Imaging prices at Mercer Health
Coldwater, OH · every code in this section with a posted price and a Medicare benchmark.
251 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) | $223.05 | $223.05 | 2.7× |
| Abdomen 2 views (74019) | $338.22 | $338.22 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,175.86 | $1,175.86 | 3.1× |
| Ankle 2 views (73600) | $250.01 | $250.01 | 3.0× |
| Arthrogram ankle (73615) | $421.58 | $421.58 | 1.3× |
| Arthrogram hip (73525) | $646.45 | $646.45 | 2.0× |
| Arthrogram Wrist (73115) | $635.43 | $635.43 | 1.9× |
| Bone age studies (77072) | $461.40 | $461.40 | 4.7× |
| Bone Imaging 3 Phase (78315) | $1,248.17 | $1,248.17 | 3.3× |
| Bone Imaging Limited Area (78300) | $2,333.37 | $2,333.37 | 6.2× |
| Bone Imaging Whole Body (78306) | $1,224.27 | $1,224.27 | 3.2× |
| Bone marrow imaging limited area (78102) | $1,086.40 | $1,086.40 | 2.9× |
| Bone survey infant (77076) | $474.28 | $474.28 | 4.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,621.98 | $5,621.98 | 4.2× |
| Cerebrospinal Fluid Scan (78630) | $955.89 | $955.89 | 1.9× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$106–$257.21 | $106–$257.21 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$132–$335.63 | $132–$335.63 | varies |
| Chest 3 views (71047) | $411.76 | $411.76 | 5.0× |
| Chest 4 or more views (71048) | $495.10 | $495.10 | 5.0× |
| Clavicle complete (73000) | $316.79 | $316.79 | 3.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $221.52 | $221.52 | 2.2× |
| Contrast X-Ray Bladder (74430) | $204.66 | $204.66 | 0.6× |
| Contrast X-Ray Of Elbow (73085) | $646.45 | $646.45 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $646.45 | $646.45 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) | $3,740.10 | $3,740.10 | 11.3× |
| CT abdomen and pelvis without contrast (74176) | $3,116.98 | $3,116.98 | 13.8× |
| CT abdomen w contrast (74160) | $1,985.98 | $1,985.98 | 12.0× |
| CT abdomen w wo contrast (74170) | $2,164.73 | $2,164.73 | 13.0× |
| CT abdomen w/o contrast (74150) | $1,822.94 | $1,822.94 | 18.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,966.58 | $2,966.58 | 9.0× |
| CT Angio Chest (71275) | $2,578.95 | $2,578.95 | 15.5× |
| CT Angio Head (70496) | $2,109.16 | $2,109.16 | 12.7× |
| CT Angio Neck (70498) | $2,578.95 | $2,578.95 | 15.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,990.81 | $1,990.81 | 12.0× |
| CT cervical spine w/ contrast (72126) | $1,985.98 | $1,985.98 | 6.0× |
| CT cervical spine w/o contrast (72125) | $1,805.44 | $1,805.44 | 18.3× |
| CT chest w contrast (71260) | $1,623.68 | $1,623.68 | 9.8× |
| CT chest w/wo contrast (71270) | $1,772.25 | $1,772.25 | 10.7× |
| CT head/brain with contrast (70460) | $1,635.17 | $1,635.17 | 9.9× |
| CT head/brain without and with contrast (70470) | $1,797 | $1,797 | 10.8× |
| CT iac w contrast (70481) | $1,834.44 | $1,834.44 | 11.1× |
| CT l-spine w&w/o contrast (72133) | $1,939.50 | $1,939.50 | 11.7× |
| CT lower ext w/o (73700) | $1,805.44 | $1,805.44 | 18.3× |
| CT lower extremity w/contrast material (73701) | $1,985.98 | $1,985.98 | 12.0× |
| CT lumbar spine w contrast (72132) | $1,777.67 | $1,777.67 | 5.4× |
| CT lumbar spine w/o contrast (72131) | $1,616.45 | $1,616.45 | 16.3× |
| CT maxillofacial w contrast (70487) | $1,834.44 | $1,834.44 | 11.1× |
| CT maxillofacial wo contrast (70486) | $1,668.37 | $1,668.37 | 16.9× |
| CT neck tissue combo (70492) | $1,524.67 | $1,524.67 | 9.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,001.08 | $2,001.08 | 12.1× |
| CT orbits w/o contrast (70480) | $1,668.37 | $1,668.37 | 16.9× |
| CT pelvis w&w/o contrast (72194) | $2,164.73 | $2,164.73 | 13.0× |
| CT pelvis w/o contrast (72192) | $1,805.44 | $1,805.44 | 18.3× |
| CT scan of leg combo (73702) | $2,164.73 | $2,164.73 | 13.0× |
| CT scans face/jaw combo (70488) | $2,001.08 | $2,001.08 | 12.1× |
| CT soft tissue neck w contrast (70491) | $1,398.46 | $1,398.46 | 8.4× |
| CT soft tissue neck w/o contrast (70490) | $1,271.65 | $1,271.65 | 12.9× |
| CT thoracic spine w contrast (72129) | $1,889.98 | $1,889.98 | 11.4× |
| CT thoracic spine w/o contrast (72128) | $1,717.90 | $1,717.90 | 17.4× |
| CT thoracic spine w/wo cont (72130) | $2,062.06 | $2,062.06 | 12.4× |
| CT thorax w/o contrast (71250) | $1,476.96 | $1,476.96 | 14.9× |
| CT upper ext wo (73200) | $1,531.29 | $1,531.29 | 15.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,836.84 | $1,836.84 | 11.1× |
