Imaging prices at Northern Louisiana Medical Center
Ruston, LA · 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) | $335.22 | $609.50 | 4.3× |
| Abdomen 2 views (74019) | $335.22 | $609.50 | 3.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,468.50 | $2,670 | 4.1× |
| Angiography extremity bilateral rs&i (75716) | $4,115.65 | $7,483 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $5,737.60 | $10,432 | 2.0× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Arthrogram hip (73525) | $779.07 | $1,416.50 | 2.5× |
| Bone age studies (77072) | $335.22 | $609.50 | 3.5× |
| Bone Imaging 3 Phase (78315) | $1,574.92 | $2,863.50 | 4.4× |
| Bone Imaging Limited Area (78300) | $1,781.17 | $3,238.50 | 4.9× |
| Bone Imaging Multiple Areas (78305) | $1,574.92 | $2,863.50 | 4.4× |
| Bone Imaging Whole Body (78306) | $1,574.92 | $2,863.50 | 4.4× |
| Bone survey infant (77076) | $689.70 | $1,254 | 7.3× |
| Brain Image W/Flow < 4 Views (78601) | $641.30 | $1,166 | 1.8× |
| Chest 1 view (71045) | $251.35 | $457 | 3.2× |
| Chest 2 views (71046) | $335.22 | $609.50 | 4.3× |
| Chest 3 views (71047) | $463.92 | $843.50 | 5.9× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $341.27 | $620.50 | 3.6× |
| Contrast Exam Abdominl Aorta (75625) | $5,737.60 | $10,432 | 2.0× |
| Contrast X-Ray Bladder (74430) | $1,141.25 | $2,075 | 3.6× |
| Contrast X-Ray Of Elbow (73085) | $770 | $1,400 | 2.4× |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$770–$784.30 | $1,400–$1,426 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $6,413.82 | $11,661.50 | 20.3× |
| CT abdomen and pelvis without contrast (74176) | $4,095.85 | $7,447 | 19.0× |
| CT abdomen w contrast (74160) | $2,704.90 | $4,918 | 17.0× |
| CT abdomen w wo contrast (74170) | $3,207.05 | $5,831 | 20.2× |
| CT abdomen w/o contrast (74150) | $2,047.65 | $3,723 | 21.6× |
| CT Angio Abdomen and Pelvis (74174) | $6,433.90 | $11,698 | 20.4× |
| CT Angio Chest (71275) | $3,216.95 | $5,849 | 20.3× |
| CT Angio Head (70496) | $3,216.95 | $5,849 | 20.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,216.95 | $5,849 | 20.3× |
| CT Angio Neck (70498) | $3,216.95 | $5,849 | 20.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,216.95 | $5,849 | 20.3× |
| CT cervical spine w/ contrast (72126) | $2,704.90 | $4,918 | 8.6× |
| CT cervical spine w/o contrast (72125) | $2,047.65 | $3,723 | 21.6× |
| CT cervical spine w/wo cont (72127) | $3,207.05 | $5,831 | 20.2× |
| CT chest w contrast (71260) | $2,704.90 | $4,918 | 17.0× |
| CT chest w/wo contrast (71270) | $3,207.05 | $5,831 | 20.2× |
| CT head/brain with contrast (70460) | $2,704.90 | $4,918 | 17.0× |
| CT head/brain without and with contrast (70470) | $3,207.05 | $5,831 | 20.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $110 | $200 | 1.4× |
| CT iac w contrast (70481) | $2,704.90 | $4,918 | 17.0× |
| CT l-spine w&w/o contrast (72133) | $3,207.05 | $5,831 | 20.2× |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$2,047.65–$4,095.30 | $3,723–$7,446 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$2,704.90–$4,917.79 | $4,918–$8,941.44 | varies |
| CT lumbar spine w contrast (72132) | $2,704.90 | $4,918 | 8.6× |
| CT lumbar spine w/o contrast (72131) | $2,047.65 | $3,723 | 21.6× |
| CT maxillofacial w contrast (70487) | $2,704.90 | $4,918 | 17.0× |
| CT maxillofacial wo contrast (70486) | $2,047.65 | $3,723 | 21.6× |
| CT neck tissue combo (70492) | $3,207.05 | $5,831 | 20.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,207.05 | $5,831 | 20.2× |
| CT orbits w/o contrast (70480) | $2,047.65 | $3,723 | 21.6× |
| CT pelvis w&w/o contrast (72194) | $3,207.05 | $5,831 | 20.2× |
| CT pelvis w/o contrast (72192) | $2,047.65 | $3,723 | 21.6× |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$3,207.05–$5,409.52 | $5,831–$9,835.50 | varies |
| CT scans face/jaw combo (70488) | $3,207.05 | $5,831 | 20.2× |
| CT soft tissue neck w contrast (70491) | $2,704.90 | $4,918 | 17.0× |
| CT soft tissue neck w/o contrast (70490) | $2,047.65 | $3,723 | 21.6× |
