Imaging prices at St. Mary's Hospital
Athens, GA · every code in this section with a posted price and a Medicare benchmark.
262 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) | $22,843.74 | — | 266.8× |
| Abdomen 2 views (74019) | $436.80 | $672 | 4.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,301.30 | $2,002 | 3.3× |
| Angio pulmonary bilat (75743) | $2,234.70 | $3,438 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $2,857.40 | $4,396 | 0.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$291.85–$438.10 | $449–$674 | varies |
| Artery X-Rays Abdomen (75726) | $4,210.05 | $6,477 | 0.8× |
| Artery X-Rays Pelvis (75736) | $3,174.60 | $4,884 | 0.6× |
| Artery X-Rays Spine (75705) | $87,279.95 | — | 15.9× |
| Arthrogram hip (73525) | $962 | $1,480 | 2.8× |
| Bone age studies (77072) | $190.45 | $293 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,504.75 | $2,315 | 3.8× |
| Bone Imaging Whole Body (78306) | $1,597.05 | $2,457 | 4.1× |
| Bone survey infant (77076) | $317.20 | $488 | 3.1× |
| Brain Image W/Flow < 4 Views (78601) | $685.10 | $1,054 | 1.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,241.50 | $1,910 | 3.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,750.80 | $4,232 | 3.6× |
| Cat Scan Follow-Up Study (76380) | $157.95 | $243 | 1.8× |
| Cerebrospinal Fluid Scan (78630) | $1,021.15 | $1,571 | 1.9× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$8,735.93–$31,328.41 | — | varies |
| Chest 2 views (71046) | $278.85 | $429 | 3.3× |
| Chest 3 views (71047) | $278.85 | $429 | 3.3× |
| Chest 4 or more views (71048) | $234 | $360 | 2.3× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$280.15–$421.20 | $431–$648 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $297.70 | $458 | 2.9× |
| Contrast Exam Abdominl Aorta (75625) | $2,255.50 | $3,470 | 0.7× |
| Contrast X-Ray Bladder (74430) | $501.80 | $772 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $2,397.85 | $3,689 | 7.0× |
| CT abdomen and pelvis without contrast (74176) | $1,749.80 | $2,692 | 7.5× |
| CT abdomen w contrast (74160) | $1,918.15 | $2,951 | 11.1× |
| CT abdomen w wo contrast (74170) | $2,110.55 | $3,247 | 12.2× |
| CT abdomen w/o contrast (74150) | $1,439.10 | $2,214 | 14.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,623.70 | $2,498 | 4.7× |
| CT Angio Chest (71275) | $2,693.24 | — | 15.6× |
| CT Angio Head (70496) | $2,177.50 | $3,350 | 12.6× |
| CT angio hrt w/3d image (75574) | $780 | $1,200 | 2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,830.40–$2,746.90 | $2,816–$4,226 | varies |
| CT Angio Neck (70498) | $2,167.75 | $3,335 | 12.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,794.65 | $2,761 | 10.4× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $96.85 | $149 | 0.6× |
| CT cervical spine w/ contrast (72126) | $2,012.40 | $3,096 | 5.9× |
| CT cervical spine w/o contrast (72125) | $1,754.35 | $2,699 | 17.1× |
| CT cervical spine w/wo cont (72127) | $2,055.30 | $3,162 | 11.9× |
| CT chest w contrast (71260) | $4,816.14 | — | 27.9× |
| CT chest w/wo contrast (71270) | $416.65 | $641 | 2.4× |
| CT head/brain with contrast (70460) | $2,215.85 | $3,409 | 12.8× |
| CT head/brain without and with contrast (70470) | $2,449.85 | $3,769 | 14.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $716.30 | $1,102 | 2.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $105.95 | $163 | 1.2× |
| CT iac w contrast (70481) | $2,056.92 | — | 11.9× |
| CT l-spine w&w/o contrast (72133) | $2,275 | $3,500 | 13.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,418.95–$2,127.45 | $2,183–$3,273 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,558.70–$2,338.05 | $2,398–$3,597 | varies |
| CT lumbar spine w contrast (72132) | $1,983.15 | $3,051 | 5.8× |
| CT lumbar spine w/o contrast (72131) | $1,727.05 | $2,657 | 16.8× |
| CT maxillofacial w contrast (70487) | $1,586 | $2,440 | 9.2× |
| CT maxillofacial wo contrast (70486) | $1,420.90 | $2,186 | 13.8× |
| CT neck tissue combo (70492) | $1,947.40 | $2,996 | 11.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,611.70 | $4,018 | 15.1× |
| CT orbits w/o contrast (70480) | $1,667.90 | $2,566 | 16.2× |
| CT pelvis w&w/o contrast (72194) | $2,110.55 | $3,247 | 12.2× |
| CT pelvis w/o contrast (72192) | $1,439.10 | $2,214 | 14.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,523.60–$2,285.40 | $2,344–$3,516 | varies |
| CT soft tissue neck w contrast (70491) | $1,967.22 | — | 11.4× |
| CT soft tissue neck w/o contrast (70490) | $1,457.30 | $2,242 | 14.2× |
| CT thoracic spine w contrast (72129) | $1,959.10 | $3,014 | 11.4× |
