Imaging prices at Saint Francis Medical Center

Lynwood, CA · every code in this section with a posted price and a Medicare benchmark.

340 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) $1,771 $10,287 1.0×
Abdomen 1 View (74018) $111 $516.96 1.0×
Abdomen 2 views (74019) $133 $624.34 1.0×
Acute Gastrointestinal Blood Loss Imaging (78278) $511 $2,567 1.0×
Angio internal mammary (75756) $4,041 $10,179 1.0×
Angio pulmonary bilat (75743) $4,041 $9,711 1.0×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $4,041 $10,179 1.0×
Angiography extremity bilateral rs&i (75716) $4,041 $13,856.40 1.0×
Angiography extremity unilateral rs&i (75710)
range across 3 matching MRF lines		 $4,041 $4,745–$14,894.90 1.0×
Angiography pulmonary unilateral slctv rs&i (75741) $4,041 $13,856.40 1.0×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $4,041 $4,893.39 1.0×
Ankle 2 views (73600) $111 $516.96 1.0×
Aortography thoracic serialography rs&i (75605) $7,121 $13,788.60 1.0×
Aortography thoracic w/o serialography rs&i (75600) $4,041 $10,179 1.0×
Artery X-Rays Abdomen (75726) $7,121 $22,981 1.0×
Artery X-Rays Adrenal Gland (75731) $4,041 $4,893.39 1.0×
Artery X-Rays Pelvis (75736) $7,121 $22,981 1.0×
Artery X-Rays Spine (75705) $7,121 $17,415 1.0×
Arthrogram ankle (73615) $446 $1,369.11 1.0×
Arthrogram hip (73525) $446 $1,561 1.0×
Arthrogram Wrist (73115) $446 $1,339.59 1.0×
Basic radiation dosimetry calculation (77300) $172 $921 1.0×
Bone age studies (77072) $133 $495 1.0×
Bone Imaging 3 Phase (78315) $511 $3,313.17 1.0×
Bone Imaging Limited Area (78300) $511 $2,049.56 1.0×
Bone Imaging Multiple Areas (78305) $511 $1,447 1.0×
Bone Imaging Whole Body (78306) $511 $3,313.17 1.0×
Bone marrow imaging limited area (78102) $511 $1,427 1.0×
Bone survey infant (77076) $133 $865.64 1.0×
Brachytx isodose intermed (77317) $479 $1,760.25 1.0×
Brain Flow Imaging Only (78610) $694 $2,359.90 1.0×
Brain Image W/Flow < 4 Views (78601) $511 $1,840.65 1.0×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $694 $1,708 1.0×
Cat Scan Follow-Up Study (76380) $111 $781.92 1.0×
Cerebrospinal Fluid Scan (78630) $694 $2,705 1.0×
Chest 1 view (71045) $111 $600 1.0×
Chest 2 views (71046) $111 $678 1.0×
Chest 3 views (71047) $111 $718.29 1.0×
Chest 4 or more views (71048) $133 $722.73 1.0×
Clavicle complete (73000) $111 $519 1.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $133 $961.92 1.0×
Continuing medical physics consltj pr wk (77336) $172 $1,074 1.0×
Contrast Exam Abdominl Aorta (75625) $4,041 $9,631.53 1.0×
Contrast X-Ray Bladder (74430) $446 $1,390.35 1.0×
Contrast X-Ray Of Elbow (73085) $446 $1,369.11 1.0×
Contrast X-Ray Of Knee Joint (73580) $446 $1,802.44 1.0×
Corpora cavernosography (74445) $133 $560.40 1.0×
CT abdomen and pelvis without and with contrast (74178) $446 $3,436.65 1.0×
CT abdomen and pelvis without contrast (74176) $305 $2,101.68 1.0×
CT abdomen w contrast (74160) $224 $1,639.98 1.0×
CT abdomen w wo contrast (74170) $224 $1,639.98 1.0×
CT abdomen w/o contrast (74150) $133 $1,008.72 1.0×
CT Angio Abdomen and Pelvis (74174) $446 $3,436.65 1.0×
CT Angio Chest (71275) $224 $1,639.98 1.0×
CT Angio Head (70496) $224 $1,639.98 1.0×
CT angio hrt w/3d image (75574) $446 $1,623.06 1.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $224 $1,639.98 1.0×
