Imaging prices at Putnam County Hospital
Greencastle, IN · every code in this section with a posted price and a Medicare benchmark.
259 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) | $282.37 | $332.20 | 3.1× |
| Abdomen 2 views (74019) | $373.13 | $438.98 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,368.84 | $1,610.40 | 3.2× |
| Ankle 2 views (73600) | $282.87 | $332.79 | 3.1× |
| Arthrogram ankle (73615) | $475.15 | $559 | 1.3× |
| Arthrogram hip (73525) | $905.86 | $1,065.72 | 2.5× |
| Arthrogram Wrist (73115) | $967.50 | $1,138.23 | 2.6× |
| Bone age studies (77072) | $220.15 | $259 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,731.08 | $2,036.56 | 4.1× |
| Bone Imaging Limited Area (78300) | $1,126.16 | $1,324.89 | 2.7× |
| Bone Imaging Multiple Areas (78305) | $1,244.40 | $1,464 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,611.40 | $1,895.77 | 3.8× |
| Bone survey infant (77076) | $407.15 | $479 | 3.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,590 | $5,400 | 3.0× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$506.60–$593.30 | $596–$698 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$303.45–$336.65 | $357–$396.06 | varies |
| Chest 2 views (71046) | $345.40 | $406.35 | 3.8× |
| Chest 3 views (71047) | $253.16 | $297.83 | 2.7× |
| Clavicle complete (73000) | $303.78 | $357.39 | 3.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$50.96–$212.50 | $59.95–$250 | varies |
| Contrast X-Ray Bladder (74430) | $447.98 | $527.03 | 1.2× |
| Contrast X-Ray Of Elbow (73085) | $490.45 | $577 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $615.28 | $723.86 | 1.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $498.10 | $586 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,083.35–$2,291.69 | $2,451–$2,696.10 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,746.58 | $2,054.80 | 6.9× |
| CT abdomen w contrast (74160) | $1,582.02 | $1,861.20 | 8.5× |
| CT abdomen w wo contrast (74170) | $1,987.47 | $2,338.20 | 10.7× |
| CT abdomen w/o contrast (74150) | $1,448.91 | $1,704.60 | 13.1× |
| CT Angio Abdomen and Pelvis (74174) | $3,148.40 | $3,704 | 8.5× |
| CT Angio Chest (71275) | $1,987.47 | $2,338.20 | 10.7× |
| CT Angio Head (70496) | $1,987.47 | $2,338.20 | 10.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,987.47 | $2,338.20 | 10.7× |
| CT Angio Neck (70498) | $2,037.38 | $2,396.92 | 11.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,987.47 | $2,338.20 | 10.7× |
| CT cervical spine w/ contrast (72126) | $1,631.75 | $1,919.70 | 4.4× |
| CT cervical spine w/o contrast (72125) | $1,444.32 | $1,699.20 | 13.1× |
| CT cervical spine w/wo cont (72127) | $1,987.47 | $2,338.20 | 10.7× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,571.81–$1,582.02 | $1,849.19–$1,861.20 | varies |
| CT chest w/wo contrast (71270) | $2,049.32 | $2,410.96 | 11.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,916.33 | $2,254.50 | 10.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$1,892.95–$2,261.85 | $2,227–$2,661 | varies |
| CT head/brain with contrast (70460) | $1,631.75 | $1,919.70 | 8.8× |
| CT head/brain without and with contrast (70470) | $1,927.04 | $2,267.10 | 10.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $70.22 | $82.61 | 0.8× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,409.13–$1,631.75 | $1,657.80–$1,919.70 | varies |
| CT l-spine w&w/o contrast (72133) | $1,987.47 | $2,338.20 | 10.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,493.28–$1,744.20 | $1,756.80–$2,052 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,632.94–$1,744.20 | $1,921.10–$2,052 | varies |
| CT lumbar spine w contrast (72132) | $1,671.09 | $1,965.99 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,493.28 | $1,756.80 | 13.5× |
| CT maxillofacial w contrast (70487) | $1,631.75 | $1,919.70 | 8.8× |
| CT maxillofacial wo contrast (70486) | $1,444.32 | $1,699.20 | 13.1× |
| CT neck tissue combo (70492) | $1,987.47 | $2,338.20 | 10.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,875.78–$1,987.47 | $2,206.80–$2,338.20 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,493.28–$1,493.29 | $1,756.80–$1,756.81 | varies |
| CT pelvis w&w/o contrast (72194) | $2,090.48 | $2,459.39 | 11.3× |
| CT pelvis w/o contrast (72192) | $1,448.91 | $1,704.60 | 13.1× |
| CT scan of leg combo (73702) | $1,987.47 | $2,338.20 | 10.7× |
| CT scans face/jaw combo (70488) | $1,987.47 | $2,338.20 | 10.7× |
| CT soft tissue neck w contrast (70491) | $1,583.28 | $1,862.68 | 8.5× |
| CT soft tissue neck w/o contrast (70490) | $1,493.28 | $1,756.80 | 13.5× |
| CT thoracic spine w contrast (72129) | $1,631.75 | $1,919.70 | 8.8× |
