Imaging prices at North Okaloosa Medical Center
Crestview, FL · every code in this section with a posted price and a Medicare benchmark.
274 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) | $396.56 | $2,203.09 | 4.4× |
| Abdomen 2 views (74019) | $406.35 | $2,257.50 | 3.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,412.32 | $7,846.20 | 3.4× |
| Angio pulmonary bilat (75743) | $1,760.33 | $9,779.63 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $1,760.33 | $9,779.63 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,760.33 | $9,779.63 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,760.33 | $9,779.63 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,617.20 | $8,984.45 | 0.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$289.57–$578.10 | $1,608.72–$3,211.69 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,554.19 | $14,189.96 | 0.4× |
| Artery X-Rays Abdomen (75726) | $3,271.58 | $18,175.45 | 0.6× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,554.19 | $14,189.96 | 0.4× |
| Arthrogram ankle (73615) | $1,455.07 | $8,083.72 | 4.0× |
| Arthrogram hip (73525) | $1,547.39 | $8,596.62 | 4.2× |
| Arthrogram Wrist (73115) | $1,301.82 | $7,232.32 | 3.6× |
| Bone age studies (77072) | $212.73 | $1,181.86 | 1.9× |
| Bone Imaging 3 Phase (78315) | $2,007.97 | $11,155.41 | 4.8× |
| Bone Imaging Limited Area (78300) | $909.19 | $5,051.04 | 2.2× |
| Bone Imaging Whole Body (78306) | $1,771.28 | $9,840.44 | 4.2× |
| Bone survey infant (77076) | $428.57 | $2,380.94 | 3.9× |
| Cat Scan Follow-Up Study (76380) | $685.92 | $3,810.65 | 7.5× |
| Chest 1 view (71045) | $199.72 | $1,109.58 | 2.2× |
| Chest 2 views (71046) | $253.84 | $1,410.20 | 2.8× |
| Chest 3 views (71047) | $350.91 | $1,949.50 | 3.9× |
| Chest 4 or more views (71048) | $350.91 | $1,949.50 | 3.2× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$321.99–$644.40 | $1,788.86–$3,580.02 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,269.18 | $7,051.02 | 11.6× |
| Contrast Exam Abdominl Aorta (75625) | $1,760.33 | $9,779.63 | 0.5× |
| Contrast X-Ray Bladder (74430) | $1,182.85 | $6,571.39 | 3.2× |
| Contrast X-Ray Of Elbow (73085) | $1,301.82 | $7,232.32 | 3.6× |
| Contrast X-Ray Of Knee Joint (73580) | $1,455.07 | $8,083.72 | 4.0× |
| CT abdomen and pelvis without and with contrast (74178) | $4,454.02 | $24,744.54 | 12.2× |
| CT abdomen and pelvis without contrast (74176) | $2,538.78 | $14,104.34 | 10.2× |
| CT abdomen w contrast (74160) | $2,009.63 | $11,164.59 | 11.0× |
| CT abdomen w wo contrast (74170) | $2,226.49 | $12,369.40 | 12.2× |
| CT abdomen w/o contrast (74150) | $1,269.18 | $7,051.02 | 11.6× |
| CT Angio Abdomen and Pelvis (74174) | $4,594.47 | $25,524.81 | 12.6× |
| CT Angio Chest (71275) | $2,297.75 | $12,765.27 | 12.5× |
| CT Angio Head (70496) | $2,297.75 | $12,765.27 | 12.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,297.75–$3,446.62 | $12,765.27–$19,147.91 | varies |
| CT Angio Neck (70498) | $2,297.75 | $12,765.27 | 12.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,297.75–$3,446.62 | $12,765.27–$19,147.91 | varies |
| CT cervical spine w/ contrast (72126) | $2,009.63 | $11,164.59 | 5.5× |
| CT cervical spine w/o contrast (72125) | $1,269.18 | $7,051.02 | 11.6× |
| CT cervical spine w/wo cont (72127) | $2,226.49 | $12,369.40 | 12.2× |
| CT chest w contrast (71260) | $2,009.63 | $11,164.59 | 11.0× |
| CT chest w/wo contrast (71270) | $2,226.49 | $12,369.40 | 12.2× |
| CT head/brain with contrast (70460) | $2,009.63 | $11,164.59 | 11.0× |
| CT head/brain without and with contrast (70470) | $2,226.49 | $12,369.40 | 12.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $41.61 | $231.14 | 0.5× |
| CT iac w contrast (70481) | $2,009.63 | $11,164.59 | 11.0× |
| CT l-spine w&w/o contrast (72133) | $2,226.49 | $12,369.40 | 12.2× |
| CT lower ext w/o (73700) | $1,269.18 | $7,051.02 | 11.6× |
| CT lower extremity w/contrast material (73701) | $2,009.63 | $11,164.59 | 11.0× |
| CT lumbar spine w contrast (72132) | $2,009.63 | $11,164.59 | 5.5× |
