Imaging prices at Parkview Dekalb Hospital
Auburn, IN · 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) | $197.50 | $395 | 2.1× |
| Abdomen 2 views (74019) | $286 | $572 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,213 | $2,426 | 2.9× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$157–$244 | $314–$488 | varies |
| Arthrogram hip (73525) | $1,016.50 | $2,033 | 2.8× |
| Basic radiation dosimetry calculation (77300) | $564.50 | $1,129 | 4.0× |
| Bone age studies (77072) | $107.50 | $215 | 1.0× |
| Bone Imaging 3 Phase (78315) | $1,530.50 | $3,061 | 3.6× |
| Bone Imaging Limited Area (78300) | $1,060 | $2,120 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $1,309.50 | $2,619 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,618.50 | $3,237 | 3.8× |
| Bone survey infant (77076) | $432 | $864 | 3.9× |
| Brain Flow Imaging Only (78610) | $1,103 | $2,206 | 1.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,043.50 | $2,087 | 2.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,252.50 | $2,505 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $282 | $564 | 3.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,138 | $2,276 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $1,238.50 | $2,477 | 2.2× |
| Chest 1 view (71045) | $157.50 | $315 | 1.7× |
| Chest 2 views (71046) | $208.50 | $417 | 2.3× |
| Chest 3 views (71047) | $259 | $518 | 2.8× |
| Chest 4 or more views (71048) | $337.50 | $675 | 3.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$161–$242 | $322–$484 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $49.50 | $99 | 0.4× |
| Contrast X-Ray Bladder (74430) | $491 | $982 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $965.50 | $1,931 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,649.50 | $3,299 | 4.5× |
| CT abdomen and pelvis without contrast (74176) | $850 | $1,700 | 3.4× |
| CT abdomen w contrast (74160) | $785 | $1,570 | 4.2× |
| CT abdomen w wo contrast (74170) | $911.50 | $1,823 | 4.9× |
| CT abdomen w/o contrast (74150) | $649.50 | $1,299 | 5.9× |
| CT Angio Abdomen and Pelvis (74174) | $1,919.50 | $3,839 | 5.2× |
| CT Angio Chest (71275) | $950.50 | $1,901 | 5.1× |
| CT Angio Head (70496) | $796.50 | $1,593 | 4.3× |
| CT angio hrt w/3d image (75574) | $830 | $1,660 | 2.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$760.50–$1,141 | $1,521–$2,282 | varies |
| CT Angio Neck (70498) | $796 | $1,592 | 4.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$859.50–$1,204 | $1,719–$2,408 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $465.50 | $931 | 2.5× |
| CT cervical spine w/ contrast (72126) | $753.50 | $1,507 | 2.0× |
| CT cervical spine w/o contrast (72125) | $552 | $1,104 | 5.0× |
| CT cervical spine w/wo cont (72127) | $787 | $1,574 | 4.2× |
| CT chest w contrast (71260) | $770.50 | $1,541 | 4.2× |
| CT chest w/wo contrast (71270) | $971 | $1,942 | 5.2× |
| CT colonography screening (74263) | $504 | $1,008 | 2.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,053.50 | $2,107 | 5.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $504 | $1,008 | 4.6× |
| CT head/brain with contrast (70460) | $621.50 | $1,243 | 3.3× |
| CT head/brain without and with contrast (70470) | $728 | $1,456 | 3.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$49.50–$287 | $99–$574 | varies |
| CT hrt w/3d image congen (75573) | $803 | $1,606 | 2.2× |
| CT iac w contrast (70481) | $738.50 | $1,477 | 4.0× |
| CT l-spine w&w/o contrast (72133) | $997.50 | $1,995 | 5.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$555–$832 | $1,110–$1,664 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$785–$1,100 | $1,570–$2,200 | varies |
| CT lumbar spine w contrast (72132) | $816 | $1,632 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $699.50 | $1,399 | 6.3× |
| CT maxillofacial w contrast (70487) | $634.50 | $1,269 | 3.4× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$398–$519 | $796–$1,038 | varies |
| CT neck tissue combo (70492) | $785 | $1,570 | 4.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $858.50 | $1,717 | 4.6× |
| CT orbits w/o contrast (70480) | $612 | $1,224 | 5.5× |
| CT pelvis w&w/o contrast (72194) | $971 | $1,942 | 5.2× |
| CT pelvis w/o contrast (72192) | $574.50 | $1,149 | 5.2× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$989–$1,041 | $1,978–$2,082 | varies |
| CT scans face/jaw combo (70488) | $749 | $1,498 | 4.0× |
| CT soft tissue neck w contrast (70491) | $622.50 | $1,245 | 3.4× |
| CT soft tissue neck w/o contrast (70490) | $527 | $1,054 | 4.8× |
| CT thoracic spine w contrast (72129) | $839.50 | $1,679 | 4.5× |
| CT thoracic spine w/o contrast (72128) | $718 | $1,436 | 6.5× |
| CT thoracic spine w/wo cont (72130) | $1,057 | $2,114 | 5.7× |
