Imaging prices at Saint Joseph Hospital-elgin
Elgin, IL · every code in this section with a posted price and a Medicare benchmark.
272 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) | $92 | $852 | 1.0× |
| Abdomen 2 views (74019) | $111 | $937 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $426 | $1,278 | 1.0× |
| Angio internal mammary (75756) | $3,367 | $5,946 | 1.0× |
| Angio pulmonary bilat (75743) | $3,367 | $5,039 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $3,367 | $8,709 | 1.0× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$3,367 | $5,898–$5,946 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,367 | $11,308 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,367 | $5,946 | 1.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$92 | $456–$685 | 1.0× |
| Aortography thoracic serialography rs&i (75605) | $5,933 | $5,946 | 1.0× |
| Artery X-Rays Abdomen (75726) | $5,933 | $9,535 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) range across 3 matching MRF lines |
$3,367 | $6,992–$23,606 | 1.0× |
| Artery X-Rays Pelvis (75736) | $5,933 | $5,692 | 1.0× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$372 | $2,131–$2,678 | 1.0× |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$372 | $1,015–$2,678 | 1.0× |
| Bone age studies (77072) | $111 | $997 | 1.0× |
| Bone Imaging 3 Phase (78315) | $426 | $6,015 | 1.0× |
| Bone Imaging Limited Area (78300) | $426 | $2,557 | 1.0× |
| Bone Imaging Whole Body (78306) | $426 | $2,796 | 1.0× |
| Bone marrow imaging limited area (78102) | $426 | $878 | 1.0× |
| Bone survey infant (77076) | $111 | $938 | 1.0× |
| Brain Flow Imaging Only (78610) | $579 | $1,165 | 1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $372 | $6,324 | 1.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $835 | $6,000 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $579 | $4,882 | 1.0× |
| Chest 1 view (71045) | $92 | $852 | 1.0× |
| Chest 2 views (71046) | $92 | $937 | 1.0× |
| Chest 3 views (71047) | $92 | $1,134 | 1.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$92 | $601–$901 | 1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $111 | $99 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $3,367 | $8,004 | 1.0× |
| Contrast X-Ray Bladder (74430) | $372 | $1,023 | 1.0× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$372 | $903–$2,678 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$372 | $903–$2,678 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $372 | $11,594 | 1.0× |
| CT abdomen and pelvis without contrast (74176) | $254 | $7,672 | 1.0× |
| CT abdomen w contrast (74160) | $187 | $5,444 | 1.0× |
| CT abdomen w wo contrast (74170) | $187 | $5,989 | 1.0× |
| CT abdomen w/o contrast (74150) | $111 | $3,991 | 1.0× |
| CT Angio Abdomen and Pelvis (74174) | $372 | $7,698 | 1.0× |
| CT Angio Chest (71275) | $187 | $4,370 | 1.0× |
| CT Angio Head (70496) | $187 | $3,864 | 1.0× |
| CT angio hrt w/3d image (75574) | $372 | $1,011 | 1.0× |
| CT Angio Neck (70498) | $187 | $4,906 | 1.0× |
| CT cervical spine w/ contrast (72126) | $372 | $4,080 | 1.0× |
| CT cervical spine w/o contrast (72125) | $111 | $3,708 | 1.0× |
| CT cervical spine w/wo cont (72127) | $187 | $4,894 | 1.0× |
| CT chest w contrast (71260) | $187 | $3,723 | 1.0× |
| CT chest w/wo contrast (71270) | $187 | $4,532 | 1.0× |
| CT head/brain with contrast (70460) | $187 | $4,139 | 1.0× |
| CT head/brain without and with contrast (70470) | $187 | $4,554 | 1.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $372 | $2,580 | 1.0× |
| CT iac w contrast (70481) | $187 | $4,535 | 1.0× |
| CT l-spine w&w/o contrast (72133) | $187 | $5,084 | 1.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$111 | $798–$2,720 | 1.0× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$187 | $1,335–$4,425 | 1.0× |
| CT lumbar spine w contrast (72132) | $372 | $3,958 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $111 | $3,074 | 1.0× |
| CT maxillofacial w contrast (70487) | $187 | $3,391 | 1.0× |
| CT maxillofacial wo contrast (70486) | $111 | $2,892 | 1.0× |
| CT neck tissue combo (70492) | $187 | $4,990 | 1.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $187 | $5,589 | 1.0× |
| CT orbits w/o contrast (70480) | $111 | $4,121 | 1.0× |
| CT pelvis w&w/o contrast (72194) | $187 | $4,340 | 1.0× |
| CT pelvis w/o contrast (72192) | $111 | $2,949 | 1.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$187 | $1,335–$4,867 | 1.0× |
| CT scans face/jaw combo (70488) | $187 | $3,746 | 1.0× |
