Imaging prices at Owensboro Health Twin Lakes Medical Center
Leitchfield, KY · every code in this section with a posted price and a Medicare benchmark.
244 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) | $153.24 | $235.75 | 1.9× |
| Abdomen 2 views (74019) | $243.18 | $374.13 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,444.79 | $2,222.76 | 3.9× |
| Ankle 2 views (73600) | $93.28 | $143.50 | 1.1× |
| Arthrogram hip (73525) | $375.20 | $577.23 | 1.1× |
| Bone age studies (77072) | $133.25 | $205 | 1.4× |
| Bone Imaging 3 Phase (78315) | $1,355.59 | $2,085.52 | 3.6× |
| Bone Imaging Limited Area (78300) | $1,189.08 | $1,829.35 | 3.2× |
| Bone Imaging Multiple Areas (78305) | $409.94 | $630.68 | 1.1× |
| Bone Imaging Whole Body (78306) | $1,015.61 | $1,562.47 | 2.7× |
| Bone survey infant (77076) | $288.03 | $443.12 | 2.9× |
| Chest 1 view (71045) | $153.24 | $235.75 | 1.9× |
| Chest 2 views (71046) | $166.56 | $256.25 | 2.0× |
| Chest 3 views (71047) | $255.13 | $392.51 | 3.1× |
| Chest 4 or more views (71048) | $119.92 | $184.50 | 1.2× |
| Clavicle complete (73000) | $96.61 | $148.63 | 1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $445.33 | $685.13 | 4.5× |
| Contrast X-Ray Bladder (74430) | $247.27 | $380.41 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $1,533.26 | $2,358.86 | 4.7× |
| CT abdomen and pelvis without contrast (74176) | $1,533.26 | $2,358.86 | 6.8× |
| CT abdomen w contrast (74160) | $1,533.26 | $2,358.86 | 9.3× |
| CT abdomen w wo contrast (74170) | $1,533.26 | $2,358.86 | 9.3× |
| CT abdomen w/o contrast (74150) | $1,533.26 | $2,358.86 | 15.6× |
| CT Angio Abdomen and Pelvis (74174) | $1,583.40 | $2,436 | 4.8× |
| CT Angio Chest (71275) | $1,537.22 | $2,364.95 | 9.3× |
| CT Angio Head (70496) | $1,533.26 | $2,358.86 | 9.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,533.49 | $2,359.22 | 9.3× |
| CT Angio Neck (70498) | $1,533.26 | $2,358.86 | 9.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $803.58 | $1,236.27 | 4.9× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $181.86 | $279.79 | 1.1× |
| CT cervical spine w/ contrast (72126) | $1,064.84 | $1,638.21 | 3.3× |
| CT cervical spine w/o contrast (72125) | $1,533.26 | $2,358.86 | 15.6× |
| CT cervical spine w/wo cont (72127) | $758.71 | $1,167.25 | 4.6× |
| CT chest w contrast (71260) | $1,533.26 | $2,358.86 | 9.3× |
| CT chest w/wo contrast (71270) | $1,533.26 | $2,358.86 | 9.3× |
| CT head/brain with contrast (70460) | $1,471.24 | $2,263.45 | 8.9× |
| CT head/brain without and with contrast (70470) | $1,533.26 | $2,358.86 | 9.3× |
| CT iac w contrast (70481) | $1,533.26 | $2,358.86 | 9.3× |
| CT l-spine w&w/o contrast (72133) | $759.45 | $1,168.38 | 4.6× |
| CT lower ext w/o (73700) | $1,533.26 | $2,358.86 | 15.6× |
| CT lower extremity w/contrast material (73701) | $1,533.26 | $2,358.86 | 9.3× |
| CT lumbar spine w contrast (72132) | $1,533.26 | $2,358.86 | 4.7× |
| CT lumbar spine w/o contrast (72131) | $1,533.26 | $2,358.86 | 15.6× |
| CT maxillofacial w contrast (70487) | $1,533.26 | $2,358.86 | 9.3× |
| CT maxillofacial wo contrast (70486) | $1,533.26 | $2,358.86 | 15.6× |
| CT neck tissue combo (70492) | $1,533.26 | $2,358.86 | 9.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,533.26 | $2,358.86 | 9.3× |
| CT orbits w/o contrast (70480) | $1,533.26 | $2,358.86 | 15.6× |
| CT pelvis w&w/o contrast (72194) | $1,345.89 | $2,070.60 | 8.2× |
| CT pelvis w/o contrast (72192) | $1,533.26 | $2,358.86 | 15.6× |
| CT scan of leg combo (73702) | $759.45 | $1,168.38 | 4.6× |
| CT scans face/jaw combo (70488) | $1,668.51 | $2,566.94 | 10.1× |
| CT soft tissue neck w contrast (70491) | $1,533.26 | $2,358.86 | 9.3× |
| CT soft tissue neck w/o contrast (70490) | $1,533.26 | $2,358.86 | 15.6× |
| CT thoracic spine w contrast (72129) | $1,533.26 | $2,358.86 | 9.3× |
| CT thoracic spine w/o contrast (72128) | $1,533.26 | $2,358.86 | 15.6× |
| CT thoracic spine w/wo cont (72130) | $758.71 | $1,167.25 | 4.6× |
| CT thorax w/o contrast (71250) | $1,533.26 | $2,358.86 | 15.6× |
| CT upper ext wo (73200) | $1,533.26 | $2,358.86 | 15.6× |
| CT upper extremity w/o & w/contrast material (73202) | $803.58 | $1,236.27 | 4.9× |
