Imaging prices at Thibodaux Regional Health System
Thibodaux, LA · every code in this section with a posted price and a Medicare benchmark.
265 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $8,994 | $8,994 | 7.2× |
| Abdomen 1 View (74018) | $721 | $721 | 9.1× |
| Abdomen 2 views (74019) | $971 | $971 | 10.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,360 | $3,360 | 9.3× |
| Angio pulmonary bilat (75743) | $8,258 | $8,258 | 2.9× |
| Angiography extremity bilateral rs&i (75716) | $7,305 | $7,305 | 2.6× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$5,567–$25,497 | $5,567–$25,497 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$75–$782 | $75–$782 | varies |
| Artery X-Rays Abdomen (75726) | $42,504 | $42,504 | 8.4× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$520–$614 | $520–$614 | varies |
| Bone age studies (77072) | $971 | $971 | 10.3× |
| Bone Imaging 3 Phase (78315) | $3,360 | $3,360 | 9.3× |
| Bone Imaging Limited Area (78300) | $3,360 | $3,360 | 9.3× |
| Bone Imaging Multiple Areas (78305) | $3,360 | $3,360 | 9.3× |
| Bone Imaging Whole Body (78306) | $3,360 | $3,360 | 9.3× |
| Bone survey infant (77076) | $971 | $971 | 10.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$5,216–$5,940 | $5,216–$5,940 | varies |
| Chest 1 view (71045) | $721 | $721 | 9.1× |
| Chest 2 views (71046) | $721 | $721 | 9.1× |
| Clavicle complete (73000) range across 7 matching MRF lines |
$75–$721 | $75–$721 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $297 | $297 | 3.1× |
| Continuing medical physics consltj pr wk (77336) | $1,482 | $1,482 | 12.2× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$7,503–$25,497 | $7,503–$25,497 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$111–$3,280 | $111–$3,280 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $6,296 | $6,296 | 19.9× |
| CT abdomen and pelvis without contrast (74176) | $3,589 | $3,589 | 16.6× |
| CT abdomen w contrast (74160) | $2,784 | $2,784 | 17.5× |
| CT abdomen w wo contrast (74170) | $2,970 | $2,970 | 18.7× |
| CT abdomen w/o contrast (74150) | $1,699 | $1,699 | 17.9× |
| CT Angio Abdomen and Pelvis (74174) | $5,740 | $5,740 | 18.2× |
| CT Angio Chest (71275) | $2,784 | $2,784 | 17.5× |
| CT Angio Head (70496) | $2,784 | $2,784 | 17.5× |
| CT angio hrt w/3d image (75574) | $2,932 | $2,932 | 9.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,784 | $2,784 | 17.5× |
| CT Angio Neck (70498) | $2,784 | $2,784 | 17.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,784–$5,827.18 | $2,784–$5,827.18 | varies |
| CT cervical spine w/ contrast (72126) | $5,740 | $5,740 | 18.2× |
| CT cervical spine w/o contrast (72125) | $1,699 | $1,699 | 17.9× |
| CT cervical spine w/wo cont (72127) | $4,487 | $4,487 | 28.3× |
| CT chest w contrast (71260) | $2,784 | $2,784 | 17.5× |
| CT chest w/wo contrast (71270) | $2,784 | $2,784 | 17.5× |
| CT head/brain with contrast (70460) | $2,784 | $2,784 | 17.5× |
| CT head/brain without and with contrast (70470) | $2,970 | $2,970 | 18.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $297 | $297 | 3.8× |
| CT iac w contrast (70481) | $2,784 | $2,784 | 17.5× |
| CT l-spine w&w/o contrast (72133) | $4,084 | $4,084 | 25.7× |
| CT lower ext w/o (73700) | $1,699 | $1,699 | 17.9× |
| CT lower extremity w/contrast material (73701) | $2,784 | $2,784 | 17.5× |
| CT lumbar spine w contrast (72132) | $5,740 | $5,740 | 18.2× |
| CT lumbar spine w/o contrast (72131) | $1,699 | $1,699 | 17.9× |
| CT maxillofacial w contrast (70487) | $2,784 | $2,784 | 17.5× |
| CT maxillofacial wo contrast (70486) | $1,699 | $1,699 | 17.9× |
| CT neck tissue combo (70492) | $3,242 | $3,242 | 20.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,970 | $2,970 | 18.7× |
| CT orbits w/o contrast (70480) | $1,699 | $1,699 | 17.9× |
| CT pelvis w&w/o contrast (72194) | $3,465 | $3,465 | 21.8× |
| CT pelvis w/o contrast (72192) | $1,699 | $1,699 | 17.9× |
| CT scan of leg combo (73702) | $2,970 | $2,970 | 18.7× |
| CT scans face/jaw combo (70488) | $3,465 | $3,465 | 21.8× |
| CT soft tissue neck w contrast (70491) | $2,784 | $2,784 | 17.5× |
| CT soft tissue neck w/o contrast (70490) | $1,699 | $1,699 | 17.9× |
| CT thoracic spine w contrast (72129) | $2,784 | $2,784 | 17.5× |
| CT thoracic spine w/o contrast (72128) | $1,699 | $1,699 | 17.9× |
| CT thoracic spine w/wo cont (72130) | $2,784 | $2,784 | 17.5× |
| CT thorax w/o contrast (71250) | $1,699 | $1,699 | 17.9× |
| CT upper ext wo (73200) | $1,699 | $1,699 | 17.9× |
