Imaging prices at Progressive Health of Batesville
Batesville, MS · every code in this section with a posted price and a Medicare benchmark.
226 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) | $155.77 | $399.43 | 2.1× |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$178.52–$244.75 | $457.76–$627.57 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $326.76 | $837.85 | 0.9× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$126.82–$127.22 | $325.20–$326.21 | varies |
| Bone age studies (77072) | $70.67 | $181.23 | 0.8× |
| Bone Imaging 3 Phase (78315) | $669.25 | $1,716.05 | 1.9× |
| Bone Imaging Limited Area (78300) | $322.50 | $826.94 | 0.9× |
| Bone Imaging Multiple Areas (78305) | $318.53 | $816.76 | 0.9× |
| Bone Imaging Whole Body (78306) | $1,245.19 | $3,192.80 | 3.6× |
| Bone survey infant (77076) | $106.62 | $273.41 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $173.78 | $445.60 | 2.3× |
| Chest 1 view (71045) | $141.12 | $361.86 | 1.9× |
| Chest 2 views (71046) range across 4 matching MRF lines |
$60.16–$166.30 | $154.26–$426.42 | varies |
| Chest 3 views (71047) | $166.30 | $426.42 | 2.2× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $304.76 | $781.46 | 3.4× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$61.28–$110.69 | $157.15–$283.84 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$215.35–$240.09 | $552.19–$615.62 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $858 | $2,200 | 2.9× |
| CT abdomen and pelvis without contrast (74176) | $1,254.98 | $3,217.92 | 6.1× |
| CT abdomen w contrast (74160) | $809.14 | $2,074.73 | 5.4× |
| CT abdomen w wo contrast (74170) | $1,229.29 | $3,152.04 | 8.1× |
| CT abdomen w/o contrast (74150) | $510.03 | $1,307.79 | 5.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,794 | $4,600 | 6.0× |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$416.65–$431.30 | $1,068.34–$1,105.92 | varies |
| CT Angio Head (70496) | $640 | $1,641.03 | 4.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$563.29–$568.61 | $1,444.35–$1,457.99 | varies |
| CT Angio Neck (70498) | $640 | $1,641.03 | 4.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$411.63–$563.29 | $1,055.47–$1,444.35 | varies |
| CT cervical spine w/ contrast (72126) | $453.28 | $1,162.27 | 1.5× |
| CT cervical spine w/o contrast (72125) | $1,076.70 | $2,760.79 | 11.9× |
| CT cervical spine w/wo cont (72127) | $281.65 | $722.18 | 1.9× |
| CT chest w contrast (71260) | $1,002.88 | $2,571.51 | 6.6× |
| CT chest w/wo contrast (71270) | $1,264.89 | $3,243.33 | 8.4× |
| CT head/brain with contrast (70460) | $864.59 | $2,216.91 | 5.7× |
| CT head/brain without and with contrast (70470) | $1,074.80 | $2,755.92 | 7.1× |
| CT iac w contrast (70481) | $281.65 | $722.18 | 1.9× |
| CT l-spine w&w/o contrast (72133) | $965.70 | $2,476.16 | 6.4× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$388.92–$747.92 | $997.24–$1,917.76 | varies |
| CT lower extremity w/contrast material (73701) range across 17 matching MRF lines |
$281.65–$563.29 | $722.18–$1,444.35 | varies |
| CT lumbar spine w contrast (72132) | $983.41 | $2,521.58 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $948.03 | $2,430.86 | 10.5× |
| CT maxillofacial w contrast (70487) | $281.65 | $722.18 | 1.9× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$119.67–$130.06 | $306.85–$333.50 | varies |
| CT neck tissue combo (70492) | $502.15 | $1,287.58 | 3.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $468.95 | $1,202.45 | 3.1× |
| CT orbits w/o contrast (70480) | $419.92 | $1,076.74 | 4.7× |
| CT pelvis w&w/o contrast (72194) | $1,286.29 | $3,298.20 | 8.5× |
| CT pelvis w/o contrast (72192) | $802.23 | $2,057.02 | 8.9× |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$440.31–$817.99 | $1,129.02–$2,097.42 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$281.87–$461.71 | $722.75–$1,183.88 | varies |
| CT soft tissue neck w contrast (70491) | $457.35 | $1,172.70 | 3.0× |
| CT soft tissue neck w/o contrast (70490) | $405.66 | $1,040.17 | 4.5× |
| CT thoracic spine w contrast (72129) | $1,162.43 | $2,980.61 | 7.7× |
| CT thoracic spine w/o contrast (72128) | $582.26 | $1,492.99 | 6.5× |
| CT thoracic spine w/wo cont (72130) | $630.50 | $1,616.68 | 4.2× |
| CT thorax w/o contrast (71250) | $771.59 | $1,978.46 | 8.6× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$388.92–$402.60 | $997.24–$1,032.32 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 5 matching MRF lines |
