Imaging prices at Rochelle Community Hospital
Rochelle, IL · every code in this section with a posted price and a Medicare benchmark.
257 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) | $412 | $412 | 4.4× |
| Abdomen 2 views (74019) | $532 | $532 | 4.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,984 | $1,984 | 4.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$337–$539 | $337–$539 | varies |
| Arthrogram hip (73525) | $1,290 | $1,290 | 3.5× |
| Arthrogram Wrist (73115) | $1,124 | $1,124 | 3.0× |
| Bone age studies (77072) range across 2 matching MRF lines |
$245–$2,585 | $245–$2,585 | varies |
| Bone Imaging 3 Phase (78315) | $2,137 | $2,137 | 5.0× |
| Bone Imaging Limited Area (78300) | $1,985 | $1,985 | 4.6× |
| Bone Imaging Multiple Areas (78305) | $2,137 | $2,137 | 5.0× |
| Bone Imaging Whole Body (78306) | $2,289 | $2,289 | 5.3× |
| Bone survey infant (77076) | $1,174 | $1,174 | 10.5× |
| Cat Scan Follow-Up Study (76380) | $1,344 | $1,344 | 14.4× |
| Chest 1 view (71045) | $457 | $457 | 4.9× |
| Chest 2 views (71046) | $457 | $457 | 4.9× |
| Chest 3 views (71047) | $556 | $556 | 6.0× |
| Chest 4 or more views (71048) | $538 | $538 | 4.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$420–$625 | $420–$625 | varies |
| Contrast X-Ray Bladder (74430) | $775 | $775 | 2.1× |
| Contrast X-Ray Of Elbow (73085) | $1,298 | $1,298 | 3.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,290 | $1,290 | 3.5× |
| CT abdomen and pelvis without and with contrast (74178) | $7,322 | $7,322 | 19.6× |
| CT abdomen and pelvis without contrast (74176) | $5,228 | $5,228 | 20.4× |
| CT abdomen w contrast (74160) | $3,579 | $3,579 | 19.0× |
| CT abdomen w wo contrast (74170) | $5,264 | $5,264 | 28.0× |
| CT abdomen w/o contrast (74150) | $2,547 | $2,547 | 22.7× |
| CT Angio Abdomen and Pelvis (74174) | $5,985 | $5,985 | 16.0× |
| CT Angio Chest (71275) | $4,170 | $4,170 | 22.2× |
| CT Angio Head (70496) | $3,743 | $3,743 | 19.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,743–$5,990 | $3,743–$5,990 | varies |
| CT Angio Neck (70498) | $3,743 | $3,743 | 19.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,246–$3,743 | $2,246–$3,743 | varies |
| CT cervical spine w/o contrast (72125) | $3,937 | $3,937 | 35.1× |
| CT cervical spine w/wo cont (72127) | $3,443 | $3,443 | 18.3× |
| CT chest w contrast (71260) | $3,434 | $3,434 | 18.3× |
| CT chest w/wo contrast (71270) | $3,443 | $3,443 | 18.3× |
| CT head/brain with contrast (70460) | $3,434 | $3,434 | 18.3× |
| CT head/brain without and with contrast (70470) | $3,736 | $3,736 | 19.9× |
| CT iac w contrast (70481) | $3,143 | $3,143 | 16.7× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,349–$3,760 | $2,349–$3,760 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,844–$4,553 | $2,844–$4,553 | varies |
| CT lumbar spine w contrast (72132) | $3,443 | $3,443 | 9.2× |
| CT lumbar spine w/o contrast (72131) | $2,986 | $2,986 | 26.7× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,302–$3,434 | $3,302–$3,434 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,397–$2,493 | $2,397–$2,493 | varies |
| CT neck tissue combo (70492) | $3,736 | $3,736 | 19.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,443 | $3,443 | 18.3× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,397–$2,493 | $2,397–$2,493 | varies |
| CT pelvis w&w/o contrast (72194) | $3,594 | $3,594 | 19.1× |
| CT pelvis w/o contrast (72192) | $2,641 | $2,641 | 23.6× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$3,296–$5,274 | $3,296–$5,274 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$3,169–$3,296 | $3,169–$3,296 | varies |
| CT soft tissue neck w contrast (70491) | $3,434 | $3,434 | 18.3× |
| CT soft tissue neck w/o contrast (70490) | $2,395 | $2,395 | 21.4× |
| CT thoracic spine w contrast (72129) | $3,443 | $3,443 | 18.3× |
| CT thoracic spine w/o contrast (72128) | $3,282 | $3,282 | 29.3× |
| CT thoracic spine w/wo cont (72130) | $3,443 | $3,443 | 18.3× |
| CT thorax w/o contrast (71250) | $2,493 | $2,493 | 22.3× |
| CT upper ext wo (73200) | $2,349 | $2,349 | 21.0× |
| CT upper extremity w/o & w/contrast material (73202) | $3,296 | $3,296 | 17.5× |
| CT upper extremity with contrast (73201) | $2,844 | $2,844 | 7.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,388 | $5,388 | 28.7× |
| Cta Abdomen (74175) | $4,040 | $4,040 | 21.5× |
| CTA pelvis (72191) | $3,743 | $3,743 | 19.9× |