| CT thoracic spine w contrast (72129) | $2,704.90 | $4,918 | 17.0× |
| CT thoracic spine w/o contrast (72128) | $2,047.65 | $3,723 | 21.6× |
| CT thoracic spine w/wo cont (72130) | $3,207.05 | $5,831 | 20.2× |
| CT thorax w/o contrast (71250) | $2,047.65 | $3,723 | 21.6× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$2,047.65–$4,095.30 | $3,723–$7,446 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 5 matching MRF lines |
$3,207.05–$6,414.10 | $5,831–$11,662 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$2,704.90–$5,409.80 | $4,918–$9,836 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,216.95 | $5,849 | 20.3× |
| Cta Abdomen (74175) | $3,216.95 | $5,849 | 20.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $6,433.90 | $11,698 | 20.4× |
| CTA pelvis (72191) | $3,216.95 | $5,849 | 20.3× |
| Dxa Bone Density Axial (77080) | $555.50 | $1,010 | 5.9× |
| Esophagram (74220) | $675.40 | $1,228 | 4.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,123.37 | $2,042.50 | 11.9× |
| Fluoroscopy up to 1 hr (76000) | $355.57 | $646.50 | 1.6× |
| Follow-Up Angiography (75898) | $1,876.32 | $3,411.50 | 0.7× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Gastric emptying imaging study (78264) | $1,468.50 | $2,670 | 4.1× |
| Gated Heart Planar Single (78472) | $1,658.80 | $3,016 | 4.6× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,760 | $3,200 | 3.6× |
| Hepatobiliary System Imaging (78226) | $1,760 | $3,200 | 4.9× |
| Ht Muscle Image Spect Sing (78451) | $1,760.55 | $3,201 | 1.5× |
| Hysterosalpingogram (74740) | $1,397.82 | $2,541.50 | 6.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $513.70 | $934 | 6.5× |
| K Flow/Funct Image W/Drug (78708) | $1,815 | $3,300 | 3.7× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $2,266 | $4,120 | 4.6× |
| Lung Ventilat&Perfus Imaging (78582) | $2,557.22 | $4,649.50 | 5.2× |
| Lymph System Imaging (78195) | $1,570.80 | $2,856 | 3.2× |
| Meckels Divert Exam (78290) | $1,468.50 | $2,670 | 4.1× |
| Mra Head W/O & W/Contrast Material (70546) | $4,024.90 | $7,318 | 12.7× |
| MRA head w/o contrast (70544) | $2,814.07 | $5,116.50 | 13.0× |
| MRA head with contrast (70545) | $3,036.55 | $5,521 | 9.6× |
| MRA neck w contrast (70548) | $3,036.55 | $5,521 | 9.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,024.90 | $7,318 | 12.7× |
| MRA neck w/o contrast (70547) | $2,814.07 | $5,116.50 | 13.0× |
| MRI abdomen w contrast (74182) | $2,811.60 | $5,112 | 8.9× |
| MRI abdomen w/o contrast (74181) | $2,814.07 | $5,116.50 | 13.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$3,036.55–$5,409.52 | $5,521–$9,835.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$4,024.90–$5,409.52 | $7,318–$9,835.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 7 matching MRF lines |
$3,036.55–$5,409.52 | $5,521–$9,835.50 | varies |
| MRI cervical spine w contrast (72142) | $3,036.55 | $5,521 | 9.6× |
| MRI cervical spine w/o cont (72141) | $2,814.07 | $5,116.50 | 13.0× |
| MRI chest w/o contrast (71550) | $2,814.07 | $5,116.50 | 13.0× |
| MRI chest with contrast (71551) | $3,036.55 | $5,521 | 4.3× |
| MRI chest wo w contrast (71552) | $4,024.90 | $7,318 | 12.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 11 matching MRF lines |
$2,811.60–$5,409.52 | $5,112–$9,835.50 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 7 matching MRF lines |
$4,024.90–$5,409.52 | $7,318–$9,835.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 10 matching MRF lines |
$2,811.60–$5,409.52 | $5,112–$9,835.50 | varies |
| MRI lumbar spine w contrast (72149) | $3,036.55 | $5,521 | 9.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,024.90 | $7,318 | 12.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,814.07 | $5,116.50 | 13.0× |
| MRI orbit face neck w contrast (70542) | $3,036.55 | $5,521 | 9.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,024.90 | $7,318 | 12.7× |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$3,036.55–$5,409.52 | $5,521–$9,835.50 | varies |
| MRI pelvis w/o & w contrast (72197) | $4,024.90 | $7,318 | 12.7× |