| CT upper extremity with contrast (73201) | $1,533.26 | $2,358.86 | 4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,533.26 | $2,358.86 | 9.3× |
| Cta Abdomen (74175) | $1,533.49 | $2,359.22 | 9.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $361.72 | $556.50 | 1.1× |
| CTA pelvis (72191) | $758.71 | $1,167.25 | 4.6× |
| Dxa Bone Density Axial (77080) | $249.85 | $384.38 | 2.5× |
| Esophagram (74220) | $157.23 | $241.89 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $231.34 | $355.90 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $240.82 | $370.50 | 2.5× |
| Fluoroscopy up to 1 hr (76000) | $406.41 | $625.25 | 1.8× |
| Foot 2 views (73620) | $93.28 | $143.50 | 1.1× |
| Forearm 2 views (73090) | $109.93 | $169.13 | 1.3× |
| Gastric emptying imaging study (78264) | $1,406.78 | $2,164.27 | 3.8× |
| Gated Heart Planar Single (78472) | $748.86 | $1,152.09 | 2.0× |
| Hand 2 views (73120) | $143.25 | $220.38 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,099.68 | $1,691.81 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,163.29 | $1,789.68 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $1,274.41 | $1,960.63 | 1.0× |
| Hysterosalpingogram (74740) | $373.76 | $575.01 | 1.7× |
| Joint Survey Single View (77077) | $266.50 | $410 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $523.08 | $804.74 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,345.53 | $2,070.04 | 2.6× |
| Knee 3 Views (73562) | $137.25 | $211.15 | 1.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,201.61 | $1,848.63 | 3.2× |
| Lung Ventilat&Perfus Imaging (78582) | $540.38 | $831.35 | 1.1× |
| Lung Ventilation Imaging (78579) | $418.37 | $643.65 | 1.1× |
| Meckels Divert Exam (78290) | $418.14 | $643.30 | 1.1× |
| Mr safety determination physician/other qhp (76016) | $92.07 | $141.64 | 1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $25.61 | $39.40 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,757.83 | $2,704.35 | 5.4× |
| MRA head w/o contrast (70544) | $1,758.24 | $2,704.98 | 7.9× |
| MRA head with contrast (70545) | $2,241.75 | $3,448.84 | 6.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,731.85 | $2,664.38 | 5.3× |
| MRA neck w/o contrast (70547) | $1,758.24 | $2,704.98 | 7.9× |
| MRI abdomen w contrast (74182) | $803.58 | $1,236.27 | 2.5× |
| MRI abdomen w/o contrast (74181) | $1,758.24 | $2,704.98 | 7.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,757.83 | $2,704.35 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,758.24 | $2,704.98 | 5.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,758.24 | $2,704.98 | 2.4× |
| MRI cervical spine w/o cont (72141) | $1,758.24 | $2,704.98 | 7.9× |
| MRI chest w/o contrast (71550) | $1,239.10 | $1,906.31 | 5.5× |
| MRI chest with contrast (71551) | $759.45 | $1,168.38 | 1.0× |
| MRI chest wo w contrast (71552) | $2,208.62 | $3,397.87 | 6.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $758.71 | $1,167.25 | 2.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,758.24 | $2,704.98 | 5.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,758.24 | $2,704.98 | 7.9× |
| MRI lumbar spine w contrast (72149) | $1,710.83 | $2,632.04 | 5.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,758.24 | $2,704.98 | 5.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,758.24 | $2,704.98 | 7.9× |
| MRI orbit face neck w contrast (70542) | $758.71 | $1,167.25 | 2.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,758.24 | $2,704.98 | 5.4× |
| MRI pelvis w contrast (72196) | $758.71 | $1,167.25 | 2.3× |
| MRI pelvis w/o & w contrast (72197) | $1,758.24 | $2,704.98 | 5.4× |
| MRI pelvis w/o contrast (72195) | $1,758.24 | $2,704.98 | 7.9× |
| MRI thoracic spine w/o contrast (72146) | $1,757.83 | $2,704.35 | 7.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,936.59 | $2,979.37 | 5.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,758.24 | $2,704.98 | 7.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,758.24 | $2,704.98 | 5.4× |
| MRI, abdomen, combo (74183) | $1,758.24 | $2,704.98 | 5.4× |
| MRI, dorsal spine combo (72157) | $1,758.24 | $2,704.98 | 5.4× |
| MRI, joint upper extrem (73221) | $1,758.24 | $2,704.98 | 7.9× |
| MRI, joint upper extrem combo (73223) | $1,758.24 | $2,704.98 | 5.4× |
