Imaging prices at Red Bud Regional Hospital
Red Bud, IL · every code in this section with a posted price and a Medicare benchmark.
264 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) | $235.80 | $906.92 | 2.5× |
| Abdomen 2 views (74019) | $624.38 | $2,401.45 | 5.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,868.16 | $7,185.20 | 4.4× |
| Ankle 2 views (73600) | $353.97 | $1,361.40 | 3.8× |
| Arthrogram ankle (73615) | $1,847.02 | $7,103.91 | 4.9× |
| Arthrogram hip (73525) | $1,847.02 | $7,103.91 | 4.9× |
| Arthrogram Wrist (73115) | $1,840.93 | $7,080.48 | 4.9× |
| Bone age studies (77072) | $354.30 | $1,362.69 | 3.2× |
| Bone Imaging 3 Phase (78315) | $1,593.09 | $6,127.26 | 3.7× |
| Bone Imaging Limited Area (78300) | $1,382.18 | $5,316.04 | 3.2× |
| Bone Imaging Multiple Areas (78305) | $1,523.35 | $5,859.02 | 3.6× |
| Bone Imaging Whole Body (78306) | $1,921.26 | $7,389.43 | 4.5× |
| Bone survey infant (77076) | $409.27 | $1,574.10 | 3.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,587.50 | $6,105.74 | 2.7× |
| Cat Scan Follow-Up Study (76380) | $291.56 | $1,121.36 | 3.1× |
| Cerebrospinal Fluid Scan (78630) | $810.84 | $3,118.58 | 1.4× |
| Chest 1 view (71045) | $212.84 | $818.59 | 2.3× |
| Chest 2 views (71046) | $310.45 | $1,194.03 | 3.3× |
| Chest 3 views (71047) | $446.96 | $1,719.07 | 4.8× |
| Chest 4 or more views (71048) | $446.96 | $1,719.07 | 4.0× |
| Cholecystography Oral Contrast (74290) | $440.47 | $1,694.09 | 2.3× |
| Clavicle complete (73000) | $235.80 | $906.92 | 2.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $143 | $550 | 1.3× |
| Contrast X-Ray Bladder (74430) | $691.46 | $2,659.46 | 1.8× |
| Contrast X-Ray Of Elbow (73085) | $1,840.93 | $7,080.48 | 4.9× |
| Contrast X-Ray Of Knee Joint (73580) | $1,847.02 | $7,103.91 | 4.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $493.16 | $1,896.75 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $3,383.34 | $13,012.82 | 9.0× |
| CT abdomen and pelvis without contrast (74176) | $2,649.30 | $10,189.60 | 10.4× |
| CT abdomen w contrast (74160) | $1,523.54 | $5,859.74 | 8.1× |
| CT abdomen w wo contrast (74170) | $1,752 | $6,738.44 | 9.3× |
| CT abdomen w/o contrast (74150) | $1,324.78 | $5,095.29 | 11.8× |
| CT Angio Abdomen and Pelvis (74174) | $3,433.52 | $13,205.84 | 9.2× |
| CT Angio Chest (71275) | $1,853.95 | $7,130.57 | 9.9× |
| CT cervical spine w/ contrast (72126) | $1,776.80 | $6,833.84 | 4.8× |
| CT cervical spine w/o contrast (72125) | $1,545.10 | $5,942.67 | 13.8× |
| CT cervical spine w/wo cont (72127) | $2,042.72 | $7,856.61 | 10.9× |
| CT chest w contrast (71260) | $1,545.10 | $5,942.67 | 8.2× |
| CT chest w/wo contrast (71270) | $1,655.71 | $6,368.08 | 8.8× |
| CT head/brain with contrast (70460) | $1,306.53 | $5,025.08 | 7.0× |
| CT head/brain without and with contrast (70470) | $1,502.17 | $5,777.55 | 8.0× |
| CT iac w contrast (70481) | $1,357.22 | $5,220.05 | 7.2× |
| CT l-spine w&w/o contrast (72133) | $2,305.91 | $8,868.88 | 12.3× |
| CT lower ext w/o (73700) | $1,033.03 | $3,973.19 | 9.2× |
| CT lower extremity w/contrast material (73701) | $1,214.24 | $4,670.13 | 6.5× |
| CT lumbar spine w contrast (72132) | $1,959.85 | $7,537.87 | 5.2× |
| CT lumbar spine w/o contrast (72131) | $1,665.94 | $6,407.45 | 14.9× |
| CT maxillofacial w contrast (70487) | $1,173.66 | $4,514.06 | 6.2× |
| CT maxillofacial wo contrast (70486) | $1,020.57 | $3,925.25 | 9.1× |
| CT neck tissue combo (70492) | $1,292.60 | $4,971.51 | 6.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,612.52 | $6,201.97 | 8.6× |
| CT orbits w/o contrast (70480) | $1,147.71 | $4,414.25 | 10.2× |
| CT pelvis w&w/o contrast (72194) | $1,631.15 | $6,273.65 | 8.7× |
