Imaging prices at Regional West Medical Center
Scottsbluff, NE · every code in this section with a posted price and a Medicare benchmark.
268 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $7,009.80 | $11,683 | 4.9× |
| Abdomen 1 View (74018) | $307.92 | $513.20 | 3.4× |
| Abdomen 2 views (74019) | $388.20 | $647 | 3.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,581 | $2,635 | 3.8× |
| Angio pulmonary bilat (75743) | $3,234.60 | $5,391 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $4,651.20 | $7,752 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $4,256.40 | $7,094 | 1.3× |
| Ankle 2 views (73600) | $314.64 | $524.40 | 3.5× |
| Artery X-Rays Abdomen (75726) | $6,604.80 | $11,008 | 1.1× |
| Artery X-Rays Pelvis (75736) | $5,563.80 | $9,273 | 1.0× |
| Artery X-Rays Spine (75705) | $5,307.60 | $8,846 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $624.60 | $1,041 | 4.5× |
| Bone age studies (77072) | $196.44 | $327.40 | 1.8× |
| Bone Imaging 3 Phase (78315) | $2,030.40 | $3,384 | 4.9× |
| Bone Imaging Whole Body (78306) | $1,818.60 | $3,031 | 4.4× |
| Bone survey infant (77076) | $279.30 | $465.50 | 2.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,670.76 | $2,784.60 | 3.0× |
| Chest 1 view (71045) | $192 | $320 | 2.1× |
| Chest 2 views (71046) | $306 | $510 | 3.4× |
| Chest 3 views (71047) | $400.62 | $667.70 | 4.4× |
| Clavicle complete (73000) | $333.72 | $556.20 | 3.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $618 | $1,030 | 5.7× |
| Continuing medical physics consltj pr wk (77336) | $867.60 | $1,446 | 6.2× |
| Contrast Exam Abdominl Aorta (75625) | $3,718.80 | $6,198 | 1.1× |
| Contrast X-Ray Bladder (74430) | $920.88 | $1,534.80 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $4,983.60 | $8,306 | 13.8× |
| CT abdomen and pelvis without contrast (74176) | $3,753.60 | $6,256 | 15.2× |
| CT abdomen w contrast (74160) | $2,600.40 | $4,334 | 14.3× |
| CT abdomen w wo contrast (74170) | $3,239.40 | $5,399 | 17.8× |
| CT abdomen w/o contrast (74150) | $2,290.20 | $3,817 | 21.1× |
| CT Angio Abdomen and Pelvis (74174) | $5,671.80 | $9,453 | 15.7× |
| CT Angio Chest (71275) | $2,982 | $4,970 | 16.4× |
| CT Angio Head (70496) | $2,575.20 | $4,292 | 14.1× |
| CT angio hrt w/3d image (75574) | $2,221.80 | $3,703 | 6.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,005.40 | $5,009 | 16.5× |
| CT Angio Neck (70498) | $2,570.40 | $4,284 | 14.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,194.80 | $3,658 | 12.1× |
| CT cervical spine w/ contrast (72126) | $2,479.20 | $4,132 | 6.8× |
| CT cervical spine w/o contrast (72125) | $2,209.20 | $3,682 | 20.4× |
| CT cervical spine w/wo cont (72127) | $1,949.33 | $3,248.87 | 10.7× |
| CT chest w contrast (71260) | $2,371.80 | $3,953 | 13.0× |
| CT chest w/wo contrast (71270) | $2,554.80 | $4,258 | 14.0× |
| CT head/brain with contrast (70460) | $2,067.60 | $3,446 | 11.4× |
| CT head/brain without and with contrast (70470) | $2,471.40 | $4,119 | 13.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $382.38 | $637.30 | 4.2× |
| CT iac w contrast (70481) | $2,577 | $4,295 | 14.1× |
| CT lower ext w/o (73700) | $2,899.80 | $4,833 | 26.7× |
| CT lower extremity w/contrast material (73701) | $2,184 | $3,640 | 12.0× |
| CT lumbar spine w contrast (72132) | $2,534.40 | $4,224 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $2,272.20 | $3,787 | 20.9× |
| CT maxillofacial w contrast (70487) | $2,380.80 | $3,968 | 13.1× |
| CT maxillofacial wo contrast (70486) | $1,857.60 | $3,096 | 17.1× |
| CT neck tissue combo (70492) | $2,531.40 | $4,219 | 13.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,594.64 | $4,324.40 | 14.2× |
| CT orbits w/o contrast (70480) | $2,164.20 | $3,607 | 19.9× |
