Imaging prices at Saint Francis Hospital
Wilmington, DE · every code in this section with a posted price and a Medicare benchmark.
254 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) | $165.10 | $254 | 1.8× |
| Abdomen 2 views (74019) | $165.10 | $254 | 1.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $903.50 | $1,390 | 2.1× |
| Angio pulmonary bilat (75743) | $2,637.05 | $4,057 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $4,921.80 | $7,572 | 1.5× |
| Angiography extremity unilateral rs&i (75710) | $4,921.80 | $7,572 | 1.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,339.80 | $11,292 | 2.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$229.45–$344.50 | $353–$530 | varies |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,817.10 | $4,334 | 0.5× |
| Artery X-Rays Pelvis (75736) | $7,384.65 | $11,361 | 1.2× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$726.70–$1,090.05 | $1,118–$1,677 | varies |
| Bone age studies (77072) | $265.20 | $408 | 2.4× |
| Bone Imaging 3 Phase (78315) | $1,211.60 | $1,864 | 2.8× |
| Bone Imaging Multiple Areas (78305) | $1,242.80 | $1,912 | 2.9× |
| Bone Imaging Whole Body (78306) | $930.80 | $1,432 | 2.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,130.35 | $1,739 | 2.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$6,961.53–$8,431.29 | — | varies |
| Chest 2 views (71046) | $254.15 | $391 | 2.7× |
| Chest 3 views (71047) | $241.15 | $371 | 2.6× |
| Chest 4 or more views (71048) | $382.20 | $588 | 3.4× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $404.95 | $623 | 3.6× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$141.70–$212.55 | $218–$327 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $173.55 | $267 | 1.6× |
| Contrast Exam Abdominl Aorta (75625) | $3,589.30 | $5,522 | 1.1× |
| Contrast X-Ray Bladder (74430) | $536.90 | $826 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,115.40–$1,174.55 | $1,716–$1,807 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,892.85 | $5,989 | 10.5× |
| CT abdomen and pelvis without contrast (74176) | $2,068.30 | — | 8.1× |
| CT abdomen w contrast (74160) | $2,138.50 | $3,290 | 11.5× |
| CT abdomen w wo contrast (74170) | $2,448.55 | $3,767 | 13.1× |
| CT abdomen w/o contrast (74150) | $1,365.65 | $2,101 | 12.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,525.90 | $3,886 | 6.8× |
| CT Angio Chest (71275) | $3,472.95 | $5,343 | 18.6× |
| CT Angio Head (70496) | $1,740.70 | $2,678 | 9.3× |
| CT angio hrt w/3d image (75574) | $1,019.85 | $1,569 | 2.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,690–$2,535 | $2,600–$3,900 | varies |
| CT Angio Neck (70498) | $1,789.45 | $2,753 | 9.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,836.15 | — | 9.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $604.50 | $930 | 3.2× |
| CT cervical spine w/ contrast (72126) | $2,148.25 | $3,305 | 5.8× |
| CT cervical spine w/o contrast (72125) | $1,932.45 | $2,973 | 17.4× |
| CT chest w contrast (71260) | $1,577.55 | $2,427 | 8.5× |
| CT chest w/wo contrast (71270) | $1,708.85 | $2,629 | 9.2× |
| CT head/brain with contrast (70460) | $1,244.75 | $1,915 | 6.7× |
| CT head/brain without and with contrast (70470) | $1,600.95 | $2,463 | 8.6× |
| CT iac w contrast (70481) | $1,417 | $2,180 | 7.6× |
| CT l-spine w&w/o contrast (72133) | $2,174.25 | $3,345 | 11.6× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$958.10–$1,437.15 | $1,474–$2,211 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,048.45–$1,573 | $1,613–$2,420 | varies |
| CT lumbar spine w contrast (72132) | $2,213.25 | $3,405 | 6.0× |
| CT lumbar spine w/o contrast (72131) | $1,932.45 | $2,973 | 17.4× |
| CT maxillofacial w contrast (70487) | $2,104.05 | $3,237 | 11.3× |
| CT maxillofacial wo contrast (70486) | $1,212.90 | $1,866 | 10.9× |
| CT neck tissue combo (70492) | $1,688.70 | $2,598 | 9.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,551.90 | $3,926 | 13.7× |
| CT orbits w/o contrast (70480) | $1,275.30 | $1,962 | 11.5× |
| CT pelvis w&w/o contrast (72194) | $2,395.90 | $3,686 | 12.8× |
| CT pelvis w/o contrast (72192) | $1,710.15 | $2,631 | 15.4× |
| CT scan of leg combo (73702) | $1,073.80 | $1,652 | 5.8× |
| CT scans face/jaw combo (70488) | $2,022.80 | $3,112 | 10.8× |
| CT soft tissue neck w contrast (70491) | $1,584.05 | $2,437 | 8.5× |
| CT soft tissue neck w/o contrast (70490) | $1,329.25 | $2,045 | 11.9× |
| CT thoracic spine w contrast (72129) | $1,426.10 | $2,194 | 7.6× |
