Imaging prices at Norton-king's Daughters' Health
Madison, IN · every code in this section with a posted price and a Medicare benchmark.
257 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $881.54 | $4,007 | 0.6× |
| Abdomen 1 View (74018) | $86.02 | $391 | 0.9× |
| Abdomen 2 views (74019) | $97.68 | $444 | 0.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $339.68 | $1,544 | 0.8× |
| Ankle 2 views (73600) | $75.24 | $342 | 0.8× |
| Basic radiation dosimetry calculation (77300) | $104.06 | $473 | 0.7× |
| Bone age studies (77072) | $39.82 | $181 | 0.4× |
| Bone Imaging 3 Phase (78315) | $487.08 | $2,214 | 1.2× |
| Bone Imaging Limited Area (78300) | $339.90 | $1,545 | 0.8× |
| Bone Imaging Whole Body (78306) | $449.02 | $2,041 | 1.1× |
| Bone survey infant (77076) | $66.22 | $301 | 0.6× |
| Cat Scan Follow-Up Study (76380) | $101.86 | $463 | 1.1× |
| Chest 1 view (71045) | $86.68 | $394 | 0.9× |
| Chest 2 views (71046) | $105.82 | $481 | 1.1× |
| Chest 3 views (71047) | $30.36 | $138 | 0.3× |
| Clavicle complete (73000) | $75.24 | $342 | 0.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $31.02 | $141 | 0.3× |
| Continuing medical physics consltj pr wk (77336) | $150.04 | $682 | 1.1× |
| Contrast X-Ray Bladder (74430) | $171.16 | $778 | 0.5× |
| CT abdomen and pelvis without and with contrast (74178) | $859.32 | $3,906 | 2.3× |
| CT abdomen and pelvis without contrast (74176) | $617.54 | $2,807 | 2.4× |
| CT abdomen w contrast (74160) | $332.20 | $1,510 | 1.8× |
| CT abdomen w wo contrast (74170) | $409.42 | $1,861 | 2.2× |
| CT abdomen w/o contrast (74150) | $300.52 | $1,366 | 2.7× |
| CT Angio Abdomen and Pelvis (74174) | $751.08 | $3,414 | 2.0× |
| CT Angio Chest (71275) | $466.40 | $2,120 | 2.5× |
| CT Angio Head (70496) | $447.26 | $2,033 | 2.4× |
| CT angio hrt w/3d image (75574) | $253.22 | $1,151 | 0.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $329.34 | $1,497 | 1.8× |
| CT Angio Neck (70498) | $438.46 | $1,993 | 2.4× |
| CT cervical spine w/ contrast (72126) | $327.36 | $1,488 | 0.9× |
| CT cervical spine w/o contrast (72125) | $341.88 | $1,554 | 3.1× |
| CT cervical spine w/wo cont (72127) | $390.72 | $1,776 | 2.1× |
| CT chest w contrast (71260) | $332.86 | $1,513 | 1.8× |
| CT chest w/wo contrast (71270) | $392.92 | $1,786 | 2.1× |
| CT head/brain with contrast (70460) | $293.04 | $1,332 | 1.6× |
| CT head/brain without and with contrast (70470) | $403.48 | $1,834 | 2.2× |
| CT iac w contrast (70481) | $337.70 | $1,535 | 1.8× |
| CT l-spine w&w/o contrast (72133) | $452.98 | $2,059 | 2.4× |
| CT lower ext w/o (73700) | $262.02 | $1,191 | 2.4× |
| CT lower extremity w/contrast material (73701) | $304.70 | $1,385 | 1.6× |
| CT lumbar spine w contrast (72132) | $362.34 | $1,647 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $317.02 | $1,441 | 2.9× |
| CT maxillofacial w contrast (70487) | $296.34 | $1,347 | 1.6× |
| CT maxillofacial wo contrast (70486) | $249.92 | $1,136 | 2.3× |
| CT neck tissue combo (70492) | $375.10 | $1,705 | 2.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $367.62 | $1,671 | 2.0× |
| CT orbits w/o contrast (70480) | $323.18 | $1,469 | 2.9× |
| CT pelvis w&w/o contrast (72194) | $401.28 | $1,824 | 2.2× |
| CT pelvis w/o contrast (72192) | $298.98 | $1,359 | 2.7× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$369.16–$391.60 | $1,678–$1,780 | varies |
| CT scans face/jaw combo (70488) | $400.84 | $1,822 | 2.2× |
| CT soft tissue neck w contrast (70491) | $336.82 | $1,531 | 1.8× |
| CT soft tissue neck w/o contrast (70490) | $301.84 | $1,372 | 2.7× |
| CT thoracic spine w contrast (72129) | $303.60 | $1,380 | 1.6× |
| CT thoracic spine w/o contrast (72128) | $316.58 | $1,439 | 2.9× |
| CT thoracic spine w/wo cont (72130) | $368.50 | $1,675 | 2.0× |
| CT thorax w/o contrast (71250) | $312.62 | $1,421 | 2.8× |
| CT upper ext wo (73200) | $227.04 | $1,032 | 2.1× |
| CT upper extremity w/o & w/contrast material (73202) | $405.02 | $1,841 | 2.2× |
| CT upper extremity with contrast (73201) | $257.18 | $1,169 | 0.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $495.66 | $2,253 | 2.7× |
| Cta Abdomen (74175) | $413.16 | $1,878 | 2.2× |
| CTA pelvis (72191) | $439.78 | $1,999 | 2.4× |
| Dxa Bone Density Axial (77080) | $180.62 | $821 | 1.6× |
| Esophagram (74220) | $141.68 | $644 | 0.8× |
