Imaging prices at Moberly Regional Medical Center
Moberly, MO · every code in this section with a posted price and a Medicare benchmark.
242 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) | $205.53 | $761.24 | 2.4× |
| Abdomen 2 views (74019) | $282.89 | $1,047.75 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $758.37 | $2,808.79 | 1.9× |
| Angio pulmonary bilat (75743) | $2,476.22 | $9,171.18 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $5,275.12 | $19,537.47 | 1.7× |
| Angiography extremity unilateral rs&i (75710) | $4,812.48 | $17,823.99 | 1.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,476.22 | $9,171.18 | 0.8× |
| Ankle 2 views (73600) | $143.06 | $529.87 | 1.6× |
| Artery X-Rays Abdomen (75726) | $6,061.64 | $22,450.51 | 1.1× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$604.95–$835.08 | $2,240.56–$3,092.90 | varies |
| Arthrogram Wrist (73115) | $656.42 | $2,431.17 | 1.9× |
| Bone age studies (77072) | $157.63 | $583.82 | 1.5× |
| Bone Imaging 3 Phase (78315) | $2,296.80 | $8,506.68 | 5.7× |
| Bone Imaging Limited Area (78300) | $866.81 | $3,210.39 | 2.2× |
| Bone Imaging Multiple Areas (78305) | $1,011.81 | $3,747.45 | 2.5× |
| Bone Imaging Whole Body (78306) | $2,009.70 | $7,443.35 | 5.0× |
| Bone marrow imaging; whole body (78104) | $840.26 | $3,112.08 | 2.1× |
| Bone survey infant (77076) | $272.54 | $1,009.39 | 2.6× |
| Brain Image W/Flow < 4 Views (78601) | $414.30 | $1,534.46 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $537.63 | $1,991.21 | 1.0× |
| Chest 1 view (71045) | $199.38 | $738.46 | 2.3× |
| Chest 2 views (71046) | $272.54 | $1,009.39 | 3.1× |
| Chest 3 views (71047) | $314.94 | $1,166.43 | 3.6× |
| Chest 4 or more views (71048) | $374.17 | $1,385.81 | 3.6× |
| Clavicle complete (73000) | $361.87 | $1,340.26 | 4.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $98.91 | $366.33 | 0.9× |
| Contrast Exam Abdominl Aorta (75625) | $4,812.48 | $17,823.99 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $681.66 | $2,524.67 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $803.04 | $2,974.22 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,302.80 | $4,825.17 | 3.7× |
| CT abdomen and pelvis without contrast (74176) | $1,489.23 | $5,515.68 | 6.2× |
| CT abdomen w contrast (74160) | $1,198.90 | $4,440.36 | 6.8× |
| CT abdomen w wo contrast (74170) | $1,275.28 | $4,723.27 | 7.3× |
| CT abdomen w/o contrast (74150) | $744.45 | $2,757.24 | 7.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,429.68 | $5,295.10 | 4.1× |
| CT Angio Chest (71275) | $1,397.63 | $5,176.42 | 8.0× |
| CT Angio Head (70496) | $1,185.62 | $4,391.20 | 6.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,397.63 | $5,176.42 | 8.0× |
| CT Angio Neck (70498) | $1,185.62 | $4,391.20 | 6.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,318.33 | $4,882.71 | 7.5× |
| CT cervical spine w/ contrast (72126) | $1,075.90 | $3,984.81 | 3.1× |
| CT cervical spine w/o contrast (72125) | $831.85 | $3,080.92 | 7.9× |
| CT chest w contrast (71260) | $876.84 | $3,247.55 | 5.0× |
| CT chest w/wo contrast (71270) | $1,192.10 | $4,415.18 | 6.8× |
| CT head/brain with contrast (70460) | $770.67 | $2,854.34 | 4.4× |
| CT head/brain without and with contrast (70470) | $853.21 | $3,160.04 | 4.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $178.99 | $662.94 | 2.1× |
| CT iac w contrast (70481) | $815.99 | $3,022.17 | 4.6× |
| CT l-spine w&w/o contrast (72133) | $151.25 | $560.20 | 0.9× |
| CT lower ext w/o (73700) | $740.25 | $2,741.66 | 7.1× |
| CT lower extremity w/contrast material (73701) | $1,108.59 | $4,105.89 | 6.3× |
| CT lumbar spine w contrast (72132) | $1,385.98 | $5,133.26 | 4.0× |
| CT lumbar spine w/o contrast (72131) | $1,122.18 | $4,156.24 | 10.7× |
| CT maxillofacial w contrast (70487) | $789.44 | $2,923.87 | 4.5× |
| CT maxillofacial wo contrast (70486) | $802.07 | $2,970.63 | 7.7× |
| CT neck tissue combo (70492) | $1,342.93 | $4,973.82 | 7.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $852.56 | $3,157.64 | 4.9× |
| CT orbits w/o contrast (70480) | $778.12 | $2,881.92 | 7.4× |
| CT pelvis w&w/o contrast (72194) | $1,275.28 | $4,723.27 | 7.3× |
| CT pelvis w/o contrast (72192) | $744.45 | $2,757.24 | 7.1× |
| CT scan of leg combo (73702) | $1,230.29 | $4,556.64 | 7.0× |
