Imaging prices at Parkview Noble Hospital
Kendallville, 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) | $198 | $396 | 2.2× |
| Abdomen 2 views (74019) | $287 | $574 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,217 | $2,434 | 2.9× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$157.50–$245 | $315–$490 | varies |
| Arthrogram hip (73525) | $1,019.50 | $2,039 | 2.8× |
| Basic radiation dosimetry calculation (77300) | $566.50 | $1,133 | 4.0× |
| Bone age studies (77072) | $107.50 | $215 | 1.0× |
| Bone Imaging 3 Phase (78315) | $1,535 | $3,070 | 3.6× |
| Bone Imaging Limited Area (78300) | $1,063 | $2,126 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $1,313.50 | $2,627 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,623.50 | $3,247 | 3.8× |
| Bone survey infant (77076) | $433 | $866 | 3.9× |
| Brain Flow Imaging Only (78610) | $1,106.50 | $2,213 | 1.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,046.50 | $2,093 | 2.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,256 | $2,512 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $283 | $566 | 3.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,141.50 | $2,283 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $1,242.50 | $2,485 | 2.2× |
| Chest 1 view (71045) | $158 | $316 | 1.7× |
| Chest 2 views (71046) | $209 | $418 | 2.3× |
| Chest 3 views (71047) | $260 | $520 | 2.8× |
| Chest 4 or more views (71048) | $338.50 | $677 | 3.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$161.50–$242.50 | $323–$485 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $49.50 | $99 | 0.4× |
| Contrast X-Ray Bladder (74430) | $493 | $986 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $968.50 | $1,937 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,655 | $3,310 | 4.5× |
| CT abdomen and pelvis without contrast (74176) | $852.50 | $1,705 | 3.4× |
| CT abdomen w contrast (74160) | $787.50 | $1,575 | 4.2× |
| CT abdomen w wo contrast (74170) | $914 | $1,828 | 4.9× |
| CT abdomen w/o contrast (74150) | $651.50 | $1,303 | 5.9× |
| CT Angio Abdomen and Pelvis (74174) | $1,925.50 | $3,851 | 5.2× |
| CT Angio Chest (71275) | $953.50 | $1,907 | 5.1× |
| CT Angio Head (70496) | $799 | $1,598 | 4.3× |
| CT angio hrt w/3d image (75574) | $832.50 | $1,665 | 2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$763–$1,144.50 | $1,526–$2,289 | varies |
| CT Angio Neck (70498) | $798.50 | $1,597 | 4.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$862.50–$1,207.50 | $1,725–$2,415 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $467 | $934 | 2.5× |
| CT cervical spine w/ contrast (72126) | $755.50 | $1,511 | 2.0× |
| CT cervical spine w/o contrast (72125) | $554 | $1,108 | 5.0× |
| CT cervical spine w/wo cont (72127) | $789.50 | $1,579 | 4.3× |
| CT chest w contrast (71260) | $773 | $1,546 | 4.2× |
| CT chest w/wo contrast (71270) | $974 | $1,948 | 5.2× |
| CT colonography screening (74263) | $505.50 | $1,011 | 2.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,057 | $2,114 | 5.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $505.50 | $1,011 | 4.6× |
| CT head/brain with contrast (70460) | $623 | $1,246 | 3.4× |
| CT head/brain without and with contrast (70470) | $730.50 | $1,461 | 3.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$49.50–$288 | $99–$576 | varies |
| CT hrt w/3d image congen (75573) | $805.50 | $1,611 | 2.2× |
| CT iac w contrast (70481) | $740.50 | $1,481 | 4.0× |
| CT l-spine w&w/o contrast (72133) | $1,000.50 | $2,001 | 5.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$557–$834.50 | $1,114–$1,669 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$787.50–$1,103.50 | $1,575–$2,207 | varies |
| CT lumbar spine w contrast (72132) | $818.50 | $1,637 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $702 | $1,404 | 6.3× |
| CT maxillofacial w contrast (70487) | $636.50 | $1,273 | 3.4× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$399–$520.50 | $798–$1,041 | varies |
| CT neck tissue combo (70492) | $787.50 | $1,575 | 4.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $861.50 | $1,723 | 4.6× |
| CT orbits w/o contrast (70480) | $614 | $1,228 | 5.6× |
| CT pelvis w&w/o contrast (72194) | $974 | $1,948 | 5.2× |
| CT pelvis w/o contrast (72192) | $576 | $1,152 | 5.2× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$992–$1,044 | $1,984–$2,088 | varies |
| CT scans face/jaw combo (70488) | $751.50 | $1,503 | 4.0× |
| CT soft tissue neck w contrast (70491) | $624 | $1,248 | 3.4× |
| CT soft tissue neck w/o contrast (70490) | $528.50 | $1,057 | 4.8× |
| CT thoracic spine w contrast (72129) | $842 | $1,684 | 4.5× |
| CT thoracic spine w/o contrast (72128) | $720 | $1,440 | 6.5× |
| CT thoracic spine w/wo cont (72130) | $1,060 | $2,120 | 5.7× |