| CT thoracic spine w/o contrast (72128) | $1,754.35 | $2,699 | 17.1× |
| CT thoracic spine w/wo cont (72130) | $1,946.75 | $2,995 | 11.3× |
| CT thorax w/o contrast (71250) | $2,057.25 | — | 20.0× |
| CT unlisted procedure (76497) | $177.45 | $273 | 2.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,443–$2,163.85 | $2,220–$3,329 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,505.40–$2,258.75 | $2,316–$3,475 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,585.05 | $3,977 | 15.0× |
| Cta Abdomen (74175) | $2,665 | $4,100 | 15.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $96.85 | $149 | 0.3× |
| CTA pelvis (72191) | $2,423.85 | $3,729 | 14.0× |
| Dxa Bone Density Axial (77080) | $530.40 | $816 | 5.2× |
| Dxa bone density study (77085) | $254.15 | $391 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $185.90 | $286 | 2.2× |
| Echo Guide For Artery Repair (76936) | $510.25 | $785 | 2.4× |
| Esophagram (74220) | $474.50 | $730 | 2.7× |
| Fetal Biophys Profile W/Nst (76818) | $640.25 | $985 | 6.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $301.60 | $464 | 2.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$23,789.10–$29,900.12 | — | varies |
| Follow-Up Angiography (75898) | $2,113.80 | $3,252 | 0.7× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$248.95–$374.40 | $383–$576 | varies |
| Forearm 2 views (73090) range across 9 matching MRF lines |
$336.70–$505.70 | $518–$778 | varies |
| Gastric emptying imaging study (78264) | $1,354.60 | $2,084 | 3.4× |
| Gated Heart Planar Single (78472) | $1,413.10 | $2,174 | 3.6× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$280.15–$421.20 | $431–$648 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,315.05 | $8,177 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $822.90 | $1,266 | 1.5× |
| Hepatobiliary System Imaging (78226) | $822.90 | $1,266 | 2.1× |
| Hysterosalpingogram (74740) | $618.15 | $951 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $1,411.15 | $2,171 | 2.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $787.80 | $1,212 | 2.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$356.85–$536.25 | $549–$825 | varies |
| Lung perfusion differential (78597) | $463.45 | $713 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,069.90 | $1,646 | 2.0× |
| Lymph System Imaging (78195) | $1,140.10 | $1,754 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $1,914.90 | $2,946 | 8.2× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,891.50–$5,340.24 | — | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $2,801.50 | $4,310 | 8.2× |
| MRA neck w/o contrast (70547) | $1,881.75 | $2,895 | 8.0× |
| MRI abdomen w/o contrast (74181) | $2,273.05 | $3,497 | 9.7× |
| MRI any jt lower extrem w/contrast material (73722) | $1,977.30 | $3,042 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,121.30–$4,682.60 | $4,802–$7,204 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,123.55 | $3,267 | 2.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $468 | $720 | 2.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $501.80 | $772 | 2.1× |
| MRI cardiac w/o cont stress (75559) | $1,095.90 | $1,686 | 2.0× |
| MRI cardiac w/o contrast (75557) | $742.95 | $1,143 | 3.2× |
| MRI cervical spine w contrast (72142) | $2,770.30 | $4,262 | 8.1× |
| MRI cervical spine w/o cont (72141) | $2,329.60 | $3,584 | 9.9× |
| MRI chest w/o contrast (71550) | $1,754.35 | $2,699 | 7.5× |
| MRI chest wo w contrast (71552) | $2,408.90 | $3,706 | 7.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,553.20–$3,830.45 | $3,928–$5,893 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,093–$3,139.50 | $3,220–$4,830 | varies |
| MRI lumbar spine w contrast (72149) | $2,977 | $4,580 | 8.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,489.20 | $5,368 | 10.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,195.05 | $3,377 | 9.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,201.90 | $4,926 | 9.3× |
| MRI pelvis w/o & w contrast (72197) | $3,621.80 | $5,572 | 10.5× |
| MRI pelvis w/o contrast (72195) | $2,178.15 | $3,351 | 9.3× |
| MRI thoracic spine w/o contrast (72146) | $2,483 | $3,820 | 10.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,091.05–$3,136.90 | $3,217–$4,826 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,701.40–$4,052.75 | $4,156–$6,235 | varies |
| MRI, abdomen, combo (74183) | $3,270.15 | $5,031 | 9.5× |
| MRI, dorsal spine combo (72157) | $3,582.15 | $5,511 | 10.4× |
