Imaging prices at RiverView Health
Crookston, MN · every code in this section with a posted price and a Medicare benchmark.
251 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) | $176.40 | $196 | 2.0× |
| Abdomen 2 views (74019) | $324.90 | $361 | 3.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,259.90 | $2,511 | 5.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$190.80–$219.60 | $212–$244 | varies |
| Arthrogram hip (73525) | $628.20 | $698 | 1.7× |
| Bone age studies (77072) | $171 | $190 | 1.6× |
| Bone Imaging 3 Phase (78315) | $1,711.80 | $1,902 | 4.1× |
| Bone Imaging Limited Area (78300) | $949.50 | $1,055 | 2.3× |
| Bone Imaging Whole Body (78306) | $1,496.70 | $1,663 | 3.6× |
| Bone survey infant (77076) | $446.40 | $496 | 4.1× |
| Cat Scan Follow-Up Study (76380) | $687.60 | $764 | 7.7× |
| Chest 1 view (71045) | $264.60 | $294 | 2.9× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$30.78–$278.10 | $34.20–$309 | varies |
| Chest 3 views (71047) | $338.40 | $376 | 3.8× |
| Chest 4 or more views (71048) | $422.10 | $469 | 3.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$187.20–$198 | $208–$220 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $519.30 | $577 | 4.8× |
| Contrast X-Ray Bladder (74430) | $126 | $140 | 0.3× |
| Contrast X-Ray Of Elbow (73085) | $622.80 | $692 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $4,518.90 | $5,021 | 12.6× |
| CT abdomen and pelvis without contrast (74176) | $3,055.50 | $3,395 | 12.4× |
| CT abdomen w contrast (74160) | $2,180.70 | $2,423 | 12.0× |
| CT abdomen w wo contrast (74170) | $2,609.10 | $2,899 | 14.4× |
| CT abdomen w/o contrast (74150) | $1,749.60 | $1,944 | 16.2× |
| CT Angio Abdomen and Pelvis (74174) | $4,118.40 | $4,576 | 11.4× |
| CT Angio Chest (71275) | $2,956.50 | $3,285 | 16.3× |
| CT Angio Head (70496) | $3,322.80 | $3,692 | 18.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,213 | $3,570 | 17.7× |
| CT Angio Neck (70498) | $3,083.40 | $3,426 | 17.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,786.40 | $3,096 | 15.4× |
| CT cervical spine w/ contrast (72126) | $2,383.20 | $2,648 | 6.6× |
| CT cervical spine w/o contrast (72125) | $2,058.30 | $2,287 | 19.1× |
| CT cervical spine w/wo cont (72127) | $2,584.80 | $2,872 | 14.3× |
| CT chest w contrast (71260) | $1,981.80 | $2,202 | 10.9× |
| CT chest w/wo contrast (71270) | $2,249.10 | $2,499 | 12.4× |
| CT head/brain with contrast (70460) | $1,845 | $2,050 | 10.2× |
| CT head/brain without and with contrast (70470) | $2,189.70 | $2,433 | 12.1× |
| CT iac w contrast (70481) | $1,817.10 | $2,019 | 10.0× |
| CT l-spine w&w/o contrast (72133) | $2,837.70 | $3,153 | 15.7× |
| CT lower ext w/o (73700) | $1,691.10 | $1,879 | 15.7× |
| CT lower extremity w/contrast material (73701) | $1,938.60 | $2,154 | 10.7× |
| CT lumbar spine w contrast (72132) | $2,447.10 | $2,719 | 6.8× |
| CT lumbar spine w/o contrast (72131) | $1,953 | $2,170 | 18.1× |
| CT maxillofacial w contrast (70487) | $1,877.40 | $2,086 | 10.4× |
| CT maxillofacial wo contrast (70486) | $1,810.80 | $2,012 | 16.8× |
| CT neck tissue combo (70492) | $2,312.10 | $2,569 | 12.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,766.60 | $3,074 | 15.3× |
| CT orbits w/o contrast (70480) | $1,753.20 | $1,948 | 16.2× |
| CT pelvis w&w/o contrast (72194) | $2,316.60 | $2,574 | 12.8× |
| CT pelvis w/o contrast (72192) | $1,753.20 | $1,948 | 16.2× |
| CT scan of leg combo (73702) | $2,857.50 | $3,175 | 15.8× |
| CT scans face/jaw combo (70488) | $2,068.20 | $2,298 | 11.4× |
| CT soft tissue neck w contrast (70491) | $2,509.20 | $2,788 | 13.9× |
| CT soft tissue neck w/o contrast (70490) | $1,724.40 | $1,916 | 16.0× |
| CT thoracic spine w contrast (72129) | $2,041.20 | $2,268 | 11.3× |
| CT thoracic spine w/o contrast (72128) | $1,836.90 | $2,041 | 17.0× |
| CT thoracic spine w/wo cont (72130) | $2,241.90 | $2,491 | 12.4× |
| CT thorax w/o contrast (71250) | $1,675.80 | $1,862 | 15.5× |
| CT upper ext wo (73200) | $1,617.30 | $1,797 | 15.0× |
| CT upper extremity with contrast (73201) | $2,157.30 | $2,397 | 6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,907 | $3,230 | 16.1× |
| Cta Abdomen (74175) | $2,960.10 | $3,289 | 16.4× |
| CTA pelvis (72191) | $3,240.90 | $3,601 | 17.9× |
