Imaging prices at Peterson Regional Medical Center
Kerrville, TX · every code in this section with a posted price and a Medicare benchmark.
253 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) | $403 | $620 | 4.6× |
| Abdomen 2 views (74019) | $481 | $740 | 4.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,966.25 | $3,025 | 4.9× |
| Angio pulmonary bilat (75743) | $4,563 | $7,020 | 1.4× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,575–$4,108 | $5,500–$6,320 | varies |
| Angiography extremity unilateral rs&i (75710) | $4,550 | $7,000 | 1.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,212 | $6,480 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,153.50 | $6,390 | 1.3× |
| Ankle 2 views (73600) | $455 | $700 | 5.2× |
| Aortography thoracic serialography rs&i (75605) | $7,735 | $11,900 | 1.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,563 | $7,020 | 1.4× |
| Artery X-Rays Abdomen (75726) | $5,005 | $7,700 | 0.9× |
| Artery X-Rays Pelvis (75736) | $6,175 | $9,500 | 1.1× |
| Artery X-Rays Spine (75705) | $7,475 | $11,500 | 1.3× |
| Arthrogram hip (73525) | $1,205.75 | $1,855 | 3.4× |
| Arthrogram Wrist (73115) | $279.50 | $430 | 0.8× |
| Bone age studies (77072) | $224.25 | $345 | 2.1× |
| Bone Imaging 3 Phase (78315) | $1,615.25 | $2,485 | 4.0× |
| Bone Imaging Limited Area (78300) | $1,589.25 | $2,445 | 4.0× |
| Bone Imaging Whole Body (78306) | $2,034.50 | $3,130 | 5.1× |
| Bone survey infant (77076) | $201.50 | $310 | 1.9× |
| Brain Flow Imaging Only (78610) | $770.25 | $1,185 | 1.4× |
| Cat Scan Follow-Up Study (76380) | $1,391 | $2,140 | 15.9× |
| Chest 1 view (71045) | $438.75 | $675 | 5.0× |
| Chest 2 views (71046) | $487.50 | $750 | 5.6× |
| Chest 3 views (71047) | $520 | $800 | 5.9× |
| Chest 4 or more views (71048) | $552.50 | $850 | 5.3× |
| Clavicle complete (73000) | $373.75 | $575 | 4.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $260 | $400 | 2.5× |
| Contrast Exam Abdominl Aorta (75625) | $4,563 | $7,020 | 1.4× |
| Contrast X-Ray Bladder (74430) | $643.50 | $990 | 1.8× |
| Contrast X-Ray Of Elbow (73085) | $702 | $1,080 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $910 | $1,400 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $5,395 | $8,300 | 15.4× |
| CT abdomen and pelvis without contrast (74176) | $3,900 | $6,000 | 16.3× |
| CT abdomen w contrast (74160) | $3,012.75 | $4,635 | 17.1× |
| CT abdomen w wo contrast (74170) | $3,181.75 | $4,895 | 18.1× |
| CT abdomen w/o contrast (74150) | $2,518.75 | $3,875 | 24.0× |
| CT Angio Abdomen and Pelvis (74174) | $5,304 | $8,160 | 15.1× |
| CT Angio Chest (71275) | $3,646.50 | $5,610 | 20.7× |
| CT Angio Head (70496) | $3,445 | $5,300 | 19.6× |
| CT angio hrt w/3d image (75574) | $3,646.50 | $5,610 | 10.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,827.50 | $4,350 | 16.0× |
| CT Angio Neck (70498) | $3,484 | $5,360 | 19.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,787.50 | $2,750 | 10.1× |
| CT cervical spine w/ contrast (72126) | $3,913 | $6,020 | 11.2× |
| CT cervical spine w/o contrast (72125) | $3,068 | $4,720 | 29.2× |
| CT cervical spine w/wo cont (72127) | $2,736.50 | $4,210 | 15.5× |
| CT chest w contrast (71260) | $3,315 | $5,100 | 18.8× |
| CT chest w/wo contrast (71270) | $4,108 | $6,320 | 23.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,122.25 | $3,265 | 20.2× |
| CT head/brain with contrast (70460) | $2,717 | $4,180 | 15.4× |
| CT head/brain without and with contrast (70470) | $2,827.50 | $4,350 | 16.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $260 | $400 | 3.0× |
| CT iac w contrast (70481) | $2,600 | $4,000 | 14.8× |
| CT l-spine w&w/o contrast (72133) | $2,895.75 | $4,455 | 16.4× |
| CT lower ext w/o (73700) | $1,940.25 | $2,985 | 18.5× |
| CT lower extremity w/contrast material (73701) | $2,801.50 | $4,310 | 15.9× |
| CT lumbar spine w contrast (72132) | $4,179.50 | $6,430 | 11.9× |
| CT lumbar spine w/o contrast (72131) | $2,801.50 | $4,310 | 26.7× |
| CT maxillofacial w contrast (70487) | $2,983.50 | $4,590 | 16.9× |
| CT maxillofacial wo contrast (70486) | $2,652 | $4,080 | 25.3× |
| CT neck tissue combo (70492) | $2,746.25 | $4,225 | 15.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,632.50–$2,925 | $4,050–$4,500 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,210–$2,275 | $3,400–$3,500 | varies |
