Imaging prices at Rush Copley Medical Center

Aurora, IL · every code in this section with a posted price and a Medicare benchmark.

337 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,097.50 $10,195 3.4×
Abdomen 1 View (74018) $309 $618 3.3×
Abdomen 2 views (74019) $443 $886 4.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $781 $1,562 1.8×
Angio pulmonary bilat (75743) $5,009.50 $10,019 1.5×
Angiography extremity bilateral rs&i (75716) $4,621.50 $9,243 1.4×
Angiography extremity unilateral rs&i (75710) $3,804 $7,608 1.1×
Angiography pulmonary unilateral slctv rs&i (75741) $2,804.50 $5,609 0.8×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $2,962.50 $5,925 0.9×
Ankle 2 views (73600) $296.50 $593 3.2×
Aortography thoracic serialography rs&i (75605) $5,899.50 $11,799 1.0×
Artery X-Rays Abdomen (75726) $4,542.50 $9,085 0.8×
Artery X-Rays Adrenal Gland (75731) $2,733.50 $5,467 0.8×
Artery X-Rays Pelvis (75736) $4,226.50 $8,453 0.7×
Arthrogram hip (73525) $1,173 $2,346 3.1×
Arthrogram Wrist (73115) $961.50 $1,923 2.6×
Basic radiation dosimetry calculation (77300) $600 $1,200 4.2×
Bone age studies (77072) $308.50 $617 2.8×
Bone Imaging 3 Phase (78315) $1,850.50 $3,701 4.3×
Bone Imaging Limited Area (78300) $1,162.50 $2,325 2.7×
Bone Imaging Whole Body (78306) $1,578.50 $3,157 3.7×
Bone marrow imaging limited area (78102) $787.50 $1,575 1.8×
Bone survey infant (77076) $425 $850 3.8×
Brachytx isodose intermed (77317) $925 $1,850 2.3×
Brachytx Isodose Plan Simple (77316) $679 $1,358 1.7×
Brain Image W/Flow < 4 Views (78601) $1,371 $2,742 3.2×
Brain Imaging Pet Metabolic Evaluation (78608) $4,582.50 $9,165 3.0×
Cardiac MRI w/w/o contrast & further seq (75561) $2,281 $4,562 6.1×
Cat Scan Follow-Up Study (76380) $682.50 $1,365 7.3×
Chest 1 view (71045) $320 $640 3.4×
Chest 2 views (71046) $390.50 $781 4.2×
Chest 3 views (71047) $438 $876 4.7×
Chest 4 or more views (71048) $457.50 $915 4.1×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $417 $834 3.7×
Clavicle complete (73000) $331 $662 3.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,119.50 $2,239 10.0×
Continuing medical physics consltj pr wk (77336) $642.50 $1,285 4.5×
Contrast Exam Abdominl Aorta (75625) $4,037.50 $8,075 1.2×
Contrast X-Ray Bladder (74430) $888 $1,776 2.4×
CT abdomen and pelvis without and with contrast (74178) $4,348 $8,696 11.6×
CT abdomen and pelvis without contrast (74176) $3,158.50 $6,317 12.4×
CT abdomen w contrast (74160) $2,252.50 $4,505 12.0×
CT abdomen w wo contrast (74170) $2,548 $5,096 13.6×
CT abdomen w/o contrast (74150) $1,365 $2,730 12.2×
CT Angio Abdomen and Pelvis (74174) $3,823 $7,646 10.2×
CT Angio Chest (71275) $2,233.50 $4,467 11.9×
CT Angio Head (70496) $2,259 $4,518 12.0×
CT angio hrt w/3d image (75574) $2,303 $4,606 6.2×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,287 $4,574 12.2×
CT Angio Neck (70498) $2,355.50 $4,711 12.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,107 $4,214 11.2×
CT cervical spine w/ contrast (72126) $1,889 $3,778 5.1×
CT cervical spine w/o contrast (72125) $1,629 $3,258 14.5×
CT cervical spine w/wo cont (72127) $2,320 $4,640 12.3×
CT chest w contrast (71260) $1,858.50 $3,717 9.9×
CT chest w/wo contrast (71270) $2,143 $4,286 11.4×
CT colonography screening (74263) $317.50 $635 1.2×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $665 $1,330 3.5×
