Imaging prices at Parkview Wabash Hospital, Inc
Wabash, 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) | $200 | $400 | 2.2× |
| Abdomen 2 views (74019) | $290.50 | $581 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,230.50 | $2,461 | 2.9× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$159.50–$247.50 | $319–$495 | varies |
| Arthrogram hip (73525) | $1,031 | $2,062 | 2.8× |
| Basic radiation dosimetry calculation (77300) | $573 | $1,146 | 4.0× |
| Bone age studies (77072) | $109 | $218 | 1.0× |
| Bone Imaging 3 Phase (78315) | $1,552.50 | $3,105 | 3.7× |
| Bone Imaging Limited Area (78300) | $1,075 | $2,150 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $1,328.50 | $2,657 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,641.50 | $3,283 | 3.9× |
| Bone survey infant (77076) | $438 | $876 | 4.0× |
| Brain Flow Imaging Only (78610) | $1,119 | $2,238 | 1.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,058.50 | $2,117 | 2.9× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,270.50 | $2,541 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $286 | $572 | 3.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,154.50 | $2,309 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $1,256.50 | $2,513 | 2.2× |
| Chest 1 view (71045) | $160 | $320 | 1.7× |
| Chest 2 views (71046) | $211.50 | $423 | 2.3× |
| Chest 3 views (71047) | $263 | $526 | 2.9× |
| Chest 4 or more views (71048) | $342.50 | $685 | 3.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$163.50–$245.50 | $327–$491 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $49.50 | $99 | 0.4× |
| Contrast X-Ray Bladder (74430) | $498.50 | $997 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $979.50 | $1,959 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $1,673.50 | $3,347 | 4.5× |
| CT abdomen and pelvis without contrast (74176) | $862.50 | $1,725 | 3.4× |
| CT abdomen w contrast (74160) | $796.50 | $1,593 | 4.3× |
| CT abdomen w wo contrast (74170) | $924.50 | $1,849 | 5.0× |
| CT abdomen w/o contrast (74150) | $658.50 | $1,317 | 6.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,947.50 | $3,895 | 5.3× |
| CT Angio Chest (71275) | $964.50 | $1,929 | 5.2× |
| CT Angio Head (70496) | $808 | $1,616 | 4.4× |
| CT angio hrt w/3d image (75574) | $842 | $1,684 | 2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$771.50–$1,157.50 | $1,543–$2,315 | varies |
| CT Angio Neck (70498) | $807.50 | $1,615 | 4.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$872–$1,221.50 | $1,744–$2,443 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $472.50 | $945 | 2.5× |
| CT cervical spine w/ contrast (72126) | $764 | $1,528 | 2.1× |
| CT cervical spine w/o contrast (72125) | $560 | $1,120 | 5.1× |
| CT cervical spine w/wo cont (72127) | $798.50 | $1,597 | 4.3× |
| CT chest w contrast (71260) | $782 | $1,564 | 4.2× |
| CT chest w/wo contrast (71270) | $985 | $1,970 | 5.3× |
| CT colonography screening (74263) | $511 | $1,022 | 2.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,069 | $2,138 | 5.8× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $511 | $1,022 | 4.6× |
| CT head/brain with contrast (70460) | $630.50 | $1,261 | 3.4× |
| CT head/brain without and with contrast (70470) | $738.50 | $1,477 | 4.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$49.50–$291.50 | $99–$583 | varies |
| CT hrt w/3d image congen (75573) | $814.50 | $1,629 | 2.2× |
| CT iac w contrast (70481) | $749 | $1,498 | 4.0× |
| CT l-spine w&w/o contrast (72133) | $1,012 | $2,024 | 5.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$563–$844 | $1,126–$1,688 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$796.50–$1,116 | $1,593–$2,232 | varies |
| CT lumbar spine w contrast (72132) | $828 | $1,656 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $710 | $1,420 | 6.4× |
| CT maxillofacial w contrast (70487) | $643.50 | $1,287 | 3.5× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$403.50–$526.50 | $807–$1,053 | varies |
| CT neck tissue combo (70492) | $796.50 | $1,593 | 4.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $871 | $1,742 | 4.7× |
| CT orbits w/o contrast (70480) | $621 | $1,242 | 5.6× |
| CT pelvis w&w/o contrast (72194) | $985 | $1,970 | 5.3× |
| CT pelvis w/o contrast (72192) | $582.50 | $1,165 | 5.3× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,003–$1,056 | $2,006–$2,112 | varies |
| CT scans face/jaw combo (70488) | $760 | $1,520 | 4.1× |
| CT soft tissue neck w contrast (70491) | $631.50 | $1,263 | 3.4× |
| CT soft tissue neck w/o contrast (70490) | $534.50 | $1,069 | 4.8× |
| CT thoracic spine w contrast (72129) | $851.50 | $1,703 | 4.6× |
| CT thoracic spine w/o contrast (72128) | $728.50 | $1,457 | 6.6× |
