Imaging prices at Sturdy Memorial Hospital
Attleboro, MA · every code in this section with a posted price and a Medicare benchmark.
246 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) | $85.38 | $174.24 | 0.8× |
| Abdomen 2 views (74019) | $85.38 | $174.24 | 0.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $671.82 | $1,371.07 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $3,803.92 | $7,763.11 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,946.06 | $8,053.19 | 1.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Bone age studies (77072) | $85.38 | $174.24 | 0.7× |
| Bone Imaging 3 Phase (78315) | $480.74 | $981.11 | 1.0× |
| Bone Imaging Limited Area (78300) | $480.74 | $981.11 | 1.0× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$480.74–$909.91 | $981.11–$1,856.96 | varies |
| Bone marrow imaging limited area (78102) | $514.07 | $1,049.13 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $790.70 | $1,613.68 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $790.70 | $1,613.68 | 1.2× |
| Chest 1 view (71045) | $85.38 | $174.24 | 0.8× |
| Chest 2 views (71046) | $85.38 | $174.24 | 0.8× |
| Chest 4 or more views (71048) | $85.38 | $174.24 | 0.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$307.57–$322.80 | $627.70–$658.77 | varies |
| Contrast X-Ray Bladder (74430) | $381.86 | $779.31 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $996.02 | $2,032.69 | 2.4× |
| CT abdomen and pelvis without contrast (74176) | $617.29 | $1,259.77 | 2.2× |
| CT abdomen w contrast (74160) | $635.47 | $1,296.88 | 3.0× |
| CT abdomen w wo contrast (74170) | $715.67 | $1,460.55 | 3.4× |
| CT abdomen w/o contrast (74150) | $322.80 | $658.77 | 2.6× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$837.91–$996.02 | $1,710.02–$2,032.69 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$709.85–$745.34 | $1,448.67–$1,521.11 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$709.85–$745.34 | $1,448.67–$1,521.11 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $745.34 | $1,521.11 | 3.5× |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$709.85–$745.34 | $1,448.67–$1,521.11 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $745.34 | $1,521.11 | 3.5× |
| CT cervical spine w/ contrast (72126) | $635.47 | $1,296.88 | 1.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$307.47–$322.80 | $627.49–$658.77 | varies |
| CT cervical spine w/wo cont (72127) | $715.67 | $1,460.55 | 3.4× |
| CT chest w contrast (71260) | $635.47 | $1,296.88 | 3.0× |
| CT chest w/wo contrast (71270) | $715.67 | $1,460.55 | 3.4× |
| CT head/brain with contrast (70460) | $635.47 | $1,296.88 | 3.0× |
| CT head/brain without and with contrast (70470) | $715.67 | $1,460.55 | 3.4× |
| CT iac w contrast (70481) | $635.47 | $1,296.88 | 3.0× |
| CT l-spine w&w/o contrast (72133) | $715.67 | $1,460.55 | 3.4× |
| CT lower ext w/o (73700) | $322.80 | $658.77 | 2.6× |
| CT lower extremity w/contrast material (73701) | $635.47 | $1,296.88 | 3.0× |
| CT lumbar spine w contrast (72132) | $635.47 | $1,296.88 | 1.5× |
| CT lumbar spine w/o contrast (72131) | $322.80 | $658.77 | 2.6× |
| CT maxillofacial w contrast (70487) | $635.47 | $1,296.88 | 3.0× |
| CT maxillofacial wo contrast (70486) | $322.80 | $658.77 | 2.6× |
| CT neck tissue combo (70492) | $715.67 | $1,460.55 | 3.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $715.67 | $1,460.55 | 3.4× |
| CT orbits w/o contrast (70480) | $322.80 | $658.77 | 2.6× |
| CT pelvis w&w/o contrast (72194) | $715.67 | $1,460.55 | 3.4× |
| CT pelvis w/o contrast (72192) | $322.80 | $658.77 | 2.6× |
| CT scan of leg combo (73702) | $715.67 | $1,460.55 | 3.4× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$635.47–$715.67 | $1,296.88–$1,460.55 | varies |
| CT soft tissue neck w contrast (70491) | $635.47 | $1,296.88 | 3.0× |
| CT soft tissue neck w/o contrast (70490) | $322.80 | $658.77 | 2.6× |
| CT thoracic spine w contrast (72129) | $635.47 | $1,296.88 | 3.0× |
| CT thoracic spine w/o contrast (72128) | $322.80 | $658.77 | 2.6× |
| CT thoracic spine w/wo cont (72130) | $715.67 | $1,460.55 | 3.4× |
| CT thorax w/o contrast (71250) | $322.80 | $658.77 | 2.6× |
| CT upper ext wo (73200) | $322.80 | $658.77 | 2.6× |
| CT upper extremity w/o & w/contrast material (73202) | $715.67 | $1,460.55 | 3.4× |
