Imaging prices at Paradise Valley Hospital
National City, CA · every code in this section with a posted price and a Medicare benchmark.
263 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) | $111 | $584.13 | 1.0× |
| Abdomen 2 views (74019) | $133 | $718.59 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $511 | $2,262.55 | 1.0× |
| Angio internal mammary (75756) | $4,041 | $13,594.20 | 1.0× |
| Angio pulmonary bilat (75743) | $4,041 | $7,478.22 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,041 | $7,478.22–$20,028.70 | 1.0× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$4,041 | $17,340.90–$20,028.70 | 1.0× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$111 | $505.74–$584.13 | 1.0× |
| Aortography thoracic serialography rs&i (75605) | $7,121 | $12,794.90 | 1.0× |
| Artery X-Rays Abdomen (75726) | $7,121 | $13,129.60 | 1.0× |
| Artery X-Rays Pelvis (75736) | $7,121 | $12,794.90 | 1.0× |
| Arthrogram ankle (73615) | $446 | $2,144.67 | 1.0× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$446 | $1,369.11–$2,144.67 | 1.0× |
| Bone age studies (77072) | $133 | $622.16 | 1.0× |
| Bone Imaging 3 Phase (78315) | $511 | $2,262.55 | 1.0× |
| Bone Imaging Limited Area (78300) | $511 | $2,262.55 | 1.0× |
| Bone Imaging Whole Body (78306) | $511 | $2,613.25 | 1.0× |
| Bone survey infant (77076) | $133 | $566 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $694 | $3,391.93 | 1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $446 | $3,567 | 1.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $694 | $1,359.24 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $694 | $1,652 | 1.0× |
| Chest 1 view (71045) | $111 | $597.09 | 1.0× |
| Chest 2 views (71046) | $111 | $597.09 | 1.0× |
| Chest 3 views (71047) | $111 | $516 | 1.0× |
| Chest 4 or more views (71048) | $133 | $622.16 | 1.0× |
| Cholecystography Oral Contrast (74290) | $224 | $758.22 | 1.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$111 | $505.74–$663 | 1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $133 | $523.75 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $4,041 | $17,340.90 | 1.0× |
| Contrast X-Ray Bladder (74430) | $446 | $758.22 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $446 | $1,369.11 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$446 | $1,873.15–$3,355.85 | 1.0× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$305 | $1,680.20–$2,344.65 | 1.0× |
| CT abdomen w contrast (74160) | $224 | $2,966.04 | 1.0× |
| CT abdomen w wo contrast (74170) | $224 | $2,951 | 1.0× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$133 | $777.32–$2,872.49 | 1.0× |
| CT Angio Abdomen and Pelvis (74174) | $446 | $594.83 | 1.0× |
| CT Angio Chest (71275) | $224 | $1,288.98 | 1.0× |
| CT Angio Head (70496) | $224 | $1,288.98 | 1.0× |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$446 | $758.22–$2,916.15 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $224 | $1,288.98 | 1.0× |
| CT Angio Neck (70498) | $224 | $1,288.98 | 1.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $224 | $1,116 | 1.0× |
| CT cervical spine w/ contrast (72126) | $446 | $2,872.49 | 1.0× |
| CT cervical spine w/o contrast (72125) | $133 | $2,510.97 | 1.0× |
| CT chest w contrast (71260) | $224 | $2,410.49 | 1.0× |
| CT chest w/wo contrast (71270) | $224 | $1,049.78 | 1.0× |
| CT head/brain with contrast (70460) | $224 | $2,583.74 | 1.0× |
| CT head/brain without and with contrast (70470) | $224 | $2,982.21 | 1.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $446 | $985 | 1.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $111 | $533 | 1.0× |
| CT hrt w/3d image congen (75573) | $446 | $985 | 1.0× |
| CT iac w contrast (70481) | $224 | $1,594 | 1.0× |
| CT l-spine w&w/o contrast (72133) | $224 | $1,049.78 | 1.0× |
| CT lower ext w/o (73700) | $133 | $2,862.09 | 1.0× |
| CT lower extremity w/contrast material (73701) | $224 | $1,715.18 | 1.0× |
| CT lumbar spine w contrast (72132) | $446 | $2,875.95 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $133 | $2,510.97 | 1.0× |
| CT maxillofacial w contrast (70487) | $224 | $2,541 | 1.0× |
| CT maxillofacial wo contrast (70486) | $133 | $1,880.34 | 1.0× |
| CT orbits w/o contrast (70480) | $133 | $1,628 | 1.0× |
| CT pelvis w&w/o contrast (72194) | $224 | $2,724 | 1.0× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$133 | $1,501.50–$2,238.39 | 1.0× |
| CT soft tissue neck w contrast (70491) | $224 | $1,947.33 | 1.0× |
