Imaging prices at The Hospital at Westlake Medical Center
Austin, TX · every code in this section with a posted price and a Medicare benchmark.
263 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acute Gastrointestinal Blood Loss Imaging (78278) | $807.19 | $2,354.06 | 2.0× |
| Angio pulmonary bilat (75743) | $3,136.26 | $17,863.08 | 1.0× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,136.26 | $17,863.08 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $3,136.26 | $17,863.08 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,136.26 | $17,863.08 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,136.26 | $17,863.08 | 1.0× |
| Ankle 2 views (73600) | $179.13 | $504.99 | 2.0× |
| Aortography thoracic serialography rs&i (75605) | $5,407.03 | $29,777.65 | 1.0× |
| Artery X-Rays Abdomen (75726) | $5,407.03 | $29,777.65 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $2,796.66 | $17,863.08 | 0.9× |
| Artery X-Rays Pelvis (75736) | $5,407.03 | $29,777.65 | 1.0× |
| Arthrogram ankle (73615) | $758.86 | $2,297.88 | 2.2× |
| Arthrogram hip (73525) | $758.86 | $2,297.88 | 2.2× |
| Arthrogram Wrist (73115) | $758.86 | $2,297.88 | 2.2× |
| Bone Imaging 3 Phase (78315) | $807.19 | $2,354.06 | 2.0× |
| Bone Imaging Limited Area (78300) | $807.19 | $2,354.06 | 2.0× |
| Bone Imaging Whole Body (78306) | $807.19 | $2,354.06 | 2.0× |
| Brain Flow Imaging Only (78610) | $1,052.80 | $3,054.94 | 1.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $758.86 | $3,309 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $179.13 | $756 | 2.0× |
| Cholecystography Oral Contrast (74290) | $367.01 | $1,114.55 | 2.1× |
| Clavicle complete (73000) | $179.13 | $504.99 | 2.0× |
| Contrast Exam Abdominl Aorta (75625) | $3,136.26 | $17,863.08 | 1.0× |
| Contrast X-Ray Bladder (74430) | $758.86 | $2,297.88 | 2.2× |
| Contrast X-Ray Of Elbow (73085) | $758.86 | $2,297.88 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $758.86 | $2,297.88 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $758.86 | $2,457 | 2.2× |
| CT abdomen and pelvis without contrast (74176) | $482.25 | $1,436.52 | 2.0× |
| CT abdomen w contrast (74160) | $367.01 | $1,893 | 2.1× |
| CT abdomen w wo contrast (74170) | $367.01 | $2,261 | 2.1× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$218.55 | $1,396–$1,596 | 2.1× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$758.86 | $2,297.88–$2,335.68 | 2.2× |
| CT Angio Chest (71275) | $367.01 | $2,507 | 2.1× |
| CT Angio Head (70496) | $367.01 | $2,507 | 2.1× |
| CT angio hrt w/3d image (75574) | $367.01 | $1,978 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$367.01 | $2,507–$5,014 | 2.1× |
| CT Angio Neck (70498) | $367.01 | $2,507 | 2.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$367.01 | $1,396–$2,507 | 2.1× |
| CT cervical spine w/ contrast (72126) | $758.86 | $2,297.88 | 2.2× |
| CT cervical spine w/o contrast (72125) | $218.55 | $1,396 | 2.1× |
| CT cervical spine w/wo cont (72127) | $367.01 | $2,261 | 2.1× |
| CT chest w contrast (71260) | $367.01 | $1,893 | 2.1× |
| CT chest w/wo contrast (71270) | $367.01 | $2,261 | 2.1× |
| CT head/brain with contrast (70460) | $367.01 | $1,880 | 2.1× |
| CT head/brain without and with contrast (70470) | $367.01 | $2,256 | 2.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $367.01 | $1,978 | 1.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $179.13 | $651 | 2.0× |
| CT hrt w/3d image congen (75573) | $367.01 | $1,978 | 1.0× |
| CT iac w contrast (70481) | $367.01 | $1,880 | 2.1× |
| CT l-spine w&w/o contrast (72133) | $367.01 | $2,261 | 2.1× |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$218.55 | $1,396–$2,793 | 2.1× |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$367.01 | $1,893–$3,689 | 2.1× |
| CT lumbar spine w contrast (72132) | $758.86 | $2,297.88 | 2.2× |
| CT lumbar spine w/o contrast (72131) | $218.55 | $1,396 | 2.1× |
| CT maxillofacial w contrast (70487) | $367.01 | $1,880 | 2.1× |
| CT maxillofacial wo contrast (70486) | $218.55 | $1,396 | 2.1× |
| CT neck tissue combo (70492) | $367.01 | $2,256 | 2.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $367.01 | $2,256 | 2.1× |
| CT orbits w/o contrast (70480) | $218.55 | $1,396 | 2.1× |
| CT pelvis w&w/o contrast (72194) | $367.01 | $2,261 | 2.1× |
| CT pelvis w/o contrast (72192) | $218.55 | $1,396 | 2.1× |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$367.01 | $2,261–$4,374 | 2.1× |
| CT scans face/jaw combo (70488) | $367.01 | $2,256 | 2.1× |
| CT soft tissue neck w contrast (70491) | $367.01 | $1,880 | 2.1× |