| CT upper extremity with contrast (73201) | $635.47 | $1,296.88 | 1.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $453.51 | $925.54 | 2.2× |
| Cta Abdomen (74175) | $745.34 | $1,521.11 | 3.5× |
| CTA pelvis (72191) | $712.40 | $1,453.87 | 3.4× |
| Discography Cerv/Thor Spine (72285) | $3,707.42 | $7,566.17 | 1.6× |
| Diskography lumbar (72295) | $3,707.42 | $7,566.17 | 1.6× |
| Dxa Bone Density Axial (77080) | $134.63 | $274.75 | 1.1× |
| Esophagram (74220) | $150.82 | $307.80 | 0.7× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$183.02–$262.65 | $373.50–$536.03 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$146.41–$262.65 | $298.80–$536.03 | varies |
| Fluoroscopy up to 1 hr (76000) | $231.71 | $472.87 | 0.8× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Gastric emptying imaging study (78264) | $561.63 | $1,146.19 | 1.2× |
| Gated Heart Planar Single (78472) | $933.18 | $1,904.44 | 1.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$86.65–$173.31 | $176.84–$353.70 | varies |
| Hepatobil Syst Image W/Drug (78227) | $672.33 | $1,372.10 | 1.0× |
| Hepatobiliary System Imaging (78226) | $552.59 | $1,127.74 | 1.2× |
| Ht Muscle Image Spect Sing (78451) | $2,803.86 | $5,722.16 | 1.8× |
| Hysterosalpingogram (74740) | $471.10 | $961.42 | 1.6× |
| Interstitial radiation source applic complex (77778) | $2,124.27 | $4,335.24 | 2.5× |
| K Flow/Funct Image Multiple (78709) | $673.96 | $1,375.43 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $616.87 | $1,258.92 | 0.9× |
| K Flow/Funct Image W/O Drug (78707) | $615.53 | $1,256.19 | 0.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Liver & Spleen Imaging Static Only (78215) | $552.59 | $1,127.74 | 1.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $552.59 | $1,127.74 | 1.2× |
| Lung Perf&Ventilat Diferentl (78598) | $639.22 | $1,304.53 | 1.0× |
| Lung perfusion differential (78597) | $454.40 | $927.35 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $638.67 | $1,303.40 | 1.0× |
| Lung Ventilation Imaging (78579) | $454.40 | $927.35 | 0.9× |
| Lymph System Imaging (78195) | $512.80 | $1,046.53 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $718.56 | $1,466.44 | 2.5× |
| Mammary ductogram or galactogram multiple (77054) range across 6 matching MRF lines |
$471.70–$603.03 | $962.66–$1,230.68 | varies |
| Mammary ductogram or galactogram single (77053) range across 4 matching MRF lines |
$471.70–$724.93 | $962.66–$1,479.44 | varies |
| Meckels Divert Exam (78290) | $480.74 | $981.11 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,200.15 | $2,449.29 | 2.9× |
| MRA head w/o contrast (70544) | $832.88 | $1,699.75 | 2.9× |
| MRA head with contrast (70545) | $1,038.41 | $2,119.21 | 2.5× |
| MRA neck w contrast (70548) | $1,038.41 | $2,119.21 | 2.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,200.15 | $2,449.29 | 2.9× |
| MRA neck w/o contrast (70547) | $832.88 | $1,699.75 | 2.9× |
| MRI abdomen w contrast (74182) | $1,038.41 | $2,119.21 | 2.5× |
| MRI abdomen w/o contrast (74181) | $832.88 | $1,699.75 | 2.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,038.41 | $2,119.21 | 1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 8 matching MRF lines |
$1,200.15–$2,400.31 | $2,449.29–$4,898.59 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 14 matching MRF lines |
$970.47–$1,038.41 | $1,980.55–$2,119.21 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,304.73–$1,359.77 | $2,662.71–$2,775.04 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,087.83 | $2,220.06 | 3.8× |
| MRI cervical spine w contrast (72142) | $1,038.41 | $2,119.21 | 2.5× |
| MRI cervical spine w/o cont (72141) | $832.88 | $1,699.75 | 2.9× |
| MRI chest w/o contrast (71550) | $832.88 | $1,699.75 | 2.9× |
| MRI chest wo w contrast (71552) | $1,200.15 | $2,449.29 | 2.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $924.25 | $1,886.22 | 2.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,200.15 | $2,449.29 | 2.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $832.88 | $1,699.75 | 2.9× |
| MRI lumbar spine w contrast (72149) | $1,038.41 | $2,119.21 | 2.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,200.15 | $2,449.29 | 2.9× |
| MRI orbit face &/neck w/o contrast (70540) | $832.88 | $1,699.75 | 2.9× |