| MRI, lumbar spine combo (72158) | $1,758.24 | $2,704.98 | 5.4× |
| Myocardial Spect Multiple Studies (78452) | $2,556.91 | $3,933.71 | 2.1× |
| Neck soft tissue (70360) | $65.29 | $100.45 | 0.8× |
| Nonvascular Shunt X-Ray (75809) | $306.59 | $471.67 | 3.1× |
| Optic foramina (70190) | $90.43 | $139.12 | 1.1× |
| Parathyroid Planar Imaging (78070) | $848.42 | $1,305.26 | 2.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $406.39 | $625.21 | 1.1× |
| Pelvis 1 or 2 views (72170) | $116.60 | $179.38 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,268.59 | $1,951.67 | 3.4× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $964.60 | $1,484 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $269.83 | $415.13 | 2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$345.79–$518.27 | $531.98–$797.34 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $166.56 | $256.25 | 2.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $96.61 | $148.63 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $153.24 | $235.75 | 1.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $137.25 | $211.15 | 1.4× |
| Radex fingr minimum 2 views (73140) | $109.93 | $169.13 | 1.3× |
| Radex foot complete minimum 3 views (73630) | $153.24 | $235.75 | 1.9× |
| Radex Hand Minimum 3 Views (73130) | $123.26 | $189.63 | 1.5× |
| Radex lower extremity infant minimum 2 views (73592) | $96.61 | $148.63 | 1.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $106.16 | $163.32 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $137.25 | $211.15 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $109.93 | $169.13 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) | $159.90 | $246 | 2.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $89.95 | $138.38 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $117.92 | $181.41 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $137.25 | $211.15 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $223.36 | $343.63 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $96.61 | $148.63 | 1.2× |
| Radex upper extremity infant minimum 2 views (73092) | $144.75 | $222.69 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $123.26 | $189.63 | 1.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $123.26 | $189.63 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $136.58 | $210.13 | 1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $123.26 | $189.63 | 1.3× |
| Radiologic exam colon double contrast study (74280) | $316.47 | $486.88 | 1.9× |
| Radiologic exam colon single contrast study (74270) | $233.19 | $358.75 | 1.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $466.38 | $717.50 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) | $183.22 | $281.88 | 1.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $106.60 | $164 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $139.91 | $215.25 | 0.9× |
| Radiologic exam swallow function contrast study (74230) | $186.55 | $287 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $316.47 | $486.88 | 1.9× |
| Radiologic examination femur 1 view (73551) | $87.74 | $134.99 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $186.55 | $287 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $153.24 | $235.75 | 1.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $280.14 | $430.98 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $137.25 | $211.15 | 1.7× |
| Ribs bilateral 3 views (71110) | $199.88 | $307.50 | 2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,097.33 | $1,688.20 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,575.95 | $2,424.54 | 3.1× |
| Scapula (73010) | $137.25 | $211.15 | 1.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $62.15 | $95.61 | 2.7× |
| Shoulder 1 view (73020) | $79.95 | $123 | 1.0× |
| Shoulder Arthrography (73040) | $376.43 | $579.13 | 1.1× |
| Skull less than 4 views (70250) | $199.88 | $307.50 | 2.0× |
| Spleen Imaging (78185) | $402.94 | $619.91 | 1.1× |
| Sternoclavicular joints (71130) | $184.42 | $283.73 | 2.3× |
| Thoracic spine 2 views (72070) | $109.93 | $169.13 | 1.1× |
| Thoracic spine 3 views (72072) | $123.26 | $189.63 | 1.3× |
| Thoracolumbar 2 views (72080) | $146.36 | $225.17 | 1.8× |
