Imaging prices at Mercy Harvard Hospital
Harvard, IL · every code in this section with a posted price and a Medicare benchmark.
250 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) range across 3 matching MRF lines |
$194.54–$219.92 | $259.39–$293.23 | varies |
| Abdomen 2 views (74019) | $241.91 | $322.55 | 2.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$268.03–$1,368.70 | $357.37–$1,824.93 | varies |
| Angiography extremity bilateral rs&i (75716) | $2,501.86 | $3,335.82 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $3,335.82 | $4,447.76 | 1.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$262.40–$310.14 | $349.87–$413.52 | varies |
| Artery X-Rays Abdomen (75726) | $3,335.74 | $4,447.65 | 0.6× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$201.67–$323.41 | $268.89–$431.21 | varies |
| Arthrogram hip (73525) | $720.51 | $960.68 | 1.9× |
| Arthrogram Wrist (73115) | $1,081.84 | $1,442.45 | 2.9× |
| Bone age studies (77072) | $237.18 | $316.24 | 2.1× |
| Bone Imaging 3 Phase (78315) | $1,651.24 | $2,201.65 | 3.9× |
| Bone Imaging Limited Area (78300) | $1,060.27 | $1,413.69 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $1,351.96 | $1,802.62 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,431.58 | $1,908.78 | 3.3× |
| Bone survey infant (77076) | $327.67 | $436.89 | 2.9× |
| Brain Image W/Flow < 4 Views (78601) | $932.75 | $1,243.67 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $854.96 | $1,139.95 | 9.2× |
| Cerebrospinal Fluid Scan (78630) | $1,264.53 | $1,686.04 | 2.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$163.92–$208.37 | $218.56–$277.83 | varies |
| Chest 2 views (71046) | $229.21 | $305.61 | 2.5× |
| Chest 3 views (71047) | $252.13 | $336.17 | 2.7× |
| Chest 4 or more views (71048) | $277.34 | $369.79 | 2.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$345.11–$397.26 | $460.15–$529.68 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,062.08 | $1,416.10 | 9.5× |
| Contrast Exam Abdominl Aorta (75625) | $3,335.82 | $4,447.76 | 1.0× |
| Contrast X-Ray Bladder (74430) | $503 | $670.67 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $846.61 | $1,128.81 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,861.20–$8,036.40 | $6,481.60–$10,715.20 | varies |
| CT abdomen and pelvis without contrast (74176) | $4,463.48 | $5,951.30 | 17.5× |
| CT abdomen w contrast (74160) | $1,924.96 | $2,566.62 | 10.2× |
| CT abdomen w wo contrast (74170) | $2,368.17 | $3,157.56 | 12.6× |
| CT abdomen w/o contrast (74150) | $1,616.42 | $2,155.23 | 14.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,970.14 | $3,960.18 | 7.9× |
| CT Angio Chest (71275) | $3,739.96 | $4,986.61 | 19.9× |
| CT Angio Head (70496) | $3,315.77 | $4,421.03 | 17.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,926.62–$7,754.43 | $2,568.83–$10,339.24 | varies |
| CT Angio Neck (70498) | $3,309.98 | $4,413.31 | 17.6× |
| CT cervical spine w/ contrast (72126) | $2,216.12 | $2,954.82 | 5.9× |
| CT cervical spine w/o contrast (72125) | $2,108.54 | $2,811.38 | 18.8× |
| CT cervical spine w/wo cont (72127) | $2,732.60 | $3,643.46 | 14.5× |
| CT chest w contrast (71260) | $2,027.50 | $2,703.33 | 10.8× |
| CT chest w/wo contrast (71270) | $2,574.06 | $3,432.08 | 13.7× |
| CT head/brain with contrast (70460) | $1,604.32 | $2,139.09 | 8.5× |
| CT head/brain without and with contrast (70470) | $2,351.63 | $3,135.51 | 12.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,714.06 | $2,285.41 | 4.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $298.30 | $397.74 | 3.2× |
| CT iac w contrast (70481) | $1,880.32 | $2,507.09 | 10.0× |
| CT l-spine w&w/o contrast (72133) | $2,682.38 | $3,576.50 | 14.3× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$834.62–$1,112.98 | $1,112.82–$1,483.97 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,030.33–$1,373.77 | $1,373.77–$1,831.69 | varies |
| CT lumbar spine w contrast (72132) | $2,237.50 | $2,983.33 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $1,822.43 | $2,429.91 | 16.3× |
| CT maxillofacial w contrast (70487) | $1,860.47 | $2,480.63 | 9.9× |
| CT maxillofacial wo contrast (70486) | $1,731.46 | $2,308.62 | 15.5× |
| CT neck tissue combo (70492) | $2,326 | $3,101.33 | 12.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,034.24 | $2,712.32 | 10.8× |
| CT orbits w/o contrast (70480) | $1,658.72 | $2,211.62 | 14.8× |
| CT pelvis w&w/o contrast (72194) | $2,311.94 | $3,082.58 | 12.3× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,621.50–$1,771.50 | $2,162–$2,362 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,226.04–$1,634.72 | $1,634.72–$2,179.62 | varies |
