Imaging prices at St. Francis Medical Center

Monroe, LA · every code in this section with a posted price and a Medicare benchmark.

332 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $1,609 $3,218 1.3×
Abdomen 1 View (74018) $253.50 $507 3.2×
Abdomen 2 views (74019) $318 $636 3.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $760 $1,520 2.1×
Angio pulmonary bilat (75743) $4,966 $9,932 1.7×
Angiography extremity bilateral rs&i (75716) $5,162.50 $10,325 1.8×
Angiography extremity unilateral rs&i (75710) $4,430.50 $8,861 1.5×
Angiography pulmonary unilateral slctv rs&i (75741) $4,028 $8,056 1.4×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $1,007.50 $2,015 0.4×
Ankle 2 views (73600) $157 $314 2.0×
Aortography thoracic serialography rs&i (75605) $3,503 $7,006 0.7×
Artery X-Rays Abdomen (75726) $3,503 $7,006 0.7×
Artery X-Rays Pelvis (75736) $3,586 $7,172 0.7×
Artery X-Rays Spine (75705)
unusually low: confirm this is the full procedure		 $2,008.50 $4,017 0.4×
Arthrogram ankle (73615) $251 $502 0.8×
Arthrogram hip (73525) $448 $896 1.4×
Arthrogram Wrist (73115) $528.50 $1,057 1.7×
Basic radiation dosimetry calculation (77300) $220 $440 1.8×
Bone age studies (77072) $237.50 $475 2.5×
Bone Imaging 3 Phase (78315) $941 $1,882 2.6×
Bone Imaging Limited Area (78300) $623.50 $1,247 1.7×
Bone Imaging Whole Body (78306) $886.50 $1,773 2.4×
Bone survey infant (77076) $387 $774 4.1×
Brachytx isodose complex (77318) $523.50 $1,047 1.5×
Brachytx isodose intermed (77317) $276.50 $553 0.8×
Brachytx Isodose Plan Simple (77316) $242 $484 0.7×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,717.50 $3,435 3.5×
Brain Imaging Pet Metabolic Evaluation (78608) $2,125 $4,250 1.6×
Cardiac MRI w/w/o contrast & further seq (75561) $910 $1,820 2.9×
Cat Scan Follow-Up Study (76380) $604 $1,208 7.7×
Cerebrospinal Fluid Scan (78630) $1,651.50 $3,303 3.4×
Chest 1 view (71045) $232 $464 2.9×
Chest 2 views (71046) $274.50 $549 3.5×
Chest 3 views (71047) $275 $550 3.5×
Chest 4 or more views (71048) $335 $670 3.5×
Clavicle complete (73000) $214 $428 2.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $242 $484 2.6×
Continuing medical physics consltj pr wk (77336) $204 $408 1.7×
Contrast Exam Abdominl Aorta (75625) $3,503 $7,006 1.2×
Contrast X-Ray Bladder (74430) $609.50 $1,219 1.9×
Contrast X-Ray Of Knee Joint (73580) $622.50 $1,245 2.0×
CT abdomen and pelvis without and with contrast (74178) $2,660.50 $5,321 8.4×
CT abdomen and pelvis without contrast (74176) $1,893.50 $3,787 8.8×
CT abdomen w contrast (74160) $1,888.50 $3,777 11.9×
CT abdomen w wo contrast (74170) $1,971 $3,942 12.4×
CT abdomen w/o contrast (74150) $1,606 $3,212 17.0×
CT Angio Abdomen and Pelvis (74174) $1,391.50 $2,783 4.4×
CT Angio Chest (71275) $972 $1,944 6.1×
CT Angio Head (70496) $749.50 $1,499 4.7×
CT angio hrt w/3d image (75574) $900 $1,800 2.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,055 $2,110 6.6×
CT Angio Neck (70498) $749.50 $1,499 4.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,055 $2,110 6.6×
CT cervical spine w/ contrast (72126) $2,181 $4,362 6.9×
CT cervical spine w/o contrast (72125) $1,925.50 $3,851 20.3×
CT cervical spine w/wo cont (72127) $2,324 $4,648 14.6×
CT chest w contrast (71260) $1,900.50 $3,801 12.0×
