Imaging prices at Medical Center Hospital
Odessa, TX · every code in this section with a posted price and a Medicare benchmark.
268 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) | $421 | $421 | 4.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,564 | $1,564 | 3.9× |
| Angiography extremity bilateral rs&i (75716) | $4,010 | $4,010 | 1.3× |
| Angiography extremity unilateral rs&i (75710) | $4,087 | $4,087 | 1.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,747 | $3,747 | 1.2× |
| Ankle 2 views (73600) | $395 | $395 | 4.5× |
| Artery X-Rays Abdomen (75726) | $5,200 | $5,200 | 0.9× |
| Artery X-Rays Pelvis (75736) | $4,233 | $4,233 | 0.8× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$804–$1,154 | $804–$1,154 | varies |
| Arthrogram Wrist (73115) | $829 | $829 | 2.4× |
| Bone age studies (77072) | $412 | $412 | 3.9× |
| Bone Imaging 3 Phase (78315) | $2,027 | $2,027 | 5.0× |
| Bone Imaging Limited Area (78300) | $727 | $727 | 1.8× |
| Bone Imaging Whole Body (78306) | $2,027 | $2,027 | 5.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,887 | $1,887 | 3.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,420 | $5,420 | 3.8× |
| Cat Scan Follow-Up Study (76380) | $2,671 | $2,671 | 30.6× |
| Cerebrospinal Fluid Scan (78630) | $1,712 | $1,712 | 3.1× |
| Chest 1 view (71045) range across 14 matching MRF lines |
$277–$366 | $277–$366 | varies |
| Chest 2 views (71046) | $466 | $466 | 5.3× |
| Chest 4 or more views (71048) | $466 | $466 | 4.4× |
| Clavicle complete (73000) range across 7 matching MRF lines |
$449–$660 | $449–$660 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,489 | $2,489 | 23.7× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$3,972–$4,227 | $3,972–$4,227 | varies |
| Contrast X-Ray Bladder (74430) | $896 | $896 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) range across 6 matching MRF lines |
$4,164–$5,498 | $4,164–$5,498 | varies |
| CT abdomen and pelvis without contrast (74176) | $4,164 | $4,164 | 17.4× |
| CT abdomen w contrast (74160) | $2,968 | $2,968 | 16.8× |
| CT abdomen w wo contrast (74170) | $4,051 | $4,051 | 23.0× |
| CT abdomen w/o contrast (74150) | $2,703 | $2,703 | 25.7× |
| CT Angio Abdomen and Pelvis (74174) | $6,325 | $6,325 | 18.0× |
| CT Angio Chest (71275) range across 7 matching MRF lines |
$2,086–$2,847 | $2,086–$2,847 | varies |
| CT Angio Head (70496) | $2,759 | $2,759 | 15.7× |
| CT angio hrt w/3d image (75574) | $1,986 | $1,986 | 5.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$2,476–$2,606 | $2,476–$2,606 | varies |
| CT Angio Neck (70498) | $2,760 | $2,760 | 15.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,475 | $2,475 | 14.0× |
| CT cervical spine w/ contrast (72126) | $3,242 | $3,242 | 9.3× |
| CT cervical spine w/o contrast (72125) | $2,971 | $2,971 | 28.3× |
| CT cervical spine w/wo cont (72127) | $4,206 | $4,206 | 23.9× |
| CT chest w contrast (71260) | $3,295 | $3,295 | 18.7× |
| CT chest w/wo contrast (71270) range across 6 matching MRF lines |
$3,295–$3,650 | $3,295–$3,650 | varies |
| CT head/brain with contrast (70460) | $2,443 | $2,443 | 13.9× |
| CT head/brain without and with contrast (70470) | $3,376 | $3,376 | 19.2× |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$75–$175 | $75–$175 | varies |
| CT iac w contrast (70481) | $2,224 | $2,224 | 12.6× |
| CT l-spine w&w/o contrast (72133) | $3,923 | $3,923 | 22.3× |
| CT lower ext w/o (73700) | $1,824 | $1,824 | 17.4× |
| CT lower extremity w/contrast material (73701) | $2,185 | $2,185 | 12.4× |
| CT lumbar spine w contrast (72132) | $2,449 | $2,449 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $2,158 | $2,158 | 20.5× |
| CT maxillofacial w contrast (70487) | $2,194 | $2,194 | 12.5× |
