Imaging prices at Merit Health Wesley
Hattiesburg, MS · every code in this section with a posted price and a Medicare benchmark.
283 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) | $225.54 | $1,074 | 2.9× |
| Abdomen 2 views (74019) | $107.52 | $512 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $649.53 | $3,093 | 1.8× |
| Angio internal mammary (75756) | $2,814 | $13,400 | 1.0× |
| Angio pulmonary bilat (75743) | $2,807.49 | $13,369 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $2,695.98 | $12,838 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $2,799.30 | $13,330 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,807.49 | $13,369 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,552.34 | $12,154 | 0.9× |
| Ankle 2 views (73600) | $216.72 | $1,032 | 2.8× |
| Aortography thoracic serialography rs&i (75605) | $3,614.73 | $17,213 | 0.7× |
| Artery X-Rays Abdomen (75726) | $3,462.69 | $16,489 | 0.7× |
| Artery X-Rays Pelvis (75736) | $3,614.73 | $17,213 | 0.7× |
| Arthrogram ankle (73615) | $603.75 | $2,875 | 1.9× |
| Arthrogram hip (73525) | $350.70 | $1,670 | 1.1× |
| Arthrogram Wrist (73115) | $437.64 | $2,084 | 1.4× |
| Basic radiation dosimetry calculation (77300) | $244.44 | $1,164 | 2.0× |
| Bone age studies (77072) | $189.84 | $904 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,149.54 | $5,474 | 3.2× |
| Bone Imaging Limited Area (78300) | $965.79 | $4,599 | 2.7× |
| Bone Imaging Whole Body (78306) | $1,307.46 | $6,226 | 3.7× |
| Bone survey infant (77076) | $198.03 | $943 | 2.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $823.83 | $3,923 | 1.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,077.99 | $19,419 | 3.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $294.84 | $1,404 | 1.0× |
| Cat Scan Follow-Up Study (76380) | $1,060.71 | $5,051 | 13.7× |
| Cerebrospinal Fluid Scan (78630) | $1,124.97 | $5,357 | 2.3× |
| Chest 1 view (71045) | $196.56 | $936 | 2.5× |
| Chest 2 views (71046) | $281.61 | $1,341 | 3.6× |
| Chest 4 or more views (71048) | $228.27 | $1,087 | 2.5× |
| Clavicle complete (73000) | $241.08 | $1,148 | 3.1× |
| Continuing medical physics consltj pr wk (77336) | $244.44 | $1,164 | 2.0× |
| Contrast Exam Abdominl Aorta (75625) | $2,800.14 | $13,334 | 1.0× |
| Contrast X-Ray Bladder (74430) | $320.88 | $1,528 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $656.04 | $3,124 | 2.1× |
| Contrast X-Ray Of Knee Joint (73580) | $623.28 | $2,968 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) | $3,501.12 | $16,672 | 11.3× |
| CT abdomen and pelvis without contrast (74176) | $3,033.24 | $14,444 | 14.3× |
| CT abdomen w contrast (74160) | $1,923.81 | $9,161 | 12.4× |
| CT abdomen w wo contrast (74170) | $2,284.38 | $10,878 | 14.7× |
| CT abdomen w/o contrast (74150) | $1,405.95 | $6,695 | 15.1× |
| CT Angio Abdomen and Pelvis (74174) | $3,501.12 | $16,672 | 11.3× |
| CT Angio Chest (71275) | $1,605.87 | $7,647 | 10.3× |
| CT Angio Head (70496) | $2,161.74 | $10,294 | 13.9× |
| CT angio hrt w/3d image (75574) | $2,193.66 | $10,446 | 7.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $792.54 | $3,774 | 5.1× |
| CT Angio Neck (70498) | $1,526.70 | $7,270 | 9.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $792.54 | $3,774 | 5.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $131.71 | $627.20 | 0.8× |
| CT cervical spine w/ contrast (72126) | $1,693.44 | $8,064 | 5.5× |
| CT cervical spine w/o contrast (72125) | $1,693.44 | $8,064 | 18.2× |
| CT cervical spine w/wo cont (72127) | $782.67 | $3,727 | 5.0× |
| CT chest w contrast (71260) | $1,387.26 | $6,606 | 8.9× |
| CT chest w/wo contrast (71270) | $2,312.94 | $11,014 | 14.8× |
| CT head/brain with contrast (70460) | $1,102.71 | $5,251 | 7.1× |