| CT soft tissue neck w contrast (70491) | $187 | $3,144 | 1.0× |
| CT soft tissue neck w/o contrast (70490) | $111 | $2,581 | 1.0× |
| CT thoracic spine w contrast (72129) | $187 | $3,906 | 1.0× |
| CT thoracic spine w/o contrast (72128) | $111 | $3,031 | 1.0× |
| CT thorax w/o contrast (71250) | $111 | $3,155 | 1.0× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$111 | $798–$3,578 | 1.0× |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$187 | $1,335–$4,614 | 1.0× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$372 | $2,678–$3,658 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $187 | $4,085 | 1.0× |
| Cta Abdomen (74175) | $187 | $4,264 | 1.0× |
| Dilation ureters/urethra rs&i (74485) | $2,229 | $2,635 | 1.0× |
| Dxa Bone Density Axial (77080) | $111 | $1,173 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $92 | $254 | 1.0× |
| Echo Guide For Artery Repair (76936) | $230 | $2,382 | 1.0× |
| Echograp Trans R Pros Study (76873) | $111 | $402 | 1.0× |
| Esophagram (74220) | $187 | $1,338 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $111 | $1,281 | 1.0× |
| Fluoroscopy up to 1 hr (76000) | $254 | $1,785 | 1.0× |
| Follow-Up Angiography (75898) | $3,367 | $1,663 | 1.0× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$92 | $660–$674 | 1.0× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$92 | $734–$1,102 | 1.0× |
| Gastric emptying imaging study (78264) | $426 | $3,859 | 1.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $426 | $4,244 | 1.0× |
| Gated Heart Planar Single (78472) | $426 | $3,154 | 1.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$111 | $520–$798 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,367 | $3,561 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,367 | $3,436 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $579 | $4,983 | 1.0× |
| Hepatobiliary System Imaging (78226) | $426 | $2,330 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,380 | $4,727 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $92 | $1,571 | 1.0× |
| Infusion Ivp (74410) | $187 | $553 | 1.0× |
| Joint Survey Single View (77077) | $111 | $1,169 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $579 | $3,607 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $579 | $1,164 | 1.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$92 | $660–$870 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $426 | $1,878 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $579 | $3,188 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $579 | $3,630 | 1.0× |
| Lymph System Imaging (78195) | $579 | $4,292 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $254 | $4,702 | 1.0× |
| Meckels Divert Exam (78290) | $426 | $1,979 | 1.0× |
| Mr safety determination physician/other qhp (76016) | $92 | $309 | 1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $30 | $86 | 1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $101 | $322 | 1.0× |
| Mr safety implt pos&/immoblj (76019) | $62 | $208 | 1.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $254 | $847 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $372 | $3,360 | 1.0× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$254 | $2,360–$4,883 | 1.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $372 | $5,660 | 1.0× |
| MRA neck w/o contrast (70547) | $254 | $2,548 | 1.0× |
| MRI abdomen w/o contrast (74181) | $254 | $4,726 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$372 | $3,760–$5,642 | 1.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $254 | $1,770 | 1.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $254 | $1,770 | 1.0× |
| MRI cardiac w/o contrast (75557) | $254 | $4,347 | 1.0× |
| MRI cervical spine w contrast (72142) | $372 | $5,606 | 1.0× |
| MRI cervical spine w/o cont (72141) | $254 | $6,444 | 1.0× |
| MRI chest w/o contrast (71550) | $254 | $3,854 | 1.0× |
| MRI chest wo w contrast (71552) | $372 | $5,891 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$372 | $2,678–$6,254 | 1.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$254 | $1,813–$5,168 | 1.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $372 | $6,607 | 1.0× |
| MRI orbit face &/neck w/o contrast (70540) | $254 | $4,613 | 1.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $372 | $5,557 | 1.0× |
| MRI pelvis w/o & w contrast (72197) | $372 | $7,558 | 1.0× |
| MRI pelvis w/o contrast (72195) | $254 | $6,875 | 1.0× |