| CT thorax w/o contrast (71250) | $554 | $1,108 | 5.0× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$670–$1,005 | $1,340–$2,010 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$792.50–$1,103.50 | $1,585–$2,207 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,235.50 | $2,471 | 6.7× |
| Cta Abdomen (74175) | $854 | $1,708 | 4.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,168 | $2,336 | 3.2× |
| CTA pelvis (72191) | $900 | $1,800 | 4.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $382.50 | $765 | 3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $403 | $806 | 3.6× |
| Dxa Bone Density Axial (77080) | $279 | $558 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $146 | $292 | 1.6× |
| Echo exam of fetal heart (76825) | $382.50 | $765 | 0.7× |
| Echo exam uterus (76831) | $461 | $922 | 1.8× |
| Echo Guide For Artery Repair (76936) | $644 | $1,288 | 2.8× |
| Esophagram (74220) | $469 | $938 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) | $471.50 | $943 | 4.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $410.50 | $821 | 3.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $741.50 | $1,483 | 2.9× |
| Fluoroscopy up to 1 hr (76000) | $621 | $1,242 | 2.5× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$131–$245 | $262–$490 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$158.50–$243 | $317–$486 | varies |
| Gastric emptying imaging study (78264) | $1,342 | $2,684 | 3.2× |
| Gated Heart Planar Single (78472) | $1,696.50 | $3,393 | 4.0× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$155.50–$234.50 | $311–$469 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,683 | $3,366 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,340.50 | $2,681 | 3.2× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$717.50–$3,175 | $1,435–$6,350 | varies |
| Hysterosalpingogram (74740) | $731.50 | $1,463 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $599.50 | $1,199 | 6.5× |
| Joint Survey Single View (77077) | $243 | $486 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,071.50 | $2,143 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,461 | $2,922 | 2.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$202–$289.50 | $404–$579 | varies |
| Liver imaging static only (78201) | $922 | $1,844 | 1.6× |
| Lung Perf&Ventilat Diferentl (78598) | $2,084.50 | $4,169 | 3.6× |
| Lung perfusion differential (78597) | $1,141.50 | $2,283 | 2.7× |
| Lung Ventilat&Perfus Imaging (78582) | $2,084.50 | $4,169 | 3.6× |
| Lung Ventilation Imaging (78579) | $571 | $1,142 | 1.4× |
| Lymph System Imaging (78195) | $1,285 | $2,570 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $672 | $1,344 | 2.7× |
| Meckels Divert Exam (78290) | $930 | $1,860 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,045.50 | $2,091 | 2.8× |
| MRA head w/o contrast (70544) | $783 | $1,566 | 3.1× |
| MRA head with contrast (70545) | $1,012 | $2,024 | 2.7× |
| MRA neck w contrast (70548) | $938.50 | $1,877 | 2.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $948.50 | $1,897 | 2.6× |
| MRA neck w/o contrast (70547) | $517 | $1,034 | 2.0× |
| MRI abdomen w contrast (74182) | $898 | $1,796 | 2.4× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$500–$842 | $1,000–$1,684 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$795.50–$1,156 | $1,591–$2,312 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$924.50–$1,386.50 | $1,849–$2,773 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$778–$1,156 | $1,556–$2,312 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,091.50 | $2,183 | 4.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $766.50 | $1,533 | 3.0× |
| MRI cardiac w/o contrast (75557) | $800 | $1,600 | 3.2× |
| MRI cervical spine w contrast (72142) | $939.50 | $1,879 | 2.5× |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$240.50–$762.50 | $481–$1,525 | varies |
| MRI chest w/o contrast (71550) | $731 | $1,462 | 2.9× |
| MRI chest wo w contrast (71552) | $955 | $1,910 | 2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $880 | $1,760 | 2.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$950–$1,349 | $1,900–$2,698 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$668.50–$963 | $1,337–$1,926 | varies |
| MRI lumbar spine w contrast (72149) | $890 | $1,780 | 2.4× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$337–$1,346.50 | $674–$2,693 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $655 | $1,310 | 2.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $899 | $1,798 | 2.4× |
| MRI pelvis w contrast (72196) | $909.50 | $1,819 | 2.5× |
| MRI pelvis w/o & w contrast (72197) | $1,073 | $2,146 | 2.9× |
| MRI pelvis w/o contrast (72195) | $741.50 | $1,483 | 2.9× |
