Imaging prices at Mercy Hospital Berryville
Berryville, AR · every code in this section with a posted price and a Medicare benchmark.
261 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) | $191.10 | $294 | 2.4× |
| Abdomen 2 views (74019) | $270.40 | $416 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $692.25 | $1,065 | 1.9× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$174.20–$343.20 | $268–$528 | varies |
| Arthrogram hip (73525) | $584.35 | $899 | 1.8× |
| Bone age studies (77072) | $212.55 | $327 | 2.2× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,240.20–$1,381.25 | $1,908–$2,125 | varies |
| Bone Imaging Limited Area (78300) | $725.40 | $1,116 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $910.65 | $1,401 | 2.5× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,173.90–$5,203.59 | $1,806–$8,005.52 | varies |
| Bone marrow imaging limited area (78102) | $594.75 | $915 | 1.6× |
| Bone survey infant (77076) | $364 | $560 | 3.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,097.85 | $1,689 | 2.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $767 | $1,180 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $518.70 | $798 | 6.5× |
| Cerebrospinal Fluid Scan (78630) | $1,264.25 | $1,945 | 2.6× |
| Chest 1 view (71045) | $157.30 | $242 | 2.0× |
| Chest 2 views (71046) | $197.60 | $304 | 2.5× |
| Chest 3 views (71047) | $237.25 | $365 | 3.0× |
| Chest 4 or more views (71048) | $296.40 | $456 | 3.1× |
| Cholecystography Oral Contrast (74290) | $254.15 | $391 | 1.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$224.90–$388.70 | $346–$598 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $402.35 | $619 | 4.2× |
| Contrast X-Ray Bladder (74430) | $542.10 | $834 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $617.50 | $950 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $3,602.30 | $5,542 | 11.3× |
| CT abdomen and pelvis without contrast (74176) | $2,493.40 | $3,836 | 11.5× |
| CT abdomen w contrast (74160) | $1,804.40 | $2,776 | 11.3× |
| CT abdomen w wo contrast (74170) | $2,193.75 | $3,375 | 13.7× |
| CT abdomen w/o contrast (74150) | $1,389.05 | $2,137 | 14.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,009.50 | $4,630 | 9.5× |
| CT Angio Chest (71275) | $2,170.35 | $3,339 | 13.6× |
| CT Angio Head (70496) | $1,856.40 | $2,856 | 11.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,749.80–$1,751.75 | $2,692–$2,695 | varies |
| CT Angio Neck (70498) | $1,856.40 | $2,856 | 11.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,031.25–$2,033.20 | $3,125–$3,128 | varies |
| CT bone density (77078) | $310.70 | $478 | 3.9× |
| CT cervical spine w/ contrast (72126) | $1,903.85 | $2,929 | 6.0× |
| CT cervical spine w/o contrast (72125) | $1,498.90 | $2,306 | 15.7× |
| CT cervical spine w/wo cont (72127) | $2,057.25 | $3,165 | 12.9× |
| CT chest w contrast (71260) | $1,755 | $2,700 | 11.0× |
| CT chest w/wo contrast (71270) | $2,017.60 | $3,104 | 12.6× |
| CT head/brain with contrast (70460) | $1,558.05 | $2,397 | 9.8× |
| CT head/brain without and with contrast (70470) | $1,771.90 | $2,726 | 11.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $32.50 | $50 | 0.4× |
| CT iac w contrast (70481) | $1,525.55 | $2,347 | 9.6× |
| CT l-spine w&w/o contrast (72133) | $2,057.25 | $3,165 | 12.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,192.75–$2,163.20 | $1,835–$3,328 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,474.20–$2,453.10 | $2,268–$3,774 | varies |
| CT lumbar spine w contrast (72132) | $1,788.15 | $2,751 | 5.6× |
| CT lumbar spine w/o contrast (72131) | $1,530.75 | $2,355 | 16.1× |
| CT maxillofacial w contrast (70487) | $1,567.80 | $2,412 | 9.8× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,131.65–$1,318.20 | $1,741–$2,028 | varies |
| CT neck tissue combo (70492) | $1,859.65 | $2,861 | 11.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,897.35 | $2,919 | 11.9× |
| CT orbits w/o contrast (70480) | $1,360.45 | $2,093 | 14.3× |
| CT pelvis w&w/o contrast (72194) | $2,163.20 | $3,328 | 13.5× |
| CT pelvis w/o contrast (72192) | $1,454.05 | $2,237 | 15.3× |
| CT scan of leg combo (73702) | $1,617.85 | $2,489 | 10.1× |
| CT scans face/jaw combo (70488) | $1,840.15 | $2,831 | 11.5× |
| CT soft tissue neck w contrast (70491) | $1,652.30 | $2,542 | 10.3× |
| CT soft tissue neck w/o contrast (70490) | $1,366.30 | $2,102 | 14.4× |
| CT thoracic spine w contrast (72129) | $1,821.95 | $2,803 | 11.4× |
| CT thoracic spine w/o contrast (72128) | $1,558.05 | $2,397 | 16.4× |
| CT thoracic spine w/wo cont (72130) | $1,937 | $2,980 | 12.1× |
