Imaging prices at St. Anthonys Memorial Hospital
Effingham, IL · every code in this section with a posted price and a Medicare benchmark.
285 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) | $483.12 | $671 | 5.2× |
| Abdomen 2 views (74019) | $509.76 | $708 | 4.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $840.24 | $1,167 | 2.0× |
| Angiography extremity bilateral rs&i (75716) | $5,186.88 | $7,204 | 1.5× |
| Angiography extremity unilateral rs&i (75710) | $4,641.12 | $6,446 | 1.4× |
| Ankle 2 views (73600) | $370.80 | $515 | 4.0× |
| Aortography thoracic serialography rs&i (75605) | $6,324.48 | $8,784 | 1.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,477.68 | $6,219 | 1.3× |
| Artery X-Rays Abdomen (75726) | $6,324.48 | $8,784 | 1.1× |
| Artery X-Rays Pelvis (75736) | $6,324.48 | $8,784 | 1.1× |
| Arthrogram ankle (73615) | $516.24 | $717 | 1.4× |
| Arthrogram hip (73525) | $820.08 | $1,139 | 2.2× |
| Arthrogram Wrist (73115) | $593.28 | $824 | 1.6× |
| Bone age studies (77072) | $609.84 | $847 | 5.4× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,609.92–$1,672.56 | $2,236–$2,323 | varies |
| Bone Imaging Limited Area (78300) | $1,031.04 | $1,432 | 2.4× |
| Bone Imaging Multiple Areas (78305) | $1,225.44 | $1,702 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,589.76 | $2,208 | 3.7× |
| Bone survey infant (77076) | $802.08 | $1,114 | 7.2× |
| Cat Scan Follow-Up Study (76380) | $1,233.36 | $1,713 | 13.2× |
| Chest 1 view (71045) | $345.60 | $480 | 3.7× |
| Chest 2 views (71046) | $439.20 | $610 | 4.7× |
| Chest 3 views (71047) | $450.72 | $626 | 4.8× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$462.24–$539.28 | $642–$749 | varies |
| Clavicle complete (73000) | $379.44 | $527 | 4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $248.40 | $345 | 2.2× |
| Contrast Exam Abdominl Aorta (75625) | $4,811.04 | $6,682 | 1.4× |
| Contrast X-Ray Bladder (74430) | $719.28 | $999 | 1.9× |
| Contrast X-Ray Of Elbow (73085) | $454.32 | $631 | 1.2× |
| Contrast X-Ray Of Knee Joint (73580) | $784.08 | $1,089 | 2.1× |
| CT abdomen and pelvis without and with contrast (74178) | $7,193.52 | $9,991 | 19.2× |
| CT abdomen and pelvis without contrast (74176) | $3,636 | $5,050 | 14.2× |
| CT abdomen w contrast (74160) | $3,072.96 | $4,268 | 16.3× |
| CT abdomen w wo contrast (74170) | $4,007.52 | $5,566 | 21.3× |
| CT abdomen w/o contrast (74150) | $2,575.44 | $3,577 | 23.0× |
| CT Angio Abdomen and Pelvis (74174) | $5,999.76 | $8,333 | 16.0× |
| CT Angio Chest (71275) | $4,502.88 | $6,254 | 24.0× |
| CT Angio Head (70496) | $4,331.52 | $6,016 | 23.0× |
| CT angio hrt w/3d image (75574) | $2,366.64 | $3,287 | 6.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $5,018.40 | $6,970 | 26.7× |
| CT Angio Neck (70498) | $2,334.96 | $3,243 | 12.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,170.24 | $5,792 | 22.2× |
| CT cervical spine w/ contrast (72126) | $3,512.16 | $4,878 | 9.4× |
| CT cervical spine w/o contrast (72125) | $3,082.32 | $4,281 | 27.5× |
| CT cervical spine w/wo cont (72127) | $4,223.52 | $5,866 | 22.5× |
| CT chest w contrast (71260) | $2,668.32 | $3,706 | 14.2× |
| CT chest w/wo contrast (71270) | $3,512.88 | $4,879 | 18.7× |
| CT head/brain with contrast (70460) | $2,587.68 | $3,594 | 13.8× |
| CT head/brain without and with contrast (70470) | $2,869.20 | $3,985 | 15.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,807.20 | $2,510 | 4.8× |
| CT iac w contrast (70481) | $2,895.84 | $4,022 | 15.4× |
| CT l-spine w&w/o contrast (72133) | $4,466.88 | $6,204 | 23.8× |
| CT lower ext w/o (73700) | $2,273.04 | $3,157 | 20.3× |
| CT lower extremity w/contrast material (73701) | $2,500.56 | $3,473 | 13.3× |
| CT lumbar spine w contrast (72132) | $3,897.36 | $5,413 | 10.4× |
| CT lumbar spine w/o contrast (72131) | $2,952 | $4,100 | 26.4× |
