Imaging prices at Providence St. Peter Hospital
Olympia, WA · every code in this section with a posted price and a Medicare benchmark.
263 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) | $293.80 | $565 | 2.9× |
| Abdomen 2 views (74019) | $439.40 | $845 | 3.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,101.36 | $2,118 | 2.4× |
| Angio pulmonary bilat (75743) | $4,048.72 | $7,786 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $6,384.56 | $12,278 | 1.8× |
| Angiography extremity unilateral rs&i (75710) | $6,384.56 | $12,278 | 1.8× |
| Ankle 2 views (73600) | $206.96 | $398 | 2.1× |
| Aortography thoracic serialography rs&i (75605) | $10,924.68 | $21,009 | 1.7× |
| Artery X-Rays Abdomen (75726) | $10,924.68 | $21,009 | 1.7× |
| Artery X-Rays Pelvis (75736) | $16,386.24 | $31,512 | 2.6× |
| Artery X-Rays Spine (75705) | $11,291.28 | $21,714 | 1.8× |
| Bone age studies (77072) | $397.28 | $764 | 3.3× |
| Bone Imaging 3 Phase (78315) | $1,101.36 | $2,118 | 2.4× |
| Bone Imaging Limited Area (78300) | $1,101.36 | $2,118 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,101.36 | $2,118 | 2.4× |
| Bone survey infant (77076) | $397.28 | $764 | 3.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,351.48 | $2,599 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $648.96 | $1,248 | 6.5× |
| Cerebrospinal Fluid Scan (78630) | $1,215.76 | $2,338 | 1.9× |
| Chest 1 view (71045) | $236.60 | $455 | 2.4× |
| Chest 2 views (71046) | $236.60 | $455 | 2.4× |
| Chest 3 views (71047) | $236.60 | $455 | 2.4× |
| Chest 4 or more views (71048) | $452.92 | $871 | 3.8× |
| Clavicle complete (73000) | $310.44 | $597 | 3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $235.56 | $453 | 2.0× |
| Contrast Exam Abdominl Aorta (75625) | $6,384.56 | $12,278 | 1.8× |
| Contrast X-Ray Bladder (74430) | $935.48 | $1,799 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,175.68 | $4,184 | 5.4× |
| CT abdomen and pelvis without contrast (74176) | $1,116.96 | $2,148 | 4.1× |
| CT abdomen w contrast (74160) | $1,698.32 | $3,266 | 8.4× |
| CT abdomen w wo contrast (74170) | $1,728.48 | $3,324 | 8.6× |
| CT abdomen w/o contrast (74150) | $1,396.72 | $2,686 | 11.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,512.64 | $4,832 | 6.3× |
| CT Angio Chest (71275) | $1,379.56 | $2,653 | 6.8× |
| CT Angio Head (70496) | $1,316.64 | $2,532 | 6.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,214.68 | $4,259 | 11.0× |
| CT Angio Neck (70498) | $1,301.56 | $2,503 | 6.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,698.32 | $3,266 | 8.4× |
| CT cervical spine w/ contrast (72126) | $1,215.76 | $2,338 | 3.0× |
| CT cervical spine w/o contrast (72125) | $1,004.12 | $1,931 | 8.4× |
| CT chest w contrast (71260) | $1,698.32 | $3,266 | 8.4× |
| CT chest w/wo contrast (71270) | $1,836.64 | $3,532 | 9.1× |
| CT head/brain with contrast (70460) | $1,218.36 | $2,343 | 6.0× |
| CT head/brain without and with contrast (70470) | $1,353.04 | $2,602 | 6.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $743.08 | $1,429 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $187.72 | $361 | 1.9× |
| CT iac w contrast (70481) | $1,218.36 | $2,343 | 6.0× |
| CT l-spine w&w/o contrast (72133) | $1,834.04 | $3,527 | 9.1× |
| CT lower ext w/o (73700) | $1,350.96 | $2,598 | 11.2× |
| CT lower extremity w/contrast material (73701) | $1,711.32 | $3,291 | 8.5× |
| CT lumbar spine w contrast (72132) | $1,670.76 | $3,213 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $1,215.76 | $2,338 | 10.1× |
| CT maxillofacial w contrast (70487) | $1,218.36 | $2,343 | 6.0× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$961.48–$1,011.92 | $1,849–$1,946 | varies |
| CT neck tissue combo (70492) | $1,353.04 | $2,602 | 6.7× |
| CT orbits w/o contrast (70480) | $807.04 | $1,552 | 6.7× |
| CT pelvis w&w/o contrast (72194) | $2,201.68 | $4,234 | 10.9× |
| CT pelvis w/o contrast (72192) | $1,691.56 | $3,253 | 14.1× |
| CT soft tissue neck w contrast (70491) | $1,218.36 | $2,343 | 6.0× |
| CT soft tissue neck w/o contrast (70490) | $884 | $1,700 | 7.4× |
| CT thoracic spine w contrast (72129) | $1,474.72 | $2,836 | 7.3× |
| CT thoracic spine w/o contrast (72128) | $1,215.76 | $2,338 | 10.1× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,214.72–$1,396.72 | $2,336–$2,686 | varies |
| CT upper ext wo (73200) | $1,623.44 | $3,122 | 13.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,857.44 | $3,572 | 9.2× |