| CT thoracic spine w/o contrast (72128) | $1,493.28 | $1,756.80 | 13.5× |
| CT thoracic spine w/wo cont (72130) | $1,987.47 | $2,338.20 | 10.7× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$228.14–$1,448.91 | $268.40–$1,704.60 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,493.28–$1,631.75 | $1,756.80–$1,919.70 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,208.30 | $2,598 | 11.9× |
| CT upper extremity with contrast (73201) | $1,631.75 | $1,919.70 | 4.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,208.30 | $2,598 | 11.9× |
| Cta Abdomen (74175) | $1,987.47 | $2,338.20 | 10.7× |
| CTA pelvis (72191) | $1,987.47 | $2,338.20 | 10.7× |
| Discography Cerv/Thor Spine (72285) | $3,913.19 | $4,603.75 | 1.9× |
| Diskography lumbar (72295) | $3,913.19 | $4,603.75 | 1.9× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$111.27–$434.38 | $130.90–$511.03 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $240.20 | $282.59 | 2.6× |
| Echo exam uterus (76831) | $511.70 | $602 | 2.0× |
| Esophagram (74220) | $685.73 | $806.74 | 3.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $623.39 | $733.40 | 5.6× |
| Fluoroscopy up to 1 hr (76000) | $730.86 | $859.83 | 2.9× |
| Foot 2 views (73620) | $192.63 | $226.62 | 2.1× |
| Forearm 2 views (73090) | $268.57 | $315.96 | 2.9× |
| Gastric emptying imaging study (78264) | $1,611.40 | $1,895.77 | 3.8× |
| Gastroesophageal Reflux Exam (78262) | $1,244.40 | $1,464 | 2.9× |
| Gated Heart Planar Single (78472) | $1,919.59 | $2,258.34 | 4.5× |
| Hand 2 views (73120) | $353.32 | $415.67 | 3.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,919.59 | $2,258.34 | 3.3× |
| Hepatobiliary System Imaging (78226) | $1,919.59 | $2,258.34 | 4.5× |
| Ht Muscle Image Spect Sing (78451) | $2,473.23 | $2,909.68 | 1.8× |
| Hysterosalpingogram (74740) | $731.85 | $861 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $529.55 | $623 | 5.8× |
| Joint Survey Single View (77077) | $209.95 | $247 | 1.9× |
| K Flow/Funct Image Multiple (78709) | $1,104.24 | $1,299.10 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $928.98 | $1,092.92 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,611.40 | $1,895.77 | 2.8× |
| Kidney Imaging Morphol (78700) | $1,244.40 | $1,464 | 2.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$397.35–$502.49 | $467.47–$591.16 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,617.20 | $1,902.59 | 3.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,068.66 | $1,257.25 | 2.5× |
| Liver imaging static only (78201) | $1,530 | $1,800 | 2.7× |
| Liver imaging w/vascular flow (78202) | $1,530 | $1,800 | 2.7× |
| Lung Ventilat&Perfus Imaging (78582) | $2,406.18 | $2,830.80 | 4.2× |
| Lung Ventilation Imaging (78579) | $1,152.60 | $1,356 | 2.7× |
| Lymph System Imaging (78195) | $1,877.76 | $2,209.13 | 3.3× |
| Mammary ductogram or galactogram single (77053) | $455.35 | $535.70 | 1.8× |
| Meckels Divert Exam (78290) | $1,244.40 | $1,464 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,500.79 | $2,942.10 | 6.8× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,263.64–$2,371.50 | $2,663.10–$2,790 | varies |
| MRA head with contrast (70545) | $2,515.15 | $2,959 | 6.8× |
| MRA neck w contrast (70548) | $2,791.91 | $3,284.60 | 7.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,500.79 | $2,942.10 | 6.8× |
| MRA neck w/o contrast (70547) | $2,263.64 | $2,663.10 | 9.0× |
| MRI abdomen w contrast (74182) | $2,515.15 | $2,959 | 6.8× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,823.76–$2,263.64 | $2,145.60–$2,663.10 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,263.64 | $2,663.10 | 2.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,938.37 | $3,456.90 | 8.0× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,263.64–$2,623.19 | $2,663.10–$3,086.10 | varies |
| MRI cervical spine w contrast (72142) | $2,284.29 | $2,687.40 | 6.2× |
| MRI cervical spine w/o cont (72141) | $2,210.09 | $2,600.10 | 8.8× |
| MRI chest w/o contrast (71550) | $2,515.15 | $2,959 | 10.0× |
| MRI chest with contrast (71551) | $2,515.15 | $2,959 | 3.0× |
| MRI chest wo w contrast (71552) | $2,500.79 | $2,942.10 | 6.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,515.15 | $2,959 | 6.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,659.14 | $3,128.40 | 7.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,263.64 | $2,663.10 | 9.0× |
| MRI lumbar spine w contrast (72149) | $2,538.10 | $2,986 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,798.37 | $3,292.20 | 7.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,263.64 | $2,663.10 | 9.0× |
