Imaging prices at Munson Healthcare Manistee Hospital
Manistee, MI · every code in this section with a posted price and a Medicare benchmark.
276 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) | $293.25 | $345 | 3.4× |
| Abdomen 2 views (74019) | $385.05 | $453 | 3.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,925.25 | $2,265 | 4.8× |
| Angiography extremity bilateral rs&i (75716) | $3,246.15 | $3,819 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,246.15 | $3,819 | 1.0× |
| Ankle 2 views (73600) | $344.25 | $405 | 4.0× |
| Aortography thoracic serialography rs&i (75605) | $5,599.80 | $6,588 | 1.0× |
| Artery X-Rays Abdomen (75726) | $5,599.80 | $6,588 | 1.0× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$294.10 | $346 | 0.1× |
| Arthrogram hip (73525) | $1,167.90 | $1,374 | 3.4× |
| Arthrogram Wrist (73115) range across 5 matching MRF lines |
$809.20–$899.30 | $952–$1,058 | varies |
| Bone age studies (77072) | $328.95 | $387 | 3.2× |
| Bone Imaging 3 Phase (78315) | $1,903.15 | $2,239 | 4.8× |
| Bone Imaging Limited Area (78300) | $1,275.85 | $1,501 | 3.2× |
| Bone Imaging Whole Body (78306) range across 6 matching MRF lines |
$1,586.10–$1,652.40 | $1,866–$1,944 | varies |
| Bone marrow imaging; multiple areas (78103) | $1,095.65 | $1,289 | 2.8× |
| Bone survey infant (77076) | $622.20 | $732 | 6.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,923.55 | $2,263 | 3.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,305.35 | $9,771 | 5.8× |
| Cerebrospinal Fluid Scan (78630) | $1,948.20 | $2,292 | 3.6× |
| Chest 1 view (71045) | $247.35 | $291 | 2.9× |
| Chest 2 views (71046) | $341.70 | $402 | 3.9× |
| Chest 3 views (71047) | $493 | $580 | 5.7× |
| Chest 4 or more views (71048) | $489.60 | $576 | 4.7× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $294.10 | $346 | 2.8× |
| Clavicle complete (73000) | $292.40 | $344 | 3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $606.90 | $714 | 5.8× |
| Contrast Exam Abdominl Aorta (75625) | $3,318.40 | $3,904 | 1.1× |
| Contrast X-Ray Bladder (74430) | $728.45 | $857 | 2.1× |
| Contrast X-Ray Of Elbow (73085) | $902.70 | $1,062 | 2.6× |
| Contrast X-Ray Of Knee Joint (73580) | $1,045.50 | $1,230 | 3.0× |
| CT abdomen and pelvis without and with contrast (74178) | $6,831.45 | $8,037 | 19.7× |
| CT abdomen and pelvis without contrast (74176) | $4,650.35 | $5,471 | 19.6× |
| CT abdomen w contrast (74160) | $2,477.75 | $2,915 | 14.2× |
| CT abdomen w wo contrast (74170) | $3,417.85 | $4,021 | 19.6× |
| CT abdomen w/o contrast (74150) | $2,327.30 | $2,738 | 22.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,442.90 | $2,874 | 7.0× |
| CT Angio Chest (71275) | $1,724.65 | $2,029 | 9.9× |
| CT Angio Head (70496) | $1,620.95 | $1,907 | 9.3× |
| CT angio hrt w/3d image (75574) | $2,501.55 | $2,943 | 7.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,566.55 | $1,843 | 9.0× |
| CT Angio Neck (70498) | $2,542.35 | $2,991 | 14.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,294.15 | $2,699 | 13.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $228.65 | $269 | 1.3× |
| CT cervical spine w/ contrast (72126) | $2,451.40 | $2,884 | 7.1× |
| CT cervical spine w/o contrast (72125) | $2,327.30 | $2,738 | 22.3× |
| CT cervical spine w/wo cont (72127) | $4,777.85 | $5,621 | 27.3× |
| CT chest w contrast (71260) | $2,451.40 | $2,884 | 14.0× |
| CT chest w/wo contrast (71270) | $3,225.75 | $3,795 | 18.5× |
| CT head/brain with contrast (70460) | $2,451.40 | $2,884 | 14.0× |
| CT head/brain without and with contrast (70470) | $2,994.55 | $3,523 | 17.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $926.50 | $1,090 | 10.7× |
| CT iac w contrast (70481) | $2,451.40 | $2,884 | 14.0× |
| CT l-spine w&w/o contrast (72133) | $3,417.85 | $4,021 | 19.6× |
| CT lower ext w/o (73700) | $2,188.75 | $2,575 | 21.0× |
