Imaging prices at Mercy Hospital Healdton, Inc.
Healdton, OK · every code in this section with a posted price and a Medicare benchmark.
277 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) | $3,913 | $6,020 | 2.9× |
| Abdomen 1 View (74018) | $214.50 | $330 | 2.6× |
| Abdomen 2 views (74019) | $284.70 | $438 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,028.95 | $1,583 | 2.7× |
| Angio internal mammary (75756) | $1,815.45 | $2,793 | 0.6× |
| Angio pulmonary bilat (75743) | $2,787.85 | $4,289 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,236.35 | $4,979 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $2,171.65 | $3,341 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,171.65 | $3,341 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,699.75 | $2,615 | 0.6× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$188.50–$380.90 | $290–$586 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,121.95 | $4,803 | 0.6× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,378.35 | $3,659 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,378.35 | $3,659 | 0.4× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$659.10–$956.80 | $1,014–$1,472 | varies |
| Basic radiation dosimetry calculation (77300) | $401.70 | $618 | 3.1× |
| Bone age studies (77072) | $154.05 | $237 | 1.5× |
| Bone Imaging 3 Phase (78315) | $1,642.55 | $2,527 | 4.3× |
| Bone Imaging Limited Area (78300) | $941.85 | $1,449 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,642.55 | $2,527 | 4.3× |
| Bone survey infant (77076) | $318.50 | $490 | 3.2× |
| Brain Flow Imaging Only (78610) | $785.20 | $1,208 | 1.5× |
| Brain Image W/Flow < 4 Views (78601) | $946.40 | $1,456 | 2.5× |
| Cat Scan Follow-Up Study (76380) | $741.65 | $1,141 | 8.9× |
| Cerebrospinal Fluid Scan (78630) | $1,409.85 | $2,169 | 2.7× |
| Chest 1 view (71045) | $171.60 | $264 | 2.1× |
| Chest 2 views (71046) | $233.35 | $359 | 2.8× |
| Chest 3 views (71047) | $306.15 | $471 | 3.7× |
| Chest 4 or more views (71048) | $359.45 | $553 | 3.6× |
| Cholecystography Oral Contrast (74290) | $316.55 | $487 | 1.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$245.05–$376.35 | $377–$579 | varies |
| Continuing medical physics consltj pr wk (77336) | $507.65 | $781 | 3.9× |
| Contrast Exam Abdominl Aorta (75625) | $2,958.15 | $4,551 | 1.0× |
| Contrast X-Ray Bladder (74430) | $514.80 | $792 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$518.05–$858.65 | $797–$1,321 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,328 | $5,120 | 9.9× |
| CT abdomen and pelvis without contrast (74176) | $2,300.35 | $3,539 | 10.0× |
| CT abdomen w contrast (74160) | $2,128.75 | $3,275 | 12.6× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,899.95–$2,495.35 | $2,923–$3,839 | varies |
| CT abdomen w/o contrast (74150) | $1,763.45 | $2,713 | 17.5× |
| CT Angio Abdomen and Pelvis (74174) | $3,777.80 | $5,812 | 11.3× |
| CT Angio Chest (71275) | $2,191.80 | $3,372 | 13.0× |
| CT Angio Head (70496) | $2,146.95 | $3,303 | 12.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,060.50–$3,090.75 | $3,170–$4,755 | varies |
| CT Angio Neck (70498) | $2,252.90 | $3,466 | 13.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,374.75 | $2,115 | 8.1× |
| CT bone density (77078) | $384.80 | $592 | 4.6× |
| CT cervical spine w/ contrast (72126) | $1,978.60 | $3,044 | 5.9× |
| CT cervical spine w/o contrast (72125) | $1,873.95 | $2,883 | 18.6× |
| CT cervical spine w/wo cont (72127) | $2,687.75 | $4,135 | 15.9× |
| CT chest w contrast (71260) | $2,063.10 | $3,174 | 12.2× |
| CT chest w/wo contrast (71270) | $2,193.10 | $3,374 | 13.0× |
| CT head/brain with contrast (70460) | $1,822.60 | $2,804 | 10.8× |
| CT head/brain without and with contrast (70470) | $2,133.30 | $3,282 | 12.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $219.70 | $338 | 2.6× |
| CT iac w contrast (70481) | $1,432.60 | $2,204 | 8.5× |
| CT l-spine w&w/o contrast (72133) | $2,533.05 | $3,897 | 15.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,678.30–$2,632.50 | $2,582–$4,050 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,801.80–$2,507.05 | $2,772–$3,857 | varies |
| CT lumbar spine w contrast (72132) | $2,406.95 | $3,703 | 7.2× |
| CT lumbar spine w/o contrast (72131) | $1,963 | $3,020 | 19.5× |
| CT maxillofacial w contrast (70487) | $1,844.70 | $2,838 | 10.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,242.80–$1,301.95 | $1,912–$2,003 | varies |
| CT neck tissue combo (70492) | $2,160.60 | $3,324 | 12.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,606.80 | $2,472 | 9.5× |
| CT orbits w/o contrast (70480) | $916.50 | $1,410 | 9.1× |
| CT pelvis w&w/o contrast (72194) | $2,237.30 | $3,442 | 13.3× |
| CT pelvis w/o contrast (72192) | $1,637.35 | $2,519 | 16.3× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,989.65–$2,913.30 | $3,061–$4,482 | varies |