| MRI thoracic spine w/o contrast (72146) | $254 | $4,772 | 1.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$254 | $1,813–$4,062 | 1.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$372 | $2,678–$5,484 | 1.0× |
| MRI, abdomen, combo (74183) | $372 | $6,367 | 1.0× |
| MRI, dorsal spine combo (72157) | $372 | $6,346 | 1.0× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$254 | $1,813–$5,263 | 1.0× |
| MRI, joint upper extrem combo (73223) range across 7 matching MRF lines |
$372 | $2,678–$6,370 | 1.0× |
| MRI, lumbar spine combo (72158) | $372 | $6,604 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,380 | $9,862 | 1.0× |
| N-invas est c ffr sw aly CTA (75580) | $915 | $3,617 | 1.0× |
| Neck soft tissue (70360) | $92 | $614 | 1.0× |
| Nm csf leak detection (78650) | $1,380 | $2,921 | 1.0× |
| Nuclear Rx Intra-Arterial (79445) | $248 | $1,302 | 1.0× |
| Nuclear Rx Oral Admin (79005) | $248 | $3,793 | 1.0× |
| Panoramic X-ray of jaws (70355) | $92 | $731 | 1.0× |
| Parathyroid Planar Imaging (78070) | $426 | $2,177 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $426 | $3,343 | 1.0× |
| Pelvis 1 or 2 views (72170) | $111 | $524 | 1.0× |
| Peritoneogram Rs&I (74190) | $582 | $1,169 | 1.0× |
| Pet Image W/Ct Lmtd (78814) | $1,524 | $4,471 | 1.0× |
| PET image w/CT, full body (78816) | $1,524 | $4,471 | 1.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,524 | $11,854 | 1.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,367 | $4,421 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $426 | $2,367 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $111 | $1,037 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $582 | $1,129 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$92 | $759–$1,137 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$92 | $407–$613 | 1.0× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$92 | $660–$793 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $111 | $832 | 1.0× |
| Radex fingr minimum 2 views (73140) range across 10 matching MRF lines |
$92 | $493–$511 | 1.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$92 | $780–$1,171 | 1.0× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$92 | $688–$1,032 | 1.0× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$92 | $491–$660 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $92 | $643 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$92 | $660–$3,950 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $92 | $808 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $92 | $523 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $92 | $747 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $92 | $578 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$111 | $798–$810 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$92 | $660–$722 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $111 | $758 | 1.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $111 | $1,031 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $187 | $1,902 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $187 | $1,632 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$111 | $972–$1,457 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $111 | $770 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $187 | $1,631 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $187 | $819 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$187 | $1,996–$2,195 | 1.0× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$92 | $328–$660 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$92 | $719–$1,077 | 1.0× |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$92 | $620–$660 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$92 | $593–$887 | 1.0× |
| Renal Cyst Study (74470) | $582 | $1,066 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
$426 | $2,691–$3,239 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$579 | $3,586–$6,634 | 1.0× |
| Scapula (73010) range across 3 matching MRF lines |
$111 | $798–$811 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $24 | $318 | 1.0× |
| Shoulder 1 view (73020) | $92 | $1,025 | 1.0× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$372 | $2,678–$4,382 | 1.0× |
| Sialogram (70390) | $254 | $507 | 1.0× |
| Skull less than 4 views (70250) | $111 | $803 | 1.0× |
| Sternoclavicular joints (71130) | $92 | $201 | 1.0× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $92 | $328 | 1.0× |
| Tbs technical calculation only (77091) | $92 | $328 | 1.0× |
| Testicular Imaging W/Flow (78761) | $426 | $1,104 | 1.0× |
