Imaging prices at Memorial Satilla Health
Waycross, GA · every code in this section with a posted price and a Medicare benchmark.
259 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) | $11,880.50 | $11,880.50 | 9.0× |
| Abdomen 1 View (74018) | $1,152 | $1,152 | 13.9× |
| Abdomen 2 views (74019) | $701.25 | $701.25 | 7.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,701.50 | $4,701.50 | 12.4× |
| Angio pulmonary bilat (75743) | $9,660.25 | $9,660.25 | 3.2× |
| Angiography extremity bilateral rs&i (75716) | $31,433.25 | $31,433.25 | 10.5× |
| Angiography extremity unilateral rs&i (75710) | $31,433.25 | $31,433.25 | 10.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,717.75 | $10,717.75 | 3.6× |
| Ankle 2 views (73600) | $820.25 | $820.25 | 9.9× |
| Artery X-Rays Abdomen (75726) | $31,433.25 | $31,433.25 | 5.9× |
| Artery X-Rays Pelvis (75736) | $8,908.75 | $8,908.75 | 1.7× |
| Arthrogram hip (73525) | $4,066.50 | $4,066.50 | 12.3× |
| Arthrogram Wrist (73115) | $2,589.25 | $2,589.25 | 7.8× |
| Basic radiation dosimetry calculation (77300) | $1,090.75 | $1,090.75 | 8.5× |
| Bone age studies (77072) | $1,163 | $1,163 | 11.7× |
| Bone Imaging 3 Phase (78315) | $6,717 | $6,717 | 17.7× |
| Bone Imaging Whole Body (78306) | $6,717 | $6,717 | 17.7× |
| Bone survey infant (77076) | $1,163 | $1,163 | 11.7× |
| Brain Flow Imaging Only (78610) | $2,912 | $2,912 | 5.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $9,813.25 | $9,813.25 | 7.2× |
| Cerebrospinal Fluid Scan (78630) | $4,911.25 | $4,911.25 | 9.5× |
| Chest 1 view (71045) | $701.25 | $701.25 | 8.5× |
| Chest 2 views (71046) | $820.25 | $820.25 | 9.9× |
| Chest 3 views (71047) | $820.25 | $820.25 | 9.9× |
| Chest 4 or more views (71048) | $1,173.25 | $1,173.25 | 11.8× |
| Cholecystography Oral Contrast (74290) | $772.50 | $772.50 | 4.6× |
| Clavicle complete (73000) | $820.25 | $820.25 | 9.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,262.75 | $1,262.75 | 12.7× |
| Contrast Exam Abdominl Aorta (75625) | $31,433.25 | $31,433.25 | 10.5× |
| Contrast X-Ray Bladder (74430) | $2,220 | $2,220 | 6.7× |
| Contrast X-Ray Of Elbow (73085) | $4,066.50 | $4,066.50 | 12.3× |
| Contrast X-Ray Of Knee Joint (73580) | $2,793.25 | $2,793.25 | 8.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$6,511.25–$6,926.75 | $6,511.25–$6,926.75 | varies |
| CT abdomen and pelvis without contrast (74176) | $4,313 | $4,313 | 19.0× |
| CT abdomen w contrast (74160) | $6,179.75 | $6,179.75 | 37.0× |
| CT abdomen w wo contrast (74170) | $6,179.75 | $6,179.75 | 37.0× |
| CT abdomen w/o contrast (74150) | $3,463.25 | $3,463.25 | 34.8× |
| CT Angio Abdomen and Pelvis (74174) | $6,511.25 | $6,511.25 | 19.6× |
| CT Angio Chest (71275) | $4,432.50 | $4,432.50 | 26.6× |
| CT Angio Head (70496) | $4,432.50 | $4,432.50 | 26.6× |
| CT angio hrt w/3d image (75574) | $4,432.50 | $4,432.50 | 13.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,432.50 | $4,432.50 | 26.6× |
| CT Angio Neck (70498) | $4,432.50 | $4,432.50 | 26.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,432.50 | $4,432.50 | 26.6× |
| CT cervical spine w/ contrast (72126) | $6,511.25 | $6,511.25 | 19.6× |
| CT cervical spine w/o contrast (72125) | $3,463.25 | $3,463.25 | 34.8× |
| CT cervical spine w/wo cont (72127) | $4,432.50 | $4,432.50 | 26.6× |
| CT chest w contrast (71260) | $4,432.50 | $4,432.50 | 26.6× |
| CT chest w/wo contrast (71270) | $6,511.25 | $6,511.25 | 39.0× |
| CT head/brain with contrast (70460) | $3,183 | $3,183 | 19.1× |
| CT head/brain without and with contrast (70470) | $4,432.50 | $4,432.50 | 26.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $6,159.25 | $6,159.25 | 18.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $477 | $477 | 5.8× |