| CT upper extremity w/o & w/contrast material (73202) | $3,168 | $3,168 | 19.9× |
| CT upper extremity with contrast (73201) | $5,740 | $5,740 | 18.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,784 | $2,784 | 17.5× |
| Cta Abdomen (74175) | $2,784 | $2,784 | 17.5× |
| CTA pelvis (72191) | $2,784 | $2,784 | 17.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $830 | $830 | 8.8× |
| Dxa Bone Density Axial (77080) | $971 | $971 | 10.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $455 | $455 | 5.8× |
| Echo exam uterus (76831) | $1,294 | $1,294 | 6.0× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$1,247–$2,356 | $1,247–$2,356 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,539 | $1,539 | 7.1× |
| Esophagram (74220) | $1,591 | $1,591 | 10.0× |
| Fetal Biophys Profile W/Nst (76818) | $830 | $830 | 8.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $830 | $830 | 8.8× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$754–$2,050 | $754–$2,050 | varies |
| Foot 2 views (73620) | $866 | $866 | 11.0× |
| Forearm 2 views (73090) | $1,188 | $1,188 | 15.1× |
| Gastric emptying imaging study (78264) | $3,360 | $3,360 | 9.3× |
| Gated Heart Planar Single (78472) | $3,360 | $3,360 | 9.3× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$52–$1,337 | $52–$1,337 | varies |
| Heart Image (Pet) Multiple (78492) | $10,687 | $10,687 | 8.3× |
| Hepatobil Syst Image W/Drug (78227) | $4,361 | $4,361 | 8.9× |
| Hepatobiliary System Imaging (78226) | $3,360 | $3,360 | 9.3× |
| Ht Muscle Image Spect Sing (78451) | $7,067 | $7,067 | 6.0× |
| Hysterosalpingogram (74740) | $2,050 | $2,050 | 9.5× |
| K Flow/Funct Image Multiple (78709) | $4,361 | $4,361 | 8.9× |
| K Flow/Funct Image W/O Drug (78707) | $4,361 | $4,361 | 8.9× |
| Knee 3 Views (73562) | $842 | $842 | 10.7× |
| Lung Ventilat&Perfus Imaging (78582) | $4,361 | $4,361 | 8.9× |
| Lymph System Imaging (78195) | $4,361 | $4,361 | 8.9× |
| Magnetic Image Jaw Joint (70336) | $5,893 | $5,893 | 27.3× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,714–$1,820 | $1,714–$1,820 | varies |
| MRA head w/o contrast (70544) | $3,076 | $3,076 | 14.2× |
| MRA head with contrast (70545) | $5,165 | $5,165 | 16.4× |
| MRA neck w contrast (70548) | $4,920 | $4,920 | 15.6× |
| MRA neck w/o contrast (70547) | $3,076 | $3,076 | 14.2× |
| MRI abdomen w contrast (74182) | $4,920 | $4,920 | 15.6× |
| MRI abdomen w/o contrast (74181) | $3,076 | $3,076 | 14.2× |
| MRI any jt lower extrem w/contrast material (73722) | $6,373 | $6,373 | 9.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,346 | $5,346 | 16.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,373 | $6,373 | 9.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,076 | $3,076 | 14.2× |
| MRI cervical spine w contrast (72142) | $4,920 | $4,920 | 15.6× |
| MRI cervical spine w/o cont (72141) | $3,076 | $3,076 | 14.2× |
| MRI chest w/o contrast (71550) | $3,076 | $3,076 | 14.2× |
| MRI chest wo w contrast (71552) | $4,920 | $4,920 | 15.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,920 | $4,920 | 15.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,148 | $5,148 | 16.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,076 | $3,076 | 14.2× |
| MRI lumbar spine w contrast (72149) | $4,920 | $4,920 | 15.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,920 | $4,920 | 15.6× |
| MRI orbit face &/neck w/o contrast (70540) | $3,076 | $3,076 | 14.2× |
| MRI orbit face neck w contrast (70542) | $4,920 | $4,920 | 15.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,920 | $4,920 | 15.6× |
| MRI pelvis w contrast (72196) | $4,920 | $4,920 | 15.6× |
| MRI pelvis w/o & w contrast (72197) | $4,920 | $4,920 | 15.6× |
| MRI pelvis w/o contrast (72195) | $3,076 | $3,076 | 14.2× |
| MRI thoracic spine w/o contrast (72146) | $3,076 | $3,076 | 14.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,076 | $3,076 | 14.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,445 | $5,445 | 17.2× |
| MRI, abdomen, combo (74183) | $4,920 | $4,920 | 15.6× |
| MRI, dorsal spine combo (72157) | $4,920 | $4,920 | 15.6× |
| MRI, dorsal spine contrast (72147) | $4,920 | $4,920 | 15.6× |
| MRI, joint upper extrem (73221) | $3,076 | $3,076 | 14.2× |
| MRI, joint upper extrem combo (73223) | $5,742 | $5,742 | 18.2× |
| MRI, lumbar spine combo (72158) | $4,920 | $4,920 | 15.6× |
| Myocardial Spect Multiple Studies (78452) | $8,727 | $8,727 | 7.4× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $12,532 | $12,532 | 6.3× |