| Thoracic spine 2 views (72070) | $111 | $957 | 1.0× |
| Thoracic spine 3 views (72072) | $111 | $1,294 | 1.0× |
| Thyroid Met Imaging Body (78018) | $579 | $5,434 | 1.0× |
| Thyroid Uptake Measurement (78012) | $426 | $2,317 | 1.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$92 | $1,140–$1,713 | 1.0× |
| Ultrasound elastography first target lesion (76982) | $111 | $366 | 1.0× |
| Ultrasound Elastography Parenchyma (76981) | $111 | $974 | 1.0× |
| Ultrasound Exam Aaa Screen (76706) | $111 | $281 | 1.0× |
| Ultrasound, abdomen limited (76705) | $111 | $2,743 | 1.0× |
| Unlisted us procedure (76999) | $92 | $922 | 1.0× |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$187 | $1,130–$1,811 | 1.0× |
| Ureteral Reflux Study (78740) | $426 | $1,046 | 1.0× |
| Urethrocystogram voiding (74455) | $254 | $1,634 | 1.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$111 | $1,975–$2,961 | 1.0× |
| Us chest (76604) | $111 | $820 | 1.0× |
| Us complete joint (76881) range across 4 matching MRF lines |
$111 | $798–$2,572 | 1.0× |
| Us exam, pelvic, limited (76857) | $111 | $1,073 | 1.0× |
| Us kidney transplant (76776) | $111 | $1,675 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$111 | $798–$1,737 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $111 | $1,427 | 1.0× |
| Us ob transvaginal (76817) | $111 | $1,028 | 1.0× |
| Us pelvic non ob complete (76856) | $111 | $2,348 | 1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $111 | $1,202 | 1.0× |
| Us retroperitoneal complete (76770) | $111 | $1,796 | 1.0× |
| Us retroperitoneal limited (76775) | $111 | $1,427 | 1.0× |
| Us scrotum and contents (76870) | $111 | $1,835 | 1.0× |
| Us thyroid (76536) | $111 | $2,103 | 1.0× |
| Vein X-Ray Chest (75827) | $1,678 | $5,040 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,367 | $2,214 | 1.0× |
| Venogram Sinus/Jugular (75860) | $3,367 | $4,422 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $3,367 | $6,383 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,678 | $3,034 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,678 | $1,663 | 1.0× |
| Venography Renal Bilateral (75833) | $3,367 | $33,260 | 1.0× |
| Venography Renal Unilateral (75831) | $3,367 | $5,946 | 1.0× |
| Venous sampling by catheter (75893) | $5,933 | $6,133 | 1.0× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$92 | $493–$741 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $92 | $698 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $372 | $802 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$92 | $403–$604 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $582 | $1,064 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $111 | $1,175 | 1.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $111 | $1,350 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $92 | $524 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $92 | $730 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $111 | $958 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $111 | $1,066 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) | $111 | $1,998 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $92 | $988 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $111 | $1,440 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $111 | $1,053 | 1.0× |
| X-ray eye for foreign body (70030) | $92 | $826 | 1.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$92 | $569–$660 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) | $187 | $2,230 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $92 | $477 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $92 | $1,069 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $111 | $994 | 1.0× |
| X-ray nose-rectum child f.b. (76010) | $92 | $712 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $111 | $1,615 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $111 | $675 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $92 | $888 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $92 | $925 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $111 | $1,223 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $372 | $1,955 | 1.0× |
| X-Rays Bone Length Studies (77073) | $111 | $708 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $111 | $2,290 | 1.0× |
| Xr c-spine 4 or 5 views (72050) | $111 | $1,247 | 1.0× |
| Xr facial bones less than 3 views (70140) | $92 | $560 | 1.0× |
| Xr Tomogram Single Plane (76100) | $111 | $1,171 | 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.