| CT lumbar spine w/o contrast (72131) | $1,269.18 | $7,051.02 | 11.6× |
| CT maxillofacial w contrast (70487) | $2,009.63 | $11,164.59 | 11.0× |
| CT maxillofacial wo contrast (70486) | $1,269.18 | $7,051.02 | 11.6× |
| CT neck tissue combo (70492) | $2,226.49 | $12,369.40 | 12.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,226.49 | $12,369.40 | 12.2× |
| CT orbits w/o contrast (70480) | $1,269.18 | $7,051.02 | 11.6× |
| CT pelvis w&w/o contrast (72194) | $2,226.49 | $12,369.40 | 12.2× |
| CT pelvis w/o contrast (72192) | $1,269.18 | $7,051.02 | 11.6× |
| CT scan of leg combo (73702) | $2,226.49 | $12,369.40 | 12.2× |
| CT scans face/jaw combo (70488) | $2,226.49 | $12,369.40 | 12.2× |
| CT soft tissue neck w contrast (70491) | $2,009.63 | $11,164.59 | 11.0× |
| CT soft tissue neck w/o contrast (70490) | $1,269.18 | $7,051.02 | 11.6× |
| CT thoracic spine w contrast (72129) | $2,009.63 | $11,164.59 | 11.0× |
| CT thoracic spine w/o contrast (72128) | $1,269.18 | $7,051.02 | 11.6× |
| CT thoracic spine w/wo cont (72130) | $2,226.49 | $12,369.40 | 12.2× |
| CT thorax w/o contrast (71250) | $1,269.18 | $7,051.02 | 11.6× |
| CT upper ext wo (73200) | $1,269.18 | $7,051.02 | 11.6× |
| CT upper extremity w/o & w/contrast material (73202) | $2,226.49 | $12,369.40 | 12.2× |
| CT upper extremity with contrast (73201) | $2,009.63 | $11,164.59 | 5.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,297.75 | $12,765.27 | 12.5× |
| Cta Abdomen (74175) | $2,297.75 | $12,765.27 | 12.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $5,864.70 | $32,581.66 | 16.1× |
| CTA pelvis (72191) | $2,297.75 | $12,765.27 | 12.5× |
| Dxa Bone Density Axial (77080) | $231.53 | $1,286.28 | 2.1× |
| Echo exam uterus (76831) | $753.87 | $4,188.16 | 3.0× |
| Echo Guide For Artery Repair (76936) | $351.74 | $1,954.09 | 1.6× |
| Esophagram (74220) | $542.58 | $3,014.33 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) | $533.70 | $2,964.99 | 4.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $533.70 | $2,964.99 | 4.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$217.35–$1,252.25 | $1,207.50–$6,956.93 | varies |
| Follow-Up Angiography (75898) | $947.39 | $5,263.30 | 0.3× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$244.13–$488.26 | $1,356.27–$2,712.55 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$367.64–$735.28 | $2,042.44–$4,084.88 | varies |
| Gastric emptying imaging study (78264) | $824.30 | $4,579.43 | 2.0× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$268.91–$537.83 | $1,493.97–$2,987.94 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,487.19 | $8,262.19 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,725.22 | $9,584.57 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,261.13 | $7,006.27 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,261.13 | $7,006.27 | 3.0× |
| Ht Musc Image Planar Mult (78454) | $2,271.52 | $12,619.54 | 1.7× |
| Ht Muscle Image Spect Sing (78451) | $2,225.67 | $12,364.81 | 1.6× |
| Hysterosalpingogram (74740) | $1,182.02 | $6,566.79 | 4.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $531.01 | $2,950.07 | 5.8× |
| Infusion Ivp (74410) | $1,543.47 | $8,574.81 | 8.4× |
| K Flow/Funct Image W/Drug (78708) | $1,771.28 | $9,840.44 | 3.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,211.15 | $6,728.59 | 2.1× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$363.10–$726.19 | $2,017.20–$4,034.39 | varies |
| Lung perfusion differential (78597) | $841.23 | $4,673.52 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,641.99 | $9,122.15 | 2.9× |
| Lymph System Imaging (78195) | $1,766.32 | $9,812.91 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $1,462.09 | $8,122.73 | 5.9× |
| Mr safety determination physician/other qhp (76016) | $38.43 | $213.48 | 0.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $5.76 | $32.01 | 0.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,262.02 | $12,566.77 | 6.2× |
| MRA head w/o contrast (70544) | $1,462.09 | $8,122.73 | 5.9× |