| Thyroid Imaging With Vascular Flow (78013) | $418.37 | $643.65 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,213.74 | $1,867.30 | 3.2× |
| Ultrasound Breast Limited (76642) | $143.90 | $221.38 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $418.27 | $643.49 | 4.3× |
| Ultrasound, abdomen limited (76705) | $461.26 | $709.63 | 4.7× |
| Unlisted Dx Radiographic Procedure (76499) | $86.89 | $133.67 | 1.1× |
| Upper gi w/o kub (74240) | $266.50 | $410 | 1.6× |
| Urethrocystogram voiding (74455) | $252.02 | $387.73 | 1.1× |
| Us breast unilateral complete (76641) | $296 | $455.38 | 3.0× |
| Us chest (76604) | $466.73 | $718.04 | 4.8× |
| Us exam, pelvic, limited (76857) | $306.43 | $471.43 | 3.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $217.71 | $334.94 | 2.2× |
| Us ob detailed single fetus (76811) | $279.97 | $430.72 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $232.62 | $357.87 | 2.4× |
| Us ob transvaginal (76817) | $228.15 | $351 | 2.3× |
| Us pelvic non ob complete (76856) | $431.68 | $664.13 | 4.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $232.62 | $357.87 | 2.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $308.67 | $474.88 | 3.1× |
| Us retroperitoneal complete (76770) | $217.71 | $334.94 | 2.2× |
| Us retroperitoneal limited (76775) | $431.07 | $663.18 | 4.4× |
| Us scrotum and contents (76870) | $324.32 | $498.96 | 3.3× |
| Us spinal canal and contents (76800) | $368.31 | $566.63 | 3.8× |
| Us thyroid (76536) | $328.80 | $505.84 | 3.4× |
| Venography extremity unilateral rs&i (75820) | $944.05 | $1,452.39 | 0.6× |
| Wrist 2 views (73100) | $143.25 | $220.38 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $179.89 | $276.75 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $137.40 | $211.38 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $103.27 | $158.88 | 1.3× |
| X-Ray Exam Breast Specimen (76098) | $323.13 | $497.13 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $149.91 | $230.63 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $119.92 | $184.50 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $106.16 | $163.32 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $89.95 | $138.38 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $156.57 | $240.88 | 1.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $549.66 | $845.63 | 5.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $229.86 | $353.63 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $123.26 | $189.63 | 1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $133.25 | $205 | 1.4× |
| X-Ray Exam L-S Spine Bending (72114) | $383.10 | $589.38 | 3.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $243.18 | $374.13 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $283.16 | $435.63 | 2.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $183.22 | $281.88 | 1.9× |
| X-ray eye for foreign body (70030) | $146.58 | $225.50 | 1.8× |
| X-ray humerus (73060) | $137.25 | $211.15 | 1.7× |
| X-ray IV pyelogram (ivp) (74400) | $186.55 | $287 | 1.1× |
| X-ray IV pyelogram+tomography (74415) | $181.62 | $279.41 | 1.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $89.95 | $138.38 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $126.59 | $194.75 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $199.88 | $307.50 | 2.0× |
| X-ray nose-rectum child f.b. (76010) | $89.95 | $138.38 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $123.26 | $189.63 | 1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $183.22 | $281.88 | 1.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $153.24 | $235.75 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $146.58 | $225.50 | 1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $223.86 | $344.40 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $223.86 | $344.40 | 2.3× |
| X-ray thoracic spine 4 vw (72074) | $108.39 | $166.76 | 1.1× |
| X-Rays Bone Length Studies (77073) | $143.25 | $220.38 | 1.5× |
| X-Rays Bone Survey Complete (77075) | $135.59 | $208.60 | 1.4× |
| Xr c-spine 4 or 5 views (72050) | $266.50 | $410 | 2.7× |
| Xr facial bones less than 3 views (70140) | $137.40 | $211.38 | 1.7× |
| Xr orbits complete 4 views (70200) | $137.40 | $211.38 | 1.4× |
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.