Imaging prices at Northeast Regional Medical Center
Kirksville, MO · 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) | $253.06 | $1,054.43 | 2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $977.26 | $4,071.90 | 2.4× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$2,756.53–$3,882.71 | $11,485.54–$16,177.97 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$253.06–$506.40 | $1,054.43–$2,110.02 | varies |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,694.66 | $11,227.77 | 0.5× |
| Arthrogram hip (73525) | $739.87 | $3,082.80 | 2.1× |
| Arthrogram Wrist (73115) | $1,024.85 | $4,270.19 | 2.9× |
| Bone age studies (77072) | $200.16 | $833.98 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,693.33 | $7,055.55 | 4.2× |
| Bone Imaging Limited Area (78300) | $1,148.58 | $4,785.74 | 2.9× |
| Bone Imaging Multiple Areas (78305) | $229.61 | $956.71 | 0.6× |
| Bone Imaging Whole Body (78306) | $1,644.06 | $6,850.27 | 4.1× |
| Bone marrow imaging limited area (78102) | $1,148.58 | $4,785.74 | 2.9× |
| Bone survey infant (77076) | $242.15 | $1,008.94 | 2.3× |
| Chest 1 view (71045) | $151.73 | $632.19 | 1.7× |
| Chest 2 views (71046) | $227.59 | $948.28 | 2.6× |
| Chest 3 views (71047) | $169.21 | $705.03 | 1.9× |
| Clavicle complete (73000) | $248.86 | $1,036.93 | 2.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $71.16 | $296.51 | 0.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,756.53–$3,614.25 | $11,485.54–$15,059.39 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$382.39–$566.03 | $1,593.30–$2,358.46 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,024.85 | $4,270.19 | 2.9× |
| Contrast X-Ray Of Knee Joint (73580) | $938.07 | $3,908.61 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $2,411.37 | $10,047.37 | 6.9× |
| CT abdomen and pelvis without contrast (74176) | $1,714.05 | $7,141.87 | 7.2× |
| CT abdomen w contrast (74160) | $1,958.71 | $8,161.30 | 11.1× |
| CT abdomen w wo contrast (74170) | $2,411.37 | $10,047.37 | 13.7× |
| CT abdomen w/o contrast (74150) | $1,714.05 | $7,141.87 | 16.4× |
| CT Angio Abdomen and Pelvis (74174) | $4,159.57 | $17,331.54 | 11.9× |
| CT Angio Chest (71275) | $2,201.70 | $9,173.74 | 12.5× |
| CT Angio Head (70496) | $1,956.47 | $8,151.97 | 11.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,958.71–$2,411.37 | $8,161.30–$10,047.37 | varies |
| CT Angio Neck (70498) | $2,201.70 | $9,173.74 | 12.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,473.30 | $6,138.76 | 8.4× |
| CT cervical spine w/ contrast (72126) | $2,081.04 | $8,671.02 | 6.0× |
| CT cervical spine w/o contrast (72125) | $1,836.38 | $7,651.58 | 17.5× |
| CT cervical spine w/wo cont (72127) | $2,533.70 | $10,557.09 | 14.4× |
| CT chest w contrast (71260) | $2,098.12 | $8,742.17 | 11.9× |
| CT chest w/wo contrast (71270) | $2,533.70 | $10,557.09 | 14.4× |
| CT head/brain with contrast (70460) | $1,836.38 | $7,651.58 | 10.5× |
| CT head/brain without and with contrast (70470) | $2,289.04 | $9,537.65 | 13.0× |
| CT iac w contrast (70481) | $1,836.38 | $7,651.58 | 10.5× |
| CT l-spine w&w/o contrast (72133) | $2,448.32 | $10,201.33 | 13.9× |
| CT lower ext w/o (73700) | $1,714.05 | $7,141.87 | 16.4× |
| CT lower extremity w/contrast material (73701) | $1,958.71 | $8,161.30 | 11.1× |
| CT lumbar spine w contrast (72132) | $2,081.04 | $8,671.02 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $1,836.38 | $7,651.58 | 17.5× |
| CT maxillofacial w contrast (70487) | $1,469.38 | $6,122.43 | 8.4× |
| CT maxillofacial wo contrast (70486) | $1,224.16 | $5,100.67 | 11.7× |
| CT neck tissue combo (70492) | $1,862.13 | $7,758.89 | 10.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,848.14 | $7,700.57 | 10.5× |
| CT orbits w/o contrast (70480) | $1,491.50 | $6,214.58 | 14.2× |
| CT pelvis w&w/o contrast (72194) | $2,411.37 | $10,047.37 | 13.7× |
| CT pelvis w/o contrast (72192) | $1,714.05 | $7,141.87 | 16.4× |
| CT scan of leg combo (73702) | $2,411.37 | $10,047.37 | 13.7× |
| CT scans face/jaw combo (70488) | $1,921.48 | $8,006.17 | 10.9× |
| CT soft tissue neck w contrast (70491) | $1,531.53 | $6,381.37 | 8.7× |
| CT soft tissue neck w/o contrast (70490) | $1,531.53 | $6,381.37 | 14.6× |
| CT thoracic spine w contrast (72129) | $1,794.11 | $7,475.46 | 10.2× |
| CT thoracic spine w/o contrast (72128) | $1,836.38 | $7,651.58 | 17.5× |
| CT thoracic spine w/wo cont (72130) | $2,039.89 | $8,499.56 | 11.6× |
| CT thorax w/o contrast (71250) | $1,836.38 | $7,651.58 | 17.5× |