| Dxa Bone Density Axial (77080) | $553 | $553 | 4.9× |
| Dxa bone density study (77085) | $312 | $312 | 2.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $445 | $445 | 4.8× |
| Esophageal Motility Study (78258) | $1,288 | $1,288 | 3.0× |
| Esophagram (74220) | $898 | $898 | 4.8× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,060–$1,102 | $1,060–$1,102 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,700 | $1,700 | 15.2× |
| Fluoroscopy up to 1 hr (76000) | $862 | $862 | 3.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$329–$539 | $329–$539 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$420–$625 | $420–$625 | varies |
| Gastric emptying imaging study (78264) | $1,659 | $1,659 | 3.9× |
| Gastroesophageal Reflux Exam (78262) | $1,572 | $1,572 | 3.7× |
| Gated Heart Planar Single (78472) | $1,990 | $1,990 | 4.6× |
| Gated Heart, Multiple (78473) | $2,083 | $2,083 | 4.9× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$337–$353 | $337–$353 | varies |
| Heart first pass single,planar (78481) | $1,866 | $1,866 | 3.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,476 | $2,476 | 4.3× |
| Hepatobiliary System Imaging (78226) | $2,239 | $2,239 | 5.2× |
| Ht Muscle Image Spect Sing (78451) | $2,900 | $2,900 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $988 | $988 | 10.6× |
| Infant hip ultrasound, limited static exam (76886) | $584 | $584 | 6.3× |
| K Flow/Funct Image Multiple (78709) | $1,834 | $1,834 | 3.2× |
| K Flow/Funct Image W/Drug (78708) | $2,289 | $2,289 | 3.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,834 | $1,834 | 3.2× |
| Kidney Imaging Morphol (78700) | $1,245 | $1,245 | 2.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,437 | $1,437 | 3.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$547–$781 | $547–$781 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,137 | $1,137 | 2.7× |
| Lung Ventilat&Perfus Imaging (78582) | $2,199 | $2,199 | 3.8× |
| Lung Ventilation Imaging (78579) | $1,148 | $1,148 | 2.7× |
| Lymph System Imaging (78195) | $2,137 | $2,137 | 3.7× |
| Magnetic Image Jaw Joint (70336) | $2,983 | $2,983 | 11.7× |
| Mammary ductogram or galactogram single (77053) | $734 | $734 | 2.9× |
| Meckels Divert Exam (78290) | $1,466 | $1,466 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) | $5,024 | $5,024 | 13.4× |
| MRA head w/o contrast (70544) | $3,455 | $3,455 | 13.5× |
| MRA head with contrast (70545) | $3,927 | $3,927 | 10.5× |
| MRA neck w contrast (70548) | $3,615 | $3,615 | 9.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,711 | $4,711 | 12.6× |
| MRA neck w/o contrast (70547) | $3,142 | $3,142 | 12.3× |
| MRI abdomen w contrast (74182) | $4,082 | $4,082 | 10.9× |
| MRI abdomen w/o contrast (74181) | $3,615 | $3,615 | 14.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$4,397–$7,036 | $4,397–$7,036 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$5,339–$8,545 | $5,339–$8,545 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$4,397–$7,036 | $4,397–$7,036 | varies |
| MRI cervical spine w contrast (72142) | $4,397 | $4,397 | 11.8× |
| MRI cervical spine w/o cont (72141) | $4,231 | $4,231 | 16.5× |
| MRI chest w/o contrast (71550) | $3,615 | $3,615 | 14.1× |
| MRI chest with contrast (71551) | $4,082 | $4,082 | 4.9× |
| MRI chest wo w contrast (71552) | $5,339 | $5,339 | 14.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$4,397–$7,036 | $4,397–$7,036 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$5,339–$8,545 | $5,339–$8,545 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,927–$6,283 | $3,927–$6,283 | varies |
| MRI lumbar spine w contrast (72149) | $4,397 | $4,397 | 11.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,644 | $5,644 | 15.1× |
| MRI orbit face &/neck w/o contrast (70540) | $3,142 | $3,142 | 12.3× |
| MRI orbit face neck w contrast (70542) | $3,615 | $3,615 | 9.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,711 | $4,711 | 12.6× |
| MRI pelvis w contrast (72196) | $4,085 | $4,085 | 10.9× |
| MRI pelvis w/o & w contrast (72197) | $5,181 | $5,181 | 13.9× |
| MRI pelvis w/o contrast (72195) | $3,616 | $3,616 | 14.1× |
| MRI thoracic spine w/o contrast (72146) | $4,231 | $4,231 | 16.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$4,397–$7,036 | $4,397–$7,036 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,927–$6,283 | $3,927–$6,283 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$5,339–$8,545 | $5,339–$8,545 | varies |