| CT upper extremity with contrast (73201) | $1,684.07 | $1,684.07 | 5.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,283.67 | $2,283.67 | 13.8× |
| Cta Abdomen (74175) | $2,109.16 | $2,109.16 | 12.7× |
| CTA pelvis (72191) | $2,109.16 | $2,109.16 | 12.7× |
| Discography Cerv/Thor Spine (72285) | $623.81 | $623.81 | 0.3× |
| Diskography lumbar (72295) | $623.81 | $623.81 | 0.3× |
| Dxa Bone Density Axial (77080) | $535.55 | $535.55 | 5.4× |
| Echo exam uterus (76831) | $874.40 | $874.40 | 3.9× |
| Esophagram (74220) | $338.85 | $338.85 | 2.0× |
| Fetal Biophys Profile W/Nst (76818) | $969.37 | $969.37 | 9.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $822.94 | $822.94 | 8.3× |
| Fluoroscopy up to 1 hr (76000) | $389.72 | $389.72 | 1.7× |
| Foot 2 views (73620) | $267.16 | $267.16 | 3.2× |
| Forearm 2 views (73090) | $298.40 | $298.40 | 3.6× |
| Gastric emptying imaging study (78264) | $892.79 | $892.79 | 2.4× |
| Gated Heart Planar Single (78472) | $910.55 | $910.55 | 2.4× |
| Hand 2 views (73120) | $250.01 | $250.01 | 2.5× |
| Heart Image (Pet) Multiple (78492) | $3,262.90 | $3,262.90 | 2.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,151.36 | $1,151.36 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,151.36 | $1,151.36 | 3.0× |
| Hysterosalpingogram (74740) | $471.83 | $471.83 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $1,162.38 | $1,162.38 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,162.38 | $1,162.38 | 2.3× |
| Kidney Imaging Morphol (78700) | $688.11 | $688.11 | 1.8× |
| Knee 3 Views (73562) | $423.40 | $423.40 | 5.1× |
| Liver & Spleen Imaging Static Only (78215) | $906.87 | $906.87 | 2.4× |
| Lymph System Imaging (78195) | $1,398.29 | $1,398.29 | 2.7× |
| Magnetic Image Jaw Joint (70336) | $2,013.77 | $2,013.77 | 8.9× |
| Mammary ductogram or galactogram multiple (77054) | $564.95 | $564.95 | 2.5× |
| Mammary ductogram or galactogram single (77053) | $375.61 | $375.61 | 1.7× |
| Meckels Divert Exam (78290) | $730.39 | $730.39 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,392.36 | $2,392.36 | 7.2× |
| MRA head w/o contrast (70544) | $2,437.05 | $2,437.05 | 10.8× |
| MRA head with contrast (70545) | $2,164.11 | $2,164.11 | 6.6× |
| MRA neck w contrast (70548) | $1,812.69 | $1,812.69 | 5.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,153.24 | $2,153.24 | 6.5× |
| MRA neck w/o contrast (70547) | $2,013.77 | $2,013.77 | 8.9× |
| MRI abdomen w contrast (74182) | $2,226.92 | $2,226.92 | 6.7× |
| MRI abdomen w/o contrast (74181) | $2,120.64 | $2,120.64 | 9.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,499.84 | $2,499.84 | 3.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,618.79 | $2,618.79 | 7.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,499.84 | $2,499.84 | 3.4× |
| MRI bone marrow blood supply (77084) | $2,013.77 | $2,013.77 | 8.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,215.44 | $2,215.44 | 9.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,013.77 | $2,013.77 | 8.9× |
| MRI cervical spine w contrast (72142) | $2,499.84 | $2,499.84 | 7.6× |
| MRI cervical spine w/o cont (72141) | $2,380.90 | $2,380.90 | 10.5× |
| MRI chest w/o contrast (71550) | $2,215.44 | $2,215.44 | 9.8× |
| MRI chest with contrast (71551) | $2,325.33 | $2,325.33 | 3.1× |
| MRI chest wo w contrast (71552) | $2,437.05 | $2,437.05 | 7.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,499.84 | $2,499.84 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,618.79 | $2,618.79 | 7.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,380.90 | $2,380.90 | 10.5× |
| MRI lumbar spine w contrast (72149) | $2,499.84 | $2,499.84 | 7.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,618.79 | $2,618.79 | 7.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,215.44 | $2,215.44 | 9.8× |
| MRI orbit face neck w contrast (70542) | $2,325.95 | $2,325.95 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,437.05 | $2,437.05 | 7.4× |
| MRI pelvis w contrast (72196) | $2,499.84 | $2,499.84 | 7.6× |
| MRI pelvis w/o & w contrast (72197) | $2,618.79 | $2,618.79 | 7.9× |
| MRI pelvis w/o contrast (72195) | $2,380.90 | $2,380.90 | 10.5× |
| MRI thoracic spine w/o contrast (72146) | $2,120.64 | $2,120.64 | 9.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,499.84 | $2,499.84 | 7.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,380.90 | $2,380.90 | 10.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,618.19 | $2,618.19 | 7.9× |