| MRI orbit face neck w contrast (70542) | $948.35 | $1,935.40 | 2.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,200.15 | $2,449.29 | 2.9× |
| MRI pelvis w contrast (72196) | $1,038.41 | $2,119.21 | 2.5× |
| MRI pelvis w/o & w contrast (72197) range across 5 matching MRF lines |
$1,198.60–$1,200.15 | $2,446.13–$2,449.29 | varies |
| MRI pelvis w/o contrast (72195) | $832.88 | $1,699.75 | 2.9× |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$832.88–$1,038.41 | $1,699.75–$2,119.21 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,038.41 | $2,119.21 | 2.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $832.88 | $1,699.75 | 2.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,200.15 | $2,449.29 | 2.9× |
| MRI, abdomen, combo (74183) range across 6 matching MRF lines |
$1,095.31–$1,200.15 | $2,235.33–$2,449.29 | varies |
| MRI, dorsal spine combo (72157) | $1,200.15 | $2,449.29 | 2.9× |
| MRI, dorsal spine contrast (72147) | $1,038.41 | $2,119.21 | 2.5× |
| MRI, joint upper extrem (73221) | $832.88 | $1,699.75 | 2.9× |
| MRI, joint upper extrem combo (73223) | $1,200.15 | $2,449.29 | 2.9× |
| MRI, lumbar spine combo (72158) | $1,200.15 | $2,449.29 | 2.9× |
| Myelogram cervical (72240) | $1,285.65 | $2,623.77 | 1.4× |
| Myelography thoracic (72255) | $1,285.65 | $2,623.77 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $2,803.86 | $5,722.16 | 1.8× |
| Neck soft tissue (70360) | $85.38 | $174.24 | 0.8× |
| Nonvascular Shunt X-Ray (75809) | $134.79 | $275.09 | 1.1× |
| Nuclear Rx Oral Admin (79005) | $538.34 | $1,098.66 | 1.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $146.77 | $299.53 | 1.2× |
| Parathyroid Planar Imaging (78070) | $426.18 | $869.75 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,093.51 | $2,231.65 | 2.3× |
| Pelvis 1 or 2 views (72170) | $85.38 | $174.24 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $478.99 | $977.54 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $134.79 | $275.09 | 1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $471.10 | $961.42 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $85.38 | $174.24 | 0.8× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $134.79 | $275.09 | 1.1× |
| Radex fingr minimum 2 views (73140) | $85.38 | $174.24 | 0.8× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $85.38 | $174.24 | 0.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $85.38 | $174.24 | 0.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $85.38 | $174.24 | 0.8× |
| Radex Spine 1 View Specify Level (72020) | $85.38 | $174.24 | 0.8× |
| Radex Sternum Minimum 2 Views (71120) | $85.38 | $174.24 | 0.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $85.38 | $174.24 | 0.8× |
| Radex Toe Minimum 2 Views (73660) | $85.38 | $174.24 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $281.78 | $575.07 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $134.79 | $275.09 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $223.36 | $455.83 | 1.1× |
| Radiologic exam colon single contrast study (74270) | $223.36 | $455.83 | 1.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $150.82 | $307.80 | 0.7× |
| Radiologic exam swallow function contrast study (74230) | $150.82 | $307.80 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $223.36 | $455.83 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$89.26–$178.52 | $182.17–$364.33 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Ribs bilateral 3 views (71110) | $134.79 | $275.09 | 1.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $713.08 | $1,455.27 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,714.87 | $3,499.73 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $973.61 | $1,986.95 | 1.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$747.09–$918.89 | $1,524.67–$1,875.28 | varies |
| Rp Therapy Intravenous Administration (79101) | $559.49 | $1,141.82 | 2.0× |
| Scapula (73010) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $38.52 | $78.61 | 1.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| Skull less than 4 views (70250) | $85.38 | $174.24 | 0.7× |
| Special dosimetry (77331) | $178.16 | $363.59 | 1.1× |
| Special Physics Consult (77370) | $615.76 | $1,256.65 | 3.8× |
| Special treatment procedure (77470) | $1,515.11 | $3,092.06 | 2.3× |
| Sternoclavicular joints (71130) | $85.38 | $174.24 | 0.8× |