| MRI, abdomen, combo (74183) | $5,180 | $5,180 | 13.9× |
| MRI, dorsal spine combo (72157) | $5,644 | $5,644 | 15.1× |
| MRI, dorsal spine contrast (72147) | $4,397 | $4,397 | 11.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,927–$6,283 | $3,927–$6,283 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$5,339–$8,545 | $5,339–$8,545 | varies |
| MRI, lumbar spine combo (72158) | $5,644 | $5,644 | 15.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,132 | $1,132 | 2.6× |
| Myocardial Spect Multiple Studies (78452) | $6,192 | $6,192 | 4.5× |
| Neck soft tissue (70360) | $420 | $420 | 4.5× |
| Parathyroid Planar Imaging (78070) | $2,025 | $2,025 | 4.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,812 | $2,812 | 6.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$396–$412 | $396–$412 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,358 | $1,358 | 3.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $623 | $623 | 5.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$495–$781 | $495–$781 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$329–$625 | $329–$625 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$457–$759 | $457–$759 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $532 | $532 | 4.7× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$353–$534 | $353–$534 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$495–$781 | $495–$781 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$457–$781 | $457–$781 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$383–$757 | $383–$757 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$603–$966 | $603–$966 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $426 | $426 | 4.6× |
| Radex Ribs Unilateral 2 Views (71100) | $519 | $519 | 5.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$519–$837 | $519–$837 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $901 | $901 | 9.7× |
| Radex Spine 1 View Specify Level (72020) | $383 | $383 | 4.1× |
| Radex Sternum Minimum 2 Views (71120) | $472 | $472 | 5.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $700 | $700 | 7.5× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$353–$534 | $353–$534 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$383–$614 | $383–$614 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$426–$681 | $426–$681 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,440 | $1,440 | 12.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $607 | $607 | 5.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $569 | $569 | 5.1× |
| Radiologic exam colon double contrast study (74280) | $1,764 | $1,764 | 9.4× |
| Radiologic exam colon single contrast study (74270) | $1,273 | $1,273 | 6.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,197 | $1,197 | 6.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$578–$926 | $578–$926 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $607 | $607 | 5.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $993 | $993 | 5.3× |
| Radiologic exam swallow function contrast study (74230) | $3,327 | $3,327 | 17.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,073 | $1,073 | 5.7× |
| Radiologic examination femur 1 view (73551) | $889 | $889 | 9.5× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$487–$625 | $487–$625 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$426–$681 | $426–$681 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $900 | $900 | 8.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$472–$781 | $472–$781 | varies |
| Ribs bilateral 3 views (71110) | $936 | $936 | 8.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,622 | $1,622 | 3.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,880 | $7,880 | 13.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,068 | $2,068 | 3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,811 | $2,811 | 4.8× |
| Scapula (73010) range across 2 matching MRF lines |
$426–$681 | $426–$681 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $193 | $193 | 8.3× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$383–$614 | $383–$614 | varies |
| Shoulder Arthrography (73040) | $1,513 | $1,513 | 4.0× |
| Skull less than 4 views (70250) | $472 | $472 | 4.2× |
| Sternoclavicular joints (71130) | $472 | $472 | 5.1× |
| Testicular Imaging W/Flow (78761) | $1,288 | $1,288 | 3.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$512–$532 | $512–$532 | varies |