| MRI orbit face neck w contrast (70542) | $2,263.64 | $2,663.10 | 6.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,715.28–$2,728.76 | $3,194.45–$3,210.30 | varies |
| MRI pelvis w contrast (72196) | $2,515.15 | $2,959 | 6.8× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,332.42–$2,938.37 | $2,744.02–$3,456.90 | varies |
| MRI pelvis w/o contrast (72195) | $2,263.64 | $2,663.10 | 9.0× |
| MRI thoracic spine w/o contrast (72146) | $2,263.64 | $2,663.10 | 9.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,515.15 | $2,959 | 6.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,202.44–$2,263.64 | $2,591.10–$2,663.10 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,500.79 | $2,942.10 | 6.8× |
| MRI, abdomen, combo (74183) | $2,662.12 | $3,131.90 | 7.2× |
| MRI, dorsal spine combo (72157) | $2,798.37 | $3,292.20 | 7.6× |
| MRI, dorsal spine contrast (72147) | $2,478.95 | $2,916.41 | 6.7× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,194.02–$2,300.36 | $2,581.20–$2,706.30 | varies |
| MRI, joint upper extrem combo (73223) | $2,500.79 | $2,942.10 | 6.8× |
| MRI, lumbar spine combo (72158) | $2,728.76 | $3,210.30 | 7.4× |
| Myelogram cervical (72240) | $1,990.70 | $2,342 | 2.4× |
| Myelogram Lumbar (72265) | $1,135.70 | $1,336.12 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $964.75 | $1,135 | 1.2× |
| Myocardial Spect Multiple Studies (78452) | $4,570.28 | $5,376.80 | 3.3× |
| Neck soft tissue (70360) | $152.99 | $179.99 | 1.7× |
| Nonvascular Shunt X-Ray (75809) | $428.23 | $503.80 | 3.9× |
| Parathyroid Planar Imaging (78070) | $1,244.81 | $1,464.48 | 2.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,484.23 | $1,746.15 | 3.5× |
| Pelvis 1 or 2 views (72170) | $303.78 | $357.39 | 2.7× |
| PET image w/CT, full body (78816) | $3,855.60 | $4,536 | 2.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,855.60 | $4,536 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,267.86–$1,276.25 | $1,491.60–$1,501.47 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $504.11 | $593.07 | 4.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $493.78 | $580.92 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$332.41–$579.96 | $391.07–$682.30 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $282.87 | $332.79 | 3.1× |
| Radex elbow complete minimum 3 views (73080) | $313.70 | $369.06 | 3.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $335.72 | $394.96 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$242.56–$261.96 | $285.36–$308.19 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$332.41–$459 | $391.07–$540 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$343.42–$644.33 | $404.02–$758.04 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $119.85 | $141 | 1.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $306 | $360 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $323.60 | $380.71 | 3.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$379.74–$527.85 | $446.75–$621 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $470.05 | $553 | 2.5× |
| Radex Spine 1 View Specify Level (72020) | $204.72 | $240.85 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $211.34 | $248.63 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $282.74 | $332.64 | 3.1× |
| Radex Toe Minimum 2 Views (73660) | $254.26 | $299.13 | 2.8× |
| Radex upper extremity infant minimum 2 views (73092) | $118.15 | $139 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $353.32 | $415.67 | 3.8× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $578.88 | $681.03 | 5.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $312.60 | $367.76 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $1,047.85 | $1,232.77 | 5.6× |
| Radiologic exam colon single contrast study (74270) | $662.24 | $779.10 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$432.57–$598.77 | $508.91–$704.44 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $154.10 | $181.29 | 0.8× |
| Radiologic exam swallow function contrast study (74230) | $637.54 | $750.05 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$508.52–$1,104.02 | $598.26–$1,298.85 | varies |
| Radiologic examination femur 1 view (73551) | $227.21 | $267.30 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$317.98–$343.42 | $374.09–$404.02 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$323.60–$544 | $380.71–$640 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $527.23 | $620.27 | 4.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $313.70 | $369.06 | 3.4× |
| Ribs bilateral 3 views (71110) | $511.82 | $602.14 | 4.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,683 | $1,980 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,801.12 | $2,118.96 | 3.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,611.40–$3,085.50 | $1,895.77–$3,630 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$188.22–$267.47 | $221.43–$314.67 | varies |