| CT pelvis w/o contrast (72192) | $1,324.78 | $5,095.29 | 11.8× |
| CT scan of leg combo (73702) | $1,397.80 | $5,376.12 | 7.4× |
| CT scans face/jaw combo (70488) | $1,302.58 | $5,009.92 | 6.9× |
| CT soft tissue neck w contrast (70491) | $1,124.11 | $4,323.50 | 6.0× |
| CT soft tissue neck w/o contrast (70490) | $955.25 | $3,674.02 | 8.5× |
| CT thoracic spine w contrast (72129) | $1,545.10 | $5,942.67 | 8.2× |
| CT thoracic spine w/o contrast (72128) | $1,313.14 | $5,050.52 | 11.7× |
| CT thoracic spine w/wo cont (72130) | $1,776.68 | $6,833.35 | 9.5× |
| CT thorax w/o contrast (71250) | $1,312.95 | $5,049.79 | 11.7× |
| CT upper ext wo (73200) | $1,033.03 | $3,973.19 | 9.2× |
| CT upper extremity w/o & w/contrast material (73202) | $1,397.80 | $5,376.12 | 7.4× |
| CT upper extremity with contrast (73201) | $1,215.51 | $4,675.03 | 3.3× |
| Cta Abdomen (74175) | $1,853.95 | $7,130.57 | 9.9× |
| CTA pelvis (72191) | $1,853.95 | $7,130.57 | 9.9× |
| Dxa Bone Density Axial (77080) | $232.39 | $893.78 | 2.1× |
| Echograp Trans R Pros Study (76873) | $893.52 | $3,436.60 | 8.0× |
| Esophagram (74220) | $493.16 | $1,896.75 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $393.81 | $1,514.62 | 3.5× |
| Fluoroscopy up to 1 hr (76000) | $408.74 | $1,572.04 | 1.6× |
| Foot 2 views (73620) | $225.90 | $868.81 | 2.4× |
| Forearm 2 views (73090) | $253.28 | $974.12 | 2.7× |
| Gastric emptying imaging study (78264) | $1,868.16 | $7,185.20 | 4.4× |
| Gated Heart Planar Single (78472) | $1,868.16 | $7,185.20 | 4.4× |
| Hand 2 views (73120) | $278.12 | $1,069.66 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $2,070.98 | $7,965.27 | 3.6× |
| Hepatobiliary System Imaging (78226) | $2,070.98 | $7,965.27 | 4.8× |
| Ht Muscle Image Spect Sing (78451) | $620.61 | $2,386.94 | 0.4× |
| Hysterosalpingogram (74740) | $977.54 | $3,759.76 | 3.8× |
| Infusion Ivp (74410) | $664.55 | $2,555.95 | 3.5× |
| Joint Survey Single View (77077) | $681.56 | $2,621.35 | 6.1× |
| K Flow/Funct Image W/Drug (78708) | $2,626.70 | $10,102.67 | 4.5× |
| K Flow/Funct Image W/O Drug (78707) | $2,626.70 | $10,102.67 | 4.5× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$482.04–$963.88 | $1,854–$3,707.23 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,094.91 | $8,057.33 | 4.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $552.27 | $2,124.09 | 1.3× |
| Liver imaging static only (78201) | $2,094.91 | $8,057.33 | 3.6× |
| Liver imaging w/vascular flow (78202) | $552.27 | $2,124.09 | 0.9× |
| Lung perfusion differential (78597) | $2,512.25 | $9,662.50 | 5.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,894.01 | $7,284.62 | 3.3× |
| Lung Ventilation Imaging (78579) | $632.32 | $2,431.98 | 1.5× |
| Lymph System Imaging (78195) | $1,352.35 | $5,201.31 | 2.3× |
| Magnetic Image Jaw Joint (70336) | $1,831.62 | $7,044.69 | 7.2× |
| Mammary ductogram or galactogram multiple (77054) | $817.26 | $3,143.30 | 3.2× |
| Mammary ductogram or galactogram single (77053) | $635.36 | $2,443.68 | 2.5× |
| Meckels Divert Exam (78290) | $1,956.53 | $7,525.10 | 4.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,234.30 | $4,747.27 | 3.3× |
| MRA head w/o contrast (70544) | $933.16 | $3,589.04 | 3.6× |
| MRA head with contrast (70545) | $1,073.35 | $4,128.24 | 2.9× |
| MRA neck w contrast (70548) | $1,073.35 | $4,128.24 | 2.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,234.30 | $4,747.27 | 3.3× |
| MRA neck w/o contrast (70547) | $933.16 | $3,589.04 | 3.6× |
| MRI abdomen w contrast (74182) | $2,143.41 | $8,243.86 | 5.7× |
| MRI abdomen w/o contrast (74181) | $1,820.44 | $7,001.68 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,410.81 | $9,272.32 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,193.12 | $12,281.21 | 8.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,410.81 | $9,272.32 | 2.9× |