| CT soft tissue neck w/o contrast (70490) | $218.55 | $1,396 | 2.1× |
| CT thoracic spine w contrast (72129) | $367.01 | $1,893 | 2.1× |
| CT thoracic spine w/o contrast (72128) | $218.55 | $1,396 | 2.1× |
| CT thoracic spine w/wo cont (72130) | $367.01 | $2,261 | 2.1× |
| CT thorax w/o contrast (71250) | $218.55 | $1,396 | 2.1× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$218.55 | $1,396–$2,793 | 2.1× |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$367.01 | $2,261–$4,374 | 2.1× |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$758.86 | $2,297.88–$3,689 | 2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $367.01 | $2,507 | 2.1× |
| Cta Abdomen (74175) | $367.01 | $2,507 | 2.1× |
| CTA pelvis (72191) | $367.01 | $2,507 | 2.1× |
| Dilation ureters/urethra rs&i (74485) | $2,004.08 | $11,192.22 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $1,899.75 | $10,951.27 | 1.0× |
| Diskography lumbar (72295) | $1,899.75 | $10,951.27 | 1.0× |
| Echo exam of fetal heart (76825) | $1,062.38 | $3,014.30 | 1.9× |
| Echo Guide For Artery Repair (76936) | $598.05 | $1,650.75 | 2.8× |
| Esophagram (74220) | $367.01 | $1,114.55 | 2.1× |
| Fluoroscopy up to 1 hr (76000) | $482.25 | $1,436.52 | 2.0× |
| Follow-Up Angiography (75898) | $2,796.66 | $17,863.08 | 0.9× |
| Foot 2 views (73620) | $179.13 | $504.99 | 2.0× |
| Forearm 2 views (73090) | $179.13 | $504.99 | 2.0× |
| Gastric emptying imaging study (78264) | $807.19 | $2,354.06 | 2.0× |
| Gated Heart Planar Single (78472) | $807.19 | $2,354.06 | 2.0× |
| Gated Heart, Multiple (78473) | $807.19 | $2,354.06 | 2.0× |
| Hand 2 views (73120) | $218.55 | $680.21 | 2.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,136.26 | $17,863.08 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $2,767.79 | $8,151.95 | 2.1× |
| Hysterosalpingogram (74740) | $482.25 | $1,436.52 | 2.0× |
| Kidney Imaging Morphol (78700) | $807.19 | $2,354.06 | 2.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $807.19 | $2,354.06 | 2.0× |
| Knee 3 Views (73562) | $179.13 | $504.99 | 2.0× |
| Liver & Spleen Imaging Static Only (78215) | $807.19 | $2,354.06 | 2.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $807.19 | $2,354.06 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,052.80 | $3,054.94 | 1.9× |
| Lung Ventilation Imaging (78579) | $807.19 | $2,354.06 | 2.0× |
| Lymph System Imaging (78195) | $1,052.80 | $3,054.94 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $482.25 | $1,871 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) | $758.86 | $3,290 | 2.2× |
| MRA head w/o contrast (70544) | $482.25 | $2,197 | 2.0× |
| MRA head with contrast (70545) | $758.86 | $2,507 | 2.2× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$758.86 | $2,507–$3,290 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $758.86 | $3,290 | 2.2× |
| MRA neck w/o contrast (70547) | $482.25 | $2,197 | 2.0× |
| MRI abdomen w contrast (74182) | $758.86 | $2,507 | 2.2× |
| MRI abdomen w/o contrast (74181) | $482.25 | $2,197 | 2.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$1,552.77 | $4,464.30–$4,742 | 2.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$758.86 | $3,290–$6,285 | 2.2× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$1,552.77 | $4,464.30–$4,742 | 2.0× |
| MRI cardiac w/o contrast (75557) | $482.25 | $2,164 | 2.0× |
| MRI cervical spine w contrast (72142) | $758.86 | $2,501 | 2.2× |
| MRI cervical spine w/o cont (72141) | $482.25 | $2,197 | 2.0× |
| MRI chest w/o contrast (71550) | $482.25 | $2,197 | 2.0× |
| MRI chest with contrast (71551) | $1,552.77 | $4,464.30 | 2.0× |
| MRI chest wo w contrast (71552) | $758.86 | $3,290 | 2.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$758.86 | $2,507–$4,742 | 2.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$758.86 | $3,290–$6,285 | 2.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$482.25 | $2,197–$4,395 | 2.0× |
| MRI lumbar spine w contrast (72149) | $758.86 | $2,501 | 2.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $758.86 | $3,290 | 2.2× |
| MRI orbit face &/neck w/o contrast (70540) | $482.25 | $2,197 | 2.0× |
| MRI orbit face neck w contrast (70542) | $758.86 | $2,507 | 2.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $758.86 | $3,290 | 2.2× |
| MRI pelvis w contrast (72196) | $758.86 | $2,501 | 2.2× |
| MRI pelvis w/o & w contrast (72197) | $758.86 | $3,290 | 2.2× |
| MRI pelvis w/o contrast (72195) | $482.25 | $2,197 | 2.0× |
