Imaging prices at Norton Clark Hospital
Jeffersonville, IN · every code in this section with a posted price and a Medicare benchmark.
289 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) | $60.34 | $431 | 0.7× |
| Abdomen 2 views (74019) | $72.66 | $519 | 0.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $273.42 | $1,953 | 0.6× |
| Angio pulmonary bilat (75743) | $497.56 | $3,554 | 0.1× |
| Angiography extremity bilateral rs&i (75716) | $744.80 | $5,320 | 0.2× |
| Angiography extremity unilateral rs&i (75710) | $599.20 | $4,280 | 0.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $722.96 | $5,164 | 0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $680.12 | $4,858 | 0.2× |
| Ankle 2 views (73600) | $71.68 | $512 | 0.8× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$656.32 | $4,688 | 0.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $515.20 | $3,680 | 0.2× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$631.96 | $4,514 | 0.1× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$592.62 | $4,233 | 0.1× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$527.10 | $3,765 | 0.1× |
| Bone age studies (77072) | $75.32 | $538 | 0.7× |
| Bone Imaging 3 Phase (78315) | $837.06 | $5,979 | 2.0× |
| Bone Imaging Limited Area (78300) | $225.96 | $1,614 | 0.5× |
| Bone Imaging Whole Body (78306) | $554.68 | $3,962 | 1.3× |
| Bone survey infant (77076) | $139.02 | $993 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) | $165.62 | $1,183 | 0.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $491.40 | $3,510 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $157.36 | $1,124 | 1.7× |
| Cerebrospinal Fluid Scan (78630) | $319.76 | $2,284 | 0.6× |
| Chest 1 view (71045) | $64.26 | $459 | 0.7× |
| Chest 2 views (71046) | $82.32 | $588 | 0.9× |
| Chest 3 views (71047) | $82.32 | $588 | 0.9× |
| Chest 4 or more views (71048) | $83.58 | $597 | 0.8× |
| Clavicle complete (73000) | $65.94 | $471 | 0.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $101.22 | $723 | 0.9× |
| Contrast Exam Abdominl Aorta (75625) | $493.64 | $3,526 | 0.1× |
| Contrast X-Ray Bladder (74430) | $120.40 | $860 | 0.3× |
| CT abdomen and pelvis without and with contrast (74178) | $915.88 | $6,542 | 2.5× |
| CT abdomen and pelvis without contrast (74176) | $680.40 | $4,860 | 2.7× |
| CT abdomen w contrast (74160) | $415.24 | $2,966 | 2.2× |
| CT abdomen w wo contrast (74170) | $523.32 | $3,738 | 2.8× |
| CT abdomen w/o contrast (74150) | $354.90 | $2,535 | 3.2× |
| CT Angio Abdomen and Pelvis (74174) | $1,099.98 | $7,857 | 3.0× |
| CT Angio Chest (71275) | $693.56 | $4,954 | 3.7× |
| CT Angio Head (70496) | $263.62 | $1,883 | 1.4× |
| CT angio hrt w/3d image (75574) | $444.92 | $3,178 | 1.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $223.02 | $1,593 | 1.2× |
| CT Angio Neck (70498) | $369.18 | $2,637 | 2.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$392.42–$392.56 | $2,803–$2,804 | varies |
| CT cervical spine w/ contrast (72126) | $411.60 | $2,940 | 1.1× |
| CT cervical spine w/o contrast (72125) | $394.66 | $2,819 | 3.6× |
| CT chest w contrast (71260) | $361.06 | $2,579 | 1.9× |
| CT chest w/wo contrast (71270) | $405.58 | $2,897 | 2.2× |
| CT head/brain with contrast (70460) | $317.94 | $2,271 | 1.7× |
| CT head/brain without and with contrast (70470) | $373.24 | $2,666 | 2.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $481.46 | $3,439 | 1.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $89.74 | $641 | 1.0× |
| CT iac w contrast (70481) | $369.18 | $2,637 | 2.0× |
| CT l-spine w&w/o contrast (72133) | $523.32 | $3,738 | 2.8× |
| CT lower ext w/o (73700) | $337.40 | $2,410 | 3.1× |
| CT lower extremity w/contrast material (73701) | $361.06 | $2,579 | 1.9× |
| CT lumbar spine w contrast (72132) | $411.60 | $2,940 | 1.1× |
| CT lumbar spine w/o contrast (72131) | $389.34 | $2,781 | 3.5× |