| CT soft tissue neck w/o contrast (70490) | $133 | $1,502.66 | 1.0× |
| CT thoracic spine w contrast (72129) | $224 | $1,963.50 | 1.0× |
| CT thoracic spine w/o contrast (72128) | $133 | $1,914.99 | 1.0× |
| CT thoracic spine w/wo cont (72130) | $224 | $1,790 | 1.0× |
| CT thorax w/o contrast (71250) | $133 | $2,255.72 | 1.0× |
| CT upper ext wo (73200) | $133 | $2,288.06 | 1.0× |
| CT upper extremity with contrast (73201) | $446 | $2,477.09 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $224 | $4,177 | 1.0× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$224 | $292.16–$1,288.98 | 1.0× |
| CTA pelvis (72191) | $224 | $1,288.98 | 1.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $133 | $343.38 | 1.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $133 | $343.38 | 1.0× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$133 | $400–$718.59 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $111 | $186.36 | 1.0× |
| Echo exam uterus (76831) | $305 | $882 | 1.0× |
| Esophagram (74220) | $224 | $1,212.50 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $133 | $343.38 | 1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $133 | $343.38 | 1.0× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$305 | $1,359.34–$1,570.04 | 1.0× |
| Follow-Up Angiography (75898) | $4,041 | $4,481.72 | 1.0× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$111 | $505.74–$670 | 1.0× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$111 | $518–$584.13 | 1.0× |
| Gastric emptying imaging study (78264) | $511 | $1,435 | 1.0× |
| Gated Heart Planar Single (78472) | $511 | $2,262.55 | 1.0× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$133 | $508–$718.59 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,041 | $7,478.22 | 1.0× |
| Hepatobiliary System Imaging (78226) | $511 | $2,613.25 | 1.0× |
| Ht Musc Image Planar Mult (78454) | $1,656 | $3,608.04 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,656 | $3,608.04 | 1.0× |
| Hysterosalpingogram (74740) | $305 | $882 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $694 | $2,936.74 | 1.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$111 | $584.13–$813.12 | 1.0× |
| Leveen/Shunt Patency Exam (78291) | $511 | $1,048.32 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $511 | $1,048.32 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $694 | $3,391.93 | 1.0× |
| Lymph System Imaging (78195) | $694 | $1,469 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $305 | $3,008 | 1.0× |
| Meckels Divert Exam (78290) | $511 | $1,103 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $446 | $2,682 | 1.0× |
| MRA head w/o contrast (70544) | $305 | $1,884.96 | 1.0× |
| MRA neck w contrast (70548) | $446 | $2,158 | 1.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $446 | $2,682 | 1.0× |
| MRA neck w/o contrast (70547) | $305 | $1,884.96 | 1.0× |
| MRI abdomen w contrast (74182) | $446 | $3,816.12 | 1.0× |
| MRI abdomen w/o contrast (74181) | $305 | $3,451.14 | 1.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,003 | $4,311.98 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $446 | $3,654.42 | 1.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,003 | $3,589 | 1.0× |
| MRI brain functional w/o physician admnistration (70554) | $305 | $1,044 | 1.0× |
| MRI brain functional w/physician admnistration (70555) | $305 | $1,044 | 1.0× |
| MRI cervical spine w/o cont (72141) | $305 | $3,816.12 | 1.0× |
| MRI chest w/o contrast (71550) | $305 | $2,988 | 1.0× |
| MRI chest wo w contrast (71552) | $446 | $3,618 | 1.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $446 | $1,348 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $446 | $4,449.06 | 1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $305 | $3,020.33 | 1.0× |
| MRI lumbar spine w contrast (72149) | $446 | $3,561 | 1.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $446 | $4,549.55 | 1.0× |
| MRI orbit face &/neck w/o contrast (70540) | $305 | $3,833.45 | 1.0× |
| MRI orbit face neck w contrast (70542) | $446 | $3,542 | 1.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $446 | $4,559.94 | 1.0× |
| MRI pelvis w/o & w contrast (72197) | $446 | $3,906 | 1.0× |
| MRI pelvis w/o contrast (72195) | $305 | $1,369 | 1.0× |
| MRI thoracic spine w/o contrast (72146) | $305 | $3,624.39 | 1.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $305 | $2,615 | 1.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $446 | $2,144.67 | 1.0× |
| MRI, abdomen, combo (74183) | $446 | $4,178.79 | 1.0× |
