Imaging prices at Rush Oak Park Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,370.50 $10,741 3.6×
Abdomen 1 View (74018) $214.50 $429 2.3×
Abdomen 2 views (74019) $228.50 $457 2.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $835.50 $1,671 2.0×
Angio internal mammary (75756) $2,461 $4,922 0.7×
Angio pulmonary bilat (75743) $2,707 $5,414 0.8×
Angiography extremity bilateral rs&i (75716) $2,648.50 $5,297 0.8×
Angiography extremity unilateral rs&i (75710) $2,461 $4,922 0.7×
Angiography pulmonary unilateral slctv rs&i (75741) $2,461 $4,922 0.7×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $2,461 $4,922 0.7×
Ankle 2 views (73600) $149 $298 1.6×
Aortography thoracic serialography rs&i (75605) $4,226.50 $8,453 0.7×
Artery X-Rays Abdomen (75726) $4,226.50 $8,453 0.7×
Artery X-Rays Adrenal Gland (75731) $2,461 $4,922 0.7×
Artery X-Rays Pelvis (75736) $4,226.50 $8,453 0.7×
Arthrogram hip (73525) $381 $762 1.0×
Arthrogram Wrist (73115) $372.50 $745 1.0×
Basic radiation dosimetry calculation (77300) $1,344 $2,688 9.3×
Bone age studies (77072) $493 $986 4.4×
Bone Imaging 3 Phase (78315) $1,561.50 $3,123 3.6×
Bone Imaging Limited Area (78300) $742.50 $1,485 1.7×
Bone Imaging Whole Body (78306) $1,134 $2,268 2.6×
Bone marrow imaging limited area (78102) $478.50 $957 1.1×
Bone survey infant (77076) $179 $358 1.6×
Brain Image W/Flow < 4 Views (78601) $581 $1,162 1.4×
Cat Scan Follow-Up Study (76380) $510.50 $1,021 5.5×
Chest 1 view (71045) $198.50 $397 2.1×
Chest 2 views (71046) $283.50 $567 3.0×
Chest 3 views (71047) $343 $686 3.7×
Chest 4 or more views (71048) $370 $740 3.3×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $131 $262 1.2×
Clavicle complete (73000) $281 $562 3.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $385 $770 3.4×
Continuing medical physics consltj pr wk (77336) $634.50 $1,269 4.4×
Contrast Exam Abdominl Aorta (75625) $2,728 $5,456 0.8×
Contrast X-Ray Bladder (74430) $382.50 $765 1.0×
CT abdomen and pelvis without and with contrast (74178) $4,081 $8,162 10.9×
CT abdomen and pelvis without contrast (74176) $2,931.50 $5,863 11.5×
CT abdomen w contrast (74160) $1,484.50 $2,969 7.9×
CT abdomen w wo contrast (74170) $2,138.50 $4,277 11.4×
CT abdomen w/o contrast (74150) $1,223.50 $2,447 10.9×
CT Angio Abdomen and Pelvis (74174) $2,076 $4,152 5.6×
CT Angio Chest (71275) $1,460 $2,920 7.8×
CT Angio Head (70496) $1,318.50 $2,637 7.0×
CT angio hrt w/3d image (75574) $1,972.50 $3,945 5.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,422 $2,844 7.6×
CT Angio Neck (70498) $1,514.50 $3,029 8.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,531 $3,062 8.1×
CT cervical spine w/ contrast (72126) $1,226 $2,452 3.3×
CT cervical spine w/o contrast (72125) $1,113 $2,226 9.9×
CT cervical spine w/wo cont (72127) $1,500 $3,000 8.0×
CT chest w contrast (71260) $1,409 $2,818 7.5×
CT chest w/wo contrast (71270) $1,506 $3,012 8.0×
CT colonography screening (74263) $652.50 $1,305 2.6×
CT head/brain with contrast (70460) $991 $1,982 5.3×
CT head/brain without and with contrast (70470) $1,090 $2,180 5.8×
CT heart contrast eval cardiac structure&morph (75572) $742.50 $1,485 2.0×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines		 $24.50–$422.50 $49–$845 varies
CT hrt w/3d image congen (75573) $1,763.50 $3,527 4.7×
CT iac w contrast (70481) $1,590.50 $3,181 8.5×
CT l-spine w&w/o contrast (72133) $1,800.50 $3,601 9.6×
CT lower ext w/o (73700) $1,065 $2,130 9.5×
CT lower extremity w/contrast material (73701) $1,190 $2,380 6.3×
CT lumbar spine w contrast (72132) $1,471 $2,942 3.9×