| CT scans face/jaw combo (70488) | $2,299.05 | $3,537 | 13.6× |
| CT soft tissue neck w contrast (70491) | $1,577.55 | $2,427 | 9.4× |
| CT soft tissue neck w/o contrast (70490) | $1,243.45 | $1,913 | 12.4× |
| CT thoracic spine w contrast (72129) | $2,103.40 | $3,236 | 12.5× |
| CT thoracic spine w/o contrast (72128) | $1,815.45 | $2,793 | 18.1× |
| CT thoracic spine w/wo cont (72130) | $2,202.20 | $3,388 | 13.1× |
| CT thorax w/o contrast (71250) | $1,619.80 | $2,492 | 16.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,623.70–$2,497.30 | $2,498–$3,842 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,756.30–$2,442.70 | $2,702–$3,758 | varies |
| CT upper extremity with contrast (73201) | $1,651.65 | $2,541 | 4.9× |
| Cta Abdomen (74175) | $2,376.40 | $3,656 | 14.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,252.90 | $3,466 | 6.7× |
| CTA pelvis (72191) | $2,017.60 | $3,104 | 12.0× |
| Diskography lumbar (72295) | $2,235.35 | $3,439 | 1.2× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$106.60–$333.45 | $164–$513 | varies |
| Echograp Trans R Pros Study (76873) | $663.65 | $1,021 | 6.6× |
| Esophagram (74220) | $569.40 | $876 | 3.4× |
| Fetal Biophys Profile W/Nst (76818) | $235.30 | $362 | 2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $219.05 | $337 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $453.05 | $697 | 2.0× |
| Follow-Up Angiography (75898) | $788.45 | $1,213 | 0.3× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$182.65–$363.35 | $281–$559 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$254.80–$430.30 | $392–$662 | varies |
| Gastric emptying imaging study (78264) | $1,457.30 | $2,242 | 3.8× |
| Gated Heart Planar Single (78472) | $1,514.50 | $2,330 | 3.9× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$185.25–$284.70 | $285–$438 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,896.05 | $2,917 | 1.5× |
| Hysterosalpingogram (74740) | $644.15 | $991 | 2.8× |
| Interstitial radiation source applic complex (77778) | $1,386.45 | $2,133 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $1,517.10 | $2,334 | 2.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$306.15–$471.90 | $471–$726 | varies |
| Liver & Spleen Imaging Static Only (78215) | $770.25 | $1,185 | 2.0× |
| Lymph System Imaging (78195) | $1,505.40 | $2,316 | 2.9× |
| Magnetic Image Jaw Joint (70336) | $1,978.60 | $3,044 | 8.6× |
| Meckels Divert Exam (78290) | $990.60 | $1,524 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,667.60 | $4,104 | 8.0× |
| MRA head w/o contrast (70544) | $2,146.30 | $3,302 | 9.4× |
| MRA head with contrast (70545) | $2,316.60 | $3,564 | 6.9× |
| MRA neck w contrast (70548) | $2,248.35 | $3,459 | 6.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,842.45 | $4,373 | 8.5× |
| MRA neck w/o contrast (70547) | $1,901.25 | $2,925 | 8.3× |
| MRI abdomen w/o contrast (74181) | $2,225.60 | $3,424 | 9.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,780.05–$4,329 | $4,277–$6,660 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,271.75 | $3,495 | 3.0× |
| MRI cervical spine w contrast (72142) | $2,334.80 | $3,592 | 7.0× |
| MRI cervical spine w/o cont (72141) | $2,118.35 | $3,259 | 9.2× |
| MRI chest w/o contrast (71550) | $1,935.05 | $2,977 | 8.4× |
| MRI chest with contrast (71551) | $2,100.80 | $3,232 | 2.8× |
| MRI chest wo w contrast (71552) | $2,253.55 | $3,467 | 6.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,854.15–$4,977.05 | $4,391–$7,657 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,281.50–$3,175.25 | $3,510–$4,885 | varies |
| MRI lumbar spine w contrast (72149) | $2,620.15 | $4,031 | 7.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,357.90 | $5,166 | 10.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,996.15 | $3,071 | 8.7× |
| MRI orbit face neck w contrast (70542) | $2,083.25 | $3,205 | 6.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,525.90 | $3,886 | 7.5× |
| MRI pelvis w contrast (72196) | $2,568.80 | $3,952 | 7.7× |
| MRI pelvis w/o & w contrast (72197) | $3,152.50 | $4,850 | 9.4× |
| MRI pelvis w/o contrast (72195) | $2,312.70 | $3,558 | 10.1× |
| MRI thoracic spine w/o contrast (72146) | $2,566.20 | $3,948 | 11.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,113.15 | $3,251 | 6.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,174.90 | $3,346 | 9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,748.20–$4,127.50 | $4,228–$6,350 | varies |
| MRI, abdomen, combo (74183) | $3,156.40 | $4,856 | 9.4× |
| MRI, dorsal spine combo (72157) | $3,257.15 | $5,011 | 9.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,356.25–$3,623.10 | $3,625–$5,574 | varies |
| MRI, joint upper extrem combo (73223) | $2,705.30 | $4,162 | 8.1× |
| MRI, lumbar spine combo (72158) | $3,537.95 | $5,443 | 10.5× |
| Myelogram cervical (72240) | $1,174.55 | $1,807 | 1.6× |
