Imaging prices at Parkview Medical Center
Pueblo, CO · every code in this section with a posted price and a Medicare benchmark.
288 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,673.20 | $11,683 | 3.2× |
| Abdomen 1 View (74018) | $205.28 | $513.20 | 2.2× |
| Abdomen 2 views (74019) | $258.80 | $647 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,054 | $2,635 | 2.5× |
| Angio pulmonary bilat (75743) | $2,156.40 | $5,391 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $3,100.80 | $7,752 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,837.60 | $7,094 | 0.9× |
| Ankle 2 views (73600) | $209.76 | $524.40 | 2.3× |
| Artery X-Rays Abdomen (75726) | $4,403.20 | $11,008 | 0.8× |
| Artery X-Rays Pelvis (75736) | $3,709.20 | $9,273 | 0.6× |
| Artery X-Rays Spine (75705) | $3,538.40 | $8,846 | 0.6× |
| Basic radiation dosimetry calculation (77300) | $416.40 | $1,041 | 2.9× |
| Bone age studies (77072) | $130.96 | $327.40 | 1.2× |
| Bone Imaging 3 Phase (78315) | $1,353.60 | $3,384 | 3.2× |
| Bone Imaging Limited Area (78300) | $843.85 | $2,109.61 | 2.0× |
| Bone Imaging Whole Body (78306) | $1,212.40 | $3,031 | 2.9× |
| Bone survey infant (77076) | $186.20 | $465.50 | 1.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,667.49 | $11,668.72 | 3.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,113.84 | $2,784.60 | 1.9× |
| Chest 1 view (71045) | $128 | $320 | 1.4× |
| Chest 2 views (71046) | $204 | $510 | 2.2× |
| Chest 3 views (71047) | $267.08 | $667.70 | 2.9× |
| Clavicle complete (73000) | $222.48 | $556.20 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $412 | $1,030 | 3.7× |
| Continuing medical physics consltj pr wk (77336) | $578.40 | $1,446 | 4.1× |
| Contrast Exam Abdominl Aorta (75625) | $2,479.20 | $6,198 | 0.7× |
| Contrast X-Ray Bladder (74430) | $613.92 | $1,534.80 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,322.40 | $8,306 | 9.0× |
| CT abdomen and pelvis without contrast (74176) | $2,502.40 | $6,256 | 9.9× |
| CT abdomen w contrast (74160) | $1,733.60 | $4,334 | 9.4× |
| CT abdomen w wo contrast (74170) | $2,159.60 | $5,399 | 11.7× |
| CT abdomen w/o contrast (74150) | $1,526.80 | $3,817 | 13.8× |
| CT Angio Abdomen and Pelvis (74174) | $3,781.20 | $9,453 | 10.3× |
| CT Angio Chest (71275) | $1,988 | $4,970 | 10.7× |
| CT Angio Head (70496) | $1,716.80 | $4,292 | 9.3× |
| CT angio hrt w/3d image (75574) | $1,481.20 | $3,703 | 4.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,003.60 | $5,009 | 10.8× |
| CT Angio Neck (70498) | $1,713.60 | $4,284 | 9.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,463.20 | $3,658 | 7.9× |
| CT cervical spine w/ contrast (72126) | $1,652.80 | $4,132 | 4.5× |
| CT cervical spine w/o contrast (72125) | $1,472.80 | $3,682 | 13.4× |
| CT cervical spine w/wo cont (72127) | $1,299.55 | $3,248.87 | 7.0× |
| CT chest w contrast (71260) | $1,581.20 | $3,953 | 8.5× |
| CT chest w/wo contrast (71270) | $1,703.20 | $4,258 | 9.2× |
| CT head/brain with contrast (70460) | $1,378.40 | $3,446 | 7.4× |
| CT head/brain without and with contrast (70470) | $1,647.60 | $4,119 | 8.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $254.92 | $637.30 | 2.8× |
| CT iac w contrast (70481) | $1,718 | $4,295 | 9.3× |
| CT lower ext w/o (73700) | $1,933.20 | $4,833 | 17.5× |
| CT lower extremity w/contrast material (73701) | $1,456 | $3,640 | 7.9× |
| CT lumbar spine w contrast (72132) | $1,689.60 | $4,224 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,514.80 | $3,787 | 13.7× |
| CT maxillofacial w contrast (70487) | $1,587.20 | $3,968 | 8.6× |
| CT maxillofacial wo contrast (70486) | $1,238.40 | $3,096 | 11.2× |
| CT neck tissue combo (70492) | $1,687.60 | $4,219 | 9.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,729.76 | $4,324.40 | 9.3× |
| CT orbits w/o contrast (70480) | $1,442.80 | $3,607 | 13.1× |
| CT pelvis w&w/o contrast (72194) | $1,806.56 | $4,516.40 | 9.8× |
| CT pelvis w/o contrast (72192) | $1,558.44 | $3,896.10 | 14.1× |
