Imaging prices at St. Joseph's Hospital Health Center
Syracuse, NY · every code in this section with a posted price and a Medicare benchmark.
278 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) | $468 | — | 4.3× |
| Abdomen 2 views (74019) | $263.90 | $406 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $852.80 | $1,312 | 1.7× |
| Angio pulmonary bilat (75743) | $4,545.45 | $6,993 | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $4,796.35 | $7,379 | 1.2× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$13,162.71–$16,310.99 | — | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,952.65 | $6,081 | 1.0× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$397.15–$2,089.10 | — | varies |
| Aortography thoracic serialography rs&i (75605) | $7,159.10 | $11,014 | 1.0× |
| Artery X-Rays Abdomen (75726) | $13,733.29 | — | 2.0× |
| Artery X-Rays Pelvis (75736) | $5,127.85 | $7,889 | 0.7× |
| Bone age studies (77072) | $222.95 | $343 | 1.7× |
| Bone Imaging 3 Phase (78315) | $947.70 | $1,458 | 1.9× |
| Bone Imaging Limited Area (78300) | $655.20 | $1,008 | 1.3× |
| Bone Imaging Multiple Areas (78305) | $573.95 | $883 | 1.2× |
| Bone Imaging Whole Body (78306) | $778.05 | $1,197 | 1.6× |
| Bone marrow imaging limited area (78102) | $618.15 | $951 | 1.2× |
| Bone survey infant (77076) | $211.90 | $326 | 1.6× |
| Brain Image W/Flow < 4 Views (78601) | $541.45 | $833 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,642.55 | $2,527 | 2.4× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $2,415.40 | $3,716 | 4.8× |
| Cerebrospinal Fluid Scan (78630) | $782.60 | $1,204 | 1.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$11,130.66–$25,356.69 | — | varies |
| Chest 2 views (71046) | $1,304.52 | — | 12.0× |
| Chest 3 views (71047) | $276.90 | $426 | 2.5× |
| Clavicle complete (73000) range across 9 matching MRF lines |
$172.25–$258.70 | $265–$398 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $613.60 | $944 | 4.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$13,068.77–$13,988.38 | — | varies |
| Contrast X-Ray Bladder (74430) | $500.50 | $770 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,345.20 | $3,608 | 5.4× |
| CT abdomen and pelvis without contrast (74176) | $2,973.10 | — | 10.0× |
| CT abdomen w contrast (74160) | $1,209.65 | $1,861 | 5.5× |
| CT abdomen w wo contrast (74170) | $1,358.50 | $2,090 | 6.2× |
| CT abdomen w/o contrast (74150) | $932.10 | $1,434 | 7.1× |
| CT Angio Abdomen and Pelvis (74174) | $7,225.40 | — | 16.6× |
| CT Angio Chest (71275) | $6,760 | — | 30.9× |
| CT Angio Head (70496) | $4,008.87 | — | 18.3× |
| CT angio hrt w/3d image (75574) | $1,484.60 | $2,284 | 3.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,942.20–$2,912.65 | $2,988–$4,481 | varies |
| CT Angio Neck (70498) | $2,022.80 | $3,112 | 9.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,135.90 | $3,286 | 9.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $284.70 | $438 | 1.3× |
| CT cervical spine w/ contrast (72126) | $1,209.65 | $1,861 | 2.8× |
| CT cervical spine w/o contrast (72125) | $1,137.50 | $1,750 | 8.7× |
| CT cervical spine w/wo cont (72127) | $1,414.40 | $2,176 | 6.5× |
| CT chest w contrast (71260) | $1,411.15 | $2,171 | 6.4× |
| CT chest w/wo contrast (71270) | $1,358.50 | $2,090 | 6.2× |
| CT colonography screening (74263) | $774.15 | $1,191 | 2.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $910 | $1,400 | 7.0× |
| CT head/brain with contrast (70460) | $1,170.65 | $1,801 | 5.3× |
| CT head/brain without and with contrast (70470) | $1,310.40 | $2,016 | 6.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $827 | $827 | 7.6× |
| CT iac w contrast (70481) | $1,209.65 | $1,861 | 5.5× |
| CT l-spine w&w/o contrast (72133) | $1,483.30 | $2,282 | 6.8× |
| CT lower ext w/o (73700) range across 9 matching MRF lines |
$1,090.05–$1,634.75 | $1,677–$2,515 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$1,335.75–$2,005.25 | $2,055–$3,085 | varies |
| CT lumbar spine w contrast (72132) | $1,282.45 | $1,973 | 2.9× |
| CT lumbar spine w/o contrast (72131) | $1,137.50 | $1,750 | 8.7× |
| CT maxillofacial w contrast (70487) | $1,302.60 | $2,004 | 5.9× |
| CT maxillofacial wo contrast (70486) | $1,036.75 | $1,595 | 7.9× |
| CT neck tissue combo (70492) | $1,358.50 | $2,090 | 6.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,642.55 | $2,527 | 7.5× |
| CT orbits w/o contrast (70480) | $995.15 | $1,531 | 7.6× |
| CT pelvis w&w/o contrast (72194) | $1,437.80 | $2,212 | 6.6× |
| CT pelvis w/o contrast (72192) | $1,093.95 | $1,683 | 8.4× |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$1,112.15–$1,668.55 | $1,711–$2,567 | varies |
| CT scans face/jaw combo (70488) | $1,446.90 | $2,226 | 6.6× |
| CT soft tissue neck w contrast (70491) | $1,302.60 | $2,004 | 5.9× |
| CT soft tissue neck w/o contrast (70490) | $958.10 | — | 7.3× |