| CT upper ext wo (73200) | $1,714.05 | $7,141.87 | 16.4× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,411.09–$2,411.37 | $10,046.20–$10,047.37 | varies |
| CT upper extremity with contrast (73201) | $1,591.44 | $6,630.98 | 4.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,290.16 | $9,542.32 | 13.0× |
| Cta Abdomen (74175) | $1,958.71 | $8,161.30 | 11.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $303.38 | $1,264.08 | 0.9× |
| CTA pelvis (72191) | $1,958.71 | $8,161.30 | 11.1× |
| Dxa Bone Density Axial (77080) | $510.88 | $2,128.68 | 4.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $60.48 | $252 | 0.7× |
| Echo Guide For Artery Repair (76936) | $211.02 | $879.27 | 1.0× |
| Esophageal Motility Study (78258) | $353.56 | $1,473.16 | 0.9× |
| Esophagram (74220) | $515.64 | $2,148.51 | 2.9× |
| Fetal Biophys Profile W/Nst (76818) | $990.13 | $4,125.56 | 9.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $616.14 | $2,567.25 | 5.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$422.70–$474.77 | $1,761.26–$1,978.21 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$253.06–$506.40 | $1,054.43–$2,110.02 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$253.34–$506.40 | $1,055.59–$2,110.02 | varies |
| Gastric emptying imaging study (78264) | $632.65 | $2,636.06 | 1.6× |
| Gated Heart Planar Single (78472) | $1,387.08 | $5,779.51 | 3.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$226.19–$452.10 | $942.45–$1,883.74 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,556.16 | $6,484.02 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,556.16 | $6,484.02 | 3.9× |
| Ht Muscle Image Spect Sing (78451) | $982.30 | $4,092.90 | 0.8× |
| Hysterosalpingogram (74740) | $583.39 | $2,430.78 | 2.4× |
| K Flow/Funct Image Multiple (78709) | $2,265.24 | $9,438.51 | 4.2× |
| K Flow/Funct Image W/Drug (78708) | $1,463.79 | $6,099.11 | 2.7× |
| K Flow/Funct Image W/O Drug (78707) | $1,253.83 | $5,224.31 | 2.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$304.57–$608.02 | $1,269.04–$2,533.42 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,555.88 | $6,482.85 | 3.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,551.34 | $10,630.57 | 4.7× |
| Lung Ventilation Imaging (78579) | $1,055.92 | $4,399.66 | 2.6× |
| Lymph System Imaging (78195) | $846.25 | $3,526.03 | 1.6× |
| Magnetic Image Jaw Joint (70336) | $1,663.66 | $6,931.92 | 7.0× |
| Mra Head W/O & W/Contrast Material (70546) | $2,252.93 | $9,387.19 | 6.4× |
| MRA head w/o contrast (70544) | $1,663.94 | $6,933.08 | 7.0× |
| MRA head with contrast (70545) | $1,943.32 | $8,097.15 | 5.6× |
| MRA neck w contrast (70548) | $1,943.32 | $8,097.15 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,252.93 | $9,387.19 | 6.4× |
| MRA neck w/o contrast (70547) | $1,943.32 | $8,097.15 | 8.1× |
| MRI abdomen w contrast (74182) | $2,252.93 | $9,387.19 | 6.4× |
| MRI abdomen w/o contrast (74181) | $1,663.94 | $6,933.08 | 7.0× |
| MRI any jt lower extrem w/contrast material (73722) | $2,252.93 | $9,387.19 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,564.49 | $10,685.39 | 7.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,252.93 | $9,387.19 | 2.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $187.84 | $782.65 | 0.8× |
| MRI cervical spine w contrast (72142) | $2,252.93 | $9,387.19 | 6.4× |
| MRI cervical spine w/o cont (72141) | $1,663.94 | $6,933.08 | 7.0× |
| MRI chest w/o contrast (71550) | $1,569.88 | $6,541.17 | 6.6× |
| MRI chest wo w contrast (71552) | $1,943.04 | $8,095.98 | 5.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,974.95 | $8,228.95 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,943.32 | $8,097.15 | 5.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,663.94 | $6,933.08 | 7.0× |
| MRI lumbar spine w contrast (72149) | $2,252.93 | $9,387.19 | 6.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,564.49 | $10,685.39 | 7.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,663.94 | $6,933.08 | 7.0× |
| MRI orbit face neck w contrast (70542) | $2,252.93 | $9,387.19 | 6.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,564.49 | $10,685.39 | 7.3× |
| MRI pelvis w contrast (72196) | $1,943.32 | $8,097.15 | 5.6× |
| MRI pelvis w/o & w contrast (72197) | $2,564.49 | $10,685.39 | 7.3× |
| MRI pelvis w/o contrast (72195) | $1,663.94 | $6,933.08 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $1,663.94 | $6,933.08 | 7.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,252.93 | $9,387.19 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,663.94 | $6,933.08 | 7.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,943.32 | $8,097.15 | 5.6× |