| CT thorax w/o contrast (71250) | $1,461.85 | $2,249 | 15.4× |
| CT upper ext wo (73200) | $1,177.80 | $1,812 | 12.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,674.40 | $2,576 | 10.5× |
| CT upper extremity with contrast (73201) | $1,321.45 | $2,033 | 4.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,424.50 | $3,730 | 15.2× |
| Cta Abdomen (74175) | $1,937 | $2,980 | 12.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,856.40 | $2,856 | 5.8× |
| CTA pelvis (72191) | $2,087.80 | $3,212 | 13.1× |
| Dxa Bone Density Axial (77080) | $327.60 | $504 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $229.45 | $353 | 2.9× |
| Echo exam uterus (76831) | $399.75 | $615 | 1.8× |
| Esophagram (74220) | $392.60 | $604 | 2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $428.35 | $659 | 4.5× |
| Fluoroscopy up to 1 hr (76000) | $421.20 | $648 | 1.9× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$204.75–$352.95 | $315–$543 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$208–$398.45 | $320–$613 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$982.80–$1,209 | $1,512–$1,860 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,255.80 | $1,932 | 3.5× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$161.85–$858 | $249–$1,320 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$159.90–$342.55 | $246–$527 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,300.65–$1,590.67 | $2,001–$2,447.19 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,235–$1,607.62 | $1,900–$2,473.26 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,383.20 | $2,128 | 1.2× |
| Hysterosalpingogram (74740) | $547.30 | $842 | 2.5× |
| Infusion Ivp (74410) | $549.90 | $846 | 3.4× |
| K Flow/Funct Image Multiple (78709) | $1,264.25 | $1,945 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $1,154.40 | $1,776 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,132.95 | $1,743 | 2.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$257.40–$436.80 | $396–$672 | varies |
| Liver & Spleen Imaging Static Only (78215) | $841.10 | $1,294 | 2.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,252.55 | $1,927 | 2.5× |
| Lung perfusion differential (78597) | $1,228.50 | $1,890 | 3.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,298.05 | $1,997 | 2.6× |
| Lung Ventilation Imaging (78579) | $722.15 | $1,111 | 2.0× |
| Meckels Divert Exam (78290) | $960.70 | $1,478 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,456.35 | $3,779 | 7.7× |
| MRA head w/o contrast (70544) | $1,587.30 | $2,442 | 7.3× |
| MRA head with contrast (70545) | $2,090.40 | $3,216 | 6.6× |
| MRA neck w contrast (70548) | $1,926.60 | $2,964 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,533.70 | $3,898 | 8.0× |
| MRI abdomen w contrast (74182) | $2,195.70 | $3,378 | 6.9× |
| MRI abdomen w/o contrast (74181) | $1,602.90 | $2,466 | 7.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,106 | $3,240 | 3.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,443.35–$4,697.55 | $3,759–$7,227 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,210.65 | $3,401 | 3.1× |
| MRI cervical spine w contrast (72142) | $2,147.60 | $3,304 | 6.8× |
| MRI cervical spine w/o cont (72141) | $1,847.30 | $2,842 | 8.5× |
| MRI chest w/o contrast (71550) | $1,725.75 | $2,655 | 7.9× |
| MRI chest with contrast (71551) | $2,125.50 | $3,270 | 3.0× |
| MRI chest wo w contrast (71552) | $2,512.25 | $3,865 | 7.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,955.85 | $3,009 | 6.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,408.90–$3,993.60 | $3,706–$6,144 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,738.10 | $2,674 | 8.0× |
| MRI lumbar spine w contrast (72149) | $2,145.65 | $3,301 | 6.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,301.65 | $3,541 | 7.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,930.50 | $2,970 | 8.9× |
| MRI orbit face neck w contrast (70542) | $2,123.55 | $3,267 | 6.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,396.55–$2,622.75 | $3,687–$4,035 | varies |
| MRI pelvis w contrast (72196) | $2,114.45 | $3,253 | 6.7× |
| MRI pelvis w/o & w contrast (72197) | $2,400.45 | $3,693 | 7.6× |
| MRI pelvis w/o contrast (72195) | $1,732.25 | $2,665 | 8.0× |
| MRI thoracic spine w/o contrast (72146) | $1,841.45 | $2,833 | 8.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,087.15 | $3,211 | 6.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,731.60 | $2,664 | 8.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,198.95 | $3,383 | 6.9× |
