Imaging prices at Seton Medical Center Harker Heights
Harker Heights, TX · every code in this section with a posted price and a Medicare benchmark.
270 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) | $32.97 | $329.70 | 0.4× |
| Abdomen 2 views (74019) | $56.90 | $569 | 0.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $258 | $2,580 | 0.6× |
| Angio internal mammary (75756) | $1,006.60 | $10,066 | 0.3× |
| Angio pulmonary bilat (75743) | $2,725.20 | $27,252 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $593.53 | $5,935.30 | 0.2× |
| Angiography extremity unilateral rs&i (75710) | $847.90 | $8,479 | 0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $925.70 | $9,257 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,479.50 | $14,795 | 0.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$53.30–$79.95 | $533–$799.50 | varies |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$813.20 | $8,132 | 0.1× |
| Arthrogram hip (73525) | $184.80 | $1,848 | 0.5× |
| Arthrogram Wrist (73115) | $134.20 | $1,342 | 0.4× |
| Bone age studies (77072) | $61.29 | $612.95 | 0.6× |
| Bone Imaging 3 Phase (78315) | $288.30 | $2,883 | 0.7× |
| Bone Imaging Limited Area (78300) | $268 | $2,680 | 0.7× |
| Bone Imaging Whole Body (78306) | $288.30 | $2,883 | 0.7× |
| Bone marrow imaging limited area (78102) | $159.60 | $1,596 | 0.4× |
| Bone survey infant (77076) | $42.60 | $426 | 0.4× |
| Brain Image W/Flow < 4 Views (78601) | $136 | $1,360 | 0.3× |
| Cat Scan Follow-Up Study (76380) | $331.70 | $3,317 | 3.8× |
| Chest 1 view (71045) | $41.90 | $419 | 0.5× |
| Chest 2 views (71046) | $46 | $460 | 0.5× |
| Chest 3 views (71047) | $50.70 | $507 | 0.6× |
| Chest 4 or more views (71048) | $42.60 | $426 | 0.4× |
| Clavicle complete (73000) | $53.30 | $533 | 0.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $33.67 | $336.70 | 0.3× |
| Contrast Exam Abdominl Aorta (75625) | $1,047.20 | $10,472 | 0.3× |
| Contrast X-Ray Bladder (74430) | $150.20 | $1,502 | 0.4× |
| Contrast X-Ray Of Knee Joint (73580) | $205.20 | $2,052 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $767.30 | $7,673 | 2.2× |
| CT abdomen and pelvis without contrast (74176) | $486.90 | $4,869 | 2.0× |
| CT abdomen w contrast (74160) | $361.10 | $3,611 | 2.0× |
| CT abdomen w wo contrast (74170) | $401.60 | $4,016 | 2.3× |
| CT abdomen w/o contrast (74150) | $331.70 | $3,317 | 3.2× |
| CT Angio Abdomen and Pelvis (74174) | $434.90 | $4,349 | 1.2× |
| CT Angio Chest (71275) | $401.40 | $4,014 | 2.3× |
| CT Angio Head (70496) | $273.20 | $2,732 | 1.6× |
| CT angio hrt w/3d image (75574) | $86.40 | $864 | 0.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$284.76–$427.14 | $2,847.60–$4,271.40 | varies |
| CT Angio Neck (70498) | $273.20 | $2,732 | 1.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $247 | $2,470 | 1.4× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $53.80 | $538 | 0.3× |
| CT cervical spine w/ contrast (72126) | $245.90 | $2,459 | 0.7× |
| CT cervical spine w/o contrast (72125) | $282.25 | $2,822.50 | 2.7× |
| CT cervical spine w/wo cont (72127) | $273.50 | $2,735 | 1.6× |
| CT chest w contrast (71260) | $361.10 | $3,611 | 2.0× |
| CT chest w/wo contrast (71270) | $401.60 | $4,016 | 2.3× |
| CT head/brain with contrast (70460) | $242 | $2,420 | 1.4× |
| CT head/brain without and with contrast (70470) | $269.80 | $2,698 | 1.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $86.40 | $864 | 0.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $38 | $380 | 0.4× |
| CT hrt w/3d image congen (75573) | $86.40 | $864 | 0.2× |
| CT iac w contrast (70481) | $302.50 | $3,025 | 1.7× |