CT Angio Neck (70498) $224 $1,639.98 1.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $224 $2,305.90 1.0×
CT cervical spine w/ contrast (72126) $446 $3,436.65 1.0×
CT cervical spine w/o contrast (72125) $133 $1,008.72 1.0×
CT cervical spine w/wo cont (72127) $224 $2,170.80 1.0×
CT chest w contrast (71260) $224 $1,639.98 1.0×
CT chest w/wo contrast (71270) $224 $1,639.98 1.0×
CT head/brain with contrast (70460) $224 $1,639.98 1.0×
CT head/brain without and with contrast (70470) $224 $1,639.98 1.0×
CT heart contrast eval cardiac structure&morph (75572) $446 $1,623.06 1.0×
CT heart no contrast quant eval coronry calcium (75571) $111 $781.92 1.0×
CT iac w contrast (70481) $224 $1,639.98 1.0×
CT l-spine w&w/o contrast (72133) $224 $2,305.90 1.0×
CT lower ext w/o (73700) $133 $1,008.72 1.0×
CT lower extremity w/contrast material (73701) $224 $1,639.98 1.0×
CT lumbar spine w contrast (72132) $446 $3,436.65 1.0×
CT lumbar spine w/o contrast (72131) $133 $1,008.72 1.0×
CT maxillofacial w contrast (70487) $224 $1,639.98 1.0×
CT maxillofacial wo contrast (70486) $133 $1,008.72 1.0×
CT neck tissue combo (70492) $224 $1,639.98 1.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $224 $1,639.98 1.0×
CT orbits w/o contrast (70480) $133 $1,008.72 1.0×
CT pelvis w&w/o contrast (72194) $224 $1,639.98 1.0×
CT pelvis w/o contrast (72192) $133 $1,008.72 1.0×
CT scan of leg combo (73702) $224 $2,170.80 1.0×
CT scans face/jaw combo (70488) $224 $1,639.98 1.0×
CT soft tissue neck w contrast (70491) $224 $1,639.98 1.0×
CT soft tissue neck w/o contrast (70490) $133 $1,008.72 1.0×
CT thoracic spine w contrast (72129) $224 $1,639.98 1.0×
CT thoracic spine w/o contrast (72128) $133 $1,008.72 1.0×
CT thoracic spine w/wo cont (72130) $224 $2,305.90 1.0×
CT thorax w/o contrast (71250) $133 $1,008.72 1.0×
CT upper ext wo (73200) $133 $1,008.72 1.0×
CT upper extremity w/o & w/contrast material (73202) $224 $2,170.80 1.0×
CT upper extremity with contrast (73201) $446 $3,155.87 1.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $224 $1,639.98 1.0×
Cta Abdomen (74175) $224 $1,639.98 1.0×
CTA pelvis (72191) $224 $1,639.98 1.0×
Discography Cerv/Thor Spine (72285) $2,499 $6,226.40 1.0×
Diskography lumbar (72295) $2,499 $5,158.05 1.0×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $133 $331 1.0×
Doppler Echo Fetal Spectral Display Complete (76827) $133 $439 1.0×
Doppler Fetal Mid Cerebral Artery (76821) $133 $461 1.0×
Dxa Bone Density Axial (77080) $133 $783 1.0×
Echo exam of fetal heart (76825) $699 $1,802.58 1.0×
Echo Guide For Artery Repair (76936) $276 $1,351.45 1.0×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $305 $699.12 1.0×
Esophagram (74220) $224 $1,148 1.0×
Fetal Biophys Profile W/Nst (76818) $133 $1,008.72 1.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $133 $461 1.0×
Fluoroscopy up to 1 hr (76000) $305 $1,437 1.0×
Follow-Up Angiography (75898) $4,041 $8,155.65 1.0×
Foot 2 views (73620) $111 $544 1.0×
Forearm 2 views (73090) $111 $526 1.0×
Gastric emptying imaging study (78264) $511 $2,828 1.0×
Gated Heart Planar Single (78472) $511 $2,862 1.0×
Hand 2 views (73120) $133 $624.34 1.0×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $4,041 $11,398 1.0×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $4,041 $8,313.84 1.0×