CT lumbar spine w/o contrast (72131) $1,211 $2,422 10.8×
CT maxillofacial w contrast (70487) $1,425 $2,850 7.6×
CT maxillofacial wo contrast (70486) $1,036.50 $2,073 9.3×
CT neck tissue combo (70492) $1,442.50 $2,885 7.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,780 $3,560 9.5×
CT orbits w/o contrast (70480) $1,038.50 $2,077 9.3×
CT pelvis w&w/o contrast (72194) $2,003.50 $4,007 10.7×
CT pelvis w/o contrast (72192) $1,031 $2,062 9.2×
CT scan of leg combo (73702) $1,495 $2,990 8.0×
CT scans face/jaw combo (70488) $1,768 $3,536 9.4×
CT soft tissue neck w contrast (70491) $1,199.50 $2,399 6.4×
CT soft tissue neck w/o contrast (70490) $1,036 $2,072 9.2×
CT thoracic spine w contrast (72129) $1,396.50 $2,793 7.4×
CT thoracic spine w/o contrast (72128) $1,102 $2,204 9.8×
CT thoracic spine w/wo cont (72130) $1,483.50 $2,967 7.9×
CT thorax w/o contrast (71250) $1,157.50 $2,315 10.3×
CT upper ext wo (73200) $974 $1,948 8.7×
CT upper extremity w/o & w/contrast material (73202) $1,458 $2,916 7.8×
CT upper extremity with contrast (73201) $1,228 $2,456 3.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,300.50 $2,601 6.9×
Cta Abdomen (74175) $1,451.50 $2,903 7.7×
CTA pelvis (72191) $2,103.50 $4,207 11.2×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) $473.50 $947 1.9×
Diskography lumbar (72295) $1,954.50 $3,909 0.9×
Dxa Bone Density Axial (77080) $321 $642 2.9×
Dxa bone density study (77085) $480 $960 4.3×
Dxa bone density study 1/>sites appendiclr skel (77081) $245.50 $491 2.6×
Echo Guide For Artery Repair (76936) $623.50 $1,247 2.7×
Esophagram (74220) $226.50 $453 1.2×
Fetal Biophys Profile W/Nst (76818) $1,016.50 $2,033 9.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $748 $1,496 6.7×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $577.50 $1,155 2.3×
Fluoroscopy up to 1 hr (76000) $288.50 $577 1.1×
Follow-Up Angiography (75898) $2,461 $4,922 0.7×
Foot 2 views (73620) $153 $306 1.6×
Forearm 2 views (73090) $267.50 $535 2.9×
Gastric emptying imaging study (78264) $1,287.50 $2,575 3.0×
Gated Heart Planar Single (78472) $952.50 $1,905 2.2×
Hand 2 views (73120) $224 $448 2.0×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $2,728 $5,456 0.8×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $2,461 $4,922 0.7×
Hepatobil Syst Image W/Drug (78227) $2,065 $4,130 3.5×
Hepatobiliary System Imaging (78226) $1,702.50 $3,405 4.0×
Ht Muscle Image Spect Sing (78451) $1,686.50 $3,373 1.2×
Hysterosalpingogram (74740) $1,088.50 $2,177 4.3×
K Flow/Funct Image W/Drug (78708) $1,085 $2,170 1.9×
K Flow/Funct Image W/O Drug (78707) $872.50 $1,745 1.5×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $645 $1,290 1.5×
Knee 3 Views (73562) $366.50 $733 3.9×
Leveen/Shunt Patency Exam (78291) $448 $896 1.0×
Liver & Spleen Imaging Static Only (78215) $739.50 $1,479 1.7×
Lung Perf&Ventilat Diferentl (78598) $991.50 $1,983 1.7×
Lung Ventilat&Perfus Imaging (78582) $3,541.50 $7,083 6.1×
Lung Ventilation Imaging (78579) $419.50 $839 1.0×
Lymph System Imaging (78195) $1,866.50 $3,733 3.2×
Magnetic Image Jaw Joint (70336) $2,757 $5,514 10.8×
Magnetic Resonance Elastography (76391) $52.50 $105 0.2×
Meckels Divert Exam (78290) $1,594.50 $3,189 3.7×
Mlc imrt design & construction per imrt plan (77338) $1,750.50 $3,501 4.4×
Mra Head W/O & W/Contrast Material (70546) $2,310 $4,620 6.2×
MRA head w/o contrast (70544) $1,159 $2,318 4.5×
MRA head with contrast (70545) $1,455 $2,910 3.9×
MRA neck w contrast (70548) $2,059.50 $4,119 5.5×
Mra Neck W/O &W/Contrast Material (70549) $2,435.50 $4,871 6.5×
MRA neck w/o contrast (70547) $1,868.50 $3,737 7.3×