| Fluoroscopy up to 1 hr (76000) | $125.18 | $569 | 0.5× |
| Foot 2 views (73620) | $74.58 | $339 | 0.8× |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$108.68–$115.28 | $494–$524 | varies |
| Gastric emptying imaging study (78264) | $401.06 | $1,823 | 0.9× |
| Hand 2 views (73120) | $69.30 | $315 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $438.24 | $1,992 | 0.8× |
| Hepatobiliary System Imaging (78226) | $428.56 | $1,948 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $997.26 | $4,533 | 0.7× |
| Hysterosalpingogram (74740) | $344.52 | $1,566 | 1.4× |
| Image fusion (77399) | $227.48 | $1,034 | 1.6× |
| Infant hip ultrasound, limited static exam (76886) | $227.48 | $1,034 | 2.5× |
| Joint Survey Single View (77077) | $37.62 | $171 | 0.3× |
| K Flow/Funct Image Multiple (78709) | $373.78 | $1,699 | 0.7× |
| K Flow/Funct Image W/Drug (78708) | $381.92 | $1,736 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $367.18 | $1,669 | 0.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $201.52 | $916 | 0.5× |
| Knee 3 Views (73562) | $95.48 | $434 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $348.48 | $1,584 | 0.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $646.58 | $2,939 | 1.5× |
| Lung Ventilation Imaging (78579) | $341.66 | $1,553 | 0.8× |
| Lymph System Imaging (78195) | $430.76 | $1,958 | 0.7× |
| Meckels Divert Exam (78290) | $253 | $1,150 | 0.6× |
| Mlc imrt design & construction per imrt plan (77338) | $131.56 | $598 | 0.3× |
| MRA head w/o contrast (70544) | $433.84 | $1,972 | 1.7× |
| MRA head with contrast (70545) | $477.18 | $2,169 | 1.3× |
| MRA neck w contrast (70548) | $342.98 | $1,559 | 0.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $400.62 | $1,821 | 1.1× |
| MRA neck w/o contrast (70547) | $294.14 | $1,337 | 1.2× |
| MRI abdomen w contrast (74182) | $577.06 | $2,623 | 1.6× |
| MRI abdomen w/o contrast (74181) | $524.48 | $2,384 | 2.1× |
| MRI any jt lower extrem w/contrast material (73722) | $559.02 | $2,541 | 0.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $623.04 | $2,832 | 1.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $558.80 | $2,540 | 0.7× |
| MRI cervical spine w contrast (72142) | $521.40 | $2,370 | 1.4× |
| MRI cervical spine w/o cont (72141) | $474.10 | $2,155 | 1.9× |
| MRI chest w/o contrast (71550) | $554.84 | $2,522 | 2.2× |
| MRI chest with contrast (71551) | $610.28 | $2,774 | 0.7× |
| MRI chest wo w contrast (71552) | $732.60 | $3,330 | 2.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$526.24–$557.92 | $2,392–$2,536 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $621.72 | $2,826 | 1.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $478.50 | $2,175 | 1.9× |
| MRI lumbar spine w contrast (72149) | $498.74 | $2,267 | 1.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $603.24 | $2,742 | 1.6× |
| MRI orbit face &/neck w/o contrast (70540) | $457.38 | $2,079 | 1.8× |
| MRI orbit face neck w contrast (70542) | $533.28 | $2,424 | 1.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $629.86 | $2,863 | 1.7× |
| MRI pelvis w contrast (72196) | $562.98 | $2,559 | 1.5× |
| MRI pelvis w/o & w contrast (72197) | $655.60 | $2,980 | 1.8× |
| MRI pelvis w/o contrast (72195) | $482.68 | $2,194 | 1.9× |
| MRI thoracic spine w/o contrast (72146) | $522.28 | $2,374 | 2.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$163.68–$493.90 | $744–$2,245 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$109.78–$423.50 | $499–$1,925 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $550.88 | $2,504 | 1.5× |
| MRI, abdomen, combo (74183) | $655.60 | $2,980 | 1.8× |
| MRI, dorsal spine combo (72157) | $621.28 | $2,824 | 1.7× |
| MRI, dorsal spine contrast (72147) | $541.86 | $2,463 | 1.5× |
| MRI, joint upper extrem (73221) | $478.94 | $2,177 | 1.9× |
| MRI, joint upper extrem combo (73223) | $622.82 | $2,831 | 1.7× |
| MRI, lumbar spine combo (72158) | $694.98 | $3,159 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $1,281.72 | $5,826 | 0.9× |
| Neck soft tissue (70360) | $84.04 | $382 | 0.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $597.96 | $2,718 | 0.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $289.96 | $1,318 | 0.5× |
| Parathyroid Planar Imaging (78070) | $273.46 | $1,243 | 0.6× |
| Pelvis 1 or 2 views (72170) | $85.36 | $388 | 0.8× |
| Pet Image W/Ct Lmtd (78814) | $818.62 | $3,721 | 0.5× |