CT chest w/wo contrast (71270) $2,187.50 $4,375 13.8×
CT head/brain with contrast (70460) $1,027.50 $2,055 6.5×
CT head/brain without and with contrast (70470) $1,417 $2,834 8.9×
CT heart contrast eval cardiac structure&morph (75572) $1,158 $2,316 3.7×
CT heart no contrast quant eval coronry calcium (75571) $125 $250 1.6×
CT iac w contrast (70481) $1,271 $2,542 8.0×
CT lower ext w/o (73700) $1,399 $2,798 14.8×
CT lower extremity w/contrast material (73701) $1,667 $3,334 10.5×
CT lumbar spine w contrast (72132) $2,513.50 $5,027 8.0×
CT lumbar spine w/o contrast (72131) $1,852.50 $3,705 19.6×
CT maxillofacial w contrast (70487) $2,259.50 $4,519 14.2×
CT maxillofacial wo contrast (70486) $1,893.50 $3,787 20.0×
CT neck tissue combo (70492) $1,525 $3,050 9.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,448 $2,896 9.1×
CT orbits w/o contrast (70480) $1,059 $2,118 11.2×
CT pelvis w&w/o contrast (72194) $1,861.50 $3,723 11.7×
CT pelvis w/o contrast (72192) $1,564 $3,128 16.5×
CT scan of leg combo (73702) $1,886.50 $3,773 11.9×
CT scans face/jaw combo (70488) $2,578 $5,156 16.2×
CT soft tissue neck w contrast (70491) $1,161 $2,322 7.3×
CT soft tissue neck w/o contrast (70490) $925.50 $1,851 9.8×
CT thoracic spine w contrast (72129) $1,879 $3,758 11.8×
CT thoracic spine w/o contrast (72128) $1,644 $3,288 17.4×
CT thoracic spine w/wo cont (72130) $2,217.50 $4,435 14.0×
CT thorax w/o contrast (71250) $1,484.50 $2,969 15.7×
CT upper ext wo (73200) $762.50 $1,525 8.1×
CT upper extremity with contrast (73201) $1,079.50 $2,159 3.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $972 $1,944 6.1×
Cta Abdomen (74175) $907 $1,814 5.7×
CTA pelvis (72191) $2,525.50 $5,051 15.9×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $391 $782 4.1×
Doppler Echo Fetal Spectral Display Complete (76827)
range across 2 matching MRF lines		 $174.50–$448.50 $349–$897 varies
Doppler Fetal Mid Cerebral Artery (76821)
range across 2 matching MRF lines		 $63.50–$187 $127–$374 varies
Dxa Bone Density Axial (77080) $403 $806 4.3×
Dxa bone density study 1/>sites appendiclr skel (77081) $359 $718 4.6×
Echo exam of fetal heart (76825)
range across 2 matching MRF lines		 $174.50–$532 $349–$1,064 varies
Echo Guide For Artery Repair (76936) $441 $882 2.3×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $448.50 $897 2.1×
Esophagram (74220) $327 $654 2.1×
Fetal Biophys Profile W/Nst (76818) $211.50 $423 2.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines		 $78–$211.50 $156–$423 varies
Fluoroscopy up to 1 hr (76000) $202 $404 0.9×
Follow-Up Angiography (75898) $547 $1,094 0.2×
Foot 2 views (73620) $186.50 $373 2.4×
Forearm 2 views (73090) $206 $412 2.6×
Gastric emptying imaging study (78264) $917 $1,834 2.5×
Gastroesophageal Reflux Exam (78262) $1,151 $2,302 3.2×
Gated Heart Planar Single (78472) $976 $1,952 2.7×
Hand 2 views (73120) $157 $314 1.7×
Hepatobil Syst Image W/Drug (78227) $627 $1,254 1.3×
Hepatobiliary System Imaging (78226) $627 $1,254 1.7×
Ht Muscle Image Spect Sing (78451) $2,786.50 $5,573 2.4×
Hysterosalpingogram (74740) $700 $1,400 3.2×
Infant hip ultrasound with hip movement (dynamic) (76885) $505 $1,010 6.4×
Infusion Ivp (74410) $311.50 $623 2.0×
Joint Survey Single View (77077) $100 $200 1.1×