Hepatobil Syst Image W/Drug (78227) $694 $3,124 1.0×
Hepatobiliary System Imaging (78226) $511 $2,548 1.0×
Ht Muscle Image Spect Sing (78451) $1,656 $6,360.95 1.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $111 $718.29 1.0×
Infant hip ultrasound, limited static exam (76886) $111 $399.05 1.0×
K Flow/Funct Image W/Drug (78708) $694 $2,882 1.0×
K Flow/Funct Image W/O Drug (78707) $694 $3,314 1.0×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $511 $1,943.40 1.0×
Knee 3 Views (73562) $111 $714 1.0×
Labeled RBC Sequestration Differntl Organ/Tissue (78140) $511 $1,229 1.0×
Liver & Spleen Imaging Static Only (78215) $511 $2,081 1.0×
Liver imaging w/vascular flow (78202) $694 $3,816.57 1.0×
Lung Ventilat&Perfus Imaging (78582) $694 $3,160.29 1.0×
Lung Ventilation Imaging (78579) $511 $2,167.15 1.0×
Lymph System Imaging (78195) $694 $3,226 1.0×
Magnetic Image Jaw Joint (70336) $305 $2,097.36 1.0×
Meckels Divert Exam (78290) $511 $1,506 1.0×
Mlc imrt design & construction per imrt plan (77338) $479 $2,149.27 1.0×
Mra Head W/O & W/Contrast Material (70546) $446 $3,436.65 1.0×
MRA head w/o contrast (70544) $305 $2,097.36 1.0×
MRA neck w contrast (70548) $446 $3,436.65 1.0×
Mra Neck W/O &W/Contrast Material (70549) $446 $3,436.65 1.0×
MRA neck w/o contrast (70547) $305 $2,097.36 1.0×
MRI abdomen w contrast (74182) $446 $1,832.10 1.0×
MRI abdomen w/o contrast (74181) $305 $2,097.36 1.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $446 $2,350 1.0×
MRI any jt upper extremity w/contrast matrl (73222) $1,003 $4,365 1.0×
MRI cervical spine w contrast (72142) $446 $3,436.65 1.0×
MRI cervical spine w/o cont (72141) $305 $2,097.36 1.0×
MRI chest w/o contrast (71550) $305 $2,097.36 1.0×
MRI chest wo w contrast (71552) $446 $3,436.65 1.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $446 $2,350 1.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $446 $2,444 1.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $305 $2,125 1.0×
MRI lumbar spine w contrast (72149) $446 $3,436.65 1.0×
Mri Neck Spine W/O & W/Dye (72156) $446 $3,436.65 1.0×
MRI orbit face &/neck w/o contrast (70540) $305 $2,097.36 1.0×
MRI orbit face neck w contrast (70542) $446 $3,436.65 1.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $446 $3,436.65 1.0×
MRI pelvis w contrast (72196) $446 $3,436.65 1.0×
MRI pelvis w/o & w contrast (72197) $446 $3,436.65 1.0×
MRI pelvis w/o contrast (72195) $305 $2,097.36 1.0×
MRI thoracic spine w/o contrast (72146) $305 $2,097.36 1.0×
MRI upper extremity oth than jt w/contr matrl (73219) $446 $3,436.65 1.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $305 $2,097.36 1.0×
Mri Uppr Extremity W/O&W/Dye (73220) $446 $3,436.65 1.0×
MRI, abdomen, combo (74183) $446 $3,436.65 1.0×
MRI, dorsal spine combo (72157) $446 $3,436.65 1.0×
MRI, dorsal spine contrast (72147) $446 $3,436.65 1.0×
MRI, joint upper extrem (73221) $305 $2,097.36 1.0×
MRI, joint upper extrem combo (73223) $446 $3,436.65 1.0×
MRI, lumbar spine combo (72158) $446 $3,436.65 1.0×
Myelogram Lumbar (72265) $1,003 $3,199.50 1.0×
Myelograpy 2/more regions rs&i (72270) $1,003 $3,404.10 1.0×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $511 $1,362 1.0×
Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) $694 $2,447 1.0×
Myocardial Spect Multiple Studies (78452) $1,656 $7,664.73 1.0×
