Imaging prices at Surgical Hospital at Southwoods
Youngstown, OH · every code in this section with a posted price and a Medicare benchmark.
258 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) | $392.82 | $785.65 | 4.8× |
| Abdomen 2 views (74019) | $392.82 | $785.65 | 4.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,288.22 | $2,576.45 | 3.4× |
| Ankle 2 views (73600) | $392.82 | $785.65 | 4.8× |
| Bone age studies (77072) | $392.82 | $785.65 | 4.0× |
| Bone Imaging 3 Phase (78315) | $1,569.12 | $3,138.25 | 4.1× |
| Bone Imaging Limited Area (78300) | $952.99 | $1,905.98 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $1,066.55 | $2,133.10 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,451.22 | $2,902.45 | 3.8× |
| Bone survey infant (77076) | $392.82 | $785.65 | 4.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,851.61 | $11,703.22 | 4.3× |
| Chest 1 view (71045) | $392.82 | $785.65 | 4.8× |
| Chest 2 views (71046) | $392.82 | $785.65 | 4.8× |
| Chest 3 views (71047) | $392.82 | $785.65 | 4.8× |
| Chest 4 or more views (71048) | $392.82 | $785.65 | 4.0× |
| Clavicle complete (73000) | $392.82 | $785.65 | 4.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,521.86 | $3,043.71 | 15.4× |
| Contrast X-Ray Bladder (74430) | $510.72 | $1,021.45 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $883.99 | $1,767.98 | 2.7× |
| CT abdomen and pelvis without contrast (74176) | $793.26 | $1,586.51 | 3.5× |
| CT abdomen w contrast (74160) | $1,294.20 | $2,588.40 | 7.8× |
| CT abdomen w wo contrast (74170) | $1,620.20 | $3,240.39 | 9.8× |
| CT abdomen w/o contrast (74150) | $1,055.68 | $2,111.37 | 10.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,122.78 | $4,245.55 | 6.4× |
| CT Angio Chest (71275) | $1,733.76 | $3,467.51 | 10.4× |
| CT Angio Head (70496) | $2,122.78 | $4,245.55 | 12.8× |
| CT angio hrt w/3d image (75574) | $2,122.78 | $4,245.55 | 6.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,122.78 | $4,245.55 | 12.8× |
| CT Angio Neck (70498) | $2,122.78 | $4,245.55 | 12.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,122.78 | $4,245.55 | 12.8× |
| CT bone density (77078) | $2,122.78 | $4,245.55 | 25.8× |
| CT cervical spine w/ contrast (72126) | $2,122.78 | $4,245.55 | 6.4× |
| CT cervical spine w/o contrast (72125) | $1,055.68 | $2,111.37 | 10.7× |
| CT cervical spine w/wo cont (72127) | $895.40 | $1,790.80 | 5.4× |
| CT chest w contrast (71260) | $1,295.28 | $2,590.57 | 7.8× |
| CT chest w/wo contrast (71270) | $1,425.14 | $2,850.29 | 8.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,122.78 | $4,245.55 | 21.5× |
| CT head/brain with contrast (70460) | $811.18 | $1,622.37 | 4.9× |
| CT head/brain without and with contrast (70470) | $1,055.68 | $2,111.37 | 6.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,122.78 | $4,245.55 | 6.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,122.78 | $4,245.55 | 25.8× |
| CT iac w contrast (70481) | $2,122.78 | $4,245.55 | 12.8× |
| CT l-spine w&w/o contrast (72133) | $2,122.78 | $4,245.55 | 12.8× |
| CT lower ext w/o (73700) range across 15 matching MRF lines |
$1,971.73–$2,122.78 | $3,943.46–$4,245.55 | varies |
| CT lower extremity w/contrast material (73701) | $2,122.78 | $4,245.55 | 12.8× |
| CT lumbar spine w contrast (72132) | $1,267.04 | $2,534.07 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $1,055.68 | $2,111.37 | 10.7× |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$1,055.68–$2,122.78 | $2,111.37–$4,245.55 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,055.68–$2,122.78 | $2,111.37–$4,245.55 | varies |
