Imaging prices at Parkview Whitley Hospital
Columbia City, IN · every code in this section with a posted price and a Medicare benchmark.
278 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) | $194 | $388 | 2.1× |
| Abdomen 2 views (74019) | $282 | $564 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,194.50 | $2,389 | 2.8× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$154.50–$240.50 | $309–$481 | varies |
| Arthrogram hip (73525) | $1,000.50 | $2,001 | 2.7× |
| Basic radiation dosimetry calculation (77300) | $556 | $1,112 | 3.9× |
| Bone age studies (77072) | $105.50 | $211 | 1.0× |
| Bone Imaging 3 Phase (78315) | $1,506.50 | $3,013 | 3.6× |
| Bone Imaging Limited Area (78300) | $1,043.50 | $2,087 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $1,289 | $2,578 | 3.0× |
| Bone Imaging Whole Body (78306) | $1,593 | $3,186 | 3.8× |
| Bone survey infant (77076) | $425 | $850 | 3.8× |
| Brain Flow Imaging Only (78610) | $1,086 | $2,172 | 1.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,027 | $2,054 | 2.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,233 | $2,466 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $277.50 | $555 | 3.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,120.50 | $2,241 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $1,219.50 | $2,439 | 2.1× |
| Chest 1 view (71045) | $155 | $310 | 1.7× |
| Chest 2 views (71046) | $205 | $410 | 2.2× |
| Chest 3 views (71047) | $255 | $510 | 2.8× |
| Chest 4 or more views (71048) | $332 | $664 | 3.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$158.50–$238 | $317–$476 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $49.50 | $99 | 0.4× |
| Contrast X-Ray Bladder (74430) | $483.50 | $967 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $950.50 | $1,901 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,624 | $3,248 | 4.4× |
| CT abdomen and pelvis without contrast (74176) | $837 | $1,674 | 3.3× |
| CT abdomen w contrast (74160) | $773 | $1,546 | 4.2× |
| CT abdomen w wo contrast (74170) | $897.50 | $1,795 | 4.8× |
| CT abdomen w/o contrast (74150) | $639.50 | $1,279 | 5.8× |
| CT Angio Abdomen and Pelvis (74174) | $1,889.50 | $3,779 | 5.1× |
| CT Angio Chest (71275) | $936 | $1,872 | 5.0× |
| CT Angio Head (70496) | $784 | $1,568 | 4.2× |
| CT angio hrt w/3d image (75574) | $817.50 | $1,635 | 2.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$748.50–$1,123.50 | $1,497–$2,247 | varies |
| CT Angio Neck (70498) | $783.50 | $1,567 | 4.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$846.50–$1,185 | $1,693–$2,370 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $458.50 | $917 | 2.5× |
| CT cervical spine w/ contrast (72126) | $741.50 | $1,483 | 2.0× |
| CT cervical spine w/o contrast (72125) | $543.50 | $1,087 | 4.9× |
| CT cervical spine w/wo cont (72127) | $775 | $1,550 | 4.2× |
| CT chest w contrast (71260) | $758.50 | $1,517 | 4.1× |
| CT chest w/wo contrast (71270) | $956 | $1,912 | 5.2× |
| CT colonography screening (74263) | $496 | $992 | 2.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,037 | $2,074 | 5.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $496 | $992 | 4.5× |
| CT head/brain with contrast (70460) | $611.50 | $1,223 | 3.3× |
| CT head/brain without and with contrast (70470) | $717 | $1,434 | 3.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$49.50–$282.50 | $99–$565 | varies |
| CT hrt w/3d image congen (75573) | $790.50 | $1,581 | 2.1× |
| CT iac w contrast (70481) | $727 | $1,454 | 3.9× |
| CT l-spine w&w/o contrast (72133) | $982 | $1,964 | 5.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$546.50–$819 | $1,093–$1,638 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$773–$1,083 | $1,546–$2,166 | varies |
| CT lumbar spine w contrast (72132) | $803.50 | $1,607 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $689 | $1,378 | 6.2× |
| CT maxillofacial w contrast (70487) | $624.50 | $1,249 | 3.4× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$391.50–$510.50 | $783–$1,021 | varies |
| CT neck tissue combo (70492) | $773 | $1,546 | 4.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $845.50 | $1,691 | 4.6× |
| CT orbits w/o contrast (70480) | $602.50 | $1,205 | 5.4× |
| CT pelvis w&w/o contrast (72194) | $956 | $1,912 | 5.2× |
| CT pelvis w/o contrast (72192) | $565.50 | $1,131 | 5.1× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$973.50–$1,025 | $1,947–$2,050 | varies |
| CT scans face/jaw combo (70488) | $737.50 | $1,475 | 4.0× |
| CT soft tissue neck w contrast (70491) | $612.50 | $1,225 | 3.3× |
| CT soft tissue neck w/o contrast (70490) | $519 | $1,038 | 4.7× |
| CT thoracic spine w contrast (72129) | $826.50 | $1,653 | 4.5× |
| CT thoracic spine w/o contrast (72128) | $707 | $1,414 | 6.4× |
