Imaging prices at Munson Healthcare Grayling Hospital
Grayling, MI · every code in this section with a posted price and a Medicare benchmark.
246 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) | $294.95 | $347 | 3.4× |
| Abdomen 2 views (74019) | $317.90 | $374 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,854.70 | $2,182 | 4.7× |
| Ankle 2 views (73600) | $261.80 | $308 | 3.0× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$203.15 | $239 | 0.0× |
| Arthrogram ankle (73615) | $890.80 | $1,048 | 2.6× |
| Arthrogram hip (73525) range across 7 matching MRF lines |
$600.10–$647.70 | $706–$762 | varies |
| Arthrogram Wrist (73115) | $424.15 | $499 | 1.2× |
| Bone age studies (77072) | $419.90 | $494 | 4.0× |
| Bone Imaging 3 Phase (78315) | $1,834.30 | $2,158 | 4.6× |
| Bone Imaging Limited Area (78300) | $1,229.95 | $1,447 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,591.20 | $1,872 | 4.0× |
| Bone survey infant (77076) | $443.70 | $522 | 4.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,809.30 | $5,658 | 3.4× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,493.45 | $1,757 | 3.7× |
| Chest 1 view (71045) range across 8 matching MRF lines |
$217.60–$228.65 | $256–$269 | varies |
| Chest 2 views (71046) | $351.90 | $414 | 4.1× |
| Chest 3 views (71047) | $387.60 | $456 | 4.5× |
| Chest 4 or more views (71048) | $601.80 | $708 | 5.8× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $294.10 | $346 | 2.8× |
| Clavicle complete (73000) | $319.60 | $376 | 3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $585.65 | $689 | 5.6× |
| Contrast X-Ray Bladder (74430) | $469.20 | $552 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
$457.30–$952 | $538–$1,120 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,781.65 | $4,449 | 10.9× |
| CT abdomen and pelvis without contrast (74176) | $2,044.25 | $2,405 | 8.6× |
| CT abdomen w contrast (74160) | $1,716.15 | $2,019 | 9.8× |
| CT abdomen w wo contrast (74170) | $2,346 | $2,760 | 13.4× |
| CT abdomen w/o contrast (74150) | $1,022.55 | $1,203 | 9.8× |
| CT Angio Abdomen and Pelvis (74174) range across 6 matching MRF lines |
$3,122.05–$3,465.45 | $3,673–$4,077 | varies |
| CT Angio Chest (71275) range across 6 matching MRF lines |
$2,361.30–$2,618.85 | $2,778–$3,081 | varies |
| CT Angio Head (70496) | $2,567.85 | $3,021 | 14.7× |
| CT angio hrt w/3d image (75574) | $2,536.40 | $2,984 | 7.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$2,423.35–$2,428.45 | $2,851–$2,857 | varies |
| CT Angio Neck (70498) | $2,707.25 | $3,185 | 15.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,130.10 | $2,506 | 12.2× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $228.65 | $269 | 1.3× |
| CT cervical spine w/ contrast (72126) | $1,794.35 | $2,111 | 5.2× |
| CT cervical spine w/o contrast (72125) | $1,321.75 | $1,555 | 12.7× |
| CT chest w contrast (71260) | $1,778.20 | $2,092 | 10.2× |
| CT chest w/wo contrast (71270) | $2,048.50 | $2,410 | 11.7× |
| CT head/brain with contrast (70460) range across 4 matching MRF lines |
$1,840.25–$2,103.75 | $2,165–$2,475 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$2,182.80–$2,451.40 | $2,568–$2,884 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $2,442.05 | $2,873 | 7.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $473.45 | $557 | 5.5× |
| CT iac w contrast (70481) | $1,898.05 | $2,233 | 10.9× |
| CT l-spine w&w/o contrast (72133) | $2,048.50 | $2,410 | 11.7× |
| CT lower ext w/o (73700) | $1,291.15 | $1,519 | 12.4× |
| CT lower extremity w/contrast material (73701) | $1,794.35 | $2,111 | 10.3× |
| CT lumbar spine w contrast (72132) | $1,794.35 | $2,111 | 5.2× |
| CT lumbar spine w/o contrast (72131) | $1,356.60 | $1,596 | 13.0× |
| CT maxillofacial w contrast (70487) | $1,898.05 | $2,233 | 10.9× |
| CT maxillofacial wo contrast (70486) | $1,181.50 | $1,390 | 11.3× |
| CT neck tissue combo (70492) | $2,188.75 | $2,575 | 12.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,211.70 | $2,602 | 12.7× |
| CT orbits w/o contrast (70480) | $1,590.35 | $1,871 | 15.3× |
| CT pelvis w/o contrast (72192) | $1,127.95 | $1,327 | 10.8× |
| CT scans face/jaw combo (70488) | $2,160.70 | $2,542 | 12.4× |
| CT soft tissue neck w contrast (70491) range across 5 matching MRF lines |
$935–$1,794.35 | $1,100–$2,111 | varies |
| CT soft tissue neck w/o contrast (70490) range across 5 matching MRF lines |
$1,031.05–$1,082.90 | $1,213–$1,274 | varies |