| PET image w/CT, full body (78816) | $818.62 | $3,721 | 0.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $818.62 | $3,721 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $383.46 | $1,743 | 0.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$155.98–$165.44 | $709–$752 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $139.04 | $632 | 0.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $87.78 | $399 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $70.84 | $322 | 0.8× |
| Radex elbow complete minimum 3 views (73080) | $87.12 | $396 | 0.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $128.04 | $582 | 1.2× |
| Radex fingr minimum 2 views (73140) | $67.32 | $306 | 0.7× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$86.90–$92.18 | $395–$419 | varies |
| Radex Hand Minimum 3 Views (73130) | $85.14 | $387 | 0.9× |
| Radex lower extremity infant minimum 2 views (73592) | $53.90 | $245 | 0.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$100.76–$106.92 | $458–$486 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$97.68–$103.62 | $444–$471 | varies |
| Radex shoulder complete minimum 2 views (73030) | $101.64 | $462 | 1.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $69.30 | $315 | 0.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $229.90 | $1,045 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $76.56 | $348 | 0.8× |
| Radex Sternum Minimum 2 Views (71120) | $85.14 | $387 | 0.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $136.18 | $619 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $67.32 | $306 | 0.7× |
| Radex upper extremity infant minimum 2 views (73092) | $66.22 | $301 | 0.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $115.28 | $524 | 1.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $43.78 | $199 | 0.4× |
| Radiation treatment delivery level 1 (77402) | $41.14 | $187 | 0.4× |
| Radiation treatment delivery level 2 (77407) | $41.14 | $187 | 0.1× |
| Radiation treatment delivery level 3 (77412) | $73.04 | $332 | 0.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $116.82 | $531 | 1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $92.62 | $421 | 0.8× |
| Radiologic exam colon double contrast study (74280) | $247.50 | $1,125 | 1.3× |
| Radiologic exam colon single contrast study (74270) | $181.06 | $823 | 1.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $111.32 | $506 | 0.6× |
| Radiologic exam knee complete 4/more views (73564) | $151.36 | $688 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $108.90 | $495 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $144.98 | $659 | 0.8× |
| Radiologic exam swallow function contrast study (74230) | $188.32 | $856 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $235.62 | $1,071 | 1.3× |
| Radiologic examination femur 1 view (73551) | $21.78 | $99 | 0.2× |
| Radiologic examination femur minimum 2 views (73552) | $92.62 | $421 | 1.0× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$87.12–$92.40 | $396–$420 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $232.10 | $1,055 | 2.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $90.42 | $411 | 1.0× |
| Ribs bilateral 3 views (71110) | $106.92 | $486 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$432.30–$504.02 | $1,965–$2,291 | varies |
| Scapula (73010) | $78.10 | $355 | 0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $13.86 | $63 | 0.6× |
| Shoulder 1 view (73020) | $22.66 | $103 | 0.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$98.12–$104.06 | $446–$473 | varies |
| Special dosimetry (77331) | $117.26 | $533 | 0.8× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$227.48–$241.12 | $1,034–$1,096 | varies |
| Special teletherapy port plan (77321) | $124.08 | $564 | 0.3× |
| Special treatment procedure (77470) | $414.92 | $1,886 | 0.7× |
| Stereotactic Body Radiation Delivery (77373) | $1,538.24 | $6,992 | 0.8× |
| Sternoclavicular joints (71130) | $90.86 | $413 | 1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $108.68 | $494 | 0.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $62.04 | $282 | 0.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $409.20 | $1,860 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $208.34 | $947 | 0.5× |
| Ther rad simulaj-aided field setting simple (77280) | $218.24 | $992 | 1.5× |
| Thoracic spine 2 views (72070) | $88 | $400 | 0.8× |
