Imaging prices at Physicians Regional Medical Center - Pine Ridge
Naples, FL · every code in this section with a posted price and a Medicare benchmark.
251 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) | $325.53 | $1,550.15 | 3.6× |
| Abdomen 2 views (74019) | $304.47 | $1,449.84 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $801.70 | $3,817.63 | 1.9× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$1,732.98–$4,701.45 | $8,252.28–$22,387.88 | varies |
| Angiography extremity bilateral rs&i (75716) | $2,640.74 | $12,574.96 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $2,640.74 | $12,574.96 | 0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,731.27 | $8,244.12 | 0.5× |
| Ankle 2 views (73600) | $270.42 | $1,287.71 | 3.0× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$4,283.34–$4,626.01 | $20,396.84–$22,028.63 | varies |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,640.74 | $12,574.96 | 0.5× |
| Artery X-Rays Spine (75705) | $4,626.01 | $22,028.63 | 0.8× |
| Arthrogram hip (73525) | $869.80 | $4,141.89 | 2.4× |
| Bone age studies (77072) | $113.65 | $541.21 | 1.0× |
| Bone Imaging 3 Phase (78315) | $1,873.82 | $8,922.96 | 4.5× |
| Bone Imaging Limited Area (78300) | $737.04 | $3,509.70 | 1.8× |
| Bone Imaging Multiple Areas (78305) | $574.88 | $2,737.54 | 1.4× |
| Bone Imaging Whole Body (78306) | $1,189.45 | $5,664.04 | 2.8× |
| Brain Flow Imaging Only (78610) | $546.47 | $2,602.24 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $619.71 | $2,950.99 | 1.1× |
| Chest 1 view (71045) | $154.80 | $737.16 | 1.7× |
| Chest 2 views (71046) | $201.59 | $959.95 | 2.2× |
| Chest 3 views (71047) | $279.24 | $1,329.70 | 3.1× |
| Chest 4 or more views (71048) | $239.80 | $1,141.91 | 2.2× |
| Clavicle complete (73000) | $470.29 | $2,239.49 | 5.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $43.35 | $206.45 | 0.4× |
| Contrast Exam Abdominl Aorta (75625) | $4,701.45 | $22,387.88 | 1.4× |
| Contrast X-Ray Bladder (74430) | $381.38 | $1,816.08 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $783.58 | $3,731.31 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,494.37 | $16,639.86 | 9.6× |
| CT abdomen and pelvis without contrast (74176) | $2,700.02 | $12,857.23 | 10.8× |
| CT abdomen w contrast (74160) | $1,779.27 | $8,472.73 | 9.7× |
| CT abdomen w wo contrast (74170) | $1,676.15 | $7,981.68 | 9.2× |
| CT abdomen w/o contrast (74150) | $1,069.92 | $5,094.84 | 9.8× |
| CT Angio Abdomen and Pelvis (74174) | $669.19 | $3,186.60 | 1.8× |
| CT Angio Chest (71275) | $1,343.27 | $6,396.54 | 7.3× |
| CT Angio Head (70496) | $1,025.82 | $4,884.88 | 5.6× |
| CT angio hrt w/3d image (75574) | $1,055.22 | $5,024.85 | 2.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,012.46 | $9,583.14 | 11.0× |
| CT Angio Neck (70498) | $1,236.48 | $5,887.99 | 6.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,719.75 | $8,189.29 | 9.4× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,878.48 | $8,945.12 | 10.3× |
| CT cervical spine w/ contrast (72126) | $1,539.23 | $7,329.66 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,737.63 | $8,274.44 | 15.9× |
| CT cervical spine w/wo cont (72127) | $1,342.78 | $6,394.20 | 7.3× |
| CT chest w contrast (71260) | $1,827.53 | $8,702.51 | 10.0× |
| CT chest w/wo contrast (71270) | $2,071.98 | $9,866.58 | 11.3× |
| CT head/brain with contrast (70460) | $1,448.11 | $6,895.76 | 7.9× |
| CT head/brain without and with contrast (70470) | $1,878.48 | $8,945.12 | 10.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,648.96 | $7,852.20 | 4.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $67.11 | $319.59 | 0.7× |