| CT thoracic spine w/o contrast (72128) | $1,072.50 | $1,650 | 9.6× |
| CT thorax w/o contrast (71250) | $1,105 | $1,700 | 9.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$958.10–$1,437.15 | $1,474–$2,211 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,110.85 | $1,709 | 6.0× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,018.55–$1,528.15 | $1,567–$2,351 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,316.60 | $3,564 | 12.4× |
| Cta Abdomen (74175) | $2,264.60 | $3,484 | 12.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,530.15 | $5,431 | 9.5× |
| CTA pelvis (72191) | $1,690 | $2,600 | 9.1× |
| Diskography lumbar (72295) | $4,921.80 | $7,572 | 2.4× |
| Dxa Bone Density Axial (77080) | $619.45 | $953 | 5.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $299.65 | $461 | 3.2× |
| Esophagram (74220) | $396.50 | $610 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $449.80 | $692 | 4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,555.45 | $2,393 | 14.0× |
| Fluoroscopy up to 1 hr (76000) | $640.90 | — | 2.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$229.45–$344.50 | $353–$530 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$255.45–$382.85 | $393–$589 | varies |
| Gastric emptying imaging study (78264) | $903.50 | $1,390 | 2.1× |
| Gated Heart Planar Single (78472) | $815.10 | $1,254 | 1.9× |
| Gated Heart, Multiple (78473) | $1,161.55 | $1,787 | 2.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$217.75–$326.95 | $335–$503 | varies |
| Hepatobil Syst Image W/Drug (78227) | $946.40 | $1,456 | 1.6× |
| Hepatobiliary System Imaging (78226) | $893.10 | $1,374 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $2,818.40 | $4,336 | 2.0× |
| Hysterosalpingogram (74740) | $984.75 | $1,515 | 3.9× |
| K Flow/Funct Image Multiple (78709) | $1,545.05 | $2,377 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $1,073.15 | $1,651 | 1.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,209 | $1,860 | 2.8× |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$343.20–$514.80 | $528–$792 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $963.95 | $1,483 | 1.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $7,086.95 | $10,903 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $851.50 | $1,310 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,228.50 | $1,890 | 3.3× |
| MRA head w/o contrast (70544) | $1,535.30 | $2,362 | 6.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,060.15 | $1,631 | 2.9× |
| MRA neck w/o contrast (70547) | $1,535.30 | $2,362 | 6.0× |
| MRI abdomen w contrast (74182) | $1,137.50 | $1,750 | 3.1× |
| MRI abdomen w/o contrast (74181) | $1,128.40 | $1,736 | 4.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,351.05–$3,526.90 | $3,617–$5,426 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,639.65–$3,959.80 | $4,061–$6,092 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,351.05–$3,526.90 | $3,617–$5,426 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $835.90 | $1,286 | 3.3× |
| MRI cervical spine w contrast (72142) | $1,526.85 | $2,349 | 4.1× |
| MRI cervical spine w/o cont (72141) | $1,612.65 | $2,481 | 6.4× |
| MRI chest w/o contrast (71550) | $2,078.05 | $3,197 | 8.2× |
| MRI chest wo w contrast (71552) | $3,991 | $6,140 | 10.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,496.95–$2,239.25 | $2,303–$3,445 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$1,411.80–$2,117.70 | $2,172–$3,258 | varies |
| MRI lumbar spine w contrast (72149) | $2,468.70 | $3,798 | 6.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,496 | $3,840 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $800.80 | $1,232 | 3.2× |
| MRI orbit face neck w contrast (70542) | $3,066.05 | $4,717 | 8.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,113.45 | $1,713 | 3.0× |
| MRI pelvis w contrast (72196) | $1,019.85 | $1,569 | 2.7× |
| MRI pelvis w/o & w contrast (72197) | $1,153.10 | $1,774 | 3.1× |
| MRI pelvis w/o contrast (72195) | $1,023.10 | $1,574 | 4.0× |
| MRI thoracic spine w/o contrast (72146) | $1,612.65 | $2,481 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,370.85–$2,056.60 | $2,109–$3,164 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,496.95–$2,245.75 | $2,303–$3,455 | varies |
| MRI, abdomen, combo (74183) | $2,434.90 | $3,746 | 6.6× |
| MRI, dorsal spine combo (72157) | $2,496 | $3,840 | 6.7× |
| MRI, dorsal spine contrast (72147) | $1,706.90 | $2,626 | 4.6× |