| CT thoracic spine w contrast (72129) | $1,794.35 | $2,111 | 10.3× |
| CT thoracic spine w/o contrast (72128) | $1,321.75 | $1,555 | 12.7× |
| CT thorax w/o contrast (71250) | $1,110.10 | $1,306 | 10.7× |
| CT unlisted procedure (76497) | $707.20 | $832 | 8.2× |
| CT upper ext wo (73200) | $1,279.25 | $1,505 | 12.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,334.50 | $1,570 | 7.6× |
| CT upper extremity with contrast (73201) | $1,794.35 | $2,111 | 5.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,296.70 | $2,702 | 13.1× |
| Cta Abdomen (74175) | $2,423.35 | $2,851 | 13.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,637.55 | $3,103 | 7.6× |
| CTA pelvis (72191) | $2,075.70 | $2,442 | 11.9× |
| Dxa Bone Density Axial (77080) | $598.40 | $704 | 5.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $297.50 | $350 | 3.4× |
| Esophagram (74220) | $756.50 | $890 | 4.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $396.95 | $467 | 3.8× |
| Fluoroscopy up to 1 hr (76000) | $791.35 | $931 | 3.3× |
| Foot 2 views (73620) | $293.25 | $345 | 3.4× |
| Forearm 2 views (73090) | $333.20 | $392 | 3.8× |
| Gastric emptying imaging study (78264) | $1,813.90 | $2,134 | 4.6× |
| Gastroesophageal Reflux Exam (78262) | $1,297.95 | $1,527 | 3.3× |
| Gated Heart Planar Single (78472) range across 5 matching MRF lines |
$523.60–$1,338.75 | $616–$1,575 | varies |
| Hand 2 views (73120) | $243.10 | $286 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) | $2,448.85 | $2,881 | 4.5× |
| Hepatobiliary System Imaging (78226) | $1,798.60 | $2,116 | 4.5× |
| Ht Muscle Image Spect Sing (78451) | $3,099.95 | $3,647 | 2.4× |
| Hysterosalpingogram (74740) | $789.65 | $929 | 3.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $658.75 | $775 | 7.6× |
| K Flow/Funct Image Multiple (78709) | $1,078.65 | $1,269 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $1,078.65 | $1,269 | 2.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,078.65 | $1,269 | 2.7× |
| Knee 3 Views (73562) | $371.45 | $437 | 4.3× |
| Liver & Spleen Imaging Static Only (78215) | $1,062.50 | $1,250 | 2.7× |
| Lung Perf&Ventilat Diferentl (78598) | $1,626.90 | $1,914 | 3.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,740.80 | $2,048 | 3.2× |
| Lymph System Imaging (78195) | $1,836 | $2,160 | 3.4× |
| Magnetic Image Jaw Joint (70336) | $1,838.55 | $2,163 | 7.7× |
| Meckels Divert Exam (78290) | $1,834.30 | $2,158 | 4.6× |
| Mra Head W/O & W/Contrast Material (70546) | $4,109.75 | $4,835 | 11.8× |
| MRA head w/o contrast (70544) | $2,463.30 | $2,898 | 10.4× |
| MRA head with contrast (70545) | $2,745.50 | $3,230 | 7.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,848.80 | $4,528 | 11.1× |
| MRA neck w/o contrast (70547) | $2,290.75 | $2,695 | 9.6× |
| MRI abdomen w/o contrast (74181) | $2,224.45 | $2,617 | 9.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,592.50 | $3,050 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,445.05 | $4,053 | 9.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,586.55 | $3,043 | 3.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,258.45 | $2,657 | 9.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,484.10 | $1,746 | 6.2× |
| MRI cervical spine w contrast (72142) | $3,264.85 | $3,841 | 9.4× |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$980.05–$2,052.75 | $1,153–$2,415 | varies |
| MRI chest w/o contrast (71550) | $2,788 | $3,280 | 11.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,424.65 | $4,029 | 9.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$213.35–$2,496.45 | $251–$2,937 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $3,432.30 | $4,038 | 9.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,267.80 | $2,668 | 9.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,517.30 | $4,138 | 10.1× |
| MRI pelvis w/o & w contrast (72197) range across 5 matching MRF lines |
$3,520.70–$3,579.35 | $4,142–$4,211 | varies |
| MRI pelvis w/o contrast (72195) range across 6 matching MRF lines |
$20.40–$2,428.45 | $24–$2,857 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$264.35–$2,233.80 | $311–$2,628 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,631.60 | $3,096 | 7.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 9 matching MRF lines |
$1,049.75–$2,226.15 | $1,235–$2,619 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,455.25 | $4,065 | 9.9× |
| MRI, abdomen, combo (74183) range across 6 matching MRF lines |