MRI abdomen w/o contrast (74181) $1,593.50 $3,187 6.2×
MRI any jt lower extrem w/contrast material (73722) $1,841.50 $3,683 2.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,468 $4,936 6.6×
MRI any jt upper extremity w/contrast matrl (73222) $1,869 $3,738 2.2×
MRI Breast W/O Contrast Bilateral (77047) $1,796 $3,592 7.0×
MRI Breast Without Contrast Material Unilateral (77046) $1,397.50 $2,795 5.5×
MRI cervical spine w contrast (72142) $2,065 $4,130 5.5×
MRI cervical spine w/o cont (72141) $1,537.50 $3,075 6.0×
MRI chest w/o contrast (71550) $1,567.50 $3,135 6.1×
MRI chest with contrast (71551) $2,048 $4,096 2.4×
MRI chest wo w contrast (71552) $2,533.50 $5,067 6.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,287.50 $4,575 6.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,623 $3,246 6.3×
MRI lumbar spine w contrast (72149) $2,016.50 $4,033 5.4×
Mri Neck Spine W/O & W/Dye (72156) $2,269 $4,538 6.1×
MRI orbit face &/neck w/o contrast (70540) $1,448 $2,896 5.7×
MRI orbit face neck w contrast (70542) $1,561 $3,122 4.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,599.50 $5,199 7.0×
MRI pelvis w/o & w contrast (72197) $2,407 $4,814 6.4×
MRI pelvis w/o contrast (72195) $1,821 $3,642 7.1×
MRI thoracic spine w/o contrast (72146) $2,141 $4,282 8.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,930 $3,860 7.5×
Mri Uppr Extremity W/O&W/Dye (73220) $2,467 $4,934 6.6×
MRI, abdomen, combo (74183) $2,590.50 $5,181 6.9×
MRI, dorsal spine combo (72157) $2,882.50 $5,765 7.7×
MRI, dorsal spine contrast (72147) $2,330.50 $4,661 6.2×
MRI, joint upper extrem (73221) $1,482 $2,964 5.8×
MRI, joint upper extrem combo (73223) $2,639.50 $5,279 7.1×
MRI, lumbar spine combo (72158) $3,502 $7,004 9.4×
Myocardial Spect Multiple Studies (78452) $2,674 $5,348 1.9×
N-invas est c ffr sw aly CTA (75580) $1,841.50 $3,683 2.0×
Neck soft tissue (70360) $277 $554 3.0×
Ntsty modul radthx pln dose-vol histos (77301) $7,198 $14,396 4.9×
Nuclear Rx Oral Admin (79005) $1,225.50 $2,451 4.9×
Parathyroid imaging w/tomographic spect & CT (78072) $3,271 $6,542 5.6×
Parathyroid Planar Imaging (78070) $1,466.50 $2,933 3.4×
Pelvis 1 or 2 views (72170) $215 $430 1.9×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $2,485.50 $4,971 0.7×
Pulmonary Perfusion Imaging Particulate (78580) $1,058.50 $2,117 2.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $259.50 $519 2.3×
Radex abscess/fistula/sinus tract rs&i (76080) $796.50 $1,593 1.4×
Radex Ankle Complete Minimum 3 Views (73610) $258 $516 2.8×
Radex Calcaneus Minimum 2 Views (73650) $138 $276 1.5×
Radex elbow complete minimum 3 views (73080) $225 $450 2.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $567.50 $1,135 5.1×
Radex fingr minimum 2 views (73140) $132.50 $265 1.4×
Radex foot complete minimum 3 views (73630) $351 $702 3.8×
Radex Hand Minimum 3 Views (73130) $359.50 $719 3.9×
Radex lower extremity infant minimum 2 views (73592) $133 $266 1.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $481 $962 5.2×
Radex Ribs Unilateral 2 Views (71100) $287 $574 3.1×
Radex shoulder complete minimum 2 views (73030) $364 $728 3.9×
Radex Spine 1 View Specify Level (72020) $248.50 $497 2.7×
Radex Sternum Minimum 2 Views (71120) $254.50 $509 2.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $533.50 $1,067 5.7×
Radex Toe Minimum 2 Views (73660) $137 $274 1.5×
Radex upper extremity infant minimum 2 views (73092) $493 $986 4.4×
Radex Wrist Complete Minimum 3 Views (73110) $218.50 $437 2.3×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $637 $1,274 5.7×
Radiation Delivery Stereotactic Cranial Linear (77372) $15,415.50 $30,831 2.0×