| MRI, abdomen, combo (74183) | $2,670.85 | $4,109 | 8.4× |
| MRI, dorsal spine combo (72157) | $2,301.65 | $3,541 | 7.2× |
| MRI, dorsal spine contrast (72147) | $2,139.80 | $3,292 | 6.7× |
| MRI, joint upper extrem (73221) | $1,903.85 | $2,929 | 8.8× |
| MRI, joint upper extrem combo (73223) | $2,574.65 | $3,961 | 8.1× |
| MRI, lumbar spine combo (72158) | $2,301.65 | $3,541 | 7.2× |
| Myelogram cervical (72240) | $1,164.80 | $1,792 | 1.6× |
| Myelogram Lumbar (72265) | $1,164.80 | $1,792 | 1.6× |
| Myelography thoracic (72255) | $1,164.80 | $1,792 | 1.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,468.35 | $2,259 | 2.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,383.20 | $2,128 | 1.2× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$279.50–$4,367.67 | $430–$6,719.50 | varies |
| Neck soft tissue (70360) | $212.55 | $327 | 2.7× |
| Parathyroid Planar Imaging (78070) | $692.90 | $1,066 | 1.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,301.95 | $2,003 | 3.6× |
| Pelvis 1 or 2 views (72170) | $198.25 | $305 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$724.10–$1,098.50 | $1,114–$1,690 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $343.85 | $529 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $401.70 | $618 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$267.15–$512.20 | $411–$788 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$174.20–$331.50 | $268–$510 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$271.70–$458.25 | $418–$705 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $289.25 | $445 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$191.10–$367.25 | $294–$565 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$257.40–$436.15 | $396–$671 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$242.45–$410.15 | $373–$631 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$185.90–$187.85 | $286–$289 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $241.15 | $371 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $219.70 | $338 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$245.05–$415.35 | $377–$639 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $173.55 | $267 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $166.40 | $256 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $239.20 | $368 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $299 | $460 | 3.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$184.60–$312.65 | $284–$481 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$151.45–$171.60 | $233–$264 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$235.95–$397.80 | $363–$612 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $650.65 | $1,001 | 6.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $334.75 | $515 | 3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $341.90 | $526 | 3.6× |
| Radiologic exam colon double contrast study (74280) | $743.60 | $1,144 | 4.7× |
| Radiologic exam colon single contrast study (74270) | $603.85 | $929 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$329.55–$561.60 | $507–$864 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $295.75 | $455 | 3.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $618.80 | $952 | 3.9× |
| Radiologic exam swallow function contrast study (74230) | $398.45 | $613 | 2.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $597.35 | $919 | 3.7× |
| Radiologic examination femur 1 view (73551) | $202.15 | $311 | 2.6× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$237.90–$404.30 | $366–$622 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$195.65–$331.50 | $301–$510 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $362.70 | $558 | 3.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$224.25–$380.25 | $345–$585 | varies |
| Ribs bilateral 3 views (71110) | $364 | $560 | 3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $787.80 | $1,212 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,955.20 | $3,008 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,251.25 | $1,925 | 2.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,654.90 | $2,546 | 3.3× |
| Scapula (73010) range across 3 matching MRF lines |
$263.25–$442 | $405–$680 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $62.40 | $96 | 2.7× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$176.15–$307.45 | $271–$473 | varies |
| Shoulder Arthrography (73040) | $703.30 | $1,082 | 2.2× |
| Skull less than 4 views (70250) | $219.70 | $338 | 2.3× |
| Sternoclavicular joints (71130) | $236.60 | $364 | 3.0× |
| Testicular Imaging W/Flow (78761) | $663.65 | $1,021 | 1.8× |