| MRI, abdomen, combo (74183) | $2,332.58 | $2,332.58 | 7.1× |
| MRI, dorsal spine combo (72157) | $2,828.33 | $2,828.33 | 8.6× |
| MRI, dorsal spine contrast (72147) | $2,226.92 | $2,226.92 | 6.7× |
| MRI, joint upper extrem (73221) | $2,380.90 | $2,380.90 | 10.5× |
| MRI, joint upper extrem combo (73223) | $2,618.79 | $2,618.79 | 7.9× |
| MRI, lumbar spine combo (72158) | $2,618.79 | $2,618.79 | 7.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,262.90 | $3,262.90 | 2.7× |
| Myocardial Spect Multiple Studies (78452) | $3,232.26 | $3,232.26 | 2.6× |
| Neck soft tissue (70360) | $222.44 | $222.44 | 2.7× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$44.52–$262.87 | $44.52–$262.87 | varies |
| Nuclear Rx Oral Admin (79005) | $205.29 | $205.29 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$47.70–$428.30 | $47.70–$428.30 | varies |
| Parathyroid Planar Imaging (78070) | $574.14 | $574.14 | 1.5× |
| Pelvis 1 or 2 views (72170) | $251.23 | $251.23 | 2.5× |
| Pet Image W/Ct Lmtd (78814) | $5,555.81 | $5,555.81 | 4.1× |
| PET image w/CT, full body (78816) | $5,555.81 | $5,555.81 | 4.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,443.67 | $5,443.67 | 4.0× |
| Pet Myocardial Sngl Study (78491) | $3,262.90 | $3,262.90 | 2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,209.56 | $1,209.56 | 3.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $444.85 | $444.85 | 4.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $989.60 | $989.60 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $340.69 | $340.69 | 4.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $217.52 | $217.52 | 2.6× |
| Radex elbow complete minimum 3 views (73080) | $348.03 | $348.03 | 4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $282.48 | $282.48 | 2.9× |
| Radex fingr minimum 2 views (73140) | $340.69 | $340.69 | 4.1× |
| Radex foot complete minimum 3 views (73630) | $348.65 | $348.65 | 4.2× |
| Radex Hand Minimum 3 Views (73130) | $340.69 | $340.69 | 4.1× |
| Radex lower extremity infant minimum 2 views (73592) | $338.85 | $338.85 | 4.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $470.58 | $470.58 | 4.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $277.58 | $277.58 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $536.77 | $536.77 | 6.5× |
| Radex shoulder complete minimum 2 views (73030) | $368.26 | $368.26 | 4.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $194.25 | $194.25 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $178.92 | $178.92 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $204.66 | $204.66 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $305.77 | $305.77 | 3.7× |
| Radex Toe Minimum 2 Views (73660) | $316.79 | $316.79 | 3.8× |
| Radex upper extremity infant minimum 2 views (73092) | $277.58 | $277.58 | 2.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $368.26 | $368.26 | 4.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $406.86 | $406.86 | 4.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $391.55 | $391.55 | 4.0× |
| Radiologic exam colon double contrast study (74280) | $864.58 | $864.58 | 5.2× |
| Radiologic exam colon single contrast study (74270) | $552.10 | $552.10 | 3.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $338.85 | $338.85 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $470.58 | $470.58 | 4.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $387.25 | $387.25 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $761.04 | $761.04 | 4.6× |
| Radiologic exam swallow function contrast study (74230) | $352.33 | $352.33 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $818.03 | $818.03 | 4.9× |
| Radiologic examination femur minimum 2 views (73552) | $335.79 | $335.79 | 4.1× |
| Radiologic examination knee 1/2 views (73560) | $295.97 | $295.97 | 3.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $298.40 | $298.40 | 3.6× |
| Ribs bilateral 3 views (71110) | $546.59 | $546.59 | 5.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,333.37 | $2,333.37 | 6.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,566.82 | $2,566.82 | 5.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,321.10 | $1,321.10 | 2.6× |
| Scapula (73010) | $238.37 | $238.37 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $45.95 | $45.95 | 2.0× |
| Shoulder 1 view (73020) | $277.58 | $277.58 | 3.4× |
| Shoulder Arthrography (73040) | $711.41 | $711.41 | 2.2× |