| CT upper extremity with contrast (73201) | $1,694.16 | $3,258 | 4.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,568.84 | $3,017 | 7.8× |
| Cta Abdomen (74175) | $1,750.32 | $3,366 | 8.7× |
| CTA pelvis (72191) | $2,604.68 | $5,009 | 12.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $221 | $425 | 1.8× |
| Esophagram (74220) | $935.48 | $1,799 | 4.6× |
| Fetal Biophys Profile W/Nst (76818) | $1,362.40 | $2,620 | 11.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $485.16 | $933 | 4.0× |
| Fluoroscopy up to 1 hr (76000) | $304.72 | $586 | 1.1× |
| Follow-Up Angiography (75898) | $2,517.32 | $4,841 | 0.7× |
| Foot 2 views (73620) | $310.44 | $597 | 3.1× |
| Forearm 2 views (73090) | $206.96 | $398 | 2.1× |
| Gastric emptying imaging study (78264) | $1,101.36 | $2,118 | 2.4× |
| Gated Heart Planar Single (78472) | $1,101.36 | $2,118 | 2.4× |
| Hand 2 views (73120) | $397.28 | $764 | 3.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,788.60 | $13,055 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,351.48 | $2,599 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,049.36 | $2,018 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $3,787.68 | $7,284 | 2.5× |
| Interstitial radiation source applic complex (77778) | $3,629.60 | $6,980 | 4.5× |
| Joint Survey Single View (77077) | $354.64 | $682 | 2.9× |
| K Flow/Funct Image W/Drug (78708) | $1,427.40 | $2,745 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,427.40 | $2,745 | 2.3× |
| Knee 3 Views (73562) | $310.44 | $597 | 3.1× |
| Liver & Spleen Imaging Static Only (78215) | $883.48 | $1,699 | 1.9× |
| Liver imaging static only (78201) | $3,787.68 | $7,284 | 6.1× |
| Lung perfusion differential (78597) | $1,175.20 | $2,260 | 2.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,427.40 | $2,745 | 2.3× |
| Lung Ventilation Imaging (78579) | $794.04 | $1,527 | 1.7× |
| Lymph System Imaging (78195) | $1,427.40 | $2,745 | 2.3× |
| Mr safety determination physician/other qhp (76016) | $173.68 | $334 | 1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $48.36 | $93 | 1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $181.48 | $349 | 1.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $477.88 | $919 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,512.16 | $2,908 | 3.8× |
| MRA head w/o contrast (70544) | $812.76 | $1,563 | 3.0× |
| MRA head with contrast (70545) | $837.72 | $1,611 | 2.1× |
| MRA neck w contrast (70548) | $902.72 | $1,736 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,512.16 | $2,908 | 3.8× |
| MRA neck w/o contrast (70547) | $812.76 | $1,563 | 3.0× |
| MRI abdomen w contrast (74182) | $743.08 | $1,429 | 1.9× |
| MRI abdomen w/o contrast (74181) | $1,083.68 | $2,084 | 3.9× |
| MRI any jt lower extrem w/contrast material (73722) | $3,014.44 | $5,797 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,156.40 | $6,070 | 7.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,014.44 | $5,797 | 3.3× |
| MRI cervical spine w contrast (72142) | $983.32 | $1,891 | 2.5× |
| MRI cervical spine w/o cont (72141) | $812.76 | $1,563 | 3.0× |
| MRI chest w/o contrast (71550) | $998.40 | $1,920 | 3.6× |
| MRI chest wo w contrast (71552) | $2,016.56 | $3,878 | 5.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $782.60 | $1,505 | 2.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,047.28 | $2,014 | 2.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$529.36–$1,083.84 | $1,018–$2,084.30 | varies |
| MRI lumbar spine w contrast (72149) | $2,016.56 | $3,878 | 5.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,512.16 | $2,908 | 3.8× |
| MRI orbit face &/neck w/o contrast (70540) | $812.76 | $1,563 | 3.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,512.16 | $2,908 | 3.8× |
| MRI pelvis w/o & w contrast (72197) | $2,016.56 | $3,878 | 5.0× |
| MRI pelvis w/o contrast (72195) | $1,083.68 | $2,084 | 3.9× |
| MRI thoracic spine w/o contrast (72146) | $1,083.68 | $2,084 | 3.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,016.56 | $3,878 | 5.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,083.68 | $2,084 | 3.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,159.04 | $4,152 | 5.4× |
| MRI, abdomen, combo (74183) | $2,016.56 | $3,878 | 5.0× |
| MRI, dorsal spine combo (72157) | $2,016.56 | $3,878 | 5.0× |
| MRI, dorsal spine contrast (72147) | $1,800.24 | $3,462 | 4.5× |
| MRI, joint upper extrem (73221) | $1,083.68 | $2,084 | 3.9× |
| MRI, joint upper extrem combo (73223) | $3,156.40 | $6,070 | 7.9× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,159.04–$2,272.40 | $4,152–$4,370 | varies |
