Imaging prices at Memorial Health Meadows Hospital
Vidalia, GA · every code in this section with a posted price and a Medicare benchmark.
254 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) | $6,828.23 | $6,828.23 | 5.6× |
| Abdomen 1 View (74018) | $553.94 | $553.94 | 7.3× |
| Abdomen 2 views (74019) | $714.47 | $714.47 | 7.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,121.64 | $4,121.64 | 11.7× |
| Angio pulmonary bilat (75743) | $14,597.46 | $14,597.46 | 5.3× |
| Angiography extremity bilateral rs&i (75716) | $7,068.75 | $7,068.75 | 2.6× |
| Angiography extremity unilateral rs&i (75710) | $5,081.50 | $5,081.50 | 1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $13,922.81 | $13,922.81 | 5.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$447.31–$622.07 | $447.31–$622.07 | varies |
| Aortography thoracic serialography rs&i (75605) | $10,042.73 | $10,042.73 | 2.1× |
| Arthrogram hip (73525) | $1,853.04 | $1,853.04 | 6.1× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$861.40–$942.54 | $861.40–$942.54 | varies |
| Basic radiation dosimetry calculation (77300) | $232.84 | $232.84 | 2.0× |
| Bone age studies (77072) | $900.88 | $900.88 | 9.8× |
| Bone Imaging 3 Phase (78315) | $3,902.47 | $3,902.47 | 11.1× |
| Bone Imaging Limited Area (78300) | $1,913.05 | $1,913.05 | 5.5× |
| Bone Imaging Whole Body (78306) | $3,699.54 | $3,699.54 | 10.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,745.35 | $2,745.35 | 5.8× |
| Chest 1 view (71045) | $578.94 | $578.94 | 7.6× |
| Chest 2 views (71046) | $736.82 | $736.82 | 9.6× |
| Chest 3 views (71047) | $722.37 | $722.37 | 9.5× |
| Clavicle complete (73000) | $540.78 | $540.78 | 7.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $500.15 | $500.15 | 5.5× |
| Continuing medical physics consltj pr wk (77336) | $522.68 | $522.68 | 4.4× |
| Contrast Exam Abdominl Aorta (75625) | $7,224.90 | $7,224.90 | 2.6× |
| Contrast X-Ray Bladder (74430) | $787.27 | $787.27 | 2.6× |
| Contrast X-Ray Of Elbow (73085) | $1,075.86 | $1,075.86 | 3.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,717.08 | $1,717.08 | 5.6× |
| CT abdomen and pelvis without and with contrast (74178) | $11,280.45 | $11,280.45 | 36.8× |
| CT abdomen and pelvis without contrast (74176) | $8,971.19 | $8,971.19 | 42.8× |
| CT abdomen w contrast (74160) | $6,065.55 | $6,065.55 | 39.4× |
| CT abdomen w wo contrast (74170) | $7,111.88 | $7,111.88 | 46.2× |
| CT abdomen w/o contrast (74150) | $5,689.49 | $5,689.49 | 62.0× |
| CT Angio Abdomen and Pelvis (74174) | $10,538.59 | $10,538.59 | 34.4× |
| CT Angio Chest (71275) | $4,632.01 | $4,632.01 | 30.1× |
| CT Angio Head (70496) | $4,636.66 | $4,636.66 | 30.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,753.33 | $4,753.33 | 30.9× |
| CT Angio Neck (70498) | $5,170.28 | $5,170.28 | 33.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,084.45 | $4,084.45 | 26.5× |
| CT cervical spine w/ contrast (72126) | $5,191.20 | $5,191.20 | 17.0× |
| CT cervical spine w/o contrast (72125) | $4,889.53 | $4,889.53 | 53.3× |
| CT cervical spine w/wo cont (72127) | $5,570.96 | $5,570.96 | 36.2× |
| CT chest w contrast (71260) | $5,652.30 | $5,652.30 | 36.7× |
| CT chest w/wo contrast (71270) | $5,941.44 | $5,941.44 | 38.6× |
| CT head/brain with contrast (70460) | $5,001.54 | $5,001.54 | 32.5× |
| CT head/brain without and with contrast (70470) | $6,074.37 | $6,074.37 | 39.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $184.06 | $184.06 | 2.4× |
| CT iac w contrast (70481) | $4,147.66 | $4,147.66 | 26.9× |
| CT l-spine w&w/o contrast (72133) | $6,700.50 | $6,700.50 | 43.5× |
| CT lower ext w/o (73700) | $4,126.74 | $4,126.74 | 45.0× |
| CT lower extremity w/contrast material (73701) | $4,481.88 | $4,481.88 | 29.1× |
