Imaging prices at PeaceHealth United General Medical Center
Sedro-Woolley, WA · every code in this section with a posted price and a Medicare benchmark.
262 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) | $7,843.55 | $12,067 | 5.1× |
| Abdomen 1 View (74018) | $214.50 | $330 | 2.2× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$287.95–$330.85 | $443–$509 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,442.35 | $2,219 | 3.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$240.50–$481 | $370–$740 | varies |
| Arthrogram hip (73525) | $947.05 | $1,457 | 2.4× |
| Arthrogram Wrist (73115) | $878.15 | $1,351 | 2.3× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$445.90–$891.80 | $686–$1,372 | varies |
| Bone age studies (77072) | $177.45 | $273 | 1.5× |
| Bone Imaging 3 Phase (78315) | $2,197 | $3,380 | 4.9× |
| Bone Imaging Limited Area (78300) | $696.15 | $1,071 | 1.6× |
| Bone Imaging Whole Body (78306) | $1,554.15 | $2,391 | 3.5× |
| Bone survey infant (77076) | $325.65 | $501 | 2.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,221.70 | $3,418 | 5.7× |
| Chest 1 view (71045) | $199.55 | $307 | 2.1× |
| Chest 2 views (71046) | $265.20 | $408 | 2.7× |
| Chest 3 views (71047) | $320.45 | $493 | 3.3× |
| Chest 4 or more views (71048) | $396.50 | $610 | 3.4× |
| Clavicle complete (73000) | $243.10 | $374 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $205.40 | $316 | 1.8× |
| Continuing medical physics consltj pr wk (77336) | $827.45 | $1,273 | 5.5× |
| Contrast X-Ray Bladder (74430) | $583.05 | $897 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $863.20 | $1,328 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,119.35 | $4,799 | 8.0× |
| CT abdomen and pelvis without contrast (74176) | $1,976 | $3,040 | 7.4× |
| CT abdomen w contrast (74160) | $2,159.95 | $3,323 | 11.1× |
| CT abdomen w wo contrast (74170) | $2,523.30 | $3,882 | 12.9× |
| CT abdomen w/o contrast (74150) | $1,318.85 | $2,029 | 11.3× |
| CT Angio Abdomen and Pelvis (74174) | $4,078.10 | $6,274 | 10.5× |
| CT Angio Chest (71275) | $3,256.50 | $5,010 | 16.7× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$4,236.70–$6,585.80 | $6,518–$10,132 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,281.15–$1,584.70 | $1,971–$2,438 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,264.95 | $5,023 | 16.7× |
| CT Angio Neck (70498) | $4,395.95 | $6,763 | 22.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$570.05–$1,995.50 | $877–$3,070 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,896.40 | $4,456 | 14.8× |
| CT cervical spine w/ contrast (72126) | $1,651 | $2,540 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,715.35 | $2,639 | 14.7× |
| CT cervical spine w/wo cont (72127) | $1,847.95 | $2,843 | 9.5× |
| CT chest w contrast (71260) | $2,119 | $3,260 | 10.8× |
| CT chest w/wo contrast (71270) | $1,157 | $1,780 | 5.9× |
| CT head/brain with contrast (70460) | $1,135.55 | $1,747 | 5.8× |
| CT head/brain without and with contrast (70470) | $1,422.85 | $2,189 | 7.3× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$124.80–$176.15 | $192–$271 | varies |
| CT iac w contrast (70481) | $1,379.30 | $2,122 | 7.1× |
| CT l-spine w&w/o contrast (72133) | $2,284.10 | $3,514 | 11.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,688.70–$3,377.40 | $2,598–$5,196 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,121.60–$4,243.20 | $3,264–$6,528 | varies |
| CT lumbar spine w contrast (72132) | $1,929.20 | $2,968 | 5.0× |
| CT lumbar spine w/o contrast (72131) | $1,686.10 | $2,594 | 14.5× |
| CT maxillofacial w contrast (70487) | $2,214.55 | $3,407 | 11.3× |
| CT maxillofacial wo contrast (70486) | $1,816.10 | $2,794 | 15.6× |
| CT neck tissue combo (70492) | $1,355.90 | $2,086 | 6.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,693.90 | $2,606 | 8.7× |
| CT orbits w/o contrast (70480) | $833.30 | $1,282 | 7.2× |
| CT pelvis w&w/o contrast (72194) | $1,464.45 | $2,253 | 7.5× |
| CT pelvis w/o contrast (72192) | $1,315.60 | $2,024 | 11.3× |
| CT scan of leg combo (73702) | $1,238.90 | $1,906 | 6.3× |
| CT scans face/jaw combo (70488) | $1,166.75 | $1,795 | 6.0× |
| CT soft tissue neck w contrast (70491) | $2,118.35 | $3,259 | 10.8× |
| CT soft tissue neck w/o contrast (70490) | $1,714.70 | $2,638 | 14.7× |
| CT thoracic spine w contrast (72129) | $1,489.15 | $2,291 | 7.6× |
| CT thoracic spine w/o contrast (72128) | $1,694.55 | $2,607 | 14.5× |
| CT thoracic spine w/wo cont (72130) | $1,837.55 | $2,827 | 9.4× |
| CT thorax w/o contrast (71250) | $1,681.55 | $2,587 | 14.4× |