| CT maxillofacial w contrast (70487) | $3,072.24 | $4,267 | 16.3× |
| CT maxillofacial wo contrast (70486) | $2,559.60 | $3,555 | 22.8× |
| CT neck tissue combo (70492) | $3,743.28 | $5,199 | 19.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,295.44 | $4,577 | 17.5× |
| CT orbits w/o contrast (70480) | $2,493.36 | $3,463 | 22.3× |
| CT pelvis w&w/o contrast (72194) | $3,146.40 | $4,370 | 16.7× |
| CT pelvis w/o contrast (72192) | $2,362.32 | $3,281 | 21.1× |
| CT scan of leg combo (73702) | $2,658.24 | $3,692 | 14.1× |
| CT scans face/jaw combo (70488) | $3,584.88 | $4,979 | 19.1× |
| CT soft tissue neck w contrast (70491) | $2,841.84 | $3,947 | 15.1× |
| CT soft tissue neck w/o contrast (70490) | $2,060.64 | $2,862 | 18.4× |
| CT thoracic spine w contrast (72129) | $3,547.44 | $4,927 | 18.9× |
| CT thoracic spine w/o contrast (72128) | $2,957.04 | $4,107 | 26.4× |
| CT thoracic spine w/wo cont (72130) | $3,793.68 | $5,269 | 20.2× |
| CT thorax w/o contrast (71250) | $2,284.56 | $3,173 | 20.4× |
| CT upper ext wo (73200) | $2,062.08 | $2,864 | 18.4× |
| CT upper extremity w/o & w/contrast material (73202) | $2,903.76 | $4,033 | 15.4× |
| CT upper extremity with contrast (73201) | $2,380.32 | $3,306 | 6.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,887.36 | $6,788 | 26.0× |
| Cta Abdomen (74175) | $3,059.28 | $4,249 | 16.3× |
| CTA pelvis (72191) | $4,276.80 | $5,940 | 22.8× |
| Dilation ureters/urethra rs&i (74485) | $3,150 | $4,375 | 1.4× |
| Diskography lumbar (72295) | $2,998.08 | $4,164 | 1.4× |
| Dxa Bone Density Axial (77080) | $729.36 | $1,013 | 6.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $528.48 | $734 | 5.7× |
| Echo Guide For Artery Repair (76936) | $769.68 | $1,069 | 3.3× |
| Esophagram (74220) | $793.44 | $1,102 | 4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $540.72 | $751 | 4.8× |
| Fluoroscopy up to 1 hr (76000) | $792.72 | $1,101 | 3.1× |
| Foot 2 views (73620) | $362.16 | $503 | 3.9× |
| Forearm 2 views (73090) | $396 | $550 | 4.2× |
| Gastric emptying imaging study (78264) | $1,908.72 | $2,651 | 4.5× |
| Gated Heart Planar Single (78472) | $2,270.88 | $3,154 | 5.3× |
| Hand 2 views (73120) | $288.72 | $401 | 2.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,379.76 | $6,083 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,825.20 | $2,535 | 3.1× |
| Hepatobiliary System Imaging (78226) | $1,731.60 | $2,405 | 4.0× |
| Ht Muscle Image Spect Sing (78451) | $2,980.80 | $4,140 | 2.1× |
| Hysterosalpingogram (74740) | $1,221.84 | $1,697 | 4.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $754.56 | $1,048 | 8.1× |
| Infant hip ultrasound, limited static exam (76886) | $358.56 | $498 | 3.8× |
| Joint Survey Single View (77077) | $285.84 | $397 | 2.6× |
| K Flow/Funct Image Multiple (78709) | $1,380.24 | $1,917 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $1,452.24 | $2,017 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,103.04 | $1,532 | 1.9× |
| Kidney Imaging Morphol (78700) | $973.44 | $1,352 | 2.3× |
| Knee 3 Views (73562) | $501.12 | $696 | 5.4× |
| Liver & Spleen Imaging Static Only (78215) | $901.44 | $1,252 | 2.1× |
| Lung perfusion differential (78597) | $1,493.28 | $2,074 | 3.5× |
| Lymph System Imaging (78195) | $1,761.12 | $2,446 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $2,564.64 | $3,562 | 10.0× |
| Meckels Divert Exam (78290) | $1,013.04 | $1,407 | 2.4× |
| Mr safety determination physician/other qhp (76016) | $203.76 | $283 | 2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $61.92 | $86 | 2.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $229.68 | $319 | 2.3× |
| Mr safety implt pos&/immoblj (76019) | $142.56 | $198 | 2.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,417.68 | $1,969 | 5.5× |
| Mra Head W/O & W/Contrast Material (70546) | $4,145.04 | $5,757 | 11.1× |
| MRA head w/o contrast (70544) | $2,962.08 | $4,114 | 11.6× |