| Thoracic spine 2 views (72070) | $243.75 | $375 | 2.6× |
| Thoracic spine 3 views (72072) | $307.45 | $473 | 3.2× |
| Thoracolumbar 2 views (72080) | $246.35 | $379 | 3.1× |
| Thyroid Imaging With Vascular Flow (78013) | $536.25 | $825 | 1.5× |
| Ultrasound Breast Limited (76642) | $265.85 | $409 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $330.20 | $508 | 3.5× |
| Ultrasound, abdomen limited (76705) | $457.60 | $704 | 4.8× |
| Upper gi w/o kub (74240) | $593.45 | $913 | 3.7× |
| Ureteral Reflux Study (78740) | $692.90 | $1,066 | 1.9× |
| Urethrocystogram voiding (74455) | $615.55 | $947 | 2.8× |
| Urethrocystography retrograde (74450) | $564.20 | $868 | 2.6× |
| Us chest (76604) | $419.90 | $646 | 4.4× |
| Us complete joint (76881) range across 3 matching MRF lines |
$466.70–$651.30 | $718–$1,002 | varies |
| Us exam, pelvic, limited (76857) | $421.20 | $648 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$334.75–$592.80 | $515–$912 | varies |
| Us ob limited 1 or more fetuses (76815) | $332.80 | $512 | 3.5× |
| Us ob transvaginal (76817) | $410.80 | $632 | 4.3× |
| Us pelvic non ob complete (76856) | $600.60 | $924 | 6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $486.85 | $749 | 5.1× |
| Us retroperitoneal complete (76770) | $627.90 | $966 | 6.6× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$130–$447.85 | $200–$689 | varies |
| Us scrotum and contents (76870) | $538.20 | $828 | 5.7× |
| Us thyroid (76536) | $522.60 | $804 | 5.5× |
| Us transrectal (76872) | $462.15 | $711 | 4.9× |
| Vascular Flow Imaging (78445) | $628.55 | $967 | 1.7× |
| Venography extremity bilateral rs&i (75822) | $1,544.40 | $2,376 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,029.60 | $1,584 | 0.7× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$176.80–$326.95 | $272–$503 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $227.50 | $350 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $342.55 | $527 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$185.25–$370.50 | $285–$570 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$356.20–$420.55 | $548–$647 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $258.05 | $397 | 3.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $362.70 | $558 | 3.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $537.55 | $827 | 5.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $167.05 | $257 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $222.30 | $342 | 2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $279.50 | $430 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $302.90 | $466 | 3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $386.75 | $595 | 4.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $498.55 | $767 | 5.2× |
| X-Ray Exam L-S Spine Bending (72114) | $498.55 | $767 | 5.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $286 | $440 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $453.05 | $697 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $257.40 | $396 | 2.7× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$134.55–$231.40 | $207–$356 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$234–$445.25 | $360–$685 | varies |
| X-ray IV pyelogram+tomography (74415) | $885.95 | $1,363 | 5.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $235.30 | $362 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $204.75 | $315 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $267.15 | $411 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $226.20 | $348 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $386.10 | $594 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $254.80 | $392 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $238.55 | $367 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $244.40 | $376 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $337.35 | $519 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $371.80 | $572 | 3.9× |
| X-ray thoracic spine 4 vw (72074) | $336.70 | $518 | 3.5× |
| X-Ray Tmj Unilat (70328) | $180.05 | $277 | 2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $658.45 | $1,013 | 2.1× |
| X-Rays Bone Length Studies (77073) | $258.70 | $398 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $685.10 | $1,054 | 7.2× |
| Xr c-spine 4 or 5 views (72050) | $382.85 | $589 | 4.0× |
| Xr facial bones less than 3 views (70140) | $196.30 | $302 | 2.5× |
| Xr orbits complete 4 views (70200) | $265.85 | $409 | 2.8× |
| Xr Tomogram Single Plane (76100) | $491.40 | $756 | 5.2× |
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.