Imaging prices at Ochsner Medical Center - Hancock
Bay St. Louis, MS · every code in this section with a posted price and a Medicare benchmark.
277 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) | $73.34 | $193 | 0.9× |
| Abdomen 2 views (74019) | $90.06 | $237 | 0.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $414.20 | $1,090 | 1.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$50.16–$100.32 | $132–$264 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $1,894.68 | $4,986 | 0.6× |
| Arthrogram ankle (73615) | $174.04 | $458 | 0.5× |
| Arthrogram hip (73525) | $174.04 | $458 | 0.5× |
| Arthrogram Wrist (73115) | $171 | $450 | 0.5× |
| Bone age studies (77072) | $50.92 | $134 | 0.5× |
| Bone Imaging 3 Phase (78315) | $528.58 | $1,391 | 1.4× |
| Bone Imaging Limited Area (78300) | $282.34 | $743 | 0.8× |
| Bone Imaging Whole Body (78306) | $579.50 | $1,525 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $693.12 | $1,824 | 8.6× |
| Chest 1 view (71045) | $82.84 | $218 | 1.0× |
| Chest 2 views (71046) | $63.84 | $168 | 0.8× |
| Chest 3 views (71047) | $96.14 | $253 | 1.2× |
| Chest 4 or more views (71048) | $99.56 | $262 | 1.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$63.84–$127.68 | $168–$336 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $62.70 | $165 | 0.6× |
| Contrast X-Ray Bladder (74430) | $133 | $350 | 0.4× |
| Contrast X-Ray Of Elbow (73085) | $346.94 | $913 | 1.1× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$174.04–$348.08 | $458–$916 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,040.06 | $2,737 | 3.2× |
| CT abdomen and pelvis without contrast (74176) | $861.08 | $2,266 | 3.9× |
| CT abdomen w contrast (74160) | $631.94 | $1,663 | 3.9× |
| CT abdomen w wo contrast (74170) | $715.54 | $1,883 | 4.4× |
| CT abdomen w/o contrast (74150) | $625.48 | $1,646 | 6.4× |
| CT Angio Abdomen and Pelvis (74174) | $722 | $1,900 | 2.2× |
| CT Angio Chest (71275) | $715.54 | $1,883 | 4.4× |
| CT Angio Head (70496) | $739.86 | $1,947 | 4.5× |
| CT angio hrt w/3d image (75574) | $715.54 | $1,883 | 2.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$761.90–$1,523.80 | $2,005–$4,010 | varies |
| CT Angio Neck (70498) | $739.86 | $1,947 | 4.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $761.90 | $2,005 | 4.7× |
| CT cervical spine w/ contrast (72126) | $816.24 | $2,148 | 2.5× |
| CT cervical spine w/o contrast (72125) | $636.12 | $1,674 | 6.5× |
| CT cervical spine w/wo cont (72127) | $874 | $2,300 | 5.3× |
| CT chest w contrast (71260) | $701.48 | $1,846 | 4.3× |
| CT chest w/wo contrast (71270) | $872.86 | $2,297 | 5.3× |
| CT head/brain with contrast (70460) | $636.12 | $1,674 | 3.9× |
| CT head/brain without and with contrast (70470) | $677.54 | $1,783 | 4.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $653.98 | $1,721 | 8.1× |
| CT iac w contrast (70481) | $636.12 | $1,674 | 3.9× |
| CT l-spine w&w/o contrast (72133) | $874 | $2,300 | 5.3× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$662.34–$1,324.68 | $1,743–$3,486 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$662.34–$1,324.68 | $1,743–$3,486 | varies |
| CT lumbar spine w contrast (72132) | $791.16 | $2,082 | 2.4× |
| CT lumbar spine w/o contrast (72131) | $636.12 | $1,674 | 6.5× |
| CT maxillofacial w contrast (70487) | $653.98 | $1,721 | 4.0× |
| CT maxillofacial wo contrast (70486) | $653.98 | $1,721 | 6.7× |
| CT neck tissue combo (70492) | $751.64 | $1,978 | 4.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $737.20 | $1,940 | 4.5× |
| CT orbits w/o contrast (70480) | $623.20 | $1,640 | 6.4× |
| CT pelvis w&w/o contrast (72194) | $831.44 | $2,188 | 5.1× |
| CT pelvis w/o contrast (72192) | $601.92 | $1,584 | 6.2× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$761.90–$1,523.80 | $2,005–$4,010 | varies |
| CT scans face/jaw combo (70488) | $653.98 | $1,721 | 4.0× |
| CT soft tissue neck w contrast (70491) | $692.74 | $1,823 | 4.2× |
| CT soft tissue neck w/o contrast (70490) | $692.74 | $1,823 | 7.1× |
| CT thoracic spine w contrast (72129) | $791.16 | $2,082 | 4.8× |
| CT thoracic spine w/o contrast (72128) | $636.12 | $1,674 | 6.5× |
| CT thoracic spine w/wo cont (72130) | $874 | $2,300 | 5.3× |
| CT thorax w/o contrast (71250) | $601.92 | $1,584 | 6.2× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$662.34–$1,324.68 | $1,743–$3,486 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$761.90–$1,523.80 | $2,005–$4,010 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$662.34–$1,324.68 | $1,743–$3,486 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $715.54 | $1,883 | 4.4× |
| Cta Abdomen (74175) | $715.54 | $1,883 | 4.4× |
| CTA pelvis (72191) | $693.12 | $1,824 | 4.2× |