| Thoracic spine 3 views (72072) | $132.88 | $604 | 1.2× |
| Thoracolumbar 2 views (72080) | $130.90 | $595 | 1.4× |
| Thyroid Met Imaging Body (78018) | $485.76 | $2,208 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $334.62 | $1,521 | 0.8× |
| Tx Devices Design & Construction Complex (77334) | $268.18 | $1,219 | 0.7× |
| Tx devices design & construction intermediate (77333) | $137.50 | $625 | 1.0× |
| Tx devices design & construction simple (77332) | $126.06 | $573 | 0.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$188.10–$375.98 | $855–$1,709 | varies |
| Ultrasound Exam Aaa Screen (76706) | $239.36 | $1,088 | 2.2× |
| Ultrasound, abdomen limited (76705) | $273.68 | $1,244 | 2.5× |
| Unlisted us procedure (76999) | $152.24 | $692 | 1.7× |
| Upper gi w/o kub (74240) | $152.24 | $692 | 0.8× |
| Urethrocystogram voiding (74455) | $196.02 | $891 | 0.8× |
| Us chest (76604) | $180.84 | $822 | 1.6× |
| Us exam, pelvic, limited (76857) | $164.78 | $749 | 1.5× |
| Us head (76506) | $190.30 | $865 | 1.7× |
| Us kidney transplant (76776) | $60.72 | $276 | 0.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $92.18 | $419 | 0.8× |
| Us ob limited 1 or more fetuses (76815) | $80.08 | $364 | 0.7× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$189.42–$200.86 | $861–$913 | varies |
| Us pelvic non ob complete (76856) | $225.50 | $1,025 | 2.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $196.68 | $894 | 1.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $266.86 | $1,213 | 2.4× |
| Us retroperitoneal complete (76770) | $313.50 | $1,425 | 2.8× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$147.18–$247.94 | $669–$1,127 | varies |
| Us scrotum and contents (76870) | $191.40 | $870 | 1.7× |
| Us spinal canal and contents (76800) | $207.24 | $942 | 1.9× |
| Us thyroid (76536) | $216.26 | $983 | 2.0× |
| Us transrectal (76872) | $209.44 | $952 | 1.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$64.68–$68.64 | $294–$312 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $85.80 | $390 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $39.82 | $181 | 0.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $87.12 | $396 | 0.9× |
| X-Ray Exam Breast Specimen (76098) | $79.20 | $360 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $109.12 | $496 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $165 | $750 | 1.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $41.36 | $188 | 0.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $62.48 | $284 | 0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $104.06 | $473 | 1.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $412.50 | $1,875 | 3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $203.94 | $927 | 1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $389.18 | $1,769 | 3.5× |
| X-Ray Exam L-S Spine Bending (72114) | $189.64 | $862 | 1.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $99 | $450 | 1.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $153.56 | $698 | 1.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $102.08 | $464 | 0.9× |
| X-ray eye for foreign body (70030) | $86.24 | $392 | 0.9× |
| X-ray humerus (73060) | $81.62 | $371 | 0.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $108.46 | $493 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $22.66 | $103 | 0.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $124.08 | $564 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $121.22 | $551 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $92.18 | $419 | 0.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $66.22 | $301 | 0.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $92.18 | $419 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $124.96 | $568 | 1.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $148.94 | $677 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $210.32 | $956 | 0.6× |
| X-Rays Bone Length Studies (77073) | $94.60 | $430 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $208.34 | $947 | 1.9× |
| Xr c-spine 4 or 5 views (72050) | $139.92 | $636 | 1.3× |
| Xr facial bones less than 3 views (70140) | $108.24 | $492 | 1.2× |
| Xr orbits complete 4 views (70200) | $123.86 | $563 | 1.1× |
| Xr Tomogram Single Plane (76100) | $122.32 | $556 | 1.1× |
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.