| Myocardial Spect Multiple Studies (78452) | $3,787.68 | $7,284 | 2.5× |
| Neck soft tissue (70360) | $204.36 | $393 | 2.0× |
| Nuclear Rx Intra-Arterial (79445) | $642.20 | $1,235 | 2.4× |
| Nuclear Rx Oral Admin (79005) | $703.56 | $1,353 | 2.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$217.88–$250.64 | $419–$482 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,351.48 | $2,599 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,240.20 | $2,385 | 2.7× |
| Pelvis 1 or 2 views (72170) | $397.28 | $764 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $439.40 | $845 | 3.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $810.16 | $1,558 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $310.44 | $597 | 3.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $310.44 | $597 | 3.1× |
| Radex elbow complete minimum 3 views (73080) | $300.56 | $578 | 3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $397.28 | $764 | 3.3× |
| Radex fingr minimum 2 views (73140) | $206.96 | $398 | 2.1× |
| Radex foot complete minimum 3 views (73630) | $310.44 | $597 | 3.1× |
| Radex Hand Minimum 3 Views (73130) | $310.44 | $597 | 3.1× |
| Radex lower extremity infant minimum 2 views (73592) | $184.60 | $355 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $206.96 | $398 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $206.96 | $398 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) | $310.44 | $597 | 3.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $206.96 | $398 | 2.1× |
| Radex Spine 1 View Specify Level (72020) | $206.96 | $398 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $206.96 | $398 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $206.96 | $398 | 2.1× |
| Radex Toe Minimum 2 Views (73660) | $206.96 | $398 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $354.64 | $682 | 2.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $310.44 | $597 | 3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $397.28 | $764 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $563.16 | $1,083 | 4.7× |
| Radiologic exam colon double contrast study (74280) | $935.48 | $1,799 | 4.6× |
| Radiologic exam colon single contrast study (74270) | $935.48 | $1,799 | 4.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $973.96 | $1,873 | 4.8× |
| Radiologic exam knee complete 4/more views (73564) | $707.47 | $1,360.52 | 5.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $421.20 | $810 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $439.40 | $845 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $392.60 | $755 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $955.76 | $1,838 | 4.7× |
| Radiologic examination femur 1 view (73551) | $184.60 | $355 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) | $184.60 | $355 | 1.8× |
| Radiologic examination knee 1/2 views (73560) | $310.44 | $597 | 3.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $354.64 | $682 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $276.64 | $532 | 2.8× |
| Ribs bilateral 3 views (71110) | $354.64 | $682 | 2.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $880.88 | $1,694 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,860.52 | $5,501 | 4.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,860.52 | $5,501 | 4.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,860.52 | $5,501 | 4.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,195.92 | $6,146 | 1.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,860.52 | $5,501 | 1.9× |
| Rp Therapy Intravenous Administration (79101) | $703.56 | $1,353 | 2.6× |
| Scapula (73010) | $397.28 | $764 | 3.3× |
| Shoulder 1 view (73020) | $206.96 | $398 | 2.1× |
| Skull less than 4 views (70250) | $397.28 | $764 | 3.3× |
| Sternoclavicular joints (71130) | $184.60 | $355 | 1.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,466.92 | $2,821 | 3.4× |
| Thoracic spine 2 views (72070) | $397.28 | $764 | 3.3× |
| Thoracic spine 3 views (72072) | $421.20 | $810 | 3.5× |
| Thoracolumbar 2 views (72080) | $206.96 | $398 | 2.1× |
| Thyroid Met Imaging Body (78018) | $1,427.40 | $2,745 | 2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,049.36 | $2,018 | 2.3× |
| Tx devices design & construction simple (77332) | $637.52 | $1,226 | 4.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$356.72–$410.28 | $686–$789 | varies |
| Ultrasound Exam Aaa Screen (76706) | $485.16 | $933 | 4.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$472.68–$543.40 | $909–$1,045 | varies |
