Imaging prices at Ochsner University Hospital & Clinics
Lafayette, LA · every code in this section with a posted price and a Medicare benchmark.
260 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) | $236.08 | $908 | 3.0× |
| Abdomen 2 views (74019) | $69.16 | $266 | 0.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $519.22 | $1,997 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $2,607.28 | $10,028 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,607.28 | $10,028 | 0.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| Artery X-Rays Abdomen (75726) | $2,607.28 | $10,028 | 0.5× |
| Artery X-Rays Pelvis (75736) | $2,607.28 | $10,028 | 0.5× |
| Artery X-Rays Spine (75705) | $2,607.28 | $10,028 | 0.5× |
| Arthrogram hip (73525) | $216.84 | $834 | 0.7× |
| Arthrogram Wrist (73115) | $379.60 | $1,460 | 1.2× |
| Bone age studies (77072) | $96.20 | $370 | 1.0× |
| Bone Imaging 3 Phase (78315) | $336.70 | $1,295 | 0.9× |
| Bone Imaging Whole Body (78306) | $307.84 | $1,184 | 0.9× |
| Bone survey infant (77076) | $127.40 | $490 | 1.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $406.64 | $1,564 | 0.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $231.66 | $891 | 0.6× |
| Chest 1 view (71045) | $56.42 | $217 | 0.7× |
| Chest 2 views (71046) | $69.16 | $266 | 0.9× |
| Chest 3 views (71047) | $52.26 | $201 | 0.7× |
| Chest 4 or more views (71048) | $72.80 | $280 | 0.8× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $94.64 | $364 | 1.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$54.86–$109.72 | $211–$422 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $117.78 | $453 | 1.2× |
| Contrast Exam Abdominl Aorta (75625) | $2,607.28 | $10,028 | 0.9× |
| Contrast X-Ray Bladder (74430) | $199.42 | $767 | 0.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $109.72 | $422 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $853.06 | $3,281 | 2.7× |
| CT abdomen and pelvis without contrast (74176) | $638.56 | $2,456 | 3.0× |
| CT abdomen w contrast (74160) | $497.64 | $1,914 | 3.1× |
| CT abdomen w wo contrast (74170) | $568.88 | $2,188 | 3.6× |
| CT abdomen w/o contrast (74150) | $425.88 | $1,638 | 4.5× |
| CT Angio Abdomen and Pelvis (74174) | $239.46 | $921 | 0.8× |
| CT Angio Chest (71275) | $609.44 | $2,344 | 3.8× |
| CT Angio Head (70496) | $609.44 | $2,344 | 3.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$609.44–$1,218.88 | $2,344–$4,688 | varies |
| CT Angio Neck (70498) | $609.44 | $2,344 | 3.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $609.44 | $2,344 | 3.8× |
| CT cervical spine w/ contrast (72126) | $487.24 | $1,874 | 1.5× |
| CT cervical spine w/o contrast (72125) | $467.48 | $1,798 | 4.9× |
| CT cervical spine w/wo cont (72127) | $563.68 | $2,168 | 3.5× |
| CT chest w contrast (71260) | $494.52 | $1,902 | 3.1× |
| CT chest w/wo contrast (71270) | $609.44 | $2,344 | 3.8× |
| CT head/brain with contrast (70460) | $433.16 | $1,666 | 2.7× |
| CT head/brain without and with contrast (70470) | $507.26 | $1,951 | 3.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $52.26 | $201 | 0.7× |
| CT iac w contrast (70481) | $551.98 | $2,123 | 3.5× |
| CT l-spine w&w/o contrast (72133) | $563.68 | $2,168 | 3.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$425.88–$851.76 | $1,638–$3,276 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$461.24–$922.48 | $1,774–$3,548 | varies |
| CT lumbar spine w contrast (72132) | $487.24 | $1,874 | 1.5× |
| CT lumbar spine w/o contrast (72131) | $474.76 | $1,826 | 5.0× |
| CT maxillofacial w contrast (70487) | $446.68 | $1,718 | 2.8× |
| CT maxillofacial wo contrast (70486) | $489.06 | $1,881 | 5.2× |
| CT neck tissue combo (70492) | $596.18 | $2,293 | 3.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $596.18 | $2,293 | 3.8× |
| CT orbits w/o contrast (70480) | $507.26 | $1,951 | 5.4× |
| CT pelvis w&w/o contrast (72194) | $568.88 | $2,188 | 3.6× |
| CT pelvis w/o contrast (72192) | $425.88 | $1,638 | 4.5× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$507.26–$1,014.52 | $1,951–$3,902 | varies |
| CT scans face/jaw combo (70488) | $506.22 | $1,947 | 3.2× |
| CT soft tissue neck w contrast (70491) | $433.16 | $1,666 | 2.7× |
| CT soft tissue neck w/o contrast (70490) | $425.88 | $1,638 | 4.5× |
| CT thoracic spine w contrast (72129) | $484.64 | $1,864 | 3.1× |