| MRA head with contrast (70545) | $3,090.24 | $4,292 | 8.3× |
| MRA neck w contrast (70548) | $2,688.48 | $3,734 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,631.68 | $5,044 | 9.7× |
| MRA neck w/o contrast (70547) | $2,239.20 | $3,110 | 8.8× |
| MRI abdomen w/o contrast (74181) | $2,876.40 | $3,995 | 11.2× |
| MRI any jt lower extrem w/contrast material (73722) | $4,198.32 | $5,831 | 5.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,343.12 | $7,421 | 14.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,198.32 | $5,831 | 5.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,237.76 | $3,108 | 8.8× |
| MRI cervical spine w contrast (72142) | $5,157.36 | $7,163 | 13.8× |
| MRI cervical spine w/o cont (72141) | $4,232.88 | $5,879 | 16.6× |
| MRI chest w/o contrast (71550) | $2,983.68 | $4,144 | 11.7× |
| MRI chest with contrast (71551) | $3,478.32 | $4,831 | 4.1× |
| MRI chest wo w contrast (71552) | $3,597.12 | $4,996 | 9.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,198.32 | $5,831 | 11.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,811.04 | $6,682 | 12.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,816.72 | $5,301 | 14.9× |
| MRI lumbar spine w contrast (72149) | $4,050 | $5,625 | 10.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,406.48 | $7,509 | 14.5× |
| MRI orbit face &/neck w/o contrast (70540) | $2,704.32 | $3,756 | 10.6× |
| MRI orbit face neck w contrast (70542) | $2,826.72 | $3,926 | 7.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,892.32 | $5,406 | 10.4× |
| MRI pelvis w contrast (72196) | $4,591.44 | $6,377 | 12.3× |
| MRI pelvis w/o & w contrast (72197) | $4,996.08 | $6,939 | 13.4× |
| MRI pelvis w/o contrast (72195) | $3,936.24 | $5,467 | 15.4× |
| MRI thoracic spine w/o contrast (72146) | $3,273.84 | $4,547 | 12.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,198.32 | $5,831 | 11.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,816.72 | $5,301 | 14.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,343.12 | $7,421 | 14.3× |
| MRI, abdomen, combo (74183) | $4,335.84 | $6,022 | 11.6× |
| MRI, dorsal spine combo (72157) | $5,127.84 | $7,122 | 13.7× |
| MRI, dorsal spine contrast (72147) | $3,857.04 | $5,357 | 10.3× |
| MRI, joint upper extrem (73221) | $3,339.36 | $4,638 | 13.1× |
| MRI, joint upper extrem combo (73223) | $4,810.32 | $6,681 | 12.9× |
| MRI, lumbar spine combo (72158) | $5,198.40 | $7,220 | 13.9× |
| Myelogram cervical (72240) | $1,708.56 | $2,373 | 2.0× |
| Myelogram Lumbar (72265) | $1,708.56 | $2,373 | 2.0× |
| Myocardial Spect Multiple Studies (78452) | $5,960.16 | $8,278 | 4.3× |
| N-invas est c ffr sw aly CTA (75580) | $3,707.28 | $5,149 | 4.0× |
| Neck soft tissue (70360) | $448.56 | $623 | 4.8× |
| Nm csf leak detection (78650) | $3,209.04 | $4,457 | 2.3× |
| Nuclear Rx Oral Admin (79005) | $1,061.28 | $1,474 | 4.2× |
| Panoramic X-ray of jaws (70355) | $316.08 | $439 | 3.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,221.92 | $3,086 | 5.2× |
| Pelvis 1 or 2 views (72170) | $406.80 | $565 | 3.6× |
| PET image w/CT, full body (78816) | $6,088.32 | $8,456 | 4.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,942.88 | $8,254 | 3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $886.32 | $1,231 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,027.44 | $1,427 | 9.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,151.28 | $1,599 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $454.32 | $631 | 4.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $370.80 | $515 | 4.0× |
| Radex elbow complete minimum 3 views (73080) | $501.12 | $696 | 5.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $781.20 | $1,085 | 7.0× |
| Radex fingr minimum 2 views (73140) | $347.04 | $482 | 3.7× |
| Radex foot complete minimum 3 views (73630) | $501.12 | $696 | 5.4× |
| Radex Hand Minimum 3 Views (73130) | $517.68 | $719 | 5.6× |