K Flow/Funct Image Multiple (78709) $557.50 $1,115 1.1×
K Flow/Funct Image W/Drug (78708) $488.50 $977 1.0×
K Flow/Funct Image W/O Drug (78707) $454 $908 0.9×
Kidney Imaging Morphol (78700) $359.50 $719 1.0×
Knee 3 Views (73562) $239.50 $479 3.0×
Leveen/Shunt Patency Exam (78291) $356 $712 1.0×
Liver & Spleen Imaging Static Only (78215) $828 $1,656 2.3×
Liver & Spleen Imaging W/Vascular Flow (78216) $860 $1,720 2.4×
Liver imaging w/vascular flow (78202) $738 $1,476 1.5×
Lung Perf&Ventilat Diferentl (78598) $1,917.50 $3,835 3.9×
Lung perfusion differential (78597) $400.50 $801 1.1×
Lung Ventilat&Perfus Imaging (78582) $1,408 $2,816 2.9×
Lymph System Imaging (78195) $1,151.50 $2,303 2.3×
Magnetic Image Jaw Joint (70336) $1,278 $2,556 5.9×
Magnetic Resonance Elastography (76391) $862.50 $1,725 4.0×
Meckels Divert Exam (78290) $760 $1,520 2.1×
Mlc imrt design & construction per imrt plan (77338) $229.50 $459 0.7×
Mra Head W/O & W/Contrast Material (70546) $3,091 $6,182 9.8×
MRA head w/o contrast (70544) $2,269 $4,538 10.5×
MRA head with contrast (70545) $2,427.50 $4,855 7.7×
MRA neck w contrast (70548) $1,848 $3,696 5.8×
Mra Neck W/O &W/Contrast Material (70549) $2,094.50 $4,189 6.6×
MRA neck w/o contrast (70547) $1,601.50 $3,203 7.4×
MRI abdomen w contrast (74182) $1,971 $3,942 6.2×
MRI abdomen w/o contrast (74181) $1,848 $3,696 8.6×
MRI any jt lower extrem w/contrast material (73722) $2,053.50 $4,107 2.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,489 $4,978 7.9×
MRI any jt upper extremity w/contrast matrl (73222) $2,153 $4,306 3.0×
MRI Breast W/O Contrast Bilateral (77047)
range across 2 matching MRF lines		 $937.50–$2,061.50 $1,875–$4,123 varies
MRI Breast Without Contrast Material Unilateral (77046) $862.50 $1,725 4.0×
MRI cardiac w/o contrast (75557) $597 $1,194 2.8×
MRI cervical spine w contrast (72142) $2,020.50 $4,041 6.4×
MRI cervical spine w/o cont (72141) $1,786.50 $3,573 8.3×
MRI chest w/o contrast (71550) $1,440.50 $2,881 6.7×
MRI chest with contrast (71551) $1,573 $3,146 2.2×
MRI chest wo w contrast (71552) $2,188 $4,376 6.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,043.50 $4,087 6.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,518.50 $5,037 8.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,848 $3,696 8.6×
MRI lumbar spine w contrast (72149) $1,909.50 $3,819 6.0×
Mri Neck Spine W/O & W/Dye (72156) $2,555.50 $5,111 8.1×
MRI orbit face &/neck w/o contrast (70540) $1,565 $3,130 7.2×
MRI orbit face neck w contrast (70542) $1,912 $3,824 6.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,791.50 $5,583 8.8×
MRI pelvis w/o & w contrast (72197) $1,935 $3,870 6.1×
MRI pelvis w/o contrast (72195) $1,786.50 $3,573 8.3×
MRI thoracic spine w/o contrast (72146) $1,786.50 $3,573 8.3×
MRI upper extremity oth than jt w/contr matrl (73219) $2,591 $5,182 8.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,285 $4,570 10.6×
Mri Uppr Extremity W/O&W/Dye (73220) $3,079 $6,158 9.7×
MRI, abdomen, combo (74183) $2,464 $4,928 7.8×
MRI, dorsal spine combo (72157) $2,543 $5,086 8.1×
MRI, dorsal spine contrast (72147) $1,972 $3,944 6.2×
MRI, joint upper extrem (73221) $1,848 $3,696 8.6×
MRI, joint upper extrem combo (73223) $2,468 $4,936 7.8×
MRI, lumbar spine combo (72158) $2,156 $4,312 6.8×
Myelogram cervical (72240) $834 $1,668 1.2×