| CT lower extremity w/contrast material (73701) | $2,451.40 | $2,884 | 14.0× |
| CT lumbar spine w contrast (72132) | $2,317.95 | $2,727 | 6.7× |
| CT lumbar spine w/o contrast (72131) | $2,327.30 | $2,738 | 22.3× |
| CT maxillofacial w contrast (70487) | $1,433.95 | $1,687 | 8.2× |
| CT maxillofacial wo contrast (70486) | $1,815.60 | $2,136 | 17.4× |
| CT neck tissue combo (70492) | $3,159.45 | $3,717 | 18.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,159.45 | $3,717 | 18.1× |
| CT orbits w/o contrast (70480) | $2,327.30 | $2,738 | 22.3× |
| CT pelvis w&w/o contrast (72194) | $1,513.85 | $1,781 | 8.7× |
| CT pelvis w/o contrast (72192) | $2,327.30 | $2,738 | 22.3× |
| CT scan of leg combo (73702) | $3,159.45 | $3,717 | 18.1× |
| CT scans face/jaw combo (70488) | $3,159.45 | $3,717 | 18.1× |
| CT soft tissue neck w contrast (70491) range across 5 matching MRF lines |
$1,617.55–$2,317.95 | $1,903–$2,727 | varies |
| CT soft tissue neck w/o contrast (70490) range across 5 matching MRF lines |
$2,125–$2,188.75 | $2,500–$2,575 | varies |
| CT thoracic spine w contrast (72129) | $2,451.40 | $2,884 | 14.0× |
| CT thoracic spine w/o contrast (72128) | $2,327.30 | $2,738 | 22.3× |
| CT thorax w/o contrast (71250) range across 13 matching MRF lines |
$1,340.45–$2,215.95 | $1,577–$2,607 | varies |
| CT unlisted procedure (76497) | $707.20 | $832 | 8.2× |
| CT upper ext wo (73200) | $2,327.30 | $2,738 | 22.3× |
| CT upper extremity w/o & w/contrast material (73202) | $3,159.45 | $3,717 | 18.1× |
| CT upper extremity with contrast (73201) | $2,451.40 | $2,884 | 7.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,092.70 | $2,462 | 12.0× |
| Cta Abdomen (74175) | $1,620.95 | $1,907 | 9.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,081.65 | $2,449 | 6.0× |
| CTA pelvis (72191) | $1,566.55 | $1,843 | 9.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $506.60 | $596 | 4.9× |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$589.05–$613.70 | $693–$722 | varies |
| Dxa bone density study (77085) | $923.10 | $1,086 | 8.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $157.25 | $185 | 1.8× |
| Echo exam uterus (76831) | $761.60 | $896 | 3.2× |
| Esophagram (74220) | $489.60 | $576 | 2.8× |
| Fetal Biophys Profile W/Nst (76818) | $417.35 | $491 | 4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 17 matching MRF lines |
$253.30–$401.20 | $298–$472 | varies |
| Fluoroscopy up to 1 hr (76000) | $776.90 | $914 | 3.3× |
| Foot 2 views (73620) | $261.80 | $308 | 3.0× |
| Forearm 2 views (73090) | $221.85 | $261 | 2.6× |
| Gastric emptying imaging study (78264) | $2,121.60 | $2,496 | 5.3× |
| Gastroesophageal Reflux Exam (78262) | $1,848.75 | $2,175 | 4.6× |
| Gated Heart Planar Single (78472) range across 5 matching MRF lines |
$1,115.20–$1,161.10 | $1,312–$1,366 | varies |
| Hand 2 views (73120) | $247.35 | $291 | 2.4× |
| Hepatobil Syst Image W/Drug (78227) | $2,541.50 | $2,990 | 4.7× |
| Hepatobiliary System Imaging (78226) | $1,866.60 | $2,196 | 4.7× |
| Ht Muscle Image Spect Sing (78451) | $1,760.35 | $2,071 | 1.4× |
| Hysterosalpingogram (74740) | $1,041.25 | $1,225 | 4.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $683.40 | $804 | 7.9× |
| K Flow/Funct Image Multiple (78709) | $1,929.50 | $2,270 | 3.6× |
| K Flow/Funct Image W/Drug (78708) | $1,853.85 | $2,181 | 3.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,144.10 | $1,346 | 2.9× |
| Knee 3 Views (73562) | $341.70 | $402 | 3.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,151.75 | $1,355 | 2.9× |
| Liver imaging static only (78201) | $1,199.35 | $1,411 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,806.25 | $2,125 | 3.3× |
| Lymph System Imaging (78195) | $1,905.70 | $2,242 | 3.5× |
| Magnetic Image Jaw Joint (70336) | $832.15 | $979 | 3.5× |
| Mammary ductogram or galactogram multiple (77054) | $583.95 | $687 | 2.5× |