| Radex lower extremity infant minimum 2 views (73592) | $278.64 | $387 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $564.48 | $784 | 6.1× |
| Radex Ribs Unilateral 2 Views (71100) | $527.04 | $732 | 5.7× |
| Radex shoulder complete minimum 2 views (73030) | $590.40 | $820 | 6.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $227.52 | $316 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $521.28 | $724 | 5.6× |
| Radex Sternum Minimum 2 Views (71120) | $560.16 | $778 | 6.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $579.60 | $805 | 6.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$359.28–$499 | $499 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $251.28 | $349 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $517.68 | $719 | 5.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $738.72 | $1,026 | 6.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $821.52 | $1,141 | 7.3× |
| Radiologic exam colon double contrast study (74280) | $1,324.08 | $1,839 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $1,206 | $1,675 | 6.4× |
| Radiologic exam knee complete 4/more views (73564) | $591.84 | $822 | 5.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $496.80 | $690 | 4.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $813.60 | $1,130 | 4.3× |
| Radiologic exam swallow function contrast study (74230) | $1,074.96 | $1,493 | 5.7× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$565.92–$2,006.64 | $786–$2,787 | varies |
| Radiologic examination femur 1 view (73551) | $250.56 | $348 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) | $365.76 | $508 | 3.9× |
| Radiologic examination knee 1/2 views (73560) | $306.72 | $426 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $419.04 | $582 | 4.5× |
| Ribs bilateral 3 views (71110) | $875.52 | $1,216 | 7.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $988.56 | $1,373 | 2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,211.76 | $1,683 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,577.60 | $3,580 | 4.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,250.72 | $3,126 | 3.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,904.48 | $4,034 | 5.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,208.32 | $4,456 | 2.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,208.32 | $4,456 | 2.3× |
| Scapula (73010) | $491.76 | $683 | 4.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $140.40 | $195 | 6.0× |
| Shoulder 1 view (73020) | $272.88 | $379 | 2.9× |
| Shoulder Arthrography (73040) | $820.08 | $1,139 | 2.2× |
| Skull less than 4 views (70250) | $372.24 | $517 | 3.3× |
| Sternoclavicular joints (71130) | $347.04 | $482 | 3.7× |
| Thoracic spine 2 views (72070) | $363.60 | $505 | 3.2× |
| Thoracic spine 3 views (72072) | $768.96 | $1,068 | 6.9× |
| Thoracolumbar 2 views (72080) | $396.72 | $551 | 4.3× |
| Thyroid Met Imaging Body (78018) | $1,509.84 | $2,097 | 2.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,555.20 | $2,160 | 3.6× |
| Ultrasound Breast Limited (76642) | $604.80 | $840 | 6.5× |
| Ultrasound elastography first target lesion (76982) | $305.28 | $424 | 2.7× |
| Ultrasound Elastography Parenchyma (76981) | $295.92 | $411 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $679.68 | $944 | 6.1× |
| Ultrasound, abdomen limited (76705) | $1,239.12 | $1,721 | 11.1× |
| Umbilical-artery Doppler (OB) (76820) | $313.92 | $436 | 2.8× |
| Upper gi w/o kub (74240) | $1,399.68 | $1,944 | 7.4× |
| Urethrocystogram voiding (74455) | $1,329.12 | $1,846 | 5.2× |
| Urethrocystography retrograde (74450) | $774 | $1,075 | 3.0× |
| Us breast unilateral complete (76641) | $760.32 | $1,056 | 6.8× |
| Us chest (76604) | $868.32 | $1,206 | 7.8× |
| Us complete joint (76881) | $815.76 | $1,133 | 7.3× |
| Us exam, pelvic, limited (76857) | $807.12 | $1,121 | 7.2× |
