Imaging prices at Mercy Hospital Carthage
Carthage, MO · every code in this section with a posted price and a Medicare benchmark.
237 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) | $158.60 | $244 | 1.8× |
| Abdomen 2 views (74019) | $174.85 | $269 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,168.70–$1,509.30 | $1,798–$2,322 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$200.20–$352.95 | $308–$543 | varies |
| Arthrogram hip (73525) | $700.05 | $1,077 | 2.0× |
| Arthrogram Wrist (73115) | $657.80 | $1,012 | 1.9× |
| Bone age studies (77072) | $157.30 | $242 | 1.5× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,295.45–$1,528.80 | $1,993–$2,352 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$750.10–$983.45 | $1,154–$1,513 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,337.70–$1,357.85 | $2,058–$2,089 | varies |
| Bone survey infant (77076) | $163.80 | $252 | 1.6× |
| Chest 1 view (71045) | $138.45 | $213 | 1.6× |
| Chest 2 views (71046) | $184.60 | $284 | 2.1× |
| Chest 3 views (71047) | $291.20 | $448 | 3.3× |
| Chest 4 or more views (71048) | $309.40 | $476 | 3.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$243.75–$365.30 | $375–$562 | varies |
| Contrast X-Ray Bladder (74430) | $569.40 | $876 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,674.10 | $4,114 | 7.7× |
| CT abdomen and pelvis without contrast (74176) | $1,925.95 | $2,963 | 8.1× |
| CT abdomen w contrast (74160) | $1,781.65 | $2,741 | 10.1× |
| CT abdomen w wo contrast (74170) | $2,009.80 | $3,092 | 11.4× |
| CT abdomen w/o contrast (74150) | $1,552.85 | $2,389 | 14.8× |
| CT Angio Abdomen and Pelvis (74174) | $4,096.30 | $6,302 | 11.7× |
| CT Angio Chest (71275) | $2,057.90 | $3,166 | 11.7× |
| CT Angio Head (70496) | $1,359.80 | $2,092 | 7.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,876.55–$2,634.45 | $2,887–$4,053 | varies |
| CT Angio Neck (70498) | $2,180.10 | $3,354 | 12.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,642.55–$1,834.95 | $2,527–$2,823 | varies |
| CT cervical spine w/ contrast (72126) | $1,641.25 | $2,525 | 4.7× |
| CT cervical spine w/o contrast (72125) | $1,326.65 | $2,041 | 12.7× |
| CT cervical spine w/wo cont (72127) | $2,254.85 | $3,469 | 12.8× |
| CT chest w contrast (71260) | $1,250.60 | $1,924 | 7.1× |
| CT chest w/wo contrast (71270) | $1,846.65 | $2,841 | 10.5× |
| CT head/brain with contrast (70460) | $1,437.80 | $2,212 | 8.2× |
| CT head/brain without and with contrast (70470) | $1,464.45 | $2,253 | 8.3× |
| CT iac w contrast (70481) | $1,540.50 | $2,370 | 8.8× |
| CT l-spine w&w/o contrast (72133) | $2,141.10 | $3,294 | 12.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$880.10–$1,652.30 | $1,354–$2,542 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,758.90–$2,543.45 | $2,706–$3,913 | varies |
| CT lumbar spine w contrast (72132) | $1,572.35 | $2,419 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,086.15 | $1,671 | 10.4× |
| CT maxillofacial w contrast (70487) | $1,191.45 | $1,833 | 6.8× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$646.75–$1,284.40 | $995–$1,976 | varies |
| CT neck tissue combo (70492) | $2,059.85 | $3,169 | 11.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,855.10 | $2,854 | 10.6× |
| CT orbits w/o contrast (70480) | $1,428.05 | $2,197 | 13.6× |
| CT pelvis w&w/o contrast (72194) | $1,964.95 | $3,023 | 11.2× |
| CT pelvis w/o contrast (72192) | $1,769.30 | $2,722 | 16.9× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,568.45–$1,732.90 | $2,413–$2,666 | varies |
| CT scans face/jaw combo (70488) | $1,475.50 | $2,270 | 8.4× |
| CT soft tissue neck w contrast (70491) | $2,007.85 | $3,089 | 11.4× |
| CT soft tissue neck w/o contrast (70490) | $1,389.70 | $2,138 | 13.3× |
| CT thoracic spine w contrast (72129) | $1,602.90 | $2,466 | 9.1× |
| CT thoracic spine w/o contrast (72128) | $1,326.65 | $2,041 | 12.7× |
| CT thoracic spine w/wo cont (72130) | $2,174.90 | $3,346 | 12.4× |
| CT thorax w/o contrast (71250) | $1,263.60 | $1,944 | 12.1× |
| CT upper ext wo (73200) | $1,291.55 | $1,987 | 12.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,688.70 | $2,598 | 9.6× |