Myelogram Lumbar (72265) $834 $1,668 1.2×
Myelography thoracic (72255) $772 $1,544 1.1×
Myelograpy 2/more regions rs&i (72270) $1,314.50 $2,629 1.9×
Myocardial Imaging Pet Metabolic Evaluation (78459) $2,043 $4,086 1.7×
Myocardial Spect Multiple Studies (78452) $3,962.50 $7,925 3.4×
Neck soft tissue (70360) $239 $478 3.0×
Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) $575.50 $1,151 1.6×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $575.50 $1,151 1.6×
Nonvascular Shunt X-Ray (75809) $574.50 $1,149 6.1×
Ntsty modul radthx pln dose-vol histos (77301) $1,887.50 $3,775 1.5×
Nuclear Rx Oral Admin (79005) $732 $1,464 3.5×
Ob us nuchal meas 1 gest (76813)
range across 2 matching MRF lines		 $53–$166 $106–$332 varies
Ophthalmic us dx quantitative a-scan only (76511) $512.50 $1,025 5.4×
Panoramic X-ray of jaws (70355) $173.50 $347 2.2×
Parathyroid Planar Imaging (78070) $877 $1,754 2.4×
Parathyroid planar imaging w/wo subtraction (78071) $1,132.50 $2,265 3.1×
Pelvis 1 or 2 views (72170) $171 $342 1.8×
Pet Image W/Ct Lmtd (78814) $2,932 $5,864 2.3×
PET image w/CT, full body (78816) $3,912 $7,824 3.0×
PET imaging CT attenuation skull base mid-thigh (78815) $3,912 $7,824 3.0×
Pulmonary Perfusion Imaging Particulate (78580) $760 $1,520 2.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $441.50 $883 4.7×
Radex abscess/fistula/sinus tract rs&i (76080) $731 $1,462 1.5×
Radex Ankle Complete Minimum 3 Views (73610) $225 $450 2.9×
Radex Calcaneus Minimum 2 Views (73650) $181 $362 2.3×
Radex elbow complete minimum 3 views (73080) $210.50 $421 2.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $349 $698 3.7×
Radex fingr minimum 2 views (73140) $157 $314 2.0×
Radex foot complete minimum 3 views (73630) $222 $444 2.8×
Radex Hand Minimum 3 Views (73130) $208 $416 2.6×
Radex lower extremity infant minimum 2 views (73592) $206 $412 2.6×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $289 $578 3.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $206 $412 2.6×
Radex Ribs Unilateral 2 Views (71100) $157 $314 2.0×
Radex shoulder complete minimum 2 views (73030) $242.50 $485 3.1×
Radex Sinuses Paransl < 3 Views (70210) $208.50 $417 2.6×
Radex Spine 1 View Specify Level (72020) $213.50 $427 2.7×
Radex Sternum Minimum 2 Views (71120) $285.50 $571 3.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $307.50 $615 3.9×
Radex Toe Minimum 2 Views (73660) $162 $324 2.1×
Radex upper extremity infant minimum 2 views (73092) $206 $412 2.2×
Radex Wrist Complete Minimum 3 Views (73110) $206 $412 2.6×
Radiation Delivery Stereotactic Cranial Linear (77372) $3,527 $7,054 0.5×
Radiation treatment delivery level 1 (77402) $167 $334 1.8×
Radiation treatment delivery level 2 (77407) $167 $334 0.5×
Radiation treatment delivery level 3 (77412) $292.50 $585 0.6×
Radiolog exam mandible compl minimum 4 views (70110) $293.50 $587 3.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $349.50 $699 3.7×
Radiologic exam colon double contrast study (74280) $624 $1,248 3.9×
Radiologic exam colon single contrast study (74270) $475 $950 3.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $344.50 $689 2.2×
Radiologic exam knee complete 4/more views (73564) $285.50 $571 3.0×
Radiologic Exam Small Int Single Contrast Study (74250) $460 $920 2.9×
