Imaging prices at Spotsylvania Regional Medical Center
Fredericksburg, VA · every code in this section with a posted price and a Medicare benchmark.
256 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) | $1,104.48 | $1,104.48 | 12.3× |
| Abdomen 2 views (74019) | $830.96 | $830.96 | 7.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,140.56 | $2,140.56 | 5.2× |
| Angio pulmonary bilat (75743) | $11,580.40 | $11,580.40 | 3.5× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$8,530.08–$9,321.52 | $8,530.08–$9,321.52 | varies |
| Angiography extremity unilateral rs&i (75710) | $8,530.08 | $8,530.08 | 2.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $15,063.36 | $15,063.36 | 4.6× |
| Ankle 2 views (73600) | $758.16 | $758.16 | 8.4× |
| Aortography thoracic serialography rs&i (75605) | $6,309.68 | $6,309.68 | 1.1× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$8,530.08–$9,882.08 | $8,530.08–$9,882.08 | varies |
| Artery X-Rays Pelvis (75736) | $8,530.08 | $8,530.08 | 1.5× |
| Arthrogram hip (73525) | $2,886 | $2,886 | 8.0× |
| Bone age studies (77072) | $511.68 | $511.68 | 4.7× |
| Bone Imaging 3 Phase (78315) | $3,923.64 | $3,923.64 | 9.5× |
| Bone Imaging Whole Body (78306) | $4,374 | $4,374 | 10.6× |
| Bone marrow imaging limited area (78102) | $3,713.04 | $3,713.04 | 9.0× |
| Bone marrow imaging; multiple areas (78103) | $4,417.20 | $4,417.20 | 10.7× |
| Bone survey infant (77076) | $1,354.08 | $1,354.08 | 12.5× |
| Brain Flow Imaging Only (78610) | $1,076.76 | $1,076.76 | 1.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,989.36 | $1,989.36 | 3.5× |
| Cat Scan Follow-Up Study (76380) | $2,440.88 | $2,440.88 | 27.1× |
| Chest 1 view (71045) | $847.60 | $847.60 | 9.4× |
| Chest 2 views (71046) | $933.92 | $933.92 | 10.4× |
| Chest 3 views (71047) | $958.88 | $958.88 | 10.6× |
| Chest 4 or more views (71048) | $921.44 | $921.44 | 8.5× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $393.12 | $393.12 | 3.6× |
| Clavicle complete (73000) | $655.20 | $655.20 | 7.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,118 | $1,118 | 10.3× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$6,610.24–$8,530.08 | $6,610.24–$8,530.08 | varies |
| Contrast X-Ray Bladder (74430) | $2,113.28 | $2,113.28 | 5.9× |
| Contrast X-Ray Of Knee Joint (73580) | $2,406.56 | $2,406.56 | 6.7× |
| CT abdomen and pelvis without and with contrast (74178) | $7,104.24 | $7,104.24 | 19.7× |
| CT abdomen and pelvis without contrast (74176) | $4,229.68 | $4,229.68 | 17.1× |
| CT abdomen w contrast (74160) | $5,241.60 | $5,241.60 | 28.9× |
| CT abdomen w wo contrast (74170) | $5,626.40 | $5,626.40 | 31.0× |
| CT abdomen w/o contrast (74150) | $3,693.04 | $3,693.04 | 34.1× |
| CT Angio Abdomen and Pelvis (74174) | $1,960.40 | $1,960.40 | 5.4× |
| CT Angio Chest (71275) | $12,345.84 | $12,345.84 | 68.0× |
| CT Angio Head (70496) | $3,354 | $3,354 | 18.5× |
| CT angio hrt w/3d image (75574) | $13,085.28 | $13,085.28 | 36.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,445.52–$5,824 | $3,445.52–$5,824 | varies |
| CT Angio Neck (70498) | $3,354 | $3,354 | 18.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,445.52–$8,507.20 | $3,445.52–$8,507.20 | varies |
| CT bone density (77078) | $2,864.16 | $2,864.16 | 31.8× |
| CT cervical spine w/ contrast (72126) | $6,677.84 | $6,677.84 | 18.5× |
| CT cervical spine w/o contrast (72125) | $4,499.04 | $4,499.04 | 41.6× |
| CT cervical spine w/wo cont (72127) | $7,014.80 | $7,014.80 | 38.7× |
| CT chest w contrast (71260) | $4,987.84 | $4,987.84 | 27.5× |
| CT chest w/wo contrast (71270) | $5,550.48 | $5,550.48 | 30.6× |
| CT head/brain with contrast (70460) | $3,947.84 | $3,947.84 | 21.8× |