| CT thoracic spine w contrast (72129) | $1,209.65 | $1,861 | 5.5× |
| CT thoracic spine w/o contrast (72128) | $1,137.50 | $1,750 | 8.7× |
| CT thoracic spine w/wo cont (72130) | $1,460.55 | $2,247 | 6.7× |
| CT thorax w/o contrast (71250) | $1,086.15 | $1,671 | 8.3× |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$1,090.05–$1,634.75 | $1,677–$2,515 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,786.20–$2,678.65 | $2,748–$4,121 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$1,201.20–$1,801.15 | $1,848–$2,771 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,655.90 | $4,086 | 12.1× |
| Cta Abdomen (74175) | $2,128.75 | $3,275 | 9.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,861 | $5,940 | 8.9× |
| CTA pelvis (72191) | $1,511.90 | $2,326 | 6.9× |
| Dilation ureters/urethra rs&i (74485) | $3,023.80 | $4,652 | 1.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $187.85 | $289 | 1.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $196.30 | $302 | 1.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $219.70 | $338 | 1.7× |
| Dxa Bone Density Axial (77080) | $494.65 | $761 | 3.8× |
| Echo exam of fetal heart (76825) | $724.75 | $1,115 | 1.1× |
| Echo Guide For Artery Repair (76936) | $826.80 | $1,272 | 3.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $345.80 | $532 | 1.2× |
| Esophagram (74220) | $465.40 | $716 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $381.55 | $587 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,192.75 | — | 9.1× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$1,418.27–$12,754.49 | — | varies |
| Follow-Up Angiography (75898) | $2,323.10 | $3,574 | 0.6× |
| Foot 2 views (73620) range across 12 matching MRF lines |
$174.20–$261.95 | $268–$403 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$266.50–$401.05 | $410–$617 | varies |
| Gastric emptying imaging study (78264) | $883.35 | $1,359 | 1.8× |
| Gated Heart Planar Single (78472) | $601.90 | $926 | 1.2× |
| Hand 2 views (73120) range across 9 matching MRF lines |
$174.20–$261.95 | $268–$403 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,399.20 | $6,768 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,378 | $2,120 | 2.0× |
| Hepatobiliary System Imaging (78226) | $917.15 | $1,411 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $1,320.80 | $2,032 | 0.8× |
| Hysterosalpingogram (74740) | $618.15 | $951 | 2.1× |
| K Flow/Funct Image Multiple (78709) | $789.75 | $1,215 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $947.70 | $1,458 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $947.70 | $1,458 | 1.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $552.50 | $850 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $520 | $800 | 1.0× |
| Knee 3 Views (73562) range across 12 matching MRF lines |
$128.05–$192.40 | $197–$296 | varies |
| Liver & Spleen Imaging Static Only (78215) | $573.95 | $883 | 1.2× |
| Lung Perf&Ventilat Diferentl (78598) | $2,863.90 | $4,406 | 4.2× |
| Lung perfusion differential (78597) | $1,088.10 | $1,674 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,105 | $1,700 | 1.6× |
| Lymph System Imaging (78195) | $958.10 | $1,474 | 1.4× |
| Meckels Divert Exam (78290) | $609.70 | $938 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,999.10 | $4,614 | 6.9× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,686.75–$1,825.85 | — | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $1,958.45 | $3,013 | 4.5× |
| MRA neck w/o contrast (70547) | $1,686.75 | $2,595 | 5.7× |
| MRI abdomen w contrast (74182) | $1,699.75 | $2,615 | 3.9× |
| MRI abdomen w/o contrast (74181) | $1,385.80 | $2,132 | 4.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$1,807.65–$2,711.80 | $2,781–$4,172 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $4,026.10 | $6,194 | 13.5× |
| MRI cervical spine w contrast (72142) | $1,621.75 | $2,495 | 3.7× |
| MRI cervical spine w/o cont (72141) | $1,806.35 | — | 6.1× |
| MRI chest w/o contrast (71550) | $1,483.30 | $2,282 | 5.0× |
| MRI chest wo w contrast (71552) | $1,550.25 | $2,385 | 3.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$1,807.65–$2,711.80 | $2,781–$4,172 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$1,385.80–$2,079.35 | $2,132–$3,199 | varies |
| MRI lumbar spine w contrast (72149) | $1,621.75 | $2,495 | 3.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,807.65 | $2,781 | 4.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,246.70 | $1,918 | 4.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,385.80 | $2,132 | 3.2× |
| MRI pelvis w/o & w contrast (72197) | $1,539.85 | $2,369 | 3.5× |
| MRI pelvis w/o contrast (72195) | $1,385.80 | $2,132 | 4.7× |
| MRI thoracic spine w/o contrast (72146) | $1,543.10 | $2,374 | 5.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$1,307.15–$1,960.40 | $2,011–$3,016 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$1,615.25–$2,423.20 | $2,485–$3,728 | varies |