| CT maxillofacial wo contrast (70486) | $2,068 | $2,068 | 19.7× |
| CT neck tissue combo (70492) | $2,781 | $2,781 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,101 | $3,101 | 17.6× |
| CT orbits w/o contrast (70480) | $2,297 | $2,297 | 21.9× |
| CT pelvis w&w/o contrast (72194) | $3,190 | $3,190 | 18.1× |
| CT pelvis w/o contrast (72192) range across 5 matching MRF lines |
$2,057–$2,506 | $2,057–$2,506 | varies |
| CT scan of leg combo (73702) | $2,389 | $2,389 | 13.6× |
| CT scans face/jaw combo (70488) | $3,054 | $3,054 | 17.3× |
| CT soft tissue neck w contrast (70491) | $2,746 | $2,746 | 15.6× |
| CT soft tissue neck w/o contrast (70490) | $1,842 | $1,842 | 17.5× |
| CT thoracic spine w contrast (72129) | $2,394 | $2,394 | 13.6× |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$2,153–$2,713 | $2,153–$2,713 | varies |
| CT thoracic spine w/wo cont (72130) | $2,394 | $2,394 | 13.6× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$1,854–$2,489 | $1,854–$2,489 | varies |
| CT upper ext wo (73200) | $2,262 | $2,262 | 21.5× |
| CT upper extremity w/o & w/contrast material (73202) | $3,386 | $3,386 | 19.2× |
| CT upper extremity with contrast (73201) | $2,264 | $2,264 | 6.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,911 | $2,911 | 16.5× |
| Cta Abdomen (74175) | $3,676 | $3,676 | 20.9× |
| CTA pelvis (72191) | $2,614 | $2,614 | 14.8× |
| Diskography lumbar (72295) | $2,959 | $2,959 | 1.5× |
| Dxa Bone Density Axial (77080) | $399 | $399 | 3.8× |
| Echo exam of fetal heart (76825) | $1,086 | $1,086 | 2.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $768 | $768 | 3.2× |
| Esophagram (74220) | $559 | $559 | 3.2× |
| Fetal Biophys Profile W/Nst (76818) | $729 | $729 | 6.9× |
| Fluoroscopy up to 1 hr (76000) range across 14 matching MRF lines |
$600–$1,063 | $600–$1,063 | varies |
| Follow-Up Angiography (75898) | $1,059 | $1,059 | 0.3× |
| Foot 2 views (73620) range across 10 matching MRF lines |
$268–$382 | $268–$382 | varies |
| Forearm 2 views (73090) | $446 | $446 | 5.1× |
| Gastric emptying imaging study (78264) | $1,624 | $1,624 | 4.0× |
| Gated Heart Planar Single (78472) | $1,790 | $1,790 | 4.5× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$337–$386 | $337–$386 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,038 | $4,038 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $2,068 | $2,068 | 3.8× |
| Hepatobiliary System Imaging (78226) | $2,068 | $2,068 | 5.1× |
| Ht Muscle Image Spect Sing (78451) | $2,949 | $2,949 | 2.3× |
| Hysterosalpingogram (74740) | $954 | $954 | 4.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $522 | $522 | 6.0× |
| K Flow/Funct Image Multiple (78709) | $1,875 | $1,875 | 3.4× |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$1,752–$2,023 | $1,752–$2,023 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,855 | $1,855 | 3.4× |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$1,383–$1,482 | $1,383–$1,482 | varies |
| Knee 3 Views (73562) | $501 | $501 | 5.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,449 | $1,449 | 3.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,769 | $1,769 | 4.4× |
| Lung Perf&Ventilat Diferentl (78598) | $1,866 | $1,866 | 3.4× |
| Lung perfusion differential (78597) | $1,277 | $1,277 | 3.2× |
| Lung Ventilat&Perfus Imaging (78582) | $2,168 | $2,168 | 4.0× |
| Lung Ventilation Imaging (78579) | $1,237 | $1,237 | 3.1× |
| Lymph System Imaging (78195) | $1,643 | $1,643 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $2,521 | $2,521 | 10.5× |
| Meckels Divert Exam (78290) | $1,480 | $1,480 | 3.7× |
| Mra Head W/O & W/Contrast Material (70546) | $4,607 | $4,607 | 13.1× |
