Imaging prices at Oklahoma Heart Hospital, LLC
Oklahoma City, OK · every code in this section with a posted price and a Medicare benchmark.
262 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) | $79.99 | $228.54 | 1.0× |
| Abdomen 2 views (74019) | $107.66 | $307.59 | 1.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $266.22 | $760.63 | 0.7× |
| Adrenal Cortex & Medulla Img (78075) | $590.45 | $1,687 | 0.5× |
| Angio internal mammary (75756) | $656.63 | $1,876.08 | 0.2× |
| Angio pulmonary bilat (75743) | $2,027.95 | $5,794.14 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $7,016.13 | — | 2.3× |
| Angiography extremity unilateral rs&i (75710) | $11,349.28 | — | 3.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,027.95 | $5,794.14 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,793.45 | $7,981.29 | 0.9× |
| Ankle 2 views (73600) | $155.67 | $444.78 | 1.9× |
| Aortography thoracic serialography rs&i (75605) | $11,372.49 | — | 2.1× |
| Artery X-Rays Abdomen (75726) | $21,841.77 | — | 4.1× |
| Artery X-Rays Pelvis (75736) | $7,178.50 | — | 1.3× |
| Arthrogram hip (73525) | $364.14 | $1,040.40 | 1.1× |
| Bone age studies (77072) | $107.66 | $307.59 | 1.1× |
| Bone Imaging 3 Phase (78315) | $264.02 | $754.33 | 0.7× |
| Bone Imaging Limited Area (78300) | $264.02 | $754.33 | 0.7× |
| Bone Imaging Whole Body (78306) | $412.70 | $1,179.15 | 1.1× |
| Bone marrow imaging limited area (78102) | $372.76 | $1,065.03 | 1.0× |
| Brain Image W/Flow < 4 Views (78601) | $443.34 | $1,266.69 | 1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $978.67 | $2,796.21 | 2.9× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $978.67 | $2,796.21 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $111.22 | $317.77 | 1.3× |
| Chest 1 view (71045) | $5,034.09 | — | 60.1× |
| Chest 2 views (71046) | $185.65 | — | 2.2× |
| Chest 3 views (71047) | $79.99 | $228.54 | 1.0× |
| Chest 4 or more views (71048) | $107.66 | $307.59 | 1.1× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $97.16 | $277.59 | 1.0× |
| Clavicle complete (73000) | $79.99 | $228.54 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $6,979.90 | — | 2.3× |
| Contrast X-Ray Bladder (74430) | $180.81 | $516.60 | 0.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,097.08 | $3,134.52 | 3.3× |
| CT abdomen and pelvis without contrast (74176) | $1,191.34 | — | 5.2× |
| CT abdomen w contrast (74160) | $718.59 | $2,053.12 | 4.3× |
| CT abdomen w wo contrast (74170) | $1,082.20 | $3,092 | 6.4× |
| CT abdomen w/o contrast (74150) | $632.89 | $1,808.27 | 6.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,319.09 | $3,768.84 | 3.9× |
| CT Angio Chest (71275) | $753.55 | $2,153.01 | 4.5× |
| CT Angio Head (70496) | $430.44 | $1,229.82 | 2.6× |
| CT angio hrt w/3d image (75574) | $330.08 | $943.08 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $671.05 | $1,917.28 | 4.0× |
| CT Angio Neck (70498) | $547.21 | $1,563.45 | 3.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $430.44 | $1,229.82 | 2.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $547.21 | $1,563.45 | 3.2× |
| CT cervical spine w/ contrast (72126) | $431.78 | $1,233.67 | 1.3× |
| CT cervical spine w/o contrast (72125) | $431.78 | $1,233.67 | 4.3× |
| CT cervical spine w/wo cont (72127) | $705.34 | $2,015.25 | 4.2× |
| CT chest w contrast (71260) | $547.36 | $1,563.90 | 3.2× |
| CT chest w/wo contrast (71270) | $547.36 | $1,563.90 | 3.2× |
| CT head/brain with contrast (70460) | $884.06 | $2,525.88 | 5.2× |
| CT head/brain without and with contrast (70470) | $430.44 | $1,229.82 | 2.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $330.08 | $943.08 | 1.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $17.50 | $50 | 0.2× |
| CT hrt w/3d image congen (75573) | $330.08 | $943.08 | 1.0× |
| CT iac w contrast (70481) | $305.92 | $874.06 | 1.8× |
| CT l-spine w&w/o contrast (72133) | $430.44 | $1,229.82 | 2.6× |
| CT lower ext w/o (73700) | $430.44 | $1,229.82 | 4.3× |
| CT lower extremity w/contrast material (73701) | $430.44 | $1,229.82 | 2.6× |
| CT lumbar spine w contrast (72132) | $431.78 | $1,233.67 | 1.3× |
| CT lumbar spine w/o contrast (72131) | $221.77 | $633.63 | 2.2× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$571.46–$842.80 | $1,632.75–$2,408 | varies |
| CT maxillofacial wo contrast (70486) | $430.44 | $1,229.82 | 4.3× |
| CT neck tissue combo (70492) | $430.44 | $1,229.82 | 2.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $430.44 | $1,229.82 | 2.6× |
| CT orbits w/o contrast (70480) | $221.77 | $633.63 | 2.2× |