| CT head/brain without and with contrast (70470) | $2,161.74 | $10,294 | 13.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,193.66 | $10,446 | 7.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $66.15 | $315 | 0.9× |
| CT hrt w/3d image congen (75573) | $2,193.66 | $10,446 | 7.1× |
| CT iac w contrast (70481) | $1,393.35 | $6,635 | 8.9× |
| CT l-spine w&w/o contrast (72133) | $1,494.36 | $7,116 | 9.6× |
| CT lower ext w/o (73700) | $1,352.82 | $6,442 | 14.6× |
| CT lower extremity w/contrast material (73701) | $1,244.88 | $5,928 | 8.0× |
| CT lumbar spine w contrast (72132) | $1,494.36 | $7,116 | 4.8× |
| CT lumbar spine w/o contrast (72131) | $1,445.85 | $6,885 | 15.6× |
| CT maxillofacial w contrast (70487) | $1,505.28 | $7,168 | 9.7× |
| CT maxillofacial wo contrast (70486) | $1,386.63 | $6,603 | 14.9× |
| CT neck tissue combo (70492) | $1,526.70 | $7,270 | 9.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $991.62 | $4,722 | 6.4× |
| CT orbits w/o contrast (70480) | $1,555.26 | $7,406 | 16.8× |
| CT pelvis w&w/o contrast (72194) | $1,216.74 | $5,794 | 7.8× |
| CT pelvis w/o contrast (72192) | $1,627.08 | $7,748 | 17.5× |
| CT scans face/jaw combo (70488) | $1,458.87 | $6,947 | 9.4× |
| CT soft tissue neck w contrast (70491) | $1,702.47 | $8,107 | 10.9× |
| CT soft tissue neck w/o contrast (70490) | $1,066.38 | $5,078 | 11.5× |
| CT thoracic spine w contrast (72129) | $1,693.44 | $8,064 | 10.9× |
| CT thoracic spine w/o contrast (72128) | $1,693.44 | $8,064 | 18.2× |
| CT thorax w/o contrast (71250) | $764.61 | $3,641 | 8.2× |
| CT upper ext wo (73200) | $1,332.03 | $6,343 | 14.3× |
| CT upper extremity with contrast (73201) | $1,238.16 | $5,896 | 4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,192.17 | $5,677 | 7.7× |
| Cta Abdomen (74175) | $2,284.38 | $10,878 | 14.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,688.44 | $17,564 | 11.9× |
| CTA pelvis (72191) | $1,216.74 | $5,794 | 7.8× |
| Dilation ureters/urethra rs&i (74485) | $1,337.49 | $6,369 | 0.7× |
| Diskography lumbar (72295) | $1,270.08 | $6,048 | 0.7× |
| Dxa Bone Density Axial (77080) | $92.61 | $441 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $55.65 | $265 | 0.7× |
| Echo Guide For Artery Repair (76936) | $196.35 | $935 | 1.0× |
| Esophagram (74220) | $120.96 | $576 | 0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $196.35 | $935 | 2.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$646.38–$658.77 | $3,078–$3,137 | varies |
| Follow-Up Angiography (75898) | $2,096.64 | $9,984 | 0.7× |
| Foot 2 views (73620) | $227.64 | $1,084 | 2.9× |
| Forearm 2 views (73090) | $236.46 | $1,126 | 3.1× |
| Gastric emptying imaging study (78264) | $816.90 | $3,890 | 2.3× |
| Gastroesophageal Reflux Exam (78262) | $613.41 | $2,921 | 1.7× |
| Gated Heart Planar Single (78472) | $1,221.99 | $5,819 | 3.4× |
| Hand 2 views (73120) | $227.64 | $1,084 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,280.58 | $6,098 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,280.58 | $6,098 | 3.6× |
| Ht Muscle Image Spect Sing (78451) | $3,520.65 | $16,765 | 3.1× |
| Hysterosalpingogram (74740) | $397.32 | $1,892 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $355.53 | $1,693 | 4.6× |
| K Flow/Funct Image W/Drug (78708) | $777.21 | $3,701 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $935.76 | $4,456 | 1.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $301.77 | $1,437 | 0.8× |
| Kidney Imaging Morphol (78700) | $425.88 | $2,028 | 1.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $407.19 | $1,939 | 1.1× |
| Knee 3 Views (73562) | $159.39 | $759 | 2.1× |
| Leveen/Shunt Patency Exam (78291) | $571.62 | $2,722 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $408.87 | $1,947 | 1.2× |
| Lung perfusion differential (78597) | $361.41 | $1,721 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,619.73 | $7,713 | 3.4× |
| Lymph System Imaging (78195) | $807.45 | $3,845 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,592.64 | $7,584 | 7.5× |