| CT lumbar spine w contrast (72132) | $5,296.72 | $5,296.72 | 17.3× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,462.34–$4,919.27 | $1,462.34–$4,919.27 | varies |
| CT maxillofacial w contrast (70487) | $4,147.66 | $4,147.66 | 26.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,397.73–$4,043.09 | $1,397.73–$4,043.09 | varies |
| CT neck tissue combo (70492) | $6,845.52 | $6,845.52 | 44.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,068.02 | $5,068.02 | 32.9× |
| CT orbits w/o contrast (70480) | $4,464.21 | $4,464.21 | 48.7× |
| CT pelvis w&w/o contrast (72194) | $5,983.26 | $5,983.26 | 38.9× |
| CT pelvis w/o contrast (72192) | $4,820.27 | $4,820.27 | 52.5× |
| CT scan of leg combo (73702) | $5,421.29 | $5,421.29 | 35.2× |
| CT scans face/jaw combo (70488) | $4,295.47 | $4,295.47 | 27.9× |
| CT soft tissue neck w contrast (70491) | $5,170.28 | $5,170.28 | 33.6× |
| CT soft tissue neck w/o contrast (70490) | $4,648.74 | $4,648.74 | 50.7× |
| CT thoracic spine w contrast (72129) | $6,377.91 | $6,377.91 | 41.4× |
| CT thoracic spine w/o contrast (72128) | $4,982.48 | $4,982.48 | 54.3× |
| CT thoracic spine w/wo cont (72130) | $6,848.78 | $6,848.78 | 44.5× |
| CT thorax w/o contrast (71250) | $4,985.76 | $4,985.76 | 54.3× |
| CT upper ext wo (73200) | $3,981.71 | $3,981.71 | 43.4× |
| CT upper extremity w/o & w/contrast material (73202) | $6,733.03 | $6,733.03 | 43.7× |
| CT upper extremity with contrast (73201) | $4,219.25 | $4,219.25 | 13.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $8,355.28 | $8,355.28 | 54.3× |
| Cta Abdomen (74175) | $6,065.55 | $6,065.55 | 39.4× |
| CTA pelvis (72191) | $4,820.27 | $4,820.27 | 31.3× |
| Dxa Bone Density Axial (77080) | $1,073.66 | $1,073.66 | 11.7× |
| Esophagram (74220) | $1,035.09 | $1,035.09 | 6.7× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,449.05–$1,585.59 | $1,449.05–$1,585.59 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,335.72 | $1,335.72 | 14.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,171.91–$1,897.77 | $1,171.91–$1,897.77 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$500.44–$696.10 | $500.44–$696.10 | varies |
| Forearm 2 views (73090) | $513.14 | $513.14 | 6.7× |
| Gastric emptying imaging study (78264) | $2,703.86 | $2,703.86 | 7.7× |
| Gated Heart Planar Single (78472) | $3,249.95 | $3,249.95 | 9.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$523.73–$728.51 | $523.73–$728.51 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,527.29 | $3,527.29 | 7.4× |
| Hepatobiliary System Imaging (78226) | $3,443.41 | $3,443.41 | 9.8× |
| Ht Muscle Image Spect Sing (78451) | $4,752.50 | $4,752.50 | 4.2× |
| Hysterosalpingogram (74740) | $1,385.51 | $1,385.51 | 6.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $464.15 | $464.15 | 6.1× |
| K Flow/Funct Image Multiple (78709) | $4,615.09 | $4,615.09 | 9.7× |
| K Flow/Funct Image W/Drug (78708) | $3,632.36 | $3,632.36 | 7.6× |
| K Flow/Funct Image W/O Drug (78707) | $4,145.52 | $4,145.52 | 8.7× |
| Knee 3 Views (73562) | $594.72 | $594.72 | 7.8× |
| Liver & Spleen Imaging Static Only (78215) | $3,259.05 | $3,259.05 | 9.3× |
| Liver imaging w/vascular flow (78202) | $2,436.13 | $2,436.13 | 5.1× |
| Lung Perf&Ventilat Diferentl (78598) | $2,003.99 | $2,003.99 | 4.2× |
| Lung Ventilat&Perfus Imaging (78582) | $4,882.37 | $4,882.37 | 10.2× |
| Lymph System Imaging (78195) | $2,387.30 | $2,387.30 | 5.0× |
| Mammary ductogram or galactogram single (77053) | $986.84 | $986.84 | 4.7× |
| Meckels Divert Exam (78290) | $2,557.31 | $2,557.31 | 7.3× |
| Mlc imrt design & construction per imrt plan (77338) | $1,886.15 | $1,886.15 | 5.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $107.76 | $107.76 | 4.2× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,659.95–$4,746.26 | $4,659.95–$4,746.26 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $6,161.63 | $6,161.63 | 20.1× |