| MRI, joint upper extrem (73221) | $2,258.75 | — | 8.9× |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,562.30–$3,843.45 | $3,942–$5,913 | varies |
| MRI, lumbar spine combo (72158) | $2,496 | $3,840 | 6.7× |
| Myelogram cervical (72240) | $926.25 | $1,425 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $4,559.75 | $7,015 | 3.3× |
| N-invas est c ffr sw aly CTA (75580) | $2,283.45 | $3,513 | 2.5× |
| Neck soft tissue (70360) | $157.30 | $242 | 1.7× |
| Nonvascular Shunt X-Ray (75809) | $425.75 | $655 | 3.8× |
| Parathyroid Planar Imaging (78070) | $930.80 | $1,432 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,165.45 | $1,793 | 2.7× |
| Pelvis 1 or 2 views (72170) | $281.45 | $433 | 2.5× |
| PET image w/CT, full body (78816) | $3,297.45 | $5,073 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,478.15 | $5,351 | 2.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $7,107.75 | $10,935 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $903.50 | $1,390 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $278.20 | $428 | 2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $763.75 | $1,175 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$332.80–$499.20 | — | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 9 matching MRF lines |
$261.95–$393.25 | $403–$605 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$396.50–$594.75 | $610–$915 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $232.05 | $357 | 2.1× |
| Radex fingr minimum 2 views (73140) | $229.45 | — | 2.5× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$312–$468 | $480–$720 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$229.45–$344.50 | $353–$530 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $141.70 | $218 | 1.5× |
| Radex Ribs Unilateral 2 Views (71100) | $195.65 | $301 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$343.20–$514.80 | — | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $157.95 | $243 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $198.25 | $305 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) | $414.05 | $637 | 4.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $169 | $260 | 1.8× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$261.95–$391.95 | $403–$603 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$360.10–$540.15 | $554–$831 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$284.05–$770.90 | — | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $281.45 | $433 | 2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $165.10 | $254 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $520.65 | $801 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$414.05–$621.40 | $637–$956 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $449.80 | $692 | 4.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $202.80 | $312 | 1.1× |
| Radiologic exam swallow function contrast study (74230) | $485.55 | $747 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $330.85 | $509 | 1.8× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$149.50–$224.25 | $230–$345 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$157.95–$237.25 | $243–$365 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$205.40–$308.10 | $316–$474 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$332.80–$499.20 | $512–$768 | varies |
| Ribs bilateral 3 views (71110) | $301.60 | $464 | 2.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,209 | $1,860 | 2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $802.75 | $1,235 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,997.15 | $4,611 | 5.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,929.55 | $4,507 | 5.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,336.45 | $5,133 | 5.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,380.65 | $5,201 | 2.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,743.35 | $5,759 | 2.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,380.65 | $5,201 | 2.5× |
| Scapula (73010) range across 3 matching MRF lines |
$334.10–$501.15 | $514–$771 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$44.20–$67.60 | $68–$104 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$127.40–$191.10 | $196–$294 | varies |
| Shoulder Arthrography (73040) | $1,896.70 | $2,918 | 5.1× |
| Skull less than 4 views (70250) | $255.45 | $393 | 2.3× |
| Thoracic spine 2 views (72070) | $445.90 | $686 | 4.0× |
| Thoracic spine 3 views (72072) | $465.40 | $716 | 4.2× |
| Thoracolumbar 2 views (72080) | $291.85 | $449 | 3.2× |