| Meckels Divert Exam (78290) | $481.53 | $2,293 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,148.51 | $10,231 | 6.9× |
| MRA head w/o contrast (70544) | $1,939.98 | $9,238 | 9.2× |
| MRA neck w contrast (70548) | $2,051.91 | $9,771 | 6.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,307.90 | $10,990 | 7.4× |
| MRA neck w/o contrast (70547) | $1,708.98 | $8,138 | 8.1× |
| MRI abdomen w contrast (74182) | $2,752.26 | $13,106 | 8.9× |
| MRI abdomen w/o contrast (74181) | $2,477.79 | $11,799 | 11.7× |
| MRI any jt lower extrem w/contrast material (73722) | $1,869 | $8,900 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,078.58 | $9,898 | 6.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,022.70 | $4,870 | 1.5× |
| MRI cervical spine w contrast (72142) | $2,425.08 | $11,548 | 7.8× |
| MRI cervical spine w/o cont (72141) | $2,874.69 | $13,689 | 13.6× |
| MRI chest w/o contrast (71550) | $2,752.26 | $13,106 | 13.0× |
| MRI chest wo w contrast (71552) | $1,249.08 | $5,948 | 4.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,022.70 | $4,870 | 3.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,097.08 | $14,748 | 10.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $903.63 | $4,303 | 4.3× |
| MRI lumbar spine w contrast (72149) | $2,145.57 | $10,217 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,016.04 | $19,124 | 13.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,251.22 | $15,482 | 15.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,939.98 | $9,238 | 6.3× |
| MRI pelvis w contrast (72196) | $2,752.26 | $13,106 | 8.9× |
| MRI pelvis w/o & w contrast (72197) | $4,217.22 | $20,082 | 13.6× |
| MRI pelvis w/o contrast (72195) | $1,708.98 | $8,138 | 8.1× |
| MRI thoracic spine w/o contrast (72146) | $2,875.53 | $13,693 | 13.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,022.70 | $4,870 | 3.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $947.52 | $4,512 | 4.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,097.08 | $14,748 | 10.0× |
| MRI, abdomen, combo (74183) | $4,217.22 | $20,082 | 13.6× |
| MRI, dorsal spine combo (72157) | $3,461.85 | $16,485 | 11.2× |
| MRI, dorsal spine contrast (72147) | $2,145.57 | $10,217 | 6.9× |
| MRI, joint upper extrem (73221) | $2,323.23 | $11,063 | 11.0× |
| MRI, joint upper extrem combo (73223) | $1,249.08 | $5,948 | 4.0× |
| MRI, lumbar spine combo (72158) | $4,016.04 | $19,124 | 13.0× |
| Myocardial Spect Multiple Studies (78452) | $4,420.50 | $21,050 | 3.8× |
| Neck soft tissue (70360) | $253.26 | $1,206 | 3.3× |
| Nonvascular Shunt X-Ray (75809) | $308.28 | $1,468 | 3.3× |
| Parathyroid Planar Imaging (78070) | $953.40 | $4,540 | 2.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,217.79 | $5,799 | 3.4× |
| Pelvis 1 or 2 views (72170) | $296.94 | $1,414 | 3.2× |
| PET image w/CT, full body (78816) | $4,077.99 | $19,419 | 3.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,077.99 | $19,419 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $823.83 | $3,923 | 2.3× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $698.62 | $3,326.75 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $180.81 | $861 | 1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $415.80 | $1,980 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $252.63 | $1,203 | 3.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $227.64 | $1,084 | 2.9× |
| Radex elbow complete minimum 3 views (73080) | $256.41 | $1,221 | 3.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $365.82 | $1,742 | 3.9× |
| Radex fingr minimum 2 views (73140) | $196.56 | $936 | 2.5× |
| Radex foot complete minimum 3 views (73630) | $236.67 | $1,127 | 3.1× |
| Radex Hand Minimum 3 Views (73130) | $278.25 | $1,325 | 3.6× |