| CT upper extremity with contrast (73201) | $1,448.20 | $2,228 | 4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,494.70 | $3,838 | 14.2× |
| Cta Abdomen (74175) | $1,948.70 | $2,998 | 11.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,819.70 | $4,338 | 8.1× |
| CTA pelvis (72191) | $2,039.05 | $3,137 | 11.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $319.15 | $491 | 3.0× |
| Dxa Bone Density Axial (77080) | $255.45 | $393 | 2.4× |
| Dxa bone density study (77085) | $377.65 | $581 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $181.35 | $279 | 2.1× |
| Esophagram (74220) | $365.30 | $562 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $451.75 | $695 | 4.3× |
| Fluoroscopy up to 1 hr (76000) | $312 | $480 | 1.3× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$221–$331.50 | $340–$510 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$201.50–$360.75 | $310–$555 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$912.60–$1,129.70 | $1,404–$1,738 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,447.55–$1,795.30 | $2,227–$2,762 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$161.85–$318.50 | $249–$490 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,273.35–$1,894.69 | $1,959–$2,914.91 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,316.90–$1,538.55 | $2,026–$2,367 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,157.35 | $3,319 | 1.7× |
| Hysterosalpingogram (74740) | $595.40 | $916 | 2.5× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,604.85–$2,484.20 | $2,469–$3,821.85 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$270.40–$405.60 | $416–$624 | varies |
| Liver & Spleen Imaging Static Only (78215) | $945.10 | $1,454 | 2.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $949 | $1,460 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,313.65 | $2,021 | 2.4× |
| Lymph System Imaging (78195) | $1,275.95 | $1,963 | 2.3× |
| Magnetic Image Jaw Joint (70336) | $1,970.15 | $3,031 | 8.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,477.80 | $3,812 | 7.1× |
| MRA head w/o contrast (70544) | $1,454.05 | $2,237 | 6.1× |
| MRA head with contrast (70545) | $2,209.35 | $3,399 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,152.80 | $3,312 | 6.2× |
| MRA neck w/o contrast (70547) | $1,590.55 | $2,447 | 6.7× |
| MRI abdomen w contrast (74182) | $2,174.90 | $3,346 | 6.2× |
| MRI abdomen w/o contrast (74181) | $1,177.15 | $1,811 | 4.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,267.20 | $3,488 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,486.90 | $3,826 | 7.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,214.55 | $3,407 | 2.8× |
| MRI cervical spine w contrast (72142) | $2,408.90 | $3,706 | 6.9× |
| MRI cervical spine w/o cont (72141) | $1,794 | $2,760 | 7.5× |
| MRI chest w/o contrast (71550) | $1,634.10 | $2,514 | 6.8× |
| MRI chest wo w contrast (71552) | $2,906.15 | $4,471 | 8.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,219.75 | $3,415 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,308.80–$3,317.60 | $3,552–$5,104 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,310.75–$3,443.05 | $3,555–$5,297 | varies |
| MRI lumbar spine w contrast (72149) | $2,541.50 | $3,910 | 7.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,547.35 | $3,919 | 7.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,758.90 | $2,706 | 7.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,546.70–$3,069.95 | $3,918–$4,723 | varies |
| MRI pelvis w contrast (72196) | $2,239.25 | $3,445 | 6.4× |
| MRI pelvis w/o & w contrast (72197) | $3,100.50 | $4,770 | 8.9× |
| MRI pelvis w/o contrast (72195) | $1,929.85 | $2,969 | 8.1× |
| MRI thoracic spine w/o contrast (72146) | $1,794 | $2,760 | 7.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,687.40 | $2,596 | 7.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,252.25 | $3,465 | 6.4× |
| MRI, abdomen, combo (74183) | $2,225.60 | $3,424 | 6.4× |
| MRI, dorsal spine combo (72157) | $2,583.10 | $3,974 | 7.4× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,443–$2,117.70 | $2,220–$3,258 | varies |
| MRI, joint upper extrem combo (73223) | $2,364.70 | $3,638 | 6.8× |
| MRI, lumbar spine combo (72158) | $3,112.20 | $4,788 | 8.9× |
