Imaging prices at Western Reserve Hospital
Cuyahoga Falls, OH · 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) | $400.40 | $728 | 4.9× |
| Abdomen 2 views (74019) | $827.20 | $1,504 | 8.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,570.80 | $2,856 | 4.2× |
| Angio pulmonary bilat (75743) | $5,667.75 | $10,305 | 1.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,645.20 | $10,264 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $5,658.95 | $10,289 | 1.9× |
| Angiography extremity unilateral rs&i (75710) | $5,313.55 | $9,661 | 1.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,979.80 | $7,236 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,373.25 | $4,315 | 0.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$517.55–$745.25 | $941–$1,355 | varies |
| Artery X-Rays Adrenal Gland (75731) | $2,929.30 | $5,326 | 1.0× |
| Artery X-Rays Pelvis (75736) | $5,374.60 | $9,772 | 1.0× |
| Artery X-Rays Spine (75705) | $3,979.80 | $7,236 | 0.8× |
| Bone age studies (77072) | $719.40 | $1,308 | 7.3× |
| Bone Imaging 3 Phase (78315) | $2,361.15 | $4,293 | 6.2× |
| Bone Imaging Limited Area (78300) | $1,259.50 | $2,290 | 3.3× |
| Bone Imaging Whole Body (78306) | $2,361.15 | $4,293 | 6.2× |
| Bone marrow imaging limited area (78102) | $606.65 | $1,103 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $1,032.35 | $1,877 | 12.5× |
| Cerebrospinal Fluid Scan (78630) | $2,822.60 | $5,132 | 5.5× |
| Chest 1 view (71045) | $420.20 | $764 | 5.1× |
| Chest 2 views (71046) | $497.20 | $904 | 6.0× |
| Chest 3 views (71047) | $719.40 | $1,308 | 8.7× |
| Chest 4 or more views (71048) | $757.90 | $1,378 | 7.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$718.85–$1,078 | $1,307–$1,960 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $925.10 | $1,682 | 9.4× |
| Contrast Exam Abdominl Aorta (75625) | $5,689.20 | $10,344 | 1.9× |
| Contrast X-Ray Bladder (74430) | $880.55 | $1,601 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $9,467.70 | $17,214 | 28.7× |
| CT abdomen and pelvis without contrast (74176) | $6,063.20 | $11,024 | 26.9× |
| CT abdomen w contrast (74160) | $3,912.70 | $7,114 | 23.6× |
| CT abdomen w wo contrast (74170) | $4,406.05 | $8,011 | 26.6× |
| CT abdomen w/o contrast (74150) | $3,034.35 | $5,517 | 30.7× |
| CT Angio Abdomen and Pelvis (74174) | $11,442.20 | $20,804 | 34.7× |
| CT Angio Chest (71275) | $5,062.75 | $9,205 | 30.5× |
| CT Angio Head (70496) | $5,062.75 | $9,205 | 30.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$5,062.75–$7,593.30 | $9,205–$13,806 | varies |
| CT Angio Neck (70498) | $5,062.75 | $9,205 | 30.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,062.75 | $9,205 | 30.5× |
| CT cervical spine w/ contrast (72126) | $3,835.70 | $6,974 | 11.6× |
| CT cervical spine w/o contrast (72125) | $3,028.85 | $5,507 | 30.6× |
| CT cervical spine w/wo cont (72127) | $5,062.75 | $9,205 | 30.5× |
| CT chest w contrast (71260) | $3,450.70 | $6,274 | 20.8× |
| CT chest w/wo contrast (71270) | $5,062.75 | $9,205 | 30.5× |
| CT head/brain with contrast (70460) | $3,835.70 | $6,974 | 23.1× |
| CT head/brain without and with contrast (70470) | $5,062.75 | $9,205 | 30.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $284.90 | $518 | 3.5× |
| CT iac w contrast (70481) | $3,835.70 | $6,974 | 23.1× |
| CT l-spine w&w/o contrast (72133) | $5,062.75 | $9,205 | 30.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$3,028.85–$6,059.35 | $5,507–$11,017 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$3,835.70–$7,671.40 | $6,974–$13,948 | varies |
| CT lumbar spine w contrast (72132) | $3,517.80 | $6,396 | 10.7× |
| CT lumbar spine w/o contrast (72131) | $3,028.85 | $5,507 | 30.6× |
| CT maxillofacial w contrast (70487) | $3,835.70 | $6,974 | 23.1× |
| CT maxillofacial wo contrast (70486) | $2,855.60 | $5,192 | 28.9× |
| CT neck tissue combo (70492) | $5,062.75 | $9,205 | 30.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,062.75 | $9,205 | 30.5× |
| CT orbits w/o contrast (70480) | $3,028.85 | $5,507 | 30.6× |
| CT pelvis w&w/o contrast (72194) | $5,062.75 | $9,205 | 30.5× |
| CT pelvis w/o contrast (72192) | $3,028.85 | $5,507 | 30.6× |
| CT scan of leg combo (73702) | $5,062.75 | $9,205 | 30.5× |
| CT scans face/jaw combo (70488) | $5,062.75 | $9,205 | 30.5× |
| CT soft tissue neck w contrast (70491) | $3,450.70 | $6,274 | 20.8× |
| CT soft tissue neck w/o contrast (70490) | $3,028.85 | $5,507 | 30.6× |
| CT thoracic spine w contrast (72129) | $3,835.70 | $6,974 | 23.1× |
| CT thoracic spine w/o contrast (72128) | $3,028.85 | $5,507 | 30.6× |
| CT thoracic spine w/wo cont (72130) | $5,062.75 | $9,205 | 30.5× |