| CT neck tissue combo (70492) | $1,425.14 | $2,850.29 | 8.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,122.78 | $4,245.55 | 12.8× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,055.68–$2,122.78 | $2,111.37–$4,245.55 | varies |
| CT pelvis w&w/o contrast (72194) | $1,620.20 | $3,240.39 | 9.8× |
| CT pelvis w/o contrast (72192) | $1,056.77 | $2,113.54 | 10.7× |
| CT scan of leg combo (73702) | $2,122.78 | $4,245.55 | 12.8× |
| CT scans face/jaw combo (70488) | $2,122.78 | $4,245.55 | 12.8× |
| CT soft tissue neck w contrast (70491) | $1,294.20 | $2,588.40 | 7.8× |
| CT soft tissue neck w/o contrast (70490) | $1,055.68 | $2,111.37 | 10.7× |
| CT thoracic spine w contrast (72129) | $1,052.96 | $2,105.93 | 6.3× |
| CT thoracic spine w/o contrast (72128) | $1,055.68 | $2,111.37 | 10.7× |
| CT thoracic spine w/wo cont (72130) | $2,122.78 | $4,245.55 | 12.8× |
| CT thorax w/o contrast (71250) | $1,056.77 | $2,113.54 | 10.7× |
| CT upper ext wo (73200) | $2,122.78 | $4,245.55 | 21.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,122.78 | $4,245.55 | 12.8× |
| CT upper extremity with contrast (73201) | $2,122.78 | $4,245.55 | 6.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,122.78 | $4,245.55 | 12.8× |
| Cta Abdomen (74175) | $2,122.78 | $4,245.55 | 12.8× |
| CTA pelvis (72191) | $2,122.78 | $4,245.55 | 12.8× |
| Dilation ureters/urethra rs&i (74485) | $2,122.78 | $4,245.55 | 1.1× |
| Discography Cerv/Thor Spine (72285) | $2,441.70 | $4,883.41 | 1.3× |
| Diskography lumbar (72295) | $2,441.70 | $4,883.41 | 1.3× |
| Dxa Bone Density Axial (77080) | $392.82 | $785.65 | 4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $392.82 | $785.65 | 4.8× |
| Esophagram (74220) | $392.82 | $785.65 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $392.82 | $785.65 | 1.7× |
| Foot 2 views (73620) | $392.82 | $785.65 | 4.8× |
| Forearm 2 views (73090) | $392.82 | $785.65 | 4.8× |
| Gastric emptying imaging study (78264) | $1,357.77 | $2,715.54 | 3.6× |
| Gated Heart Planar Single (78472) | $1,509.90 | $3,019.81 | 4.0× |
| Gated Heart, Multiple (78473) | $1,862.52 | $3,725.04 | 4.9× |
| Hand 2 views (73120) | $392.82 | $785.65 | 4.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,406.12 | $2,812.25 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,399.60 | $2,799.21 | 3.7× |
| Hysterosalpingogram (74740) | $521.59 | $1,043.18 | 2.3× |
| Infusion Ivp (74410) | $392.82 | $785.65 | 2.4× |
| K Flow/Funct Image Multiple (78709) | $1,959.78 | $3,919.55 | 3.8× |
| K Flow/Funct Image W/Drug (78708) | $1,959.78 | $3,919.55 | 3.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,443.07 | $2,886.14 | 2.8× |
| Kidney Imaging Morphol (78700) | $1,443.07 | $2,886.14 | 3.8× |
| Knee 3 Views (73562) | $392.82 | $785.65 | 4.8× |
| Liver & Spleen Imaging Static Only (78215) | $984.50 | $1,969.01 | 2.6× |
| Liver imaging static only (78201) | $984.50 | $1,969.01 | 1.9× |
| Lung perfusion differential (78597) | $1,251.28 | $2,502.56 | 3.3× |
| Lymph System Imaging (78195) | $1,489.26 | $2,978.51 | 2.9× |
| Magnetic Image Jaw Joint (70336) | $3,282.23 | $6,564.46 | 14.5× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $3,282.23 | $6,564.46 | 19.8× |
| Mammary ductogram or galactogram multiple (77054) | $491.71 | $983.42 | 2.2× |
| Mammary ductogram or galactogram single (77053) | $491.16 | $982.33 | 2.2× |
| Meckels Divert Exam (78290) | $1,116.54 | $2,233.07 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $3,010.56 | $6,021.13 | 9.1× |
| MRA head w/o contrast (70544) | $3,010.56 | $6,021.13 | 13.3× |
| MRA head with contrast (70545) | $3,010.56 | $6,021.13 | 9.1× |
| MRA neck w contrast (70548) | $3,010.56 | $6,021.13 | 9.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,010.56 | $6,021.13 | 9.1× |