| CT maxillofacial w contrast (70487) | $460.04 | $3,286 | 2.5× |
| CT maxillofacial wo contrast (70486) | $322.56 | $2,304 | 2.9× |
| CT neck tissue combo (70492) | $442.68 | $3,162 | 2.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $448.14 | $3,201 | 2.4× |
| CT orbits w/o contrast (70480) | $343.70 | $2,455 | 3.1× |
| CT pelvis w&w/o contrast (72194) | $459.76 | $3,284 | 2.5× |
| CT pelvis w/o contrast (72192) | $314.02 | $2,243 | 2.8× |
| CT scan of leg combo (73702) | $428.96 | $3,064 | 2.3× |
| CT scans face/jaw combo (70488) | $552.02 | $3,943 | 3.0× |
| CT soft tissue neck w contrast (70491) | $395.50 | $2,825 | 2.1× |
| CT soft tissue neck w/o contrast (70490) | $342.72 | $2,448 | 3.1× |
| CT thoracic spine w contrast (72129) | $340.06 | $2,429 | 1.8× |
| CT thoracic spine w/o contrast (72128) | $382.48 | $2,732 | 3.5× |
| CT thoracic spine w/wo cont (72130) | $674.80 | $4,820 | 3.6× |
| CT thorax w/o contrast (71250) | $287.84 | $2,056 | 2.6× |
| CT upper ext wo (73200) | $314.72 | $2,248 | 2.8× |
| CT upper extremity w/o & w/contrast material (73202) | $391.16 | $2,794 | 2.1× |
| CT upper extremity with contrast (73201) | $315.14 | $2,251 | 0.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $451.22 | $3,223 | 2.4× |
| Cta Abdomen (74175) | $392.42 | $2,803 | 2.1× |
| CTA pelvis (72191) | $172.48 | $1,232 | 0.9× |
| Dilation ureters/urethra rs&i (74485) | $193.62 | $1,383 | 0.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $120.54 | $861 | 1.1× |
| Dxa Bone Density Axial (77080) | $38.92 | $278 | 0.4× |
| Dxa bone density study (77085) | $97.86 | $699 | 0.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $40.60 | $290 | 0.4× |
| Echo Guide For Artery Repair (76936) | $154 | $1,100 | 0.7× |
| Echograp Trans R Pros Study (76873) | $568.26 | $4,059 | 5.1× |
| Esophagram (74220) | $121.38 | $867 | 0.7× |
| Fetal Biophys Profile W/Nst (76818) | $164.64 | $1,176 | 1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $116.06 | $829 | 1.0× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$79.24–$126.14 | $566–$901 | varies |
| Follow-Up Angiography (75898) | $298.48 | $2,132 | 0.1× |
| Foot 2 views (73620) | $56.98 | $407 | 0.6× |
| Forearm 2 views (73090) | $53.76 | $384 | 0.6× |
| Gastric emptying imaging study (78264) | $342.30 | $2,445 | 0.8× |
| Gastroesophageal Reflux Exam (78262) | $179.20 | $1,280 | 0.4× |
| Gated Heart Planar Single (78472) | $373.66 | $2,669 | 0.9× |
| Hand 2 views (73120) | $71.68 | $512 | 0.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $634.62 | $4,533 | 0.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $400.68 | $2,862 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $578.06 | $4,129 | 1.0× |
| Hepatobiliary System Imaging (78226) | $578.06 | $4,129 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $565.60 | $4,040 | 0.4× |
| Hysterosalpingogram (74740) | $155.40 | $1,110 | 0.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $70.98 | $507 | 0.8× |
| Infant hip ultrasound, limited static exam (76886) | $66.78 | $477 | 0.7× |
| Interstitial radiation source applic complex (77778) | $230.02 | $1,643 | 0.3× |
| Joint Survey Single View (77077) | $83.44 | $596 | 0.8× |
| K Flow/Funct Image W/Drug (78708) | $365.68 | $2,612 | 0.6× |
| K Flow/Funct Image W/O Drug (78707) | $230.72 | $1,648 | 0.4× |
| Knee 3 Views (73562) | $77.98 | $557 | 0.8× |
| Leveen/Shunt Patency Exam (78291) | $147.28 | $1,052 | 0.3× |
| Liver & Spleen Imaging Static Only (78215) | $225.96 | $1,614 | 0.5× |
| Lung Perf&Ventilat Diferentl (78598) | $276.50 | $1,975 | 0.5× |
| Lung perfusion differential (78597) | $179.20 | $1,280 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) | $540.82 | $3,863 | 0.9× |
| Lung Ventilation Imaging (78579) | $252.56 | $1,804 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $555.10 | $3,965 | 2.2× |