| Testicular Imaging W/Flow (78761) | $615.53 | $1,256.19 | 1.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $934.57 | $1,907.28 | 2.1× |
| Thoracic spine 3 views (72072) | $134.79 | $275.09 | 1.1× |
| Thyroid Imaging With Vascular Flow (78013) | $272.78 | $556.69 | 0.6× |
| Thyroid Uptake Measurement (78012) | $209.24 | $427.03 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $426.18 | $869.75 | 0.9× |
| Tx devices design & construction simple (77332) | $223.69 | $456.51 | 1.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$131.32–$197.01 | $268–$402.07 | varies |
| Ultrasound Exam Aaa Screen (76706) | $254.12 | $518.61 | 2.0× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$184.26–$328.29 | $376.05–$669.97 | varies |
| Unlisted us procedure (76999) | $134.63 | $274.75 | 1.3× |
| Upper gi w/o kub (74240) | $223.36 | $455.83 | 1.1× |
| Urethrocystogram voiding (74455) | $381.86 | $779.31 | 1.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$131.32–$262.65 | $268–$536.03 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$148.16–$200.29 | $302.36–$408.75 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$97.47–$141.17 | $198.92–$288.10 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 11 matching MRF lines |
$109.92–$269.58 | $224.33–$550.17 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$143.58–$229.82 | $293.03–$469.03 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$153.65–$262.65 | $313.57–$536.03 | varies |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$199.40–$262.65 | $406.94–$536.03 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$185.81–$328.29 | $379.21–$669.97 | varies |
| Us retroperitoneal complete (76770) | $328.40 | $670.20 | 2.6× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$102.02–$200.29 | $208.20–$408.75 | varies |
| Us scrotum and contents (76870) | $262.65 | $536.03 | 2.1× |
| Us thyroid (76536) range across 3 matching MRF lines |
$200.29–$217.34 | $408.75–$443.56 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$202.17–$320.69 | $412.60–$654.46 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $85.38 | $174.24 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $134.79 | $275.09 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| X-Ray Exam Breast Specimen (76098) | $471.70 | $962.66 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $89.26 | $182.17 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $148.27 | $302.60 | 1.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $89.26 | $182.17 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $89.26 | $182.17 | 0.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $148.27 | $302.60 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $148.27 | $302.60 | 1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $281.78 | $575.07 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $134.79 | $275.09 | 1.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $85.38 | $174.24 | 0.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $134.79 | $275.09 | 1.1× |
| X-ray eye for foreign body (70030) | $85.38 | $174.24 | 0.8× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$85.38–$170.76 | $174.24–$348.49 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $85.38 | $174.24 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $85.38 | $174.24 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $85.38 | $174.24 | 0.7× |
| X-ray nose-rectum child f.b. (76010) | $86.65 | $176.84 | 0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $134.79 | $275.09 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $85.38 | $174.24 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $85.38 | $174.24 | 0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $85.38 | $174.24 | 0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $134.79 | $275.09 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $381.86 | $779.31 | 0.9× |
| X-Rays Bone Length Studies (77073) | $85.38 | $174.24 | 0.7× |
| X-Rays Bone Survey Complete (77075) | $134.79 | $275.09 | 1.1× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$134.79–$281.78 | $275.09–$575.07 | varies |
| Xr facial bones less than 3 views (70140) | $85.38 | $174.24 | 0.8× |
| Xr orbits complete 4 views (70200) | $85.38 | $174.24 | 0.7× |
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.