| Thyroid Uptake Measurement (78012) | $1,173.25 | $1,805 | 2.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $729.30 | $1,122 | 1.7× |
| Ultrasound Breast Limited (76642) range across 12 matching MRF lines |
$793–$1,189.50 | $1,220–$1,830 | varies |
| Ultrasound Elastography Parenchyma (76981) | $360.10 | $554 | 3.2× |
| Ultrasound Exam Aaa Screen (76706) | $297.05 | $457 | 2.7× |
| Ultrasound, abdomen limited (76705) | $880.75 | — | 7.9× |
| Upper gi w/o kub (74240) | $221.65 | $341 | 1.2× |
| Urethrocystography retrograde (74450) | $536.90 | $826 | 2.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,313.65–$1,970.80 | $2,021–$3,032 | varies |
| Us chest (76604) | $456.30 | $702 | 4.1× |
| Us complete joint (76881) | $295.10 | $454 | 2.7× |
| Us exam, pelvic, limited (76857) | $257.40 | $396 | 2.3× |
| Us head (76506) | $611.65 | $941 | 5.5× |
| Us kidney transplant (76776) | $934.70 | $1,438 | 8.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $191.10 | $294 | 1.7× |
| Us ob detailed single fetus (76811) | $403.65 | $621 | 1.6× |
| Us ob limited 1 or more fetuses (76815) | $336.05 | $517 | 3.0× |
| Us ob transvaginal (76817) | $1,513.85 | $2,329 | 13.6× |
| Us pelvic non ob complete (76856) | $824.85 | $1,269 | 7.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,755.65 | $2,701 | 15.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $403.65 | $621 | 3.6× |
| Us retroperitoneal complete (76770) | $588.90 | $906 | 5.3× |
| Us retroperitoneal limited (76775) | $532.35 | $819 | 4.8× |
| Us scrotum and contents (76870) | $410.80 | $632 | 3.7× |
| Us thyroid (76536) | $479.05 | $737 | 4.3× |
| Vein X-Ray Chest (75827) | $2,179.45 | $3,353 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $4,650.10 | $7,154 | 1.4× |
| Venography extremity bilateral rs&i (75822) | $2,858.05 | $4,397 | 1.7× |
| Venography extremity unilateral rs&i (75820) | $1,905.80 | $2,932 | 1.1× |
| Venous sampling by catheter (75893) | $12,131.60 | $18,664 | 2.0× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$229.45–$344.50 | $353–$530 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $136.50 | $210 | 1.5× |
| X-ray antegrade pyelogram tube (74425) | $1,127.10 | $1,734 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $3,088.15 | $4,751 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $191.10 | $294 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$229.45–$344.50 | $353–$530 | varies |
| X-Ray Exam Breast Specimen (76098) | $956.15 | $1,471 | 1.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $470.60 | $724 | 4.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $53,701.76 | — | 579.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $157.95 | $243 | 1.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $160.55 | $247 | 1.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $236.60 | $364 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $241.80 | $372 | 2.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $577.20 | $888 | 5.2× |
| X-Ray Exam L-S Spine Bending (72114) | $618.15 | $951 | 5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $323.05 | — | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $490.10 | $754 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $205.40 | $316 | 1.8× |
| X-ray humerus (73060) | $170.95 | $263 | 1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $150.15 | $231 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $273 | $420 | 2.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $343.20 | $528 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $412.75 | $635 | 4.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $520 | $800 | 4.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $382.20 | $588 | 3.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $423.15 | $651 | 3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $334.10 | $514 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $396.50 | $610 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $490.10 | $754 | 4.4× |
| X-ray thoracic spine 4 vw (72074) | $558.35 | $859 | 5.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $984.75 | $1,515 | 2.7× |
| X-Rays Bone Survey Complete (77075) | $417.95 | $643 | 3.8× |
| Xr c-spine 4 or 5 views (72050) | $460.20 | $708 | 4.1× |
| Xr facial bones less than 3 views (70140) | $217.75 | $335 | 2.4× |
| Xr orbits complete 4 views (70200) | $213.85 | $329 | 1.9× |
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.