| Diskography lumbar (72295) | $1,650.34 | $4,343 | 0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $233.70 | $615 | 2.4× |
| Dxa Bone Density Axial (77080) | $142.12 | $374 | 1.5× |
| Dxa bone density study (77085) | $152 | $400 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $53.96 | $142 | 0.7× |
| Echo Guide For Artery Repair (76936) | $346.94 | $913 | 1.7× |
| Esophagram (74220) | $161.88 | $426 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $233.70 | $615 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $66.12 | $174 | 0.7× |
| Fluoroscopy up to 1 hr (76000) | $142.12 | $374 | 0.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$59.66–$119.32 | $157–$314 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$72.58–$145.16 | $191–$382 | varies |
| Gastric emptying imaging study (78264) | $374.68 | $986 | 1.0× |
| Gated Heart Planar Single (78472) | $354.92 | $934 | 1.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$50.16–$100.32 | $132–$264 | varies |
| Hepatobil Syst Image W/Drug (78227) | $618.64 | $1,628 | 1.2× |
| Hepatobiliary System Imaging (78226) | $484.12 | $1,274 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $1,077.30 | $2,835 | 0.9× |
| Hysterosalpingogram (74740) | $349.22 | $919 | 1.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $85.12 | $224 | 1.1× |
| Infant hip ultrasound, limited static exam (76886) | $69.92 | $184 | 0.9× |
| Joint Survey Single View (77077) | $45.22 | $119 | 0.5× |
| K Flow/Funct Image W/Drug (78708) | $346.18 | $911 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $324.14 | $853 | 0.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$91.96–$183.92 | $242–$484 | varies |
| Lung perfusion differential (78597) | $1,077.30 | $2,835 | 2.9× |
| Lung Ventilat&Perfus Imaging (78582) | $791.16 | $2,082 | 1.6× |
| Lymph System Imaging (78195) | $212.80 | $560 | 0.4× |
| Magnetic Image Jaw Joint (70336) | $937.84 | $2,468 | 4.2× |
| Magnetic Resonance Elastography (76391) | $175.56 | $462 | 0.8× |
| Mammary ductogram or galactogram multiple (77054) | $249.28 | $656 | 1.1× |
| Mammary ductogram or galactogram single (77053) | $167.20 | $440 | 0.8× |
| Meckels Divert Exam (78290) | $1,077.30 | $2,835 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $728.46 | $1,917 | 2.2× |
| MRA head w/o contrast (70544) | $937.84 | $2,468 | 4.2× |
| MRA head with contrast (70545) | $728.46 | $1,917 | 2.2× |
| MRA neck w contrast (70548) | $728.46 | $1,917 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $728.46 | $1,917 | 2.2× |
| MRA neck w/o contrast (70547) | $937.84 | $2,468 | 4.2× |
| MRI abdomen w contrast (74182) | $872.86 | $2,297 | 2.7× |
| MRI abdomen w/o contrast (74181) | $777.48 | $2,046 | 3.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$792.68–$1,585.36 | $2,086–$4,172 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$872.86–$1,745.72 | $2,297–$4,594 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$792.68–$1,585.36 | $2,086–$4,172 | varies |
| MRI cervical spine w contrast (72142) | $872.86 | $2,297 | 2.7× |
| MRI cervical spine w/o cont (72141) | $792.68 | $2,086 | 3.6× |
| MRI chest w/o contrast (71550) | $792.68 | $2,086 | 3.6× |
| MRI chest with contrast (71551) | $872.86 | $2,297 | 1.2× |
| MRI chest wo w contrast (71552) | $872.86 | $2,297 | 2.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$792.68–$1,585.36 | $2,086–$4,172 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $728.46 | $1,917 | 2.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$728.46–$1,456.92 | $1,917–$3,834 | varies |
| MRI lumbar spine w contrast (72149) | $872.86 | $2,297 | 2.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,198.52 | $3,154 | 3.7× |
| MRI orbit face &/neck w/o contrast (70540) | $937.84 | $2,468 | 4.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $842.08 | $2,216 | 2.6× |
| MRI pelvis w contrast (72196) | $872.86 | $2,297 | 2.7× |
| MRI pelvis w/o & w contrast (72197) | $909.34 | $2,393 | 2.8× |
| MRI pelvis w/o contrast (72195) | $792.68 | $2,086 | 3.6× |
| MRI thoracic spine w/o contrast (72146) | $792.68 | $2,086 | 3.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$792.68–$1,585.36 | $2,086–$4,172 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$728.46–$1,456.92 | $1,917–$3,834 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $792.68 | $2,086 | 2.4× |
| MRI, abdomen, combo (74183) | $872.86 | $2,297 | 2.7× |
| MRI, dorsal spine combo (72157) | $1,198.52 | $3,154 | 3.7× |
| MRI, dorsal spine contrast (72147) | $872.86 | $2,297 | 2.7× |
| MRI, joint upper extrem (73221) | $728.46 | $1,917 | 3.3× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$909.34–$1,818.68 | $2,393–$4,786 | varies |
| MRI, lumbar spine combo (72158) | $1,198.52 | $3,154 | 3.7× |