| CT pelvis w&w/o contrast (72194) | $2,034.50 | $3,130 | 11.5× |
| CT pelvis w/o contrast (72192) | $2,587 | $3,980 | 24.6× |
| CT scan of leg combo (73702) | $2,106 | $3,240 | 12.0× |
| CT scans face/jaw combo (70488) | $2,034.50 | $3,130 | 11.5× |
| CT soft tissue neck w contrast (70491) | $2,746.25 | $4,225 | 15.6× |
| CT soft tissue neck w/o contrast (70490) | $2,453.75 | $3,775 | 23.4× |
| CT thoracic spine w contrast (72129) | $3,012.75 | $4,635 | 17.1× |
| CT thoracic spine w/o contrast (72128) | $2,801.50 | $4,310 | 26.7× |
| CT thoracic spine w/wo cont (72130) | $2,106 | $3,240 | 12.0× |
| CT thorax w/o contrast (71250) | $2,600 | $4,000 | 24.8× |
| CT upper ext wo (73200) | $2,076.75 | $3,195 | 19.8× |
| CT upper extremity w/o & w/contrast material (73202) | $3,549 | $5,460 | 20.1× |
| CT upper extremity with contrast (73201) | $4,108 | $6,320 | 11.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,108 | $6,320 | 23.3× |
| Cta Abdomen (74175) | $5,505.50 | $8,470 | 31.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $7,800 | $12,000 | 22.3× |
| CTA pelvis (72191) | $1,787.50 | $2,750 | 10.1× |
| Dxa Bone Density Axial (77080) | $393.25 | $605 | 3.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $344.50 | $530 | 3.9× |
| Esophagram (74220) | $721.50 | $1,110 | 4.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $962 | $1,480 | 9.2× |
| Fluoroscopy up to 1 hr (76000) | $757.25 | $1,165 | 3.2× |
| Foot 2 views (73620) | $406.25 | $625 | 4.6× |
| Forearm 2 views (73090) | $455 | $700 | 5.2× |
| Gastric emptying imaging study (78264) | $2,034.50 | $3,130 | 5.1× |
| Gated Heart Planar Single (78472) | $2,034.50 | $3,130 | 5.1× |
| Hand 2 views (73120) | $438.75 | $675 | 4.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,210 | $3,400 | 4.1× |
| Hepatobiliary System Imaging (78226) | $2,255.50 | $3,470 | 5.6× |
| Ht Muscle Image Spect Sing (78451) | $3,510 | $5,400 | 2.7× |
| Hysterosalpingogram (74740) | $1,326 | $2,040 | 5.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $328.25 | $505 | 3.8× |
| K Flow/Funct Image W/Drug (78708) | $1,579.50 | $2,430 | 2.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,579.50 | $2,430 | 2.9× |
| Knee 3 Views (73562) | $520 | $800 | 5.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,615.25 | $2,485 | 4.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,034.50 | $3,130 | 3.7× |
| Lymph System Imaging (78195) | $1,543.75 | $2,375 | 2.8× |
| Magnetic Image Jaw Joint (70336) | $1,885 | $2,900 | 7.9× |
| Meckels Divert Exam (78290) | $981.50 | $1,510 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,860 | $4,400 | 8.2× |
| MRA head w/o contrast (70544) | $3,113.50 | $4,790 | 13.0× |
| MRA neck w contrast (70548) | $3,549 | $5,460 | 10.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,153.50 | $6,390 | 11.9× |
| MRA neck w/o contrast (70547) | $2,034.50 | $3,130 | 8.5× |
| MRI abdomen w/o contrast (74181) | $3,120 | $4,800 | 13.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,614 | $5,560 | 10.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,868.75 | $2,875 | 7.8× |
| MRI cervical spine w contrast (72142) | $3,445 | $5,300 | 9.8× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,950–$3,900 | $3,000–$6,000 | varies |
| MRI chest w/o contrast (71550) | $2,002 | $3,080 | 8.4× |
| MRI chest wo w contrast (71552) | $4,153.50 | $6,390 | 11.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,153.50 | $6,390 | 11.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,412.50 | $5,250 | 14.2× |
| MRI lumbar spine w contrast (72149) | $3,770 | $5,800 | 10.8× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,600–$4,355 | $4,000–$6,700 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,275 | $3,500 | 9.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,225 | $6,500 | 12.1× |
| MRI pelvis w/o & w contrast (72197) | $4,485 | $6,900 | 12.8× |
| MRI pelvis w/o contrast (72195) | $3,181.75 | $4,895 | 13.3× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,755–$3,510 | $2,700–$5,400 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$3,012.75–$3,042 | $4,635–$4,680 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$3,042–$3,614 | $4,680–$5,560 | varies |