| CT pelvis w&w/o contrast (72194) | $2,709.84 | $4,516.40 | 14.9× |
| CT pelvis w/o contrast (72192) | $2,337.66 | $3,896.10 | 21.5× |
| CT scan of leg combo (73702) | $2,382 | $3,970 | 13.1× |
| CT soft tissue neck w contrast (70491) | $2,287.20 | $3,812 | 12.6× |
| CT soft tissue neck w/o contrast (70490) | $2,192.40 | $3,654 | 20.2× |
| CT thoracic spine w contrast (72129) | $2,325.24 | $3,875.40 | 12.8× |
| CT thoracic spine w/o contrast (72128) | $2,290.80 | $3,818 | 21.1× |
| CT thorax w/o contrast (71250) | $2,116.80 | $3,528 | 19.5× |
| CT upper ext wo (73200) | $1,773.60 | $2,956 | 16.3× |
| CT upper extremity w/o & w/contrast material (73202) | $2,427 | $4,045 | 13.3× |
| CT upper extremity with contrast (73201) | $2,220 | $3,700 | 6.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,247.80 | $5,413 | 17.8× |
| Cta Abdomen (74175) | $2,977.20 | $4,962 | 16.3× |
| CTA pelvis (72191) | $2,975.40 | $4,959 | 16.3× |
| Dxa Bone Density Axial (77080) | $510.54 | $850.90 | 4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $178.76 | $297.92 | 2.0× |
| Esophagram (74220) | $731.40 | $1,219 | 4.0× |
| Fetal Biophys Profile W/Nst (76818) | $502.80 | $838 | 4.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $550.20 | $917 | 5.1× |
| Fluoroscopy up to 1 hr (76000) | $643.80 | $1,073 | 2.6× |
| Follow-Up Angiography (75898) | $2,637 | $4,395 | 0.8× |
| Foot 2 views (73620) | $299.34 | $498.90 | 3.3× |
| Forearm 2 views (73090) | $335.64 | $559.40 | 3.7× |
| Gastric emptying imaging study (78264) | $1,895.28 | $3,158.80 | 4.6× |
| Gated Heart Planar Single (78472) | $1,822.07 | $3,036.77 | 4.4× |
| Hand 2 views (73120) | $291 | $485 | 2.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,464.56 | $4,107.60 | 3.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,611.20 | $9,352 | 1.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,076.20 | $5,127 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $2,289.60 | $3,816 | 4.1× |
| Hepatobiliary System Imaging (78226) | $2,028.90 | $3,381.50 | 4.9× |
| Hysterosalpingogram (74740) | $696.78 | $1,161.30 | 2.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $389.88 | $649.80 | 4.3× |
| Infant hip ultrasound, limited static exam (76886) | $422.64 | $704.40 | 4.7× |
| K Flow/Funct Image Multiple (78709) | $1,876.68 | $3,127.80 | 3.3× |
| K Flow/Funct Image W/Drug (78708) | $1,897.20 | $3,162 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,249.80 | $2,083 | 2.2× |
| Knee 3 Views (73562) | $382.98 | $638.30 | 4.2× |
| Liver & Spleen Imaging Static Only (78215) | $1,254.30 | $2,090.50 | 3.0× |
| Lung Perf&Ventilat Diferentl (78598) | $2,847.66 | $4,746.10 | 5.1× |
| Lung Ventilat&Perfus Imaging (78582) | $2,438.22 | $4,063.70 | 4.3× |
| Lymph System Imaging (78195) | $1,906.14 | $3,176.90 | 3.4× |
| Magnetic Image Jaw Joint (70336) | $2,978.64 | $4,964.40 | 12.0× |
| Mlc imrt design & construction per imrt plan (77338) | $2,319.60 | $3,866 | 6.0× |
| Mra Head W/O & W/Contrast Material (70546) | $4,160.40 | $6,934 | 11.5× |
| MRA head w/o contrast (70544) | $3,361.80 | $5,603 | 13.6× |
| MRA head with contrast (70545) | $3,558 | $5,930 | 9.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,942.20 | $8,237 | 13.6× |
| MRA neck w/o contrast (70547) | $2,937 | $4,895 | 11.9× |
| MRI abdomen w contrast (74182) | $2,886 | $4,810 | 8.0× |
| MRI abdomen w/o contrast (74181) | $2,610.60 | $4,351 | 10.5× |
| MRI any jt lower extrem w/contrast material (73722) | $2,683.80 | $4,473 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,866.80 | $4,778 | 7.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,550.60 | $4,251 | 3.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,293.98 | $3,823.30 | 9.3× |