| CT thoracic spine w/wo cont (72130) | $1,040.50 | $2,081 | 5.6× |
| CT thorax w/o contrast (71250) | $543.50 | $1,087 | 4.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$657.50–$986.50 | $1,315–$1,973 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$778–$1,083 | $1,556–$2,166 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,212.50 | $2,425 | 6.5× |
| Cta Abdomen (74175) | $838 | $1,676 | 4.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,146 | $2,292 | 3.1× |
| CTA pelvis (72191) | $883.50 | $1,767 | 4.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $375.50 | $751 | 3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $395.50 | $791 | 3.6× |
| Dxa Bone Density Axial (77080) | $273.50 | $547 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $143.50 | $287 | 1.6× |
| Echo exam of fetal heart (76825) | $375.50 | $751 | 0.6× |
| Echo exam uterus (76831) | $452.50 | $905 | 1.8× |
| Echo Guide For Artery Repair (76936) | $632 | $1,264 | 2.8× |
| Esophagram (74220) | $460.50 | $921 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) | $462.50 | $925 | 4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $402.50 | $805 | 3.6× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $728 | $1,456 | 2.9× |
| Fluoroscopy up to 1 hr (76000) | $609.50 | $1,219 | 2.4× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$128.50–$240.50 | $257–$481 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$155.50–$238.50 | $311–$477 | varies |
| Gastric emptying imaging study (78264) | $1,317 | $2,634 | 3.1× |
| Gated Heart Planar Single (78472) | $1,665 | $3,330 | 3.9× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$153–$230 | $306–$460 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,651.50 | $3,303 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,315.50 | $2,631 | 3.1× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$704–$3,116 | $1,408–$6,232 | varies |
| Hysterosalpingogram (74740) | $718 | $1,436 | 2.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $588.50 | $1,177 | 6.4× |
| Joint Survey Single View (77077) | $238.50 | $477 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,051.50 | $2,103 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,433.50 | $2,867 | 2.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$198–$284 | $396–$568 | varies |
| Liver imaging static only (78201) | $905 | $1,810 | 1.6× |
| Lung Perf&Ventilat Diferentl (78598) | $2,046 | $4,092 | 3.6× |
| Lung perfusion differential (78597) | $1,120.50 | $2,241 | 2.6× |
| Lung Ventilat&Perfus Imaging (78582) | $2,046 | $4,092 | 3.6× |
| Lung Ventilation Imaging (78579) | $560.50 | $1,121 | 1.3× |
| Lymph System Imaging (78195) | $1,261 | $2,522 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $659.50 | $1,319 | 2.6× |
| Meckels Divert Exam (78290) | $913 | $1,826 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,026.50 | $2,053 | 2.8× |
| MRA head w/o contrast (70544) | $768.50 | $1,537 | 3.0× |
| MRA head with contrast (70545) | $993.50 | $1,987 | 2.7× |
| MRA neck w contrast (70548) | $921 | $1,842 | 2.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $931 | $1,862 | 2.5× |
| MRA neck w/o contrast (70547) | $507.50 | $1,015 | 2.0× |
| MRI abdomen w contrast (74182) | $881.50 | $1,763 | 2.4× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$491–$826.50 | $982–$1,653 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$780.50–$1,135 | $1,561–$2,270 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$907.50–$1,361 | $1,815–$2,722 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$763.50–$1,135 | $1,527–$2,270 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,071.50 | $2,143 | 4.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $752 | $1,504 | 3.0× |
| MRI cardiac w/o contrast (75557) | $785 | $1,570 | 3.1× |
| MRI cervical spine w contrast (72142) | $922 | $1,844 | 2.5× |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$236–$748.50 | $472–$1,497 | varies |
| MRI chest w/o contrast (71550) | $717.50 | $1,435 | 2.8× |
| MRI chest wo w contrast (71552) | $937 | $1,874 | 2.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $863.50 | $1,727 | 2.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$932.50–$1,324 | $1,865–$2,648 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$656–$945.50 | $1,312–$1,891 | varies |
| MRI lumbar spine w contrast (72149) | $873.50 | $1,747 | 2.4× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$331–$1,321.50 | $662–$2,643 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $642.50 | $1,285 | 2.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $882.50 | $1,765 | 2.4× |
| MRI pelvis w contrast (72196) | $892.50 | $1,785 | 2.4× |
| MRI pelvis w/o & w contrast (72197) | $1,053 | $2,106 | 2.9× |
| MRI pelvis w/o contrast (72195) | $728 | $1,456 | 2.9× |