| CT pelvis w&w/o contrast (72194) | $866.58 | $2,475.94 | 5.1× |
| CT pelvis w/o contrast (72192) | $626.88 | $1,791.09 | 6.2× |
| CT scan of leg combo (73702) | $430.44 | $1,229.82 | 2.6× |
| CT soft tissue neck w contrast (70491) | $305.92 | $874.06 | 1.8× |
| CT soft tissue neck w/o contrast (70490) | $430.44 | $1,229.82 | 4.3× |
| CT thoracic spine w contrast (72129) | $431.78 | $1,233.67 | 2.6× |
| CT thoracic spine w/o contrast (72128) | $431.78 | $1,233.67 | 4.3× |
| CT thoracic spine w/wo cont (72130) | $705.34 | $2,015.25 | 4.2× |
| CT thorax w/o contrast (71250) | $547.36 | $1,563.90 | 5.4× |
| CT upper ext wo (73200) | $430.44 | $1,229.82 | 4.3× |
| CT upper extremity w/o & w/contrast material (73202) | $430.44 | $1,229.82 | 2.6× |
| CT upper extremity with contrast (73201) | $430.44 | $1,229.82 | 1.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $548.75 | $1,567.86 | 3.3× |
| Cta Abdomen (74175) | $904.66 | $2,584.75 | 5.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $977.64 | $2,793.27 | 2.9× |
| CTA pelvis (72191) | $430.44 | $1,229.82 | 2.6× |
| Discography Cerv/Thor Spine (72285) | $1,790.09 | $5,114.55 | 1.0× |
| Diskography lumbar (72295) | $1,790.09 | $5,114.55 | 1.0× |
| Echo Guide For Artery Repair (76936) | $247.58 | $707.37 | 1.2× |
| Esophagram (74220) | $176.63 | $504.66 | 1.0× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$93.19–$224.96 | $266.27–$642.75 | varies |
| Follow-Up Angiography (75898) | $188.46 | $538.46 | 0.1× |
| Foot 2 views (73620) | $155.67 | $444.78 | 1.9× |
| Forearm 2 views (73090) | $79.99 | $228.54 | 1.0× |
| Gastric emptying imaging study (78264) | $266.22 | $760.63 | 0.7× |
| Gastroesophageal Reflux Exam (78262) | $372.76 | $1,065.03 | 1.0× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$290.75–$341.42 | $830.72–$975.49 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$308.91–$372.76 | $882.60–$1,065.03 | varies |
| Hand 2 views (73120) | $107.66 | $307.59 | 1.1× |
| Heart Image (Pet) Multiple (78492) | $811.19 | $2,317.68 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$412.70–$483.90 | $1,179.15–$1,382.58 | varies |
| Hepatobiliary System Imaging (78226) | $372.76 | $1,065.03 | 1.0× |
| Ht Muscle Image Spect Sing (78451) range across 6 matching MRF lines |
$797.88–$1,292.21 | $2,279.66–$3,692.04 | varies |
| Joint Survey Single View (77077) | $107.66 | $307.59 | 1.1× |
| K Flow/Funct Image Multiple (78709) | $427.20 | $1,220.58 | 0.8× |
| K Flow/Funct Image W/Drug (78708) | $484.95 | $1,385.58 | 0.9× |
| K Flow/Funct Image W/O Drug (78707) | $483.90 | $1,382.58 | 0.9× |
| Knee 3 Views (73562) | $79.99 | $228.54 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $372.76 | $1,065.03 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $238.44 | $681.25 | 0.5× |
| Lung Ventilation Imaging (78579) | $238.44 | $681.25 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $358.93 | $1,025.51 | 1.6× |
| Meckels Divert Exam (78290) | $266.22 | $760.63 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $109.30 | $312.30 | 0.3× |
| MRA head w/o contrast (70544) | $11,278.06 | — | 49.1× |
| MRA head with contrast (70545) | $109.30 | $312.30 | 0.3× |
| MRA neck w contrast (70548) | $11,278.06 | — | 33.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $579.08 | $1,654.51 | 1.7× |
| MRA neck w/o contrast (70547) | $378.73 | $1,082.09 | 1.7× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$437.84–$562.45 | $1,250.96–$1,607 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$378.73–$562.45 | $1,082.09–$1,607 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $437.84 | $1,250.96 | 0.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $579.08 | $1,654.51 | 1.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $437.84 | $1,250.96 | 0.6× |
| MRI cardiac w/o cont stress (75559) | $978.67 | $2,796.21 | 1.9× |
| MRI cardiac w/o contrast (75557) | $978.67 | $2,796.21 | 4.3× |
| MRI cervical spine w contrast (72142) | $728.75 | $2,082.15 | 2.2× |
| MRI cervical spine w/o cont (72141) | $723.53 | $2,067.24 | 3.2× |
| MRI chest w/o contrast (71550) | $378.73 | $1,082.09 | 1.7× |
| MRI chest with contrast (71551) | $437.84 | $1,250.96 | 0.6× |
| MRI chest wo w contrast (71552) | $579.08 | $1,654.51 | 1.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$437.84–$1,231.30 | $1,250.96–$3,518 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $579.08 | $1,654.51 | 1.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $651.03 | $1,860.10 | 2.8× |
| MRI lumbar spine w contrast (72149) | $437.84 | $1,250.96 | 1.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $579.08 | $1,654.51 | 1.7× |