| CT hrt w/3d image congen (75573) | $5,779.50 | $5,779.50 | 17.4× |
| CT iac w contrast (70481) | $4,432.50 | $4,432.50 | 26.6× |
| CT l-spine w&w/o contrast (72133) | $5,318.25 | $5,318.25 | 31.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$972.50–$3,285.75 | $972.50–$3,285.75 | varies |
| CT lower extremity w/contrast material (73701) | $4,432.50 | $4,432.50 | 26.6× |
| CT lumbar spine w contrast (72132) | $6,511.25 | $6,511.25 | 19.6× |
| CT lumbar spine w/o contrast (72131) | $3,446 | $3,446 | 34.7× |
| CT maxillofacial w contrast (70487) | $4,432.50 | $4,432.50 | 26.6× |
| CT maxillofacial wo contrast (70486) | $3,183 | $3,183 | 32.0× |
| CT neck tissue combo (70492) | $4,432.50 | $4,432.50 | 26.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,179.75 | $6,179.75 | 37.0× |
| CT orbits w/o contrast (70480) | $3,463.25 | $3,463.25 | 34.8× |
| CT pelvis w&w/o contrast (72194) | $8,362.50 | $8,362.50 | 50.1× |
| CT pelvis w/o contrast (72192) | $3,463.25 | $3,463.25 | 34.8× |
| CT scan of leg combo (73702) | $4,432.50 | $4,432.50 | 26.6× |
| CT scans face/jaw combo (70488) | $4,432.50 | $4,432.50 | 26.6× |
| CT soft tissue neck w contrast (70491) | $4,432.50 | $4,432.50 | 26.6× |
| CT soft tissue neck w/o contrast (70490) | $2,528.25 | $2,528.25 | 25.4× |
| CT thoracic spine w contrast (72129) | $4,432.50 | $4,432.50 | 26.6× |
| CT thoracic spine w/o contrast (72128) | $3,463.25 | $3,463.25 | 34.8× |
| CT thoracic spine w/wo cont (72130) | $7,012.25 | $7,012.25 | 42.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,528.25–$3,463.25 | $2,528.25–$3,463.25 | varies |
| CT upper ext wo (73200) | $2,528.25 | $2,528.25 | 25.4× |
| CT upper extremity w/o & w/contrast material (73202) | $6,256.50 | $6,256.50 | 37.5× |
| CT upper extremity with contrast (73201) | $6,511.25 | $6,511.25 | 19.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,432.50 | $4,432.50 | 26.6× |
| Cta Abdomen (74175) | $4,432.50 | $4,432.50 | 26.6× |
| CTA pelvis (72191) | $4,432.50 | $4,432.50 | 26.6× |
| Dxa Bone Density Axial (77080) | $1,938.50 | $1,938.50 | 19.5× |
| Echo Guide For Artery Repair (76936) | $2,700 | $2,700 | 13.1× |
| Esophagram (74220) | $1,356 | $1,356 | 8.1× |
| Fetal Biophys Profile W/Nst (76818) | $2,348.50 | $2,348.50 | 23.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,055 | $2,055 | 20.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$2,220–$2,589.25 | $2,220–$2,589.25 | varies |
| Foot 2 views (73620) | $703 | $703 | 8.5× |
| Forearm 2 views (73090) | $820.25 | $820.25 | 9.9× |
| Gastric emptying imaging study (78264) | $4,701.50 | $4,701.50 | 12.4× |
| Gated Heart Planar Single (78472) | $6,717 | $6,717 | 17.7× |
| Hand 2 views (73120) | $1,163 | $1,163 | 11.7× |
| Hepatobil Syst Image W/Drug (78227) | $6,717 | $6,717 | 13.0× |
| Hepatobiliary System Imaging (78226) | $4,701.50 | $4,701.50 | 12.4× |
| Ht Muscle Image Spect Sing (78451) | $10,614 | $10,614 | 8.6× |
| Hysterosalpingogram (74740) | $4,066.50 | $4,066.50 | 17.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,754.75 | $1,754.75 | 21.2× |
| K Flow/Funct Image W/Drug (78708) | $5,351.25 | $5,351.25 | 10.4× |
| K Flow/Funct Image W/O Drug (78707) | $4,000.50 | $4,000.50 | 7.7× |
| Knee 3 Views (73562) | $1,173.25 | $1,173.25 | 14.2× |
| Lung Ventilat&Perfus Imaging (78582) | $6,240.50 | $6,240.50 | 12.1× |
| Lymph System Imaging (78195) | $4,031.25 | $4,031.25 | 7.8× |
| Magnetic Image Jaw Joint (70336) | $9,724 | $9,724 | 42.9× |
| Mammary ductogram or galactogram multiple (77054) | $2,546.75 | $2,546.75 | 11.2× |
| Mammary ductogram or galactogram single (77053) | $2,220 | $2,220 | 9.8× |