CT colonogrphy dx image postprocess w/o contrast (74261) $386.50 $773 3.4×
CT head/brain with contrast (70460) $1,755.50 $3,511 9.3×
CT head/brain without and with contrast (70470) $2,133 $4,266 11.3×
CT heart contrast eval cardiac structure&morph (75572) $1,770 $3,540 4.7×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines		 $24.50–$890.50 $49–$1,781 varies
CT hrt w/3d image congen (75573) $1,696 $3,392 4.5×
CT iac w contrast (70481) $1,958.50 $3,917 10.4×
CT l-spine w&w/o contrast (72133) $2,293.50 $4,587 12.2×
CT lower ext w/o (73700) $1,383 $2,766 12.3×
CT lower extremity w/contrast material (73701) $1,754 $3,508 9.3×
CT lumbar spine w contrast (72132) $2,050.50 $4,101 5.5×
CT lumbar spine w/o contrast (72131) $1,566.50 $3,133 14.0×
CT maxillofacial w contrast (70487) $1,724 $3,448 9.2×
CT maxillofacial wo contrast (70486) $1,417 $2,834 12.6×
CT neck tissue combo (70492) $2,137 $4,274 11.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,164 $4,328 11.5×
CT orbits w/o contrast (70480) $1,739.50 $3,479 15.5×
CT pelvis w&w/o contrast (72194) $2,033 $4,066 10.8×
CT pelvis w/o contrast (72192) $1,278.50 $2,557 11.4×
CT scan of leg combo (73702) $2,211.50 $4,423 11.8×
CT scans face/jaw combo (70488) $1,792.50 $3,585 9.5×
CT soft tissue neck w contrast (70491) $1,807 $3,614 9.6×
CT soft tissue neck w/o contrast (70490) $1,287.50 $2,575 11.5×
CT thoracic spine w contrast (72129) $1,725.50 $3,451 9.2×
CT thoracic spine w/o contrast (72128) $1,498 $2,996 13.4×
CT thoracic spine w/wo cont (72130) $2,124 $4,248 11.3×
CT thorax w/o contrast (71250) $1,447.50 $2,895 12.9×
CT upper ext wo (73200) $1,441 $2,882 12.9×
CT upper extremity w/o & w/contrast material (73202) $1,819.50 $3,639 9.7×
CT upper extremity with contrast (73201) $1,795 $3,590 4.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,276 $4,552 12.1×
Cta Abdomen (74175) $2,675.50 $5,351 14.2×
CTA pelvis (72191) $2,155 $4,310 11.5×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) $473.50 $947 1.9×
Diskography lumbar (72295) $1,882 $3,764 0.9×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $424.50 $849 3.8×
Doppler Echo Fetal Spectral Display Complete (76827) $741 $1,482 6.6×
Doppler Fetal Mid Cerebral Artery (76821) $701 $1,402 6.3×
Dxa Bone Density Axial (77080) $499.50 $999 4.5×
Dxa bone density study (77085) $469 $938 4.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $312.50 $625 3.4×
Echo exam of fetal heart (76825) $1,013 $2,026 1.7×
Echo exam uterus (76831) $1,074 $2,148 4.2×
Echo Guide For Artery Repair (76936) $1,277 $2,554 5.5×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $845.50 $1,691 3.3×
Esophagram (74220) $622 $1,244 3.3×
Fetal Biophys Profile W/Nst (76818) $1,082 $2,164 9.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $880.50 $1,761 7.9×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $1,445 $2,890 5.7×
Fluoroscopy up to 1 hr (76000) $879 $1,758 3.4×
Follow-Up Angiography (75898) $2,728 $5,456 0.8×
Foot 2 views (73620) $258 $516 2.8×
Forearm 2 views (73090) $359.50 $719 3.9×
Gastric emptying imaging study (78264) $1,560.50 $3,121 3.6×
Gated Heart Planar Single (78472) $1,502 $3,004 3.5×