| MRI cervical spine w contrast (72142) | $2,563.59 | $9,859.93 | 6.9× |
| MRI cervical spine w/o cont (72141) | $2,096.54 | $8,063.61 | 8.2× |
| MRI chest w/o contrast (71550) | $1,715.26 | $6,597.15 | 6.7× |
| MRI chest with contrast (71551) | $1,821.58 | $7,006.06 | 2.2× |
| MRI chest wo w contrast (71552) | $2,465.51 | $9,482.70 | 6.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,143.41 | $8,243.86 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,464.64 | $9,479.35 | 6.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,829.55 | $7,036.70 | 7.2× |
| MRI lumbar spine w contrast (72149) | $2,563.59 | $9,859.93 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,948.28 | $11,339.53 | 7.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,715.26 | $6,597.15 | 6.7× |
| MRI orbit face neck w contrast (70542) | $2,106.25 | $8,100.95 | 5.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,422.12 | $9,315.84 | 6.5× |
| MRI pelvis w contrast (72196) | $2,093.80 | $8,053.06 | 5.6× |
| MRI pelvis w/o & w contrast (72197) | $3,193.12 | $12,281.21 | 8.5× |
| MRI pelvis w/o contrast (72195) | $2,384.03 | $9,169.32 | 9.3× |
| MRI thoracic spine w/o contrast (72146) | $2,096.54 | $8,063.61 | 8.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,143.41 | $8,243.86 | 5.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,820.44 | $7,001.68 | 7.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,193.52 | $12,282.75 | 8.5× |
| MRI, abdomen, combo (74183) | $3,292.81 | $12,664.62 | 8.8× |
| MRI, dorsal spine combo (72157) | $2,761.89 | $10,622.65 | 7.4× |
| MRI, dorsal spine contrast (72147) | $2,441.20 | $9,389.22 | 6.5× |
| MRI, joint upper extrem (73221) | $2,096.54 | $8,063.61 | 8.2× |
| MRI, joint upper extrem combo (73223) | $3,193.12 | $12,281.21 | 8.5× |
| MRI, lumbar spine combo (72158) | $2,947.68 | $11,337.21 | 7.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,741.93 | $6,699.71 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $4,044.95 | $15,557.50 | 2.9× |
| Neck soft tissue (70360) | $270.68 | $1,041.07 | 2.9× |
| Nm csf leak detection (78650) | $1,407.07 | $5,411.77 | 1.0× |
| Nm whole blood volume (78122) | $2,450.32 | $9,424.29 | 4.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,030.44 | $3,963.23 | 1.8× |
| Parathyroid Planar Imaging (78070) | $746.84 | $2,872.43 | 1.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,030.44 | $3,963.23 | 2.4× |
| Pelvis 1 or 2 views (72170) | $284.01 | $1,092.32 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,261.69 | $4,852.64 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $476.62 | $1,833.14 | 4.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $394.94 | $1,518.99 | 4.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $219.80 | $845.37 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $291.97 | $1,122.96 | 3.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $554.22 | $2,131.59 | 4.9× |
| Radex fingr minimum 2 views (73140) | $208.89 | $803.40 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $274.16 | $1,054.46 | 2.9× |
| Radex Hand Minimum 3 Views (73130) | $325.31 | $1,251.19 | 3.5× |
| Radex lower extremity infant minimum 2 views (73592) | $204.14 | $785.12 | 2.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $462.23 | $1,777.78 | 4.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $271.22 | $1,043.13 | 2.9× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $316.54 | $1,217.46 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $431.03 | $1,657.79 | 4.6× |