| MRA neck w/o contrast (70547) | $3,010.56 | $6,021.13 | 13.3× |
| MRI abdomen w contrast (74182) | $3,282.23 | $6,564.46 | 9.9× |
| MRI abdomen w/o contrast (74181) | $3,282.23 | $6,564.46 | 14.5× |
| MRI any jt lower extrem w/contrast material (73722) | $3,282.23 | $6,564.46 | 4.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,282.23 | $6,564.46 | 9.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,282.23 | $6,564.46 | 4.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,282.23 | $6,564.46 | 14.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,282.23 | $6,564.46 | 14.5× |
| MRI cervical spine w contrast (72142) | $3,282.23 | $6,564.46 | 9.9× |
| MRI cervical spine w/o cont (72141) | $3,282.23 | $6,564.46 | 14.5× |
| MRI chest w/o contrast (71550) | $3,282.23 | $6,564.46 | 14.5× |
| MRI chest with contrast (71551) | $3,282.23 | $6,564.46 | 4.4× |
| MRI chest wo w contrast (71552) | $3,282.23 | $6,564.46 | 9.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,282.23 | $6,564.46 | 9.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,282.23 | $6,564.46 | 9.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,282.23 | $6,564.46 | 14.5× |
| MRI lumbar spine w contrast (72149) | $3,282.23 | $6,564.46 | 9.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,282.23 | $6,564.46 | 9.9× |
| MRI orbit face &/neck w/o contrast (70540) | $3,282.23 | $6,564.46 | 14.5× |
| MRI orbit face neck w contrast (70542) | $3,282.23 | $6,564.46 | 9.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,282.23 | $6,564.46 | 9.9× |
| MRI pelvis w contrast (72196) | $3,282.23 | $6,564.46 | 9.9× |
| MRI pelvis w/o & w contrast (72197) | $3,282.23 | $6,564.46 | 9.9× |
| MRI pelvis w/o contrast (72195) | $3,282.23 | $6,564.46 | 14.5× |
| MRI thoracic spine w/o contrast (72146) | $3,282.23 | $6,564.46 | 14.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,282.23 | $6,564.46 | 9.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,282.23 | $6,564.46 | 14.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,282.23 | $6,564.46 | 9.9× |
| MRI, abdomen, combo (74183) | $3,282.23 | $6,564.46 | 9.9× |
| MRI, dorsal spine combo (72157) | $3,282.23 | $6,564.46 | 9.9× |
| MRI, dorsal spine contrast (72147) | $3,282.23 | $6,564.46 | 9.9× |
| MRI, joint upper extrem (73221) | $3,282.23 | $6,564.46 | 14.5× |
| MRI, joint upper extrem combo (73223) | $3,282.23 | $6,564.46 | 9.9× |
| MRI, lumbar spine combo (72158) | $3,282.23 | $6,564.46 | 9.9× |
| Myocardial Spect Multiple Studies (78452) | $3,326.24 | $6,652.47 | 2.7× |
| Neck soft tissue (70360) | $392.82 | $785.65 | 4.8× |
| Nm whole blood volume (78122) | $1,509.36 | $3,018.71 | 2.9× |
| Nonvascular Shunt X-Ray (75809) | $905.18 | $1,810.36 | 9.2× |
| Optic foramina (70190) | $392.82 | $785.65 | 4.8× |
| Parathyroid Planar Imaging (78070) | $1,213.79 | $2,427.58 | 3.2× |
| Pelvis 1 or 2 views (72170) | $392.82 | $785.65 | 4.0× |
| Pet Image Skull-Thigh (78812) | $5,851.61 | $11,703.22 | 4.3× |
| Pet Image W/Ct Lmtd (78814) | $4,843.20 | $9,686.40 | 3.6× |
| PET image w/CT, full body (78816) | $5,818.47 | $11,636.94 | 4.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,851.61 | $11,703.22 | 4.3× |
| PET whole body (78813) | $5,818.47 | $11,636.94 | 4.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,251.28 | $2,502.56 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $392.82 | $785.65 | 4.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $602.55 | $1,205.10 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $392.82 | $785.65 | 4.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $392.82 | $785.65 | 4.8× |