| CT scan of leg combo (73702) | $1,588 | $3,970 | 8.6× |
| CT scans face/jaw combo (70488) | $1,299.55 | $3,248.87 | 7.0× |
| CT soft tissue neck w contrast (70491) | $1,524.80 | $3,812 | 8.2× |
| CT soft tissue neck w/o contrast (70490) | $1,461.60 | $3,654 | 13.3× |
| CT thoracic spine w contrast (72129) | $1,550.16 | $3,875.40 | 8.4× |
| CT thoracic spine w/o contrast (72128) | $1,527.20 | $3,818 | 13.8× |
| CT thorax w/o contrast (71250) | $1,411.20 | $3,528 | 12.8× |
| CT upper ext wo (73200) | $1,182.40 | $2,956 | 10.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,618 | $4,045 | 8.7× |
| CT upper extremity with contrast (73201) | $1,480 | $3,700 | 4.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,165.20 | $5,413 | 11.7× |
| Cta Abdomen (74175) | $1,984.80 | $4,962 | 10.7× |
| CTA pelvis (72191) | $1,983.60 | $4,959 | 10.7× |
| Dxa Bone Density Axial (77080) | $340.36 | $850.90 | 3.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $119.17 | $297.92 | 1.3× |
| Esophagram (74220) | $487.60 | $1,219 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $335.20 | $838 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $366.80 | $917 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $429.20 | $1,073 | 1.7× |
| Follow-Up Angiography (75898) | $1,758 | $4,395 | 0.5× |
| Foot 2 views (73620) | $199.56 | $498.90 | 2.2× |
| Forearm 2 views (73090) | $223.76 | $559.40 | 2.4× |
| Gastric emptying imaging study (78264) | $1,263.52 | $3,158.80 | 3.0× |
| Gated Heart Planar Single (78472) | $1,214.71 | $3,036.77 | 2.9× |
| Hand 2 views (73120) | $194 | $485 | 1.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,643.04 | $4,107.60 | 2.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,740.80 | $9,352 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,050.80 | $5,127 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,526.40 | $3,816 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,352.60 | $3,381.50 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $2,741.51 | $6,853.77 | 2.0× |
| Hysterosalpingogram (74740) | $464.52 | $1,161.30 | 1.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $259.92 | $649.80 | 2.8× |
| Infant hip ultrasound, limited static exam (76886) | $281.76 | $704.40 | 3.1× |
| K Flow/Funct Image Multiple (78709) | $1,251.12 | $3,127.80 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,264.80 | $3,162 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $833.20 | $2,083 | 1.5× |
| Knee 3 Views (73562) | $255.32 | $638.30 | 2.8× |
| Liver & Spleen Imaging Static Only (78215) | $836.20 | $2,090.50 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $1,898.44 | $4,746.10 | 3.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,625.48 | $4,063.70 | 2.8× |
| Lymph System Imaging (78195) | $1,270.76 | $3,176.90 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $1,985.76 | $4,964.40 | 7.9× |
| Mammary ductogram or galactogram multiple (77054) | $96.26 | $240.65 | 0.4× |
| Mlc imrt design & construction per imrt plan (77338) | $1,546.40 | $3,866 | 3.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,773.60 | $6,934 | 7.5× |
| MRA head w/o contrast (70544) | $2,241.20 | $5,603 | 8.9× |
| MRA head with contrast (70545) | $2,372 | $5,930 | 6.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,294.80 | $8,237 | 9.0× |
| MRA neck w/o contrast (70547) | $1,958 | $4,895 | 7.8× |
| MRI abdomen w contrast (74182) | $1,924 | $4,810 | 5.2× |
| MRI abdomen w/o contrast (74181) | $1,740.40 | $4,351 | 6.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,789.20 | $4,473 | 2.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,911.20 | $4,778 | 5.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,700.40 | $4,251 | 2.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,529.32 | $3,823.30 | 6.1× |
| MRI cervical spine w contrast (72142) | $2,264.40 | $5,661 | 6.2× |
| MRI cervical spine w/o cont (72141) | $1,960 | $4,900 | 7.8× |