| MRA head w/o contrast (70544) | $2,544 | $2,544 | 10.6× |
| MRA head with contrast (70545) | $3,312 | $3,312 | 9.5× |
| MRA neck w contrast (70548) | $2,585 | $2,585 | 7.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,511 | $3,511 | 10.0× |
| MRA neck w/o contrast (70547) | $2,545 | $2,545 | 10.6× |
| MRI abdomen w contrast (74182) | $3,634 | $3,634 | 10.4× |
| MRI abdomen w/o contrast (74181) | $2,971 | $2,971 | 12.4× |
| MRI any jt lower extrem w/contrast material (73722) | $3,737 | $3,737 | 4.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,870 | $3,870 | 11.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,847 | $3,847 | 4.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,915 | $2,915 | 12.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,950 | $2,950 | 12.3× |
| MRI cervical spine w contrast (72142) | $3,508 | $3,508 | 10.0× |
| MRI cervical spine w/o cont (72141) range across 5 matching MRF lines |
$2,860–$2,971 | $2,860–$2,971 | varies |
| MRI chest w/o contrast (71550) | $2,619 | $2,619 | 10.9× |
| MRI chest with contrast (71551) | $2,896 | $2,896 | 3.7× |
| MRI chest wo w contrast (71552) | $3,011 | $3,011 | 8.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,331 | $2,331 | 6.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,590 | $4,590 | 13.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,360 | $3,360 | 14.0× |
| MRI lumbar spine w contrast (72149) | $3,242 | $3,242 | 9.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,051 | $4,051 | 11.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,629 | $2,629 | 11.0× |
| MRI orbit face neck w contrast (70542) | $3,078 | $3,078 | 8.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,321 | $4,321 | 12.3× |
| MRI pelvis w contrast (72196) | $3,381 | $3,381 | 9.6× |
| MRI pelvis w/o & w contrast (72197) | $3,773 | $3,773 | 10.8× |
| MRI pelvis w/o contrast (72195) | $2,757 | $2,757 | 11.5× |
| MRI spectroscopy (76390) | $2,191 | $2,191 | 25.1× |
| MRI thoracic spine w/o contrast (72146) | $2,971 | $2,971 | 12.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,133 | $3,133 | 8.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,486 | $2,486 | 10.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,165 | $4,165 | 11.9× |
| MRI, abdomen, combo (74183) | $4,051 | $4,051 | 11.6× |
| MRI, dorsal spine combo (72157) | $4,051 | $4,051 | 11.6× |
| MRI, dorsal spine contrast (72147) | $3,312 | $3,312 | 9.5× |
| MRI, joint upper extrem (73221) | $4,051 | $4,051 | 16.9× |
| MRI, joint upper extrem combo (73223) range across 11 matching MRF lines |
$3,870–$4,376 | $3,870–$4,376 | varies |
| MRI, lumbar spine combo (72158) range across 5 matching MRF lines |
$3,866–$4,051 | $3,866–$4,051 | varies |
| Myocardial Spect Multiple Studies (78452) | $4,025 | $4,025 | 3.1× |
| N-invas est c ffr sw aly CTA (75580) | $4,177 | $4,177 | 4.8× |
| Neck soft tissue (70360) | $302 | $302 | 3.5× |
| Nuclear Rx Oral Admin (79005) | $1,059 | $1,059 | 4.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,832 | $1,832 | 3.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,550 | $1,550 | 3.9× |
| Pelvis 1 or 2 views (72170) | $461 | $461 | 4.4× |
| Pet Image W/Ct Lmtd (78814) | $5,525 | $5,525 | 3.8× |
| PET image w/CT, full body (78816) | $5,801 | $5,801 | 4.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$6,079–$7,016 | $6,079–$7,016 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,461 | $1,461 | 3.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$270–$556 | $270–$556 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $750 | $750 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $477 | $477 | 5.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $355 | $355 | 4.1× |