| Dxa Bone Density Axial (77080) | $466.20 | $518 | 4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $160.20 | $178 | 1.8× |
| Echo exam uterus (76831) | $487.80 | $542 | 2.0× |
| Echograp Trans R Pros Study (76873) | $68.40 | $76 | 0.6× |
| Esophagram (74220) | $332.10 | $369 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $290.70 | $323 | 2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $326.70 | $363 | 3.0× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$35.10–$501.30 | $39–$557 | varies |
| Foot 2 views (73620) | $177.30 | $197 | 2.0× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$207.90–$221.40 | $231–$246 | varies |
| Gastric emptying imaging study (78264) | $1,515.60 | $1,684 | 3.7× |
| Gated Heart Planar Single (78472) | $1,603.80 | $1,782 | 3.9× |
| Hand 2 views (73120) | $192.60 | $214 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,687.50 | $1,875 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,629.90 | $1,811 | 4.0× |
| Ht Muscle Image Spect Sing (78451) | $2,759.40 | $3,066 | 2.1× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$52.20–$525.60 | $58–$584 | varies |
| Joint Survey Single View (77077) | $182.70 | $203 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $1,606.50 | $1,785 | 2.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,706.40 | $1,896 | 3.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$301.50–$367.20 | $335–$408 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,521.90 | $1,691 | 2.7× |
| Lymph System Imaging (78195) | $2,119.50 | $2,355 | 3.8× |
| Magnetic Image Jaw Joint (70336) | $3,019.50 | $3,355 | 12.3× |
| Meckels Divert Exam (78290) | $2,214 | $2,460 | 5.4× |
| Mra Head W/O & W/Contrast Material (70546) | $3,484.80 | $3,872 | 9.7× |
| MRA head w/o contrast (70544) | $2,828.70 | $3,143 | 11.5× |
| MRA neck w contrast (70548) | $3,087.90 | $3,431 | 8.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,415.50 | $3,795 | 9.5× |
| MRA neck w/o contrast (70547) | $2,589.30 | $2,877 | 10.5× |
| MRI abdomen w contrast (74182) | $2,942.10 | $3,269 | 8.2× |
| MRI abdomen w/o contrast (74181) | $2,754 | $3,060 | 11.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,966.40 | $3,296 | 3.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,218.40 | $3,576 | 8.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,931.30 | $3,257 | 3.6× |
| MRI cervical spine w contrast (72142) | $2,960.10 | $3,289 | 8.2× |
| MRI cervical spine w/o cont (72141) | $2,386.80 | $2,652 | 9.7× |
| MRI chest w/o contrast (71550) | $2,795.40 | $3,106 | 11.4× |
| MRI chest wo w contrast (71552) | $3,218.40 | $3,576 | 8.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,623.60 | $1,804 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,218.40 | $3,576 | 8.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,033 | $3,370 | 12.3× |
| MRI lumbar spine w contrast (72149) | $3,098.70 | $3,443 | 8.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,623.40 | $4,026 | 10.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,568.60 | $2,854 | 10.4× |
| MRI orbit face neck w contrast (70542) | $2,776.50 | $3,085 | 7.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,342.60 | $3,714 | 9.3× |
| MRI pelvis w contrast (72196) | $3,932.10 | $4,369 | 10.9× |
| MRI pelvis w/o & w contrast (72197) | $4,481.10 | $4,979 | 12.4× |
| MRI pelvis w/o contrast (72195) | $2,972.70 | $3,303 | 12.1× |
| MRI thoracic spine w/o contrast (72146) | $2,866.50 | $3,185 | 11.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,702.70 | $3,003 | 11.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,823.30 | $3,137 | 7.8× |
| MRI, abdomen, combo (74183) | $4,491.90 | $4,991 | 12.5× |
| MRI, dorsal spine combo (72157) | $3,342.60 | $3,714 | 9.3× |
| MRI, dorsal spine contrast (72147) | $3,019.50 | $3,355 | 8.4× |
| MRI, joint upper extrem (73221) | $2,654.10 | $2,949 | 10.8× |
| MRI, joint upper extrem combo (73223) | $3,322.80 | $3,692 | 9.2× |
| MRI, lumbar spine combo (72158) | $4,023.90 | $4,471 | 11.2× |
| Myelogram cervical (72240) | $1,215 | $1,350 | 1.5× |
| Myelogram Lumbar (72265) | $1,215 | $1,350 | 1.5× |
| Myelography thoracic (72255) | $1,149.30 | $1,277 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,521 | $1,690 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $3,359.70 | $3,733 | 2.5× |