| Sialogram (70390) | $1,041.68 | $1,041.68 | 4.6× |
| Skull less than 4 views (70250) | $443.63 | $443.63 | 4.5× |
| Sternoclavicular joints (71130) | $278.83 | $278.83 | 3.4× |
| Thoracic spine 2 views (72070) | $330.28 | $330.28 | 3.3× |
| Thoracic spine 3 views (72072) | $417.27 | $417.27 | 4.2× |
| Thyroid Imaging With Vascular Flow (78013) | $574.14 | $574.14 | 1.5× |
| Thyroid Uptake Measurement (78012) | $906.28 | $906.28 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,483.47 | $1,483.47 | 3.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$47.70–$977.95 | $47.70–$977.95 | varies |
| Ultrasound Exam Aaa Screen (76706) | $648.30 | $648.30 | 6.6× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$42.40–$917.29 | $42.40–$917.29 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $106.62 | $106.62 | 1.3× |
| Unlisted us procedure (76999) | $477.96 | $477.96 | 5.8× |
| Upper gi w/o kub (74240) | $620.11 | $620.11 | 3.7× |
| Ureteral Reflux Study (78740) | $1,048.43 | $1,048.43 | 2.8× |
| Urethrocystogram voiding (74455) | $344.98 | $344.98 | 1.5× |
| Us breast unilateral complete (76641) | $1,118.25 | $1,118.25 | 11.3× |
| Us chest (76604) range across 3 matching MRF lines |
$42.40–$487.14 | $42.40–$487.14 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$37.10–$629.29 | $37.10–$629.29 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$47.70–$520.22 | $47.70–$520.22 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$47.70–$496.33 | $47.70–$496.33 | varies |
| Us ob transvaginal (76817) | $629.29 | $629.29 | 6.4× |
| Us pelvic non ob complete (76856) | $740.81 | $740.81 | 7.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $740.81 | $740.81 | 7.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $583.35 | $583.35 | 5.9× |
| Us retroperitoneal complete (76770) | $930.16 | $930.16 | 9.4× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$42.40–$846.82 | $42.40–$846.82 | varies |
| Us scrotum and contents (76870) | $1,035.56 | $1,035.56 | 10.5× |
| Us thyroid (76536) range across 3 matching MRF lines |
$42.40–$639.73 | $42.40–$639.73 | varies |
| Vascular Flow Imaging (78445) | $765.94 | $765.94 | 2.0× |
| Wrist 2 views (73100) | $269.61 | $269.61 | 3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $277.58 | $277.58 | 3.4× |
| X-ray antegrade pyelogram tube (74425) | $246.94 | $246.94 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $417.90 | $417.90 | 4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $281.26 | $281.26 | 3.4× |
| X-Ray Exam Breast Specimen (76098) | $159.32 | $159.32 | 0.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $537.99 | $537.99 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $251.23 | $251.23 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $316.79 | $316.79 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $462.64 | $462.64 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $641.55 | $641.55 | 6.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $363.36 | $363.36 | 4.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $655.04 | $655.04 | 6.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $563.73 | $563.73 | 5.7× |
| X-ray eye for foreign body (70030) | $216.29 | $216.29 | 2.6× |
| X-ray humerus (73060) | $277.58 | $277.58 | 3.4× |
| X-ray IV pyelogram (ivp) (74400) | $620.11 | $620.11 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $222.44 | $222.44 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$125–$417.90 | $125–$417.90 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $631.14 | $631.14 | 6.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $329.06 | $329.06 | 3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $277.58 | $277.58 | 3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $406.86 | $406.86 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $431.38 | $431.38 | 4.4× |
| X-Ray Stress View (77071) | $273.28 | $273.28 | 3.3× |
| X-ray thoracic spine 4 vw (72074) | $369.49 | $369.49 | 3.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $448.54 | $448.54 | 1.4× |
| X-Rays Bone Length Studies (77073) | $428.93 | $428.93 | 4.3× |
| X-Rays Bone Survey Complete (77075) | $495.10 | $495.10 | 5.0× |
| Xr c-spine 4 or 5 views (72050) | $452.21 | $452.21 | 4.6× |
| Xr facial bones less than 3 views (70140) | $252.46 | $252.46 | 3.1× |
| Xr orbits complete 4 views (70200) | $406.86 | $406.86 | 4.1× |
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.