| MRI, abdomen, combo (74183) | $1,795.95 | $2,763 | 4.1× |
| MRI, dorsal spine combo (72157) | $1,807.65 | $2,781 | 4.2× |
| MRI, dorsal spine contrast (72147) | $1,621.75 | $2,495 | 3.7× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$1,394.25–$2,092.35 | $2,145–$3,219 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$1,689.35–$2,535 | $2,599–$3,900 | varies |
| MRI, lumbar spine combo (72158) | $1,807.65 | $2,781 | 4.2× |
| Myelogram cervical (72240) | $1,215.50 | $1,870 | 1.2× |
| Myelogram Lumbar (72265) | $1,093.95 | $1,683 | 1.1× |
| Myelography thoracic (72255) | $1,722.50 | $2,650 | 1.8× |
| Myelograpy 2/more regions rs&i (72270) | $1,094.60 | $1,684 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $1,542.45 | $2,373 | 1.0× |
| Neck soft tissue (70360) | $213.85 | $329 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $344.50 | $530 | 2.6× |
| Nuclear Rx Oral Admin (79005) | $447.85 | $689 | 1.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,129.70 | $1,738 | 1.7× |
| Parathyroid Planar Imaging (78070) | $710.45 | $1,093 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $850.20 | $1,308 | 1.7× |
| Pelvis 1 or 2 views (72170) | $26,635.95 | — | 204.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $546.65 | $841 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $475.15 | $731 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $742.95 | $1,143 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $646.10 | — | 5.9× |
| Radex Calcaneus Minimum 2 Views (73650) range across 9 matching MRF lines |
$141.70–$213.85 | $218–$329 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$284.05–$425.75 | $437–$655 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $313.30 | $482 | 2.4× |
| Radex fingr minimum 2 views (73140) | $209.30 | — | 1.9× |
| Radex foot complete minimum 3 views (73630) | $646.10 | — | 5.9× |
| Radex Hand Minimum 3 Views (73130) | $284.05 | — | 2.6× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$228.15–$342.55 | $351–$527 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $230.10 | $354 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $178.75 | $275 | 1.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$510.25–$643.50 | — | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $242.45 | $373 | 2.2× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$19,839.79–$22,657.17 | — | varies |
| Radex Sternum Minimum 2 Views (71120) | $183.95 | $283 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $278.85 | $429 | 2.6× |
| Radex Toe Minimum 2 Views (73660) range across 9 matching MRF lines |
$179.40–$270.40 | $276–$416 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$304.85–$457.60 | $469–$704 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $557.05 | — | 5.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $173.55 | $267 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $322.40 | $496 | 2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $289.90 | $446 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $895.70 | $1,378 | 4.1× |
| Radiologic exam colon single contrast study (74270) | $556.40 | $856 | 2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $533 | $820 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $994.50 | — | 7.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $322.40 | $496 | 2.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $265.85 | $409 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $680.55 | $1,047 | 3.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $544.70 | $838 | 2.5× |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$126.10–$190.45 | $194–$293 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 9 matching MRF lines |
$167.70–$251.55 | $258–$387 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$655.20–$760.50 | — | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $393.25 | $605 | 3.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $935.35 | — | 8.6× |
| Ribs bilateral 3 views (71110) | $356.20 | $548 | 2.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $713.05 | $1,097 | 1.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $573.95 | $883 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,572.35 | $2,419 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,959.75 | $3,015 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,055.60 | $1,624 | 1.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,032.55 | $3,127 | 1.3× |
| Scapula (73010) range across 6 matching MRF lines |
$158.60–$237.25 | $244–$365 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $37.70 | $58 | 1.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$32,322.64–$33,434.84 | — | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$581.75–$872.30 | $895–$1,342 | varies |
| Skull less than 4 views (70250) | $228.15 | $351 | 1.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $265.85 | $409 | 1.2× |