Neck soft tissue (70360) $111 $572 1.0×
Nm csf leak detection (78650) $1,656 $3,608.04 1.0×
Nm myocard infarct spect (78469) $694 $6,360.95 1.0×
Nonvascular Shunt X-Ray (75809) $133 $560.40 1.0×
Ntsty modul radthx pln dose-vol histos (77301) $1,771 $9,472 1.0×
Nuclear Rx Oral Admin (79005) $298 $2,136.60 1.0×
Parathyroid imaging w/tomographic spect & CT (78072) $694 $2,852 1.0×
Parathyroid planar imaging w/wo subtraction (78071) $511 $1,924.95 1.0×
Pelvis 1 or 2 views (72170) $133 $624.34 1.0×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $4,041 $10,882.60 1.0×
Pulmonary Perfusion Imaging Particulate (78580) $511 $2,576.91 1.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $133 $926 1.0×
Radex abscess/fistula/sinus tract rs&i (76080) $699 $1,981 1.0×
Radex Ankle Complete Minimum 3 Views (73610) $111 $623 1.0×
Radex Calcaneus Minimum 2 Views (73650) $111 $516.96 1.0×
Radex elbow complete minimum 3 views (73080) $111 $602 1.0×
Radex Facial Bones Complete Minimum 3 Views (70150) $133 $1,008.72 1.0×
Radex fingr minimum 2 views (73140) $111 $516.96 1.0×
Radex foot complete minimum 3 views (73630) $111 $605 1.0×
Radex Hand Minimum 3 Views (73130) $111 $589 1.0×
Radex lower extremity infant minimum 2 views (73592) $111 $423 1.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $111 $718.29 1.0×
Radex Ribs Unilateral 2 Views (71100) $111 $516.96 1.0×
Radex shoulder complete minimum 2 views (73030) $111 $691 1.0×
Radex Sinuses Paransl < 3 Views (70210) $111 $580 1.0×
Radex Spine 1 View Specify Level (72020) $111 $516.96 1.0×
Radex Sternum Minimum 2 Views (71120) $111 $576 1.0×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $111 $558.67 1.0×
Radex Toe Minimum 2 Views (73660) $111 $516.96 1.0×
Radex upper extremity infant minimum 2 views (73092) $133 $560.40 1.0×
Radex Wrist Complete Minimum 3 Views (73110) $111 $602 1.0×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $133 $725 1.0×
Radiation treatment delivery level 1 (77402) $130 $719 1.0×
Radiation treatment delivery level 2 (77407) $493 $873 1.0×
Radiation treatment delivery level 3 (77412) $707 $1,643 1.0×
Radiolog exam mandible compl minimum 4 views (70110) $133 $894 1.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $133 $779 1.0×
Radiologic exam colon double contrast study (74280) $224 $1,639.98 1.0×
Radiologic exam colon single contrast study (74270) $224 $1,560 1.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $224 $1,045.19 1.0×
Radiologic exam knee complete 4/more views (73564) $133 $784 1.0×
Radiologic exam pelvis compl minimum 3 views (72190) $133 $884 1.0×
Radiologic Exam Small Int Single Contrast Study (74250) $224 $1,300 1.0×
Radiologic exam swallow function contrast study (74230) $224 $1,216 1.0×
Radiologic exam upr gi trc double contrast study (74246) $224 $1,237.44 1.0×
Radiologic examination femur 1 view (73551) $111 $516.96 1.0×
Radiologic examination femur minimum 2 views (73552) $111 $636 1.0×
Radiologic examination knee 1/2 views (73560) $111 $548 1.0×
Radiologic Examination Osseous Survey Limited (77074) $133 $1,008.72 1.0×
Radiologic examination tibia & fibula 2 views (73590) $111 $635 1.0×