Hand 2 views (73120) $288 $576 2.6×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $4,095 $8,190 5.5×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $3,229 $6,458 4.3×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $2,650.50 $5,301 3.6×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $3,760 $7,520 1.1×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $2,728 $5,456 0.8×
Hepatobil Syst Image W/Drug (78227) $1,711.50 $3,423 2.9×
Hepatobiliary System Imaging (78226) $1,345 $2,690 3.1×
Ht Muscle Image Spect Sing (78451) $2,470.50 $4,941 1.8×
Hysterosalpingogram (74740) $1,108 $2,216 4.3×
Infant hip ultrasound with hip movement (dynamic) (76885) $851.50 $1,703 9.1×
Interstitial radiation source applic complex (77778) $4,002.50 $8,005 5.4×
Intracavitary Radiation Source Applic Complex (77763) $2,017 $4,034 2.7×
K Flow/Funct Image W/Drug (78708) $1,627.50 $3,255 2.8×
K Flow/Funct Image W/O Drug (78707) $1,391 $2,782 2.4×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $512 $1,024 1.2×
Knee 3 Views (73562) $415 $830 4.4×
Leveen/Shunt Patency Exam (78291) $893 $1,786 2.1×
Liver & Spleen Imaging Static Only (78215) $1,175.50 $2,351 2.7×
Lung Perf&Ventilat Diferentl (78598) $1,585.50 $3,171 2.7×
Lung Ventilat&Perfus Imaging (78582) $1,825 $3,650 3.1×
Lung Ventilation Imaging (78579) $997 $1,994 2.3×
Lymph System Imaging (78195) $1,605 $3,210 2.8×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $3,955.50 $7,911 1.2×
Lymphangiography, pelvic/abdominal, unilateral (75805) $3,955.50 $7,911 1.2×
Magnetic Image Jaw Joint (70336) $1,927.50 $3,855 7.5×
Meckels Divert Exam (78290) $1,064.50 $2,129 2.5×
Mlc imrt design & construction per imrt plan (77338) $2,447.50 $4,895 6.1×
Mra Head W/O & W/Contrast Material (70546) $2,230 $4,460 6.0×
MRA head w/o contrast (70544) $1,694 $3,388 6.6×
MRA head with contrast (70545) $1,535.50 $3,071 4.1×
MRA neck w contrast (70548) $1,785.50 $3,571 4.8×
Mra Neck W/O &W/Contrast Material (70549) $2,480 $4,960 6.6×
MRA neck w/o contrast (70547) $1,577 $3,154 6.2×
MRI abdomen w/o contrast (74181) $2,360 $4,720 9.2×
MRI any jt lower extrem w/contrast material (73722) $2,104.50 $4,209 2.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,685.50 $5,371 7.2×
MRI any jt upper extremity w/contrast matrl (73222) $2,200 $4,400 2.6×
MRI brain functional w/physician admnistration (70555) $2,201.50 $4,403 8.6×
MRI Breast W/O Contrast Bilateral (77047) $1,748 $3,496 6.8×
MRI Breast Without Contrast Material Unilateral (77046) $1,200 $2,400 4.7×
MRI cardiac w/o contrast (75557) $1,579.50 $3,159 6.2×
MRI cervical spine w contrast (72142) $1,992.50 $3,985 5.3×
MRI cervical spine w/o cont (72141) $1,895 $3,790 7.4×
MRI chest w/o contrast (71550) $2,217.50 $4,435 8.7×
MRI chest with contrast (71551) $2,381 $4,762 2.8×
MRI chest wo w contrast (71552) $3,084 $6,168 8.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,293.50 $4,587 6.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,666 $3,332 6.5×
MRI lumbar spine w contrast (72149) $2,098 $4,196 5.6×
Mri Neck Spine W/O & W/Dye (72156) $2,503.50 $5,007 6.7×
MRI orbit face &/neck w/o contrast (70540) $1,827.50 $3,655 7.1×
MRI orbit face neck w contrast (70542) $2,100 $4,200 5.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,546.50 $5,093 6.8×
MRI pelvis w/o & w contrast (72197) $2,386 $4,772 6.4×
MRI pelvis w/o contrast (72195) $1,675.50 $3,351 6.6×
MRI spectroscopy (76390) $1,492 $2,984 16.0×