| MRI cervical spine w contrast (72142) | $3,396.60 | $5,661 | 9.4× |
| MRI cervical spine w/o cont (72141) | $2,940 | $4,900 | 11.9× |
| MRI chest w/o contrast (71550) | $2,400 | $4,000 | 9.7× |
| MRI chest wo w contrast (71552) | $4,395 | $7,325 | 12.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,038.04 | $5,063.40 | 8.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,579 | $5,965 | 9.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,344.80 | $3,908 | 9.5× |
| MRI lumbar spine w contrast (72149) | $3,566.40 | $5,944 | 9.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,828.60 | $6,381 | 10.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,653.20 | $4,422 | 10.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,086.60 | $6,811 | 11.3× |
| MRI pelvis w contrast (72196) | $3,496.26 | $5,827.10 | 9.7× |
| MRI pelvis w/o & w contrast (72197) | $4,395 | $7,325 | 12.1× |
| MRI pelvis w/o contrast (72195) | $3,263.40 | $5,439 | 13.2× |
| MRI spectroscopy (76390) | $2,689.80 | $4,483 | 29.8× |
| MRI thoracic spine w/o contrast (72146) | $3,143.40 | $5,239 | 12.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,565.71 | $4,276.17 | 7.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,344.80 | $3,908 | 9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,579 | $5,965 | 9.9× |
| MRI, abdomen, combo (74183) | $3,779.40 | $6,299 | 10.4× |
| MRI, dorsal spine combo (72157) | $3,972 | $6,620 | 11.0× |
| MRI, dorsal spine contrast (72147) | $3,365.40 | $5,609 | 9.3× |
| MRI, joint upper extrem combo (73223) | $2,973.60 | $4,956 | 8.2× |
| MRI, lumbar spine combo (72158) | $4,009.20 | $6,682 | 11.1× |
| Myocardial Spect Multiple Studies (78452) | $4,763.76 | $7,939.60 | 3.5× |
| Neck soft tissue (70360) | $324.48 | $540.80 | 3.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,265.77 | $2,109.61 | 3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,336 | $10,560 | 4.4× |
| Nuclear Rx Oral Admin (79005) | $1,879.74 | $3,132.90 | 7.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $502.80 | $838 | 4.6× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,265.77–$1,545.72 | $2,109.61–$2,576.20 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,224.66 | $2,041.10 | 3.0× |
| Pelvis 1 or 2 views (72170) | $299.28 | $498.80 | 2.8× |
| PET image w/CT, full body (78816) | $6,912 | $11,520 | 4.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,989.80 | $9,983 | 4.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,371.60 | $2,286 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $558.18 | $930.30 | 5.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,553.12 | $2,588.53 | 2.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $351.18 | $585.30 | 3.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $337.86 | $563.10 | 3.7× |
| Radex elbow complete minimum 3 views (73080) | $371.16 | $618.60 | 4.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $461.52 | $769.20 | 4.3× |
| Radex fingr minimum 2 views (73140) | $271.62 | $452.70 | 3.0× |
| Radex foot complete minimum 3 views (73630) | $350.40 | $584 | 3.9× |
| Radex Hand Minimum 3 Views (73130) | $362.46 | $604.10 | 4.0× |
| Radex lower extremity infant minimum 2 views (73592) | $187.62 | $312.70 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $333.72 | $556.20 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $432.30 | $720.50 | 4.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $287.04 | $478.40 | 3.2× |
| Radex Spine 1 View Specify Level (72020) | $321.36 | $535.60 | 3.6× |
| Radex Sternum Minimum 2 Views (71120) | $369.18 | $615.30 | 4.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $464.22 | $773.70 | 5.1× |
| Radex Toe Minimum 2 Views (73660) | $302.10 | $503.50 | 3.3× |