| MRI pelvis w/o contrast (72195) | $2,814.07 | $5,116.50 | 13.0× |
| MRI thoracic spine w/o contrast (72146) | $2,814.07 | $5,116.50 | 13.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 11 matching MRF lines |
$2,814.07–$5,409.52 | $5,116.50–$9,835.50 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 10 matching MRF lines |
$2,811.60–$5,409.52 | $5,112–$9,835.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 9 matching MRF lines |
$4,024.90–$5,409.52 | $7,318–$9,835.50 | varies |
| MRI, abdomen, combo (74183) | $4,024.90 | $7,318 | 12.7× |
| MRI, dorsal spine combo (72157) | $4,024.90 | $7,318 | 12.7× |
| MRI, dorsal spine contrast (72147) | $3,036.55 | $5,521 | 9.6× |
| MRI, joint upper extrem (73221) range across 7 matching MRF lines |
$2,814.07–$5,409.52 | $5,116.50–$9,835.50 | varies |
| MRI, joint upper extrem combo (73223) range across 8 matching MRF lines |
$4,024.90–$5,409.52 | $7,318–$9,835.50 | varies |
| MRI, lumbar spine combo (72158) | $4,024.90 | $7,318 | 12.7× |
| Myocardial Spect Multiple Studies (78452) | $1,760.55 | $3,201 | 1.5× |
| Neck soft tissue (70360) | $335.22 | $609.50 | 4.3× |
| Nm csf leak detection (78650) | $1,430 | $2,600 | 1.2× |
| Nuclear Rx Oral Admin (79005) | $1,277.37 | $2,322.50 | 6.0× |
| Parathyroid Planar Imaging (78070) | $1,091.75 | $1,985 | 3.0× |
| Pelvis 1 or 2 views (72170) | $335.22 | $609.50 | 3.5× |
| PET image w/CT, full body (78816) | $6,558.75 | $11,925 | 5.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,558.75 | $11,925 | 5.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,278.47 | $2,324.50 | 3.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $577.50 | $1,050 | 6.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $533.50 | $970 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $335.22 | $609.50 | 3.5× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $335.22 | $609.50 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) | $335.22 | $609.50 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $335.22 | $609.50 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $335.22 | $609.50 | 4.3× |
| Radex Sternum Minimum 2 Views (71120) | $335.22 | $609.50 | 4.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $355.56 | $646.48 | 4.5× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $335.22 | $609.50 | 3.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $463.92 | $843.50 | 4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $335.22 | $609.50 | 3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $335.22 | $609.50 | 3.5× |
| Radiologic exam colon double contrast study (74280) | $1,047.75 | $1,905 | 6.6× |
| Radiologic exam colon single contrast study (74270) | $675.40 | $1,228 | 4.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $675.40 | $1,228 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $335.22 | $609.50 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $675.40 | $1,228 | 4.3× |
| Radiologic exam swallow function contrast study (74230) | $675.40 | $1,228 | 4.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $695.75 | $1,265 | 4.4× |
| Radiologic examination femur 1 view (73551) | $335.22 | $609.50 | 4.3× |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$335.22–$670.45 | $609.50–$1,219 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $799.70 | $1,454 | 8.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Ribs bilateral 3 views (71110) | $335.22 | $609.50 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,187.90 | $3,978 | 4.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,430 | $2,600 | 2.9× |
| Scapula (73010) | $335.22 | $609.50 | 3.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $45.37 | $82.50 | 1.9× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| Shoulder Arthrography (73040) | $783.47 | $1,424.50 | 2.5× |
| Skull less than 4 views (70250) | $335.22 | $609.50 | 3.5× |
| Sternoclavicular joints (71130) | $2,535.22 | $4,609.50 | 32.2× |
| Thoracic spine 2 views (72070) | $335.22 | $609.50 | 3.5× |