| CT head/brain without and with contrast (70470) | $4,328.48 | $4,328.48 | 23.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $13,085.28 | $13,085.28 | 36.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,336.40 | $1,336.40 | 14.8× |
| CT iac w contrast (70481) | $5,766.80 | $5,766.80 | 31.8× |
| CT l-spine w&w/o contrast (72133) | $7,014.80 | $7,014.80 | 38.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$4,094.48–$8,396.96 | $4,094.48–$8,396.96 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$6,677.84–$10,517.52 | $6,677.84–$10,517.52 | varies |
| CT lumbar spine w contrast (72132) | $6,840.08 | $6,840.08 | 19.0× |
| CT lumbar spine w/o contrast (72131) | $6,677.84 | $6,677.84 | 61.7× |
| CT maxillofacial w contrast (70487) | $4,781.92 | $4,781.92 | 26.4× |
| CT maxillofacial wo contrast (70486) | $4,781.92 | $4,781.92 | 44.2× |
| CT neck tissue combo (70492) | $6,087.12 | $6,087.12 | 33.5× |
| CT orbits w/o contrast (70480) | $4,010.24 | $4,010.24 | 37.1× |
| CT pelvis w&w/o contrast (72194) | $6,402.24 | $6,402.24 | 35.3× |
| CT pelvis w/o contrast (72192) | $3,867.76 | $3,867.76 | 35.8× |
| CT scan of leg combo (73702) | $7,014.80 | $7,014.80 | 38.7× |
| CT scans face/jaw combo (70488) | $5,362.24 | $5,362.24 | 29.5× |
| CT soft tissue neck w contrast (70491) | $5,046.08 | $5,046.08 | 27.8× |
| CT soft tissue neck w/o contrast (70490) | $3,836.56 | $3,836.56 | 35.5× |
| CT thoracic spine w contrast (72129) | $6,840.08 | $6,840.08 | 37.7× |
| CT thoracic spine w/o contrast (72128) | $6,677.84 | $6,677.84 | 61.7× |
| CT thoracic spine w/wo cont (72130) | $6,377.28 | $6,377.28 | 35.1× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$3,897.92–$11,737.44 | $3,897.92–$11,737.44 | varies |
| CT upper ext wo (73200) | $4,094.48 | $4,094.48 | 37.9× |
| CT upper extremity w/o & w/contrast material (73202) | $5,729.36 | $5,729.36 | 31.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$5,729.36–$6,677.84 | $5,729.36–$6,677.84 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,923.92 | $3,923.92 | 21.6× |
| Cta Abdomen (74175) | $3,923.92 | $3,923.92 | 21.6× |
| CTA pelvis (72191) | $3,923.92 | $3,923.92 | 21.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,518.40 | $1,518.40 | 14.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $2,664.94 | $2,664.94 | 24.6× |
| Echo exam of fetal heart (76825) | $2,931.82 | $2,931.82 | 5.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,144.52 | $1,144.52 | 4.6× |
| Esophagram (74220) | $853.84 | $853.84 | 4.7× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,696.24–$2,147.79 | $1,696.24–$2,147.79 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,794.87 | $1,794.87 | 16.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,026.48–$1,055.60 | $1,026.48–$1,055.60 | varies |
| Foot 2 views (73620) | $754 | $754 | 8.4× |
| Forearm 2 views (73090) | $1,008.80 | $1,008.80 | 11.2× |
| Gastric emptying imaging study (78264) | $3,462.48 | $3,462.48 | 8.4× |
| Gated Heart Planar Single (78472) | $5,137.56 | $5,137.56 | 12.4× |
| Hand 2 views (73120) | $655.20 | $655.20 | 6.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,437.48 | $1,437.48 | 2.6× |
| Hepatobiliary System Imaging (78226) | $1,150.20 | $1,150.20 | 2.8× |
| Ht Muscle Image Spect Sing (78451) | $4,597.56 | $4,597.56 | 3.4× |
| Hysterosalpingogram (74740) | $2,237.04 | $2,237.04 | 9.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,894.88 | $1,894.88 | 21.0× |
| Infusion Ivp (74410) | $2,240.16 | $2,240.16 | 12.3× |
| K Flow/Funct Image W/Drug (78708) | $6,487.56 | $6,487.56 | 11.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,186 | $3,186 | 7.7× |
| Knee 3 Views (73562) | $1,255.28 | $1,255.28 | 13.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,004.40 | $1,004.40 | 1.8× |
| Lymph System Imaging (78195) | $2,014.20 | $2,014.20 | 3.6× |
