Imaging prices at San Joaquin General Hospital
French Camp, CA · every code in this section with a posted price and a Medicare benchmark.
258 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) | $327.25 | $595 | 2.9× |
| Abdomen 2 views (74019) | $421.85 | $767 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,149.40 | $3,908 | 4.1× |
| Angio pulmonary bilat (75743) | $4,568.30 | $8,306 | 1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,344.55 | $6,081 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $3,730.10 | $6,782 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $3,730.10 | $6,782 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,568.30 | $8,306 | 1.1× |
| Aortography thoracic serialography rs&i (75605) | $5,794.80 | $10,536 | 0.8× |
| Artery X-Rays Abdomen (75726) | $6,630.25 | $12,055 | 0.9× |
| Artery X-Rays Adrenal Gland (75731) | $3,361.05 | $6,111 | 0.8× |
| Artery X-Rays Pelvis (75736) | $5,794.80 | $10,536 | 0.8× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,179.20–$1,768.80 | $2,144–$3,216 | varies |
| Bone age studies (77072) | $349.80 | $636 | 2.5× |
| Bone Imaging 3 Phase (78315) | $2,853.95 | $5,189 | 5.4× |
| Bone Imaging Limited Area (78300) | $1,455.85 | $2,647 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,969.55 | $3,581 | 3.7× |
| Bone survey infant (77076) | $465.30 | $846 | 3.4× |
| Brain Flow Imaging Only (78610) | $850.85 | $1,547 | 1.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,724.25 | $3,135 | 2.4× |
| Chest 1 view (71045) | $634.70 | $1,154 | 5.5× |
| Chest 2 views (71046) | $706.20 | $1,284 | 6.2× |
| Chest 3 views (71047) | $777.70 | $1,414 | 6.8× |
| Chest 4 or more views (71048) | $811.25 | $1,475 | 5.9× |
| Cholecystography Oral Contrast (74290) | $411.95 | $749 | 1.8× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$369.60–$554.40 | $672–$1,008 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $135.30 | $246 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $4,037.55 | $7,341 | 1.0× |
| Contrast X-Ray Bladder (74430) | $716.10 | $1,302 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,310.65–$1,965.70 | $2,383–$3,574 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $11,231.55 | $20,421 | 24.4× |
| CT abdomen and pelvis without contrast (74176) | $7,515.20 | $13,664 | 23.9× |
| CT abdomen w contrast (74160) | $3,333.55 | $6,061 | 14.4× |
| CT abdomen w wo contrast (74170) | $4,273.50 | $7,770 | 18.5× |
| CT abdomen w/o contrast (74150) | $2,607 | $4,740 | 18.9× |
| CT Angio Abdomen and Pelvis (74174) | $1,488.85 | $2,707 | 3.2× |
| CT Angio Chest (71275) | $1,428.35 | $2,597 | 6.2× |
| CT Angio Head (70496) | $1,767.70 | $3,214 | 7.6× |
| CT angio hrt w/3d image (75574) | $4,493.50 | $8,170 | 9.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,994.30–$2,976.60 | $3,626–$5,412 | varies |
| CT Angio Neck (70498) | $1,851.30 | $3,366 | 8.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,358.20 | $7,924 | 18.8× |
| CT cervical spine w/ contrast (72126) | $3,885.20 | $7,064 | 8.4× |
| CT cervical spine w/o contrast (72125) | $3,035.45 | $5,519 | 22.0× |
| CT chest w contrast (71260) | $3,916 | $7,120 | 16.9× |
| CT chest w/wo contrast (71270) | $4,706.35 | $8,557 | 20.3× |
| CT head/brain with contrast (70460) | $3,049.20 | $5,544 | 13.2× |
| CT head/brain without and with contrast (70470) | $3,889.05 | $7,071 | 16.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $3,173.50 | $5,770 | 27.6× |
| CT iac w contrast (70481) | $2,516.80 | $4,576 | 10.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$3,309.90–$4,964.85 | $6,018–$9,027 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$3,674–$5,527.50 | $6,680–$10,050 | varies |
| CT lumbar spine w contrast (72132) | $3,789.50 | $6,890 | 8.2× |
| CT lumbar spine w/o contrast (72131) | $3,031.60 | $5,512 | 22.0× |
| CT maxillofacial w contrast (70487) | $3,132.25 | $5,695 | 13.5× |
| CT maxillofacial wo contrast (70486) | $2,699.95 | $4,909 | 19.6× |
| CT neck tissue combo (70492) | $3,321.45 | $6,039 | 14.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,109.15 | $5,653 | 13.4× |
| CT orbits w/o contrast (70480) | $2,115.30 | $3,846 | 15.3× |
| CT pelvis w&w/o contrast (72194) | $4,367.55 | $7,941 | 18.9× |
| CT pelvis w/o contrast (72192) | $3,120.15 | $5,673 | 22.6× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$4,699.75–$7,049.90 | $8,545–$12,818 | varies |
| CT scans face/jaw combo (70488) | $3,914.90 | $7,118 | 16.9× |
| CT soft tissue neck w contrast (70491) | $2,574.55 | $4,681 | 11.1× |