Radiologic exam swallow function contrast study (74230) $588 $1,176 3.7×
Radiologic exam upr gi trc double contrast study (74246) $500 $1,000 3.1×
Radiologic examination femur 1 view (73551) $80.50 $161 1.0×
Radiologic examination femur minimum 2 views (73552) $80.50 $161 1.0×
Radiologic examination knee 1/2 views (73560) $199.50 $399 2.5×
Radiologic Examination Osseous Survey Limited (77074) $470.50 $941 5.0×
Radiologic examination tibia & fibula 2 views (73590) $206 $412 2.6×
Ribs bilateral 3 views (71110) $221 $442 2.3×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,126.50 $4,253 4.3×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,577 $3,154 3.2×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,480.50 $2,961 3.0×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $1,925.50 $3,851 1.6×
Rp Therapy Intravenous Administration (79101) $658 $1,316 3.1×
Scapula (73010) $251.50 $503 2.7×
Screening Digital Breast Tomosynthesis Bi (77063) $55 $110 2.4×
Shoulder 1 view (73020) $209.50 $419 2.7×
Shoulder Arthrography (73040) $484 $968 1.5×
Sialogram (70390) $384 $768 1.8×
Skull less than 4 views (70250) $208.50 $417 2.2×
Special dosimetry (77331) $204 $408 1.7×
Special Physics Consult (77370) $222.50 $445 1.8×
Special teletherapy port plan (77321) $461 $922 1.4×
Special treatment procedure (77470) $578.50 $1,157 1.2×
Stereotactic Body Radiation Delivery (77373) $920.50 $1,841 0.6×
Sternoclavicular joints (71130) $134.50 $269 1.7×
Telethx isodose pln cplx w/basic dosimetry (77307) $455 $910 1.3×
Telethx isodose pln smpl w/dosimetry calculation (77306) $163 $326 0.5×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $491.50 $983 1.4×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $437.50 $875 1.3×
Ther rad simulaj-aided field setting simple (77280) $221 $442 1.8×
Thoracic spine 2 views (72070) $387 $774 4.1×
Thoracic spine 3 views (72072) $469.50 $939 5.0×
Thoracolumbar 2 views (72080) $446 $892 5.7×
Thyroid Met Imaging Body (78018) $1,515 $3,030 3.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,043 $2,086 2.9×
Tx Devices Design & Construction Complex (77334) $318 $636 0.9×
Tx devices design & construction intermediate (77333) $187 $374 1.5×
Tx devices design & construction simple (77332) $155.50 $311 1.3×
Ultrasound Breast Limited (76642) $154 $308 2.0×
Ultrasound elastography first target lesion (76982) $4,743 $9,486 50.1×
Ultrasound Elastography Parenchyma (76981) $474.50 $949 5.0×
Ultrasound Exam Aaa Screen (76706) $185 $370 2.0×
Ultrasound, abdomen limited (76705) $568 $1,136 6.0×
Umbilical-artery Doppler (OB) (76820)
range across 3 matching MRF lines		 $63.50–$269.50 $127–$539 varies
Upper gi w/o kub (74240) $407 $814 2.6×
Urethrocystogram voiding (74455) $609.50 $1,219 2.8×
Urethrocystography retrograde (74450) $764.50 $1,529 3.5×
Us breast unilateral complete (76641) $199.50 $399 2.1×
Us chest (76604) $262.50 $525 2.8×
Us complete joint (76881) $390.50 $781 4.1×
Us exam, pelvic, limited (76857) $538 $1,076 5.7×
Us head (76506) $380 $760 4.0×
Us kidney transplant (76776) $484.50 $969 5.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $342.50 $685 3.6×
Us ob detailed single fetus (76811)
range across 2 matching MRF lines		 $98.50–$536 $197–$1,072 varies