MRI thoracic spine w/o contrast (72146) $1,907.50 $3,815 7.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,770.50 $3,541 6.9×
Mri Uppr Extremity W/O&W/Dye (73220) $2,441.50 $4,883 6.5×
MRI, abdomen, combo (74183) $2,516.50 $5,033 6.7×
MRI, dorsal spine combo (72157) $2,542 $5,084 6.8×
MRI, dorsal spine contrast (72147) $1,961.50 $3,923 5.2×
MRI, joint upper extrem (73221) $1,798 $3,596 7.0×
MRI, joint upper extrem combo (73223) $2,525 $5,050 6.8×
MRI, lumbar spine combo (72158) $2,544.50 $5,089 6.8×
Myocardial Spect Multiple Studies (78452) $4,400.50 $8,801 3.2×
Neck soft tissue (70360) $291 $582 3.1×
Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) $413 $826 1.0×
Nonvascular Shunt X-Ray (75809) $409 $818 3.7×
Ntsty modul radthx pln dose-vol histos (77301) $8,692.50 $17,385 5.9×
Nuclear Rx Oral Admin (79005) $1,279.50 $2,559 5.1×
Ob us nuchal meas 1 gest (76813) $722 $1,444 6.4×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $487.50 $975 4.4×
Panoramic X-ray of jaws (70355) $349.50 $699 3.7×
Parathyroid Planar Imaging (78070) $1,399.50 $2,799 3.3×
Pelvis 1 or 2 views (72170) $327.50 $655 2.9×
Pet Image W/Ct Lmtd (78814) $3,559 $7,118 2.3×
PET image w/CT, full body (78816) $5,066 $10,132 3.3×
PET imaging CT attenuation skull base mid-thigh (78815) $5,036 $10,072 3.3×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $4,817 $9,634 1.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,084.50 $2,169 2.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $470.50 $941 4.2×
Radex abscess/fistula/sinus tract rs&i (76080) $1,129 $2,258 1.9×
Radex Ankle Complete Minimum 3 Views (73610) $382 $764 4.1×
Radex Calcaneus Minimum 2 Views (73650) $309.50 $619 3.3×
Radex elbow complete minimum 3 views (73080) $402.50 $805 4.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $525 $1,050 4.7×
Radex fingr minimum 2 views (73140) $290.50 $581 3.1×
Radex foot complete minimum 3 views (73630) $418.50 $837 4.5×
Radex Hand Minimum 3 Views (73130) $385.50 $771 4.1×
Radex lower extremity infant minimum 2 views (73592) $304 $608 3.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $344.50 $689 3.7×
Radex Ribs Unilateral 2 Views (71100) $334 $668 3.6×
Radex shoulder complete minimum 2 views (73030) $439.50 $879 4.7×
Radex Spine 1 View Specify Level (72020) $345.50 $691 3.7×
Radex Sternum Minimum 2 Views (71120) $316.50 $633 3.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $335.50 $671 3.6×
Radex Toe Minimum 2 Views (73660) $307.50 $615 3.3×
Radex upper extremity infant minimum 2 views (73092) $301.50 $603 2.7×
Radex Wrist Complete Minimum 3 Views (73110) $371.50 $743 4.0×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $848 $1,696 7.6×
Radiation Delivery Stereotactic Cranial Linear (77372) $15,415.50 $30,831 2.0×
Radiation treatment delivery level 1 (77402) $606 $1,212 5.5×
Radiolog exam mandible compl minimum 4 views (70110) $527 $1,054 4.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $463 $926 4.1×
Radiologic exam colon double contrast study (74280) $979 $1,958 5.2×
Radiologic exam colon single contrast study (74270) $847 $1,694 4.5×
Radiologic Exam Esophagus Double Contrast Study (74221) $633.50 $1,267 3.4×
Radiologic exam knee complete 4/more views (73564) $525 $1,050 4.7×
Radiologic exam pelvis compl minimum 3 views (72190) $509 $1,018 4.5×