| MRI chest w/o contrast (71550) | $1,600 | $4,000 | 6.4× |
| MRI chest wo w contrast (71552) | $2,930 | $7,325 | 8.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,025.36 | $5,063.40 | 5.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,386 | $5,965 | 6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,563.20 | $3,908 | 6.2× |
| MRI lumbar spine w contrast (72149) | $2,377.60 | $5,944 | 6.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,552.40 | $6,381 | 6.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,768.80 | $4,422 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,724.40 | $6,811 | 7.4× |
| MRI pelvis w contrast (72196) | $2,330.84 | $5,827.10 | 6.3× |
| MRI pelvis w/o & w contrast (72197) | $2,930 | $7,325 | 8.0× |
| MRI pelvis w/o contrast (72195) | $2,175.60 | $5,439 | 8.6× |
| MRI spectroscopy (76390) | $1,793.20 | $4,483 | 19.5× |
| MRI thoracic spine w/o contrast (72146) | $2,095.60 | $5,239 | 8.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,710.47 | $4,276.17 | 4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,563.20 | $3,908 | 6.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,386 | $5,965 | 6.5× |
| MRI, abdomen, combo (74183) | $2,519.60 | $6,299 | 6.8× |
| MRI, dorsal spine combo (72157) | $2,648 | $6,620 | 7.2× |
| MRI, dorsal spine contrast (72147) | $2,243.60 | $5,609 | 6.1× |
| MRI, joint upper extrem (73221) | $1,400.40 | $3,501 | 5.6× |
| MRI, joint upper extrem combo (73223) | $1,982.40 | $4,956 | 5.4× |
| MRI, lumbar spine combo (72158) | $2,672.80 | $6,682 | 7.3× |
| Myelogram cervical (72240) | $1,580.12 | $3,950.30 | 1.9× |
| Myelogram Lumbar (72265) | $1,580.12 | $3,950.30 | 1.9× |
| Myelography thoracic (72255) | $1,580.12 | $3,950.30 | 1.9× |
| Myelograpy 2/more regions rs&i (72270) | $1,580.12 | $3,950.30 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $3,175.84 | $7,939.60 | 2.3× |
| Neck soft tissue (70360) | $216.32 | $540.80 | 2.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $843.85 | $2,109.61 | 2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,224 | $10,560 | 2.9× |
| Nuclear Rx Oral Admin (79005) | $1,253.16 | $3,132.90 | 5.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $335.20 | $838 | 3.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $589.68 | $1,474.20 | 1.0× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$843.85–$1,030.48 | $2,109.61–$2,576.20 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $816.44 | $2,041.10 | 1.9× |
| Pelvis 1 or 2 views (72170) | $199.52 | $498.80 | 1.8× |
| PET image w/CT, full body (78816) | $4,608 | $11,520 | 3.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,993.20 | $9,983 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $914.40 | $2,286 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $372.12 | $930.30 | 3.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,035.42 | $2,588.53 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $234.12 | $585.30 | 2.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $225.24 | $563.10 | 2.5× |
| Radex elbow complete minimum 3 views (73080) | $247.44 | $618.60 | 2.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $307.68 | $769.20 | 2.8× |
| Radex fingr minimum 2 views (73140) | $181.08 | $452.70 | 2.0× |
| Radex foot complete minimum 3 views (73630) | $233.60 | $584 | 2.5× |
| Radex Hand Minimum 3 Views (73130) | $241.64 | $604.10 | 2.6× |
| Radex lower extremity infant minimum 2 views (73592) | $125.08 | $312.70 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $222.48 | $556.20 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $288.20 | $720.50 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) | $245.44 | $613.60 | 2.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $191.36 | $478.40 | 2.1× |