| Mammary ductogram or galactogram single (77053) | $103.60 | $740 | 0.4× |
| Meckels Divert Exam (78290) | $265.86 | $1,899 | 0.6× |
| MRA head w/o contrast (70544) | $427.42 | $3,053 | 1.7× |
| MRA neck w contrast (70548) | $459.76 | $3,284 | 1.2× |
| MRA neck w/o contrast (70547) | $452.48 | $3,232 | 1.8× |
| MRI abdomen w contrast (74182) | $704.76 | $5,034 | 1.9× |
| MRI abdomen w/o contrast (74181) | $527.94 | $3,771 | 2.1× |
| MRI any jt lower extrem w/contrast material (73722) | $584.36 | $4,174 | 0.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $694.12 | $4,958 | 1.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $718.20 | $5,130 | 2.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $604.52 | $4,318 | 2.4× |
| MRI cardiac w/o contrast (75557) | $320.32 | $2,288 | 1.3× |
| MRI cervical spine w contrast (72142) | $628.46 | $4,489 | 1.7× |
| MRI cervical spine w/o cont (72141) | $578.20 | $4,130 | 2.3× |
| MRI chest w/o contrast (71550) | $567 | $4,050 | 2.2× |
| MRI chest with contrast (71551) | $582.26 | $4,159 | 0.7× |
| MRI chest wo w contrast (71552) | $773.36 | $5,524 | 2.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $578.20 | $4,130 | 1.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $689.64 | $4,926 | 1.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $567 | $4,050 | 2.2× |
| MRI lumbar spine w contrast (72149) | $603.40 | $4,310 | 1.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $779.24 | $5,566 | 2.1× |
| MRI orbit face &/neck w/o contrast (70540) | $603.40 | $4,310 | 2.4× |
| MRI orbit face neck w contrast (70542) | $563.36 | $4,024 | 1.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $963.20 | $6,880 | 2.6× |
| MRI pelvis w contrast (72196) | $756.98 | $5,407 | 2.1× |
| MRI pelvis w/o & w contrast (72197) | $715.40 | $5,110 | 1.9× |
| MRI pelvis w/o contrast (72195) | $502.88 | $3,592 | 2.0× |
| MRI thoracic spine w/o contrast (72146) | $527.94 | $3,771 | 2.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $590.66 | $4,219 | 1.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $567 | $4,050 | 2.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $668.22 | $4,773 | 1.8× |
| MRI, abdomen, combo (74183) | $768.18 | $5,487 | 2.1× |
| MRI, dorsal spine combo (72157) | $735.42 | $5,253 | 2.0× |
| MRI, dorsal spine contrast (72147) | $563.36 | $4,024 | 1.5× |
| MRI, joint upper extrem (73221) | $567 | $4,050 | 2.2× |
| MRI, joint upper extrem combo (73223) | $727.86 | $5,199 | 2.0× |
| MRI, lumbar spine combo (72158) | $804.44 | $5,746 | 2.2× |
| Myelogram Lumbar (72265) | $269.08 | $1,922 | 0.3× |
| Myelography thoracic (72255) | $269.08 | $1,922 | 0.3× |
| Myocardial Spect Multiple Studies (78452) | $867.44 | $6,196 | 0.6× |
| Neck soft tissue (70360) | $57.82 | $413 | 0.6× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $83.58 | $597 | 0.2× |
| Panoramic X-ray of jaws (70355) | $74.90 | $535 | 0.8× |
| Parathyroid Planar Imaging (78070) | $297.22 | $2,123 | 0.7× |
| Pelvis 1 or 2 views (72170) | $74.62 | $533 | 0.7× |
| Pet Image W/Ct Lmtd (78814) | $1,075.20 | $7,680 | 0.7× |
| PET image w/CT, full body (78816) | $1,075.20 | $7,680 | 0.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,124.20 | $8,030 | 0.7× |
| PET whole body (78813) | $1,021.86 | $7,299 | 0.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $593.32 | $4,238 | 0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $275.52 | $1,968 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $100.10 | $715 | 0.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $171.36 | $1,224 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $65.94 | $471 | 0.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $52.78 | $377 | 0.6× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$54.04–$70.84 | $386–$506 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $99.96 | $714 | 0.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$28.14–$28.28 | $201–$202 | varies |