| CT iac w contrast (70481) | $1,439.29 | $6,853.77 | 7.9× |
| CT l-spine w&w/o contrast (72133) | $1,590.67 | $7,574.60 | 8.7× |
| CT lower ext w/o (73700) | $1,330.53 | $6,335.88 | 12.2× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$409.30–$1,555.64 | $1,949.05–$7,407.81 | varies |
| CT lumbar spine w contrast (72132) | $1,560.78 | $7,432.30 | 4.3× |
| CT lumbar spine w/o contrast (72131) | $1,749.64 | $8,331.60 | 16.0× |
| CT maxillofacial w contrast (70487) | $1,614.92 | $7,690.08 | 8.8× |
| CT maxillofacial wo contrast (70486) | $1,858.15 | $8,848.31 | 17.0× |
| CT neck tissue combo (70492) | $2,107.99 | $10,038.04 | 11.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,780.99 | $8,480.89 | 9.7× |
| CT orbits w/o contrast (70480) | $1,523.80 | $7,256.17 | 14.0× |
| CT pelvis w&w/o contrast (72194) | $2,006.83 | $9,556.32 | 11.0× |
| CT pelvis w/o contrast (72192) | $1,517.67 | $7,227.01 | 13.9× |
| CT scan of leg combo (73702) | $1,829.24 | $8,710.68 | 10.0× |
| CT scans face/jaw combo (70488) | $1,729.80 | $8,237.12 | 9.4× |
| CT soft tissue neck w contrast (70491) | $1,485.83 | $7,075.38 | 8.1× |
| CT soft tissue neck w/o contrast (70490) | $1,293.30 | $6,158.59 | 11.8× |
| CT thoracic spine w contrast (72129) | $1,528.21 | $7,277.17 | 8.3× |
| CT thoracic spine w/o contrast (72128) | $1,807.93 | $8,609.20 | 16.6× |
| CT thoracic spine w/wo cont (72130) | $1,681.54 | $8,007.34 | 9.2× |
| CT thorax w/o contrast (71250) | $1,327.60 | $6,321.89 | 12.2× |
| CT upper ext wo (73200) | $1,703.83 | $8,113.48 | 15.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,711.67 | $8,150.80 | 9.3× |
| CT upper extremity with contrast (73201) | $1,436.11 | $6,838.60 | 3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,688.64 | $8,041.16 | 9.2× |
| Cta Abdomen (74175) | $1,481.91 | $7,056.72 | 8.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,025.82 | $4,884.88 | 2.8× |
| CTA pelvis (72191) | $1,258.52 | $5,992.96 | 6.9× |
| Dilation ureters/urethra rs&i (74485) | $1,236.23 | $5,886.82 | 0.6× |
| Dxa Bone Density Axial (77080) | $173.91 | $828.14 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $88.18 | $419.90 | 1.0× |
| Esophagram (74220) | $312.79 | $1,489.49 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $662.82 | $3,156.28 | 2.7× |
| Follow-Up Angiography (75898) | $959.69 | $4,569.96 | 0.3× |
| Foot 2 views (73620) | $215.31 | $1,025.27 | 2.4× |
| Forearm 2 views (73090) | $545.25 | $2,596.41 | 6.0× |
| Gastric emptying imaging study (78264) | $1,398.88 | $6,661.31 | 3.4× |
| Gated Heart Planar Single (78472) | $972.18 | $4,629.44 | 2.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$154.31–$272.38 | $734.83–$1,297.04 | varies |
| Hepatobil Syst Image W/Drug (78227) | $415.67 | $1,979.38 | 0.7× |
| Hepatobiliary System Imaging (78226) | $449.47 | $2,140.34 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $1,182.34 | $5,630.21 | 0.9× |
| Hysterosalpingogram (74740) | $581.99 | $2,771.37 | 2.3× |
| K Flow/Funct Image Multiple (78709) | $593.74 | $2,827.35 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $1,102 | $5,247.63 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $865.63 | $4,122.06 | 1.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $427.43 | $2,035.37 | 1.0× |
| Knee 3 Views (73562) | $286.34 | $1,363.52 | 3.2× |
| Lung Perf&Ventilat Diferentl (78598) | $441.63 | $2,103.02 | 0.8× |
| Lung perfusion differential (78597) | $245.94 | $1,171.12 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $441.63 | $2,103.02 | 0.8× |
| Lymph System Imaging (78195) | $1,572.05 | $7,485.96 | 2.8× |