| MRI, abdomen, combo (74183) | $2,564.49 | $10,685.39 | 7.3× |
| MRI, dorsal spine combo (72157) | $2,564.49 | $10,685.39 | 7.3× |
| MRI, dorsal spine contrast (72147) | $1,974.95 | $8,228.95 | 5.7× |
| MRI, joint upper extrem (73221) | $1,663.94 | $6,933.08 | 7.0× |
| MRI, joint upper extrem combo (73223) | $2,564.49 | $10,685.39 | 7.3× |
| MRI, lumbar spine combo (72158) | $2,564.49 | $10,685.39 | 7.3× |
| Myocardial Spect Multiple Studies (78452) | $1,510.81 | $6,295.06 | 1.2× |
| Neck soft tissue (70360) | $253.06 | $1,054.43 | 2.9× |
| Nuclear Rx Oral Admin (79005) | $688.92 | $2,870.51 | 2.9× |
| Parathyroid Planar Imaging (78070) | $947.86 | $3,949.43 | 2.4× |
| Pelvis 1 or 2 views (72170) | $303.45 | $1,264.38 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,119.18 | $4,663.27 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $473.65 | $1,973.55 | 4.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $424.66 | $1,769.43 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$342.64–$685.28 | $1,427.67–$2,855.35 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $253.06 | $1,054.43 | 2.9× |
| Radex elbow complete minimum 3 views (73080) | $340.96 | $1,420.68 | 3.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $642.45 | $2,676.89 | 6.1× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$185.32–$370.92 | $772.16–$1,545.48 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$277.98–$553.15 | $1,158.24–$2,304.81 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$248.86–$497.73 | $1,036.93–$2,073.86 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $169.92 | $708 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $324.17 | $1,350.69 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $374.83 | $1,561.81 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$412.07–$824.41 | $1,716.94–$3,435.05 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $319.13 | $1,329.70 | 3.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $764.51 | $3,185.44 | 4.4× |
| Radex Spine 1 View Specify Level (72020) | $253.06 | $1,054.43 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $374.83 | $1,561.81 | 4.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $533.84 | $2,224.32 | 6.1× |
| Radex Toe Minimum 2 Views (73660) | $185.32 | $772.16 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $247.74 | $1,032.26 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$340.96–$681.92 | $1,420.68–$2,841.35 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $986.22 | $4,109.23 | 9.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $686.40 | $2,860.01 | 6.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $437.82 | $1,824.25 | 4.2× |
| Radiologic exam colon double contrast study (74280) | $1,017.57 | $4,239.86 | 5.8× |
| Radiologic exam colon single contrast study (74270) | $932.47 | $3,885.28 | 5.3× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$304.57–$685.28 | $1,269.04–$2,855.35 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $494.65 | $2,061.03 | 4.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $764.51 | $3,185.44 | 4.4× |
| Radiologic exam swallow function contrast study (74230) | $688.36 | $2,868.18 | 3.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $858.84 | $3,578.52 | 4.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$371.20–$742.39 | $1,546.65–$3,093.29 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$263.98–$527.96 | $1,099.92–$2,199.83 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$253.06–$506.40 | $1,054.43–$2,110.02 | varies |
| Ribs bilateral 3 views (71110) | $510.88 | $2,128.68 | 4.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $607.18 | $2,529.92 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,399.96 | $5,833.17 | 2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,600.33 | $10,834.69 | 4.8× |
| Scapula (73010) range across 2 matching MRF lines |
$371.20–$742.39 | $1,546.65–$3,093.29 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $25.20 | $104.98 | 1.1× |
| Shoulder 1 view (73020) | $248.86 | $1,036.93 | 2.9× |
| Shoulder Arthrography (73040) | $917.07 | $3,821.13 | 2.6× |
| Skull less than 4 views (70250) | $373.99 | $1,558.31 | 3.6× |
| Sternoclavicular joints (71130) | $382.11 | $1,592.14 | 4.4× |
| Thoracic spine 2 views (72070) | $373.99 | $1,558.31 | 3.6× |
| Thoracic spine 3 views (72072) | $408.43 | $1,701.78 | 3.9× |