| Myelogram cervical (72240) | $1,127.75 | $1,735 | 1.4× |
| Myelogram Lumbar (72265) | $1,071.20 | $1,648 | 1.4× |
| Myelography thoracic (72255) | $1,071.20 | $1,648 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,376.05 | $2,117 | 1.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,054.65–$3,382.92 | $3,161–$5,204.50 | varies |
| Neck soft tissue (70360) | $185.25 | $285 | 2.1× |
| Ob us nuchal meas 1 gest (76813) | $413.40 | $636 | 3.9× |
| Parathyroid Planar Imaging (78070) | $815.75 | $1,255 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$926.90–$1,153.10 | $1,426–$1,774 | varies |
| Pelvis 1 or 2 views (72170) | $165.75 | $255 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$920.40–$1,336.40 | $1,416–$2,056 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $476.45 | $733 | 4.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$252.20–$378.30 | $388–$582 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$204.10–$332.15 | $314–$511 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$252.20–$378.95 | $388–$583 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $297.70 | $458 | 2.8× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$192.40–$313.95 | $296–$483 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$243.75–$365.30 | $375–$562 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$233.35–$350.35 | $359–$539 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$135.20–$245.05 | $208–$377 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $235.30 | $362 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $267.15 | $411 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $194.35 | $299 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$208–$312 | $320–$480 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $195.65 | $301 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $183.30 | $282 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $232.05 | $357 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $281.45 | $433 | 3.2× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$231.40–$347.75 | $356–$535 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$156–$220.35 | $240–$339 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$239.85–$359.45 | $369–$553 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $507 | $780 | 4.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $350.35 | $539 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $338 | $520 | 3.2× |
| Radiologic exam colon double contrast study (74280) | $882.70 | $1,358 | 5.0× |
| Radiologic exam colon single contrast study (74270) | $622.05 | $957 | 3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $691.60 | $1,064 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$349.05–$583.70 | $537–$898 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $307.45 | $473 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $545.35 | $839 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $286.65 | $441 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $592.15 | $911 | 3.4× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$188.50–$209.30 | $290–$322 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$307.45–$461.50 | $473–$710 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$264.55–$397.15 | $407–$611 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$239.85–$359.45 | $369–$553 | varies |
| Ribs bilateral 3 views (71110) | $317.20 | $488 | 3.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,287.65–$1,307.80 | $1,981–$2,012 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$252.85–$281.45 | $389–$433 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $66.30 | $102 | 2.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$115.05–$382.20 | $177–$588 | varies |
| Shoulder Arthrography (73040) | $908.05 | $1,397 | 2.6× |
| Skull less than 4 views (70250) | $277.55 | $427 | 2.7× |
| Sternoclavicular joints (71130) | $260.65 | $401 | 3.0× |
| Thoracic spine 2 views (72070) | $140.40 | $216 | 1.3× |
| Thoracic spine 3 views (72072) | $249.60 | $384 | 2.4× |
| Thoracolumbar 2 views (72080) | $166.40 | $256 | 1.9× |
| Thyroid Imaging With Vascular Flow (78013) | $670.80 | $1,032 | 1.7× |