| MRA neck w/o contrast (70547) | $4,271.48 | $4,271.48 | 20.4× |
| MRI abdomen w contrast (74182) | $4,490.02 | $4,490.02 | 14.7× |
| MRI abdomen w/o contrast (74181) | $5,595.96 | $5,595.96 | 26.7× |
| MRI any jt lower extrem w/contrast material (73722) | $6,505.40 | $6,505.40 | 9.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$7,879.54–$8,625.35 | $7,879.54–$8,625.35 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,522.82 | $6,522.82 | 9.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,236.36 | $1,236.36 | 5.9× |
| MRI cervical spine w contrast (72142) | $5,903.36 | $5,903.36 | 19.3× |
| MRI cervical spine w/o cont (72141) | $6,073.83 | $6,073.83 | 29.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,000.34 | $6,000.34 | 19.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,821.53 | $7,821.53 | 25.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,234.62 | $6,234.62 | 29.8× |
| MRI lumbar spine w contrast (72149) | $6,477.66 | $6,477.66 | 21.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,421.04 | $8,421.04 | 27.5× |
| MRI orbit face &/neck w/o contrast (70540) | $6,229.21 | $6,229.21 | 29.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,239.29 | $7,239.29 | 23.6× |
| MRI pelvis w contrast (72196) | $5,517.80 | $5,517.80 | 18.0× |
| MRI pelvis w/o & w contrast (72197) | $7,393.24 | $7,393.24 | 24.1× |
| MRI pelvis w/o contrast (72195) | $5,892.52 | $5,892.52 | 28.1× |
| MRI thoracic spine w/o contrast (72146) | $6,022.50 | $6,022.50 | 28.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $6,160.43 | $6,160.43 | 20.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,963.67 | $4,963.67 | 23.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $8,350.82 | $8,350.82 | 27.3× |
| MRI, abdomen, combo (74183) | $7,677.45 | $7,677.45 | 25.1× |
| MRI, dorsal spine combo (72157) | $8,339.03 | $8,339.03 | 27.2× |
| MRI, dorsal spine contrast (72147) | $6,994.31 | $6,994.31 | 22.8× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$5,528.45–$6,139.50 | $5,528.45–$6,139.50 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$8,153.50–$8,334.72 | $8,153.50–$8,334.72 | varies |
| MRI, lumbar spine combo (72158) | $8,232.08 | $8,232.08 | 26.9× |
| Myocardial Spect Multiple Studies (78452) | $8,640.54 | $8,640.54 | 7.6× |
| Neck soft tissue (70360) | $471.48 | $471.48 | 6.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $992.07 | $992.07 | 2.8× |
| Nonvascular Shunt X-Ray (75809) | $544.84 | $544.84 | 5.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,611.53 | $2,611.53 | 2.1× |
| Nuclear Rx Oral Admin (79005) | $2,967.20 | $2,967.20 | 14.5× |
| Parathyroid Planar Imaging (78070) | $3,614.76 | $3,614.76 | 10.3× |
| Pelvis 1 or 2 views (72170) | $596.48 | $596.48 | 6.5× |
| Pet Image W/Ct Lmtd (78814) | $8,547.36 | $8,547.36 | 6.8× |
| PET image w/CT, full body (78816) | $12,565.32 | $12,565.32 | 10.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $12,798.33 | $12,798.33 | 10.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,386.40 | $2,386.40 | 6.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $863.14 | $863.14 | 9.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,457.44 | $1,457.44 | 3.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$587.71–$817.45 | $587.71–$817.45 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$495.60–$689.38 | $495.60–$689.38 | varies |
| Radex elbow complete minimum 3 views (73080) | $702.63 | $702.63 | 9.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $964.88 | $964.88 | 10.5× |
| Radex fingr minimum 2 views (73140) | $488.14 | $488.14 | 6.4× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$712.71–$1,069.06 | $712.71–$1,069.06 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$653.07–$979.59 | $653.07–$979.59 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $657.46 | $657.46 | 8.6× |