| Radex shoulder complete minimum 2 views (73030) | $235.80 | $906.92 | 2.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $149.44 | $574.74 | 1.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $931.75 | $3,583.63 | 5.0× |
| Radex Spine 1 View Specify Level (72020) | $213.17 | $819.88 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $329.20 | $1,266.13 | 3.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $528.44 | $2,032.45 | 5.7× |
| Radex Toe Minimum 2 Views (73660) | $204.14 | $785.12 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $204.14 | $785.12 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $325.31 | $1,251.19 | 3.5× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,276.07 | $4,907.95 | 11.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $462.23 | $1,777.78 | 4.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $426.41 | $1,640.02 | 3.8× |
| Radiologic exam colon double contrast study (74280) | $1,145.99 | $4,407.63 | 6.1× |
| Radiologic exam colon single contrast study (74270) | $928.80 | $3,572.30 | 4.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$525.63–$1,051.39 | $2,021.63–$4,043.78 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $329.20 | $1,266.13 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,043.02 | $4,011.59 | 5.5× |
| Radiologic exam swallow function contrast study (74230) | $503.74 | $1,937.43 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,050.65 | $4,040.95 | 5.6× |
| Radiologic examination femur minimum 2 views (73552) | $384.23 | $1,477.79 | 4.1× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$353.97–$707.26 | $1,361.40–$2,720.23 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $626.99 | $2,411.49 | 5.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $354.30 | $1,362.69 | 3.8× |
| Ribs bilateral 3 views (71110) | $736.92 | $2,834.30 | 6.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,093.39 | $11,897.63 | 7.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,045.35 | $7,866.70 | 3.5× |
| Scapula (73010) | $285.88 | $1,099.53 | 2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $32.74 | $125.92 | 1.4× |
| Shoulder 1 view (73020) | $177.02 | $680.83 | 1.9× |
| Shoulder Arthrography (73040) | $1,840.93 | $7,080.48 | 4.9× |
| Skull less than 4 views (70250) | $497.38 | $1,912.97 | 4.4× |
| Sternoclavicular joints (71130) | $348.41 | $1,340.03 | 3.7× |
| Testicular Imaging W/Flow (78761) | $1,192.61 | $4,586.95 | 2.8× |
| Thoracic spine 2 views (72070) | $580.80 | $2,233.81 | 5.2× |
| Thoracic spine 3 views (72072) | $669.97 | $2,576.80 | 6.0× |
| Thyroid Imaging With Vascular Flow (78013) | $509.11 | $1,958.10 | 1.2× |
| Thyroid Uptake Measurement (78012) | $381.78 | $1,468.37 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $941.04 | $3,619.37 | 2.2× |
| Ultrasound Breast Limited (76642) | $744.69 | $2,864.17 | 8.0× |
| Ultrasound Exam Aaa Screen (76706) | $104.92 | $403.53 | 0.9× |
| Ultrasound, abdomen limited (76705) | $901.55 | $3,467.50 | 8.0× |
| Unlisted us procedure (76999) | $225.90 | $868.81 | 2.4× |
| Upper gi w/o kub (74240) | $893.19 | $3,435.31 | 4.8× |
| Ureteral Reflux Study (78740) | $1,963.60 | $7,552.29 | 4.6× |
| Urethrocystogram voiding (74455) | $667.16 | $2,565.99 | 2.6× |
| Urethrocystography retrograde (74450) | $667.16 | $2,565.99 | 2.6× |
| Us breast unilateral complete (76641) | $744.69 | $2,864.17 | 6.6× |
| Us chest (76604) | $757.14 | $2,912.07 | 6.8× |
| Us complete joint (76881) | $260.71 | $1,002.71 | 2.3× |
| Us exam, pelvic, limited (76857) | $443.75 | $1,706.71 | 4.0× |
| Us head (76506) | $756.94 | $2,911.30 | 6.8× |
| Us kidney transplant (76776) | $959.06 | $3,688.69 | 8.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $130.62 | $502.38 | 1.2× |
| Us ob detailed single fetus (76811) | $1,202.03 | $4,623.16 | 4.7× |