| Magnetic Image Jaw Joint (70336) | $7,347.69 | $7,347.69 | 29.8× |
| Meckels Divert Exam (78290) | $3,218.40 | $3,218.40 | 7.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $65.40 | $65.40 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $10,575.18 | $10,575.18 | 29.3× |
| MRA head w/o contrast (70544) | $6,162.86 | $6,162.86 | 25.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $10,575.18 | $10,575.18 | 29.3× |
| MRA neck w/o contrast (70547) | $6,162.86 | $6,162.86 | 25.0× |
| MRI abdomen w contrast (74182) | $10,374.62 | $10,374.62 | 28.7× |
| MRI abdomen w/o contrast (74181) | $10,812.80 | $10,812.80 | 43.8× |
| MRI any jt lower extrem w/contrast material (73722) | $10,051.98 | $10,051.98 | 12.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $11,821.05 | $11,821.05 | 32.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,135.14 | $7,135.14 | 8.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $12,275.58 | $12,275.58 | 49.7× |
| MRI cervical spine w contrast (72142) | $7,983.16 | $7,983.16 | 22.1× |
| MRI cervical spine w/o cont (72141) | $7,717.20 | $7,717.20 | 31.3× |
| MRI chest wo w contrast (71552) | $11,753.47 | $11,753.47 | 32.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $10,051.98 | $10,051.98 | 27.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,502.15 | $10,502.15 | 29.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $8,755.97 | $8,755.97 | 35.5× |
| MRI lumbar spine w contrast (72149) | $7,983.16 | $7,983.16 | 22.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $12,324.63 | $12,324.63 | 34.1× |
| MRI orbit face &/neck w/o contrast (70540) | $7,135.14 | $7,135.14 | 28.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $11,821.05 | $11,821.05 | 32.8× |
| MRI pelvis w contrast (72196) | $6,598.86 | $6,598.86 | 18.3× |
| MRI pelvis w/o & w contrast (72197) | $11,849.39 | $11,849.39 | 32.8× |
| MRI pelvis w/o contrast (72195) | $6,598.86 | $6,598.86 | 26.7× |
| MRI thoracic spine w/o contrast (72146) | $7,717.20 | $7,717.20 | 31.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $7,135.14 | $7,135.14 | 19.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,486.59 | $6,486.59 | 26.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,347.69 | $7,347.69 | 20.4× |
| MRI, abdomen, combo (74183) | $11,849.39 | $11,849.39 | 32.8× |
| MRI, dorsal spine combo (72157) | $12,324.63 | $12,324.63 | 34.1× |
| MRI, dorsal spine contrast (72147) | $7,983.16 | $7,983.16 | 22.1× |
| MRI, joint upper extrem (73221) | $7,347.69 | $7,347.69 | 29.8× |
| MRI, joint upper extrem combo (73223) | $11,821.05 | $11,821.05 | 32.8× |
| MRI, lumbar spine combo (72158) | $12,324.63 | $12,324.63 | 34.1× |
| Myocardial Spect Multiple Studies (78452) | $4,597.56 | $4,597.56 | 3.4× |
| Neck soft tissue (70360) | $766.48 | $766.48 | 8.5× |
| Nonvascular Shunt X-Ray (75809) | $1,623.44 | $1,623.44 | 15.0× |
| Ob us nuchal meas 1 gest (76813) | $882.96 | $882.96 | 8.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,913.84 | $2,913.84 | 7.0× |
| Pelvis 1 or 2 views (72170) | $1,026.48 | $1,026.48 | 9.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,213 | $3,213 | 7.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,363.44 | $1,363.44 | 12.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,936.48 | $1,936.48 | 3.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,008.80 | $1,008.80 | 11.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $698.88 | $698.88 | 7.8× |
| Radex elbow complete minimum 3 views (73080) | $853.84 | $853.84 | 9.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,568.32 | $1,568.32 | 14.5× |
| Radex fingr minimum 2 views (73140) | $576.16 | $576.16 | 6.4× |
| Radex foot complete minimum 3 views (73630) | $990.08 | $990.08 | 11.0× |