| MRI, dorsal spine combo (72157) | $446 | $4,722.80 | 1.0× |
| MRI, dorsal spine contrast (72147) | $446 | $2,144.67 | 1.0× |
| MRI, joint upper extrem (73221) | $305 | $3,622.08 | 1.0× |
| MRI, joint upper extrem combo (73223) | $446 | $3,654.42 | 1.0× |
| MRI, lumbar spine combo (72158) | $446 | $4,551.86 | 1.0× |
| Myelogram cervical (72240) | $1,003 | $2,045.64 | 1.0× |
| Myelogram Lumbar (72265) | $1,003 | $2,045.64 | 1.0× |
| Myelography thoracic (72255) | $1,003 | $2,045.64 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,003 | $2,045.64 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,656 | $3,608.04 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,656 | $8,923.73 | 1.0× |
| Neck soft tissue (70360) | $111 | $584.13 | 1.0× |
| Nervous system nuclear exam (78699) | $511 | $1,048.32 | 1.0× |
| Nm csf leak detection (78650) | $1,656 | $3,608.04 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $133 | $690.38 | 1.0× |
| Nuclear Rx Oral Admin (79005) | $298 | $750 | 1.0× |
| Ob us nuchal meas 1 gest (76813) | $133 | $343.38 | 1.0× |
| Parathyroid Planar Imaging (78070) | $511 | $2,262.55 | 1.0× |
| Pelvis 1 or 2 views (72170) | $133 | $718.59 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $511 | $2,613.25 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $133 | $718.59 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$699 | $721–$2,928.77 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$111 | $584.13–$776.16 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$111 | $505.74–$523 | 1.0× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$111 | $584.13–$620 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $133 | $718.59 | 1.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$111 | $455–$584.13 | 1.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$111 | $584.13–$773.85 | 1.0× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$111 | $584.13–$815.43 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $133 | $343.38 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $111 | $505.74 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $111 | $584.13 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$111 | $584.13–$763.46 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $111 | $311.50 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $111 | $505.74 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $111 | $505.74 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $111 | $523 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $111 | $584.13 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$111 | $584.13–$815.43 | 1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $133 | $959.85 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $133 | $622.16 | 1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $133 | $718.59 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $224 | $908 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $224 | $1,049.78 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$133 | $343.38–$622.16 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $224 | $1,049.78 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $224 | $1,212.50 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $224 | $1,049.78 | 1.0× |
| Radiologic examination femur 1 view (73551) | $111 | $505.74 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$111 | $434.40–$584.13 | 1.0× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$111 | $584.13–$751.91 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$111 | $584.13–$621 | 1.0× |
| Ribs bilateral 3 views (71110) | $133 | $622.16 | 1.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $511 | $1,190 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $511 | $1,469 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $694 | $1,532.95 | 1.0× |
| Scapula (73010) | $133 | $622.16 | 1.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$111 | $505.74–$584.13 | 1.0× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$446 | $1,369.11–$1,809.24 | 1.0× |
| Skull less than 4 views (70250) | $133 | $622.16 | 1.0× |
| Sternoclavicular joints (71130) | $111 | $295 | 1.0× |
| Testicular Imaging W/Flow (78761) | $511 | $1,161 | 1.0× |
| Thoracic spine 2 views (72070) | $133 | $718.59 | 1.0× |
| Thoracic spine 3 views (72072) | $133 | $718.59 | 1.0× |
| Thoracolumbar 2 views (72080) | $111 | $376 | 1.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $511 | $1,048.32 | 1.0× |