| Radex foot complete minimum 3 views (73630) | $65.94 | $471 | 0.7× |
| Radex Hand Minimum 3 Views (73130) | $65.94 | $471 | 0.7× |
| Radex lower extremity infant minimum 2 views (73592) | $33.04 | $236 | 0.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $88.62 | $633 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $99.96 | $714 | 1.1× |
| Radex Ribs Unilateral 2 Views (71100) | $81.20 | $580 | 0.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$53.76–$73.08 | $384–$522 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $58.80 | $420 | 0.6× |
| Radex Spine 1 View Specify Level (72020) | $70.14 | $501 | 0.8× |
| Radex Sternum Minimum 2 Views (71120) | $65.94 | $471 | 0.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $81.20 | $580 | 0.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$32.48–$32.62 | $232–$233 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $50.40 | $360 | 0.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $65.94 | $471 | 0.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $71.96 | $514 | 0.7× |
| Radiologic exam colon double contrast study (74280) | $180.18 | $1,287 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $91.42 | $653 | 0.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $122.22 | $873 | 0.7× |
| Radiologic exam knee complete 4/more views (73564) | $105.70 | $755 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $82.46 | $589 | 0.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $96.74 | $691 | 0.5× |
| Radiologic exam swallow function contrast study (74230) | $91.84 | $656 | 0.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $200.06 | $1,429 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $65.94 | $471 | 0.7× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$77.56–$77.70 | $554–$555 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $177.38 | $1,267 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $65.94 | $471 | 0.7× |
| Ribs bilateral 3 views (71110) | $107.10 | $765 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $458.08 | $3,272 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $387.24 | $2,766 | 0.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $795.20 | $5,680 | 1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $809.06 | $5,779 | 0.6× |
| Scapula (73010) | $53.76 | $384 | 0.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $20.16 | $144 | 0.9× |
| Shoulder 1 view (73020) | $65.66 | $469 | 0.7× |
| Skull less than 4 views (70250) | $43.82 | $313 | 0.4× |
| Sternoclavicular joints (71130) | $25.20 | $180 | 0.3× |
| Testicular Imaging W/Flow (78761) | $172.48 | $1,232 | 0.4× |
| Thoracic spine 2 views (72070) | $95.20 | $680 | 0.9× |
| Thoracic spine 3 views (72072) | $99.40 | $710 | 0.9× |
| Thoracolumbar 2 views (72080) | $99.40 | $710 | 1.1× |
| Thyroid Imaging With Vascular Flow (78013) | $128.24 | $916 | 0.3× |
| Thyroid Met Imaging Body (78018) | $272.02 | $1,943 | 0.5× |
| Thyroid Uptake Measurement (78012) | $165.48 | $1,182 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $297.92 | $2,128 | 0.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$33.04–$33.18 | $236–$237 | varies |
| Ultrasound Exam Aaa Screen (76706) | $101.64 | $726 | 0.9× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$228.06–$228.20 | $1,629–$1,630 | varies |
| Umbilical-artery Doppler (OB) (76820) | $102.06 | $729 | 0.9× |
| Unlisted magnetic resonance procedure (76498) | $241.22 | $1,723 | 2.6× |
| Unlisted us procedure (76999) | $90.44 | $646 | 1.0× |
| Upper gi w/o kub (74240) | $190.40 | $1,360 | 1.0× |
| Urethrocystogram voiding (74455) | $163.10 | $1,165 | 0.6× |
| Urethrocystography retrograde (74450) | $60.34 | $431 | 0.2× |
| Us breast unilateral complete (76641) | $33.18 | $237 | 0.3× |
| Us chest (76604) | $43.54 | $311 | 0.4× |