| MRI spectroscopy (76390) | $812 | $1,624 | 8.8× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$262.50–$809 | $525–$1,618 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$668–$945.50 | $1,336–$1,891 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$903.50–$1,324 | $1,807–$2,648 | varies |
| MRI, abdomen, combo (74183) | $1,019 | $2,038 | 2.8× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$331–$1,020.50 | $662–$2,041 | varies |
| MRI, dorsal spine contrast (72147) | $902 | $1,804 | 2.4× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$648–$945.50 | $1,296–$1,891 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$885–$1,324 | $1,770–$2,648 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$331–$985 | $662–$1,970 | varies |
| Myelogram cervical (72240) | $1,569 | $3,138 | 1.9× |
| Myelogram Lumbar (72265) | $921 | $1,842 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $2,049.50 | $4,099 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $4,249 | $8,498 | 3.1× |
| N-invas est c ffr sw aly CTA (75580) | $2,656.50 | $5,313 | 2.9× |
| Neck soft tissue (70360) | $158 | $316 | 1.7× |
| Nuclear Rx Oral Admin (79005) | $2,044.50 | $4,089 | 8.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $335.50 | $671 | 3.0× |
| Parathyroid Planar Imaging (78070) | $864.50 | $1,729 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $907.50 | $1,815 | 2.1× |
| Pelvis 1 or 2 views (72170) | $192 | $384 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,116.50 | $2,233 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $377.50 | $755 | 3.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$190–$271.50 | $380–$543 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$168.50–$252.50 | $337–$505 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$198–$262 | $396–$524 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $236.50 | $473 | 2.1× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$105–$153.50 | $210–$307 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$195.50–$293.50 | $391–$587 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$190.50–$262 | $381–$524 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$146–$241.50 | $292–$483 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $198.50 | $397 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $192.50 | $385 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$199–$275.50 | $398–$551 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $185 | $370 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $157.50 | $315 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $191.50 | $383 | 2.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$105–$152 | $210–$304 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$146–$241.50 | $292–$483 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$168.50–$252.50 | $337–$505 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $260.50 | $521 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $310 | $620 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $870 | $1,740 | 4.7× |
| Radiologic exam colon single contrast study (74270) | $520.50 | $1,041 | 2.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $509 | $1,018 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$215.50–$315.50 | $431–$631 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $240 | $480 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $530.50 | $1,061 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $439 | $878 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $571 | $1,142 | 3.1× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$67.50–$102 | $135–$204 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$197.50–$314 | $395–$628 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$165.50–$239.50 | $331–$479 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $390 | $780 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$192–$284 | $384–$568 | varies |
| Ribs bilateral 3 views (71110) | $225.50 | $451 | 2.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $692 | $1,384 | 1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,492.50 | $2,985 | 3.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,614 | $3,228 | 2.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,620.50 | $5,241 | 1.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,975 | $3,950 | 1.4× |
| Rp Therapy Intravenous Administration (79101) | $1,287 | $2,574 | 5.2× |
| Scapula (73010) range across 3 matching MRF lines |
$189–$270.50 | $378–$541 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $39 | $78 | 1.7× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$129.50–$196 | $259–$392 | varies |
| Shoulder Arthrography (73040) | $903.50 | $1,807 | 2.4× |