| Us head (76506) | $570.24 | $792 | 5.1× |
| Us kidney transplant (76776) | $303.12 | $421 | 2.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $709.20 | $985 | 6.3× |
| Us ob detailed single fetus (76811) | $581.04 | $807 | 2.3× |
| Us ob limited 1 or more fetuses (76815) | $377.28 | $524 | 3.4× |
| Us ob transvaginal (76817) | $889.20 | $1,235 | 7.9× |
| Us pelvic non ob complete (76856) | $1,526.40 | $2,120 | 13.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $793.44 | $1,102 | 7.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$288.72–$319.68 | $401–$444 | varies |
| Us retroperitoneal complete (76770) | $922.32 | $1,281 | 8.2× |
| Us retroperitoneal limited (76775) | $898.56 | $1,248 | 8.0× |
| Us scrotum and contents (76870) | $1,092.96 | $1,518 | 9.8× |
| Us spinal canal and contents (76800) | $499.68 | $694 | 4.5× |
| Us thyroid (76536) | $1,052.64 | $1,462 | 9.4× |
| Us transrectal (76872) | $690.48 | $959 | 6.2× |
| Vein X-Ray Chest (75827) | $2,314.80 | $3,215 | 1.4× |
| Venography caval inferior serialography rs&i (75825) | $3,682.80 | $5,115 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $2,192.40 | $3,045 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $1,817.28 | $2,524 | 1.1× |
| Venous sampling by catheter (75893) | $6,324.48 | $8,784 | 1.1× |
| Wrist 2 views (73100) | $348.48 | $484 | 3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $572.40 | $795 | 6.1× |
| X-ray antegrade pyelogram tube (74425) | $877.68 | $1,219 | 2.3× |
| X-Ray Aorta Leg Arteries (75630) | $5,402.16 | $7,503 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $594.72 | $826 | 5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $398.88 | $554 | 4.3× |
| X-Ray Exam Breast Specimen (76098) | $705.60 | $980 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $250.56 | $348 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $412.56 | $573 | 3.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $731.52 | $1,016 | 6.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $250.56 | $348 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $288 | $400 | 3.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $332.64 | $462 | 3.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $465.12 | $646 | 4.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $478.08 | $664 | 4.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $534.96 | $743 | 4.8× |
| X-Ray Exam L-S Spine Bending (72114) | $1,058.40 | $1,470 | 9.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $626.40 | $870 | 6.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,123.92 | $1,561 | 10.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $629.28 | $874 | 5.6× |
| X-ray eye for foreign body (70030) | $545.76 | $758 | 5.9× |
| X-ray humerus (73060) | $517.68 | $719 | 5.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $441.36 | $613 | 4.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $313.92 | $436 | 3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $635.76 | $883 | 5.7× |
| X-ray nose-rectum child f.b. (76010) | $354.96 | $493 | 3.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $909.36 | $1,263 | 8.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $562.32 | $781 | 5.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $538.56 | $748 | 5.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $655.20 | $910 | 7.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $771.84 | $1,072 | 6.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,103.76 | $1,533 | 3.0× |
| X-Rays Bone Length Studies (77073) | $624.96 | $868 | 5.6× |
| X-Rays Bone Survey Complete (77075) | $946.08 | $1,314 | 8.4× |
| Xr c-spine 4 or 5 views (72050) | $732.96 | $1,018 | 6.5× |
| Xr facial bones less than 3 views (70140) | $267.84 | $372 | 2.9× |
| Xr orbits complete 4 views (70200) | $607.68 | $844 | 5.4× |
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.