| MRI spectroscopy (76390) | $827.50 | $1,655 | 9.0× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$267–$824.50 | $534–$1,649 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$680.50–$963 | $1,361–$1,926 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$920.50–$1,349 | $1,841–$2,698 | varies |
| MRI, abdomen, combo (74183) | $1,038.50 | $2,077 | 2.8× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$337–$1,040 | $674–$2,080 | varies |
| MRI, dorsal spine contrast (72147) | $919 | $1,838 | 2.5× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$660–$963 | $1,320–$1,926 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$901.50–$1,349 | $1,803–$2,698 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$337–$1,003.50 | $674–$2,007 | varies |
| Myelogram cervical (72240) | $1,598.50 | $3,197 | 1.9× |
| Myelogram Lumbar (72265) | $938.50 | $1,877 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $2,088.50 | $4,177 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $4,329 | $8,658 | 3.2× |
| N-invas est c ffr sw aly CTA (75580) | $2,707 | $5,414 | 3.0× |
| Neck soft tissue (70360) | $161 | $322 | 1.7× |
| Nuclear Rx Oral Admin (79005) | $2,083 | $4,166 | 8.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $342 | $684 | 3.1× |
| Parathyroid Planar Imaging (78070) | $881 | $1,762 | 2.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $924.50 | $1,849 | 2.2× |
| Pelvis 1 or 2 views (72170) | $195.50 | $391 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,138 | $2,276 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $384.50 | $769 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$193.50–$276.50 | $387–$553 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$171.50–$257 | $343–$514 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$202–$267 | $404–$534 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $241 | $482 | 2.2× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$107–$156 | $214–$312 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$199.50–$299 | $399–$598 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$194–$267 | $388–$534 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$149–$246 | $298–$492 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $202 | $404 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $196 | $392 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$202.50–$281 | $405–$562 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $188.50 | $377 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $160.50 | $321 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $195 | $390 | 2.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$107–$154.50 | $214–$309 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$149–$246 | $298–$492 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$171.50–$257 | $343–$514 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $265.50 | $531 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $315.50 | $631 | 2.9× |
| Radiologic exam colon double contrast study (74280) | $886.50 | $1,773 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $530.50 | $1,061 | 2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $518.50 | $1,037 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$219.50–$321.50 | $439–$643 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $244.50 | $489 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $541 | $1,082 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $447 | $894 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $582 | $1,164 | 3.1× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$69–$104 | $138–$208 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$201.50–$320 | $403–$640 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$169–$244 | $338–$488 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $397 | $794 | 3.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$195.50–$289.50 | $391–$579 | varies |
| Ribs bilateral 3 views (71110) | $230 | $460 | 2.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $705 | $1,410 | 1.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,520.50 | $3,041 | 3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,644.50 | $3,289 | 2.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,670 | $5,340 | 1.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,012.50 | $4,025 | 1.5× |
| Rp Therapy Intravenous Administration (79101) | $1,311.50 | $2,623 | 5.3× |
| Scapula (73010) range across 3 matching MRF lines |
$192.50–$275.50 | $385–$551 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40 | $80 | 1.7× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$132–$200 | $264–$400 | varies |
| Shoulder Arthrography (73040) | $920.50 | $1,841 | 2.5× |