Radiologic Exam Small Int Single Contrast Study (74250) $595.50 $1,191 3.2×
Radiologic exam swallow function contrast study (74230) $504.50 $1,009 2.7×
Radiologic exam upr gi trc double contrast study (74246) $894 $1,788 4.8×
Radiologic examination femur 1 view (73551) $254.50 $509 2.7×
Radiologic examination femur minimum 2 views (73552) $337 $674 3.6×
Radiologic examination knee 1/2 views (73560) $338.50 $677 3.6×
Radiologic examination tibia & fibula 2 views (73590) $331 $662 3.5×
Ribs bilateral 3 views (71110) $570 $1,140 5.1×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,225 $2,450 2.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,808.50 $3,617 4.2×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,667 $5,334 4.6×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,110 $4,220 3.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,044.50 $4,089 3.5×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $2,191.50 $4,383 1.4×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,781.50 $5,563 2.0×
Rp Therapy Intravenous Administration (79101) $1,012.50 $2,025 4.0×
Scapula (73010) $384 $768 3.4×
Screening Digital Breast Tomosynthesis Bi (77063) $159 $318 6.8×
Shoulder 1 view (73020) $260 $520 2.8×
Shoulder Arthrography (73040) $1,108 $2,216 3.0×
Skull less than 4 views (70250) $386.50 $773 3.4×
Special dosimetry (77331) $594.50 $1,189 4.1×
Special Physics Consult (77370) $786.50 $1,573 5.5×
Special teletherapy port plan (77321) $1,277.50 $2,555 3.2×
Special treatment procedure (77470) $2,297.50 $4,595 3.9×
Stereotactic Body Radiation Delivery (77373) $8,005.50 $16,011 4.2×
Sternoclavicular joints (71130) $305.50 $611 3.3×
Telethx isodose pln cplx w/basic dosimetry (77307) $2,567 $5,134 6.4×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,933.50 $3,867 4.8×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,748 $5,496 6.8×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,659.50 $3,319 4.1×
Ther rad simulaj-aided field setting simple (77280) $1,525 $3,050 10.6×
Thoracic spine 2 views (72070) $506.50 $1,013 4.5×
Thoracic spine 3 views (72072) $565.50 $1,131 5.0×
Thoracolumbar 2 views (72080) $375 $750 4.0×
Thyroid Met Imaging Body (78018) $1,393.50 $2,787 2.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,202 $2,404 2.8×
Tx Devices Design & Construction Complex (77334) $1,347 $2,694 3.4×
Tx devices design & construction intermediate (77333) $810.50 $1,621 5.6×
Tx devices design & construction simple (77332) $632 $1,264 4.4×
Ultrasound Breast Limited (76642) $414 $828 4.4×
Ultrasound Elastography Parenchyma (76981) $429 $858 3.8×
Ultrasound Exam Aaa Screen (76706) $170.50 $341 1.5×
Ultrasound, abdomen limited (76705) $1,129.50 $2,259 10.1×
Umbilical-artery Doppler (OB) (76820) $660 $1,320 5.9×
Upper gi w/o kub (74240) $628.50 $1,257 3.3×
Urethrocystogram voiding (74455) $895.50 $1,791 3.5×
Urethrocystography retrograde (74450) $716 $1,432 2.8×
Us breast unilateral complete (76641) $472.50 $945 4.2×
Us chest (76604) $713 $1,426 6.4×
Us complete joint (76881) $842.50 $1,685 7.5×
Us exam, pelvic, limited (76857) $618.50 $1,237 5.5×
Us head (76506) $487.50 $975 4.4×
Us kidney transplant (76776) $710 $1,420 6.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $578 $1,156 5.2×
Us ob detailed single fetus (76811) $1,214 $2,428 4.7×
Us ob limited 1 or more fetuses (76815) $690 $1,380 6.2×