| Us ob limited 1 or more fetuses (76815) | $519.54 | $1,998.20 | 4.6× |
| Us ob transvaginal (76817) | $309.25 | $1,189.39 | 2.8× |
| Us pelvic non ob complete (76856) | $912.20 | $3,508.44 | 8.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $519.54 | $1,998.20 | 4.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $519.54 | $1,998.20 | 4.6× |
| Us retroperitoneal complete (76770) | $959.06 | $3,688.69 | 8.6× |
| Us retroperitoneal limited (76775) | $479.50 | $1,844.22 | 4.3× |
| Us scrotum and contents (76870) | $947.48 | $3,644.14 | 8.5× |
| Us spinal canal and contents (76800) | $959.06 | $3,688.69 | 8.6× |
| Us thyroid (76536) | $959.06 | $3,688.69 | 8.6× |
| Us transrectal (76872) | $614.14 | $2,362.05 | 5.5× |
| Venography extremity unilateral rs&i (75820) | $1,787.84 | $6,876.28 | 1.1× |
| Wrist 2 views (73100) | $278.12 | $1,069.66 | 3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $284.61 | $1,094.63 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $867.14 | $3,335.14 | 7.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $235.80 | $906.92 | 2.5× |
| X-Ray Exam Breast Specimen (76098) | $156.40 | $601.52 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $638.10 | $2,454.23 | 6.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $638.10 | $2,454.23 | 5.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,276.07 | $4,907.95 | 11.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $151.58 | $582.98 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $194.43 | $747.78 | 2.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $291.91 | $1,122.70 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $469.19 | $1,804.56 | 4.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $469.19 | $1,804.56 | 4.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $938.18 | $3,608.35 | 8.4× |
| X-Ray Exam L-S Spine Bending (72114) | $1,451.95 | $5,584.40 | 13.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $533.60 | $2,052.28 | 5.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $669.24 | $2,573.97 | 6.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $495.50 | $1,905.76 | 4.4× |
| X-ray eye for foreign body (70030) | $212.84 | $818.59 | 2.3× |
| X-ray humerus (73060) | $233.93 | $899.71 | 2.5× |
| X-ray IV pyelogram (ivp) (74400) | $902.22 | $3,470.07 | 4.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $356.45 | $1,370.93 | 3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $270.89 | $1,041.85 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $738.93 | $2,842.03 | 6.6× |
| X-ray nose-rectum child f.b. (76010) | $251.47 | $967.17 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $922.31 | $3,547.32 | 8.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $321.30 | $1,235.74 | 2.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $278.85 | $1,072.49 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $340.51 | $1,309.65 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $459.95 | $1,769.03 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $638.91 | $2,457.32 | 5.7× |
| X-ray thoracic spine 4 vw (72074) | $770.33 | $2,962.80 | 6.9× |
| X-Ray Tmj Unilat (70328) | $264.52 | $1,017.38 | 2.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,034.12 | $3,977.35 | 2.8× |
| X-Rays Bone Length Studies (77073) | $328.53 | $1,263.55 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $629 | $2,419.21 | 5.6× |
| Xr c-spine 4 or 5 views (72050) | $550.13 | $2,115.88 | 4.9× |
| Xr facial bones less than 3 views (70140) | $384.23 | $1,477.79 | 4.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $356.45 | $1,370.93 | 3.2× |
| Xr orbits complete 4 views (70200) | $451.12 | $1,735.04 | 4.0× |
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.