| Meckels Divert Exam (78290) | $4,031.25 | $4,031.25 | 10.6× |
| Mlc imrt design & construction per imrt plan (77338) | $3,031.25 | $3,031.25 | 8.5× |
| Mra Head W/O & W/Contrast Material (70546) | $9,179 | $9,179 | 27.7× |
| MRA head w/o contrast (70544) | $5,525.25 | $5,525.25 | 24.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $9,179 | $9,179 | 27.7× |
| MRA neck w/o contrast (70547) | $5,525.25 | $5,525.25 | 24.3× |
| MRI abdomen w/o contrast (74181) | $5,525.25 | $5,525.25 | 24.3× |
| MRI any jt lower extrem w/contrast material (73722) | $3,486 | $3,486 | 4.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $9,179 | $9,179 | 27.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,179 | $9,179 | 12.3× |
| MRI cervical spine w/o cont (72141) | $6,667.50 | $6,667.50 | 29.4× |
| MRI chest w/o contrast (71550) | $8,612.50 | $8,612.50 | 38.0× |
| MRI chest with contrast (71551) | $5,525.25 | $5,525.25 | 7.4× |
| MRI chest wo w contrast (71552) | $5,525.25 | $5,525.25 | 16.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $9,179 | $9,179 | 27.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,525.25 | $5,525.25 | 24.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $9,179 | $9,179 | 27.7× |
| MRI orbit face &/neck w/o contrast (70540) | $6,667.50 | $6,667.50 | 29.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $9,179 | $9,179 | 27.7× |
| MRI pelvis w/o & w contrast (72197) | $9,179 | $9,179 | 27.7× |
| MRI pelvis w/o contrast (72195) | $6,667.50 | $6,667.50 | 29.4× |
| MRI spectroscopy (76390) | $8,672.25 | $8,672.25 | 104.8× |
| MRI thoracic spine w/o contrast (72146) | $6,667.50 | $6,667.50 | 29.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,667.50 | $6,667.50 | 29.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$7,183.50–$9,179 | $7,183.50–$9,179 | varies |
| MRI, abdomen, combo (74183) | $9,179 | $9,179 | 27.7× |
| MRI, dorsal spine combo (72157) | $9,179 | $9,179 | 27.7× |
| MRI, joint upper extrem (73221) | $6,667.50 | $6,667.50 | 29.4× |
| MRI, joint upper extrem combo (73223) | $9,179 | $9,179 | 27.7× |
| MRI, lumbar spine combo (72158) | $9,179 | $9,179 | 27.7× |
| Myelogram Lumbar (72265) | $3,871.75 | $3,871.75 | 5.2× |
| Myelograpy 2/more regions rs&i (72270) | $8,188.25 | $8,188.25 | 11.0× |
| Myocardial Spect Multiple Studies (78452) | $15,673.75 | $15,673.75 | 12.7× |
| Neck soft tissue (70360) | $703 | $703 | 8.5× |
| Nonvascular Shunt X-Ray (75809) | $1,356 | $1,356 | 13.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $10,834.50 | $10,834.50 | 8.2× |
| Nuclear Rx Oral Admin (79005) | $3,536.75 | $3,536.75 | 15.9× |
| Ob us nuchal meas 1 gest (76813) | $1,046.75 | $1,046.75 | 10.5× |
| Parathyroid Planar Imaging (78070) | $4,031.25 | $4,031.25 | 10.6× |
| Pelvis 1 or 2 views (72170) | $1,163 | $1,163 | 11.7× |
| PET image w/CT, full body (78816) | $17,179.25 | $17,179.25 | 12.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $17,179.25 | $17,179.25 | 12.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,047.75 | $3,047.75 | 8.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,356 | $1,356 | 13.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$4,066.50–$5,286.50 | $4,066.50–$5,286.50 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $820.25 | $820.25 | 9.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $820.25 | $820.25 | 9.9× |
| Radex elbow complete minimum 3 views (73080) | $820.25 | $820.25 | 9.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,356 | $1,356 | 13.6× |
| Radex fingr minimum 2 views (73140) | $703 | $703 | 8.5× |
| Radex foot complete minimum 3 views (73630) | $820.25 | $820.25 | 9.9× |
| Radex Hand Minimum 3 Views (73130) | $820.25 | $820.25 | 9.9× |