| CT thorax w/o contrast (71250) | $3,028.85 | $5,507 | 30.6× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$3,028.85–$6,059.35 | $5,507–$11,017 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $5,062.75 | $9,205 | 30.5× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$3,835.70–$7,671.40 | $6,974–$13,948 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,753 | $10,460 | 34.7× |
| Cta Abdomen (74175) | $5,063.85 | $9,207 | 30.5× |
| CTA pelvis (72191) | $5,062.75 | $9,205 | 30.5× |
| Dxa Bone Density Axial (77080) | $540.10 | $982 | 5.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $303.05 | $551 | 3.7× |
| Esophagram (74220) | $860.20 | $1,564 | 5.2× |
| Fluoroscopy up to 1 hr (76000) | $1,189.65 | $2,163 | 5.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$517.55–$776.05 | $941–$1,411 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$517.55–$776.05 | $941–$1,411 | varies |
| Gastric emptying imaging study (78264) | $1,433.85 | $2,607 | 3.8× |
| Gated Heart Planar Single (78472) | $2,091.65 | $3,803 | 5.5× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$536.25–$804.10 | $975–$1,462 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,273.60 | $5,952 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,979.80 | $7,236 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $2,229.70 | $4,054 | 4.3× |
| Hepatobiliary System Imaging (78226) | $2,229.70 | $4,054 | 5.9× |
| Ht Muscle Image Spect Sing (78451) | $1,855.15 | $3,373 | 1.5× |
| K Flow/Funct Image Multiple (78709) | $2,037.20 | $3,704 | 4.0× |
| K Flow/Funct Image W/Drug (78708) | $1,998.70 | $3,634 | 3.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,931.60 | $3,512 | 3.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$739.20–$1,108.80 | $1,344–$2,016 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,117.60 | $2,032 | 3.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,423.40 | $2,588 | 3.8× |
| Lung Ventilat&Perfus Imaging (78582) | $2,222 | $4,040 | 4.3× |
| Lymph System Imaging (78195) | $1,603.25 | $2,915 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $4,741.55 | $8,621 | 21.0× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$694.10–$1,040.05 | $1,262–$1,891 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$694.10–$1,040.05 | $1,262–$1,891 | varies |
| Meckels Divert Exam (78290) | $722.70 | $1,314 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $5,596.80 | $10,176 | 17.0× |
| MRA head w/o contrast (70544) | $4,320.25 | $7,855 | 19.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,433.45 | $9,879 | 16.5× |
| MRA neck w/o contrast (70547) | $4,320.25 | $7,855 | 19.1× |
| MRI abdomen w contrast (74182) | $4,700.85 | $8,547 | 14.2× |
| MRI abdomen w/o contrast (74181) | $4,320.25 | $7,855 | 19.1× |
| MRI any jt lower extrem w/contrast material (73722) | $4,700.85 | $8,547 | 6.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,433.45 | $9,879 | 16.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,700.85 | $8,547 | 6.3× |
| MRI cervical spine w contrast (72142) | $4,700.85 | $8,547 | 14.2× |
| MRI cervical spine w/o cont (72141) | $4,320.25 | $7,855 | 19.1× |
| MRI chest w/o contrast (71550) | $4,320.25 | $7,855 | 19.1× |
| MRI chest wo w contrast (71552) | $5,433.45 | $9,879 | 16.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,700.85 | $8,547 | 14.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,594.05 | $10,171 | 16.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$4,320.25–$6,480.10 | $7,855–$11,782 | varies |
| MRI lumbar spine w contrast (72149) | $4,700.85 | $8,547 | 14.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,398.05 | $13,451 | 22.4× |
| MRI orbit face &/neck w/o contrast (70540) | $4,320.25 | $7,855 | 19.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,433.45 | $9,879 | 16.5× |
| MRI pelvis w contrast (72196) | $4,700.85 | $8,547 | 14.2× |
| MRI pelvis w/o & w contrast (72197) | $5,433.45 | $9,879 | 16.5× |
| MRI pelvis w/o contrast (72195) | $4,320.25 | $7,855 | 19.1× |
| MRI thoracic spine w/o contrast (72146) | $4,320.25 | $7,855 | 19.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,700.85 | $8,547 | 14.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,320.25 | $7,855 | 19.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,433.45 | $9,879 | 16.5× |
| MRI, abdomen, combo (74183) | $5,433.45 | $9,879 | 16.5× |
| MRI, dorsal spine combo (72157) | $7,398.05 | $13,451 | 22.4× |
| MRI, dorsal spine contrast (72147) | $4,700.85 | $8,547 | 14.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$4,320.25–$8,639.40 | $7,855–$15,708 | varies |
| MRI, joint upper extrem combo (73223) | $5,433.45 | $9,879 | 16.5× |