| Meckels Divert Exam (78290) | $707.15 | $3,367.40 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $796.07 | $3,790.80 | 2.2× |
| MRA head w/o contrast (70544) | $1,598.75 | $7,613.09 | 6.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,174.37 | $10,354.13 | 6.0× |
| MRA neck w/o contrast (70547) | $1,696.48 | $8,078.49 | 6.8× |
| MRI abdomen w/o contrast (74181) | $1,642.35 | $7,820.71 | 6.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,067.71 | $5,084.34 | 1.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,735.18 | $8,262.78 | 4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,328.82 | $6,327.72 | 1.6× |
| MRI cervical spine w contrast (72142) | $1,662.44 | $7,916.36 | 4.6× |
| MRI cervical spine w/o cont (72141) | $1,395.45 | $6,644.98 | 5.6× |
| MRI chest w/o contrast (71550) | $979.78 | $4,665.60 | 3.9× |
| MRI chest wo w contrast (71552) | $1,609.77 | $7,665.58 | 4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,296.24 | $6,172.59 | 3.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,102.35 | $10,011.21 | 5.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $865.63 | $4,122.06 | 3.5× |
| MRI lumbar spine w contrast (72149) | $1,279.59 | $6,093.27 | 3.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,581.95 | $12,295.02 | 7.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,024.46 | $9,640.30 | 8.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,349.01 | $11,185.78 | 6.4× |
| MRI pelvis w/o & w contrast (72197) | $2,508.23 | $11,943.94 | 6.9× |
| MRI pelvis w/o contrast (72195) | $1,658.27 | $7,896.53 | 6.7× |
| MRI thoracic spine w/o contrast (72146) | $1,277.87 | $6,085.11 | 5.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $890.37 | $4,239.86 | 3.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,285.47 | $6,121.27 | 3.5× |
| MRI, abdomen, combo (74183) | $2,590.04 | $12,333.51 | 7.1× |
| MRI, dorsal spine combo (72157) | $2,223.60 | $10,588.58 | 6.1× |
| MRI, dorsal spine contrast (72147) | $1,355.52 | $6,454.86 | 3.7× |
| MRI, joint upper extrem (73221) | $1,116.70 | $5,317.62 | 4.5× |
| MRI, joint upper extrem combo (73223) | $1,665.37 | $7,930.35 | 4.6× |
| MRI, lumbar spine combo (72158) | $2,037.69 | $9,703.28 | 5.6× |
| Myocardial Spect Multiple Studies (78452) | $2,530.27 | $12,048.91 | 1.9× |
| Neck soft tissue (70360) | $419.83 | $1,999.21 | 4.6× |
| Parathyroid Planar Imaging (78070) | $851.43 | $4,054.41 | 2.0× |
| Pelvis 1 or 2 views (72170) | $195.71 | $931.95 | 1.8× |
| Pet Image Skull-Thigh (78812) | $1,114.74 | $5,308.29 | 0.7× |
| Pet Image W/Ct Lmtd (78814) | $1,114.74 | $5,308.29 | 0.7× |
| PET image w/CT, full body (78816) | $1,114.74 | $5,308.29 | 0.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,114.74 | $5,308.29 | 0.7× |
| PET whole body (78813) | $1,114.74 | $5,308.29 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $812.48 | $3,868.95 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $664.53 | $3,164.44 | 6.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $485.97 | $2,314.14 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$398.52–$700.54 | $1,897.73–$3,335.90 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$330.43–$620.93 | $1,573.47–$2,956.82 | varies |
| Radex elbow complete minimum 3 views (73080) | $224.37 | $1,068.42 | 2.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $513.65 | $2,445.94 | 4.7× |
| Radex fingr minimum 2 views (73140) | $188.12 | $895.80 | 2.1× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$341.45–$561.90 | $1,625.96–$2,675.72 | varies |