| Mammary ductogram or galactogram single (77053) | $420.75 | $495 | 1.8× |
| Meckels Divert Exam (78290) | $1,903.15 | $2,239 | 4.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,982.25 | $4,685 | 11.5× |
| MRA head w/o contrast (70544) | $6,107.25 | $7,185 | 25.7× |
| MRA head with contrast (70545) | $2,951.20 | $3,472 | 8.5× |
| MRA neck w contrast (70548) | $6,038.40 | $7,104 | 17.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,316.35 | $7,431 | 18.2× |
| MRA neck w/o contrast (70547) | $6,107.25 | $7,185 | 25.7× |
| MRI abdomen w contrast (74182) | $3,472.25 | $4,085 | 10.0× |
| MRI abdomen w/o contrast (74181) | $3,207.90 | $3,774 | 13.5× |
| MRI any jt lower extrem w/contrast material (73722) | $3,500.30 | $4,118 | 4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,207.90 | $3,774 | 9.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,500.30 | $4,118 | 4.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,215.10 | $2,606 | 9.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $459 | $540 | 1.9× |
| MRI cervical spine w contrast (72142) | $1,408.45 | $1,657 | 4.1× |
| MRI cervical spine w/o cont (72141) | $3,207.90 | $3,774 | 13.5× |
| MRI chest w/o contrast (71550) | $3,207.90 | $3,774 | 13.5× |
| MRI chest with contrast (71551) | $3,500.30 | $4,118 | 4.5× |
| MRI chest wo w contrast (71552) | $3,794.40 | $4,464 | 10.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,499.45 | $4,117 | 10.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,794.40 | $4,464 | 10.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,207.90 | $3,774 | 13.5× |
| MRI lumbar spine w contrast (72149) | $1,377.85 | $1,621 | 4.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,191.40 | $7,284 | 17.8× |
| MRI orbit face &/neck w/o contrast (70540) | $6,400.50 | $7,530 | 26.9× |
| MRI orbit face neck w contrast (70542) | $5,871.80 | $6,908 | 16.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,698 | $7,880 | 19.3× |
| MRI pelvis w contrast (72196) | $3,500.30 | $4,118 | 10.1× |
| MRI pelvis w/o & w contrast (72197) | $3,794.40 | $4,464 | 10.9× |
| MRI pelvis w/o contrast (72195) | $3,207.90 | $3,774 | 13.5× |
| MRI thoracic spine w/o contrast (72146) | $3,207.90 | $3,774 | 13.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,499.45 | $4,117 | 10.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,207.90 | $3,774 | 13.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,794.40 | $4,464 | 10.9× |
| MRI, abdomen, combo (74183) | $3,794.40 | $4,464 | 10.9× |
| MRI, dorsal spine combo (72157) | $6,191.40 | $7,284 | 17.8× |
| MRI, dorsal spine contrast (72147) | $1,395.70 | $1,642 | 4.0× |
| MRI, joint upper extrem (73221) | $3,207.90 | $3,774 | 13.5× |
| MRI, joint upper extrem combo (73223) | $3,794.40 | $4,464 | 10.9× |
| MRI, lumbar spine combo (72158) | $6,107.25 | $7,185 | 17.6× |
| Myocardial Spect Multiple Studies (78452) | $2,255.90 | $2,654 | 1.7× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $471.75 | $555 | 0.3× |
| Neck soft tissue (70360) | $286.45 | $337 | 3.3× |
| Ob us nuchal meas 1 gest (76813) | $389.30 | $458 | 3.7× |
| 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) range across 2 matching MRF lines |
$335.75–$362.95 | $395–$427 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,363.85 | $2,781 | 4.4× |
| Parathyroid Planar Imaging (78070) | $1,642.20 | $1,932 | 4.1× |
| Pelvis 1 or 2 views (72170) | $254.15 | $299 | 2.4× |
| Pet Image W/Ct Lmtd (78814) | $8,823 | $10,380 | 6.2× |
| PET image w/CT, full body (78816) | $8,823 | $10,380 | 6.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,823 | $10,380 | 6.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,217.20 | $1,432 | 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) | $430.95 | $507 | 4.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $541.45 | $637 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $344.25 | $405 | 4.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $287.30 | $338 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $339.15 | $399 | 3.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $489.60 | $576 | 4.7× |