$3,532.60–$3,591.25 | $4,156–$4,225 | varies |
| MRI, dorsal spine combo (72157) | $3,432.30 | $4,038 | 9.9× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$309.40–$2,403.80 | $364–$2,828 | varies |
| MRI, joint upper extrem combo (73223) | $3,387.25 | $3,985 | 9.7× |
| MRI, lumbar spine combo (72158) | $3,432.30 | $4,038 | 9.9× |
| Myocardial Spect Multiple Studies (78452) | $4,015.40 | $4,724 | 3.1× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $4,026.45 | $4,737 | 2.8× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $6,203.30 | $7,298 | 2.8× |
| N-invas est c ffr sw aly CTA (75580) | $4,452.30 | $5,238 | 5.2× |
| Neck soft tissue (70360) | $282.20 | $332 | 3.3× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $702.10 | $826 | 5.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $335.75 | $395 | 3.2× |
| Pelvis 1 or 2 views (72170) | $300.90 | $354 | 2.9× |
| Pet Image W/Ct Lmtd (78814) | $5,150.15 | $6,059 | 3.6× |
| PET image w/CT, full body (78816) | $5,802.95 | $6,827 | 4.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 6 matching MRF lines |
$576.30–$5,770.65 | $678–$6,789 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,241 | $1,460 | 3.1× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,211.25 | $1,425 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $458.15 | $539 | 4.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $697.85 | $821 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$368.90–$369.75 | $434–$435 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $282.20 | $332 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $370.60 | $436 | 4.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $448.80 | $528 | 4.3× |
| Radex fingr minimum 2 views (73140) | $291.55 | $343 | 3.4× |
| Radex foot complete minimum 3 views (73630) | $363.80 | $428 | 4.2× |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$407.15–$408 | $479–$480 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $162.35 | $191 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $308.55 | $363 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $325.55 | $383 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) | $374.85 | $441 | 4.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $265.20 | $312 | 3.1× |
| Radex Spine 1 View Specify Level (72020) range across 5 matching MRF lines |
$162.35–$244.80 | $191–$288 | varies |
| Radex Sternum Minimum 2 Views (71120) | $323 | $380 | 3.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $315.35 | $371 | 3.6× |
| Radex Toe Minimum 2 Views (73660) | $310.25 | $365 | 3.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $362.95 | $427 | 4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $426.70 | $502 | 4.1× |
| Radiologic exam colon double contrast study (74280) | $1,039.55 | $1,223 | 5.9× |
| Radiologic exam colon single contrast study (74270) range across 6 matching MRF lines |
$788.80–$827.90 | $928–$974 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $807.50 | $950 | 4.6× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$433.50–$434.35 | $510–$511 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $297.50 | $350 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $531.25 | $625 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $658.75 | $775 | 3.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $798.15 | $939 | 4.6× |
| Radiologic examination femur minimum 2 views (73552) | $323.85 | $381 | 3.7× |
| Radiologic examination knee 1/2 views (73560) | $261.80 | $308 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $319.60 | $376 | 3.7× |
| Ribs bilateral 3 views (71110) | $562.70 | $662 | 5.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,384.65 | $1,629 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,772.30 | $4,438 | 7.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
$268.60–$2,448 | $316–$2,880 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,852.20 | $4,532 | 3.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,709 | $5,540 | 3.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,603.55 | $3,063 | 2.0× |
| Scapula (73010) | $300.05 | $353 | 2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $160.65 | $189 | 6.9× |
| Shoulder 1 view (73020) | $283.90 | $334 | 3.3× |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$378.25–$635.80 | $445–$748 | varies |
| Skull less than 4 views (70250) | $345.10 | $406 | 3.3× |
| Sternoclavicular joints (71130) | $361.25 | $425 | 4.2× |