| Radex lower extremity infant minimum 2 views (73592) | $132.30 | $630 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $330.96 | $1,576 | 3.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $250.11 | $1,191 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $229.53 | $1,093 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) | $284.13 | $1,353 | 3.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $212.94 | $1,014 | 2.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $635.46 | $3,026 | 4.1× |
| Radex Spine 1 View Specify Level (72020) | $198.66 | $946 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $255.57 | $1,217 | 3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $194.25 | $925 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $201.39 | $959 | 2.6× |
| Radex upper extremity infant minimum 2 views (73092) | $132.30 | $630 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $259.77 | $1,237 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $358.68 | $1,708 | 3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $302.40 | $1,440 | 3.3× |
| Radiologic exam colon double contrast study (74280) | $701.82 | $3,342 | 4.5× |
| Radiologic exam colon single contrast study (74270) | $382.83 | $1,823 | 2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $195.93 | $933 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $304.29 | $1,449 | 3.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $232.47 | $1,107 | 2.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $466.83 | $2,223 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $367.08 | $1,748 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $570.36 | $2,716 | 3.7× |
| Radiologic examination femur 1 view (73551) | $55.65 | $265 | 0.7× |
| Radiologic examination femur minimum 2 views (73552) | $246.75 | $1,175 | 3.2× |
| Radiologic examination knee 1/2 views (73560) | $207.06 | $986 | 2.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $225.75 | $1,075 | 2.9× |
| Ribs bilateral 3 views (71110) | $337.05 | $1,605 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $568.47 | $2,707 | 1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $898.38 | $4,278 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,283.52 | $6,112 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $976.50 | $4,650 | 2.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,425.69 | $6,789 | 3.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,054.20 | $5,020 | 0.9× |
| Scapula (73010) | $208.53 | $993 | 2.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $27.51 | $131 | 1.2× |
| Shoulder 1 view (73020) | $202.23 | $963 | 2.6× |
| Shoulder Arthrography (73040) | $513.66 | $2,446 | 1.7× |
| Skull less than 4 views (70250) | $343.35 | $1,635 | 3.7× |
| Speech evaluation, complex (70371) | $199.29 | $949 | 0.9× |
| Sternoclavicular joints (71130) | $129.36 | $616 | 1.7× |
| Testicular Imaging W/Flow (78761) | $416.64 | $1,984 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $636.09 | $3,029 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $636.09 | $3,029 | 1.9× |
| Ther rad simulaj-aided field setting simple (77280) | $244.44 | $1,164 | 2.0× |
| Thoracic spine 2 views (72070) | $363.30 | $1,730 | 3.9× |
| Thoracolumbar 2 views (72080) | $156.24 | $744 | 2.0× |
| Thyroid Met Imaging Body (78018) | $885.15 | $4,215 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $658.77 | $3,137 | 1.9× |
| Tx Devices Design & Construction Complex (77334) | $467.67 | $2,227 | 1.4× |
| Tx devices design & construction simple (77332) | $467.67 | $2,227 | 3.9× |
| Ultrasound Breast Limited (76642) | $301.98 | $1,438 | 3.9× |
| Ultrasound, abdomen limited (76705) | $618.03 | $2,943 | 6.7× |
| Unlisted fluoroscopic procedure (76496) | $59.85 | $285 | 0.8× |
| Upper gi w/o kub (74240) | $570.36 | $2,716 | 3.7× |
| Urethrocystogram voiding (74455) | $571.83 | $2,723 | 2.7× |