$423.38–$563.29 | $1,085.60–$1,444.35 | varies |
| CT upper extremity with contrast (73201) range across 17 matching MRF lines |
$281.65–$563.29 | $722.18–$1,444.35 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,759.75 | $4,512.20 | 11.6× |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$281.65–$689.23 | $722.18–$1,767.27 | varies |
| CTA pelvis (72191) | $708.38 | $1,816.37 | 4.7× |
| Dxa Bone Density Axial (77080) | $151.99 | $389.74 | 1.7× |
| Dxa bone density study (77085) | $182.59 | $468.19 | 2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $86.03 | $220.60 | 1.1× |
| Esophagram (74220) | $277.48 | $711.50 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $149.76 | $384 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $178.43 | $457.53 | 2.0× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$122.88–$300.11 | $315.10–$769.52 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$127.80–$255.62 | $327.70–$655.44 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$190.24–$454.07 | $487.82–$1,164.29 | varies |
| Gastric emptying imaging study (78264) | $261.31 | $670.03 | 0.8× |
| Gated Heart Planar Single (78472) | $353.98 | $907.65 | 1.0× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$121.90–$233.71 | $312.58–$599.28 | varies |
| Hepatobil Syst Image W/Drug (78227) | $319.95 | $820.41 | 0.7× |
| Hepatobiliary System Imaging (78226) | $415.68 | $1,065.86 | 1.2× |
| Ht Muscle Image Spect Sing (78451) | $895.16 | $2,295.30 | 0.8× |
| Hysterosalpingogram (74740) | $281.19 | $721.01 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $658.34 | $1,688.06 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $395.04 | $1,012.93 | 0.8× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$183.42–$353.40 | $470.32–$906.16 | varies |
| Liver & Spleen Imaging Static Only (78215) | $324.82 | $832.89 | 0.9× |
| Lymph System Imaging (78195) | $551.07 | $1,413 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $688.57 | $1,765.58 | 2.3× |
| MRA head w/o contrast (70544) | $619.37 | $1,588.13 | 3.0× |
| MRA head with contrast (70545) | $619.73 | $1,589.07 | 2.1× |
| MRA neck w contrast (70548) | $560.53 | $1,437.28 | 1.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $656.12 | $1,682.38 | 2.2× |
| MRA neck w/o contrast (70547) | $619.37 | $1,588.13 | 3.0× |
| MRI abdomen w contrast (74182) | $621.20 | $1,592.84 | 2.1× |
| MRI abdomen w/o contrast (74181) | $443.40 | $1,136.93 | 2.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 10 matching MRF lines |
$854.88–$1,709.76 | $2,192–$4,384 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$1,159.09–$2,128.90 | $2,972.03–$5,458.74 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 10 matching MRF lines |
$871.73–$1,396.26 | $2,235.22–$3,580.16 | varies |
| MRI cervical spine w contrast (72142) | $1,984.62 | $5,088.79 | 6.6× |
| MRI cervical spine w/o cont (72141) | $963.38 | $2,470.22 | 4.7× |
| MRI chest w/o contrast (71550) | $462.82 | $1,186.74 | 2.2× |
| MRI chest wo w contrast (71552) | $656.12 | $1,682.38 | 2.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 10 matching MRF lines |
$281.65–$1,408.90 | $722.18–$3,612.58 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$1,175.32–$2,253.31 | $3,013.66–$5,777.72 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 12 matching MRF lines |
$240.09–$1,190.26 | $615.62–$3,051.97 | varies |
| MRI lumbar spine w contrast (72149) | $751.11 | $1,925.93 | 2.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,371.46 | $3,516.58 | 4.6× |
| MRI orbit face &/neck w/o contrast (70540) | $443.40 | $1,136.93 | 2.2× |
| MRI orbit face neck w contrast (70542) | $620.71 | $1,591.58 | 2.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $718.66 | $1,842.72 | 2.4× |
| MRI pelvis w contrast (72196) | $621.20 | $1,592.83 | 2.1× |
| MRI pelvis w/o & w contrast (72197) | $783.54 | $2,009.10 | 2.6× |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$482.82–$484.46 | $1,238.01–$1,242.23 | varies |
| MRI thoracic spine w/o contrast (72146) | $942.88 | $2,417.66 | 4.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 6 matching MRF lines |
$563.29–$735.32 | $1,444.35–$1,885.44 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 12 matching MRF lines |
$240.09–$1,190.26 | $615.62–$3,051.97 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$563.29–$1,176.02 | $1,444.35–$3,015.44 | varies |