| CT thoracic spine w/wo cont (72130) | $1,072 | $2,144 | 5.8× |
| CT thorax w/o contrast (71250) | $560 | $1,120 | 5.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$677.50–$1,016.50 | $1,355–$2,033 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$801.50–$1,116 | $1,603–$2,232 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,249.50 | $2,499 | 6.7× |
| Cta Abdomen (74175) | $864 | $1,728 | 4.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,181 | $2,362 | 3.2× |
| CTA pelvis (72191) | $910.50 | $1,821 | 4.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $387 | $774 | 3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $407.50 | $815 | 3.7× |
| Dxa Bone Density Axial (77080) | $282 | $564 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $147.50 | $295 | 1.6× |
| Echo exam of fetal heart (76825) | $387 | $774 | 0.7× |
| Echo exam uterus (76831) | $466.50 | $933 | 1.8× |
| Echo Guide For Artery Repair (76936) | $651.50 | $1,303 | 2.9× |
| Esophagram (74220) | $474.50 | $949 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $477 | $954 | 4.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $415 | $830 | 3.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $750 | $1,500 | 3.0× |
| Fluoroscopy up to 1 hr (76000) | $628 | $1,256 | 2.5× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$132.50–$247.50 | $265–$495 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$160.50–$245.50 | $321–$491 | varies |
| Gastric emptying imaging study (78264) | $1,357 | $2,714 | 3.2× |
| Gated Heart Planar Single (78472) | $1,716 | $3,432 | 4.1× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$157.50–$237 | $315–$474 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,702 | $3,404 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,355.50 | $2,711 | 3.2× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$725.50–$3,211 | $1,451–$6,422 | varies |
| Hysterosalpingogram (74740) | $739.50 | $1,479 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $606.50 | $1,213 | 6.6× |
| Joint Survey Single View (77077) | $245.50 | $491 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,083.50 | $2,167 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,477.50 | $2,955 | 2.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$204–$293 | $408–$586 | varies |
| Liver imaging static only (78201) | $932.50 | $1,865 | 1.6× |
| Lung Perf&Ventilat Diferentl (78598) | $2,108 | $4,216 | 3.7× |
| Lung perfusion differential (78597) | $1,154.50 | $2,309 | 2.7× |
| Lung Ventilat&Perfus Imaging (78582) | $2,108 | $4,216 | 3.7× |
| Lung Ventilation Imaging (78579) | $577.50 | $1,155 | 1.4× |
| Lymph System Imaging (78195) | $1,299.50 | $2,599 | 2.3× |
| Magnetic Image Jaw Joint (70336) | $680 | $1,360 | 2.7× |
| Meckels Divert Exam (78290) | $941 | $1,882 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,057.50 | $2,115 | 2.9× |
| MRA head w/o contrast (70544) | $791.50 | $1,583 | 3.1× |
| MRA head with contrast (70545) | $1,023.50 | $2,047 | 2.8× |
| MRA neck w contrast (70548) | $949 | $1,898 | 2.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $959.50 | $1,919 | 2.6× |
| MRA neck w/o contrast (70547) | $523 | $1,046 | 2.1× |
| MRI abdomen w contrast (74182) | $908.50 | $1,817 | 2.5× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$505.50–$851.50 | $1,011–$1,703 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$804.50–$1,169.50 | $1,609–$2,339 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$935–$1,402.50 | $1,870–$2,805 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$787–$1,169.50 | $1,574–$2,339 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,104 | $2,208 | 4.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $775 | $1,550 | 3.1× |
| MRI cardiac w/o contrast (75557) | $809 | $1,618 | 3.2× |
| MRI cervical spine w contrast (72142) | $950 | $1,900 | 2.6× |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$243.50–$771 | $487–$1,542 | varies |
| MRI chest w/o contrast (71550) | $739 | $1,478 | 2.9× |
| MRI chest wo w contrast (71552) | $966 | $1,932 | 2.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $890 | $1,780 | 2.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$961–$1,364 | $1,922–$2,728 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$676–$974 | $1,352–$1,948 | varies |
| MRI lumbar spine w contrast (72149) | $900 | $1,800 | 2.4× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$341–$1,361.50 | $682–$2,723 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $662 | $1,324 | 2.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $909.50 | $1,819 | 2.5× |
| MRI pelvis w contrast (72196) | $919.50 | $1,839 | 2.5× |
| MRI pelvis w/o & w contrast (72197) | $1,085 | $2,170 | 2.9× |
| MRI pelvis w/o contrast (72195) | $750 | $1,500 | 3.0× |