| CT unlisted procedure (76497) | $200.20 | $308 | 2.1× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,681.55–$3,363.10 | $2,587–$5,174 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,578.85 | $2,429 | 8.1× |
| CT upper extremity with contrast (73201) | $2,083.25 | $3,205 | 5.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,526.25 | $5,425 | 18.0× |
| Cta Abdomen (74175) | $3,275.35 | $5,039 | 16.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$3,595.80–$5,589.35 | $5,532–$8,599 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,157–$2,658.50 | $1,780–$4,090 | varies |
| Dxa Bone Density Axial (77080) | $318.50 | $490 | 2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $107.25 | $165 | 1.1× |
| Echograp Trans R Pros Study (76873) | $276.90 | $426 | 2.4× |
| Esophagram (74220) | $774.15 | $1,191 | 4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $507.65 | $781 | 4.4× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$400.40–$480.35 | $616–$739 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$221–$442 | $340–$680 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$230.10–$460.20 | $354–$708 | varies |
| Gastric emptying imaging study (78264) | $1,833 | $2,820 | 4.1× |
| Gated Heart Planar Single (78472) | $1,058.85 | $1,629 | 2.4× |
| Gated Heart, Multiple (78473) | $767.65 | $1,181 | 1.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$261.30–$522.60 | $402–$804 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,341.65 | $5,141 | 5.5× |
| Hepatobiliary System Imaging (78226) | $2,449.20 | $3,768 | 5.5× |
| Ht Muscle Image Spect Sing (78451) | $2,837.25 | $4,365 | 2.0× |
| Hysterosalpingogram (74740) | $587.60 | $904 | 2.2× |
| Joint Survey Single View (77077) | $302.90 | $466 | 2.6× |
| K Flow/Funct Image Multiple (78709) | $1,209 | $1,860 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $1,372.15 | $2,111 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,475.50 | $2,270 | 2.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$293.80–$587.60 | $452–$904 | varies |
| Lung perfusion differential (78597) | $895.05 | $1,377 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,392 | $3,680 | 4.0× |
| Lung Ventilation Imaging (78579) | $923.65 | $1,421 | 2.1× |
| Lymph System Imaging (78195) | $2,215.85 | $3,409 | 3.7× |
| Magnetic Image Jaw Joint (70336) | $1,387.10 | $2,134 | 5.2× |
| Mlc imrt design & construction per imrt plan (77338) | $3,411.20 | $5,248 | 8.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,972.15 | $6,111 | 10.2× |
| MRA head w/o contrast (70544) | $2,754.70 | $4,238 | 10.4× |
| MRA head with contrast (70545) | $3,110.90 | $4,786 | 8.0× |
| MRA neck w contrast (70548) | $2,932.15 | $4,511 | 7.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,174.95 | $6,423 | 10.7× |
| MRA neck w/o contrast (70547) | $2,756.65 | $4,241 | 10.4× |
| MRI abdomen w/o contrast (74181) | $2,154.10 | $3,314 | 8.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,918.80–$2,281.50 | $2,952–$3,510 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,387.45 | $3,673 | 6.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,961.70 | $3,018 | 2.2× |
| MRI cardiac w/o contrast (75557) | $1,145.95 | $1,763 | 4.3× |
| MRI cervical spine w contrast (72142) | $2,326.35 | $3,579 | 6.0× |
| MRI cervical spine w/o cont (72141) | $1,997.45 | $3,073 | 7.5× |
| MRI chest w/o contrast (71550) | $1,960.40 | $3,016 | 7.4× |
| MRI chest wo w contrast (71552) | $2,443.35 | $3,759 | 6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,155.40 | $3,316 | 5.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,314.35–$6,628.70 | $5,099–$10,198 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,584.70 | $2,438 | 6.0× |
| MRI lumbar spine w contrast (72149) | $2,204.15 | $3,391 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,896.40 | $4,456 | 7.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,802.45 | $2,773 | 6.8× |
| MRI orbit face neck w contrast (70542) | $2,170.35 | $3,339 | 5.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,231.15 | $4,971 | 8.3× |
| MRI pelvis w contrast (72196) | $1,559.35 | $2,399 | 4.0× |
| MRI pelvis w/o & w contrast (72197) | $3,294.20 | $5,068 | 8.5× |
| MRI pelvis w/o contrast (72195) | $2,473.25 | $3,805 | 9.3× |
| MRI thoracic spine w/o contrast (72146) | $2,091.70 | $3,218 | 7.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,074.80 | $3,192 | 5.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,362.40 | $2,096 | 5.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,285.75 | $5,055 | 8.5× |
| MRI, abdomen, combo (74183) | $3,307.20 | $5,088 | 8.5× |
| MRI, dorsal spine combo (72157) | $2,877.55 | $4,427 | 7.4× |
| MRI, dorsal spine contrast (72147) | $1,983.15 | $3,051 | 5.1× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,707.55–$3,415.10 | $2,627–$5,254 | varies |