| CT soft tissue neck w/o contrast (70490) | $2,111.45 | $3,839 | 15.3× |
| CT thoracic spine w contrast (72129) | $3,573.35 | $6,497 | 15.4× |
| CT thoracic spine w/o contrast (72128) | $3,054.15 | $5,553 | 22.1× |
| CT thorax w/o contrast (71250) | $3,297.80 | $5,996 | 23.9× |
| CT unlisted procedure (76497) | $980.10 | $1,782 | 8.5× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,804.45–$4,206.95 | $5,099–$7,649 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$4,879.60–$7,319.40 | $8,872–$13,308 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$3,225.20–$4,823.50 | $5,864–$8,770 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,661.25 | $8,475 | 20.1× |
| Cta Abdomen (74175) | $2,025.10 | $3,682 | 8.8× |
| CTA pelvis (72191) | $1,944.25 | $3,535 | 8.4× |
| Dxa Bone Density Axial (77080) | $131.45 | $239 | 1.0× |
| Dxa bone density study (77085) | $131.45 | $239 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $96.25 | $175 | 0.8× |
| Esophagram (74220) | $812.90 | $1,478 | 3.5× |
| Fetal Biophys Profile W/Nst (76818) | $194.15 | $353 | 1.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $843.15 | $1,533 | 6.1× |
| Follow-Up Angiography (75898) | $3,380.85 | $6,147 | 0.8× |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$415.25–$622.60 | $755–$1,132 | varies |
| Gastric emptying imaging study (78264) | $2,088.90 | $3,798 | 4.0× |
| Gastroesophageal Reflux Exam (78262) | $1,873.85 | $3,407 | 3.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,336.50 | $2,430 | 1.9× |
| Hepatobiliary System Imaging (78226) | $1,336.50 | $2,430 | 2.5× |
| Ht Musc Image Planar Mult (78454) | $3,549.70 | $6,454 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $2,028.40 | $3,688 | 1.2× |
| Hysterosalpingogram (74740) | $691.35 | $1,257 | 2.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $837.10 | $1,522 | 7.3× |
| Infant hip ultrasound, limited static exam (76886) | $751.30 | $1,366 | 6.5× |
| K Flow/Funct Image W/Drug (78708) | $1,773.20 | $3,224 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $2,189 | $3,980 | 3.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$446.60–$669.90 | $812–$1,218 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,712.70 | $3,114 | 3.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,972.30 | $3,586 | 3.7× |
| Lung perfusion differential (78597) | $871.20 | $1,584 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,318.35 | $2,397 | 1.8× |
| Lymph System Imaging (78195) | $2,273.70 | $4,134 | 3.2× |
| Magnetic Image Jaw Joint (70336) | $1,982.75 | $3,605 | 6.3× |
| Mammary ductogram or galactogram multiple (77054) | $1,566.40 | $2,848 | 5.0× |
| Mammary ductogram or galactogram single (77053) | $1,537.25 | $2,795 | 4.9× |
| Meckels Divert Exam (78290) | $1,386.55 | $2,521 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $4,800.95 | $8,729 | 10.4× |
| MRA head w/o contrast (70544) | $3,200.45 | $5,819 | 10.2× |
| MRA head with contrast (70545) | $4,800.95 | $8,729 | 10.4× |
| MRA neck w contrast (70548) | $3,630 | $6,600 | 7.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,501.40 | $4,548 | 5.4× |
| MRA neck w/o contrast (70547) | $2,420 | $4,400 | 7.7× |
| MRI abdomen w contrast (74182) | $3,819.20 | $6,944 | 8.3× |
| MRI abdomen w/o contrast (74181) | $2,545.95 | $4,629 | 8.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 7 matching MRF lines |
$3,819.20–$5,728.25 | $6,944–$10,415 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 7 matching MRF lines |
$4,353.80–$6,542.80 | $7,916–$11,896 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,913.70 | $8,934 | 4.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,862.10 | $7,022 | 12.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,862.10 | $7,022 | 12.3× |
| MRI cervical spine w contrast (72142) | $4,099.15 | $7,453 | 8.9× |
| MRI cervical spine w/o cont (72141) | $2,545.95 | $4,629 | 8.1× |
| MRI chest w/o contrast (71550) | $2,124.10 | $3,862 | 6.7× |
| MRI chest with contrast (71551) | $2,970.55 | $5,401 | 2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,344 | $6,080 | 7.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,119.60 | $5,672 | 6.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,090 | $3,800 | 6.6× |
| MRI lumbar spine w contrast (72149) | $4,099.15 | $7,453 | 8.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,353.80 | $7,916 | 9.5× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$2,560.25–$3,810.95 | $4,655–$6,929 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$3,810.95–$5,731 | $6,929–$10,420 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,908.95 | $5,289 | 6.3× |