| Myelogram Lumbar (72265) | $1,174.55 | $1,807 | 1.6× |
| Myelography thoracic (72255) | $1,174.55 | $1,807 | 1.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,310.40 | $2,016 | 1.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,688.70 | $2,598 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $1,989.65 | $3,061 | 1.6× |
| Neck soft tissue (70360) | $233.35 | $359 | 2.8× |
| Nonvascular Shunt X-Ray (75809) | $315.90 | $486 | 3.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,755.75 | $8,855 | 4.3× |
| Nuclear Rx Oral Admin (79005) | $856.70 | $1,318 | 3.8× |
| Panoramic X-ray of jaws (70355) | $237.90 | $366 | 2.8× |
| Parathyroid Planar Imaging (78070) | $1,142.70 | $1,758 | 3.0× |
| Pelvis 1 or 2 views (72170) | $237.25 | $365 | 2.4× |
| Pet Image Skull-Thigh (78812) | $4,247.10 | $6,534 | 3.1× |
| Pet Image W/Ct Lmtd (78814) | $5,370.30 | $8,262 | 3.9× |
| PET image w/CT, full body (78816) | $5,770.70 | $8,878 | 4.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,523.05 | $8,497 | 4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $941.20 | $1,448 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $366.60 | $564 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $377.65 | $581 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$228.15–$388.05 | $351–$597 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$248.95–$383.50 | $383–$590 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$299–$459.55 | $460–$707 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $266.50 | $410 | 2.7× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$242.45–$338 | $373–$520 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$208.65–$354.25 | $321–$545 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$297.70–$456.30 | $458–$702 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$192.40–$328.90 | $296–$506 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $208.65 | $321 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $267.80 | $412 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$304.85–$482.30 | $469–$742 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $225.55 | $347 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $213.85 | $329 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $267.80 | $412 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $241.15 | $371 | 2.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$219.70–$339.30 | $338–$522 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$171.60–$285.35 | $264–$439 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$273.65–$442.65 | $421–$681 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $692.90 | $1,066 | 6.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $369.20 | $568 | 3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $384.15 | $591 | 3.8× |
| Radiologic exam colon double contrast study (74280) | $915.85 | $1,409 | 5.4× |
| Radiologic exam colon single contrast study (74270) | $666.90 | $1,026 | 4.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$360.75–$555.75 | $555–$855 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $267.15 | $411 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $747.50 | $1,150 | 4.4× |
| Radiologic exam swallow function contrast study (74230) | $297.70 | $458 | 1.8× |
| Radiologic exam teeth complete full mouth (70320) | $212.55 | $327 | 0.9× |
| Radiologic examination femur 1 view (73551) | $241.80 | $372 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$261.30–$411.45 | $402–$633 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$241.15–$388.05 | $371–$597 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$209.30–$333.45 | $322–$513 | varies |
| Ribs bilateral 3 views (71110) | $412.10 | $634 | 4.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,708.85 | $2,629 | 3.3× |
| Scapula (73010) range across 3 matching MRF lines |
$263.25–$394.55 | $405–$607 | varies |
| Sella turcica (70240) | $126.10 | $194 | 1.5× |
| Shoulder 1 view (73020) | $208 | $320 | 2.5× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$630.50–$940.55 | $970–$1,447 | varies |
| Sialogram (70390) | $452.40 | $696 | 2.0× |
| Skull less than 4 views (70250) | $189.80 | $292 | 1.9× |
| Special dosimetry (77331) | $397.80 | $612 | 3.1× |
| Special Physics Consult (77370) | $777.40 | $1,196 | 6.0× |
| Special teletherapy port plan (77321) | $890.50 | $1,370 | 2.5× |
| Special treatment procedure (77470) | $1,862.25 | $2,865 | 3.5× |
| Speech evaluation, complex (70371) | $304.20 | $468 | 1.3× |
| Sternoclavicular joints (71130) | $215.80 | $332 | 2.6× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$500.50–$817.05 | $770–$1,257 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,112.80 | $1,712 | 3.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $810.55 | $1,247 | 2.3× |