| CT scans face/jaw combo (70488) | $2,003.08 | $2,670.77 | 10.7× |
| CT soft tissue neck w contrast (70491) | $1,857.16 | $2,476.22 | 9.9× |
| CT soft tissue neck w/o contrast (70490) | $1,638.04 | $2,184.05 | 14.6× |
| CT thoracic spine w contrast (72129) | $2,196.28 | $2,928.38 | 11.7× |
| CT thoracic spine w/o contrast (72128) | $1,829.05 | $2,438.73 | 16.3× |
| CT thoracic spine w/wo cont (72130) | $2,690.61 | $3,587.48 | 14.3× |
| CT thorax w/o contrast (71250) | $1,812.51 | $2,416.68 | 16.2× |
| CT upper ext wo (73200) | $1,427.19 | $1,902.92 | 12.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,967.28 | $2,623.04 | 10.5× |
| CT upper extremity with contrast (73201) | $1,646.31 | $2,195.08 | 4.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,830.61 | $6,440.81 | 25.7× |
| Cta Abdomen (74175) | $2,913.08 | $3,884.11 | 15.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $6,625.76 | $8,834.34 | 17.7× |
| CTA pelvis (72191) | $2,957.89 | $3,943.85 | 15.7× |
| Dilation ureters/urethra rs&i (74485) | $145.42 | $193.89 | 0.1× |
| Echo exam uterus (76831) | $1,971.01 | $2,628.01 | 7.7× |
| Esophagram (74220) | $708.02 | $944.03 | 3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $569.84 | $759.78 | 5.1× |
| Fluoroscopy up to 1 hr (76000) | $439.90 | $586.53 | 1.7× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$232.33–$267.61 | $309.77–$356.81 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$296.95–$341.25 | $395.93–$455 | varies |
| Gastric emptying imaging study (78264) | $2,932.96 | $3,910.61 | 6.8× |
| Gated Heart Planar Single (78472) | $1,498.43 | $1,997.91 | 3.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$283.16–$377.56 | $377.55–$503.41 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,388.41 | $3,184.55 | 4.1× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,973.40–$1,973.52 | $2,631.20–$2,631.36 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,834.60 | $2,446.14 | 1.3× |
| Hysterosalpingogram (74740) | $426.69 | $568.92 | 1.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $788.15 | $1,050.87 | 8.5× |
| K Flow/Funct Image W/Drug (78708) | $1,117.40 | $1,489.86 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,033.10 | $1,377.47 | 1.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$340.74–$454.31 | $454.32–$605.75 | varies |
| Liver & Spleen Imaging Static Only (78215) | $756.76 | $1,009.02 | 1.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,638.45 | $2,184.60 | 2.8× |
| Lung perfusion differential (78597) | $1,545.55 | $2,060.73 | 3.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,995.75 | $2,661 | 3.4× |
| Lung Ventilation Imaging (78579) | $965.94 | $1,287.92 | 2.3× |
| Lymph System Imaging (78195) | $1,741.06 | $2,321.42 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $2,548.68 | $3,398.24 | 10.0× |
| Meckels Divert Exam (78290) | $812.15 | $1,082.87 | 1.9× |
| MRA head w/o contrast (70544) | $3,527.60 | $4,703.47 | 13.8× |
| MRA neck w contrast (70548) | $4,299.81 | $5,733.08 | 11.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,645.24 | $8,860.32 | 17.8× |
| MRA neck w/o contrast (70547) | $3,661.50 | $4,882 | 14.3× |
| MRI abdomen w/o contrast (74181) | $3,989.67 | $5,319.56 | 15.6× |
| MRI any jt lower extrem w/contrast material (73722) | $3,750 | $5,000 | 4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,125 | $5,500 | 11.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,681.31 | $4,908.41 | 4.4× |
| MRI cervical spine w contrast (72142) | $3,934.28 | $5,245.71 | 10.5× |
| MRI cervical spine w/o cont (72141) | $3,722.26 | $4,963.01 | 14.6× |
| MRI chest w/o contrast (71550) | $3,494.57 | $4,659.43 | 13.7× |
| MRI chest wo w contrast (71552) | $5,217.63 | $6,956.84 | 14.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,415.48 | $5,887.31 | 11.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,376.66 | $4,502.21 | 13.2× |
| MRI lumbar spine w contrast (72149) | $4,066.42 | $5,421.90 | 10.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,204.32 | $6,939.09 | 13.9× |
| MRI orbit face neck w contrast (70542) | $4,893.83 | $6,525.11 | 13.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$6,186.98–$6,281.26 | $8,249.30–$8,375.01 | varies |
| MRI pelvis w/o & w contrast (72197) | $4,568.48 | $6,091.31 | 12.2× |
| MRI pelvis w/o contrast (72195) | $3,195.87 | $4,261.16 | 12.5× |
| MRI thoracic spine w/o contrast (72146) | $3,529.39 | $4,705.85 | 13.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,898.75 | $3,865 | 11.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,093.22 | $5,457.63 | 10.9× |
| MRI, abdomen, combo (74183) | $6,042.80 | $8,057.07 | 16.2× |