Ribs bilateral 3 views (71110) $133 $544.85 1.0×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 2 matching MRF lines		 $511 $1,840.65–$6,360.95 1.0×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $511 $2,580 1.0×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $694 $6,360.95 1.0×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $694 $6,360.95 1.0×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $1,656 $5,232 1.0×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $1,830 $7,401.70 1.0×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $1,656 $5,232 1.0×
Scapula (73010) $133 $656 1.0×
Screening Digital Breast Tomosynthesis Bi (77063) $27 $142 1.2×
Sella turcica (70240) $111 $361.77 1.0×
Shoulder 1 view (73020) $111 $516.96 1.0×
Shoulder Arthrography (73040) $446 $1,809.24 1.0×
Skull less than 4 views (70250) $133 $636 1.0×
Special dosimetry (77331) $172 $960 1.0×
Special Physics Consult (77370) $172 $779.52 1.0×
Special teletherapy port plan (77321) $479 $1,729.25 1.0×
Special treatment procedure (77470) $707 $3,691 1.0×
Stereotactic Body Radiation Delivery (77373) $2,288 $8,842.25 1.0×
Sternoclavicular joints (71130) $111 $540 1.0×
Superior sagittal sinus venogram (75870) $4,041 $4,893.39 1.0×
Surface Applic Low Dose Rate Radionuclide Source (77789) $130 $861 1.0×
Telethx isodose pln cplx w/basic dosimetry (77307) $479 $3,016.44 1.0×
Telethx isodose pln smpl w/dosimetry calculation (77306) $479 $2,178 1.0×
Testicular Imaging W/Flow (78761) $511 $1,798.25 1.0×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $479 $2,693 1.0×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $479 $1,601 1.0×
Ther rad simulaj-aided field setting simple (77280) $172 $1,139.31 1.0×
Thoracic spine 2 views (72070) $133 $642 1.0×
Thoracic spine 3 views (72072) $133 $624.34 1.0×
Thoracolumbar 2 views (72080) $111 $651.43 1.0×
Thyroid Imaging With Vascular Flow (78013) $511 $1,104.39 1.0×
Thyroid Met Imaging Body (78018) $694 $3,068 1.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $511 $1,778 1.0×
Tx Devices Design & Construction Complex (77334) $479 $2,323 1.0×
Tx devices design & construction intermediate (77333) $172 $1,139.31 1.0×
Tx devices design & construction simple (77332) $172 $1,133 1.0×
Ultrasound Breast Limited (76642) $111 $752.85 1.0×
Ultrasound Exam Aaa Screen (76706) $133 $560.40 1.0×
Ultrasound, abdomen limited (76705) $133 $1,008.72 1.0×
Umbilical-artery Doppler (OB) (76820) $133 $491 1.0×
Unlisted us procedure (76999) $111 $1,008.72 1.0×
Upper gi w/o kub (74240) $224 $1,302 1.0×
Urethrocystogram voiding (74455) $305 $1,576 1.0×
Urethrocystography retrograde (74450) $305 $1,419.19 1.0×
Us breast unilateral complete (76641) $133 $941 1.0×
Us chest (76604) $133 $1,008.72 1.0×
Us complete joint (76881) $133 $1,008.72 1.0×
Us exam, pelvic, limited (76857) $133 $1,071 1.0×
Us head (76506) $133 $1,100 1.0×
Us kidney transplant (76776) $133 $1,469.20 1.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $133 $785 1.0×
Us ob detailed single fetus (76811) $305 $1,509 1.0×
Us ob limited 1 or more fetuses (76815) $133 $1,008.72 1.0×
Us ob transvaginal (76817) $133 $1,008.72 1.0×
Us pelvic non ob complete (76856) $133 $1,008.72 1.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $133 $1,008.72 1.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $133 $1,008.72 1.0×
Us retroperitoneal complete (76770) $133 $1,008.72 1.0×
Us retroperitoneal limited (76775) $133 $1,008.72 1.0×