| Thoracic spine 3 views (72072) | $335.22 | $609.50 | 3.5× |
| Thyroid Met Imaging Body (78018) | $560.17 | $1,018.50 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $942.42 | $1,713.50 | 2.6× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$452.65–$905.57 | $823–$1,646.50 | varies |
| Ultrasound, abdomen limited (76705) | $807.95 | $1,469 | 8.5× |
| Umbilical-artery Doppler (OB) (76820) | $126.50 | $230 | 1.3× |
| Upper gi w/o kub (74240) | $683.92 | $1,243.50 | 4.3× |
| Urethrocystogram voiding (74455) | $770 | $1,400 | 3.6× |
| Urethrocystography retrograde (74450) | $1,141.25 | $2,075 | 5.3× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$452.65–$905.57 | $823–$1,646.50 | varies |
| Us chest (76604) | $513.70 | $934 | 5.4× |
| Us exam, pelvic, limited (76857) | $513.70 | $934 | 5.4× |
| Us head (76506) | $513.70 | $934 | 5.4× |
| Us kidney transplant (76776) | $807.95 | $1,469 | 8.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $403.97 | $734.50 | 4.3× |
| Us ob limited 1 or more fetuses (76815) | $513.70 | $934 | 5.4× |
| Us ob transvaginal (76817) | $513.70 | $934 | 5.4× |
| Us pelvic non ob complete (76856) | $807.95 | $1,469 | 8.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $807.95 | $1,469 | 8.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $460.90 | $838 | 4.9× |
| Us retroperitoneal complete (76770) | $807.95 | $1,469 | 8.5× |
| Us retroperitoneal limited (76775) | $807.95 | $1,469 | 8.5× |
| Us scrotum and contents (76870) | $807.95 | $1,469 | 8.5× |
| Us spinal canal and contents (76800) | $807.95 | $1,469 | 8.5× |
| Us thyroid (76536) | $807.95 | $1,469 | 8.5× |
| Us transrectal (76872) | $337.83 | $614.24 | 3.6× |
| Vein X-Ray Chest (75827) | $3,575 | $6,500 | 2.5× |
| Venography extremity unilateral rs&i (75820) | $3,575 | $6,500 | 2.5× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $335.22 | $609.50 | 4.3× |
| X-Ray Aorta Leg Arteries (75630) | $4,193.47 | $7,624.50 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $335.22 | $609.50 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| X-Ray Exam Breast Specimen (76098) | $766.97 | $1,394.50 | 1.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $310.47 | $564.50 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $335.22 | $609.50 | 4.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $335.22 | $609.50 | 4.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $534.87 | $972.50 | 5.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $534.87 | $972.50 | 5.6× |
| X-Ray Exam L-S Spine Bending (72114) | $577.50 | $1,050 | 6.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $335.22 | $609.50 | 4.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $577.50 | $1,050 | 6.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $335.22 | $609.50 | 3.5× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$335.22–$620.67 | $609.50–$1,128.50 | varies |
| X-ray IV pyelogram (ivp) (74400) | $801.07 | $1,456.50 | 5.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $335.22 | $609.50 | 4.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $335.22 | $609.50 | 3.5× |
| X-ray nose-rectum child f.b. (76010) | $335.22 | $609.50 | 4.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $577.50 | $1,050 | 6.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $335.22 | $609.50 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $335.22 | $609.50 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $335.22 | $609.50 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $577.50 | $1,050 | 6.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,141.25 | $2,075 | 3.6× |
| X-Rays Bone Length Studies (77073) | $335.22 | $609.50 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $799.70 | $1,454 | 8.4× |
| Xr c-spine 4 or 5 views (72050) | $577.22 | $1,049.50 | 6.1× |
| Xr facial bones less than 3 views (70140) | $335.22 | $609.50 | 4.3× |
| Xr orbits complete 4 views (70200) | $335.22 | $609.50 | 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.