| Radex elbow complete minimum 3 views (73080) | $392.82 | $785.65 | 4.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $392.82 | $785.65 | 4.0× |
| Radex fingr minimum 2 views (73140) | $392.82 | $785.65 | 4.8× |
| Radex foot complete minimum 3 views (73630) | $392.82 | $785.65 | 4.8× |
| Radex Hand Minimum 3 Views (73130) | $392.82 | $785.65 | 4.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $392.82 | $785.65 | 4.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $392.82 | $785.65 | 4.8× |
| Radex Ribs Unilateral 2 Views (71100) | $392.82 | $785.65 | 4.8× |
| Radex shoulder complete minimum 2 views (73030) | $392.82 | $785.65 | 4.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $392.82 | $785.65 | 4.8× |
| Radex Spine 1 View Specify Level (72020) | $392.82 | $785.65 | 4.8× |
| Radex Sternum Minimum 2 Views (71120) | $392.82 | $785.65 | 4.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $392.82 | $785.65 | 4.8× |
| Radex Toe Minimum 2 Views (73660) | $392.82 | $785.65 | 4.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $392.82 | $785.65 | 4.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $392.82 | $785.65 | 4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $392.82 | $785.65 | 4.0× |
| Radiologic exam colon double contrast study (74280) | $766.64 | $1,533.27 | 4.6× |
| Radiologic exam colon single contrast study (74270) | $766.64 | $1,533.27 | 4.6× |
| Radiologic exam knee complete 4/more views (73564) | $392.82 | $785.65 | 4.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $392.82 | $785.65 | 4.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $392.82 | $785.65 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$392.82–$766.64 | $785.65–$1,533.27 | varies |
| Radiologic examination femur 1 view (73551) | $392.82 | $785.65 | 4.8× |
| Radiologic examination femur minimum 2 views (73552) | $392.82 | $785.65 | 4.8× |
| Radiologic examination knee 1/2 views (73560) | $392.82 | $785.65 | 4.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $392.82 | $785.65 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $392.82 | $785.65 | 4.8× |
| Ribs bilateral 3 views (71110) | $392.82 | $785.65 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,451.22 | $2,902.45 | 2.8× |
| Scapula (73010) | $392.82 | $785.65 | 4.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $347.73 | $695.46 | 14.9× |
| Shoulder 1 view (73020) | $392.82 | $785.65 | 4.8× |
| Shoulder Arthrography (73040) | $392.82 | $785.65 | 1.2× |
| Skull less than 4 views (70250) | $392.82 | $785.65 | 4.0× |
| Sternoclavicular joints (71130) | $392.82 | $785.65 | 4.8× |
| Testicular Imaging W/Flow (78761) | $1,419.16 | $2,838.33 | 3.8× |
| Thoracic spine 2 views (72070) | $392.82 | $785.65 | 4.0× |
| Thoracic spine 3 views (72072) | $392.82 | $785.65 | 4.0× |
| Thoracolumbar 2 views (72080) | $392.82 | $785.65 | 4.8× |
| Thyroid Imaging With Vascular Flow (78013) | $486.82 | $973.64 | 1.3× |
| Thyroid Met Imaging Body (78018) | $1,708.76 | $3,417.52 | 3.3× |
| Thyroid Uptake Measurement (78012) | $721.54 | $1,443.07 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $758.48 | $1,516.96 | 2.0× |
| Ultrasound Breast Limited (76642) | $207.55 | $415.10 | 2.5× |
| Ultrasound elastography first target lesion (76982) | $381.42 | $762.83 | 3.9× |
| Ultrasound Elastography Parenchyma (76981) | $432.48 | $864.97 | 4.4× |
| Ultrasound Exam Aaa Screen (76706) | $268.40 | $536.81 | 2.7× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $424.34 | $848.68 | 1.3× |
| Ultrasound, abdomen limited (76705) | $268.40 | $536.81 | 2.7× |