| Radex Ribs Unilateral 2 Views (71100) | $755.69 | $755.69 | 9.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$645.71–$697.36 | $645.71–$697.36 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $501.30 | $501.30 | 6.6× |
| Radex Sternum Minimum 2 Views (71120) | $550.43 | $550.43 | 7.2× |
| Radex Toe Minimum 2 Views (73660) | $442.97 | $442.97 | 5.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$972.44–$1,905.34 | $972.44–$1,905.34 | varies |
| Radiation treatment delivery level 1 (77402) | $668.62 | $668.62 | 7.5× |
| Radiation treatment delivery level 3 (77412) | $1,801.36 | $1,801.36 | 3.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $853.06 | $853.06 | 9.3× |
| Radiologic exam colon double contrast study (74280) | $2,050.40 | $2,050.40 | 13.3× |
| Radiologic exam colon single contrast study (74270) | $1,872.78 | $1,872.78 | 12.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,360.94 | $1,360.94 | 8.8× |
| Radiologic exam swallow function contrast study (74230) | $953.93 | $953.93 | 6.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,011.96 | $2,011.96 | 13.1× |
| Radiologic examination femur 1 view (73551) | $590.33 | $590.33 | 7.7× |
| Radiologic examination femur minimum 2 views (73552) | $590.33 | $590.33 | 7.7× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$574.56–$861.83 | $574.56–$861.83 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $621.92 | $621.92 | 8.1× |
| Ribs bilateral 3 views (71110) | $1,502.24 | $1,502.24 | 16.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,356.53 | $3,356.53 | 9.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,079.25 | $1,079.25 | 2.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,915.98 | $6,915.98 | 14.5× |
| Scapula (73010) | $617.54 | $617.54 | 6.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $182.04 | $182.04 | 7.8× |
| Shoulder Arthrography (73040) | $1,491.21 | $1,491.21 | 4.9× |
| Skull less than 4 views (70250) | $507.88 | $507.88 | 5.5× |
| Special dosimetry (77331) | $708.24 | $708.24 | 6.0× |
| Special Physics Consult (77370) | $804.47 | $804.47 | 6.8× |
| Special teletherapy port plan (77321) | $1,890.18 | $1,890.18 | 5.8× |
| Special treatment procedure (77470) | $270.53 | $270.53 | 0.6× |
| Sternoclavicular joints (71130) | $243.15 | $243.15 | 3.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $915.80 | $915.80 | 2.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,890.18 | $1,890.18 | 5.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,878.10 | $2,878.10 | 8.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,890.18 | $1,890.18 | 5.8× |
| Ther rad simulaj-aided field setting simple (77280) | $236.34 | $236.34 | 2.0× |
| Thoracic spine 3 views (72072) | $887.71 | $887.71 | 9.7× |
| Thyroid Uptake Measurement (78012) | $1,493.31 | $1,493.31 | 4.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,452.69 | $2,452.69 | 7.0× |
| Tx Devices Design & Construction Complex (77334) | $1,832.42 | $1,832.42 | 5.6× |
| Tx devices design & construction intermediate (77333) | $708.24 | $708.24 | 6.0× |
| Tx devices design & construction simple (77332) | $346.27 | $346.27 | 2.9× |
| Ultrasound Breast Limited (76642) | $420.03 | $420.03 | 5.5× |
| Ultrasound Exam Aaa Screen (76706) | $816.46 | $816.46 | 8.9× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,667.92–$1,667.93 | $1,667.92–$1,667.93 | varies |
| Umbilical-artery Doppler (OB) (76820) | $921.13 | $921.13 | 10.0× |
| Upper gi w/o kub (74240) | $1,157.87 | $1,157.87 | 7.5× |
| Urethrocystogram voiding (74455) | $982 | $982 | 4.7× |
| Urethrocystography retrograde (74450) | $1,118.83 | $1,118.83 | 5.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$999.40–$1,923.72 | $999.40–$1,923.72 | varies |