| CT scans face/jaw combo (70488) | $961.32 | $3,560.44 | 5.5× |
| CT soft tissue neck w contrast (70491) | $1,108.59 | $4,105.89 | 6.3× |
| CT soft tissue neck w/o contrast (70490) | $831.85 | $3,080.92 | 7.9× |
| CT thoracic spine w contrast (72129) | $1,220.90 | $4,521.87 | 6.9× |
| CT thoracic spine w/o contrast (72128) | $831.85 | $3,080.92 | 7.9× |
| CT thoracic spine w/wo cont (72130) | $151.25 | $560.20 | 0.9× |
| CT thorax w/o contrast (71250) | $921.83 | $3,414.18 | 8.8× |
| CT unlisted procedure (76497) | $64.15 | $237.60 | 0.7× |
| CT upper ext wo (73200) | $740.25 | $2,741.66 | 7.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,230.29 | $4,556.64 | 7.0× |
| CT upper extremity with contrast (73201) | $1,038.68 | $3,846.95 | 3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,100.01 | $7,777.81 | 12.0× |
| Cta Abdomen (74175) | $1,397.63 | $5,176.42 | 8.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,371.25 | $8,782.40 | 6.8× |
| CTA pelvis (72191) | $1,318.33 | $4,882.71 | 7.5× |
| Dxa Bone Density Axial (77080) | $135.30 | $501.10 | 1.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $88.69 | $328.47 | 1.0× |
| Echo Guide For Artery Repair (76936) | $1,108.19 | $4,104.42 | 5.1× |
| Esophageal Motility Study (78258) | $832.82 | $3,084.51 | 2.1× |
| Esophagram (74220) | $529.53 | $1,961.24 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) | $562.87 | $2,084.71 | 5.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $207.15 | $767.23 | 2.0× |
| Follow-Up Angiography (75898) | $756.88 | $2,803.25 | 0.2× |
| Foot 2 views (73620) | $191.94 | $710.89 | 2.2× |
| Forearm 2 views (73090) | $234.99 | $870.33 | 2.7× |
| Gastric emptying imaging study (78264) | $1,818.09 | $6,733.66 | 4.5× |
| Gated Heart, Multiple (78473) | $1,681.17 | $6,226.57 | 4.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$191.94–$192.59 | $710.89–$713.29 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,758.69 | $10,217.37 | 5.1× |
| Hepatobiliary System Imaging (78226) | $2,758.69 | $10,217.37 | 6.9× |
| Ht Muscle Image Spect Sing (78451) | $2,023.62 | $7,494.90 | 1.6× |
| Hysterosalpingogram (74740) | $650.27 | $2,408.39 | 2.7× |
| Infant hip ultrasound, limited static exam (76886) | $478.07 | $1,770.63 | 5.5× |
| K Flow/Funct Image Multiple (78709) | $1,173.65 | $4,346.85 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,235.80 | $4,577.02 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $594 | $2,200 | 1.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$255.06–$511.41 | $944.65–$1,894.10 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,289.53 | $4,776.02 | 3.2× |
| Lung Perf&Ventilat Diferentl (78598) | $3,295.02 | $12,203.78 | 6.1× |
| Lung Ventilat&Perfus Imaging (78582) | $2,504.93 | $9,277.51 | 4.6× |
| Lymph System Imaging (78195) | $898.85 | $3,329.07 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,095.97 | $4,059.14 | 4.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,175.59 | $4,354.04 | 3.4× |
| MRA head w/o contrast (70544) | $1,175.59 | $4,354.04 | 4.9× |
| MRA head with contrast (70545) | $1,175.59 | $4,354.04 | 3.4× |
| MRA neck w contrast (70548) | $1,175.59 | $4,354.04 | 3.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,175.59 | $4,354.04 | 3.4× |
| MRA neck w/o contrast (70547) | $1,175.59 | $4,354.04 | 4.9× |
| MRI abdomen w/o contrast (74181) | $1,095.97 | $4,059.14 | 4.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,095.97 | $4,059.14 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,095.97 | $4,059.14 | 3.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,136.43 | $4,208.99 | 1.4× |
| MRI cervical spine w contrast (72142) | $1,095.97 | $4,059.14 | 3.1× |
| MRI cervical spine w/o cont (72141) | $1,095.97 | $4,059.14 | 4.6× |
| MRI chest wo w contrast (71552) | $658.26 | $2,438 | 1.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,044.18 | $3,867.33 | 3.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,095.97 | $4,059.14 | 3.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,095.97 | $4,059.14 | 4.6× |
| MRI lumbar spine w contrast (72149) | $1,095.97 | $4,059.14 | 3.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,095.97 | $4,059.14 | 3.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,095.97 | $4,059.14 | 4.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,175.59 | $4,354.04 | 3.4× |