| MRI pelvis w contrast (72196) | $3,545.85 | $6,447 | 7.7× |
| MRI pelvis w/o & w contrast (72197) | $4,075.50 | $7,410 | 8.9× |
| MRI pelvis w/o contrast (72195) | $2,201.10 | $4,002 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $2,545.95 | $4,629 | 8.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,560.70 | $6,474 | 7.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,225.30 | $4,046 | 7.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,315.95 | $6,029 | 7.2× |
| MRI, abdomen, combo (74183) | $4,353.80 | $7,916 | 9.5× |
| MRI, dorsal spine combo (72157) | $4,353.80 | $7,916 | 9.5× |
| MRI, dorsal spine contrast (72147) | $4,099.15 | $7,453 | 8.9× |
| MRI, joint upper extrem (73221) | $2,545.95 | $4,629 | 8.1× |
| MRI, joint upper extrem combo (73223) | $5,015.45 | $9,119 | 10.9× |
| MRI, lumbar spine combo (72158) | $4,353.80 | $7,916 | 9.5× |
| Myocardial Spect Multiple Studies (78452) | $3,621.75 | $6,585 | 2.1× |
| Neck soft tissue (70360) | $430.10 | $782 | 3.7× |
| Nm csf leak detection (78650) | $2,011.90 | $3,658 | 1.2× |
| Nm red cell survival study (78130) | $1,318.35 | $2,397 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $1,459.15 | $2,653 | 4.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $897.60 | $1,632 | 6.5× |
| Parathyroid Planar Imaging (78070) | $842.05 | $1,531 | 1.6× |
| Pelvis 1 or 2 views (72170) | $346.50 | $630 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $471.35 | $857 | 3.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $656.15 | $1,193 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$518.65–$778.25 | $943–$1,415 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$343.20–$514.25 | $624–$935 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $724.90 | $1,318 | 5.3× |
| Radex fingr minimum 2 views (73140) | $189.20 | $344 | 1.6× |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$410.30–$614.90 | $746–$1,118 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$427.90–$641.85 | $778–$1,167 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $561 | $1,020 | 4.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $592.35 | $1,077 | 5.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$498.85–$748 | $907–$1,360 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $424.60 | $772 | 3.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,054.35 | $1,917 | 4.6× |
| Radex Spine 1 View Specify Level (72020) | $470.80 | $856 | 4.1× |
| Radex Sternum Minimum 2 Views (71120) | $440.55 | $801 | 3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $703.45 | $1,279 | 6.1× |
| Radex Toe Minimum 2 Views (73660) | $217.80 | $396 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 9 matching MRF lines |
$403.70–$605.55 | $734–$1,101 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $622.60 | $1,132 | 4.5× |
| Radiologic exam colon double contrast study (74280) | $1,114.85 | $2,027 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $850.85 | $1,547 | 3.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$476.85–$715 | $867–$1,300 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $502.15 | $913 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $908.60 | $1,652 | 3.9× |
| Radiologic exam swallow function contrast study (74230) | $947.10 | $1,722 | 4.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $767.25 | $1,395 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$454.85–$784.85 | $827–$1,427 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$378.40–$567.60 | $688–$1,032 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $642.40 | $1,168 | 4.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$457.60–$686.40 | $832–$1,248 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,927.90 | $10,778 | 8.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,648.40 | $12,088 | 9.3× |
| Scapula (73010) range across 3 matching MRF lines |
$396–$594 | $720–$1,080 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $71.50 | $130 | 3.1× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$443.85–$663.30 | $807–$1,206 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,025.20–$1,537.80 | $1,864–$2,796 | varies |
| Sialogram (70390) | $1,231.45 | $2,239 | 3.9× |
| Skull less than 4 views (70250) | $577.50 | $1,050 | 4.2× |
| Sternoclavicular joints (71130) | $444.95 | $809 | 3.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,027.95 | $1,869 | 4.4× |
| Thoracic spine 3 views (72072) | $559.35 | $1,017 | 4.1× |
| Thoracolumbar 2 views (72080) | $438.35 | $797 | 3.8× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,474.55 | $2,681 | 2.8× |