| CT thorax w/o contrast (71250) | $552 | $1,104 | 5.0× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$667.50–$1,002 | $1,335–$2,004 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$790–$1,100 | $1,580–$2,200 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,231.50 | $2,463 | 6.6× |
| Cta Abdomen (74175) | $851.50 | $1,703 | 4.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,164.50 | $2,329 | 3.2× |
| CTA pelvis (72191) | $897.50 | $1,795 | 4.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $381.50 | $763 | 3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $402 | $804 | 3.6× |
| Dxa Bone Density Axial (77080) | $278 | $556 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $145.50 | $291 | 1.6× |
| Echo exam of fetal heart (76825) | $381.50 | $763 | 0.7× |
| Echo exam uterus (76831) | $460 | $920 | 1.8× |
| Echo Guide For Artery Repair (76936) | $642 | $1,284 | 2.8× |
| Esophagram (74220) | $467.50 | $935 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) | $470 | $940 | 4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $409 | $818 | 3.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $739.50 | $1,479 | 2.9× |
| Fluoroscopy up to 1 hr (76000) | $619 | $1,238 | 2.5× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$130.50–$244 | $261–$488 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$158–$242 | $316–$484 | varies |
| Gastric emptying imaging study (78264) | $1,338 | $2,676 | 3.2× |
| Gated Heart Planar Single (78472) | $1,691.50 | $3,383 | 4.0× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$155–$233.50 | $310–$467 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,677.50 | $3,355 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,336.50 | $2,673 | 3.2× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$715–$3,165 | $1,430–$6,330 | varies |
| Hysterosalpingogram (74740) | $729 | $1,458 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $597.50 | $1,195 | 6.5× |
| Joint Survey Single View (77077) | $242 | $484 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,068 | $2,136 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,456.50 | $2,913 | 2.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$201–$288.50 | $402–$577 | varies |
| Liver imaging static only (78201) | $919 | $1,838 | 1.6× |
| Lung Perf&Ventilat Diferentl (78598) | $2,078 | $4,156 | 3.6× |
| Lung perfusion differential (78597) | $1,138 | $2,276 | 2.7× |
| Lung Ventilat&Perfus Imaging (78582) | $2,078 | $4,156 | 3.6× |
| Lung Ventilation Imaging (78579) | $569 | $1,138 | 1.3× |
| Lymph System Imaging (78195) | $1,281 | $2,562 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $670 | $1,340 | 2.7× |
| Meckels Divert Exam (78290) | $927.50 | $1,855 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,042.50 | $2,085 | 2.8× |
| MRA head w/o contrast (70544) | $780.50 | $1,561 | 3.1× |
| MRA head with contrast (70545) | $1,009 | $2,018 | 2.7× |
| MRA neck w contrast (70548) | $935.50 | $1,871 | 2.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $945.50 | $1,891 | 2.6× |
| MRA neck w/o contrast (70547) | $515.50 | $1,031 | 2.0× |
| MRI abdomen w contrast (74182) | $895.50 | $1,791 | 2.4× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$498.50–$839.50 | $997–$1,679 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$793–$1,152.50 | $1,586–$2,305 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$921.50–$1,382.50 | $1,843–$2,765 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$775.50–$1,152.50 | $1,551–$2,305 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,088.50 | $2,177 | 4.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $764 | $1,528 | 3.0× |
| MRI cardiac w/o contrast (75557) | $797.50 | $1,595 | 3.2× |
| MRI cervical spine w contrast (72142) | $936.50 | $1,873 | 2.5× |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$240–$760 | $480–$1,520 | varies |
| MRI chest w/o contrast (71550) | $728.50 | $1,457 | 2.9× |
| MRI chest wo w contrast (71552) | $952 | $1,904 | 2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $877 | $1,754 | 2.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$947–$1,344.50 | $1,894–$2,689 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$666.50–$960 | $1,333–$1,920 | varies |
| MRI lumbar spine w contrast (72149) | $887 | $1,774 | 2.4× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$336–$1,342 | $672–$2,684 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $652.50 | $1,305 | 2.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $896.50 | $1,793 | 2.4× |
| MRI pelvis w contrast (72196) | $906.50 | $1,813 | 2.5× |
| MRI pelvis w/o & w contrast (72197) | $1,069.50 | $2,139 | 2.9× |
| MRI pelvis w/o contrast (72195) | $739.50 | $1,479 | 2.9× |