| CT l-spine w&w/o contrast (72133) | $401.60 | $4,016 | 2.3× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$230.70–$346.05 | $2,307–$3,460.50 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$451.37–$677.06 | $4,513.75–$6,770.63 | varies |
| CT lumbar spine w contrast (72132) | $451.37 | $4,513.75 | 1.3× |
| CT lumbar spine w/o contrast (72131) | $414.62 | $4,146.25 | 3.9× |
| CT maxillofacial w contrast (70487) | $242 | $2,420 | 1.4× |
| CT maxillofacial wo contrast (70486) | $294.25 | $2,942.50 | 2.8× |
| CT neck tissue combo (70492) | $269.80 | $2,698 | 1.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $195 | $1,950 | 1.1× |
| CT orbits w/o contrast (70480) | $282.25 | $2,822.50 | 2.7× |
| CT pelvis w&w/o contrast (72194) | $401.60 | $4,016 | 2.3× |
| CT pelvis w/o contrast (72192) | $331.70 | $3,317 | 3.2× |
| CT scan of leg combo (73702) | $395.90 | $3,959 | 2.2× |
| CT scans face/jaw combo (70488) | $269.80 | $2,698 | 1.5× |
| CT soft tissue neck w contrast (70491) | $169.40 | $1,694 | 1.0× |
| CT soft tissue neck w/o contrast (70490) | $225.80 | $2,258 | 2.2× |
| CT thoracic spine w contrast (72129) | $456.12 | $4,561.25 | 2.6× |
| CT thoracic spine w/o contrast (72128) | $414.62 | $4,146.25 | 3.9× |
| CT thoracic spine w/wo cont (72130) | $401.40 | $4,014 | 2.3× |
| CT thorax w/o contrast (71250) | $331.70 | $3,317 | 3.2× |
| CT upper ext wo (73200) | $230.70 | $2,307 | 2.2× |
| CT upper extremity w/o & w/contrast material (73202) | $397.30 | $3,973 | 2.3× |
| CT upper extremity with contrast (73201) | $451.37 | $4,513.75 | 1.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $284.76 | $2,847.60 | 1.6× |
| Cta Abdomen (74175) | $399.60 | $3,996 | 2.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $546.40 | $5,464 | 1.6× |
| CTA pelvis (72191) | $250.40 | $2,504 | 1.4× |
| Dxa Bone Density Axial (77080) | $56.28 | $562.80 | 0.5× |
| Dxa bone density study (77085) | $30.10 | $301 | 0.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $27.70 | $277 | 0.3× |
| Esophagram (74220) | $90.20 | $902 | 0.5× |
| Fetal Biophys Profile W/Nst (76818) | $75.50 | $755 | 0.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $47.40 | $474 | 0.5× |
| Fluoroscopy up to 1 hr (76000) | $52.10 | $521 | 0.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$53.30–$79.95 | $533–$799.50 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$66.62–$99.94 | $666.25–$999.38 | varies |
| Gastric emptying imaging study (78264) | $284.50 | $2,845 | 0.7× |
| Gated Heart Planar Single (78472) | $132.90 | $1,329 | 0.3× |
| Hand 2 views (73120) | $53.30 | $533 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $342.50 | $3,425 | 0.6× |
| Hepatobiliary System Imaging (78226) | $342.50 | $3,425 | 0.9× |
| Ht Muscle Image Spect Sing (78451) | $784.60 | $7,846 | 0.6× |
| Hysterosalpingogram (74740) | $248.20 | $2,482 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $207.30 | $2,073 | 0.4× |
| K Flow/Funct Image W/O Drug (78707) | $167 | $1,670 | 0.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $144.70 | $1,447 | 0.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$66.62–$99.94 | $666.25–$999.38 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $148.90 | $1,489 | 0.3× |
| Lung perfusion differential (78597) | $127.40 | $1,274 | 0.3× |
| Lung Ventilat&Perfus Imaging (78582) | $369.20 | $3,692 | 0.7× |
| Lymph System Imaging (78195) | $298.60 | $2,986 | 0.5× |
| Magnetic Image Jaw Joint (70336) | $263.90 | $2,639 | 1.1× |
| Meckels Divert Exam (78290) | $160.80 | $1,608 | 0.4× |
| Mr safety determination physician/other qhp (76016) | $27.90 | $279 | 0.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $7.90 | $79 | 0.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $29 | $290 | 0.3× |