| MRI pelvis w contrast (72196) | $1,095.97 | $4,059.14 | 3.1× |
| MRI pelvis w/o & w contrast (72197) | $1,275.28 | $4,723.27 | 3.6× |
| MRI pelvis w/o contrast (72195) | $1,095.97 | $4,059.14 | 4.6× |
| MRI thoracic spine w/o contrast (72146) | $1,095.97 | $4,059.14 | 4.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,095.97 | $4,059.14 | 3.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,095.97 | $4,059.14 | 4.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,095.97 | $4,059.14 | 3.1× |
| MRI, abdomen, combo (74183) | $1,275.28 | $4,723.27 | 3.6× |
| MRI, dorsal spine combo (72157) | $1,095.97 | $4,059.14 | 3.1× |
| MRI, dorsal spine contrast (72147) | $1,095.97 | $4,059.14 | 3.1× |
| MRI, joint upper extrem (73221) | $1,095.97 | $4,059.14 | 4.6× |
| MRI, joint upper extrem combo (73223) | $1,095.97 | $4,059.14 | 3.1× |
| MRI, lumbar spine combo (72158) | $1,095.97 | $4,059.14 | 3.1× |
| Myocardial Spect Multiple Studies (78452) | $1,962.45 | $7,268.32 | 1.5× |
| Neck soft tissue (70360) | $253.11 | $937.46 | 2.9× |
| Parathyroid Planar Imaging (78070) | $1,177.86 | $4,362.43 | 2.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,177.86 | $4,362.43 | 2.9× |
| Pelvis 1 or 2 views (72170) | $199.38 | $738.46 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,512.86 | $5,603.19 | 3.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $542.81 | $2,010.39 | 5.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $373.84 | $1,384.61 | 4.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $363.81 | $1,347.45 | 4.2× |
| Radex elbow complete minimum 3 views (73080) | $397.80 | $1,473.33 | 4.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $521.12 | $1,930.07 | 5.0× |
| Radex fingr minimum 2 views (73140) | $195.50 | $724.08 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $370.29 | $1,371.43 | 4.2× |
| Radex Hand Minimum 3 Views (73130) | $371.58 | $1,376.22 | 4.3× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$207.15–$256.35 | $767.23–$949.45 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $263.80 | $977.02 | 3.0× |
| Radex Ribs Unilateral 2 Views (71100) | $221.39 | $819.98 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) | $344.39 | $1,275.52 | 4.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $239.84 | $888.31 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $189.35 | $701.30 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $436.31 | $1,615.98 | 5.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $463.83 | $1,717.88 | 5.3× |
| Radex Toe Minimum 2 Views (73660) | $214.27 | $793.61 | 2.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$207.15–$256.35 | $767.23–$949.45 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $272.54 | $1,009.39 | 3.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $365.43 | $1,353.45 | 3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $472.89 | $1,751.45 | 4.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $450.88 | $1,669.93 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) | $282.57 | $1,046.55 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $632.14 | $2,341.26 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $501.05 | $1,855.74 | 2.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $942.87 | $3,492.10 | 5.4× |
| Radiologic examination femur minimum 2 views (73552) | $289.37 | $1,071.73 | 3.3× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$240.82–$481.95 | $891.91–$1,785.01 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $239.84 | $888.31 | 2.8× |
| Ribs bilateral 3 views (71110) | $344.39 | $1,275.52 | 3.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,150.50 | $7,964.83 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,174.46 | $8,053.54 | 4.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,389.38 | $8,849.54 | 4.4× |
| Scapula (73010) | $551.87 | $2,043.95 | 5.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $28.81 | $106.69 | 1.2× |
| Shoulder 1 view (73020) | $178.99 | $662.94 | 2.1× |
| Shoulder Arthrography (73040) | $1,003.40 | $3,716.28 | 2.9× |
| Skull less than 4 views (70250) | $383.88 | $1,421.78 | 3.7× |
| Sternoclavicular joints (71130) | $283.14 | $1,048.68 | 3.2× |