| Urethrocystography retrograde (74450) | $283.50 | $1,350 | 1.3× |
| Us breast unilateral complete (76641) | $301.98 | $1,438 | 3.3× |
| Us chest (76604) | $91.98 | $438 | 1.0× |
| Us complete joint (76881) | $458.22 | $2,182 | 4.9× |
| Us exam, pelvic, limited (76857) | $497.91 | $2,371 | 5.4× |
| Us head (76506) | $265.02 | $1,262 | 2.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $458.22 | $2,182 | 4.9× |
| Us ob limited 1 or more fetuses (76815) | $72.45 | $345 | 0.8× |
| Us ob transvaginal (76817) | $384.51 | $1,831 | 4.1× |
| Us pelvic non ob complete (76856) | $625.38 | $2,978 | 6.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $643.02 | $3,062 | 6.9× |
| Us retroperitoneal complete (76770) | $538.65 | $2,565 | 5.8× |
| Us retroperitoneal limited (76775) | $361.41 | $1,721 | 3.9× |
| Us scrotum and contents (76870) | $691.74 | $3,294 | 7.5× |
| Us spinal canal and contents (76800) | $263.55 | $1,255 | 2.8× |
| Us thyroid (76536) | $521.22 | $2,482 | 5.6× |
| Us transrectal (76872) | $91.98 | $438 | 1.0× |
| Vein X-Ray Chest (75827) | $2,639.28 | $12,568 | 1.9× |
| Venogram Sinus/Jugular (75860) | $2,096.64 | $9,984 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,800.14 | $13,334 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,053.57 | $5,017 | 0.8× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,089.69–$1,211.70 | $5,189–$5,770 | varies |
| Wrist 2 views (73100) | $199.50 | $950 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $286.23 | $1,363 | 3.7× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$471.66–$480.69 | $2,246–$2,289 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,755.62 | $13,122 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $255.15 | $1,215 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $196.56 | $936 | 2.5× |
| X-Ray Exam Breast Specimen (76098) | $362.88 | $1,728 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $358.68 | $1,708 | 4.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $358.68 | $1,708 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $184.38 | $878 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $249.27 | $1,187 | 3.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $374.01 | $1,781 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $345.45 | $1,645 | 3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $345.45 | $1,645 | 3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $690.90 | $3,290 | 7.4× |
| X-Ray Exam L-S Spine Bending (72114) | $376.53 | $1,793 | 4.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $295.05 | $1,405 | 3.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $487.62 | $2,322 | 5.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $107.52 | $512 | 1.2× |
| X-ray eye for foreign body (70030) | $254.10 | $1,210 | 3.3× |
| X-ray humerus (73060) | $223.23 | $1,063 | 2.9× |
| X-ray IV pyelogram (ivp) (74400) | $628.53 | $2,993 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $212.94 | $1,014 | 2.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $107.52 | $512 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $373.38 | $1,778 | 4.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $180.81 | $861 | 1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $155.40 | $740 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $276.99 | $1,319 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $409.92 | $1,952 | 5.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $430.71 | $2,051 | 4.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $496.02 | $2,362 | 1.6× |
| X-Rays Bone Length Studies (77073) | $297.57 | $1,417 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $682.50 | $3,250 | 7.4× |
| Xr c-spine 4 or 5 views (72050) | $392.07 | $1,867 | 4.2× |
| Xr facial bones less than 3 views (70140) | $274.89 | $1,309 | 3.6× |
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.