| Thoracic spine 3 views (72072) | $569 | $569 | 5.1× |
| Thoracolumbar 2 views (72080) | $426 | $426 | 4.6× |
| Thyroid Imaging With Vascular Flow (78013) | $823 | $823 | 1.9× |
| Thyroid Uptake Measurement (78012) | $486 | $486 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,527 | $1,527 | 3.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$560–$851 | $560–$851 | varies |
| Ultrasound Exam Aaa Screen (76706) | $601 | $601 | 5.4× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,430–$1,487 | $1,430–$1,487 | varies |
| Umbilical-artery Doppler (OB) (76820) | $2,419 | $2,419 | 21.6× |
| Unlisted us procedure (76999) | $1,040 | $1,040 | 11.2× |
| Upper gi w/o kub (74240) | $1,060 | $1,060 | 5.6× |
| Ureteral Reflux Study (78740) | $1,036 | $1,036 | 2.4× |
| Urethrocystogram voiding (74455) | $989 | $989 | 3.9× |
| Urethrocystography retrograde (74450) | $697 | $697 | 2.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$560–$851 | $560–$851 | varies |
| Us chest (76604) | $988 | $988 | 8.8× |
| Us complete joint (76881) | $815 | $815 | 7.3× |
| Us exam, pelvic, limited (76857) | $709 | $709 | 6.3× |
| Us head (76506) | $788 | $788 | 7.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$788–$1,263 | $788–$1,263 | varies |
| Us ob detailed single fetus (76811) | $3,696 | $3,696 | 14.5× |
| Us ob limited 1 or more fetuses (76815) | $671 | $671 | 6.0× |
| Us ob transvaginal (76817) | $671 | $671 | 6.0× |
| Us pelvic non ob complete (76856) | $1,487 | $1,487 | 13.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $945 | $945 | 8.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$607–$631 | $607–$631 | varies |
| Us retroperitoneal complete (76770) | $1,493 | $1,493 | 13.3× |
| Us retroperitoneal limited (76775) | $868 | $868 | 7.7× |
| Us scrotum and contents (76870) | $1,102 | $1,102 | 9.8× |
| Us thyroid (76536) | $945 | $945 | 8.4× |
| Vascular Flow Imaging (78445) | $895 | $895 | 2.1× |
| Vertebral fracture assessment via dxa (77086) | $199 | $199 | 2.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$369–$383 | $369–$383 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $457 | $457 | 4.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$337–$539 | $337–$539 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$111–$185 | $111–$185 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $532 | $532 | 5.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $619 | $619 | 5.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $759 | $759 | 6.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $329 | $329 | 3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $457 | $457 | 4.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $909 | $909 | 8.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $416 | $416 | 3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,718 | $1,718 | 15.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $730 | $730 | 6.5× |
| X-Ray Exam L-S Spine Bending (72114) | $878 | $878 | 7.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $532 | $532 | 5.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $837 | $837 | 7.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $607 | $607 | 5.4× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$383–$614 | $383–$614 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$441–$781 | $441–$781 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $353 | $353 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $723 | $723 | 6.5× |
| X-ray nose-rectum child f.b. (76010) | $412 | $412 | 4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $703 | $703 | 6.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $420 | $420 | 3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $466 | $466 | 5.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $511 | $511 | 5.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $647 | $647 | 5.8× |
| X-Ray Tmj Unilat (70328) | $1,336 | $1,336 | 14.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $697 | $697 | 1.9× |
| X-Rays Bone Length Studies (77073) | $808 | $808 | 7.2× |
| X-Rays Bone Survey Complete (77075) | $1,348 | $1,348 | 12.0× |
| Xr c-spine 4 or 5 views (72050) | $682 | $682 | 6.1× |
| Xr facial bones less than 3 views (70140) | $901 | $901 | 9.7× |
| Xr orbits complete 4 views (70200) | $540 | $540 | 4.8× |
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.