| Radex Hand Minimum 3 Views (73130) | $308.14 | $1,467.33 | 3.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $195.96 | $933.12 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $534.22 | $2,543.92 | 5.9× |
| Radex Ribs Unilateral 2 Views (71100) | $247.88 | $1,180.40 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$360.07–$554.06 | $1,714.61–$2,638.40 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $198.65 | $945.95 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $279.48 | $1,330.86 | 3.1× |
| Radex Sternum Minimum 2 Views (71120) | $525.89 | $2,504.26 | 5.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $257.68 | $1,227.05 | 2.8× |
| Radex Toe Minimum 2 Views (73660) | $198.40 | $944.78 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $385.30 | $1,834.75 | 4.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $838.69 | $3,993.75 | 7.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $269.68 | $1,284.21 | 2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $284.87 | $1,356.52 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $792.39 | $3,773.30 | 4.3× |
| Radiologic exam colon single contrast study (74270) | $707.15 | $3,367.40 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) | $334.59 | $1,593.30 | 3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $252.05 | $1,200.23 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $590.56 | $2,812.19 | 3.2× |
| Radiologic exam swallow function contrast study (74230) | $331.90 | $1,580.47 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $754.67 | $3,593.68 | 4.1× |
| Radiologic examination femur minimum 2 views (73552) | $337.04 | $1,604.97 | 3.7× |
| Radiologic examination knee 1/2 views (73560) | $205.26 | $977.44 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $382.11 | $1,819.58 | 4.2× |
| Ribs bilateral 3 views (71110) | $245.43 | $1,168.73 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,751.35 | $8,339.76 | 3.1× |
| Scapula (73010) | $517.08 | $2,462.27 | 4.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $36.01 | $171.46 | 1.5× |
| Shoulder 1 view (73020) | $255.97 | $1,218.89 | 2.8× |
| Shoulder Arthrography (73040) | $783.58 | $3,731.31 | 2.2× |
| Skull less than 4 views (70250) | $349.78 | $1,665.62 | 3.2× |
| Sternoclavicular joints (71130) | $424.73 | $2,022.54 | 4.7× |
| Thoracic spine 2 views (72070) | $282.67 | $1,346.03 | 2.6× |
| Thoracic spine 3 views (72072) | $498.71 | $2,374.79 | 4.6× |
| Thoracolumbar 2 views (72080) | $160.19 | $762.83 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $293.93 | $1,399.68 | 0.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$197.18–$283.16 | $938.95–$1,348.36 | varies |
| Ultrasound Elastography Parenchyma (76981) | $97.24 | $463.06 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) | $143.54 | $683.51 | 1.3× |
| Ultrasound, abdomen limited (76705) | $533.73 | $2,541.59 | 4.9× |
| Unlisted fluoroscopic procedure (76496) | $160.19 | $762.83 | 1.8× |
| Upper gi w/o kub (74240) | $706.42 | $3,363.90 | 3.9× |
| Urethrocystogram voiding (74455) | $291.48 | $1,388.02 | 1.2× |
| Urethrocystography retrograde (74450) | $269.44 | $1,283.04 | 1.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$197.18–$295.40 | $938.95–$1,406.68 | varies |
| Us chest (76604) | $200.37 | $954.12 | 1.8× |
| Us complete joint (76881) range across 2 matching MRF lines |
$370.36–$647.63 | $1,763.60–$3,083.96 | varies |
| Us exam, pelvic, limited (76857) | $187.14 | $891.13 | 1.7× |
| Us kidney transplant (76776) | $392.40 | $1,868.57 | 3.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$217.27–$380.15 | $1,034.60–$1,810.25 | varies |
| Us ob limited 1 or more fetuses (76815) | $140.11 | $667.18 | 1.3× |