| Myelogram cervical (72240) | $291.84 | $768 | 0.4× |
| Myelogram Lumbar (72265) | $291.84 | $768 | 0.4× |
| Myelography thoracic (72255) | $327.56 | $862 | 0.4× |
| Myelograpy 2/more regions rs&i (72270) | $699.58 | $1,841 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,476.68 | $3,886 | 1.2× |
| Neck soft tissue (70360) | $49.40 | $130 | 0.6× |
| Ob us nuchal meas 1 gest (76813) | $87.02 | $229 | 0.9× |
| Parathyroid Planar Imaging (78070) | $424.84 | $1,118 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $268.66 | $707 | 0.7× |
| Pelvis 1 or 2 views (72170) | $77.14 | $203 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,076.16 | $2,832 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $171 | $450 | 1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $176.32 | $464 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$69.54–$139.08 | $183–$366 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$67.26–$134.52 | $177–$354 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$89.30–$178.60 | $235–$470 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $96.14 | $253 | 1.0× |
| Radex fingr minimum 2 views (73140) | $57 | $150 | 0.7× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$72.58–$145.16 | $191–$382 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$63.08–$126.16 | $166–$332 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$49.40–$98.80 | $130–$260 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $132.62 | $349 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $81.32 | $214 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $85.88 | $226 | 1.1× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$80.94–$161.88 | $213–$426 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $55.86 | $147 | 0.7× |
| Radex Spine 1 View Specify Level (72020) | $69.54 | $183 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) | $115.90 | $305 | 1.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $95.38 | $251 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $57 | $150 | 0.7× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$49.40–$98.80 | $130–$260 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$72.58–$145.16 | $191–$382 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $182.40 | $480 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $121.22 | $319 | 1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $95.38 | $251 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $277.02 | $729 | 1.7× |
| Radiologic exam colon single contrast study (74270) | $201.78 | $531 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$96.14–$192.28 | $253–$506 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $87.78 | $231 | 0.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $201.78 | $531 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $187.72 | $494 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $226.48 | $596 | 1.4× |
| Radiologic examination femur 1 view (73551) | $67.26 | $177 | 0.8× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$86.26–$172.52 | $227–$454 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$76.38–$152.76 | $201–$402 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $172.52 | $454 | 1.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$75.62–$151.24 | $199–$398 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $111.72 | $294 | 0.2× |
| Ribs bilateral 3 views (71110) | $126.16 | $332 | 1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,077.30 | $2,835 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,077.30 | $2,835 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,077.30 | $2,835 | 2.1× |
| Scapula (73010) range across 2 matching MRF lines |
$101.08–$202.16 | $266–$532 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $19 | $50 | 0.8× |
| Sella turcica (70240) | $38.38 | $101 | 0.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$67.64–$135.28 | $178–$356 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$218.88–$437.76 | $576–$1,152 | varies |
| Skull less than 4 views (70250) | $91.96 | $242 | 0.9× |
| Sternoclavicular joints (71130) | $82.46 | $217 | 1.0× |
| Tbs technical calculation only (77091) | $66.12 | $174 | 0.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $247.38 | $651 | 1.5× |
| Thoracic spine 2 views (72070) | $83.60 | $220 | 0.9× |
| Thoracic spine 3 views (72072) | $101.08 | $266 | 1.0× |
| Thoracolumbar 2 views (72080) | $101.08 | $266 | 1.2× |
| Thyroid Imaging With Vascular Flow (78013) | $1,077.30 | $2,835 | 2.9× |
| Thyroid Met Imaging Body (78018) | $1,077.30 | $2,835 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $265.62 | $699 | 0.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$19.38–$210.52 | $51–$554 | varies |