| MRI, dorsal spine contrast (72147) | $2,926.30 | $4,502 | 8.5× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,166.45–$3,444.35 | $3,333–$5,299 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,653.95–$3,981.25 | $4,083–$6,125 | varies |
| MRI, lumbar spine combo (72158) | $3,489.20 | $5,368 | 10.2× |
| Myelogram cervical (72240) | $1,669.85 | $2,569 | 2.2× |
| Myelogram Lumbar (72265) | $1,575.60 | $2,424 | 2.0× |
| Myelography thoracic (72255) | $1,580.15 | $2,431 | 2.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,500.85 | $2,309 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $2,882.10 | $4,434 | 2.3× |
| N-invas est c ffr sw aly CTA (75580) | $3,120 | $4,800 | 3.7× |
| Neck soft tissue (70360) | $222.30 | $342 | 2.6× |
| Nm whole blood volume (78122) | $1,066.65 | $1,641 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $471.90 | $726 | 4.6× |
| Nuclear Rx Oral Admin (79005) | $1,474.85 | $2,269 | 6.4× |
| Parathyroid Planar Imaging (78070) | $1,035.45 | $1,593 | 2.6× |
| Pelvis 1 or 2 views (72170) | $222.30 | $342 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $787.80 | $1,212 | 2.0× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $3,120 | $4,800 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $425.75 | $655 | 4.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$668.85–$1,047.80 | — | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$257.40–$387.40 | $396–$596 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$258.70–$388.05 | $398–$597 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $345.80 | $532 | 3.4× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$241.15–$362.05 | — | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$328.25–$492.05 | — | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$313.30–$470.60 | $482–$724 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$238.55–$357.50 | $367–$550 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $287.95 | $443 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$186.55–$254.15 | $287–$391 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$566.80–$635.70 | — | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $220.35 | $339 | 2.6× |
| Radex Spine 1 View Specify Level (72020) | $245.70 | $378 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $295.10 | $454 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $176.80 | $272 | 2.1× |
| Radex Toe Minimum 2 Views (73660) | $196.30 | — | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$102.05–$152.75 | $157–$235 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$287.30–$901.55 | — | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $349.70 | $538 | 3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $254.80 | $392 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $883.35 | $1,359 | 5.1× |
| Radiologic exam colon single contrast study (74270) | $619.45 | $953 | 3.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $422.50 | $650 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$368.55–$552.50 | $567–$850 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $236.60 | $364 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $485.55 | $747 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $676 | $1,040 | 3.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $707.85 | $1,089 | 4.1× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$136.50–$204.75 | $210–$315 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$150.15–$224.90 | $231–$346 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$306.15–$459.55 | $471–$707 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$274.95–$412.75 | $423–$635 | varies |
| Ribs bilateral 3 views (71110) | $229.45 | $353 | 2.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,882.10 | $4,434 | 5.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,558.05 | $2,397 | 1.2× |
| Scapula (73010) range across 6 matching MRF lines |
$282.75–$424.45 | $435–$653 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $48.75 | $75 | 2.1× |
| Shoulder 1 view (73020) | $51,433.46 | — | 600.6× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$827.45–$1,241.50 | $1,273–$1,910 | varies |
| Skull less than 4 views (70250) | $306.80 | $472 | 3.0× |
| Superior sagittal sinus venogram (75870) | $43,601.97 | — | 14.0× |
| Tbs technical calculation only (77091) | $177.45 | $273 | 2.1× |
| Thoracic spine 2 views (72070) | $313.95 | $483 | 3.1× |
| Thoracic spine 3 views (72072) | $448.50 | $690 | 4.4× |
| Thoracolumbar 2 views (72080) | $297.05 | $457 | 3.5× |
| Thyroid Met Imaging Body (78018) | $1,372.80 | $2,112 | 2.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $652.60 | $1,004 | 1.7× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$189.80–$284.70 | $292–$438 | varies |