| Radex fingr minimum 2 views (73140) | $221.85 | $261 | 2.6× |
| Radex foot complete minimum 3 views (73630) | $344.25 | $405 | 4.0× |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$107.10–$249.05 | $126–$293 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $162.35 | $191 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $293.25 | $345 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $342.55 | $403 | 4.0× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$328.95–$329.80 | $387–$388 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $330.65 | $389 | 3.8× |
| Radex Spine 1 View Specify Level (72020) | $309.40 | $364 | 3.6× |
| Radex Sternum Minimum 2 Views (71120) | $328.95 | $387 | 3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $367.20 | $432 | 4.2× |
| Radex Toe Minimum 2 Views (73660) | $235.45 | $277 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$329.80–$344.25 | $388–$405 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $463.25 | $545 | 4.4× |
| Radiologic exam colon double contrast study (74280) | $1,075.25 | $1,265 | 6.2× |
| Radiologic exam colon single contrast study (74270) | $904.40 | $1,064 | 5.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $536.35 | $631 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) | $398.65 | $469 | 3.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $421.60 | $496 | 4.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $555.05 | $653 | 3.2× |
| Radiologic exam swallow function contrast study (74230) | $904.40 | $1,064 | 5.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $835.55 | $983 | 4.8× |
| Radiologic examination femur minimum 2 views (73552) | $333.20 | $392 | 3.8× |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$344.25–$515.10 | $405–$606 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $341.70 | $402 | 3.9× |
| Ribs bilateral 3 views (71110) | $534.65 | $629 | 5.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,436.50 | $1,690 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,915.10 | $4,606 | 7.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 9 matching MRF lines |
$2,151.35–$2,554.25 | $2,531–$3,005 | 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) | $2,554.25 | $3,005 | 2.0× |
| Scapula (73010) | $366.35 | $431 | 3.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $164.05 | $193 | 7.0× |
| Shoulder 1 view (73020) | $345.95 | $407 | 4.0× |
| Shoulder Arthrography (73040) | $902.70 | $1,062 | 2.6× |
| Skull less than 4 views (70250) | $324.70 | $382 | 3.1× |
| Sternoclavicular joints (71130) | $254.15 | $299 | 2.9× |
| Thoracic spine 2 views (72070) | $371.45 | $437 | 3.6× |
| Thoracic spine 3 views (72072) | $406.30 | $478 | 3.9× |
| Thoracolumbar 2 views (72080) | $369.75 | $435 | 4.3× |
| Thyroid Imaging With Vascular Flow (78013) | $1,136.45 | $1,337 | 2.9× |
| Thyroid Uptake Measurement (78012) | $1,070.15 | $1,259 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,484.10 | $1,746 | 3.7× |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$332.35–$592.45 | $391–$697 | varies |
| Ultrasound Exam Aaa Screen (76706) | $553.35 | $651 | 5.3× |
| Ultrasound, abdomen limited (76705) range across 12 matching MRF lines |
$546.55–$734.40 | $643–$864 | varies |
| Umbilical-artery Doppler (OB) (76820) | $206.55 | $243 | 2.0× |
| Unlisted us procedure (76999) | $384.20 | $452 | 4.4× |
| Upper gi w/o kub (74240) | $834.70 | $982 | 4.8× |
| Urethrocystogram voiding (74455) | $947.75 | $1,115 | 4.0× |
| Urethrocystography retrograde (74450) | $801.55 | $943 | 3.4× |
| Us breast unilateral complete (76641) | $548.25 | $645 | 5.3× |