| Thyroid Met Imaging Body (78018) | $694 | $1,359.24 | 1.0× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$511 | $1,048.32–$2,262.55 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$133 | $343.38–$749.60 | 1.0× |
| Unlisted Dx Radiographic Procedure (76499) | $111 | $800 | 1.0× |
| Unlisted us procedure (76999) | $111 | $505.74 | 1.0× |
| Upper gi w/o kub (74240) | $224 | $1,259 | 1.0× |
| Urethrocystogram voiding (74455) | $305 | $696.93 | 1.0× |
| Urethrocystography retrograde (74450) | $305 | $947 | 1.0× |
| Us chest (76604) | $133 | $718.59 | 1.0× |
| Us complete joint (76881) range across 2 matching MRF lines |
$133 | $539.55–$718.59 | 1.0× |
| Us exam, pelvic, limited (76857) | $133 | $343.38 | 1.0× |
| Us head (76506) | $133 | $852 | 1.0× |
| Us kidney transplant (76776) | $133 | $718.59 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $133 | $622.16 | 1.0× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$305 | $435–$1,359.34 | 1.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$133 | $343.38–$622.16 | 1.0× |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$133 | $343.38–$622.16 | 1.0× |
| Us pelvic non ob complete (76856) | $133 | $1,146.92 | 1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$133 | $343.38–$622.16 | 1.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $133 | $343.38 | 1.0× |
| Us retroperitoneal complete (76770) | $133 | $741.51 | 1.0× |
| Us retroperitoneal limited (76775) | $133 | $343.38 | 1.0× |
| Us scrotum and contents (76870) | $133 | $1,235.85 | 1.0× |
| Us spinal canal and contents (76800) | $133 | $977 | 1.0× |
| Us thyroid (76536) range across 2 matching MRF lines |
$133 | $490–$799.26 | 1.0× |
| Vein X-Ray Chest (75827) | $2,014 | $2,280 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $4,041 | $7,478.22 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $2,014 | $2,948.91 | 1.0× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,014 | $1,837.71–$3,100.05 | 1.0× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$111 | $260–$521 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $111 | $413 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $446 | $1,058 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,041 | $7,478.22–$20,028.70 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$111 | $304.92–$584.13 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $699 | $1,460.07 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $111 | $304 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $111 | $505.74 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $111 | $584.13 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $133 | $718.59 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$133 | $622.16–$718.59 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $133 | $755.18 | 1.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $133 | $959.85 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) | $133 | $771 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $111 | $584.13 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $133 | $718.59 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $133 | $718.59 | 1.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$111 | $584.13–$1,011.48 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) | $224 | $861 | 1.0× |
| X-ray IV pyelogram+tomography (74415) | $224 | $1,042 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $111 | $505.74 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $133 | $718.59 | 1.0× |
| X-ray nose-rectum child f.b. (76010) | $111 | $505.74 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $133 | $622.16 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $133 | $622.16 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $111 | $584.13 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $111 | $604.07 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $133 | $718.59 | 1.0× |
| X-Ray Stress View (77071) | $111 | $339 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $446 | $1,898.63 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $133 | $862 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $133 | $622.16 | 1.0× |
| Xr facial bones less than 3 views (70140) | $111 | $584.13 | 1.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $133 | $343.38 | 1.0× |
| Xr orbits complete 4 views (70200) | $133 | $622.16 | 1.0× |
| Xr Tomogram Single Plane (76100) | $133 | $657 | 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.