| Ultrasound elastography first target lesion (76982) | $208.65 | $321 | 2.0× |
| Ultrasound Elastography Parenchyma (76981) | $208.65 | $321 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) | $254.15 | $391 | 2.5× |
| Ultrasound, abdomen limited (76705) | $720.20 | $1,108 | 7.0× |
| Upper gi w/o kub (74240) | $551.85 | $849 | 3.2× |
| Urethrocystogram voiding (74455) | $657.15 | $1,011 | 2.8× |
| Urethrocystography retrograde (74450) | $427.05 | $657 | 1.8× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$406.25–$609.70 | $625–$938 | varies |
| Us chest (76604) | $436.15 | $671 | 4.2× |
| Us complete joint (76881) | $287.30 | $442 | 2.8× |
| Us exam, pelvic, limited (76857) | $169.65 | $261 | 1.6× |
| Us head (76506) | $377.65 | $581 | 3.7× |
| Us kidney transplant (76776) | $482.30 | $742 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $185.90 | $286 | 1.8× |
| Us ob limited 1 or more fetuses (76815) | $360.75 | $555 | 3.5× |
| Us ob transvaginal (76817) | $450.45 | $693 | 4.4× |
| Us pelvic non ob complete (76856) | $704.60 | $1,084 | 6.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $578.50 | $890 | 5.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $254.80 | $392 | 2.5× |
| Us retroperitoneal complete (76770) | $531.70 | $818 | 5.2× |
| Us retroperitoneal limited (76775) | $582.40 | $896 | 5.7× |
| Us scrotum and contents (76870) | $571.35 | $879 | 5.6× |
| Us spinal canal and contents (76800) | $339.30 | $522 | 3.3× |
| Us thyroid (76536) | $631.80 | $972 | 6.1× |
| Vein X-Ray Chest (75827) | $1,661.40 | $2,556 | 1.1× |
| Venogram Sinus/Jugular (75860) | $43,601.97 | — | 14.0× |
| Venography caval inferior serialography rs&i (75825) | $1,913.60 | $2,944 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $1,207.70 | $1,858 | 0.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$195.65–$294.45 | $301–$453 | varies |
| X-ray antegrade pyelogram tube (74425) | $667.55 | $1,027 | 1.9× |
| X-Ray Bend Only L-S Spine (72120) | $220.35 | $339 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$238.55–$778.70 | — | varies |
| X-Ray Exam Breast Specimen (76098) | $22,597.44 | — | 42.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $150.15 | $231 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $246.35 | $379 | 2.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $216.45 | $333 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $146.90 | $226 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $317.20 | — | 3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $219.70 | $338 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $246.35 | $379 | 2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $246.35 | $379 | 2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $380.25 | $585 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) | $681.85 | $1,049 | 6.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $352.30 | $542 | 4.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $447.85 | $689 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$217.10–$226.20 | $334–$348 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$193.70–$290.55 | $298–$447 | varies |
| X-ray humerus (73060) | $266.50 | $410 | 3.1× |
| X-ray IV pyelogram (ivp) (74400) | $416.65 | $641 | 2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $177.45 | $273 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $185.25 | $285 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $689 | $1,060 | 6.7× |
| X-ray nose-rectum child f.b. (76010) | $99.45 | $153 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $544.05 | $837 | 5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $318.50 | $490 | 3.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $254.15 | $391 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $296.40 | $456 | 3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $189.80 | $292 | 2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $425.10 | $654 | 4.1× |
| X-ray thoracic spine 4 vw (72074) | $216.45 | $333 | 2.1× |
| X-Ray Tmj Unilat (70328) | $211.25 | $325 | 2.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$12,386.33–$24,584.02 | — | varies |
| X-Rays Bone Survey Complete (77075) | $896.35 | $1,379 | 8.7× |
| Xr c-spine 4 or 5 views (72050) | $425.75 | $655 | 4.1× |
| Xr facial bones less than 3 views (70140) | $252.85 | $389 | 3.0× |
| Xr orbits complete 4 views (70200) | $421.20 | $648 | 4.1× |
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.