| Radex lower extremity infant minimum 2 views (73592) | $703 | $703 | 8.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,163 | $1,163 | 11.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $820.25 | $820.25 | 9.9× |
| Radex shoulder complete minimum 2 views (73030) | $820.25 | $820.25 | 9.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $820.25 | $820.25 | 9.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,399.50 | $1,399.50 | 8.4× |
| Radex Spine 1 View Specify Level (72020) | $1,174.75 | $1,174.75 | 14.2× |
| Radex Sternum Minimum 2 Views (71120) | $820.25 | $820.25 | 9.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,109.25 | $1,109.25 | 13.4× |
| Radex upper extremity infant minimum 2 views (73092) | $1,163 | $1,163 | 11.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $820.25 | $820.25 | 9.9× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$1,862.75–$2,247.75 | $1,862.75–$2,247.75 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,356 | $1,356 | 13.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $820.25 | $820.25 | 8.3× |
| Radiologic exam colon double contrast study (74280) | $2,589.25 | $2,589.25 | 15.5× |
| Radiologic exam colon single contrast study (74270) | $1,938.50 | $1,938.50 | 11.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,136.50 | $1,136.50 | 6.8× |
| Radiologic exam knee complete 4/more views (73564) | $1,356 | $1,356 | 13.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,938.50 | $1,938.50 | 11.6× |
| Radiologic exam swallow function contrast study (74230) | $1,356 | $1,356 | 8.1× |
| Radiologic examination femur minimum 2 views (73552) | $820.25 | $820.25 | 9.9× |
| Radiologic examination knee 1/2 views (73560) | $1,173.25 | $1,173.25 | 14.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $820.25 | $820.25 | 9.9× |
| Ribs bilateral 3 views (71110) | $1,163 | $1,163 | 11.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,364.50 | $2,364.50 | 6.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,144.25 | $7,144.25 | 13.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $8,167.50 | $8,167.50 | 15.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $8,167.50 | $8,167.50 | 15.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $8,167.50 | $8,167.50 | 6.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $8,167.50 | $8,167.50 | 6.6× |
| Scapula (73010) | $820.25 | $820.25 | 8.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $139.25 | $139.25 | 6.0× |
| Shoulder 1 view (73020) | $703 | $703 | 8.5× |
| Shoulder Arthrography (73040) | $4,066.50 | $4,066.50 | 12.3× |
| Skull less than 4 views (70250) | $1,163 | $1,163 | 11.7× |
| Sternoclavicular joints (71130) | $677.25 | $677.25 | 8.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,377 | $3,377 | 9.5× |
| Ther rad simulaj-aided field setting simple (77280) | $1,927.75 | $1,927.75 | 15.1× |
| Thoracic spine 3 views (72072) | $1,356 | $1,356 | 13.6× |
| Thyroid Imaging With Vascular Flow (78013) | $2,052 | $2,052 | 5.4× |
| Thyroid Met Imaging Body (78018) | $3,956.75 | $3,956.75 | 7.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,031.25 | $4,031.25 | 10.6× |
| Tx Devices Design & Construction Complex (77334) | $3,377 | $3,377 | 9.5× |
| Tx devices design & construction simple (77332) | $2,073 | $2,073 | 16.2× |
| Ultrasound Breast Limited (76642) | $1,754.75 | $1,754.75 | 21.2× |
| Ultrasound Exam Aaa Screen (76706) | $1,229.25 | $1,229.25 | 12.4× |
| Ultrasound, abdomen limited (76705) | $2,055 | $2,055 | 20.7× |
| Umbilical-artery Doppler (OB) (76820) | $1,669.50 | $1,669.50 | 16.8× |
| Unlisted Dx Radiographic Procedure (76499) | $1,173.25 | $1,173.25 | 14.2× |