| MRI orbit face &/neck w/o contrast (70540) | $378.73 | $1,082.09 | 1.7× |
| MRI orbit face neck w contrast (70542) | $437.84 | $1,250.96 | 1.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $579.08 | $1,654.51 | 1.7× |
| MRI pelvis w contrast (72196) | $630.69 | $1,801.98 | 1.9× |
| MRI pelvis w/o & w contrast (72197) | $579.08 | $1,654.51 | 1.7× |
| MRI pelvis w/o contrast (72195) | $471.45 | $1,347 | 2.1× |
| MRI thoracic spine w/o contrast (72146) | $732.34 | $2,092.39 | 3.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$437.84–$471.45 | $1,250.96–$1,347 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$378.73–$471.45 | $1,082.09–$1,347 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$471.45–$579.08 | $1,347–$1,654.51 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$562.45–$579.08 | $1,607–$1,654.51 | varies |
| MRI, dorsal spine combo (72157) | $579.08 | $1,654.51 | 1.7× |
| MRI, dorsal spine contrast (72147) | $437.84 | $1,250.96 | 1.3× |
| MRI, joint upper extrem (73221) | $630.69 | $1,801.98 | 2.7× |
| MRI, joint upper extrem combo (73223) | $579.08 | $1,654.51 | 1.7× |
| MRI, lumbar spine combo (72158) | $728.75 | $2,082.15 | 2.2× |
| Musculoskeletal Nuclear Exam (78399) | $1,240.74 | $3,544.98 | 3.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,544.58 | $4,413.09 | 1.2× |
| Myocardial Spect Multiple Studies (78452) | $1,468.06 | $4,194.45 | 1.2× |
| Neck soft tissue (70360) | $79.99 | $228.54 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $227.50 | $650 | 2.3× |
| Panoramic X-ray of jaws (70355) | $79.99 | $228.54 | 1.0× |
| Parathyroid Planar Imaging (78070) | $214.55 | $613 | 0.6× |
| Pelvis 1 or 2 views (72170) | $107.66 | $307.59 | 1.1× |
| Peritoneogram Rs&I (74190) | $339.36 | $969.60 | 0.6× |
| PET image w/CT, full body (78816) | $1,456.81 | $4,162.32 | 1.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,537.09 | $4,391.70 | 1.1× |
| Pet Myocardial Sngl Study (78491) range across 2 matching MRF lines |
$811.19–$1,544.58 | $2,317.68–$4,413.09 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $372.76 | $1,065.03 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $107.66 | $307.59 | 1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $188.46 | $538.46 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $97.66 | $279.02 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $79.99 | $228.54 | 1.0× |
| Radex elbow complete minimum 3 views (73080) | $79.99 | $228.54 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $107.66 | $307.59 | 1.1× |
| Radex fingr minimum 2 views (73140) | $79.99 | $228.54 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $245 | — | 2.9× |
| Radex Hand Minimum 3 Views (73130) | $79.99 | $228.54 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $107.66 | $307.59 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $79.99 | $228.54 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $79.99 | $228.54 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) | $79.99 | $228.54 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $79.99 | $228.54 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $79.99 | $228.54 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $79.99 | $228.54 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $79.99 | $228.54 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $79.99 | $228.54 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $107.66 | $307.59 | 1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $107.66 | $307.59 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $195.53 | $558.66 | 1.2× |
| Radiologic exam colon single contrast study (74270) | $176.63 | $504.66 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) | $107.66 | $307.59 | 1.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $107.66 | $307.59 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $176.63 | $504.66 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $176.63 | $504.66 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $177.69 | $507.69 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $79.99 | $228.54 | 1.0× |
| Radiologic examination knee 1/2 views (73560) | $79.99 | $228.54 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $79.99 | $228.54 | 1.0× |
| Ribs bilateral 3 views (71110) | $107.66 | $307.59 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,240.74 | $3,544.98 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,297.40 | — | 2.5× |
| Scapula (73010) | $107.66 | $307.59 | 1.1× |
| Shoulder 1 view (73020) | $79.99 | $228.54 | 1.0× |