| Us chest (76604) range across 10 matching MRF lines |
$362.95–$650.25 | $427–$765 | varies |
| Us complete joint (76881) range across 9 matching MRF lines |
$1,343.85–$1,399.10 | $1,581–$1,646 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$362.95–$800.70 | $427–$942 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 16 matching MRF lines |
$332.35–$1,399.10 | $391–$1,646 | varies |
| Us ob detailed single fetus (76811) range across 16 matching MRF lines |
$788.80–$1,196.80 | $928–$1,408 | varies |
| Us ob limited 1 or more fetuses (76815) range across 7 matching MRF lines |
$362.95–$921.40 | $427–$1,084 | varies |
| Us ob transvaginal (76817) | $921.40 | $1,084 | 8.8× |
| Us pelvic non ob complete (76856) | $312.80 | $368 | 3.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 8 matching MRF lines |
$936.70–$974.95 | $1,102–$1,147 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 18 matching MRF lines |
$528.70–$907.80 | $622–$1,068 | varies |
| Us retroperitoneal complete (76770) | $790.50 | $930 | 7.6× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$362.95–$703.80 | $427–$828 | varies |
| Us scrotum and contents (76870) | $817.70 | $962 | 7.8× |
| Us thyroid (76536) | $876.35 | $1,031 | 8.4× |
| Us transrectal (76872) | $990.25 | $1,165 | 9.5× |
| Vein X-Ray Chest (75827) | $1,607.35 | $1,891 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $3,246.15 | $3,819 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,471.35 | $1,731 | 0.9× |
| Vertebral fracture assessment via dxa (77086) | $613.70 | $722 | 7.1× |
| Wrist 2 views (73100) | $338.30 | $398 | 3.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $291.55 | $343 | 3.4× |
| X-ray antegrade pyelogram tube (74425) range across 9 matching MRF lines |
$700.40–$729.30 | $824–$858 | varies |
| X-Ray Aorta Leg Arteries (75630) | $3,246.15 | $3,819 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $211.65 | $249 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $293.25 | $345 | 3.4× |
| X-Ray Exam Breast Specimen (76098) | $789.65 | $929 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $93.50 | $110 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $489.60 | $576 | 4.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $302.60 | $356 | 3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $408.85 | $481 | 4.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $592.45 | $697 | 5.7× |
| X-Ray Exam L-S Spine Bending (72114) | $601.80 | $708 | 5.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $359.55 | $423 | 4.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $526.15 | $619 | 5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $411.40 | $484 | 3.9× |
| X-ray humerus (73060) | $294.10 | $346 | 3.4× |
| X-ray IV pyelogram (ivp) (74400) | $946.05 | $1,113 | 5.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $249.05 | $293 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $398.65 | $469 | 3.8× |
| X-ray nose-rectum child f.b. (76010) | $759.05 | $893 | 8.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $592.45 | $697 | 5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $383.35 | $451 | 3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $362.95 | $427 | 4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $451.35 | $531 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $526.15 | $619 | 5.1× |
| X-ray thoracic spine 4 vw (72074) | $536.35 | $631 | 5.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $782.85 | $921 | 2.3× |
| X-Rays Bone Length Studies (77073) | $383.35 | $451 | 3.7× |
| X-Rays Bone Survey Complete (77075) | $622.20 | $732 | 6.0× |
| Xr c-spine 4 or 5 views (72050) | $451.35 | $531 | 4.3× |
| Xr facial bones less than 3 views (70140) | $337.45 | $397 | 3.9× |
| Xr orbits complete 4 views (70200) | $463.25 | $545 | 4.4× |
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.