | $173.60 | $434 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $555.20 | $1,388 | 1.1× |
| Hepatobiliary System Imaging (78226) | $555.20 | $1,388 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $596.40 | $1,491 | 0.5× |
| Hysterosalpingogram (74740) | $252 | $630 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $544 | $1,360 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $470.40 | $1,176 | 0.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$172–$341.20 | $430–$853 | varies |
| Liver & Spleen Imaging Static Only (78215) | $417.60 | $1,044 | 1.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $419.20 | $1,048 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $791.60 | $1,979 | 1.5× |
| Lymph System Imaging (78195) | $236.40 | $591 | 0.5× |
| Meckels Divert Exam (78290) | $247.20 | $618 | 0.6× |
| Mra Head W/O & W/Contrast Material (70546) | $433.20 | $1,083 | 1.3× |
| MRA head w/o contrast (70544) | $716.40 | $1,791 | 3.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $992.40 | $2,481 | 3.0× |
| MRA neck w/o contrast (70547) | $716.40 | $1,791 | 3.1× |
| MRI abdomen w contrast (74182) | $983.20 | $2,458 | 2.9× |
| MRI abdomen w/o contrast (74181) | $1,069.20 | $2,673 | 4.7× |
| MRI any jt lower extrem w/contrast material (73722) | $767.60 | $1,919 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,028.80–$1,069.20 | $2,572–$2,673 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,151.60 | $2,879 | 1.5× |
| MRI bone marrow blood supply (77084) | $890.40 | $2,226 | 3.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $264.40 | $661 | 1.2× |
| MRI cervical spine w contrast (72142) | $1,069.20 | $2,673 | 3.2× |
| MRI cervical spine w/o cont (72141) | $896.80 | $2,242 | 3.9× |
| MRI chest w/o contrast (71550) | $712.80 | $1,782 | 3.1× |
| MRI chest wo w contrast (71552) | $1,118.80 | $2,797 | 3.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,343.60–$2,687.20 | $3,359–$6,718 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$1,069.20–$1,562 | $2,673–$3,905 | varies |
| MRI lumbar spine w contrast (72149) | $1,166.40 | $2,916 | 3.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,554.80 | $3,887 | 4.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,069.20 | $2,673 | 4.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,342.40 | $3,356 | 4.0× |
| MRI pelvis w contrast (72196) | $1,214.80 | $3,037 | 3.6× |
| MRI pelvis w/o & w contrast (72197) | $1,376 | $3,440 | 4.1× |
| MRI pelvis w/o contrast (72195) | $1,069.20 | $2,673 | 4.7× |
| MRI thoracic spine w/o contrast (72146) | $1,069.20 | $2,673 | 4.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $854.80 | $2,137 | 2.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$634.40–$800.80 | $1,586–$2,002 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,069.20 | $2,673 | 3.2× |
| MRI, abdomen, combo (74183) | $1,069.20 | $2,673 | 3.2× |
| MRI, dorsal spine combo (72157) | $1,554.80 | $3,887 | 4.6× |
| MRI, dorsal spine contrast (72147) | $1,118.80 | $2,797 | 3.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,069.20–$1,562 | $2,673–$3,905 | varies |
| MRI, joint upper extrem combo (73223) | $1,343.60 | $3,359 | 4.0× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,303.20–$1,365.60 | $3,258–$3,414 | varies |
| Myelogram cervical (72240) | $351.20 | $878 | 0.5× |
| Myelogram Lumbar (72265) | $798.80 | $1,997 | 1.1× |
| Myelography thoracic (72255) | $293.20 | $733 | 0.4× |
| Myelograpy 2/more regions rs&i (72270) | $448 | $1,120 | 0.6× |
| Myocardial Spect Multiple Studies (78452) | $1,533.60 | $3,834 | 1.2× |
| Neck soft tissue (70360) | $266 | $665 | 3.2× |
| Nm csf leak detection (78650) | $1,351.60 | $3,379 | 1.1× |
| Nonvascular Shunt X-Ray (75809) | $166.40 | $416 | 1.7× |
| Nuclear Rx Oral Admin (79005) | $311.20 | $778 | 1.4× |
| Parathyroid Planar Imaging (78070) | $419.20 | $1,048 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $417.60 | $1,044 | 1.1× |
| Pelvis 1 or 2 views (72170) | $154.80 | $387 | 1.5× |
| Pet Image W/Ct Lmtd (78814) | $1,631.20 | $4,078 | 1.2× |
| PET image w/CT, full body (78816) | $1,564.80 | $3,912 | 1.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,563.20 | $3,908 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $342.80 | $857 | 0.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $212 | $530 | 2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $308.40 | $771 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$154.80–$310 | $387–$775 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$154.80–$310 | $387–$775 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$154.80–$310 | $387–$775 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $212 | $530 | 2.1× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$154.80–$302 | $387–$755 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$154.80–$310 | $387–$775 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$154.80–$310 | $387–$775 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$93.60–$125.20 | $234–$313 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $171.20 | $428 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $154.80 | $387 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $142.80 | $357 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$161.60–$411.20 | $404–$1,028 | varies |
| Radex Sternum Minimum 2 Views (71120) | $154.80 | $387 | 1.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $198 | $495 | 2.4× |
| Radex Toe Minimum 2 Views (73660) | $104.40 | $261 | 1.2× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$82.40–$124.40 | $206–$311 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$136.40–$269.20 | $341–$673 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $136.40 | $341 | 1.4× |