| MRA head with contrast (70545) | $1,794.83 | $9,971.25 | 4.9× |
| MRA neck w contrast (70548) | $1,794.83 | $9,971.25 | 4.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,262.02 | $12,566.77 | 6.2× |
| MRA neck w/o contrast (70547) | $1,462.09 | $8,122.73 | 5.9× |
| MRI abdomen w contrast (74182) | $1,794.83 | $9,971.25 | 4.9× |
| MRI abdomen w/o contrast (74181) | $1,462.09 | $8,122.73 | 5.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,794.83 | $9,971.25 | 2.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,262.02 | $12,566.77 | 6.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,794.83 | $9,971.25 | 2.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,462.09 | $8,122.73 | 5.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,462.09 | $8,122.73 | 5.9× |
| MRI cervical spine w contrast (72142) | $1,794.83 | $9,971.25 | 4.9× |
| MRI cervical spine w/o cont (72141) | $1,462.09 | $8,122.73 | 5.9× |
| MRI chest w/o contrast (71550) | $1,462.09 | $8,122.73 | 5.9× |
| MRI chest with contrast (71551) | $1,794.83 | $9,971.25 | 2.2× |
| MRI chest wo w contrast (71552) | $2,262.02 | $12,566.77 | 6.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,794.83 | $9,971.25 | 4.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,030.28–$2,262.02 | $11,279.33–$12,566.77 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,462.09–$1,968.53 | $8,122.73–$10,936.25 | varies |
| MRI lumbar spine w contrast (72149) | $1,794.83 | $9,971.25 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,262.02 | $12,566.77 | 6.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,462.09 | $8,122.73 | 5.9× |
| MRI orbit face neck w contrast (70542) | $1,794.83 | $9,971.25 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,262.02 | $12,566.77 | 6.2× |
| MRI pelvis w contrast (72196) | $1,794.83 | $9,971.25 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $2,262.02 | $12,566.77 | 6.2× |
| MRI pelvis w/o contrast (72195) | $1,462.09 | $8,122.73 | 5.9× |
| MRI thoracic spine w/o contrast (72146) | $1,462.09 | $8,122.73 | 5.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,794.83 | $9,971.25 | 4.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,462.09 | $8,122.73 | 5.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,262.02 | $12,566.77 | 6.2× |
| MRI, abdomen, combo (74183) | $2,262.02 | $12,566.77 | 6.2× |
| MRI, dorsal spine combo (72157) | $2,262.02 | $12,566.77 | 6.2× |
| MRI, dorsal spine contrast (72147) | $1,794.83 | $9,971.25 | 4.9× |
| MRI, joint upper extrem (73221) | $1,462.09 | $8,122.73 | 5.9× |
| MRI, joint upper extrem combo (73223) | $2,262.02 | $12,566.77 | 6.2× |
| MRI, lumbar spine combo (72158) | $2,262.02 | $12,566.77 | 6.2× |
| Myocardial Spect Multiple Studies (78452) | $3,725.35 | $20,696.37 | 2.8× |
| Neck soft tissue (70360) | $367.64 | $2,042.44 | 4.0× |
| Parathyroid Planar Imaging (78070) | $718.96 | $3,994.24 | 1.7× |
| Pelvis 1 or 2 views (72170) | $267.06 | $1,483.64 | 2.4× |
| PET image w/CT, full body (78816) | $2,401.02 | $13,338.99 | 1.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,401.02 | $13,338.99 | 1.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,487.19 | $8,262.19 | 0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $606.07 | $3,367.08 | 5.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,091.15 | $6,061.92 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$348.02–$696.66 | $1,933.44–$3,870.31 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $247.85 | $1,376.93 | 2.7× |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$367.64–$736.11 | $2,042.44–$4,089.48 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $492.18 | $2,734.35 | 4.5× |
| Radex fingr minimum 2 views (73140) | $298.86 | $1,660.34 | 3.3× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$345.54–$691.08 | $1,919.66–$3,839.33 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$354.42–$708.84 | $1,969–$3,938 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $482.89 | $2,682.72 | 5.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $376.73 | $2,092.93 | 3.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $309.60 | $1,720.02 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $367.23 | $2,040.15 | 4.0× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$348.02–$696.04 | $1,933.44–$3,866.88 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $291.63 | $1,620.18 | 3.2× |