| Thyroid Met Imaging Body (78018) | $2,719.20 | $4,944 | 3.8× |
| Thyroid Uptake Measurement (78012) | $818.95 | $1,489 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,136.85 | $2,067 | 2.2× |
| Ultrasound Breast Limited (76642) | $488.95 | $889 | 4.3× |
| Ultrasound elastography first target lesion (76982) | $225.50 | $410 | 1.6× |
| Ultrasound Elastography Parenchyma (76981) | $226.05 | $411 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) | $124.85 | $227 | 0.9× |
| Ultrasound, abdomen limited (76705) | $1,002.10 | $1,822 | 7.3× |
| Unlisted Dx Radiographic Procedure (76499) | $1,074.15 | $1,953 | 9.4× |
| Upper gi w/o kub (74240) | $744.70 | $1,354 | 3.2× |
| Ureteral Reflux Study (78740) | $1,098.90 | $1,998 | 2.1× |
| Urethrocystogram voiding (74455) | $795.85 | $1,447 | 2.5× |
| Urethrocystography retrograde (74450) | $700.70 | $1,274 | 2.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$626.45–$939.40 | $1,139–$1,708 | varies |
| Us chest (76604) | $700.70 | $1,274 | 5.1× |
| Us complete joint (76881) range across 6 matching MRF lines |
$1,067.55–$1,601.60 | $1,941–$2,912 | varies |
| Us exam, pelvic, limited (76857) | $1,179.75 | $2,145 | 8.6× |
| Us head (76506) | $1,135.20 | $2,064 | 8.2× |
| Us kidney transplant (76776) | $915.75 | $1,665 | 6.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $118.25 | $215 | 0.9× |
| Us ob limited 1 or more fetuses (76815) | $819.50 | $1,490 | 5.9× |
| Us ob transvaginal (76817) | $891 | $1,620 | 6.5× |
| Us pelvic non ob complete (76856) | $1,616.45 | $2,939 | 11.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,083.95 | $3,789 | 15.1× |
| Us retroperitoneal complete (76770) | $1,370.05 | $2,491 | 9.9× |
| Us retroperitoneal limited (76775) | $917.95 | $1,669 | 6.7× |
| Us scrotum and contents (76870) | $1,059.85 | $1,927 | 7.7× |
| Us spinal canal and contents (76800) | $821.15 | $1,493 | 6.0× |
| Us thyroid (76536) | $1,280.95 | $2,329 | 9.3× |
| Vein X-Ray Chest (75827) | $1,689.05 | $3,071 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $3,344.55 | $6,081 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $2,448.60 | $4,452 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,689.05 | $3,071 | 0.8× |
| Vertebral fracture assessment via dxa (77086) | $99 | $180 | 0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $351.45 | $639 | 3.1× |
| X-ray antegrade pyelogram tube (74425) | $501.60 | $912 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) | $3,344.55 | $6,081 | 0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$453.75–$680.35 | $825–$1,237 | varies |
| X-Ray Exam Breast Specimen (76098) | $617.65 | $1,123 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $331.65 | $603 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $431.75 | $785 | 3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $454.30 | $826 | 4.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $576.95 | $1,049 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $815.65 | $1,483 | 5.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $492.80 | $896 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $394.35 | $717 | 2.9× |
| X-ray eye for foreign body (70030) | $410.30 | $746 | 3.6× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$486.20–$728.75 | $884–$1,325 | varies |
| X-ray IV pyelogram (ivp) (74400) | $834.35 | $1,517 | 3.6× |
| X-ray IV pyelogram+tomography (74415) | $1,144.55 | $2,081 | 4.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $554.40 | $1,008 | 4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $397.65 | $723 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $450.45 | $819 | 3.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $544.50 | $990 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $267.30 | $486 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $286.55 | $521 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $581.35 | $1,057 | 5.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,146.20 | $2,084 | 2.5× |
| X-Rays Bone Length Studies (77073) | $532.95 | $969 | 3.9× |
| X-Rays Bone Survey Complete (77075) | $969.10 | $1,762 | 7.0× |
| Xr c-spine 4 or 5 views (72050) | $675.40 | $1,228 | 4.9× |
| Xr facial bones less than 3 views (70140) | $557.70 | $1,014 | 4.9× |
| Xr myelogram posterior fossa (70010) | $2,009.70 | $3,654 | 4.4× |
| Xr orbits complete 4 views (70200) | $649.55 | $1,181 | 4.7× |
| Xr Tomogram Single Plane (76100) | $721.60 | $1,312 | 5.2× |
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.