| CT thoracic spine w/o contrast (72128) | $450.84 | $1,734 | 4.8× |
| CT thoracic spine w/wo cont (72130) | $563.68 | $2,168 | 3.5× |
| CT thorax w/o contrast (71250) | $440.44 | $1,694 | 4.7× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$425.88–$851.76 | $1,638–$3,276 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$507.26–$1,014.52 | $1,951–$3,902 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$461.24–$922.48 | $1,774–$3,548 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $532.48 | $2,048 | 3.4× |
| Cta Abdomen (74175) | $609.44 | $2,344 | 3.8× |
| CTA pelvis (72191) | $288.86 | $1,111 | 1.8× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$70.20–$130 | $270–$500 | varies |
| Dxa Bone Density Axial (77080) | $121.16 | $466 | 1.3× |
| Dxa bone density study (77085) | $66.82 | $257 | 0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $73.84 | $284 | 0.9× |
| Esophagram (74220) | $126.36 | $486 | 0.8× |
| Fetal Biophys Profile W/Nst (76818) | $112.32 | $432 | 1.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $112.32 | $432 | 1.2× |
| Fluoroscopy up to 1 hr (76000) | $137.80 | $530 | 0.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| Gastric emptying imaging study (78264) | $365.04 | $1,404 | 1.0× |
| Gated Heart Planar Single (78472) | $500.50 | $1,925 | 1.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,199.38 | $4,613 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $358.80 | $1,380 | 0.7× |
| Hepatobiliary System Imaging (78226) | $642.46 | $2,471 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $501.54 | $1,929 | 0.4× |
| Hysterosalpingogram (74740) | $263.12 | $1,012 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $358.80 | $1,380 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $315.12 | $1,212 | 0.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$69.16–$138.32 | $266–$532 | varies |
| Liver & Spleen Imaging Static Only (78215) | $358.80 | $1,380 | 1.0× |
| Lung perfusion differential (78597) | $435.50 | $1,675 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $390.52 | $1,502 | 0.8× |
| Lung Ventilation Imaging (78579) | $242.84 | $934 | 0.7× |
| Lymph System Imaging (78195) | $302.12 | $1,162 | 0.6× |
| Meckels Divert Exam (78290) | $311.48 | $1,198 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $390 | $1,500 | 1.2× |
| MRA head w/o contrast (70544) | $728.78 | $2,803 | 3.4× |
| MRA head with contrast (70545) | $288.08 | $1,108 | 0.9× |
| MRA neck w contrast (70548) | $728.78 | $2,803 | 2.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,418.82 | $5,457 | 4.5× |
| MRI abdomen w/o contrast (74181) | $694.46 | $2,671 | 3.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$881.14–$1,762.28 | $3,389–$6,778 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,106.56–$2,213.12 | $4,256–$8,512 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$881.14–$1,762.28 | $3,389–$6,778 | varies |
| MRI cervical spine w contrast (72142) | $390 | $1,500 | 1.2× |
| MRI cervical spine w/o cont (72141) | $694.46 | $2,671 | 3.2× |
| MRI chest wo w contrast (71552) | $1,305.72 | $5,022 | 4.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$881.14–$1,321.84 | $3,389–$5,084 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,106.56 | $4,256 | 3.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$718.90–$1,437.80 | $2,765–$5,530 | varies |
| MRI lumbar spine w contrast (72149) | $390 | $1,500 | 1.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,555.06 | $5,981 | 4.9× |
| MRI orbit face &/neck w/o contrast (70540) | $718.90 | $2,765 | 3.3× |
| MRI orbit face neck w contrast (70542) | $390 | $1,500 | 1.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,344.72 | $5,172 | 4.3× |
| MRI pelvis w/o & w contrast (72197) | $815.10 | $3,135 | 2.6× |
| MRI pelvis w/o contrast (72195) | $694.46 | $2,671 | 3.2× |
| MRI thoracic spine w/o contrast (72146) | $694.46 | $2,671 | 3.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,106.56–$2,213.12 | $4,256–$8,512 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $718.90 | $2,765 | 2.3× |
| MRI, abdomen, combo (74183) | $1,305.72 | $5,022 | 4.1× |
| MRI, dorsal spine combo (72157) | $1,555.06 | $5,981 | 4.9× |
| MRI, dorsal spine contrast (72147) | $881.14 | $3,389 | 2.8× |