| MRI, abdomen, combo (74183) | $4,550 | $7,000 | 13.0× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,860–$4,550 | $4,400–$7,000 | varies |
| MRI, dorsal spine contrast (72147) | $3,380 | $5,200 | 9.6× |
| MRI, joint upper extrem (73221) | $3,412.50 | $5,250 | 14.2× |
| MRI, joint upper extrem combo (73223) | $3,757 | $5,780 | 10.7× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,145–$4,225 | $3,300–$6,500 | varies |
| Myelogram cervical (72240) | $1,358.50 | $2,090 | 1.7× |
| Myelogram Lumbar (72265) | $2,535 | $3,900 | 3.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $747.50 | $1,150 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $4,940 | $7,600 | 3.8× |
| Neck soft tissue (70360) | $477.75 | $735 | 5.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $630.50 | $970 | 1.6× |
| Nonvascular Shunt X-Ray (75809) | $500.50 | $770 | 4.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,950 | $3,000 | 4.9× |
| Pelvis 1 or 2 views (72170) | $419.25 | $645 | 4.0× |
| Peritoneogram Rs&I (74190) | $893.75 | $1,375 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,615.25 | $2,485 | 4.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $689 | $1,060 | 6.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $773.50 | $1,190 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $455 | $700 | 5.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $373.75 | $575 | 4.3× |
| Radex elbow complete minimum 3 views (73080) | $568.75 | $875 | 6.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $552.50 | $850 | 5.3× |
| Radex fingr minimum 2 views (73140) | $455 | $700 | 5.2× |
| Radex foot complete minimum 3 views (73630) | $487.50 | $750 | 5.6× |
| Radex Hand Minimum 3 Views (73130) | $471.25 | $725 | 5.4× |
| Radex lower extremity infant minimum 2 views (73592) | $133.25 | $205 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $497.25 | $765 | 5.7× |
| Radex Ribs Unilateral 2 Views (71100) | $477.75 | $735 | 5.5× |
| Radex shoulder complete minimum 2 views (73030) | $487.50 | $750 | 5.6× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$292.50–$357.50 | $450–$550 | varies |
| Radex Spine 1 View Specify Level (72020) | $367.25 | $565 | 4.2× |
| Radex Sternum Minimum 2 Views (71120) | $490.75 | $755 | 5.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $338 | $520 | 3.9× |
| Radex Toe Minimum 2 Views (73660) | $390 | $600 | 4.5× |
| Radex upper extremity infant minimum 2 views (73092) | $159.25 | $245 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $520 | $800 | 5.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $559 | $860 | 5.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $386.75 | $595 | 3.7× |
| Radiologic exam colon double contrast study (74280) | $1,157 | $1,780 | 6.6× |
| Radiologic exam colon single contrast study (74270) | $913.25 | $1,405 | 5.2× |
| Radiologic exam knee complete 4/more views (73564) | $588.25 | $905 | 5.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $689 | $1,060 | 3.9× |
| Radiologic exam swallow function contrast study (74230) | $526.50 | $810 | 3.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,105 | $1,700 | 6.3× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$162.50–$188.50 | $250–$290 | varies |
| Radiologic examination femur minimum 2 views (73552) | $325 | $500 | 3.7× |
| Radiologic examination knee 1/2 views (73560) | $308.75 | $475 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $455 | $700 | 5.2× |
| Renal Cyst Study (74470) | $770.25 | $1,185 | 1.4× |
| Ribs bilateral 3 views (71110) | $601.25 | $925 | 5.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,495 | $2,300 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,950–$2,145 | $3,000–$3,300 | varies |
| Scapula (73010) | $403 | $620 | 3.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $182 | $280 | 7.8× |
| Shoulder 1 view (73020) | $406.25 | $625 | 4.6× |
| Shoulder Arthrography (73040) | $1,105 | $1,700 | 3.2× |
| Skull less than 4 views (70250) | $546 | $840 | 5.2× |
| Sternoclavicular joints (71130) | $204.75 | $315 | 2.3× |
| Thoracic spine 2 views (72070) | $617.50 | $950 | 5.9× |
| Thoracic spine 3 views (72072) | $663 | $1,020 | 6.3× |
| Thyroid Met Imaging Body (78018) | $1,683.50 | $2,590 | 3.1× |