| MRI, dorsal spine combo (72157) | $4,955.92 | $6,607.89 | 13.3× |
| MRI, dorsal spine contrast (72147) | $4,109.20 | $5,478.94 | 11.0× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,662.26–$3,549.68 | $3,549.68–$4,732.90 | varies |
| MRI, joint upper extrem combo (73223) | $4,480.90 | $5,974.53 | 12.0× |
| MRI, lumbar spine combo (72158) | $4,878.15 | $6,504.20 | 13.0× |
| Myocardial Spect Multiple Studies (78452) | $4,154.49 | $5,539.32 | 3.0× |
| Neck soft tissue (70360) | $189.85 | $253.13 | 2.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,538.88 | $3,385.18 | 4.4× |
| Parathyroid Planar Imaging (78070) | $1,073.36 | $1,431.14 | 2.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,096.90 | $1,462.54 | 2.6× |
| Pelvis 1 or 2 views (72170) | $377.56 | $503.41 | 3.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,138.47 | $1,517.96 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $488.10 | $650.80 | 4.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $481.90 | $642.53 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$293.40–$337.10 | $391.20–$449.47 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$200.36–$218.86 | $267.14–$291.82 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$332.50–$382.74 | $443.34–$510.32 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $476.09 | $634.79 | 4.2× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$260.12–$298.72 | $346.83–$398.29 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$313.12–$359.92 | $417.49–$479.90 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$311.48–$415.30 | $415.31–$553.74 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$294.37–$589.07 | $392.49–$785.43 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $302.87 | $403.83 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $366.14 | $488.19 | 3.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$316.68–$364.07 | $422.24–$485.43 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $268.52 | $358.02 | 2.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $537.28 | $716.37 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $137.92 | $183.89 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $232.34 | $309.79 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $664.68 | $886.24 | 7.1× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$155.59–$232.34 | $207.45–$309.79 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $314.29 | $419.05 | 2.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $376.52 | $502.03 | 4.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $234.09 | $312.12 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $389.99 | $519.99 | 3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $369.74 | $492.98 | 3.3× |
| Radiologic exam colon double contrast study (74280) | $1,201.68 | $1,602.24 | 6.4× |
| Radiologic exam colon single contrast study (74270) | $999.39 | $1,332.52 | 5.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $975.26 | $1,300.35 | 5.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$374.18–$498.91 | $498.90–$665.21 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $415.30 | $553.74 | 3.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $464.90 | $619.86 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $892.76 | $1,190.35 | 4.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,016.10 | $1,354.80 | 5.4× |
| Radiologic examination femur minimum 2 views (73552) | $415.93 | $554.57 | 4.5× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$305.73–$407.62 | $407.64–$543.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $438.82 | $585.09 | 3.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$271.50–$361.99 | $362–$482.65 | varies |
| Ribs bilateral 3 views (71110) | $425.88 | $567.84 | 3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $974.01 | $1,298.68 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,272.59 | $3,030.12 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $974.01 | $1,298.68 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,631.77 | $3,509.03 | 4.5× |
| Scapula (73010) | $386.89 | $515.85 | 3.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$261.73–$300.80 | $348.97–$401.07 | varies |
| Shoulder Arthrography (73040) | $802 | $1,069.34 | 2.1× |
| Skull less than 4 views (70250) | $295.61 | $394.15 | 2.6× |
| Sternoclavicular joints (71130) | $129.58 | $172.78 | 1.4× |
| Thoracic spine 2 views (72070) | $329.92 | $439.90 | 2.9× |
| Thoracic spine 3 views (72072) | $381.75 | $509 | 3.4× |
| Thoracolumbar 2 views (72080) | $259.16 | $345.54 | 2.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,096.05 | $1,461.40 | 2.6× |