| Us ob transvaginal (76817) | $237.84 | $1,132.57 | 2.2× |
| Us pelvic non ob complete (76856) | $760.31 | $3,620.51 | 7.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $137.90 | $656.68 | 1.3× |
| Us retroperitoneal complete (76770) | $697.36 | $3,320.74 | 6.4× |
| Us retroperitoneal limited (76775) | $278.01 | $1,323.86 | 2.5× |
| Us scrotum and contents (76870) | $617.50 | $2,940.49 | 5.7× |
| Us thyroid (76536) | $533.24 | $2,539.25 | 4.9× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,240.40–$1,339.35 | $5,906.65–$6,377.88 | varies |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$1,192.88–$2,220.91 | $5,680.37–$10,575.75 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$2,640.74–$2,646.62 | $12,574.96–$12,602.95 | varies |
| Venography extremity bilateral rs&i (75822) | $823.99 | $3,923.77 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $847.75 | $4,036.91 | 0.5× |
| Venography Renal Bilateral (75833) | $2,640.74 | $12,574.96 | 0.8× |
| Venography Renal Unilateral (75831) | $2,709.08 | $12,900.38 | 0.8× |
| Wrist 2 views (73100) | $258.66 | $1,231.72 | 2.8× |
| X-Ray Aorta Leg Arteries (75630) | $4,701.45 | $22,387.88 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $347.82 | $1,656.29 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $170.73 | $812.98 | 1.9× |
| X-Ray Exam Breast Specimen (76098) | $486.70 | $2,317.64 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$328.91–$419.59 | $1,566.23–$1,998.04 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $419.59 | $1,998.04 | 3.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $331.90 | $1,580.47 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $160.44 | $763.99 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $197.18 | $938.95 | 2.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $295.40 | $1,406.68 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $428.65 | $2,041.20 | 3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $428.65 | $2,041.20 | 3.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $857.55 | $4,083.57 | 7.9× |
| X-Ray Exam L-S Spine Bending (72114) | $480.09 | $2,286.14 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $368.40 | $1,754.27 | 4.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $594.72 | $2,832.02 | 5.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $383.83 | $1,827.75 | 3.5× |
| X-ray eye for foreign body (70030) | $357.86 | $1,704.11 | 3.9× |
| X-ray humerus (73060) | $528.59 | $2,517.09 | 5.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $108.51 | $516.72 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $271.40 | $1,292.37 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $382.60 | $1,821.92 | 3.5× |
| X-ray nose-rectum child f.b. (76010) | $68.34 | $325.43 | 0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $498.46 | $2,373.62 | 4.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $223.39 | $1,063.76 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $478.87 | $2,280.31 | 5.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $300.79 | $1,432.34 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $667.72 | $3,179.61 | 6.1× |
| X-ray thoracic spine 4 vw (72074) | $415.92 | $1,980.55 | 3.8× |
| X-Rays Bone Length Studies (77073) | $120.76 | $575.04 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $358.84 | $1,708.78 | 3.3× |
| Xr c-spine 4 or 5 views (72050) | $697.11 | $3,319.57 | 6.4× |
| Xr facial bones less than 3 views (70140) | $321.86 | $1,532.65 | 3.5× |
| Xr orbits complete 4 views (70200) | $357.86 | $1,704.11 | 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.