| Thoracic spine 2 views (72070) | $310.25 | $365 | 3.0× |
| Thoracic spine 3 views (72072) | $450.50 | $530 | 4.3× |
| Thoracolumbar 2 views (72080) | $263.50 | $310 | 3.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,095.65 | $1,289 | 2.8× |
| Thyroid Uptake Measurement (78012) | $844.05 | $993 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,326 | $1,560 | 3.3× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$408–$408.85 | $480–$481 | varies |
| Ultrasound Exam Aaa Screen (76706) | $507.45 | $597 | 4.9× |
| Ultrasound, abdomen limited (76705) range across 11 matching MRF lines |
$676.60–$734.40 | $796–$864 | varies |
| Umbilical-artery Doppler (OB) (76820) | $702.10 | $826 | 6.7× |
| Unlisted us procedure (76999) | $384.20 | $452 | 4.4× |
| Upper gi w/o kub (74240) | $692.75 | $815 | 4.0× |
| Urethrocystogram voiding (74455) | $570.35 | $671 | 2.4× |
| Urethrocystography retrograde (74450) | $601.80 | $708 | 2.5× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$613.70–$616.25 | $722–$725 | varies |
| Us chest (76604) range across 8 matching MRF lines |
$593.30–$650.25 | $698–$765 | varies |
| Us complete joint (76881) range across 9 matching MRF lines |
$609.45–$611.15 | $717–$719 | varies |
| Us exam, pelvic, limited (76857) | $366.35 | $431 | 3.5× |
| Us kidney transplant (76776) | $730.15 | $859 | 7.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 12 matching MRF lines |
$538.05–$542.30 | $633–$638 | varies |
| Us ob detailed single fetus (76811) | $731 | $860 | 3.1× |
| Us ob limited 1 or more fetuses (76815) | $477.70 | $562 | 4.6× |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$725.90–$787.95 | $854–$927 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $607.75 | $715 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 15 matching MRF lines |
$313.65–$536.35 | $369–$631 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$759.90–$830.45 | $894–$977 | varies |
| Us retroperitoneal limited (76775) | $600.95 | $707 | 5.8× |
| Us scrotum and contents (76870) range across 5 matching MRF lines |
$687.65–$750.55 | $809–$883 | varies |
| Us spinal canal and contents (76800) | $524.45 | $617 | 5.0× |
| Us thyroid (76536) | $643.45 | $757 | 6.2× |
| Wrist 2 views (73100) | $293.25 | $345 | 3.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $362.95 | $427 | 4.2× |
| X-ray antegrade pyelogram tube (74425) | $882.30 | $1,038 | 2.5× |
| X-Ray Bend Only L-S Spine (72120) | $550.80 | $648 | 5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $293.25 | $345 | 3.4× |
| X-Ray Exam Breast Specimen (76098) | $828.75 | $975 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $96.90 | $114 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $453.05 | $533 | 4.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $317.90 | $374 | 3.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$317.90–$339.15 | $374–$399 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $527 | $620 | 5.1× |
| X-Ray Exam L-S Spine Bending (72114) | $441.15 | $519 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $392.70 | $462 | 4.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $594.15 | $699 | 5.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $476.85 | $561 | 4.6× |
| X-ray humerus (73060) | $293.25 | $345 | 3.4× |
| X-ray IV pyelogram (ivp) (74400) | $690.20 | $812 | 3.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $252.45 | $297 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $391 | $460 | 3.8× |
| X-ray nose-rectum child f.b. (76010) | $379.10 | $446 | 4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $589.90 | $694 | 5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $284.75 | $335 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $363.80 | $428 | 4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $387.60 | $456 | 4.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $442.85 | $521 | 4.3× |
| X-ray thoracic spine 4 vw (72074) | $566.95 | $667 | 5.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $917.15 | $1,079 | 2.6× |
| X-Rays Bone Length Studies (77073) | $457.30 | $538 | 4.4× |
| X-Rays Bone Survey Complete (77075) | $448.80 | $528 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $510 | $600 | 4.9× |
| Xr facial bones less than 3 views (70140) | $295.80 | $348 | 3.4× |
| Xr orbits complete 4 views (70200) | $368.90 | $434 | 3.5× |
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.