Us scrotum and contents (76870) $133 $1,008.72 1.0×
Us spinal canal and contents (76800) $133 $1,057 1.0×
Us thyroid (76536) $133 $1,099 1.0×
Vein X-Ray Chest (75827) $2,014 $9,120.56 1.0×
Vein X-Ray Liver W/O Hemodyn (75887) $4,041 $14,894.90 1.0×
Vein X-Ray Skull Epidural (75872) $802 $2,501 1.0×
Vein X-Ray Spleen/Liver (75810) $4,041 $4,893.39 1.0×
Venogram Sinus/Jugular (75860) $4,041 $8,313.84 1.0×
Venography Adrenal Unilateral (75840) $4,041 $8,313.84 1.0×
Venography caval inferior serialography rs&i (75825) $4,041 $13,856.40 1.0×
Venography extremity bilateral rs&i (75822) $2,014 $8,155.65 1.0×
Venography extremity unilateral rs&i (75820) $2,014 $5,472.33 1.0×
Venography Orbital Rs&I (75880) $802 $2,501 1.0×
Venography Renal Bilateral (75833) $4,041 $8,313.84 1.0×
Venography Renal Unilateral (75831) $4,041 $8,313.84 1.0×
Venous sampling by catheter (75893) $7,121 $13,788.60 1.0×
Wrist 2 views (73100) $111 $572 1.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $111 $578.30 1.0×
X-ray antegrade pyelogram tube (74425) $446 $1,443.46 1.0×
X-Ray Aorta Leg Arteries (75630) $4,041 $14,222 1.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $111 $567 1.0×
X-Ray Exam Breast Specimen (76098) $699 $1,444.74 1.0×
X-Ray Exam Entire Spi 1 Vw (72081) $111 $586 1.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $133 $560.40 1.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $133 $1,087 1.0×
X-Ray Exam Hip Uni 1 View (73501) $111 $536 1.0×
X-Ray Exam Hip Uni 2-3 Views (73502) $111 $597.42 1.0×
X-Ray Exam Hip Uni 4/> Views (73503) $133 $831.49 1.0×
X-Ray Exam Hips Bi 2 Views (73521) $133 $793 1.0×
X-Ray Exam Hips Bi 3-4 Views (73522) $133 $793 1.0×
X-Ray Exam Hips Bi 5/> Views (73523) $133 $1,030 1.0×
X-Ray Exam L-S Spine Bending (72114) $133 $1,172.70 1.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $111 $660.90 1.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $133 $1,008.72 1.0×
X-Ray Exam Unilat Ribs/Chest (71101) $133 $742 1.0×
X-ray eye for foreign body (70030) $111 $399.05 1.0×
X-ray humerus (73060) $111 $553 1.0×
X-ray IV pyelogram (ivp) (74400) $224 $1,465 1.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $111 $558.67 1.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $111 $584 1.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $133 $811 1.0×
X-ray nose-rectum child f.b. (76010) $111 $440.86 1.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $133 $1,029 1.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $133 $759 1.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $111 $636 1.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $111 $798 1.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $133 $1,065 1.0×
X-Ray Stress View (77071) $111 $405 1.0×
X-ray thoracic spine 4 vw (72074) $133 $544.85 1.0×
X-Ray Tmj Unilat (70328) $111 $399.05 1.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $446 $2,096.78 1.0×
X-Rays Bone Length Studies (77073) $133 $1,008.72 1.0×
X-Rays Bone Survey Complete (77075) $133 $560.40 1.0×
Xr c-spine 4 or 5 views (72050) $133 $1,008.72 1.0×
Xr facial bones less than 3 views (70140) $111 $718.29 1.0×
Xr myelogram posterior fossa (70010) $446 $2,191 1.0×
Xr orbits complete 4 views (70200) $133 $840 1.0×

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.