| Mr safety implt pos&/immoblj (76019) | $18.80 | $188 | 0.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $76.30 | $763 | 0.3× |
| Mra Head W/O & W/Contrast Material (70546) | $230.44 | $2,304.40 | 0.7× |
| MRA head w/o contrast (70544) | $184.66 | $1,846.60 | 0.8× |
| MRA head with contrast (70545) | $290.30 | $2,903 | 0.8× |
| MRA neck w contrast (70548) | $235.41 | $2,354.10 | 0.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $410.50 | $4,105 | 1.2× |
| MRA neck w/o contrast (70547) | $184.66 | $1,846.60 | 0.8× |
| MRI abdomen w contrast (74182) | $409 | $4,090 | 1.2× |
| MRI abdomen w/o contrast (74181) | $343.10 | $3,431 | 1.4× |
| MRI any jt lower extrem w/contrast material (73722) | $377.80 | $3,778 | 0.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $379.19 | $3,791.90 | 1.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $552.62 | $5,526.25 | 0.7× |
| MRI cervical spine w contrast (72142) | $290.60 | $2,906 | 0.8× |
| MRI cervical spine w/o cont (72141) | $264.10 | $2,641 | 1.1× |
| MRI chest w/o contrast (71550) | $184.94 | $1,849.40 | 0.8× |
| MRI chest with contrast (71551) | $340.10 | $3,401 | 0.4× |
| MRI chest wo w contrast (71552) | $541.70 | $5,417 | 1.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $367.50 | $3,675 | 1.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $541.70 | $5,417 | 1.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$240.17–$360.25 | $2,401.70–$3,602.55 | varies |
| MRI lumbar spine w contrast (72149) | $377 | $3,770 | 1.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $291.69 | $2,916.90 | 0.8× |
| MRI orbit face &/neck w/o contrast (70540) | $211.10 | $2,111 | 0.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $410.50 | $4,105 | 1.2× |
| MRI pelvis w/o & w contrast (72197) | $379.19 | $3,791.90 | 1.1× |
| MRI pelvis w/o contrast (72195) | $343.40 | $3,434 | 1.4× |
| MRI thoracic spine w/o contrast (72146) | $343.40 | $3,434 | 1.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $343.10 | $3,431 | 1.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $603.70 | $6,037 | 1.7× |
| MRI, abdomen, combo (74183) | $541.70 | $5,417 | 1.5× |
| MRI, dorsal spine combo (72157) | $379.19 | $3,791.90 | 1.1× |
| MRI, dorsal spine contrast (72147) | $377 | $3,770 | 1.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$343.10–$514.65 | $3,431–$5,146.50 | varies |
| MRI, joint upper extrem combo (73223) | $541.70 | $5,417 | 1.5× |
| MRI, lumbar spine combo (72158) | $541.70 | $5,417 | 1.5× |
| Myocardial Spect Multiple Studies (78452) | $392.30 | $3,923 | 0.3× |
| Neck soft tissue (70360) | $47.10 | $471 | 0.5× |
| Parathyroid Planar Imaging (78070) | $111.80 | $1,118 | 0.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $241 | $2,410 | 0.6× |
| Pelvis 1 or 2 views (72170) | $53.30 | $533 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $160.80 | $1,608 | 0.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $79.30 | $793 | 0.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $166.60 | $1,666 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$53.30–$79.95 | $533–$799.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $53.30 | $533 | 0.6× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$66.62–$99.94 | $666.25–$999.38 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $53.30 | $533 | 0.5× |
| Radex fingr minimum 2 views (73140) | $53.30 | $533 | 0.6× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$53.30–$79.95 | $533–$799.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$53.30–$79.95 | $533–$799.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $27.70 | $277 | 0.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $53.30 | $533 | 0.6× |