| Thyroid Uptake Measurement (78012) | $459.55 | $707 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,017.25 | $1,565 | 2.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$305.50–$458.25 | $470–$705 | varies |
| Ultrasound Exam Aaa Screen (76706) | $401.70 | $618 | 3.8× |
| Ultrasound, abdomen limited (76705) | $450.45 | $693 | 4.3× |
| Umbilical-artery Doppler (OB) (76820) | $312.65 | $481 | 3.0× |
| Upper gi w/o kub (74240) | $384.80 | $592 | 2.2× |
| Urethrocystogram voiding (74455) | $601.25 | $925 | 2.5× |
| Us breast unilateral complete (76641) | $139.75 | $215 | 1.3× |
| Us chest (76604) | $382.20 | $588 | 3.7× |
| Us complete joint (76881) range across 3 matching MRF lines |
$370.50–$572 | $570–$880 | varies |
| Us exam, pelvic, limited (76857) | $359.45 | $553 | 3.4× |
| Us head (76506) | $314.60 | $484 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$322.40–$484.25 | $496–$745 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$755.30–$803.40 | $1,162–$1,236 | varies |
| Us ob limited 1 or more fetuses (76815) | $265.85 | $409 | 2.5× |
| Us ob transvaginal (76817) | $397.15 | $611 | 3.8× |
| Us pelvic non ob complete (76856) | $424.45 | $653 | 4.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $446.55 | $687 | 4.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $256.10 | $394 | 2.4× |
| Us retroperitoneal complete (76770) | $443.30 | $682 | 4.2× |
| Us retroperitoneal limited (76775) | $424.45 | $653 | 4.1× |
| Us scrotum and contents (76870) | $481 | $740 | 4.6× |
| Us thyroid (76536) | $475.80 | $732 | 4.5× |
| Us transrectal (76872) | $525.85 | $809 | 5.0× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$186.55–$347.75 | $287–$535 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $230.10 | $354 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) | $299 | $460 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$183.95–$331.50 | $283–$510 | varies |
| X-Ray Exam Breast Specimen (76098) | $332.80 | $512 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $241.15 | $371 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $319.80 | $492 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $447.85 | $689 | 4.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $149.50 | $230 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $213.85 | $329 | 2.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $306.80 | $472 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $276.90 | $426 | 2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $435.50 | $670 | 4.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $452.40 | $696 | 4.3× |
| X-Ray Exam L-S Spine Bending (72114) | $447.20 | $688 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $274.95 | $423 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $427.05 | $657 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $274.95 | $423 | 2.6× |
| X-ray eye for foreign body (70030) | $317.85 | $489 | 3.6× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$256.10–$384.15 | $394–$591 | varies |
| X-ray IV pyelogram (ivp) (74400) | $854.75 | $1,315 | 4.9× |
| X-ray IV pyelogram+tomography (74415) | $697.45 | $1,073 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $248.30 | $382 | 2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $191.75 | $295 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $249.60 | $384 | 2.4× |
| X-ray nose-rectum child f.b. (76010) | $155.35 | $239 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $545.35 | $839 | 5.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $272.35 | $419 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $272.35 | $419 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $397.80 | $612 | 4.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $337.35 | $519 | 3.2× |
| X-ray thoracic spine 4 vw (72074) | $296.40 | $456 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $540.80 | $832 | 5.2× |
| Xr c-spine 4 or 5 views (72050) | $410.80 | $632 | 3.9× |
| Xr facial bones less than 3 views (70140) | $221 | $340 | 2.5× |
| Xr orbits complete 4 views (70200) | $326.30 | $502 | 3.1× |
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.