| MRI, abdomen, combo (74183) | $992.85 | $2,545.77 | 3.3× |
| MRI, dorsal spine combo (72157) | $1,083.89 | $2,779.22 | 3.6× |
| MRI, dorsal spine contrast (72147) | $929.60 | $2,383.59 | 3.1× |
| MRI, joint upper extrem (73221) range across 10 matching MRF lines |
$873.63–$1,674.89 | $2,240.08–$4,294.61 | varies |
| MRI, joint upper extrem combo (73223) range across 11 matching MRF lines |
$906.57–$1,130.59 | $2,324.54–$2,898.95 | varies |
| MRI, lumbar spine combo (72158) | $1,371.46 | $3,516.58 | 4.6× |
| Myocardial Spect Multiple Studies (78452) | $933.84 | $2,394.47 | 0.8× |
| Neck soft tissue (70360) | $95.55 | $245.02 | 1.3× |
| Parathyroid Planar Imaging (78070) | $325.67 | $835.06 | 0.9× |
| Pelvis 1 or 2 views (72170) range across 6 matching MRF lines |
$119.80–$180.52 | $307.20–$462.88 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $277.73 | $712.13 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $189.81 | $486.70 | 2.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$127.22–$382.42 | $326.21–$980.58 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$127.22–$245.03 | $326.21–$628.29 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$194.16–$372.25 | $497.87–$954.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $134.68 | $345.35 | 1.5× |
| Radex fingr minimum 2 views (73140) range across 15 matching MRF lines |
$63.60–$258.21 | $163.10–$662.10 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$197.71–$383.90 | $506.96–$984.38 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$189.48–$368.17 | $485.87–$944.03 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$63.60–$143.24 | $163.10–$367.30 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $92.93 | $238.30 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$63.60–$145.57 | $163.10–$373.27 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $221.54 | $568.06 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$196.81–$382.91 | $504.66–$981.83 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $84.13 | $215.72 | 1.1× |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$63.60–$92.41 | $163.10–$236.95 | varies |
| Radex Sternum Minimum 2 Views (71120) | $60.45 | $155.02 | 0.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$79.51–$94.89 | $203.88–$243.31 | varies |
| Radex Toe Minimum 2 Views (73660) range across 19 matching MRF lines |
$63.60–$306.29 | $163.10–$785.36 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 8 matching MRF lines |
$86.01–$172.04 | $220.56–$441.14 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$127.22–$417.83 | $326.21–$1,071.37 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $214.43 | $549.83 | 2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $95.35 | $244.51 | 1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $171.19 | $438.95 | 1.9× |
| Radiologic exam colon double contrast study (74280) | $282.71 | $724.90 | 1.9× |
| Radiologic exam colon single contrast study (74270) | $266.22 | $682.64 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$204.84–$310.99 | $525.25–$797.42 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $207.88 | $533.03 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $149.22 | $382.64 | 1.0× |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$119.80–$298.13 | $307.20–$764.44 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $240.05 | $615.52 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) | $267.52 | $685.97 | 3.6× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$161.37–$318.53 | $413.79–$816.76 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$127.22–$253.64 | $326.21–$650.36 | varies |
| Ribs bilateral 3 views (71110) | $130.09 | $333.57 | 1.4× |
| Scapula (73010) range across 4 matching MRF lines |
$57.96–$115.91 | $148.62–$297.21 | varies |
| Shoulder 1 view (73020) range across 7 matching MRF lines |
$63.60–$182.82 | $163.10–$468.79 | varies |
| Skull less than 4 views (70250) | $71.94 | $184.48 | 0.8× |
| Spleen Imaging (78185) | $353.98 | $907.65 | 1.0× |
| Sternoclavicular joints (71130) | $73.36 | $188.12 | 1.0× |
| Testicular Imaging W/Flow (78761) | $387.88 | $994.58 | 1.1× |
| Thoracic spine 2 views (72070) | $301.63 | $773.42 | 3.3× |
| Thoracic spine 3 views (72072) | $86.70 | $222.31 | 1.0× |
| Thoracolumbar 2 views (72080) | $85.72 | $219.82 | 1.1× |