| MRI spectroscopy (76390) | $825 | $1,650 | 9.0× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$266.50–$822 | $533–$1,644 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$678.50–$960 | $1,357–$1,920 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$917.50–$1,344.50 | $1,835–$2,689 | varies |
| MRI, abdomen, combo (74183) | $1,035 | $2,070 | 2.8× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$336–$1,036.50 | $672–$2,073 | varies |
| MRI, dorsal spine contrast (72147) | $916 | $1,832 | 2.5× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$658–$960 | $1,316–$1,920 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$899–$1,344.50 | $1,798–$2,689 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$336–$1,000.50 | $672–$2,001 | varies |
| Myelogram cervical (72240) | $1,593.50 | $3,187 | 1.9× |
| Myelogram Lumbar (72265) | $935.50 | $1,871 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $2,082 | $4,164 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $4,315.50 | $8,631 | 3.2× |
| N-invas est c ffr sw aly CTA (75580) | $2,698.50 | $5,397 | 3.0× |
| Neck soft tissue (70360) | $160.50 | $321 | 1.7× |
| Nuclear Rx Oral Admin (79005) | $2,076.50 | $4,153 | 8.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $341 | $682 | 3.1× |
| Parathyroid Planar Imaging (78070) | $878 | $1,756 | 2.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $921.50 | $1,843 | 2.2× |
| Pelvis 1 or 2 views (72170) | $195 | $390 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,134.50 | $2,269 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $383.50 | $767 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$193–$275.50 | $386–$551 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$171–$256.50 | $342–$513 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$201–$266 | $402–$532 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $240.50 | $481 | 2.2× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$107–$155.50 | $214–$311 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$198.50–$298.50 | $397–$597 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$193.50–$266 | $387–$532 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$148.50–$245 | $297–$490 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $201.50 | $403 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $195.50 | $391 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$202–$280 | $404–$560 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $188 | $376 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $160 | $320 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $194.50 | $389 | 2.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$107–$154 | $214–$308 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$148.50–$245 | $297–$490 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$171–$256.50 | $342–$513 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $264.50 | $529 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $315 | $630 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $884 | $1,768 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $529 | $1,058 | 2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $517 | $1,034 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$219–$320.50 | $438–$641 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $243.50 | $487 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $539 | $1,078 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $446 | $892 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $580 | $1,160 | 3.1× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$68.50–$103.50 | $137–$207 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$200.50–$319 | $401–$638 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$168.50–$243 | $337–$486 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $396 | $792 | 3.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$195–$288.50 | $390–$577 | varies |
| Ribs bilateral 3 views (71110) | $229 | $458 | 2.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $703 | $1,406 | 1.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,516 | $3,032 | 3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,639.50 | $3,279 | 2.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,661.50 | $5,323 | 1.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,006 | $4,012 | 1.5× |
| Rp Therapy Intravenous Administration (79101) | $1,307.50 | $2,615 | 5.3× |
| Scapula (73010) range across 3 matching MRF lines |
$192–$274.50 | $384–$549 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $39.50 | $79 | 1.7× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$131.50–$199 | $263–$398 | varies |
| Shoulder Arthrography (73040) | $917.50 | $1,835 | 2.5× |