| Radex Ribs Unilateral 2 Views (71100) | $35 | $350 | 0.4× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$66.62–$99.94 | $666.25–$999.38 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $53.30 | $533 | 0.6× |
| Radex Spine 1 View Specify Level (72020) | $32.90 | $329 | 0.4× |
| Radex Sternum Minimum 2 Views (71120) | $32.90 | $329 | 0.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $32.90 | $329 | 0.4× |
| Radex Toe Minimum 2 Views (73660) | $53.30 | $533 | 0.6× |
| Radex upper extremity infant minimum 2 views (73092) | $49.80 | $498 | 0.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$66.62–$99.94 | $666.25–$999.38 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $53.30 | $533 | 0.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $62.60 | $626 | 0.6× |
| Radiologic exam colon double contrast study (74280) | $149.30 | $1,493 | 0.8× |
| Radiologic exam colon single contrast study (74270) | $55.60 | $556 | 0.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$53.30–$79.95 | $533–$799.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $42.60 | $426 | 0.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $90.20 | $902 | 0.5× |
| Radiologic exam swallow function contrast study (74230) | $90.20 | $902 | 0.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $86.50 | $865 | 0.5× |
| Radiologic examination femur 1 view (73551) | $48.20 | $482 | 0.6× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$66.62–$99.94 | $666.25–$999.38 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$66.62–$99.94 | $666.25–$999.38 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $89.80 | $898 | 0.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$66.62–$99.94 | $666.25–$999.38 | varies |
| Ribs bilateral 3 views (71110) | $50 | $500 | 0.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $642.20 | $6,422 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $583.70 | $5,837 | 1.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $706.50 | $7,065 | 1.3× |
| Scapula (73010) | $53.30 | $533 | 0.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $69.70 | $697 | 3.0× |
| Shoulder 1 view (73020) | $53.30 | $533 | 0.6× |
| Shoulder Arthrography (73040) | $120.90 | $1,209 | 0.3× |
| Skull less than 4 views (70250) | $53.30 | $533 | 0.5× |
| Sternoclavicular joints (71130) | $27.90 | $279 | 0.3× |
| Thoracic spine 2 views (72070) | $66.62 | $666.25 | 0.6× |
| Thoracic spine 3 views (72072) | $58.70 | $587 | 0.6× |
| Thoracolumbar 2 views (72080) | $53.30 | $533 | 0.6× |
| Thyroid Uptake Measurement (78012) | $78.40 | $784 | 0.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $215.20 | $2,152 | 0.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$67.80–$101.70 | $678–$1,017 | varies |
| Ultrasound Exam Aaa Screen (76706) | $99.50 | $995 | 0.9× |
| Ultrasound, abdomen limited (76705) | $101.80 | $1,018 | 1.0× |
| Umbilical-artery Doppler (OB) (76820) | $40.30 | $403 | 0.4× |
| Upper gi w/o kub (74240) | $35.60 | $356 | 0.2× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $5.40 | $54 | 0.5× |
| Urea breath test c-14 isotopic analysis (78268) | $43.90 | $439 | 0.5× |
| Ureteral Reflux Study (78740) | $136 | $1,360 | 0.3× |
| Urethrocystography retrograde (74450) | $111.90 | $1,119 | 0.5× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$84.75–$127.12 | $847.50–$1,271.25 | varies |
| Us chest (76604) | $50.80 | $508 | 0.5× |
| Us complete joint (76881) | $76.50 | $765 | 0.7× |
| Us exam, pelvic, limited (76857) | $66.60 | $666 | 0.6× |
| Us head (76506) | $46.50 | $465 | 0.4× |
| Us kidney transplant (76776) | $62.70 | $627 | 0.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$61.20–$91.80 | $612–$918 | varies |