| Neck soft tissue (70360) | $208.80 | $232 | 2.3× |
| Optic foramina (70190) | $157.50 | $175 | 1.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,144.70 | $2,383 | 3.8× |
| Parathyroid Planar Imaging (78070) | $1,157.40 | $1,286 | 2.8× |
| Pelvis 1 or 2 views (72170) | $213.30 | $237 | 2.0× |
| PET image w/CT, full body (78816) | $4,872.60 | $5,414 | 3.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,923 | $5,470 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $330.30 | $367 | 3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $511.20 | $568 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$288–$331.20 | $320–$368 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $192.60 | $214 | 2.1× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$219.60–$233.10 | $244–$259 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $373.50 | $415 | 3.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$228.60–$262.80 | $254–$292 | varies |
| Radex foot complete minimum 3 views (73630) | $267.30 | $297 | 3.0× |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$207.90–$219.60 | $231–$244 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $201.60 | $224 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $259.20 | $288 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $214.20 | $238 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$255.60–$294.30 | $284–$327 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $172.80 | $192 | 1.9× |
| Radex Spine 1 View Specify Level (72020) | $184.50 | $205 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $267.30 | $297 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $295.20 | $328 | 3.3× |
| Radex Toe Minimum 2 Views (73660) | $210.60 | $234 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) | $151.20 | $168 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$393.30–$452.70 | $437–$503 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $436.50 | $485 | 4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $311.40 | $346 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $332.10 | $369 | 3.1× |
| Radiologic exam colon double contrast study (74280) | $789.30 | $877 | 4.4× |
| Radiologic exam colon single contrast study (74270) | $891 | $990 | 4.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $515.70 | $573 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$275.40–$324.90 | $306–$361 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $252 | $280 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $648 | $720 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $727.20 | $808 | 4.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $985.50 | $1,095 | 5.4× |
| Radiologic examination femur 1 view (73551) | $217.80 | $242 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$32.46–$223.20 | $36.06–$248 | varies |
| Radiologic examination knee 1/2 views (73560) | $222.30 | $247 | 2.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $305.10 | $339 | 2.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$232.20–$267.30 | $258–$297 | varies |
| Ribs bilateral 3 views (71110) | $435.60 | $484 | 4.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,305 | $1,450 | 3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,156.50 | $1,285 | 2.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,908.90 | $2,121 | 3.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $253.80 | $282 | 0.2× |
| Scapula (73010) | $210.60 | $234 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $110.70 | $123 | 4.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$193.50–$206.10 | $215–$229 | varies |
| Shoulder Arthrography (73040) | $824.40 | $916 | 2.3× |
| Skull less than 4 views (70250) | $297.90 | $331 | 2.8× |
| Sternoclavicular joints (71130) | $325.80 | $362 | 3.6× |
| Thoracic spine 2 views (72070) | $253.80 | $282 | 2.4× |
| Thoracic spine 3 views (72072) | $297 | $330 | 2.8× |
| Thoracolumbar 2 views (72080) | $249.30 | $277 | 2.8× |
| Thyroid Imaging With Vascular Flow (78013) | $553.50 | $615 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,542.60 | $1,714 | 3.7× |
| Ultrasound Breast Limited (76642) | $368.10 | $409 | 4.1× |
| Ultrasound Elastography Parenchyma (76981) | $407.70 | $453 | 3.8× |
| Ultrasound Exam Aaa Screen (76706) | $399.60 | $444 | 3.7× |