| MRI, joint upper extrem combo (73223) | $3,069.30 | $4,722 | 7.9× |
| MRI, lumbar spine combo (72158) | $3,104.40 | $4,776 | 8.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,538.90 | $3,906 | 1.8× |
| Myocardial Spect Multiple Studies (78452) | $3,009.50 | $4,630 | 2.1× |
| Neck soft tissue (70360) | $226.85 | $349 | 2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,425.90 | $9,886 | 4.2× |
| Parathyroid Planar Imaging (78070) | $1,896.70 | $2,918 | 4.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,366.95 | $2,103 | 3.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$239.85–$333.45 | $369–$513 | varies |
| PET image w/CT, full body (78816) | $2,986.10 | $4,594 | 1.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,484 | $5,360 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,004.25 | $1,545 | 2.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $387.40 | $596 | 3.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $705.25 | $1,085 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$284.05–$568.10 | $437–$874 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$237.25–$248.30 | $365–$382 | varies |
| Radex elbow complete minimum 3 views (73080) | $284.05 | $437 | 2.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$347.10–$370.50 | $534–$570 | varies |
| Radex fingr minimum 2 views (73140) | $300.30 | $462 | 3.1× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$263.90–$527.80 | $406–$812 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$273–$546 | $420–$840 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $276.90 | $426 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$250.90–$284.05 | $386–$437 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$256.75–$280.15 | $395–$431 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$254.15–$508.30 | $391–$782 | varies |
| Radex Spine 1 View Specify Level (72020) | $186.55 | $287 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $274.95 | $423 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $200.20 | $308 | 2.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$256.75–$534.30 | $395–$822 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $280.15 | $431 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$327.60–$655.20 | $504–$1,008 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $20,124 | $30,960 | 2.5× |
| Radiation treatment delivery level 1 (77402) | $423.15 | $651 | 3.7× |
| Radiation treatment delivery level 2 (77407) | $585 | $900 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $720.20 | $1,108 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $323.70 | $498 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $403 | $620 | 3.5× |
| Radiologic exam colon double contrast study (74280) | $876.85 | $1,349 | 4.5× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$706.55–$1,368.25 | $1,087–$2,105 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$479.05–$958.10 | $737–$1,474 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$367.90–$370.50 | $566–$570 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $944.45 | $1,453 | 4.8× |
| Radiologic exam swallow function contrast study (74230) | $744.25 | $1,145 | 3.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $510.90 | $786 | 2.6× |
| Radiologic examination femur 1 view (73551) | $119.60 | $184 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$249.60–$499.20 | $384–$768 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$260–$520 | $400–$800 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$223.60–$447.20 | $344–$688 | varies |
| Ribs bilateral 3 views (71110) | $384.15 | $591 | 3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,168.40 | $3,336 | 3.6× |
| Scapula (73010) | $299.65 | $461 | 2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.30 | $62 | 1.7× |
| Shoulder 1 view (73020) | $190.45 | $293 | 2.0× |
| Shoulder Arthrography (73040) | $898.30 | $1,382 | 2.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$282.10–$297.70 | $434–$458 | varies |
| Special dosimetry (77331) | $265.20 | $408 | 1.8× |
| Special Physics Consult (77370) | $613.60 | $944 | 4.1× |
| Special teletherapy port plan (77321) | $945.75 | $1,455 | 2.3× |
| Special treatment procedure (77470) | $2,564.90 | $3,946 | 4.2× |
| Stereotactic Body Radiation Delivery (77373) | $3,974.10 | $6,114 | 2.0× |
| Sternoclavicular joints (71130) | $254.15 | $391 | 2.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $657.15 | $1,011 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,953.25 | $3,005 | 4.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,470.30 | $2,262 | 3.5× |