| Radex Spine 1 View Specify Level (72020) | $214.24 | $535.60 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $246.12 | $615.30 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $309.48 | $773.70 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $201.40 | $503.50 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $47.58 | $118.95 | 0.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $243.08 | $607.70 | 2.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $212.68 | $531.70 | 1.9× |
| Radiation treatment delivery level 1 (77402) | $433.04 | $1,082.60 | 4.0× |
| Radiation treatment delivery level 2 (77407) | $1,529.32 | $3,823.30 | 3.8× |
| Radiation treatment delivery level 3 (77412) | $762.80 | $1,907 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $310.36 | $775.90 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $26.99 | $67.47 | 0.2× |
| Radiologic exam colon double contrast study (74280) | $695.04 | $1,737.60 | 3.8× |
| Radiologic exam colon single contrast study (74270) | $538.40 | $1,346 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) | $260 | $650 | 2.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $283.72 | $709.30 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $477.64 | $1,194.10 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $406.80 | $1,017 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $555.76 | $1,389.40 | 3.0× |
| Radiologic examination femur 1 view (73551) | $170.48 | $426.20 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $205.20 | $513 | 2.2× |
| Radiologic examination knee 1/2 views (73560) | $213.80 | $534.50 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $231.36 | $578.40 | 2.5× |
| Ribs bilateral 3 views (71110) | $302.08 | $755.20 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,443.88 | $6,109.70 | 4.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,414.40 | $3,536 | 2.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,741.51 | $6,853.77 | 2.0× |
| Rp Therapy Intravenous Administration (79101) | $470.68 | $1,176.68 | 1.9× |
| Scapula (73010) | $224.44 | $561.10 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $117.88 | $294.70 | 5.0× |
| Shoulder 1 view (73020) | $195.84 | $489.60 | 2.1× |
| Skull less than 4 views (70250) | $229.20 | $573 | 2.1× |
| Special dosimetry (77331) | $554.80 | $1,387 | 3.9× |
| Special Physics Consult (77370) | $573.20 | $1,433 | 4.0× |
| Sternoclavicular joints (71130) | $173.16 | $432.90 | 1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,124.80 | $2,812 | 2.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,580.40 | $3,951 | 4.0× |
| Ther rad simulaj-aided field setting simple (77280) | $874 | $2,185 | 6.2× |
| Thoracic spine 2 views (72070) | $241.60 | $604 | 2.2× |
| Thoracic spine 3 views (72072) | $268.80 | $672 | 2.4× |
| Thoracolumbar 2 views (72080) | $230 | $575 | 2.5× |
| Thyroid Imaging With Vascular Flow (78013) | $461.04 | $1,152.60 | 1.1× |
| Thyroid Met Imaging Body (78018) | $1,272 | $3,180 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $881 | $2,202.50 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $944.40 | $2,361 | 2.4× |
| Tx devices design & construction intermediate (77333) | $451.42 | $1,128.55 | 3.2× |
| Tx devices design & construction simple (77332) | $440.40 | $1,101 | 3.1× |
| Ultrasound Breast Limited (76642) | $319.44 | $798.60 | 3.5× |
| Ultrasound Exam Aaa Screen (76706) | $366.88 | $917.20 | 3.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$348.80–$417.20 | $872–$1,043 | varies |
| Umbilical-artery Doppler (OB) (76820) | $188.60 | $471.50 | 1.7× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$493.51–$4,835.60 | $1,233.77–$12,089 | varies |
| Upper gi w/o kub (74240) | $468 | $1,170 | 2.5× |
| Urethrocystogram voiding (74455) | $722 | $1,805 | 2.9× |
| Urethrocystography retrograde (74450) | $69.22 | $173.05 | 0.3× |
| Us breast unilateral complete (76641) | $447.28 | $1,118.20 | 4.1× |
| Us chest (76604) | $420 | $1,050 | 3.8× |
| Us complete joint (76881) | $532.80 | $1,332 | 4.8× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$311.20–$340.29 | $778–$850.72 | varies |
| Us head (76506) | $333.72 | $834.30 | 3.0× |