| MRI, joint upper extrem (73221) | $718.90 | $2,765 | 3.3× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,106.56–$2,213.12 | $4,256–$8,512 | varies |
| MRI, lumbar spine combo (72158) | $1,555.06 | $5,981 | 4.9× |
| Myocardial Spect Multiple Studies (78452) | $925.60 | $3,560 | 0.8× |
| Neck soft tissue (70360) | $55.64 | $214 | 0.7× |
| Nuclear Rx Oral Admin (79005) | $358.80 | $1,380 | 1.7× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $108.94 | $419 | 1.2× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $208.78 | $803 | 1.7× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $70.20 | $270 | 0.7× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $112.32 | $432 | 1.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$112.32–$224.64 | $432–$864 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $21.32 | $82 | 0.8× |
| Ophthalmic us dx quantitative a-scan only (76511) | $208.78 | $803 | 2.2× |
| Parathyroid Planar Imaging (78070) | $443.30 | $1,705 | 1.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $202.54 | $779 | 0.6× |
| Pelvis 1 or 2 views (72170) | $56.42 | $217 | 0.6× |
| PET image w/CT, full body (78816) | $2,339.74 | $8,999 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,339.74 | $8,999 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $262.60 | $1,010 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $96.20 | $370 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$58.50–$117 | $225–$450 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $63.44 | $244 | 0.7× |
| Radex fingr minimum 2 views (73140) | $55.64 | $214 | 0.7× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$10.50–$111.28 | $21–$428 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$63.44–$126.88 | $244–$488 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $54.86 | $211 | 0.7× |
| Radex Ribs Unilateral 2 Views (71100) | $62.92 | $242 | 0.8× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$62.92–$125.84 | $242–$484 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $55.64 | $214 | 0.7× |
| Radex Spine 1 View Specify Level (72020) | $61.62 | $237 | 0.8× |
| Radex Sternum Minimum 2 Views (71120) | $69.16 | $266 | 0.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $88.66 | $341 | 1.1× |
| Radex Toe Minimum 2 Views (73660) | $55.64 | $214 | 0.7× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$70.20–$140.40 | $270–$540 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $77.48 | $298 | 0.8× |
| Radiologic exam colon double contrast study (74280) | $190.58 | $733 | 1.2× |
| Radiologic exam colon single contrast study (74270) | $159.90 | $615 | 1.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $126.36 | $486 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$94.12–$188.24 | $362–$724 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $72.02 | $277 | 0.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $126.36 | $486 | 0.8× |
| Radiologic exam swallow function contrast study (74230) | $219.96 | $846 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $229.06 | $881 | 1.4× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$62.92–$125.84 | $242–$484 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$57.72–$115.44 | $222–$444 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $70.20 | $270 | 0.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| Ribs bilateral 3 views (71110) | $50.44 | $194 | 0.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $242.84 | $934 | 0.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $393.38 | $1,513 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $939.38 | $3,613 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $840.58 | $3,233 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $359.84 | $1,384 | 0.7× |
| Scapula (73010) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$36.50–$57.72 | $73–$222 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$59.28–$118.56 | $228–$456 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$216.84–$433.68 | $834–$1,668 | varies |
| Skull less than 4 views (70250) | $54.86 | $211 | 0.6× |
| Sternoclavicular joints (71130) | $62.92 | $242 | 0.8× |
| Tbs technical calculation only (77091) | $103.48 | $398 | 1.3× |
| Thoracic spine 2 views (72070) | $37.96 | $146 | 0.4× |
| Thoracic spine 3 views (72072) | $228.80 | $880 | 2.4× |
| Thoracolumbar 2 views (72080) | $62.14 | $239 | 0.8× |