| Unlisted us procedure (76999) | $717.19 | $1,434.38 | 8.7× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$765.55–$766.64 | $1,531.10–$1,533.27 | varies |
| Urethrocystogram voiding (74455) | $850.84 | $1,701.69 | 3.8× |
| Us breast unilateral complete (76641) | $217.33 | $434.66 | 2.2× |
| Us chest (76604) | $717.19 | $1,434.38 | 7.3× |
| Us complete joint (76881) | $246.13 | $492.26 | 2.5× |
| Us exam, pelvic, limited (76857) | $268.40 | $536.81 | 2.7× |
| Us kidney transplant (76776) | $832.38 | $1,664.75 | 8.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $161.91 | $323.82 | 1.6× |
| Us ob transvaginal (76817) | $717.19 | $1,434.38 | 7.3× |
| Us pelvic non ob complete (76856) | $268.40 | $536.81 | 2.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $717.19 | $1,434.38 | 7.3× |
| Us retroperitoneal complete (76770) | $268.40 | $536.81 | 2.7× |
| Us retroperitoneal limited (76775) | $268.40 | $536.81 | 2.7× |
| Us scrotum and contents (76870) | $268.40 | $536.81 | 2.7× |
| Us spinal canal and contents (76800) | $717.19 | $1,434.38 | 7.3× |
| Us thyroid (76536) | $717.19 | $1,434.38 | 7.3× |
| Us transrectal (76872) | $717.19 | $1,434.38 | 7.3× |
| Vertebral fracture assessment via dxa (77086) | $809.02 | $1,618.03 | 9.8× |
| Wrist 2 views (73100) | $392.82 | $785.65 | 4.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $392.82 | $785.65 | 4.8× |
| X-ray antegrade pyelogram tube (74425) | $568.86 | $1,137.73 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $392.82 | $785.65 | 4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $392.82 | $785.65 | 4.8× |
| X-Ray Exam Breast Specimen (76098) | $392.82 | $785.65 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $392.82 | $785.65 | 4.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $392.82 | $785.65 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $392.82 | $785.65 | 4.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $392.82 | $785.65 | 4.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $392.82 | $785.65 | 4.0× |
| X-Ray Exam L-S Spine Bending (72114) | $392.82 | $785.65 | 4.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $392.82 | $785.65 | 4.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $392.82 | $785.65 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $392.82 | $785.65 | 4.0× |
| X-ray eye for foreign body (70030) | $392.82 | $785.65 | 4.8× |
| X-ray humerus (73060) | $392.82 | $785.65 | 4.8× |
| X-ray IV pyelogram (ivp) (74400) | $568.86 | $1,137.73 | 3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $392.82 | $785.65 | 4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $392.82 | $785.65 | 4.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $392.82 | $785.65 | 4.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $392.82 | $785.65 | 4.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $392.82 | $785.65 | 4.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $392.82 | $785.65 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $392.82 | $785.65 | 4.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $392.82 | $785.65 | 4.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $392.82 | $785.65 | 4.0× |
| X-ray thoracic spine 4 vw (72074) | $392.82 | $785.65 | 4.0× |
| X-Ray Tmj Unilat (70328) | $392.82 | $785.65 | 4.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $510.18 | $1,020.37 | 1.5× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$392.82–$1,058.94 | $785.65–$2,117.89 | varies |
| X-Rays Bone Survey Complete (77075) | $392.82 | $785.65 | 4.0× |
| Xr c-spine 4 or 5 views (72050) | $392.82 | $785.65 | 4.0× |
| Xr orbits complete 4 views (70200) | $392.82 | $785.65 | 4.0× |
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.