| MRI thoracic spine w/o contrast (72146) | $482.25 | $2,197 | 2.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $758.86 | $2,507 | 2.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $482.25 | $2,197 | 2.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$758.86 | $2,507–$6,285 | 2.2× |
| MRI, abdomen, combo (74183) | $758.86 | $3,290 | 2.2× |
| MRI, dorsal spine combo (72157) | $758.86 | $3,290 | 2.2× |
| MRI, dorsal spine contrast (72147) | $758.86 | $2,501 | 2.2× |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$482.25 | $2,197–$4,395 | 2.0× |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$758.86 | $3,290–$6,285 | 2.2× |
| MRI, lumbar spine combo (72158) | $758.86 | $3,290 | 2.2× |
| Myelogram cervical (72240) | $1,552.77 | $4,464.30 | 2.0× |
| Myelogram Lumbar (72265) | $1,552.77 | $4,464.30 | 2.0× |
| Myelography thoracic (72255) | $1,552.77 | $4,464.30 | 2.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,552.77 | $4,464.30 | 2.0× |
| Myocardial Spect Multiple Studies (78452) | $2,767.79 | $8,151.95 | 2.1× |
| Neck soft tissue (70360) | $179.13 | $504.99 | 2.0× |
| Optic foramina (70190) | $179.13 | $504.99 | 2.0× |
| Parathyroid Planar Imaging (78070) | $807.19 | $2,354.06 | 2.0× |
| Pelvis 1 or 2 views (72170) | $218.55 | $680.21 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $807.19 | $2,354.06 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $218.55 | $680.21 | 2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,062.38 | $3,014.30 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $179.13 | $504.99 | 2.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $179.13 | $504.99 | 2.0× |
| Radex elbow complete minimum 3 views (73080) | $179.13 | $504.99 | 2.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $218.55 | $680.21 | 2.1× |
| Radex fingr minimum 2 views (73140) | $179.13 | $504.99 | 2.0× |
| Radex foot complete minimum 3 views (73630) | $179.13 | $504.99 | 2.0× |
| Radex Hand Minimum 3 Views (73130) | $179.13 | $504.99 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) | $179.13 | $504.99 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $179.13 | $504.99 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $179.13 | $504.99 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) | $179.13 | $504.99 | 2.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $179.13 | $504.99 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $179.13 | $504.99 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $179.13 | $504.99 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $179.13 | $504.99 | 2.0× |
| Radex Toe Minimum 2 Views (73660) | $179.13 | $504.99 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) | $218.55 | $680.21 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $179.13 | $504.99 | 2.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $218.55 | $846.59 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $218.55 | $680.21 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $367.01 | $1,114.55 | 2.1× |
| Radiologic exam colon single contrast study (74270) | $367.01 | $1,114.55 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) | $218.55 | $680.21 | 2.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $218.55 | $680.21 | 2.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $367.01 | $1,114.55 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $367.01 | $1,114.55 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $367.01 | $1,114.55 | 2.1× |
| Radiologic examination knee 1/2 views (73560) | $179.13 | $504.99 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $179.13 | $504.99 | 2.0× |
| Renal Cyst Study (74470) | $1,062.38 | $3,014.30 | 1.9× |
| Ribs bilateral 3 views (71110) | $218.55 | $680.21 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,767.79 | $8,151.95 | 5.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,767.79 | $8,151.95 | 5.1× |
| Scapula (73010) | $218.55 | $680.21 | 2.1× |
| Sella turcica (70240) | $179.13 | $504.99 | 2.0× |
| Shoulder 1 view (73020) | $179.13 | $504.99 | 2.0× |
| Shoulder Arthrography (73040) | $758.86 | $2,297.88 | 2.2× |
| Skull less than 4 views (70250) | $218.55 | $680.21 | 2.1× |
| Speech evaluation, complex (70371) | $482.25 | $1,436.52 | 2.0× |
| Sternoclavicular joints (71130) | $179.13 | $504.99 | 2.0× |
| Temporomandble Jt Arthrography Rs&I (70332) | $482.25 | $1,436.52 | 2.0× |
| Testicular Imaging W/Flow (78761) | $807.19 | $2,354.06 | 2.0× |
| Thoracic spine 2 views (72070) | $218.55 | $680.21 | 2.1× |
| Thoracic spine 3 views (72072) | $218.55 | $680.21 | 2.1× |
| Ultrasound Breast Limited (76642) | $179.13 | $504.99 | 2.0× |
| Ultrasound, abdomen limited (76705) | $218.55 | $680.21 | 2.1× |