| Radex upper extremity infant minimum 2 views (73092) | $71.37 | $118.95 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $364.62 | $607.70 | 4.0× |
| Radiation treatment delivery level 1 (77402) | $649.56 | $1,082.60 | 6.1× |
| Radiation treatment delivery level 2 (77407) | $2,293.98 | $3,823.30 | 5.7× |
| Radiation treatment delivery level 3 (77412) | $1,144.20 | $1,907 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $465.54 | $775.90 | 4.3× |
| Radiologic exam colon double contrast study (74280) | $1,042.56 | $1,737.60 | 5.7× |
| Radiologic exam colon single contrast study (74270) | $807.60 | $1,346 | 4.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $425.58 | $709.30 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $716.46 | $1,194.10 | 3.9× |
| Radiologic exam swallow function contrast study (74230) | $610.20 | $1,017 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $833.64 | $1,389.40 | 4.6× |
| Radiologic examination femur 1 view (73551) | $255.72 | $426.20 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) | $307.80 | $513 | 3.4× |
| Radiologic examination knee 1/2 views (73560) | $320.70 | $534.50 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $347.04 | $578.40 | 3.8× |
| Ribs bilateral 3 views (71110) | $453.12 | $755.20 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,665.82 | $6,109.70 | 6.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,121.60 | $3,536 | 3.8× |
| Rp Therapy Intravenous Administration (79101) | $706.01 | $1,176.68 | 2.9× |
| Scapula (73010) | $336.66 | $561.10 | 3.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $176.82 | $294.70 | 7.6× |
| Shoulder 1 view (73020) | $293.76 | $489.60 | 3.3× |
| Skull less than 4 views (70250) | $343.80 | $573 | 3.2× |
| Special dosimetry (77331) | $832.20 | $1,387 | 6.0× |
| Special Physics Consult (77370) | $859.80 | $1,433 | 6.2× |
| Sternoclavicular joints (71130) | $259.74 | $432.90 | 2.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,687.20 | $2,812 | 4.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,370.60 | $3,951 | 6.1× |
| Ther rad simulaj-aided field setting simple (77280) | $1,311 | $2,185 | 9.4× |
| Thoracic spine 2 views (72070) | $362.40 | $604 | 3.3× |
| Thoracic spine 3 views (72072) | $403.20 | $672 | 3.7× |
| Thoracolumbar 2 views (72080) | $345 | $575 | 3.8× |
| Thyroid Imaging With Vascular Flow (78013) | $691.56 | $1,152.60 | 1.7× |
| Thyroid Met Imaging Body (78018) | $1,908 | $3,180 | 3.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,321.50 | $2,202.50 | 3.2× |
| Tx Devices Design & Construction Complex (77334) | $1,416.60 | $2,361 | 3.6× |
| Tx devices design & construction simple (77332) | $660.60 | $1,101 | 4.7× |
| Ultrasound Exam Aaa Screen (76706) | $550.32 | $917.20 | 5.1× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$523.20–$625.80 | $872–$1,043 | varies |
| Umbilical-artery Doppler (OB) (76820) | $282.90 | $471.50 | 2.6× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$740.27–$7,253.40 | $1,233.77–$12,089 | varies |
| Upper gi w/o kub (74240) | $702 | $1,170 | 3.9× |
| Urethrocystogram voiding (74455) | $1,083 | $1,805 | 4.4× |
| Us breast unilateral complete (76641) | $670.92 | $1,118.20 | 6.2× |
| Us chest (76604) | $630 | $1,050 | 5.8× |
| Us complete joint (76881) | $799.20 | $1,332 | 7.4× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$466.80–$510.44 | $778–$850.72 | varies |
| Us head (76506) | $500.58 | $834.30 | 4.6× |
| Us kidney transplant (76776) | $728.40 | $1,214 | 6.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$251.40–$511.44 | $419–$852.40 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$502.80–$514.86 | $838–$858.10 | varies |