| Radiologic exam colon double contrast study (74280) | $366.40 | $916 | 2.2× |
| Radiologic exam colon single contrast study (74270) | $294.80 | $737 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$186.80–$370 | $467–$925 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $115.20 | $288 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $194.40 | $486 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $194.40 | $486 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $270 | $675 | 1.6× |
| Radiologic examination femur 1 view (73551) | $602 | $1,505 | 7.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$154.80–$310 | $387–$775 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$154.80–$310 | $387–$775 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $144.40 | $361 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$154.80–$310 | $387–$775 | varies |
| Ribs bilateral 3 views (71110) | $188.40 | $471 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,540.80 | $6,352 | 4.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $298.80 | $747 | 0.6× |
| Scapula (73010) range across 3 matching MRF lines |
$154.80–$309.20 | $387–$773 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $28.40 | $71 | 1.2× |
| Shoulder Arthrography (73040) | $397.20 | $993 | 1.2× |
| Skull less than 4 views (70250) | $142.80 | $357 | 1.4× |
| Thoracic spine 2 views (72070) | $214.40 | $536 | 2.1× |
| Thyroid Met Imaging Body (78018) | $480.40 | $1,201 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $419.20 | $1,048 | 1.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$104.40–$150.40 | $261–$376 | varies |
| Ultrasound, abdomen limited (76705) | $228.40 | $571 | 2.3× |
| Unlisted Dx Radiographic Procedure (76499) | $93.60 | $234 | 1.1× |
| Unlisted fluoroscopic procedure (76496) | $95.20 | $238 | 1.1× |
| Unlisted us procedure (76999) | $228.40 | $571 | 2.7× |
| Upper gi w/o kub (74240) | $294.80 | $737 | 1.7× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$298.40–$418.40 | $746–$1,046 | varies |
| Urethrocystogram voiding (74455) | $449.60 | $1,124 | 2.0× |
| Urethrocystography retrograde (74450) | $246 | $615 | 1.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$129.60–$194 | $324–$485 | varies |
| Us chest (76604) | $202 | $505 | 2.0× |
| Us complete joint (76881) | $202 | $505 | 2.0× |
| Us exam, pelvic, limited (76857) | $142.80 | $357 | 1.4× |
| Us kidney transplant (76776) | $138.80 | $347 | 1.4× |
| Us ob limited 1 or more fetuses (76815) | $390.80 | $977 | 3.9× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$140.40–$358.80 | $351–$897 | varies |
| Us pelvic non ob complete (76856) | $281.20 | $703 | 2.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $246.40 | $616 | 2.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $202.80 | $507 | 2.0× |
| Us retroperitoneal complete (76770) | $153.60 | $384 | 1.5× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$142.80–$228.40 | $357–$571 | varies |
| Us scrotum and contents (76870) | $202 | $505 | 2.0× |
| Us spinal canal and contents (76800) | $115.20 | $288 | 1.1× |
| Us thyroid (76536) | $214.80 | $537 | 2.1× |
| Venography caval inferior serialography rs&i (75825) | $3,029.60 | $7,574 | 1.0× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$711.60–$1,604.80 | $1,779–$4,012 | varies |
| Wrist 2 views (73100) | $93.60 | $234 | 1.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $154.80 | $387 | 1.8× |
| X-ray antegrade pyelogram tube (74425) | $317.60 | $794 | 0.9× |
| X-Ray Aorta Leg Arteries (75630) | $3,213.20 | $8,033 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $166.80 | $417 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$104.40–$207.20 | $261–$518 | varies |
| X-Ray Exam Breast Specimen (76098) | $542.80 | $1,357 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $195.60 | $489 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $195.60 | $489 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $95.60 | $239 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $186.80 | $467 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $214.40 | $536 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $115.20 | $288 | 1.1× |
| X-Ray Exam L-S Spine Bending (72114) | $281.20 | $703 | 2.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $266 | $665 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $324.80 | $812 | 3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $188.40 | $471 | 1.9× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$154.80–$310 | $387–$775 | varies |
| X-ray IV pyelogram (ivp) (74400) | $285.20 | $713 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $130.40 | $326 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $234 | $585 | 2.3× |
| X-ray nose-rectum child f.b. (76010) | $95.60 | $239 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $234 | $585 | 2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $186.80 | $467 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $186.80 | $467 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $212 | $530 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $212 | $530 | 2.1× |
| X-Ray Stress View (77071) | $72 | $180 | 0.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $398 | $995 | 1.2× |
| X-Rays Bone Length Studies (77073) | $130.40 | $326 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $358.40 | $896 | 3.6× |
| Xr c-spine 4 or 5 views (72050) | $293.20 | $733 | 2.9× |
| Xr facial bones less than 3 views (70140) | $136.40 | $341 | 1.6× |
| Xr orbits complete 4 views (70200) | $142.80 | $357 | 1.4× |
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.