| Radex Spine 1 View Specify Level (72020) | $91.70 | $509.46 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $221.41 | $1,230.05 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $373.22 | $2,073.42 | 4.1× |
| Radex Toe Minimum 2 Views (73660) | $298.86 | $1,660.34 | 3.3× |
| Radex upper extremity infant minimum 2 views (73092) | $482.89 | $2,682.72 | 4.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$349.88–$699.75 | $1,943.76–$3,887.52 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $537.83 | $2,987.93 | 4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $576.24 | $3,201.36 | 5.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $425.88 | $2,366.02 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $1,239.85 | $6,888.08 | 6.8× |
| Radiologic exam colon single contrast study (74270) | $915.80 | $5,087.75 | 5.0× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$393.66–$787.33 | $2,187.02–$4,374.05 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $397.38 | $2,207.68 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $635.73 | $3,531.82 | 3.5× |
| Radiologic exam swallow function contrast study (74230) | $655.14 | $3,639.68 | 3.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $932.89 | $5,182.73 | 5.1× |
| Radiologic examination femur 1 view (73551) | $185.47 | $1,030.40 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$370.94–$740.85 | $2,060.80–$4,115.86 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$263.34–$526.67 | $1,462.99–$2,925.97 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $718.96 | $3,994.24 | 6.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$334.80–$669.60 | $1,860–$3,720 | varies |
| Ribs bilateral 3 views (71110) | $492.18 | $2,734.35 | 4.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $845.16 | $4,695.33 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,467.67 | $8,153.71 | 2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,482.19 | $13,789.93 | 4.4× |
| Scapula (73010) | $302.58 | $1,681 | 2.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $273.87 | $1,521.50 | 11.7× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$175.35–$350.70 | $974.18–$1,948.36 | varies |
| Shoulder Arthrography (73040) | $1,379.68 | $7,664.90 | 3.8× |
| Skull less than 4 views (70250) | $309.60 | $1,720.02 | 2.8× |
| Sternoclavicular joints (71130) | $268.91 | $1,493.97 | 3.0× |
| Thoracic spine 2 views (72070) | $334.80 | $1,860 | 3.1× |
| Thoracic spine 3 views (72072) | $502.51 | $2,791.72 | 4.6× |
| Thoracolumbar 2 views (72080) | $240.98 | $1,338.75 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $907.95 | $5,044.15 | 2.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$374.87–$749.74 | $2,082.60–$4,165.20 | varies |
| Ultrasound Exam Aaa Screen (76706) | $847.64 | $4,709.09 | 7.8× |
| Ultrasound, abdomen limited (76705) | $655.14 | $3,639.68 | 6.0× |
| Unlisted us procedure (76999) | $257.14 | $1,428.57 | 2.8× |
| Upper gi w/o kub (74240) | $903.09 | $5,017.14 | 4.9× |
| Urethrocystogram voiding (74455) | $1,968.32 | $10,935.10 | 7.9× |
| Urethrocystography retrograde (74450) | $1,968.32 | $10,935.10 | 7.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$749.74–$1,499.48 | $4,165.20–$8,330.42 | varies |
| Us chest (76604) | $421.75 | $2,343.08 | 3.9× |
| Us complete joint (76881) | $628.29 | $3,490.52 | 5.8× |
| Us exam, pelvic, limited (76857) | $356.69 | $1,981.63 | 3.3× |
| Us head (76506) | $436.83 | $2,426.83 | 4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $313.73 | $1,742.96 | 2.9× |
| Us ob detailed single fetus (76811) | $810.87 | $4,504.85 | 3.3× |
| Us ob limited 1 or more fetuses (76815) | $373.22 | $2,073.42 | 3.4× |