| Us ob detailed single fetus (76811) | $160.80 | $1,608 | 0.7× |
| Us ob limited 1 or more fetuses (76815) | $66.60 | $666 | 0.6× |
| Us ob transvaginal (76817) | $66.60 | $666 | 0.6× |
| Us pelvic non ob complete (76856) | $101.80 | $1,018 | 1.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $101.80 | $1,018 | 1.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $66.60 | $666 | 0.6× |
| Us retroperitoneal complete (76770) | $101.80 | $1,018 | 1.0× |
| Us retroperitoneal limited (76775) | $33.10 | $331 | 0.3× |
| Us scrotum and contents (76870) | $127.25 | $1,272.50 | 1.2× |
| Us spinal canal and contents (76800) | $62.70 | $627 | 0.6× |
| Us thyroid (76536) | $101.80 | $1,018 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $925.70 | $9,257 | 0.3× |
| Venography extremity bilateral rs&i (75822) | $330.90 | $3,309 | 0.2× |
| Venography extremity unilateral rs&i (75820) | $300.70 | $3,007 | 0.2× |
| Wrist 2 views (73100) | $42.70 | $427 | 0.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $32.90 | $329 | 0.4× |
| X-ray antegrade pyelogram tube (74425) | $135.50 | $1,355 | 0.4× |
| X-Ray Aorta Leg Arteries (75630) | $806.40 | $8,064 | 0.3× |
| X-Ray Bend Only L-S Spine (72120) | $51.50 | $515 | 0.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$37.31–$55.96 | $373.10–$559.65 | varies |
| X-Ray Exam Breast Specimen (76098) | $208.80 | $2,088 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $38.60 | $386 | 0.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $116.74 | $1,167.40 | 1.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $33.10 | $331 | 0.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $51.20 | $512 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $56.30 | $563 | 0.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $62.10 | $621 | 0.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $37.31 | $373.10 | 0.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $99.70 | $997 | 0.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $109.70 | $1,097 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) | $123.40 | $1,234 | 1.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $69.29 | $692.90 | 0.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $89.80 | $898 | 0.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $69.29 | $692.90 | 0.7× |
| X-ray eye for foreign body (70030) | $29 | $290 | 0.3× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$66.62–$99.94 | $666.25–$999.38 | varies |
| X-ray IV pyelogram (ivp) (74400) | $101.60 | $1,016 | 0.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $27.70 | $277 | 0.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $53.30 | $533 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $83.25 | $832.50 | 0.8× |
| X-ray nose-rectum child f.b. (76010) | $30.30 | $303 | 0.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $89.80 | $898 | 0.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $60.40 | $604 | 0.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $22.10 | $221 | 0.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $53.30 | $533 | 0.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $53.30 | $533 | 0.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $89.80 | $898 | 0.9× |
| X-ray thoracic spine 4 vw (72074) | $64.70 | $647 | 0.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $187.10 | $1,871 | 0.5× |
| X-Rays Bone Survey Complete (77075) | $98.70 | $987 | 0.9× |
| Xr c-spine 4 or 5 views (72050) | $89.80 | $898 | 0.9× |
| Xr facial bones less than 3 views (70140) | $53.30 | $533 | 0.6× |
| Xr orbits complete 4 views (70200) | $32.90 | $329 | 0.3× |
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.