| Unlisted Dx Radiographic Procedure (76499) | $179.13 | $504.99 | 2.0× |
| Unlisted fluoroscopic procedure (76496) | $179.13 | $504.99 | 2.0× |
| Unlisted us procedure (76999) | $179.13 | $504.99 | 2.0× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$367.01 | $1,114.55–$1,121.77 | 2.1× |
| Urethrocystogram voiding (74455) | $482.25 | $1,436.52 | 2.0× |
| Urethrocystography retrograde (74450) | $482.25 | $1,436.52 | 2.0× |
| Us breast unilateral complete (76641) | $218.55 | $680.21 | 2.1× |
| Us chest (76604) | $218.55 | $680.21 | 2.1× |
| Us exam, pelvic, limited (76857) | $218.55 | $680.21 | 2.1× |
| Us head (76506) | $218.55 | $680.21 | 2.1× |
| Us ob detailed single fetus (76811) | $482.25 | $1,436.52 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $218.55 | $680.21 | 2.1× |
| Us ob transvaginal (76817) | $218.55 | $680.21 | 2.1× |
| Us pelvic non ob complete (76856) | $218.55 | $680.21 | 2.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $218.55 | $680.21 | 2.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $218.55 | $680.21 | 2.1× |
| Us retroperitoneal complete (76770) | $218.55 | $680.21 | 2.1× |
| Us retroperitoneal limited (76775) | $218.55 | $680.21 | 2.1× |
| Us scrotum and contents (76870) | $218.55 | $680.21 | 2.1× |
| Us thyroid (76536) | $218.55 | $680.21 | 2.1× |
| Vein X-Ray Chest (75827) | $1,575.80 | $8,777.42 | 1.0× |
| Venography Adrenal Unilateral (75840) | $3,136.26 | $17,863.08 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $3,136.26 | $17,863.08 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,396.79 | $8,777.42 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,575.80 | $8,777.42 | 1.0× |
| Venography Renal Bilateral (75833) | $3,136.26 | $17,863.08 | 1.0× |
| Venography Renal Unilateral (75831) | $3,136.26 | $17,863.08 | 1.0× |
| Venous sampling by catheter (75893) | $5,407.03 | $29,777.65 | 1.0× |
| Wrist 2 views (73100) | $179.13 | $504.99 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $179.13 | $504.99 | 2.0× |
| X-ray antegrade pyelogram tube (74425) | $758.86 | $2,297.88 | 2.2× |
| X-Ray Aorta Leg Arteries (75630) | $3,136.26 | $17,863.08 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $179.13 | $504.99 | 2.0× |
| X-Ray Exam Breast Specimen (76098) | $1,062.38 | $3,014.30 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $179.13 | $504.99 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $218.55 | $680.21 | 2.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $218.55 | $806.27 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $179.13 | $504.99 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $179.13 | $504.99 | 2.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $218.55 | $680.21 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $218.55 | $680.21 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $218.55 | $680.21 | 2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $218.55 | $680.21 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $218.55 | $680.21 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $179.13 | $504.99 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $218.55 | $680.21 | 2.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $218.55 | $680.21 | 2.1× |
| X-ray eye for foreign body (70030) | $179.13 | $504.99 | 2.0× |
| X-ray humerus (73060) | $179.13 | $504.99 | 2.0× |
| X-ray IV pyelogram (ivp) (74400) | $367.01 | $1,114.55 | 2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $179.13 | $504.99 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $218.55 | $680.21 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $179.13 | $504.99 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $218.55 | $680.21 | 2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $218.55 | $680.21 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $179.13 | $504.99 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $179.13 | $504.99 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $218.55 | $680.21 | 2.1× |
| X-ray thoracic spine 4 vw (72074) | $218.55 | $680.21 | 2.1× |
| X-Ray Tmj Unilat (70328) | $179.13 | $504.99 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $758.86 | $2,297.88 | 2.2× |
| X-Rays Bone Length Studies (77073) | $218.55 | $680.21 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $218.55 | $680.21 | 2.1× |
| Xr c-spine 4 or 5 views (72050) | $218.55 | $680.21 | 2.1× |
| Xr facial bones less than 3 views (70140) | $179.13 | $504.99 | 2.0× |
| Xr orbits complete 4 views (70200) | $218.55 | $680.21 | 2.1× |
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.