| Us ob transvaginal (76817) | $421.75 | $2,343.08 | 3.9× |
| Us pelvic non ob complete (76856) | $747.46 | $4,152.58 | 6.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $421.75 | $2,343.08 | 3.9× |
| Us retroperitoneal complete (76770) | $847.64 | $4,709.09 | 7.8× |
| Us retroperitoneal limited (76775) | $831.11 | $4,617.30 | 7.6× |
| Us scrotum and contents (76870) | $482.06 | $2,678.13 | 4.4× |
| Us spinal canal and contents (76800) | $373.22 | $2,073.42 | 3.4× |
| Us thyroid (76536) | $810.87 | $4,504.85 | 7.4× |
| Us transrectal (76872) | $373.22 | $2,073.42 | 3.4× |
| Vein X-Ray Chest (75827) | $599.38 | $3,329.88 | 0.4× |
| Venogram Sinus/Jugular (75860) | $1,196.56 | $6,647.55 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,867.73 | $10,376.30 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $504.78 | $2,804.34 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $734 | $4,077.78 | 0.4× |
| Venography Renal Unilateral (75831) | $1,487.19 | $8,262.19 | 0.5× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,486.15 | $13,811.96 | 0.4× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$279.86–$559.72 | $1,554.78–$3,109.55 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $258.79 | $1,437.74 | 2.8× |
| X-ray antegrade pyelogram tube (74425) | $1,829.73 | $10,165.18 | 5.0× |
| X-Ray Aorta Leg Arteries (75630) | $1,760.33 | $9,779.63 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $396.56 | $2,203.09 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$277.18–$554.14 | $1,539.87–$3,078.58 | varies |
| X-Ray Exam Breast Specimen (76098) | $253.84 | $1,410.20 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $268.91 | $1,493.97 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $537.83 | $2,987.93 | 4.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $537.83 | $2,987.93 | 4.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $143.13 | $795.18 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $286.88 | $1,593.80 | 3.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $430.43 | $2,391.27 | 3.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $311.25 | $1,729.19 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $311.25 | $1,729.19 | 2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $622.51 | $3,458.39 | 5.7× |
| X-Ray Exam L-S Spine Bending (72114) | $575.62 | $3,197.91 | 5.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $312.70 | $1,737.23 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $615.69 | $3,420.52 | 5.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $367.23 | $2,040.15 | 3.4× |
| X-ray eye for foreign body (70030) | $252.19 | $1,401.03 | 2.8× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$383.54–$767.09 | $2,130.80–$4,261.59 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,543.47 | $8,574.81 | 8.4× |
| X-ray IV pyelogram+tomography (74415) | $1,968.32 | $10,935.10 | 10.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $263.34 | $1,462.99 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $396.56 | $2,203.09 | 3.6× |
| X-ray nose-rectum child f.b. (76010) | $291.63 | $1,620.18 | 3.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $492.18 | $2,734.35 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $355.25 | $1,973.60 | 3.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $311.25 | $1,729.19 | 2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $311.25 | $1,729.19 | 3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $457.90 | $2,543.88 | 5.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $457.90 | $2,543.88 | 4.2× |
| X-ray thoracic spine 4 vw (72074) | $615.28 | $3,418.22 | 5.6× |
| X-Rays Bone Length Studies (77073) | $357.73 | $1,987.37 | 3.3× |
| X-Rays Bone Survey Complete (77075) | $959.79 | $5,332.15 | 8.8× |
| Xr c-spine 4 or 5 views (72050) | $638.41 | $3,546.73 | 5.8× |
| Xr facial bones less than 3 views (70140) | $171.64 | $953.53 | 1.9× |
| Xr orbits complete 4 views (70200) | $365.57 | $2,030.97 | 3.3× |
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.