| Skull less than 4 views (70250) | $197 | $394 | 1.8× |
| Special Physics Consult (77370) | $1,114.50 | $2,229 | 7.8× |
| Special treatment procedure (77470) | $2,735 | $5,470 | 4.7× |
| Sternoclavicular joints (71130) | $162.50 | $325 | 1.8× |
| Thoracic spine 2 views (72070) | $217.50 | $435 | 2.0× |
| Thoracic spine 3 views (72072) | $262 | $524 | 2.4× |
| Thoracolumbar 2 views (72080) | $232 | $464 | 2.5× |
| Thyroid Met Imaging Body (78018) | $1,571.50 | $3,143 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $947 | $1,894 | 2.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$349–$488.50 | $698–$977 | varies |
| Ultrasound Elastography Parenchyma (76981) | $208 | $416 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) | $263 | $526 | 2.4× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$365.50–$445 | $731–$890 | varies |
| Umbilical-artery Doppler (OB) (76820) | $379.50 | $759 | 3.4× |
| Unlisted us procedure (76999) | $414.50 | $829 | 4.5× |
| Upper gi w/o kub (74240) | $521 | $1,042 | 2.8× |
| Urethrocystogram voiding (74455) | $581 | $1,162 | 2.3× |
| Urethrocystography retrograde (74450) | $626.50 | $1,253 | 2.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$436–$612 | $872–$1,224 | varies |
| Us chest (76604) | $367.50 | $735 | 3.3× |
| Us exam, pelvic, limited (76857) | $410.50 | $821 | 3.7× |
| Us head (76506) | $566.50 | $1,133 | 5.1× |
| Us kidney transplant (76776) | $506.50 | $1,013 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$299–$448.50 | $598–$897 | varies |
| Us ob detailed single fetus (76811) | $815.50 | $1,631 | 3.2× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$497–$523.50 | $994–$1,047 | varies |
| Us ob transvaginal (76817) | $444.50 | $889 | 4.0× |
| Us pelvic non ob complete (76856) | $439.50 | $879 | 4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $597.50 | $1,195 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $544 | $1,088 | 4.9× |
| Us retroperitoneal complete (76770) | $486 | $972 | 4.4× |
| Us retroperitoneal limited (76775) | $345.50 | $691 | 3.1× |
| Us scrotum and contents (76870) | $410.50 | $821 | 3.7× |
| Us spinal canal and contents (76800) | $410 | $820 | 3.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$349–$436.50 | $698–$873 | varies |
| Venography extremity bilateral rs&i (75822) | $1,239.50 | $2,479 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $977.50 | $1,955 | 0.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$153–$243 | $306–$486 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $207 | $414 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $242.50 | $485 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$162.50–$244 | $325–$488 | varies |
| X-Ray Exam Breast Specimen (76098) | $431.50 | $863 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $327.50 | $655 | 3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $379.50 | $759 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $155.50 | $311 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $201.50 | $403 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $235.50 | $471 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $287.50 | $575 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $365.50 | $731 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $211 | $422 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $310 | $620 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $238 | $476 | 2.2× |
| X-ray eye for foreign body (70030) | $213.50 | $427 | 2.3× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$193.50–$267 | $387–$534 | varies |
| X-ray IV pyelogram (ivp) (74400) | $493 | $986 | 2.7× |
| X-ray IV pyelogram+tomography (74415) | $646 | $1,292 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $145 | $290 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $238.50 | $477 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $179.50 | $359 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $311.50 | $623 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $196 | $392 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $202 | $404 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $266.50 | $533 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $302.50 | $605 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $286 | $572 | 2.6× |
| X-Ray Tmj Unilat (70328) | $172.50 | $345 | 1.9× |
| X-Rays Bone Length Studies (77073) | $270 | $540 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $430.50 | $861 | 3.9× |
| Xr c-spine 4 or 5 views (72050) | $293 | $586 | 2.6× |
| Xr facial bones less than 3 views (70140) | $204 | $408 | 2.2× |
| Xr orbits complete 4 views (70200) | $228.50 | $457 | 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.