| Radex Hand Minimum 3 Views (73130) | $754 | $754 | 8.4× |
| Radex lower extremity infant minimum 2 views (73592) | $636.48 | $636.48 | 7.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $867.36 | $867.36 | 9.6× |
| Radex Ribs Unilateral 2 Views (71100) | $941.20 | $941.20 | 10.5× |
| Radex shoulder complete minimum 2 views (73030) | $1,115.92 | $1,115.92 | 12.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $950.56 | $950.56 | 10.6× |
| Radex Spine 1 View Specify Level (72020) | $795.60 | $795.60 | 8.8× |
| Radex Sternum Minimum 2 Views (71120) | $990.08 | $990.08 | 11.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,291.68 | $1,291.68 | 14.3× |
| Radex Toe Minimum 2 Views (73660) | $576.16 | $576.16 | 6.4× |
| Radex upper extremity infant minimum 2 views (73092) | $736.32 | $736.32 | 6.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $687.44 | $687.44 | 7.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,505.92 | $1,505.92 | 13.9× |
| Radiologic exam colon double contrast study (74280) | $1,465.36 | $1,465.36 | 8.1× |
| Radiologic exam colon single contrast study (74270) | $1,130.48 | $1,130.48 | 6.2× |
| Radiologic exam knee complete 4/more views (73564) | $1,465.36 | $1,465.36 | 13.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,055.60 | $1,055.60 | 9.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $853.84 | $853.84 | 4.7× |
| Radiologic exam swallow function contrast study (74230) | $904.80 | $904.80 | 5.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,432.08 | $1,432.08 | 7.9× |
| Radiologic examination femur 1 view (73551) | $602.16 | $602.16 | 6.7× |
| Radiologic examination femur minimum 2 views (73552) | $602.16 | $602.16 | 6.7× |
| Radiologic examination knee 1/2 views (73560) | $821.60 | $821.60 | 9.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,203.28 | $1,203.28 | 11.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,291.68 | $1,291.68 | 14.3× |
| Ribs bilateral 3 views (71110) | $1,021.28 | $1,021.28 | 9.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,125.44 | $2,125.44 | 5.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,490.48 | $2,490.48 | 4.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,987.44 | $4,987.44 | 8.9× |
| Scapula (73010) | $676 | $676 | 6.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $59.28 | $59.28 | 2.5× |
| Shoulder 1 view (73020) | $461.76 | $461.76 | 5.1× |
| Shoulder Arthrography (73040) | $1,771.12 | $1,771.12 | 4.9× |
| Skull less than 4 views (70250) | $1,093.04 | $1,093.04 | 10.1× |
| Sternoclavicular joints (71130) | $821.60 | $821.60 | 9.1× |
| Thoracic spine 2 views (72070) | $821.60 | $821.60 | 7.6× |
| Thoracic spine 3 views (72072) | $754 | $754 | 7.0× |
| Thoracolumbar 2 views (72080) | $550.16 | $550.16 | 6.1× |
| Thyroid Uptake Measurement (78012) | $3,463.56 | $3,463.56 | 8.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,351.32 | $4,351.32 | 10.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$993.20–$1,700 | $993.20–$1,700 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,452.88 | $1,452.88 | 13.4× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$954.20–$4,011.28 | $954.20–$4,011.28 | varies |
| Umbilical-artery Doppler (OB) (76820) | $2,664.94 | $2,664.94 | 24.6× |
| Upper gi w/o kub (74240) | $2,134.08 | $2,134.08 | 11.8× |
| Urethrocystogram voiding (74455) | $1,465.36 | $1,465.36 | 5.9× |
| Urethrocystography retrograde (74450) | $2,062.32 | $2,062.32 | 8.4× |
| Us breast unilateral complete (76641) | $993.20 | $993.20 | 9.2× |
| Us chest (76604) | $1,832.48 | $1,832.48 | 16.9× |
| Us complete joint (76881) | $1,552.72 | $1,552.72 | 14.4× |
| Us exam, pelvic, limited (76857) | $1,226.16 | $1,226.16 | 11.3× |
| Us head (76506) | $2,262 | $2,262 | 20.9× |