| Us exam, pelvic, limited (76857) | $102.90 | $735 | 0.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $146.16 | $1,044 | 1.3× |
| Us ob detailed single fetus (76811) | $111.30 | $795 | 0.4× |
| Us ob limited 1 or more fetuses (76815) | $100.52 | $718 | 0.9× |
| Us ob transvaginal (76817) | $123.76 | $884 | 1.1× |
| Us pelvic non ob complete (76856) | $146.16 | $1,044 | 1.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $104.72 | $748 | 0.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $195.44 | $1,396 | 1.8× |
| Us retroperitoneal complete (76770) | $215.46 | $1,539 | 1.9× |
| Us retroperitoneal limited (76775) | $155.40 | $1,110 | 1.4× |
| Us scrotum and contents (76870) | $122.78 | $877 | 1.1× |
| Us thyroid (76536) | $122.78 | $877 | 1.1× |
| Us transrectal (76872) | $57.68 | $412 | 0.5× |
| Vein X-Ray Chest (75827) | $407.82 | $2,913 | 0.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $542.92 | $3,878 | 0.2× |
| Venogram Sinus/Jugular (75860) | $249.20 | $1,780 | 0.1× |
| Venography caval inferior serialography rs&i (75825) | $472.36 | $3,374 | 0.1× |
| Venography extremity bilateral rs&i (75822) | $507.36 | $3,624 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $224.84 | $1,606 | 0.1× |
| Venography Renal Bilateral (75833) | $419.30 | $2,995 | 0.1× |
| Venography Renal Unilateral (75831) | $794.64 | $5,676 | 0.2× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$508.90 | $3,635 | 0.1× |
| Vertebral fracture assessment via dxa (77086) | $25.34 | $181 | 0.3× |
| Wrist 2 views (73100) | $55.72 | $398 | 0.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $64.40 | $460 | 0.7× |
| X-ray antegrade pyelogram tube (74425) | $118.16 | $844 | 0.3× |
| X-Ray Aorta Leg Arteries (75630) | $535.92 | $3,828 | 0.2× |
| X-Ray Bend Only L-S Spine (72120) | $99.40 | $710 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$59.64–$59.78 | $426–$427 | varies |
| X-Ray Exam Breast Specimen (76098) | $50.40 | $360 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $77 | $550 | 0.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $142.38 | $1,017 | 1.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $63.56 | $454 | 0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $94.22 | $673 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $109.20 | $780 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $113.54 | $811 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) | $130.20 | $930 | 1.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $65.94 | $471 | 0.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $131.88 | $942 | 1.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $94.36 | $674 | 0.9× |
| X-ray eye for foreign body (70030) | $36.96 | $264 | 0.4× |
| X-ray humerus (73060) | $65.94 | $471 | 0.7× |
| X-ray IV pyelogram (ivp) (74400) | $161.98 | $1,157 | 0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $62.72 | $448 | 0.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $82.46 | $589 | 0.7× |
| X-ray nose-rectum child f.b. (76010) | $50.54 | $361 | 0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $117.74 | $841 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $74.06 | $529 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $67.48 | $482 | 0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $99.96 | $714 | 1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $114.66 | $819 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $130.76 | $934 | 0.4× |
| X-Rays Bone Length Studies (77073) | $90.72 | $648 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $112.84 | $806 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $123.62 | $883 | 1.1× |
| Xr facial bones less than 3 views (70140) | $95.62 | $683 | 1.0× |
| Xr orbits complete 4 views (70200) | $94.08 | $672 | 0.9× |
| Xr Tomogram Single Plane (76100) | $98.98 | $707 | 0.9× |
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.