| Thyroid Imaging With Vascular Flow (78013) | $179.30 | $459.75 | 0.5× |
| Thyroid Uptake Measurement (78012) | $353.98 | $907.65 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $277.29 | $711.01 | 0.8× |
| Ultrasound Breast Limited (76642) | $326.04 | $836.01 | 4.3× |
| Ultrasound, abdomen limited (76705) range across 14 matching MRF lines |
$119.80–$392.41 | $307.20–$1,006.18 | varies |
| Upper gi w/o kub (74240) | $266.22 | $682.64 | 1.8× |
| Urethrocystogram voiding (74455) | $277.82 | $712.38 | 1.4× |
| Urethrocystography retrograde (74450) | $215.35 | $552.19 | 1.0× |
| Us breast unilateral complete (76641) | $326.04 | $836.01 | 3.6× |
| Us chest (76604) | $140.68 | $360.74 | 1.6× |
| Us complete joint (76881) range across 8 matching MRF lines |
$119.67–$349.14 | $306.85–$895.24 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$119.80–$425.73 | $307.20–$1,091.64 | varies |
| Us ob detailed single fetus (76811) | $114.30 | $293.10 | 0.6× |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$119.80–$137.50 | $307.20–$352.57 | varies |
| Us ob transvaginal (76817) | $119.80 | $307.20 | 1.3× |
| Us pelvic non ob complete (76856) | $283.87 | $727.89 | 3.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $119.80 | $307.20 | 1.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $122.88 | $315.10 | 1.4× |
| Us retroperitoneal complete (76770) | $357.85 | $917.58 | 4.0× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$119.80–$357.48 | $307.20–$916.63 | varies |
| Us scrotum and contents (76870) | $257.01 | $659 | 2.9× |
| Us thyroid (76536) | $265.44 | $680.63 | 2.9× |
| Vertebral fracture assessment via dxa (77086) | $45.57 | $116.85 | 0.6× |
| Wrist 2 views (73100) range across 8 matching MRF lines |
$111.09–$266.22 | $284.85–$682.63 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $60.16 | $154.26 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $130.06 | $333.50 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$187.82–$364.73 | $481.60–$935.22 | varies |
| X-Ray Exam Breast Specimen (76098) | $497.81 | $1,276.45 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 6 matching MRF lines |
$65.58–$107.21 | $168.16–$274.91 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $107.21 | $274.91 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $214.43 | $549.83 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$62.68–$111.15 | $160.72–$285 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $191.75 | $491.68 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $267.69 | $686.41 | 3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $130.06 | $333.50 | 1.4× |
| X-Ray Exam L-S Spine Bending (72114) | $380.95 | $976.82 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $190.72 | $489.05 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $100.28 | $257.13 | 1.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $130.09 | $333.57 | 1.4× |
| X-ray eye for foreign body (70030) | $96.65 | $247.83 | 1.3× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$184.04–$348.68 | $471.92–$894.07 | varies |
| X-ray IV pyelogram (ivp) (74400) | $216.42 | $554.94 | 1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $63.60 | $163.10 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $280.64 | $719.59 | 3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $118.95 | $305.02 | 1.3× |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$55.07–$65.58 | $141.22–$168.16 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $430.61 | $1,104.14 | 4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $119.67 | $306.85 | 1.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $119.67 | $306.85 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $55.34 | $141.92 | 0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $76.53 | $196.25 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $149.51 | $383.37 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $282.72 | $724.94 | 3.1× |
| X-Ray Tmj Unilat (70328) | $96.72 | $248 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $92.75 | $237.84 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $393.63 | $1,009.33 | 4.4× |
| Xr facial bones less than 3 views (70140) | $65.58 | $168.16 | 0.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $130.06 | $333.50 | 1.4× |
| Xr orbits complete 4 views (70200) | $74.71 | $191.58 | 0.8× |
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.