| Ther rad simulaj-aided field setting simple (77280) | $1,029.60 | $1,584 | 6.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$267.15–$317.20 | $411–$488 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$302.90–$358.80 | $466–$552 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$135.20–$306.80 | $208–$472 | varies |
| Thyroid Uptake Measurement (78012) | $725.40 | $1,116 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,526.85 | $2,349 | 3.4× |
| Tx Devices Design & Construction Complex (77334) | $1,164.80 | $1,792 | 2.8× |
| Tx devices design & construction intermediate (77333) | $709.15 | $1,091 | 4.7× |
| Tx devices design & construction simple (77332) | $377 | $580 | 2.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$347.10–$694.20 | $534–$1,068 | varies |
| Ultrasound Exam Aaa Screen (76706) | $280.80 | $432 | 2.4× |
| Ultrasound, abdomen limited (76705) | $506.35 | $779 | 4.3× |
| Upper gi w/o kub (74240) | $456.95 | $703 | 2.3× |
| Urethrocystography retrograde (74450) | $401.05 | $617 | 1.5× |
| Us breast unilateral complete (76641) | $434.20 | $668 | 3.7× |
| Us chest (76604) | $393.25 | $605 | 3.4× |
| Us complete joint (76881) range across 2 matching MRF lines |
$567.45–$1,134.90 | $873–$1,746 | varies |
| Us exam, pelvic, limited (76857) | $467.35 | $719 | 4.0× |
| Us kidney transplant (76776) | $542.75 | $835 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$135.85–$271.70 | $209–$418 | varies |
| Us ob detailed single fetus (76811) | $689 | $1,060 | 2.6× |
| Us ob limited 1 or more fetuses (76815) | $386.10 | $594 | 3.3× |
| Us ob transvaginal (76817) | $434.85 | $669 | 3.7× |
| Us pelvic non ob complete (76856) | $579.15 | $891 | 5.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $431.60 | $664 | 3.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $505.70 | $778 | 4.3× |
| Us retroperitoneal complete (76770) | $614.90 | $946 | 5.3× |
| Us retroperitoneal limited (76775) | $505.70 | $778 | 4.3× |
| Us scrotum and contents (76870) | $583.05 | $897 | 5.0× |
| Us thyroid (76536) | $586.30 | $902 | 5.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$273–$546 | $420–$840 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $343.85 | $529 | 3.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$291.85–$327.60 | $449–$504 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$240.50–$261.95 | $370–$403 | varies |
| X-Ray Exam Breast Specimen (76098) | $429 | $660 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $277.55 | $427 | 2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $280.80 | $432 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $222.30 | $342 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$328.25–$656.50 | $505–$1,010 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $271.05 | $417 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $341.25 | $525 | 2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$441.35–$510.25 | $679–$785 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$538.20–$544.05 | $828–$837 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$342.55–$364 | $527–$560 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$416–$520 | $640–$800 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$310.05–$358.80 | $477–$552 | varies |
| X-ray eye for foreign body (70030) | $262.60 | $404 | 2.7× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$240.50–$481 | $370–$740 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$255.45–$290.55 | $393–$447 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$217.75–$435.50 | $335–$670 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $297.05 | $457 | 2.5× |
| X-ray nose-rectum child f.b. (76010) | $176.80 | $272 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $455 | $700 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$199.55–$308.75 | $307–$475 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $253.50 | $390 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $218.40 | $336 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$310.05–$317.20 | $477–$488 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $455 | $700 | 3.9× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$280.80–$404.30 | $432–$622 | varies |
| X-Rays Bone Length Studies (77073) | $323.70 | $498 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $596.70 | $918 | 5.1× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$450.45–$451.10 | $693–$694 | varies |
| Xr facial bones less than 3 views (70140) | $229.45 | $353 | 2.4× |
| Xr orbits complete 4 views (70200) | $356.20 | $548 | 3.1× |
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.