| Radex elbow complete minimum 3 views (73080) | $452 | $452 | 5.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $466 | $466 | 4.4× |
| Radex fingr minimum 2 views (73140) | $370 | $370 | 4.2× |
| Radex foot complete minimum 3 views (73630) | $461 | $461 | 5.3× |
| Radex Hand Minimum 3 Views (73130) | $462 | $462 | 5.3× |
| Radex lower extremity infant minimum 2 views (73592) | $376 | $376 | 4.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $420 | $420 | 4.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $341 | $341 | 3.9× |
| Radex shoulder complete minimum 2 views (73030) | $461 | $461 | 5.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $302 | $302 | 3.5× |
| Radex Spine 1 View Specify Level (72020) | $369 | $369 | 4.2× |
| Radex Sternum Minimum 2 Views (71120) | $345 | $345 | 3.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $280 | $280 | 3.2× |
| Radex Toe Minimum 2 Views (73660) | $356 | $356 | 4.1× |
| Radex upper extremity infant minimum 2 views (73092) | $248 | $248 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $485 | $485 | 5.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $511 | $511 | 4.9× |
| Radiologic exam colon double contrast study (74280) | $851 | $851 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $808 | $808 | 4.6× |
| Radiologic exam knee complete 4/more views (73564) | $638 | $638 | 6.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $421 | $421 | 4.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $649 | $649 | 3.7× |
| Radiologic exam swallow function contrast study (74230) | $627 | $627 | 3.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $857 | $857 | 4.9× |
| Radiologic examination femur minimum 2 views (73552) | $436 | $436 | 5.0× |
| Radiologic examination knee 1/2 views (73560) | $475 | $475 | 5.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $386 | $386 | 4.4× |
| Ribs bilateral 3 views (71110) | $484 | $484 | 4.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,324 | $1,324 | 3.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,525 | $5,525 | 10.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,168 | $3,168 | 5.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$1,462–$2,461 | $1,462–$2,461 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 10 matching MRF lines |
$1,347–$3,089 | $1,347–$3,089 | varies |
| Scapula (73010) | $343 | $343 | 3.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 13 matching MRF lines |
$77–$99 | $77–$99 | varies |
| Shoulder 1 view (73020) | $338 | $338 | 3.9× |
| Shoulder Arthrography (73040) | $945 | $945 | 2.7× |
| Skull less than 4 views (70250) | $321 | $321 | 3.1× |
| Sternoclavicular joints (71130) | $305 | $305 | 3.5× |
| Thoracic spine 2 views (72070) | $435 | $435 | 4.1× |
| Thoracic spine 3 views (72072) | $569 | $569 | 5.4× |
| Thyroid Imaging With Vascular Flow (78013) | $735 | $735 | 1.8× |
| Thyroid Met Imaging Body (78018) range across 4 matching MRF lines |
$1,913–$2,364 | $1,913–$2,364 | varies |
| Thyroid Uptake Measurement (78012) | $680 | $680 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,255 | $1,255 | 3.1× |
| Ultrasound Breast Limited (76642) | $338 | $338 | 3.9× |
| Ultrasound Elastography Parenchyma (76981) | $383 | $383 | 3.6× |
| Ultrasound Exam Aaa Screen (76706) | $599 | $599 | 5.7× |
| Ultrasound, abdomen limited (76705) range across 26 matching MRF lines |
$677–$780 | $677–$780 | varies |
| Unlisted magnetic resonance procedure (76498) | $1,726 | $1,726 | 19.7× |
| Unlisted us procedure (76999) | $385 | $385 | 4.4× |
| Upper gi w/o kub (74240) range across 13 matching MRF lines |
$649–$1,020 | $649–$1,020 | varies |
| Ureteral Reflux Study (78740) | $1,324 | $1,324 | 3.3× |