| Us ob transvaginal (76817) | $519.60 | $866 | 4.8× |
| Us pelvic non ob complete (76856) | $820.68 | $1,367.80 | 7.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $564.12 | $940.20 | 5.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $431.52 | $719.20 | 4.0× |
| Us retroperitoneal complete (76770) | $858.36 | $1,430.60 | 7.9× |
| Us retroperitoneal limited (76775) | $549.96 | $916.60 | 5.1× |
| Us scrotum and contents (76870) | $666 | $1,110 | 6.1× |
| Us spinal canal and contents (76800) | $655.44 | $1,092.40 | 6.0× |
| Us thyroid (76536) | $667.74 | $1,112.90 | 6.2× |
| Vein X-Ray Chest (75827) | $2,514.60 | $4,191 | 1.5× |
| Venography caval inferior serialography rs&i (75825) | $3,945.84 | $6,576.40 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $2,364.36 | $3,940.60 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $1,879.20 | $3,132 | 1.1× |
| Venography Renal Unilateral (75831) | $3,945.84 | $6,576.40 | 1.2× |
| Wrist 2 views (73100) | $314.52 | $524.20 | 3.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $336.66 | $561.10 | 3.7× |
| X-ray antegrade pyelogram tube (74425) | $1,070.28 | $1,783.80 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $3,966 | $6,610 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $476.34 | $793.90 | 4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $315.36 | $525.60 | 3.5× |
| X-Ray Exam Breast Specimen (76098) | $616.20 | $1,027 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $78.60 | $131 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $571.92 | $953.20 | 5.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $628.32 | $1,047.20 | 5.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $276.60 | $461 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $315.60 | $526 | 3.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $411.66 | $686.10 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $336 | $560 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $466.20 | $777 | 4.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $514.80 | $858 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $654 | $1,090 | 6.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $347.76 | $579.60 | 3.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $612.54 | $1,020.90 | 5.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $510.84 | $851.40 | 4.7× |
| X-ray eye for foreign body (70030) | $255 | $425 | 2.8× |
| X-ray humerus (73060) | $336.84 | $561.40 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $306.54 | $510.90 | 3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $416.04 | $693.40 | 3.8× |
| X-ray nose-rectum child f.b. (76010) | $298.80 | $498 | 3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $614.46 | $1,024.10 | 5.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $405.78 | $676.30 | 3.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $271.20 | $452 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $346.68 | $577.80 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $412.26 | $687.10 | 4.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $551.40 | $919 | 5.1× |
| X-ray thoracic spine 4 vw (72074) | $314.25 | $523.75 | 2.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$885.60–$1,071.39 | $1,476–$1,785.65 | varies |
| X-Rays Bone Length Studies (77073) | $343.08 | $571.80 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $884.22 | $1,473.70 | 8.1× |
| Xr c-spine 4 or 5 views (72050) | $441.36 | $735.60 | 4.1× |
| Xr facial bones less than 3 views (70140) | $348.24 | $580.40 | 3.9× |
| Xr orbits complete 4 views (70200) | $455.88 | $759.80 | 4.2× |
| Xr Tomogram Single Plane (76100) | $549.18 | $915.30 | 5.1× |
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.