| MRI spectroscopy (76390) | $837 | $1,674 | 9.1× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$270.50–$834 | $541–$1,668 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$688–$974 | $1,376–$1,948 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$931–$1,364 | $1,862–$2,728 | varies |
| MRI, abdomen, combo (74183) | $1,050 | $2,100 | 2.8× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$341–$1,051.50 | $682–$2,103 | varies |
| MRI, dorsal spine contrast (72147) | $929.50 | $1,859 | 2.5× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$667.50–$974 | $1,335–$1,948 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$912–$1,364 | $1,824–$2,728 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$341–$1,015 | $682–$2,030 | varies |
| Myelogram cervical (72240) | $1,616.50 | $3,233 | 1.9× |
| Myelogram Lumbar (72265) | $949 | $1,898 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $2,112 | $4,224 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $4,378 | $8,756 | 3.2× |
| N-invas est c ffr sw aly CTA (75580) | $2,737.50 | $5,475 | 3.0× |
| Neck soft tissue (70360) | $163 | $326 | 1.8× |
| Nuclear Rx Oral Admin (79005) | $2,106.50 | $4,213 | 8.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $346 | $692 | 3.1× |
| Parathyroid Planar Imaging (78070) | $890.50 | $1,781 | 2.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $935 | $1,870 | 2.2× |
| Pelvis 1 or 2 views (72170) | $197.50 | $395 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,150.50 | $2,301 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $389 | $778 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$195.50–$279.50 | $391–$559 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$173.50–$260 | $347–$520 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$204–$270 | $408–$540 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $244 | $488 | 2.2× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$108.50–$158 | $217–$316 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$201.50–$302.50 | $403–$605 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$196–$270 | $392–$540 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$150.50–$248.50 | $301–$497 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $204.50 | $409 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $198 | $396 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$205–$284 | $410–$568 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $191 | $382 | 2.1× |
| Radex Spine 1 View Specify Level (72020) | $162.50 | $325 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $197 | $394 | 2.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$108.50–$156.50 | $217–$313 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$150.50–$248.50 | $301–$497 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$173.50–$260 | $347–$520 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $268.50 | $537 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $319.50 | $639 | 2.9× |
| Radiologic exam colon double contrast study (74280) | $896.50 | $1,793 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $536.50 | $1,073 | 2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $524.50 | $1,049 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$222–$325 | $444–$650 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $247 | $494 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $547 | $1,094 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $452 | $904 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $588.50 | $1,177 | 3.2× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$69.50–$105 | $139–$210 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$203.50–$323.50 | $407–$647 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$170.50–$246.50 | $341–$493 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $401.50 | $803 | 3.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$197.50–$293 | $395–$586 | varies |
| Ribs bilateral 3 views (71110) | $232.50 | $465 | 2.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $713 | $1,426 | 1.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,537.50 | $3,075 | 3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,663.50 | $3,327 | 2.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,700 | $5,400 | 1.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,035 | $4,070 | 1.5× |
| Rp Therapy Intravenous Administration (79101) | $1,326.50 | $2,653 | 5.4× |
| Scapula (73010) range across 3 matching MRF lines |
$194.50–$278.50 | $389–$557 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40 | $80 | 1.7× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$133.50–$202 | $267–$404 | varies |
| Shoulder Arthrography (73040) | $931 | $1,862 | 2.5× |