| Urethrocystogram voiding (74455) | $988 | $988 | 4.1× |
| Urethrocystography retrograde (74450) | $773 | $773 | 3.2× |
| Us breast unilateral complete (76641) | $364 | $364 | 3.5× |
| Us chest (76604) range across 5 matching MRF lines |
$484–$621 | $484–$621 | varies |
| Us complete joint (76881) | $634 | $634 | 6.0× |
| Us head (76506) | $804 | $804 | 7.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 19 matching MRF lines |
$334–$363 | $334–$363 | varies |
| Us ob detailed single fetus (76811) | $760 | $760 | 3.2× |
| Us ob limited 1 or more fetuses (76815) | $478 | $478 | 4.6× |
| Us ob transvaginal (76817) | $518 | $518 | 4.9× |
| Us pelvic non ob complete (76856) | $918 | $918 | 8.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $760 | $760 | 7.2× |
| Us retroperitoneal complete (76770) | $780 | $780 | 7.4× |
| Us scrotum and contents (76870) | $661 | $661 | 6.3× |
| Us spinal canal and contents (76800) | $421 | $421 | 4.0× |
| Us thyroid (76536) range across 12 matching MRF lines |
$746–$808 | $746–$808 | varies |
| Vein X-Ray Chest (75827) | $2,350 | $2,350 | 1.5× |
| Venography caval inferior serialography rs&i (75825) | $3,212 | $3,212 | 1.0× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,378–$1,751 | $1,378–$1,751 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$1,378–$1,492 | $1,378–$1,492 | varies |
| Venous sampling by catheter (75893) | $3,277 | $3,277 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $227 | $227 | 2.6× |
| Wrist 2 views (73100) | $363 | $363 | 4.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $341 | $341 | 3.9× |
| X-ray antegrade pyelogram tube (74425) | $773 | $773 | 2.2× |
| X-Ray Aorta Leg Arteries (75630) | $3,933 | $3,933 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $406 | $406 | 4.6× |
| X-Ray Exam Breast Specimen (76098) | $391 | $391 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $373 | $373 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$286–$503 | $286–$503 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $503 | $503 | 5.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $566 | $566 | 5.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $566 | $566 | 5.4× |
| X-Ray Exam L-S Spine Bending (72114) | $648 | $648 | 6.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $454 | $454 | 5.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $618 | $618 | 5.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $395 | $395 | 3.8× |
| X-ray humerus (73060) | $431 | $431 | 4.9× |
| X-ray IV pyelogram (ivp) (74400) | $794 | $794 | 4.5× |
| X-ray IV pyelogram+tomography (74415) | $1,066 | $1,066 | 6.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $185 | $185 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $384 | $384 | 4.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $549 | $549 | 5.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $607 | $607 | 5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $316 | $316 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $381 | $381 | 4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $591 | $591 | 6.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $595 | $595 | 5.7× |
| X-ray thoracic spine 4 vw (72074) | $427 | $427 | 4.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $886 | $886 | 2.5× |
| X-Rays Bone Length Studies (77073) | $371 | $371 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $988 | $988 | 9.4× |
| Xr c-spine 4 or 5 views (72050) | $677 | $677 | 6.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $420 | $420 | 4.0× |
| Xr orbits complete 4 views (70200) | $509 | $509 | 4.8× |
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.