| MRI, lumbar spine combo (72158) | $7,398.05 | $13,451 | 22.4× |
| Myocardial Spect Multiple Studies (78452) | $7,236.35 | $13,157 | 5.9× |
| Neck soft tissue (70360) | $473 | $860 | 5.7× |
| Nonvascular Shunt X-Ray (75809) | $1,320.55 | $2,401 | 13.4× |
| Panoramic X-ray of jaws (70355) | $400.40 | $728 | 4.9× |
| Parathyroid Planar Imaging (78070) | $1,777.05 | $3,231 | 4.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,319.35 | $4,217 | 6.1× |
| Pelvis 1 or 2 views (72170) | $517.55 | $941 | 5.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,219.15 | $5,853 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,691.25 | $3,075 | 4.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $966.90 | $1,758 | 9.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,270.50 | $2,310 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$754.05–$1,128.60 | $1,371–$2,052 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$517.55–$993.85 | $941–$1,807 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$718.85–$1,078 | $1,307–$1,960 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $844.25 | $1,535 | 8.5× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$435.05–$640.75 | $791–$1,165 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$844.25–$1,266.10 | $1,535–$2,302 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$562.65–$1,073.05 | $1,023–$1,951 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$309.65–$484 | $563–$880 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $844.25 | $1,535 | 10.3× |
| Radex Ribs Unilateral 2 Views (71100) | $501.05 | $911 | 6.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$518.10–$777.15 | $942–$1,413 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $719.40 | $1,308 | 8.7× |
| Radex Spine 1 View Specify Level (72020) | $494.45 | $899 | 6.0× |
| Radex Sternum Minimum 2 Views (71120) | $497.20 | $904 | 6.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,437.70 | $2,614 | 17.5× |
| Radex Toe Minimum 2 Views (73660) | $517.55 | $941 | 6.3× |
| Radex upper extremity infant minimum 2 views (73092) | $358.05 | $651 | 3.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$565.95–$817.85 | $1,029–$1,487 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $844.25 | $1,535 | 8.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $898.15 | $1,633 | 9.1× |
| Radiologic exam colon double contrast study (74280) | $1,929.40 | $3,508 | 11.6× |
| Radiologic exam colon single contrast study (74270) | $1,748.45 | $3,179 | 10.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,382.15 | $2,513 | 8.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$967.45–$1,450.35 | $1,759–$2,637 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $844.25 | $1,535 | 8.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $901.45 | $1,639 | 5.4× |
| Radiologic exam swallow function contrast study (74230) | $1,439.90 | $2,618 | 8.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,382.15 | $2,513 | 8.3× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$489.50–$736.45 | $890–$1,339 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$489.50–$736.45 | $890–$1,339 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$435.60–$734.80 | $792–$1,336 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$489.50–$736.45 | $890–$1,339 | varies |
| Ribs bilateral 3 views (71110) | $729.85 | $1,327 | 7.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,596.65 | $2,903 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,090.45 | $5,619 | 6.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,953.60 | $3,552 | 3.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,067.90 | $5,578 | 2.5× |
| Scapula (73010) | $718.85 | $1,307 | 7.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$169.40–$253.55 | $308–$461 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$435.05–$654.50 | $791–$1,190 | varies |
| Skull less than 4 views (70250) | $719.40 | $1,308 | 7.3× |
| Sternoclavicular joints (71130) | $440 | $800 | 5.3× |
| Superior sagittal sinus venogram (75870) | $2,373.25 | $4,315 | 0.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,545.50 | $2,810 | 9.3× |
| Thoracic spine 2 views (72070) | $512.60 | $932 | 5.2× |
| Thoracic spine 3 views (72072) | $719.40 | $1,308 | 7.3× |
| Thoracolumbar 2 views (72080) | $587.95 | $1,069 | 7.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,676.40 | $3,048 | 4.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$501.60–$752.95 | $912–$1,369 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,225.95 | $2,229 | 12.4× |
| Ultrasound, abdomen limited (76705) | $1,009.25 | $1,835 | 10.2× |