| Thyroid Met Imaging Body (78018) | $302.12 | $1,162 | 0.6× |
| Thyroid Uptake Measurement (78012) | $148.72 | $572 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $283.14 | $1,089 | 0.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$42.50–$219.44 | $85–$844 | varies |
| Ultrasound Exam Aaa Screen (76706) | $109.20 | $420 | 1.2× |
| Ultrasound, abdomen limited (76705) | $173.16 | $666 | 1.8× |
| Umbilical-artery Doppler (OB) (76820) | $73.06 | $281 | 0.8× |
| Upper gi w/o kub (74240) | $163.28 | $628 | 1.0× |
| Urethrocystogram voiding (74455) | $199.42 | $767 | 0.9× |
| Urethrocystography retrograde (74450) | $38.74 | $149 | 0.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$45.50–$235.56 | $91–$906 | varies |
| Us chest (76604) | $144.30 | $555 | 1.5× |
| Us complete joint (76881) | $148.46 | $571 | 1.6× |
| Us exam, pelvic, limited (76857) | $153.14 | $589 | 1.6× |
| Us kidney transplant (76776) | $72.54 | $279 | 0.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$30–$140.92 | $60–$542 | varies |
| Us ob detailed single fetus (76811) | $208.78 | $803 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $153.14 | $589 | 1.6× |
| Us ob transvaginal (76817) | $177.06 | $681 | 1.9× |
| Us pelvic non ob complete (76856) | $184.34 | $709 | 1.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $177.06 | $681 | 1.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $73.06 | $281 | 0.8× |
| Us retroperitoneal complete (76770) | $173.16 | $666 | 1.8× |
| Us retroperitoneal limited (76775) | $115.18 | $443 | 1.2× |
| Us scrotum and contents (76870) | $178.10 | $685 | 1.9× |
| Us thyroid (76536) | $196.82 | $757 | 2.1× |
| Us transrectal (76872) range across 2 matching MRF lines |
$103.74–$114.50 | $229–$399 | varies |
| Venography caval inferior serialography rs&i (75825) | $2,607.28 | $10,028 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,156.48 | $4,448 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,156.48 | $4,448 | 0.8× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$58.50 | $117 | 0.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $65.52 | $252 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $2,607.28 | $10,028 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $70.20 | $270 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$55.64–$111.28 | $214–$428 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$10–$147.68 | $568 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $52.26 | $201 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $72.02 | $277 | 0.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $57.98 | $223 | 0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $63.18 | $243 | 0.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $69.42 | $267 | 0.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $66.82 | $257 | 0.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $70.20 | $270 | 0.7× |
| X-Ray Exam L-S Spine Bending (72114) | $97.24 | $374 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $72.02 | $277 | 0.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $91.26 | $351 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $82.16 | $316 | 0.9× |
| X-ray humerus (73060) | $55.64 | $214 | 0.7× |
| X-ray IV pyelogram (ivp) (74400) | $199.42 | $767 | 1.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $20.02 | $77 | 0.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $114.66 | $441 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $72.80 | $280 | 0.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $69.16 | $266 | 0.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $164.32 | $632 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $55.64 | $214 | 0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $72.80 | $280 | 0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $96.20 | $370 | 1.0× |
| X-ray thoracic spine 4 vw (72074) | $72.02 | $277 | 0.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $30.50 | $61 | 0.1× |
| X-Rays Bone Length Studies (77073) | $70.20 | $270 | 0.7× |
| X-Rays Bone Survey Complete (77075) | $220.22 | $847 | 2.3× |
| Xr c-spine 4 or 5 views (72050) | $96.20 | $370 | 1.0× |
| Xr facial bones less than 3 views (70140) | $60.32 | $232 | 0.8× |
| Xr orbits complete 4 views (70200) | $70.20 | $270 | 0.7× |
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.