Radiation treatment delivery level 1 (77402) $494.50 $989 4.5×
Radiolog exam mandible compl minimum 4 views (70110) $396.50 $793 3.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $236.50 $473 2.1×
Radiologic exam colon double contrast study (74280) $755.50 $1,511 4.0×
Radiologic exam colon single contrast study (74270) $602.50 $1,205 3.2×
Radiologic Exam Esophagus Double Contrast Study (74221) $410 $820 2.2×
Radiologic exam knee complete 4/more views (73564) $417.50 $835 3.7×
Radiologic exam pelvis compl minimum 3 views (72190) $291 $582 2.6×
Radiologic Exam Small Int Single Contrast Study (74250) $243 $486 1.3×
Radiologic exam swallow function contrast study (74230) $340 $680 1.8×
Radiologic exam upr gi trc double contrast study (74246) $972 $1,944 5.2×
Radiologic examination femur 1 view (73551) $125.50 $251 1.3×
Radiologic examination femur minimum 2 views (73552) $162 $324 1.7×
Radiologic examination knee 1/2 views (73560) $272 $544 2.9×
Radiologic examination tibia & fibula 2 views (73590) $143 $286 1.5×
Ribs bilateral 3 views (71110) $487.50 $975 4.4×
Rp loclzj tum plnr 1 area single day imaging (78800) $466 $932 1.1×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $832.50 $1,665 1.9×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,090.50 $4,181 3.6×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,742 $3,484 3.0×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,783 $3,566 3.1×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $2,775.50 $5,551 1.8×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,231 $4,462 1.6×
Rp Therapy Intravenous Administration (79101) $1,250 $2,500 5.0×
Scapula (73010) $144.50 $289 1.3×
Screening Digital Breast Tomosynthesis Bi (77063) $128.50 $257 5.5×
Shoulder 1 view (73020) $125.50 $251 1.3×
Shoulder Arthrography (73040) $456 $912 1.2×
Skull less than 4 views (70250) $183.50 $367 1.6×
Special dosimetry (77331) $553 $1,106 3.8×
Special Physics Consult (77370) $601 $1,202 4.2×
Special teletherapy port plan (77321) $1,410 $2,820 3.5×
Special treatment procedure (77470) $1,985 $3,970 3.4×
Stereotactic Body Radiation Delivery (77373) $8,005.50 $16,011 4.2×
Sternoclavicular joints (71130) $191 $382 2.0×
Superior sagittal sinus venogram (75870) $1,776 $3,552 0.5×
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) $2,260 $4,520 5.6×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,659.50 $3,319 4.1×
Ther rad simulaj-aided field setting simple (77280) $1,233 $2,466 8.6×
Thoracic spine 2 views (72070) $299.50 $599 2.7×
Thoracic spine 3 views (72072) $397 $794 3.5×
Thoracolumbar 2 views (72080) $180.50 $361 1.9×
Thyroid Met Imaging Body (78018) $1,463 $2,926 2.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,111 $2,222 2.6×
Tx Devices Design & Construction Complex (77334) $1,372.50 $2,745 3.4×
Tx devices design & construction intermediate (77333) $590 $1,180 4.1×
Tx devices design & construction simple (77332) $545.50 $1,091 3.8×
Ultrasound Breast Limited (76642) $393 $786 4.2×
Ultrasound Elastography Parenchyma (76981) $459 $918 4.1×
Ultrasound Exam Aaa Screen (76706) $328.50 $657 2.9×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines		 $322.88–$630 $645.75–$1,260 varies
Umbilical-artery Doppler (OB) (76820) $413 $826 3.7×
Unlisted Dx Radiographic Procedure (76499) $204.50 $409 2.2×
Upper gi w/o kub (74240) $259 $518 1.4×
Urethrocystogram voiding (74455) $550 $1,100 2.2×
Urethrocystography retrograde (74450) $441 $882 1.7×
Us breast unilateral complete (76641) $552 $1,104 4.9×
Us chest (76604) $305.50 $611 2.7×
Us complete joint (76881) $486 $972 4.3×