| Unlisted us procedure (76999) | $438.35 | $797 | 5.3× |
| Upper gi w/o kub (74240) | $1,201.75 | $2,185 | 7.2× |
| Urethrocystogram voiding (74455) | $1,159.95 | $2,109 | 5.1× |
| Us chest (76604) | $642.95 | $1,169 | 6.5× |
| Us complete joint (76881) | $206.25 | $375 | 2.1× |
| Us exam, pelvic, limited (76857) | $532.40 | $968 | 5.4× |
| Us kidney transplant (76776) | $1,090.10 | $1,982 | 11.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$206.80–$974.60 | $376–$1,772 | varies |
| Us ob limited 1 or more fetuses (76815) | $715 | $1,300 | 7.2× |
| Us ob transvaginal (76817) | $1,090.10 | $1,982 | 11.0× |
| Us pelvic non ob complete (76856) | $714.45 | $1,299 | 7.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $624.80 | $1,136 | 6.3× |
| Us retroperitoneal complete (76770) | $1,090.10 | $1,982 | 11.0× |
| Us retroperitoneal limited (76775) | $1,064.25 | $1,935 | 10.8× |
| Us scrotum and contents (76870) | $932.25 | $1,695 | 9.4× |
| Us thyroid (76536) | $714.45 | $1,299 | 7.2× |
| Us transrectal (76872) | $738.65 | $1,343 | 7.5× |
| Vein X-Ray Chest (75827) | $3,219.15 | $5,853 | 2.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,929.30 | $5,326 | 1.0× |
| Vein X-Ray Skull Epidural (75872) | $1,856.80 | $3,376 | 3.1× |
| Vein X-Ray Spleen/Liver (75810) | $2,929.30 | $5,326 | 1.0× |
| Venogram Sinus/Jugular (75860) | $4,749.80 | $8,636 | 1.6× |
| Venography Adrenal Unilateral (75840) | $3,979.80 | $7,236 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $3,758.70 | $6,834 | 1.3× |
| Venography extremity bilateral rs&i (75822) | $2,481.05 | $4,511 | 1.7× |
| Venography extremity unilateral rs&i (75820) | $1,686.30 | $3,066 | 1.1× |
| Venography Renal Bilateral (75833) | $3,979.80 | $7,236 | 1.3× |
| Venography Renal Unilateral (75831) | $3,979.80 | $7,236 | 1.3× |
| Venous sampling by catheter (75893) | $5,173.30 | $9,406 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $267.30 | $486 | 3.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$503.25–$755.70 | $915–$1,374 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $719.40 | $1,308 | 8.7× |
| X-Ray Aorta Leg Arteries (75630) | $5,689.20 | $10,344 | 1.9× |
| X-Ray Bend Only L-S Spine (72120) | $817.85 | $1,487 | 8.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$517.55–$776.05 | $941–$1,411 | varies |
| X-Ray Exam Breast Specimen (76098) | $782.65 | $1,423 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $532.40 | $968 | 5.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $687.50 | $1,250 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $421.30 | $766 | 5.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $536.25 | $975 | 6.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,027.95 | $1,869 | 10.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,054.90 | $1,918 | 10.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,080.75 | $1,965 | 10.9× |
| X-Ray Exam L-S Spine Bending (72114) | $1,016.95 | $1,849 | 10.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $532.40 | $968 | 6.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $908.60 | $1,652 | 9.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $494.45 | $899 | 5.0× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$435.05–$834.90 | $791–$1,518 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$484.55–$723.80 | $881–$1,316 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,504.25 | $2,735 | 9.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $719.40 | $1,308 | 8.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $494.45 | $899 | 6.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $817.85 | $1,487 | 8.3× |
| X-ray nose-rectum child f.b. (76010) | $441.10 | $802 | 5.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $844.25 | $1,535 | 8.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $719.40 | $1,308 | 7.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $517.55 | $941 | 5.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $719.40 | $1,308 | 8.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $844.25 | $1,535 | 10.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $833.25 | $1,515 | 8.4× |
| X-Ray Tmj Unilat (70328) | $655.05 | $1,191 | 8.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,709.40 | $3,108 | 5.2× |
| X-Rays Bone Length Studies (77073) | $719.40 | $1,308 | 7.3× |
| X-Rays Bone Survey Complete (77075) | $1,439.90 | $2,618 | 14.6× |
| Xr c-spine 4 or 5 views (72050) | $844.25 | $1,535 | 8.5× |
| Xr facial bones less than 3 views (70140) | $517.55 | $941 | 6.3× |
| Xr orbits complete 4 views (70200) | $967.45 | $1,759 | 9.8× |
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.