| Thoracic spine 3 views (72072) | $280.30 | $1,038.16 | 2.7× |
| Thoracolumbar 2 views (72080) | $50.74 | $187.92 | 0.6× |
| Thyroid Imaging With Vascular Flow (78013) | $981.71 | $3,635.96 | 2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,215.73 | $4,502.69 | 3.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$384.20–$768.08 | $1,422.98–$2,844.75 | varies |
| Ultrasound Elastography Parenchyma (76981) | $90.36 | $334.66 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) | $184.82 | $684.51 | 1.8× |
| Ultrasound, abdomen limited (76705) | $548.95 | $2,033.16 | 5.2× |
| Upper gi w/o kub (74240) | $764.85 | $2,832.76 | 4.4× |
| Us breast unilateral complete (76641) | $517.23 | $1,915.68 | 4.9× |
| Us chest (76604) | $179.64 | $665.33 | 1.7× |
| Us complete joint (76881) | $478.07 | $1,770.63 | 4.6× |
| Us exam, pelvic, limited (76857) | $104.22 | $386.01 | 1.0× |
| Us head (76506) | $390.68 | $1,446.95 | 3.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $213.30 | $790.01 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $240.17 | $889.51 | 2.3× |
| Us ob transvaginal (76817) | $514.64 | $1,906.09 | 4.9× |
| Us pelvic non ob complete (76856) | $495.55 | $1,835.36 | 4.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $502.35 | $1,860.54 | 4.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $502.35 | $1,860.54 | 4.8× |
| Us retroperitoneal complete (76770) | $548.95 | $2,033.16 | 5.2× |
| Us retroperitoneal limited (76775) | $118.79 | $439.96 | 1.1× |
| Us scrotum and contents (76870) | $390.68 | $1,446.95 | 3.7× |
| Us spinal canal and contents (76800) | $457.68 | $1,695.10 | 4.4× |
| Us thyroid (76536) | $390.68 | $1,446.95 | 3.7× |
| Us transrectal (76872) | $294.22 | $1,089.71 | 2.8× |
| Venography caval inferior serialography rs&i (75825) | $2,835.77 | $10,502.84 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,454.47 | $5,386.91 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,454.47 | $5,386.91 | 0.9× |
| Wrist 2 views (73100) | $200.36 | $742.06 | 2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $404.60 | $1,498.50 | 4.6× |
| X-Ray Aorta Leg Arteries (75630) | $4,812.48 | $17,823.99 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $240.49 | $890.71 | 2.8× |
| X-Ray Exam Breast Specimen (76098) | $530.18 | $1,963.63 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $182.55 | $676.12 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $182.55 | $676.12 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $365.43 | $1,353.45 | 3.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $180.94 | $670.13 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $215.89 | $799.60 | 2.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $324.32 | $1,201.20 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $394.56 | $1,461.34 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $394.56 | $1,461.34 | 3.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $787.83 | $2,917.88 | 7.5× |
| X-Ray Exam L-S Spine Bending (72114) | $707.23 | $2,619.38 | 6.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $274.48 | $1,016.58 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $746.40 | $2,764.43 | 7.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $106.49 | $394.41 | 1.0× |
| X-ray eye for foreign body (70030) | $358.31 | $1,327.07 | 4.1× |
| X-ray humerus (73060) | $235.31 | $871.53 | 2.7× |
| X-ray IV pyelogram (ivp) (74400) | $905.97 | $3,355.44 | 5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $274.48 | $1,016.58 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $184.50 | $683.32 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $477.75 | $1,769.43 | 4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $381.62 | $1,413.39 | 4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $521.12 | $1,930.07 | 6.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $523.38 | $1,938.46 | 5.0× |
| X-Ray Tmj Unilat (70328) | $278.36 | $1,030.97 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $992.39 | $3,675.52 | 2.8× |
| X-Rays Bone Length Studies (77073) | $200.03 | $740.86 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $899.50 | $3,331.47 | 8.6× |
| Xr c-spine 4 or 5 views (72050) | $621.78 | $2,302.89 | 5.9× |
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.