Us exam, pelvic, limited (76857) $398.50 $797 3.6×
Us head (76506) $366 $732 3.3×
Us kidney transplant (76776) $580.50 $1,161 5.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $241.50 $483 2.2×
Us ob detailed single fetus (76811) $1,250 $2,500 4.9×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines		 $250.13–$468.50 $500.25–$937 varies
Us ob transvaginal (76817) $388.50 $777 3.5×
Us pelvic non ob complete (76856) $635 $1,270 5.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $443.50 $887 4.0×
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines		 $243–$384 $486–$768 varies
Us retroperitoneal complete (76770) $479 $958 4.3×
Us retroperitoneal limited (76775) $445.50 $891 4.0×
Us scrotum and contents (76870) $439 $878 3.9×
Us spinal canal and contents (76800) $399.50 $799 3.6×
Us thyroid (76536) $607.50 $1,215 5.4×
Us transrectal (76872) $702 $1,404 6.3×
Vein X-Ray Chest (75827) $2,017 $4,034 1.2×
Vein X-Ray Liver W/O Hemodyn (75887) $2,461 $4,922 0.7×
Vein X-Ray Spleen/Liver (75810) $2,461 $4,922 0.7×
Venogram Sinus/Jugular (75860) $2,461 $4,922 0.7×
Venography caval inferior serialography rs&i (75825) $2,622 $5,244 0.8×
Venography extremity bilateral rs&i (75822) $1,354 $2,708 0.8×
Venography extremity unilateral rs&i (75820) $1,214.50 $2,429 0.7×
Venography Renal Unilateral (75831) $2,538 $5,076 0.8×
Wrist 2 views (73100) $208 $416 2.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $277 $554 3.0×
X-Ray Aorta Leg Arteries (75630) $2,728 $5,456 0.8×
X-Ray Bend Only L-S Spine (72120) $505.50 $1,011 4.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $217 $434 2.3×
X-Ray Exam Breast Specimen (76098) $770.50 $1,541 1.3×
X-Ray Exam Entire Spi 1 Vw (72081) $209.50 $419 2.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $451.50 $903 4.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $576.50 $1,153 5.1×
X-Ray Exam Hip Uni 1 View (73501) $110.50 $221 1.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $160.50 $321 1.7×
X-Ray Exam Hip Uni 4/> Views (73503) $379 $758 3.4×
X-Ray Exam Hips Bi 2 Views (73521) $249 $498 2.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $401.50 $803 3.6×
X-Ray Exam Hips Bi 5/> Views (73523) $427 $854 3.8×
X-Ray Exam L-S Spine Bending (72114) $691.50 $1,383 6.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $330.50 $661 3.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $657 $1,314 5.9×
X-Ray Exam Unilat Ribs/Chest (71101) $303 $606 2.7×
X-ray eye for foreign body (70030) $290.50 $581 3.1×
X-ray humerus (73060) $185 $370 2.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $248 $496 2.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $605 $1,210 6.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $305.50 $611 2.7×
X-ray nose-rectum child f.b. (76010) $279.50 $559 3.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $514.50 $1,029 4.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $375 $750 3.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $157.50 $315 1.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $307 $614 3.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $253.50 $507 2.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $416.50 $833 3.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $543 $1,086 1.5×
X-Rays Bone Length Studies (77073) $295 $590 2.6×
X-Rays Bone Survey Complete (77075) $437 $874 3.9×
Xr c-spine 4 or 5 views (72050) $633 $1,266 5.7×
Xr facial bones less than 3 views (70140) $382 $764 4.1×
Xr orbits complete 4 views (70200) $434.50 $869 3.9×

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.