| Ultrasound elastography first target lesion (76982) | $85.88 | $226 | 0.9× |
| Ultrasound Elastography Parenchyma (76981) | $85.88 | $226 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) | $91.20 | $240 | 0.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $153.52 | $404 | 0.5× |
| Ultrasound, abdomen limited (76705) | $201.78 | $531 | 2.1× |
| Umbilical-artery Doppler (OB) (76820) | $229.52 | $604 | 2.4× |
| Unlisted Dx Radiographic Procedure (76499) | $61.56 | $162 | 0.8× |
| Unlisted us procedure (76999) | $187.72 | $494 | 2.3× |
| Upper gi w/o kub (74240) | $226.48 | $596 | 1.4× |
| Urethrocystogram voiding (74455) | $133 | $350 | 0.6× |
| Urethrocystography retrograde (74450) | $133 | $350 | 0.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$19.38–$210.52 | $51–$554 | varies |
| Us chest (76604) | $152 | $400 | 1.6× |
| Us complete joint (76881) | $124.64 | $328 | 1.3× |
| Us exam, pelvic, limited (76857) | $105.26 | $277 | 1.1× |
| Us head (76506) | $207.86 | $547 | 2.1× |
| Us kidney transplant (76776) | $201.78 | $531 | 2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $124.64 | $328 | 1.3× |
| Us ob detailed single fetus (76811) | $275.50 | $725 | 1.2× |
| Us ob limited 1 or more fetuses (76815) | $201.78 | $531 | 2.1× |
| Us ob transvaginal (76817) | $271.70 | $715 | 2.8× |
| Us pelvic non ob complete (76856) | $229.52 | $604 | 2.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $191.14 | $503 | 2.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $201.78 | $531 | 2.1× |
| Us retroperitoneal complete (76770) | $201.78 | $531 | 2.1× |
| Us retroperitoneal limited (76775) | $201.78 | $531 | 2.1× |
| Us scrotum and contents (76870) | $177.08 | $466 | 1.8× |
| Us spinal canal and contents (76800) | $124.64 | $328 | 1.3× |
| Us thyroid (76536) | $152 | $400 | 1.6× |
| Us transrectal (76872) | $277.02 | $729 | 2.8× |
| Venography Adrenal Unilateral (75840) | $2,007.92 | $5,284 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $142.12 | $374 | 1.8× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$63.84–$127.68 | $168–$336 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $77.14 | $203 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $101.08 | $266 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$70.30–$140.60 | $185–$370 | varies |
| X-Ray Exam Breast Specimen (76098) | $147.82 | $389 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $82.84 | $218 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $120.84 | $318 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $182.40 | $480 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $67.26 | $177 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $67.26 | $177 | 0.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $105.64 | $278 | 1.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $105.64 | $278 | 1.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $105.64 | $278 | 1.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $182.40 | $480 | 1.9× |
| X-Ray Exam L-S Spine Bending (72114) | $174.04 | $458 | 1.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $91.96 | $242 | 1.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $101.08 | $266 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $126.54 | $333 | 1.3× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$76.38–$152.76 | $201–$402 | varies |
| X-ray humerus (73060) | $67.26 | $177 | 0.8× |
| X-ray IV pyelogram (ivp) (74400) | $242.44 | $638 | 1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $70.68 | $186 | 0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $110.58 | $291 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $101.08 | $266 | 1.0× |
| X-ray nose-rectum child f.b. (76010) | $45.22 | $119 | 0.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $141.74 | $373 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $101.08 | $266 | 1.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $85.50 | $225 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $91.96 | $242 | 1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $91.96 | $242 | 1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $121.22 | $319 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $115.90 | $305 | 1.2× |
| X-Ray Tmj Unilat (70328) | $142.50 | $375 | 1.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $232.18 | $611 | 0.7× |
| X-Rays Bone Length Studies (77073) | $45.22 | $119 | 0.5× |
| X-Rays Bone Survey Complete (77075) | $174.80 | $460 | 1.8× |
| Xr c-spine 4 or 5 views (72050) | $101.08 | $266 | 1.0× |
| Xr facial bones less than 3 views (70140) | $70.68 | $186 | 0.9× |
| Xr orbits complete 4 views (70200) | $101.08 | $266 | 1.0× |
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.