| Ther rad simulaj-aided field setting simple (77280) | $678.60 | $1,044 | 5.2× |
| Thoracic spine 2 views (72070) | $282.75 | $435 | 2.8× |
| Thoracic spine 3 views (72072) | $345.80 | $532 | 3.4× |
| Thoracolumbar 2 views (72080) | $269.10 | $414 | 3.2× |
| Thyroid Met Imaging Body (78018) | $1,173.25 | $1,805 | 2.2× |
| Tx Devices Design & Construction Complex (77334) | $1,179.75 | $1,815 | 3.3× |
| Tx devices design & construction intermediate (77333) | $761.15 | $1,171 | 5.9× |
| Tx devices design & construction simple (77332) | $620.10 | $954 | 4.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$331.50–$531.70 | $510–$818 | varies |
| Ultrasound Exam Aaa Screen (76706) | $394.55 | $607 | 3.9× |
| Ultrasound, abdomen limited (76705) | $512.20 | $788 | 5.1× |
| Urethrocystogram voiding (74455) | $448.50 | $690 | 2.0× |
| Urethrocystography retrograde (74450) | $577.20 | $888 | 2.5× |
| Us breast unilateral complete (76641) | $378.95 | $583 | 3.8× |
| Us chest (76604) | $256.75 | $395 | 2.6× |
| Us complete joint (76881) range across 3 matching MRF lines |
$542.10–$605.15 | $834–$931 | varies |
| Us exam, pelvic, limited (76857) | $298.35 | $459 | 3.0× |
| Us head (76506) | $230.10 | $354 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$472.55–$541.45 | $727–$833 | varies |
| Us ob detailed single fetus (76811) | $681.85 | $1,049 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $358.15 | $551 | 3.6× |
| Us ob transvaginal (76817) | $419.90 | $646 | 4.2× |
| Us pelvic non ob complete (76856) | $636.35 | $979 | 6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $541.45 | $833 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $328.25 | $505 | 3.3× |
| Us retroperitoneal complete (76770) | $661.05 | $1,017 | 6.6× |
| Us retroperitoneal limited (76775) | $248.30 | $382 | 2.5× |
| Us scrotum and contents (76870) | $331.50 | $510 | 3.3× |
| Us spinal canal and contents (76800) | $298.35 | $459 | 3.0× |
| Us thyroid (76536) | $375.70 | $578 | 3.7× |
| Vein X-Ray Chest (75827) | $1,188.20 | $1,828 | 0.8× |
| Venogram Sinus/Jugular (75860) | $1,928.55 | $2,967 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $2,171.65 | $3,341 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,257.75 | $1,935 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,060.15 | $1,631 | 0.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$215.80–$331.50 | $332–$510 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $131.30 | $202 | 1.6× |
| X-ray antegrade pyelogram tube (74425) | $333.45 | $513 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $3,086.85 | $4,749 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$227.50–$360.75 | $350–$555 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$288.60–$445.25 | $444–$685 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $319.15 | $491 | 3.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $350.35 | $539 | 3.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $610.35 | $939 | 6.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $179.40 | $276 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $294.45 | $453 | 3.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $359.45 | $553 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $350.35 | $539 | 3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $445.25 | $685 | 4.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $449.15 | $691 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $559.65 | $861 | 5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $287.30 | $442 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $445.25 | $685 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $284.70 | $438 | 2.8× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$94.90–$390 | $146–$600 | varies |
| X-ray IV pyelogram (ivp) (74400) | $733.20 | $1,128 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $239.20 | $368 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $336.05 | $517 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $224.25 | $345 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $395.20 | $608 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $306.15 | $471 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $258.05 | $397 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $330.20 | $508 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $286 | $440 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $419.25 | $645 | 4.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $564.85 | $869 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $891.80 | $1,372 | 8.9× |
| Xr c-spine 4 or 5 views (72050) | $319.15 | $491 | 3.2× |
| Xr facial bones less than 3 views (70140) | $251.55 | $387 | 3.0× |
| Xr orbits complete 4 views (70200) | $338 | $520 | 3.4× |
| Xr Tomogram Single Plane (76100) | $569.40 | $876 | 5.7× |
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.