| Us kidney transplant (76776) | $485.60 | $1,214 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$167.60–$340.96 | $419–$852.40 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$335.20–$343.24 | $838–$858.10 | varies |
| Us ob transvaginal (76817) | $346.40 | $866 | 3.1× |
| Us pelvic non ob complete (76856) | $547.12 | $1,367.80 | 5.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $376.08 | $940.20 | 3.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $287.68 | $719.20 | 2.6× |
| Us retroperitoneal complete (76770) | $572.24 | $1,430.60 | 5.2× |
| Us retroperitoneal limited (76775) | $366.64 | $916.60 | 3.3× |
| Us scrotum and contents (76870) | $444 | $1,110 | 4.0× |
| Us spinal canal and contents (76800) | $436.96 | $1,092.40 | 4.0× |
| Us thyroid (76536) | $445.16 | $1,112.90 | 4.0× |
| Vein X-Ray Chest (75827) | $1,676.40 | $4,191 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $2,630.56 | $6,576.40 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $1,576.24 | $3,940.60 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,252.80 | $3,132 | 0.8× |
| Venography Renal Unilateral (75831) | $2,630.56 | $6,576.40 | 0.8× |
| Wrist 2 views (73100) | $209.68 | $524.20 | 2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $224.44 | $561.10 | 2.4× |
| X-ray antegrade pyelogram tube (74425) | $713.52 | $1,783.80 | 1.9× |
| X-Ray Aorta Leg Arteries (75630) | $2,644 | $6,610 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $317.56 | $793.90 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $210.24 | $525.60 | 2.3× |
| X-Ray Exam Breast Specimen (76098) | $410.80 | $1,027 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $52.40 | $131 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $381.28 | $953.20 | 3.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $418.88 | $1,047.20 | 3.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $184.40 | $461 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $210.40 | $526 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $274.44 | $686.10 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $224 | $560 | 2.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $310.80 | $777 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $343.20 | $858 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $436 | $1,090 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $231.84 | $579.60 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $408.36 | $1,020.90 | 3.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $340.56 | $851.40 | 3.1× |
| X-ray eye for foreign body (70030) | $170 | $425 | 1.9× |
| X-ray humerus (73060) | $224.56 | $561.40 | 2.4× |
| X-ray IV pyelogram (ivp) (74400) | $65.58 | $163.95 | 0.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $204.36 | $510.90 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $277.36 | $693.40 | 2.5× |
| X-ray nose-rectum child f.b. (76010) | $199.20 | $498 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $409.64 | $1,024.10 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $270.52 | $676.30 | 2.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $180.80 | $452 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $231.12 | $577.80 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $274.84 | $687.10 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $367.60 | $919 | 3.3× |
| X-ray thoracic spine 4 vw (72074) | $209.50 | $523.75 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$590.40–$714.26 | $1,476–$1,785.65 | varies |
| X-Rays Bone Length Studies (77073) | $228.72 | $571.80 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $589.48 | $1,473.70 | 5.3× |
| Xr c-spine 4 or 5 views (72050) | $294.24 | $735.60 | 2.7× |
| Xr facial bones less than 3 views (70140) | $232.16 | $580.40 | 2.5× |
| Xr orbits complete 4 views (70200) | $303.92 | $759.80 | 2.8× |
| Xr Tomogram Single Plane (76100) | $366.12 | $915.30 | 3.3× |
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.