| Skull less than 4 views (70250) | $199 | $398 | 1.8× |
| Special Physics Consult (77370) | $1,127 | $2,254 | 7.9× |
| Special treatment procedure (77470) | $2,766 | $5,532 | 4.7× |
| Sternoclavicular joints (71130) | $164.50 | $329 | 1.8× |
| Thoracic spine 2 views (72070) | $219.50 | $439 | 2.0× |
| Thoracic spine 3 views (72072) | $265 | $530 | 2.4× |
| Thoracolumbar 2 views (72080) | $234.50 | $469 | 2.5× |
| Thyroid Met Imaging Body (78018) | $1,589 | $3,178 | 2.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $958 | $1,916 | 2.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$353–$494 | $706–$988 | varies |
| Ultrasound Elastography Parenchyma (76981) | $210.50 | $421 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) | $266 | $532 | 2.4× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$370–$450.50 | $740–$901 | varies |
| Umbilical-artery Doppler (OB) (76820) | $383.50 | $767 | 3.5× |
| Unlisted us procedure (76999) | $419.50 | $839 | 4.6× |
| Upper gi w/o kub (74240) | $527 | $1,054 | 2.8× |
| Urethrocystogram voiding (74455) | $587.50 | $1,175 | 2.3× |
| Urethrocystography retrograde (74450) | $633.50 | $1,267 | 2.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$441–$619 | $882–$1,238 | varies |
| Us chest (76604) | $372 | $744 | 3.4× |
| Us exam, pelvic, limited (76857) | $415 | $830 | 3.8× |
| Us head (76506) | $573 | $1,146 | 5.2× |
| Us kidney transplant (76776) | $512 | $1,024 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$302.50–$453.50 | $605–$907 | varies |
| Us ob detailed single fetus (76811) | $824.50 | $1,649 | 3.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$503–$529 | $1,006–$1,058 | varies |
| Us ob transvaginal (76817) | $450 | $900 | 4.1× |
| Us pelvic non ob complete (76856) | $444.50 | $889 | 4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $604.50 | $1,209 | 5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $550.50 | $1,101 | 5.0× |
| Us retroperitoneal complete (76770) | $491.50 | $983 | 4.4× |
| Us retroperitoneal limited (76775) | $349 | $698 | 3.2× |
| Us scrotum and contents (76870) | $415 | $830 | 3.8× |
| Us spinal canal and contents (76800) | $414.50 | $829 | 3.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$353–$441.50 | $706–$883 | varies |
| Venography extremity bilateral rs&i (75822) | $1,253.50 | $2,507 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $988.50 | $1,977 | 0.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$154.50–$245.50 | $309–$491 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $209.50 | $419 | 2.3× |
| X-Ray Bend Only L-S Spine (72120) | $245.50 | $491 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$164.50–$246.50 | $329–$493 | varies |
| X-Ray Exam Breast Specimen (76098) | $436.50 | $873 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $331 | $662 | 3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $383.50 | $767 | 3.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $157.50 | $315 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $203.50 | $407 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $238.50 | $477 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $291 | $582 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $370 | $740 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $213.50 | $427 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $313.50 | $627 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $241 | $482 | 2.2× |
| X-ray eye for foreign body (70030) | $216 | $432 | 2.3× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$195.50–$270 | $391–$540 | varies |
| X-ray IV pyelogram (ivp) (74400) | $498.50 | $997 | 2.7× |
| X-ray IV pyelogram+tomography (74415) | $653.50 | $1,307 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $146.50 | $293 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $241.50 | $483 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $181.50 | $363 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $315 | $630 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $198 | $396 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $204 | $408 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $269.50 | $539 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $306 | $612 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $289.50 | $579 | 2.6× |
| X-Ray Tmj Unilat (70328) | $174.50 | $349 | 1.9× |
| X-Rays Bone Length Studies (77073) | $273 | $546 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $435.50 | $871 | 3.9× |
| Xr c-spine 4 or 5 views (72050) | $296.50 | $593 | 2.7× |
| Xr facial bones less than 3 views (70140) | $206.50 | $413 | 2.2× |
| Xr orbits complete 4 views (70200) | $231 | $462 | 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.