| Shoulder 1 view (73020) | $188.22 | $221.43 | 2.0× |
| Shoulder Arthrography (73040) | $1,087.47 | $1,279.38 | 2.9× |
| Sialogram (70390) | $550.72 | $647.90 | 2.2× |
| Skull less than 4 views (70250) | $259.76 | $305.60 | 2.3× |
| Sternoclavicular joints (71130) | $334.77 | $393.85 | 3.6× |
| Thoracic spine 2 views (72070) | $332.41 | $391.07 | 3.0× |
| Thoracic spine 3 views (72072) | $400.66 | $471.36 | 3.6× |
| Thoracolumbar 2 views (72080) | $278.48 | $327.62 | 3.0× |
| Thyroid Uptake Measurement (78012) | $1,152.60 | $1,356 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,492.52 | $1,755.91 | 3.5× |
| Ultrasound Breast Limited (76642) | $554.24 | $652.05 | 6.0× |
| Ultrasound Exam Aaa Screen (76706) | $111.27 | $130.90 | 1.0× |
| Ultrasound, abdomen limited (76705) | $647.20 | $761.41 | 5.9× |
| Upper gi w/o kub (74240) | $685.73 | $806.74 | 3.7× |
| Urethrocystogram voiding (74455) | $688.50 | $810 | 2.7× |
| Us breast unilateral complete (76641) | $696.43 | $819.33 | 6.3× |
| Us chest (76604) | $621.18 | $730.80 | 5.6× |
| Us complete joint (76881) | $527.34 | $620.40 | 4.8× |
| Us exam, pelvic, limited (76857) | $344.51 | $405.31 | 3.1× |
| Us head (76506) | $529.55 | $623 | 4.8× |
| Us kidney transplant (76776) | $434.35 | $511 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $401.75 | $472.65 | 3.6× |
| Us ob limited 1 or more fetuses (76815) | $571.25 | $672.06 | 5.2× |
| Us ob transvaginal (76817) | $680.35 | $800.41 | 6.2× |
| Us pelvic non ob complete (76856) | $685.73 | $806.74 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $623.39 | $733.40 | 5.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $441.15 | $519 | 4.0× |
| Us retroperitoneal complete (76770) | $647.20 | $761.41 | 5.9× |
| Us retroperitoneal limited (76775) | $507.42 | $596.96 | 4.6× |
| Us scrotum and contents (76870) | $685.73 | $806.74 | 6.2× |
| Us spinal canal and contents (76800) | $706.35 | $831 | 6.4× |
| Us thyroid (76536) | $582.51 | $685.30 | 5.3× |
| Us transrectal (76872) | $529.55 | $623 | 4.8× |
| Venography extremity bilateral rs&i (75822) | $1,661.75 | $1,955 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,437.04 | $1,690.64 | 0.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$159.60–$459 | $187.77–$540 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $199.12 | $234.26 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $278.48 | $327.62 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $184.91 | $217.54 | 2.0× |
| X-Ray Exam Breast Specimen (76098) | $661.51 | $778.25 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $397.35 | $467.47 | 3.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $735.83 | $865.68 | 6.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$199.22–$296.08 | $234.38–$348.33 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $382.50 | $450 | 4.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $373.13 | $438.98 | 3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $330.21 | $388.48 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $402.85 | $473.94 | 3.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $332.41 | $391.07 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $625.18 | $735.51 | 5.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$316.96–$423.77 | $372.89–$498.55 | varies |
| X-ray eye for foreign body (70030) | $192.63 | $226.62 | 2.1× |
| X-ray humerus (73060) | $241.05 | $283.59 | 2.6× |
| X-ray IV pyelogram (ivp) (74400) | $905.86 | $1,065.72 | 4.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $241.05 | $283.59 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $343.42 | $404.02 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $187.85 | $221 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $543.74 | $639.69 | 4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $181.62 | $213.67 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $303.78 | $357.39 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $277.37 | $326.32 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $425.96 | $501.13 | 3.9× |
| X-Ray Stress View (77071) | $361.25 | $425 | 3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $414.79 | $487.99 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $603.33 | $709.80 | 5.5× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$441.56–$495.30 | $519.48–$582.71 | varies |
| Xr orbits complete 4 views (70200) | $231.14 | $271.93 | 2.1× |
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.