| Skull less than 4 views (70250) | $196.50 | $393 | 1.8× |
| Special Physics Consult (77370) | $1,111 | $2,222 | 7.8× |
| Special treatment procedure (77470) | $2,726.50 | $5,453 | 4.7× |
| Sternoclavicular joints (71130) | $162 | $324 | 1.8× |
| Thoracic spine 2 views (72070) | $216.50 | $433 | 2.0× |
| Thoracic spine 3 views (72072) | $261 | $522 | 2.4× |
| Thoracolumbar 2 views (72080) | $231 | $462 | 2.5× |
| Thyroid Met Imaging Body (78018) | $1,566.50 | $3,133 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $944.50 | $1,889 | 2.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$348–$487 | $696–$974 | varies |
| Ultrasound Elastography Parenchyma (76981) | $207.50 | $415 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) | $262 | $524 | 2.4× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$364.50–$444 | $729–$888 | varies |
| Umbilical-artery Doppler (OB) (76820) | $378 | $756 | 3.4× |
| Unlisted us procedure (76999) | $413.50 | $827 | 4.5× |
| Upper gi w/o kub (74240) | $519.50 | $1,039 | 2.8× |
| Urethrocystogram voiding (74455) | $579 | $1,158 | 2.3× |
| Urethrocystography retrograde (74450) | $624.50 | $1,249 | 2.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$434.50–$610 | $869–$1,220 | varies |
| Us chest (76604) | $366.50 | $733 | 3.3× |
| Us exam, pelvic, limited (76857) | $409 | $818 | 3.7× |
| Us head (76506) | $564.50 | $1,129 | 5.1× |
| Us kidney transplant (76776) | $505 | $1,010 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$298.50–$447 | $597–$894 | varies |
| Us ob detailed single fetus (76811) | $813 | $1,626 | 3.2× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$495.50–$521.50 | $991–$1,043 | varies |
| Us ob transvaginal (76817) | $443.50 | $887 | 4.0× |
| Us pelvic non ob complete (76856) | $438 | $876 | 4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $595.50 | $1,191 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $542.50 | $1,085 | 4.9× |
| Us retroperitoneal complete (76770) | $484.50 | $969 | 4.4× |
| Us retroperitoneal limited (76775) | $344.50 | $689 | 3.1× |
| Us scrotum and contents (76870) | $409 | $818 | 3.7× |
| Us spinal canal and contents (76800) | $408.50 | $817 | 3.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$348–$435 | $696–$870 | varies |
| Venography extremity bilateral rs&i (75822) | $1,236 | $2,472 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $974.50 | $1,949 | 0.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$152.50–$242 | $305–$484 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $206.50 | $413 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $242 | $484 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$162–$243 | $324–$486 | varies |
| X-Ray Exam Breast Specimen (76098) | $430.50 | $861 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $326.50 | $653 | 3.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $378 | $756 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $155 | $310 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $200.50 | $401 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $235 | $470 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $286.50 | $573 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $364.50 | $729 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $210.50 | $421 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $309 | $618 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $237.50 | $475 | 2.1× |
| X-ray eye for foreign body (70030) | $212.50 | $425 | 2.3× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$193–$266 | $386–$532 | varies |
| X-ray IV pyelogram (ivp) (74400) | $491 | $982 | 2.6× |
| X-ray IV pyelogram+tomography (74415) | $644 | $1,288 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $144.50 | $289 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $238 | $476 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $179 | $358 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $310.50 | $621 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $195.50 | $391 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $201 | $402 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $265.50 | $531 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $301.50 | $603 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $285.50 | $571 | 2.6× |
| X-Ray Tmj Unilat (70328) | $172 | $344 | 1.9× |
| X-Rays Bone Length Studies (77073) | $269.50 | $539 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $429.50 | $859 | 3.9× |
| Xr c-spine 4 or 5 views (72050) | $292 | $584 | 2.6× |
| Xr facial bones less than 3 views (70140) | $203.50 | $407 | 2.2× |
| Xr orbits complete 4 views (70200) | $227.50 | $455 | 2.1× |
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.