| Skull less than 4 views (70250) | $193.50 | $387 | 1.7× |
| Special Physics Consult (77370) | $1,094 | $2,188 | 7.7× |
| Special treatment procedure (77470) | $2,684 | $5,368 | 4.6× |
| Sternoclavicular joints (71130) | $159.50 | $319 | 1.7× |
| Thoracic spine 2 views (72070) | $213 | $426 | 1.9× |
| Thoracic spine 3 views (72072) | $257 | $514 | 2.3× |
| Thoracolumbar 2 views (72080) | $227.50 | $455 | 2.5× |
| Thyroid Met Imaging Body (78018) | $1,542 | $3,084 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $929.50 | $1,859 | 2.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$342.50–$479.50 | $685–$959 | varies |
| Ultrasound Elastography Parenchyma (76981) | $204 | $408 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $258 | $516 | 2.3× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$359–$437 | $718–$874 | varies |
| Umbilical-artery Doppler (OB) (76820) | $372 | $744 | 3.4× |
| Unlisted us procedure (76999) | $407 | $814 | 4.4× |
| Upper gi w/o kub (74240) | $511 | $1,022 | 2.8× |
| Urethrocystogram voiding (74455) | $570 | $1,140 | 2.3× |
| Urethrocystography retrograde (74450) | $615 | $1,230 | 2.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$428–$600.50 | $856–$1,201 | varies |
| Us chest (76604) | $361 | $722 | 3.3× |
| Us exam, pelvic, limited (76857) | $402.50 | $805 | 3.6× |
| Us head (76506) | $556 | $1,112 | 5.0× |
| Us kidney transplant (76776) | $497 | $994 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$293.50–$440.50 | $587–$881 | varies |
| Us ob detailed single fetus (76811) | $800 | $1,600 | 3.2× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$488–$513.50 | $976–$1,027 | varies |
| Us ob transvaginal (76817) | $436.50 | $873 | 3.9× |
| Us pelvic non ob complete (76856) | $431.50 | $863 | 3.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $586.50 | $1,173 | 5.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $534 | $1,068 | 4.8× |
| Us retroperitoneal complete (76770) | $477 | $954 | 4.3× |
| Us retroperitoneal limited (76775) | $339 | $678 | 3.1× |
| Us scrotum and contents (76870) | $402.50 | $805 | 3.6× |
| Us spinal canal and contents (76800) | $402 | $804 | 3.6× |
| Us thyroid (76536) range across 2 matching MRF lines |
$342.50–$428.50 | $685–$857 | varies |
| Venography extremity bilateral rs&i (75822) | $1,216.50 | $2,433 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $959 | $1,918 | 0.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$150–$238.50 | $300–$477 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $203.50 | $407 | 2.2× |
| X-ray antegrade pyelogram tube (74425) | $464.50 | $929 | 1.3× |
| X-Ray Bend Only L-S Spine (72120) | $238 | $476 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$159.50–$239.50 | $319–$479 | varies |
| X-Ray Exam Breast Specimen (76098) | $423.50 | $847 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $321.50 | $643 | 3.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $372 | $744 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $153 | $306 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $197.50 | $395 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $231.50 | $463 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $282.50 | $565 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $359 | $718 | 3.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $207 | $414 | 2.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $304 | $608 | 2.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $233.50 | $467 | 2.1× |
| X-ray eye for foreign body (70030) | $209.50 | $419 | 2.3× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$190–$262 | $380–$524 | varies |
| X-ray IV pyelogram (ivp) (74400) | $483.50 | $967 | 2.6× |
| X-ray IV pyelogram+tomography (74415) | $634 | $1,268 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $142.50 | $285 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $234 | $468 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $176 | $352 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $305.50 | $611 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $192.50 | $385 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $198 | $396 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $261.50 | $523 | 2.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $297 | $594 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $281 | $562 | 2.5× |
| X-Ray Tmj Unilat (70328) | $169.50 | $339 | 1.8× |
| X-Rays Bone Length Studies (77073) | $265 | $530 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $422.50 | $845 | 3.8× |
| Xr c-spine 4 or 5 views (72050) | $287.50 | $575 | 2.6× |
| Xr facial bones less than 3 views (70140) | $200.50 | $401 | 2.2× |
| Xr orbits complete 4 views (70200) | $224 | $448 | 2.0× |
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.