| Us kidney transplant (76776) | $1,176.24 | $1,176.24 | 10.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,552.72 | $1,552.72 | 14.4× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$2,695.24–$3,216.72 | $2,695.24–$3,216.72 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$353.60–$2,854.59 | $353.60–$2,854.59 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$706.16–$2,051.98 | $706.16–$2,051.98 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,305.20–$2,320.24 | $1,305.20–$2,320.24 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,823.22–$2,273.44 | $1,823.22–$2,273.44 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$353.60–$1,915.12 | $353.60–$1,915.12 | varies |
| Us retroperitoneal complete (76770) | $2,080 | $2,080 | 19.2× |
| Us retroperitoneal limited (76775) | $1,316.64 | $1,316.64 | 12.2× |
| Us scrotum and contents (76870) | $1,985.36 | $1,985.36 | 18.4× |
| Us spinal canal and contents (76800) | $2,010.32 | $2,010.32 | 18.6× |
| Us thyroid (76536) | $1,525.68 | $1,525.68 | 14.1× |
| Us transrectal (76872) | $2,600 | $2,600 | 24.0× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$7,431.84–$8,606 | $7,431.84–$8,606 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$7,598.24–$8,530.08 | $7,598.24–$8,530.08 | varies |
| Venography extremity unilateral rs&i (75820) | $3,625.44 | $3,625.44 | 2.2× |
| Wrist 2 views (73100) | $576.16 | $576.16 | 6.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $921.44 | $921.44 | 10.2× |
| X-Ray Aorta Leg Arteries (75630) | $11,121.76 | $11,121.76 | 3.4× |
| X-Ray Bend Only L-S Spine (72120) | $550.16 | $550.16 | 5.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $655.20 | $655.20 | 7.3× |
| X-Ray Exam Breast Specimen (76098) | $1,428.96 | $1,428.96 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,614.08 | $1,614.08 | 17.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,614.08 | $1,614.08 | 14.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $602.16 | $602.16 | 6.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $602.16 | $602.16 | 6.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $602.16 | $602.16 | 5.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $602.16 | $602.16 | 5.6× |
| X-Ray Exam L-S Spine Bending (72114) | $1,363.44 | $1,363.44 | 12.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $958.88 | $958.88 | 10.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,026.48 | $1,026.48 | 9.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,161.68 | $1,161.68 | 10.7× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$1,374.88–$2,088 | $1,374.88–$2,088 | varies |
| X-ray humerus (73060) | $511.68 | $511.68 | 5.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,130.48 | $1,130.48 | 12.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,212.64 | $1,212.64 | 13.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $915.20 | $915.20 | 8.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,363.44 | $1,363.44 | 12.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $821.60 | $821.60 | 7.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $655.20 | $655.20 | 6.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $687.44 | $687.44 | 7.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,556.88 | $1,556.88 | 17.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,574.56 | $1,574.56 | 14.6× |
| X-ray thoracic spine 4 vw (72074) | $2,205.84 | $2,205.84 | 20.4× |
| X-Ray Tmj Unilat (70328) | $445.12 | $445.12 | 4.9× |
| X-Rays Bone Survey Complete (77075) | $1,568.32 | $1,568.32 | 14.5× |
| Xr c-spine 4 or 5 views (72050) | $950.56 | $950.56 | 8.8× |
| Xr facial bones less than 3 views (70140) | $698.88 | $698.88 | 7.8× |
| Xr orbits complete 4 views (70200) | $1,317.68 | $1,317.68 | 12.2× |
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.