| Thyroid Uptake Measurement (78012) | $773.50 | $1,190 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,755 | $2,700 | 4.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$351–$481 | $540–$740 | varies |
| Ultrasound elastography first target lesion (76982) | $263.25 | $405 | 2.5× |
| Ultrasound Elastography Parenchyma (76981) | $286 | $440 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $682.50 | $1,050 | 6.5× |
| Ultrasound, abdomen limited (76705) | $1,095.25 | $1,685 | 10.4× |
| Unlisted Dx Radiographic Procedure (76499) | $370.50 | $570 | 4.2× |
| Upper gi w/o kub (74240) | $1,095.25 | $1,685 | 6.2× |
| Urethrocystogram voiding (74455) | $715 | $1,100 | 3.0× |
| Urethrocystography retrograde (74450) | $702 | $1,080 | 2.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$422.50–$845 | $650–$1,300 | varies |
| Us chest (76604) | $689 | $1,060 | 6.6× |
| Us complete joint (76881) | $1,036.75 | $1,595 | 9.9× |
| Us exam, pelvic, limited (76857) | $455 | $700 | 4.3× |
| Us head (76506) | $299 | $460 | 2.8× |
| Us kidney transplant (76776) | $1,017.25 | $1,565 | 9.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $321.75 | $495 | 3.1× |
| Us ob transvaginal (76817) | $526.50 | $810 | 5.0× |
| Us pelvic non ob complete (76856) | $1,192.75 | $1,835 | 11.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $871 | $1,340 | 8.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $438.75 | $675 | 4.2× |
| Us retroperitoneal complete (76770) | $1,160.25 | $1,785 | 11.0× |
| Us scrotum and contents (76870) | $1,027 | $1,580 | 9.8× |
| Us spinal canal and contents (76800) | $224.25 | $345 | 2.1× |
| Us thyroid (76536) | $962 | $1,480 | 9.2× |
| Us transrectal (76872) | $526.50 | $810 | 5.0× |
| Vein X-Ray Chest (75827) | $2,457 | $3,780 | 1.6× |
| Venogram Sinus/Jugular (75860) | $2,860 | $4,400 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $4,433 | $6,820 | 1.4× |
| Venography extremity bilateral rs&i (75822) | $2,343.25 | $3,605 | 1.5× |
| Venography extremity unilateral rs&i (75820) | $2,106 | $3,240 | 1.3× |
| Venography Renal Unilateral (75831) | $3,861 | $5,940 | 1.2× |
| Wrist 2 views (73100) | $487.50 | $750 | 5.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $250.25 | $385 | 2.9× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,647.50–$4,914 | $7,150–$7,560 | varies |
| X-Ray Bend Only L-S Spine (72120) | $464.75 | $715 | 4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $438.75 | $675 | 5.0× |
| X-Ray Exam Breast Specimen (76098) | $871 | $1,340 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $214.50 | $330 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $227.50 | $350 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $455 | $700 | 5.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $568.75 | $875 | 5.4× |
| X-Ray Exam L-S Spine Bending (72114) | $757.25 | $1,165 | 7.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $682.50 | $1,050 | 7.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $845 | $1,300 | 8.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $520 | $800 | 5.0× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$419.25–$422.50 | $645–$650 | varies |
| X-ray IV pyelogram (ivp) (74400) | $643.50 | $990 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $308.75 | $475 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $650 | $1,000 | 6.2× |
| X-ray nose-rectum child f.b. (76010) | $861.25 | $1,325 | 9.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $656.50 | $1,010 | 6.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $386.75 | $595 | 3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $562.25 | $865 | 6.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $520 | $800 | 5.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $588.25 | $905 | 5.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,157 | $1,780 | 3.3× |
| X-Rays Bone Length Studies (77073) | $286 | $440 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $971.75 | $1,495 | 9.3× |
| Xr c-spine 4 or 5 views (72050) | $747.50 | $1,150 | 7.1× |
| Xr facial bones less than 3 views (70140) | $464.75 | $715 | 5.3× |
| Xr orbits complete 4 views (70200) | $682.50 | $1,050 | 6.5× |
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.