| Thoracic spine 2 views (72070) | $236.60 | $364 | 1.8× |
| Thoracic spine 3 views (72072) | $253.50 | $390 | 1.9× |
| Thoracolumbar 2 views (72080) | $215.80 | $332 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $648.70 | $998 | 1.3× |
| Thyroid Uptake Measurement (78012) | $573.95 | $883 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $551.20 | $848 | 1.1× |
| Ultrasound Breast Limited (76642) range across 9 matching MRF lines |
$260–$390 | $400–$600 | varies |
| Ultrasound Exam Aaa Screen (76706) | $158.60 | $244 | 1.2× |
| Ultrasound, abdomen limited (76705) | $418.60 | — | 3.2× |
| Umbilical-artery Doppler (OB) (76820) | $226.85 | $349 | 1.7× |
| Upper gi w/o kub (74240) | $484.90 | $746 | 2.2× |
| Urethrocystography retrograde (74450) | $345.15 | $531 | 1.2× |
| Us breast unilateral complete (76641) range across 9 matching MRF lines |
$297.05–$444.60 | $457–$684 | varies |
| Us chest (76604) | $414.70 | $638 | 3.2× |
| Us complete joint (76881) | $449.15 | $691 | 3.4× |
| Us exam, pelvic, limited (76857) | $254.15 | $391 | 1.9× |
| Us head (76506) | $386.10 | $594 | 3.0× |
| Us kidney transplant (76776) | $158.60 | $244 | 1.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $375.70 | $578 | 2.9× |
| Us ob detailed single fetus (76811) | $449.15 | $691 | 1.5× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$334.75–$781.30 | — | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$710.45–$1,875.90 | — | varies |
| Us pelvic non ob complete (76856) | $454.35 | $699 | 3.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $303.55 | $467 | 2.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $245.70 | $378 | 1.9× |
| Us retroperitoneal complete (76770) | $505.70 | $778 | 3.9× |
| Us retroperitoneal limited (76775) | $1,281.15 | — | 9.8× |
| Us scrotum and contents (76870) | $569.40 | $876 | 4.4× |
| Us spinal canal and contents (76800) | $217.10 | $334 | 1.7× |
| Us thyroid (76536) | $508.30 | $782 | 3.9× |
| Us transrectal (76872) | $353.60 | $544 | 2.7× |
| Vein X-Ray Chest (75827) | $1,458.60 | $2,244 | 0.7× |
| Venogram Sinus/Jugular (75860) | $4,399.20 | $6,768 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $3,952.65 | $6,081 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,604.85 | $2,469 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $11,804.49 | — | 6.0× |
| Venography Renal Unilateral (75831) | $4,466.80 | $6,872 | 1.1× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,918.50 | $4,490 | 0.4× |
| Wrist 2 views (73100) | $420.55 | — | 3.9× |
| X-ray antegrade pyelogram tube (74425) | $495.30 | $762 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$6,525.01–$7,295.94 | — | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$794.30–$1,043.90 | — | varies |
| X-Ray Exam Breast Specimen (76098) | $516.75 | $795 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $153.40 | $236 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $417.30 | $642 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $74,638.32 | — | 687.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $889.20 | — | 8.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $315.25 | $485 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $232.05 | $357 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $238.55 | $367 | 1.8× |
| X-Ray Exam L-S Spine Bending (72114) | $358.80 | $552 | 2.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $239.20 | $368 | 2.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $404.30 | $622 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $317.20 | $488 | 2.4× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$362.70–$543.40 | $558–$836 | varies |
| X-ray humerus (73060) | $224.25 | $345 | 2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $128.05 | $197 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $209.30 | $322 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $332.80 | $512 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $308.10 | $474 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $358.15 | $551 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $245.70 | $378 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $214.50 | $330 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $229.45 | $353 | 2.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $158.60 | $244 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $211.90 | $326 | 1.6× |
| X-Ray Tmj Unilat (70328) | $135.85 | $209 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $9,597.22 | — | 22.0× |
| X-Rays Bone Survey Complete (77075) | $413.40 | $636 | 3.2× |
| Xr c-spine 4 or 5 views (72050) | $381.55 | $587 | 2.9× |
| Xr facial bones less than 3 views (70140) | $180.70 | $278 | 1.7× |
| Xr orbits complete 4 views (70200) | $282.75 | $435 | 2.2× |
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.