Us ob limited 1 or more fetuses (76815)
range across 3 matching MRF lines		 $51–$218.50 $102–$437 varies
Us ob transvaginal (76817)
range across 2 matching MRF lines		 $73.50–$282 $147–$564 varies
Us pelvic non ob complete (76856) $538 $1,076 5.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines		 $46.50–$342.50 $93–$685 varies
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines		 $51–$261 $102–$522 varies
Us retroperitoneal complete (76770) $633 $1,266 6.7×
Us retroperitoneal limited (76775) $503.50 $1,007 5.3×
Us scrotum and contents (76870) $554.50 $1,109 5.9×
Us spinal canal and contents (76800) $186 $372 2.0×
Us thyroid (76536) $512.50 $1,025 5.4×
Vein X-Ray Chest (75827) $1,177 $2,354 0.8×
Venogram Sinus/Jugular (75860) $870.50 $1,741 0.3×
Venography caval inferior serialography rs&i (75825) $3,503 $7,006 1.2×
Venography extremity bilateral rs&i (75822) $1,345.50 $2,691 0.9×
Venography extremity unilateral rs&i (75820) $905.50 $1,811 0.6×
Venography Renal Bilateral (75833) $1,259 $2,518 0.4×
Wrist 2 views (73100) $204.50 $409 2.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $263 $526 3.3×
X-ray antegrade pyelogram tube (74425) $586 $1,172 1.9×
X-Ray Aorta Leg Arteries (75630) $3,944 $7,888 1.4×
X-Ray Bend Only L-S Spine (72120) $261 $522 2.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $157 $314 2.0×
X-Ray Exam Breast Specimen (76098) $913 $1,826 1.8×
X-Ray Exam Entire Spi 1 Vw (72081) $80.50 $161 1.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $134.50 $269 1.4×
X-Ray Exam Hip Uni 1 View (73501) $72 $144 0.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $80.50 $161 1.0×
X-Ray Exam Hip Uni 4/> Views (73503) $134.50 $269 1.4×
X-Ray Exam Hips Bi 2 Views (73521) $134.50 $269 1.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $145.50 $291 1.5×
X-Ray Exam Hips Bi 5/> Views (73523) $176 $352 1.9×
X-Ray Exam L-S Spine Bending (72114) $607 $1,214 6.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $276 $552 3.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $522 $1,044 5.5×
X-Ray Exam Unilat Ribs/Chest (71101) $263 $526 2.8×
X-ray eye for foreign body (70030) $134.50 $269 1.7×
X-ray humerus (73060) $197.50 $395 2.5×
X-ray IV pyelogram (ivp) (74400) $647 $1,294 4.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $151 $302 1.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $157 $314 2.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $293.50 $587 3.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $396 $792 4.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $227.50 $455 2.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $129.50 $259 1.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $224 $448 2.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $336 $672 4.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $382.50 $765 4.0×
X-Ray Tmj Unilat (70328) $143.50 $287 1.8×
X-Ray Urinary Tract Exam With Contrast Material (74420) $733 $1,466 2.3×
X-Rays Bone Length Studies (77073) $331 $662 3.5×
X-Rays Bone Survey Complete (77075) $1,014.50 $2,029 10.7×
Xr c-spine 4 or 5 views (72050) $372 $744 3.9×
Xr orbits complete 4 views (70200) $336 $672 3.5×
Xr Tomogram Single Plane (76100) $216 $432 2.3×

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.