Us ob transvaginal (76817) $613 $1,226 5.5×
Us pelvic non ob complete (76856) $1,065.50 $2,131 9.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $740.50 $1,481 6.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $677 $1,354 6.0×
Us retroperitoneal complete (76770) $965 $1,930 8.6×
Us retroperitoneal limited (76775) $817.50 $1,635 7.3×
Us scrotum and contents (76870) $916 $1,832 8.2×
Us spinal canal and contents (76800) $439 $878 3.9×
Us thyroid (76536) $933 $1,866 8.3×
Us transrectal (76872) $112.50 $225 1.0×
Vein X-Ray Chest (75827) $2,255.50 $4,511 1.3×
Venogram Sinus/Jugular (75860) $2,728 $5,456 0.8×
Venography caval inferior serialography rs&i (75825) $3,827.50 $7,655 1.1×
Venography extremity bilateral rs&i (75822) $2,260 $4,520 1.3×
Venography extremity unilateral rs&i (75820) $1,504 $3,008 0.9×
Venography Renal Bilateral (75833) $3,237.50 $6,475 1.0×
Venography Renal Unilateral (75831) $2,728 $5,456 0.8×
Venous sampling by catheter (75893) $4,719.50 $9,439 0.8×
Wrist 2 views (73100) $307 $614 3.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $421 $842 4.5×
X-Ray Aorta Leg Arteries (75630) $4,567 $9,134 1.3×
X-Ray Bend Only L-S Spine (72120) $518 $1,036 4.6×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $282.50 $565 3.0×
X-Ray Exam Breast Specimen (76098) $606.50 $1,213 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $368 $736 3.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $508.50 $1,017 4.5×
X-Ray Exam Entire Spi 4/5 Vw (72083) $523.50 $1,047 4.7×
X-Ray Exam Hip Uni 1 View (73501) $299.50 $599 3.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $369 $738 4.0×
X-Ray Exam Hip Uni 4/> Views (73503) $629.50 $1,259 5.6×
X-Ray Exam Hips Bi 2 Views (73521) $558 $1,116 5.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $642.50 $1,285 5.7×
X-Ray Exam Hips Bi 5/> Views (73523) $810.50 $1,621 7.2×
X-Ray Exam L-S Spine Bending (72114) $825 $1,650 7.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $469.50 $939 5.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $695.50 $1,391 6.2×
X-Ray Exam Unilat Ribs/Chest (71101) $538.50 $1,077 4.8×
X-ray eye for foreign body (70030) $311.50 $623 3.3×
X-ray humerus (73060) $337.50 $675 3.6×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $389.50 $779 4.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $369.50 $739 4.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $474.50 $949 4.2×
X-ray nose-rectum child f.b. (76010) $301 $602 3.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $789 $1,578 7.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $476 $952 4.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $292.50 $585 2.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $422.50 $845 4.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $496.50 $993 5.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $508 $1,016 4.5×
X-ray thoracic spine 4 vw (72074) $468.50 $937 4.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $973.50 $1,947 2.6×
X-Rays Bone Length Studies (77073) $438 $876 3.9×
X-Rays Bone Survey Complete (77075) $1,064.50 $2,129 9.5×
Xr c-spine 4 or 5 views (72050) $665.50 $1,331 5.9×
Xr facial bones less than 3 views (70140) $329 $658 3.5×
Xr orbits complete 4 views (70200) $596.50 $1,193 5.3×

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.