| Umbilical-artery Doppler (OB) (76820) | $288.60 | $555 | 2.4× |
| Unlisted us procedure (76999) | $252.72 | $486 | 2.5× |
| Upper gi w/o kub (74240) | $935.48 | $1,799 | 4.6× |
| Urethrocystogram voiding (74455) | $907.92 | $1,746 | 3.3× |
| Urethrocystography retrograde (74450) | $907.92 | $1,746 | 3.3× |
| Us breast unilateral complete (76641) | $689.52 | $1,326 | 5.7× |
| Us chest (76604) range across 2 matching MRF lines |
$421.72–$485.16 | $811–$933 | varies |
| Us complete joint (76881) | $485.16 | $933 | 4.0× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$421.72–$485.16 | $811–$933 | varies |
| Us head (76506) | $543.40 | $1,045 | 4.5× |
| Us kidney transplant (76776) | $543.40 | $1,045 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$421.72–$759.15 | $811–$1,459.90 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$472.68–$543.40 | $909–$1,045 | varies |
| Us ob transvaginal (76817) | $485.16 | $933 | 4.0× |
| Us pelvic non ob complete (76856) | $543.40 | $1,045 | 4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $543.40 | $1,045 | 4.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $543.40 | $1,045 | 4.5× |
| Us retroperitoneal complete (76770) | $543.40 | $1,045 | 4.5× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$472.68–$543.40 | $909–$1,045 | varies |
| Us scrotum and contents (76870) | $543.40 | $1,045 | 4.5× |
| Us spinal canal and contents (76800) | $543.40 | $1,045 | 4.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$472.68–$543.40 | $909–$1,045 | varies |
| Vein X-Ray Chest (75827) | $1,568.84 | $3,017 | 0.9× |
| Venogram Sinus/Jugular (75860) | $6,501.04 | $12,502 | 1.8× |
| Venography caval inferior serialography rs&i (75825) | $6,384.56 | $12,278 | 1.8× |
| Venography extremity bilateral rs&i (75822) | $2,517.32 | $4,841 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $1,568.84 | $3,017 | 0.9× |
| Venography Renal Bilateral (75833) | $6,788.60 | $13,055 | 1.9× |
| Venography Renal Unilateral (75831) | $6,788.60 | $13,055 | 1.9× |
| Wrist 2 views (73100) | $184.60 | $355 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $206.96 | $398 | 2.1× |
| X-ray antegrade pyelogram tube (74425) | $1,341.08 | $2,579 | 3.3× |
| X-Ray Aorta Leg Arteries (75630) | $6,384.56 | $12,278 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $395.72 | $761 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $276.64 | $532 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $397.28 | $764 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $143.52 | $276 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $184.60 | $355 | 1.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $354.64 | $682 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $354.64 | $682 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $531.44 | $1,022 | 4.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $553.28 | $1,064 | 4.6× |
| X-Ray Exam L-S Spine Bending (72114) | $481 | $925 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $184.60 | $355 | 1.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $397.28 | $764 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $397.28 | $764 | 3.3× |
| X-ray eye for foreign body (70030) | $204.36 | $393 | 2.0× |
| X-ray humerus (73060) | $206.96 | $398 | 2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $206.96 | $398 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $184.60 | $355 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $397.28 | $764 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $204.36 | $393 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $397.28 | $764 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $397.28 | $764 | 3.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $354.64 | $682 | 2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $206.96 | $398 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $206.96 | $398 | 2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $397.28 | $764 | 3.3× |
| X-ray thoracic spine 4 vw (72074) | $450.84 | $867 | 3.7× |
| X-Ray Tmj Unilat (70328) | $206.96 | $398 | 2.1× |
| X-Rays Bone Length Studies (77073) | $397.28 | $764 | 3.3× |
| X-Rays Bone Survey Complete (77075) | $397.28 | $764 | 3.3× |
| Xr c-spine 4 or 5 views (72050) | $397.28 | $764 | 3.3× |
| Xr facial bones less than 3 views (70140) | $206.96 | $398 | 2.1× |
| Xr orbits complete 4 views (70200) | $397.28 | $764 | 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.