| Unlisted magnetic resonance procedure (76498) | $8,664.50 | $8,664.50 | 104.7× |
| Upper gi w/o kub (74240) | $1,938.75 | $1,938.75 | 11.6× |
| Urethrocystogram voiding (74455) | $1,525.75 | $1,525.75 | 6.7× |
| Us breast unilateral complete (76641) | $1,754.75 | $1,754.75 | 17.6× |
| Us chest (76604) | $1,754.75 | $1,754.75 | 17.6× |
| Us complete joint (76881) | $1,322 | $1,322 | 13.3× |
| Us exam, pelvic, limited (76857) | $1,229.25 | $1,229.25 | 12.4× |
| Us kidney transplant (76776) | $992 | $992 | 10.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,754.75 | $1,754.75 | 17.6× |
| Us ob limited 1 or more fetuses (76815) | $2,055 | $2,055 | 20.7× |
| Us ob transvaginal (76817) | $1,759.75 | $1,759.75 | 17.7× |
| Us pelvic non ob complete (76856) | $2,933.50 | $2,933.50 | 29.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,933.50 | $2,933.50 | 29.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,754.75 | $1,754.75 | 17.6× |
| Us retroperitoneal limited (76775) | $2,055 | $2,055 | 20.7× |
| Us scrotum and contents (76870) | $1,759.75 | $1,759.75 | 17.7× |
| Us thyroid (76536) | $2,055 | $2,055 | 20.7× |
| Us transrectal (76872) | $2,176.75 | $2,176.75 | 21.9× |
| Vein X-Ray Chest (75827) | $8,411.75 | $8,411.75 | 5.6× |
| Venography caval inferior serialography rs&i (75825) | $31,433.25 | $31,433.25 | 10.5× |
| Venography extremity bilateral rs&i (75822) | $4,033.75 | $4,033.75 | 2.7× |
| Venography extremity unilateral rs&i (75820) | $3,607.50 | $3,607.50 | 2.4× |
| Venography Renal Bilateral (75833) | $8,594.75 | $8,594.75 | 2.9× |
| Wrist 2 views (73100) | $703 | $703 | 8.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $776 | $776 | 9.4× |
| X-Ray Aorta Leg Arteries (75630) | $31,433.25 | $31,433.25 | 10.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $820.25 | $820.25 | 9.9× |
| X-Ray Exam Breast Specimen (76098) | $1,448 | $1,448 | 2.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $703 | $703 | 8.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,163 | $1,163 | 11.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,220 | $2,220 | 22.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $820.25 | $820.25 | 9.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $820.25 | $820.25 | 9.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,356 | $1,356 | 13.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,356 | $1,356 | 13.6× |
| X-Ray Exam L-S Spine Bending (72114) | $1,356 | $1,356 | 13.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,356 | $1,356 | 16.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,938.50 | $1,938.50 | 19.5× |
| X-ray humerus (73060) | $820.25 | $820.25 | 9.9× |
| X-ray IV pyelogram (ivp) (74400) | $3,698.75 | $3,698.75 | 22.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,163 | $1,163 | 11.7× |
| X-ray nose-rectum child f.b. (76010) | $1,152 | $1,152 | 13.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,356 | $1,356 | 13.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,163 | $1,163 | 11.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $820.25 | $820.25 | 9.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,173.25 | $1,173.25 | 14.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,356 | $1,356 | 13.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $4,066.50 | $4,066.50 | 12.3× |
| X-Rays Bone Length Studies (77073) | $1,173.25 | $1,173.25 | 11.8× |
| X-Rays Bone Survey Complete (77075) | $1,938.50 | $1,938.50 | 19.5× |
| Xr c-spine 4 or 5 views (72050) | $1,356 | $1,356 | 13.6× |
| Xr facial bones less than 3 views (70140) | $703 | $703 | 8.5× |
| Xr orbits complete 4 views (70200) | $1,163 | $1,163 | 11.7× |
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.