| Us chest (76604) | $1,149.13 | $1,149.13 | 12.5× |
| Us complete joint (76881) range across 2 matching MRF lines |
$471.96–$1,258.35 | $471.96–$1,258.35 | varies |
| Us exam, pelvic, limited (76857) | $1,661.12 | $1,661.12 | 18.1× |
| Us head (76506) | $1,224.67 | $1,224.67 | 13.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$1,105.44–$1,258.35 | $1,105.44–$1,258.35 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,147.77–$1,148.69 | $1,147.77–$1,148.69 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,117.48–$1,229.22 | $1,117.48–$1,229.22 | varies |
| Us pelvic non ob complete (76856) | $1,677.05 | $1,677.05 | 18.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,125.01 | $1,125.01 | 12.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$812.43–$1,006.68 | $812.43–$1,006.68 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$824.63–$1,649.30 | $824.63–$1,649.30 | varies |
| Us retroperitoneal limited (76775) | $1,463.61 | $1,463.61 | 16.0× |
| Us scrotum and contents (76870) | $1,393.52 | $1,393.52 | 15.2× |
| Us spinal canal and contents (76800) | $819.18 | $819.18 | 8.9× |
| Us thyroid (76536) | $1,350.73 | $1,350.73 | 14.7× |
| Us transrectal (76872) | $1,426.73 | $1,426.73 | 15.5× |
| Venography caval inferior serialography rs&i (75825) | $14,597.46 | $14,597.46 | 5.3× |
| Venography extremity bilateral rs&i (75822) | $7,194.78 | $7,194.78 | 5.2× |
| Venography extremity unilateral rs&i (75820) | $7,094.60 | $7,094.60 | 5.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$736.47–$1,465.45 | $736.47–$1,465.45 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $371.15 | $371.15 | 4.9× |
| X-Ray Aorta Leg Arteries (75630) | $13,471.30 | $13,471.30 | 4.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $530.26 | $530.26 | 6.9× |
| X-Ray Exam Breast Specimen (76098) | $2,418.14 | $2,418.14 | 5.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $829.83 | $829.83 | 9.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $689.47 | $689.47 | 9.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $689.47 | $689.47 | 9.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $689.47 | $689.47 | 7.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $827.17 | $827.17 | 9.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $827.17 | $827.17 | 9.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,073.66 | $1,073.66 | 11.7× |
| X-Ray Exam L-S Spine Bending (72114) | $1,112.25 | $1,112.25 | 12.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $877.61 | $877.61 | 11.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,166.64 | $1,166.64 | 12.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,276.85 | $1,276.85 | 13.9× |
| X-ray humerus (73060) | $514.48 | $514.48 | 6.7× |
| X-ray IV pyelogram (ivp) (74400) | $1,964.88 | $1,964.88 | 12.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $678.93 | $678.93 | 8.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $813.15 | $813.15 | 8.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,595.99 | $1,595.99 | 17.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $529.81 | $529.81 | 5.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $869.73 | $869.73 | 11.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $879.38 | $879.38 | 11.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,268.84 | $1,268.84 | 13.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,089.46 | $1,089.46 | 3.6× |
| X-Rays Bone Length Studies (77073) | $757.21 | $757.21 | 8.3× |
| X-Rays Bone Survey Complete (77075) | $1,585.50 | $1,585.50 | 17.3× |
| Xr c-spine 4 or 5 views (72050) | $480.26 | $480.26 | 5.2× |
| Xr orbits complete 4 views (70200) | $998.28 | $998.28 | 10.9× |
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.