| Thyroid Met Imaging Body (78018) | $2,476.27 | $3,301.69 | 4.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,586.50 | $2,115.34 | 3.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$655.58–$874.10 | $874.10–$1,165.46 | varies |
| Ultrasound Exam Aaa Screen (76706) | $626.63 | $835.51 | 5.6× |
| Ultrasound, abdomen limited (76705) | $1,389.98 | $1,853.30 | 12.4× |
| Upper gi w/o kub (74240) | $862.99 | $1,150.65 | 4.6× |
| Urethrocystogram voiding (74455) | $597.24 | $796.32 | 2.3× |
| Us breast unilateral complete (76641) | $1,021.68 | $1,362.24 | 9.1× |
| Us chest (76604) | $823.79 | $1,098.39 | 7.4× |
| Us complete joint (76881) | $671.89 | $895.85 | 6.0× |
| Us exam, pelvic, limited (76857) | $536.84 | $715.79 | 4.8× |
| Us head (76506) | $784.20 | $1,045.60 | 7.0× |
| Us kidney transplant (76776) | $584.73 | $779.64 | 5.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$444.63–$592.84 | $592.84–$790.46 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$625.48–$667.62 | $833.97–$890.16 | varies |
| Us ob transvaginal (76817) | $518.29 | $691.05 | 4.6× |
| Us pelvic non ob complete (76856) | $1,563.65 | $2,084.87 | 14.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,254.23 | $1,672.31 | 11.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,361.60 | $1,815.47 | 12.2× |
| Us retroperitoneal complete (76770) | $625.65 | $834.20 | 5.6× |
| Us retroperitoneal limited (76775) | $537.81 | $717.08 | 4.8× |
| Us scrotum and contents (76870) | $851.12 | $1,134.83 | 7.6× |
| Us spinal canal and contents (76800) | $756.84 | $1,009.12 | 6.8× |
| Us thyroid (76536) | $1,382.10 | $1,842.80 | 12.3× |
| Venography extremity bilateral rs&i (75822) | $1,500.76 | $2,001.02 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,364.33 | $1,819.11 | 0.8× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$202.28–$232.34 | $269.70–$309.79 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $332.95 | $443.93 | 3.6× |
| X-ray antegrade pyelogram tube (74425) | $433.33 | $577.77 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $4,555.56 | $6,074.08 | 1.3× |
| X-Ray Bend Only L-S Spine (72120) | $379.63 | $506.17 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$313.75–$360.96 | $418.33–$481.28 | varies |
| X-Ray Exam Breast Specimen (76098) | $199.35 | $265.80 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $110.80 | $147.73 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $201.31 | $268.41 | 1.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $208.08 | $277.44 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $623.37 | $831.16 | 6.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $761.33 | $1,015.11 | 8.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $942.84 | $1,257.12 | 8.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $387.93 | $517.24 | 3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $376.93 | $502.57 | 3.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $507.20 | $676.27 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $610.92 | $814.56 | 5.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $302.24 | $402.98 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $538.66 | $718.21 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $493.48 | $657.98 | 4.4× |
| X-ray eye for foreign body (70030) | $92.61 | $123.48 | 1.0× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$266.26–$305.98 | $355.02–$407.98 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,281.29–$1,385.86 | $1,708.39–$1,847.81 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $393.25 | $524.33 | 4.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $295.61 | $394.15 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $404.58 | $539.44 | 4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $930.39 | $1,240.52 | 8.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $237.18 | $316.24 | 2.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $392.08 | $522.77 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $397.26 | $529.68 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $479.20 | $638.94 | 5.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $436.67 | $582.23 | 3.9× |
| X-ray thoracic spine 4 vw (72074) | $433.57 | $578.09 | 3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $673.69 | $898.25 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $769.64 | $1,026.18 | 6.9× |
| Xr c-spine 4 or 5 views (72050) | $476.02 | $634.69 | 4.2× |
| Xr orbits complete 4 views (70200) | $395.19 | $526.92 | 3.5× |
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.