| Shoulder Arthrography (73040) | $364.14 | $1,040.40 | 1.1× |
| Skull less than 4 views (70250) | $107.66 | $307.59 | 1.1× |
| Sternoclavicular joints (71130) | $79.99 | $228.54 | 1.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $176.63 | $504.66 | 1.0× |
| Thoracic spine 2 views (72070) | $107.44 | $306.96 | 1.1× |
| Thoracic spine 3 views (72072) | $107.66 | $307.59 | 1.1× |
| Thoracolumbar 2 views (72080) | $107.55 | $307.29 | 1.3× |
| Thyroid Imaging With Vascular Flow (78013) | $346.87 | $991.05 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $338.83 | $968.10 | 0.9× |
| Ultrasound Breast Limited (76642) | $163.80 | $468 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) | $392.28 | — | 3.9× |
| Ultrasound, abdomen limited (76705) | $169.73 | $484.93 | 1.7× |
| Unlisted Dx Radiographic Procedure (76499) | $48.83 | $139.51 | 0.6× |
| Unlisted magnetic resonance procedure (76498) | $471.45 | $1,347 | 5.6× |
| Upper gi w/o kub (74240) | $177.69 | $507.69 | 1.1× |
| Us chest (76604) | $169.30 | $483.71 | 1.7× |
| Us exam, pelvic, limited (76857) | $107.55 | $307.29 | 1.1× |
| Us kidney transplant (76776) | $294 | $840 | 2.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $110.41 | $315.45 | 1.1× |
| Us ob limited 1 or more fetuses (76815) | $107.66 | $307.59 | 1.1× |
| Us pelvic non ob complete (76856) | $107.55 | $307.29 | 1.1× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$169.73–$283.90 | $484.93–$811.14 | varies |
| Us retroperitoneal limited (76775) | $507.93 | — | 5.1× |
| Us scrotum and contents (76870) | $107.55 | $307.29 | 1.1× |
| Us thyroid (76536) range across 3 matching MRF lines |
$107.66–$109.30 | $307.59–$312.30 | varies |
| Vein X-Ray Chest (75827) | $7,243.47 | — | 4.8× |
| Venogram Sinus/Jugular (75860) | $656.63 | $1,876.08 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $8,429.85 | — | 2.8× |
| Venography extremity bilateral rs&i (75822) | $656.63 | $1,876.08 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $8,007.04 | — | 5.3× |
| Venography Renal Bilateral (75833) | $2,147.19 | $6,134.82 | 0.7× |
| Venography Renal Unilateral (75831) | $2,147.19 | $6,134.82 | 0.7× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,040.97 | $5,831.34 | 0.4× |
| Wrist 2 views (73100) | $79.99 | $228.54 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $79.99 | $228.54 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $3,824.68 | — | 1.3× |
| X-Ray Bend Only L-S Spine (72120) | $86.74 | $247.83 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $79.99 | $228.54 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $107.66 | $307.59 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $107.66 | $307.59 | 1.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $107.66 | $307.59 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $79.99 | $228.54 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $107.66 | $307.59 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $79.99 | $228.54 | 0.8× |
| X-Ray Exam L-S Spine Bending (72114) | $107.66 | $307.59 | 1.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $79.99 | $228.54 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $107.66 | $307.59 | 1.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $107.66 | $307.59 | 1.1× |
| X-ray eye for foreign body (70030) | $79.99 | $228.54 | 1.0× |
| X-ray humerus (73060) | $79.99 | $228.54 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $79.99 | $228.54 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $79.99 | $228.54 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $107.66 | $307.59 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $107.66 | $307.59 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $107.66 | $307.59 | 1.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $107.66 | $307.59 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $107.66 | $307.59 | 1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $79.99 | $228.54 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $107.66 | $307.59 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $107.66 | $307.59 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $183.43 | $524.10 | 0.5× |
| X-Rays Bone Length Studies (77073) | $107.66 | $307.59 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $107.66 | $307.59 | 1.1× |
| Xr c-spine 4 or 5 views (72050) | $107.66 | $307.59 | 1.1× |
| Xr facial bones less than 3 views (70140) | $79.99 | $228.54 | 1.0× |
| Xr orbits complete 4 views (70200) | $107.66 | $307.59 | 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.