| Ultrasound, abdomen limited (76705) | $491.40 | $546 | 4.6× |
| Umbilical-artery Doppler (OB) (76820) | $282.60 | $314 | 2.6× |
| Upper gi w/o kub (74240) | $665.10 | $739 | 3.7× |
| Urethrocystogram voiding (74455) | $316.80 | $352 | 1.3× |
| Us breast unilateral complete (76641) | $380.70 | $423 | 3.5× |
| Us chest (76604) | $414.90 | $461 | 3.8× |
| Us complete joint (76881) | $491.40 | $546 | 4.6× |
| Us exam, pelvic, limited (76857) | $360.90 | $401 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $396 | $440 | 3.7× |
| Us ob detailed single fetus (76811) | $772.20 | $858 | 3.1× |
| Us ob limited 1 or more fetuses (76815) | $360.90 | $401 | 3.3× |
| Us ob transvaginal (76817) | $427.50 | $475 | 4.0× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$103.39–$519.30 | $114.87–$577 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $445.50 | $495 | 4.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $321.30 | $357 | 3.0× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$108.90–$546.30 | $121–$607 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$88.20–$432.90 | $98–$481 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$100.80–$414.90 | $112–$461 | varies |
| Us spinal canal and contents (76800) | $543.60 | $604 | 5.0× |
| Us thyroid (76536) | $487.80 | $542 | 4.5× |
| Us transrectal (76872) range across 2 matching MRF lines |
$105.30–$487.80 | $117–$542 | varies |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$154.80 | $172 | 0.0× |
| Vertebral fracture assessment via dxa (77086) | $181.80 | $202 | 2.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$202.50–$233.10 | $225–$259 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $287.10 | $319 | 3.2× |
| X-Ray Bend Only L-S Spine (72120) | $462.60 | $514 | 4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$165.60–$176.40 | $184–$196 | varies |
| X-Ray Exam Breast Specimen (76098) | $489.60 | $544 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $303.30 | $337 | 3.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $388.80 | $432 | 3.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $417.60 | $464 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $255.60 | $284 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$42.48–$422.10 | $47.20–$469 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $456.30 | $507 | 4.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $372.60 | $414 | 3.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $381.60 | $424 | 3.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $414.90 | $461 | 3.8× |
| X-Ray Exam L-S Spine Bending (72114) | $399.60 | $444 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$207.90–$219.60 | $231–$244 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $662.40 | $736 | 6.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $319.50 | $355 | 3.0× |
| X-ray eye for foreign body (70030) | $207.90 | $231 | 2.3× |
| X-ray humerus (73060) | $205.20 | $228 | 2.3× |
| X-ray IV pyelogram (ivp) (74400) | $772.20 | $858 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $275.40 | $306 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $294.30 | $327 | 3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $268.20 | $298 | 2.5× |
| X-ray nose-rectum child f.b. (76010) | $193.50 | $215 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $457.20 | $508 | 4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $198 | $220 | 1.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $424.80 | $472 | 3.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $198 | $220 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $346.50 | $385 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $462.60 | $514 | 4.3× |
| X-ray thoracic spine 4 vw (72074) | $334.80 | $372 | 3.1× |
| X-Ray Tmj Unilat (70328) | $169.20 | $188 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$54–$756 | $60–$840 | varies |
| X-Rays Bone Length Studies (77073) | $171.90 | $191 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $444.60 | $494 | 4.1× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$311.40–$329.40 | $346–$366 | varies |
| Xr facial bones less than 3 views (70140) | $472.50 | $525 | 5.3× |
| Xr orbits complete 4 views (70200) | $456.30 | $507 | 4.2× |
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.