| Thoracolumbar 2 views (72080) | $524.88 | $2,187 | 6.0× |
| Thyroid Imaging With Vascular Flow (78013) | $562.95 | $2,345.63 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $882.92 | $3,678.83 | 2.2× |
| Ultrasound Breast Limited (76642) | $472.81 | $1,970.05 | 5.4× |
| Ultrasound Exam Aaa Screen (76706) | $136.33 | $568.04 | 1.3× |
| Ultrasound, abdomen limited (76705) | $633.49 | $2,639.56 | 6.0× |
| Umbilical-artery Doppler (OB) (76820) | $131.57 | $548.21 | 1.3× |
| Upper gi w/o kub (74240) | $863.32 | $3,597.18 | 4.9× |
| Urethrocystogram voiding (74455) | $701.80 | $2,924.16 | 2.9× |
| Urethrocystography retrograde (74450) | $171.32 | $713.84 | 0.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$472.81–$945.62 | $1,970.05–$3,940.10 | varies |
| Us chest (76604) | $548.11 | $2,283.81 | 5.2× |
| Us complete joint (76881) | $626.78 | $2,611.57 | 6.0× |
| Us exam, pelvic, limited (76857) | $609.14 | $2,538.09 | 5.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $313.25 | $1,305.20 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $352.16 | $1,467.33 | 3.4× |
| Us ob transvaginal (76817) | $801.74 | $3,340.57 | 7.7× |
| Us pelvic non ob complete (76856) | $801.74 | $3,340.57 | 7.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $696.76 | $2,903.17 | 6.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $352.16 | $1,467.33 | 3.4× |
| Us retroperitoneal complete (76770) | $875.08 | $3,646.17 | 8.4× |
| Us retroperitoneal limited (76775) | $688.36 | $2,868.18 | 6.6× |
| Us scrotum and contents (76870) | $704.32 | $2,934.66 | 6.7× |
| Us spinal canal and contents (76800) | $801.74 | $3,340.57 | 7.7× |
| Us thyroid (76536) | $582.55 | $2,427.28 | 5.6× |
| Us transrectal (76872) | $767.58 | $3,198.27 | 7.3× |
| Venography extremity bilateral rs&i (75822) | $1,225 | $5,104.17 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,148.58 | $4,785.74 | 0.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$253.06–$506.40 | $1,054.43–$2,110.02 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $432.50 | $1,802.09 | 5.0× |
| X-Ray Aorta Leg Arteries (75630) | $8,851.02 | $36,879.24 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$253.06–$506.40 | $1,054.43–$2,110.02 | varies |
| X-Ray Exam Breast Specimen (76098) | $21.55 | $89.79 | 0.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $493.53 | $2,056.36 | 5.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $493.53 | $2,056.36 | 4.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,108.27 | $4,617.78 | 10.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $191.48 | $797.82 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $244.38 | $1,018.27 | 2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $366.16 | $1,525.65 | 3.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $484.57 | $2,019.04 | 4.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $484.57 | $2,019.04 | 4.6× |
| X-Ray Exam L-S Spine Bending (72114) | $568.27 | $2,367.79 | 5.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $373.99 | $1,558.31 | 4.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $637.14 | $2,654.73 | 6.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $534.40 | $2,226.66 | 5.1× |
| X-ray eye for foreign body (70030) | $414.03 | $1,725.11 | 4.7× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$253.06–$506.40 | $1,054.43–$2,110.02 | varies |
| X-ray IV pyelogram (ivp) (74400) | $871.72 | $3,632.17 | 5.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $392.75 | $1,636.46 | 4.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $373.99 | $1,558.31 | 3.6× |
| X-ray nose-rectum child f.b. (76010) | $162.92 | $678.84 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $713.28 | $2,971.99 | 6.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $371.20 | $1,546.65 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $371.20 | $1,546.65 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $533.84 | $2,224.32 | 6.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $642.45 | $2,676.89 | 6.1× |
| X-ray thoracic spine 4 vw (72074) | $524.88 | $2,187 | 5.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$297.56–$438.10 | $1,239.82–$1,825.42 | varies |
| X-Rays Bone Survey Complete (77075) | $968.02 | $4,033.41 | 9.2× |
| Xr c-spine 4 or 5 views (72050) | $533.84 | $2,224.32 | 5.1× |
| Xr facial bones less than 3 views (70140) | $237.95 | $991.44 | 2.7× |
| Xr orbits complete 4 views (70200) | $637.98 | $2,658.23 | 6.1× |
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.