| N-invas est c ffr sw aly CTA (75580) | $2,606 | $2,606 | 3.4× |
| Neck soft tissue (70360) | $721 | $721 | 9.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $3,360 | $3,360 | 9.3× |
| Nonvascular Shunt X-Ray (75809) | $971 | $971 | 10.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,867 | $5,867 | 4.7× |
| Nuclear Rx Oral Admin (79005) | $2,225 | $2,225 | 10.5× |
| Parathyroid Planar Imaging (78070) | $3,360 | $3,360 | 9.3× |
| Pelvis 1 or 2 views (72170) | $971 | $971 | 10.3× |
| Perineogram (74775) | $2,050 | $2,050 | 9.5× |
| Pet Image W/Ct Lmtd (78814) | $10,687 | $10,687 | 8.3× |
| PET image w/CT, full body (78816) | $10,687 | $10,687 | 8.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,687 | $10,687 | 8.3× |
| Pet Myocardial Sngl Study (78491) | $10,687 | $10,687 | 8.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,360 | $3,360 | 9.3× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $2,238 | $2,238 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,089 | $1,089 | 11.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $4,303 | $4,303 | 8.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$842–$1,263 | $842–$1,263 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $817 | $817 | 10.4× |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$55–$1,287 | $55–$1,287 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $971 | $971 | 10.3× |
| Radex fingr minimum 2 views (73140) | $721 | $721 | 9.1× |
| Radex foot complete minimum 3 views (73630) range across 8 matching MRF lines |
$812–$1,218 | $812–$1,218 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$1,238–$1,857 | $1,238–$1,857 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $721 | $721 | 9.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $721 | $721 | 9.1× |
| Radex Ribs Unilateral 2 Views (71100) | $721 | $721 | 9.1× |
| Radex shoulder complete minimum 2 views (73030) range across 9 matching MRF lines |
$161–$1,745 | $161–$1,745 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$55–$721 | $55–$721 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$38–$721 | $38–$721 | varies |
| Radex Sternum Minimum 2 Views (71120) | $721 | $721 | 9.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $721 | $721 | 9.1× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$52–$721 | $52–$721 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$55–$971 | $55–$971 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 7 matching MRF lines |
$1,188–$1,782 | $1,188–$1,782 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $28,044 | $28,044 | 4.2× |
| Radiation treatment delivery level 1 (77402) range across 3 matching MRF lines |
$424–$881.36 | $424–$881.36 | varies |
| Radiation treatment delivery level 2 (77407) range across 3 matching MRF lines |
$816–$922.77 | $816–$922.77 | varies |
| Radiation treatment delivery level 3 (77412) | $1,405 | $1,405 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $971 | $971 | 10.3× |
| Radiologic exam colon double contrast study (74280) | $1,591 | $1,591 | 10.0× |
| Radiologic exam colon single contrast study (74270) | $1,591 | $1,591 | 10.0× |
| Radiologic exam knee complete 4/more views (73564) | $1,139 | $1,139 | 12.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$68–$99 | $68–$99 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,591 | $1,591 | 10.0× |
| Radiologic exam swallow function contrast study (74230) | $1,591 | $1,591 | 10.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,591 | $1,591 | 10.0× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$48–$69 | $48–$69 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$60–$1,089 | $60–$1,089 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$891–$1,337 | $891–$1,337 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $941 | $941 | 11.9× |
| Ribs bilateral 3 views (71110) | $971 | $971 | 10.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,360 | $3,360 | 9.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,151 | $5,151 | 10.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $8,727 | $8,727 | 17.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,929.03 | $2,929.03 | 6.0× |
| Scapula (73010) range across 5 matching MRF lines |
$57–$971 | $57–$971 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $149 | $149 | 6.4× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$32–$891 | $32–$891 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$61–$971 | $61–$971 | varies |
| Special dosimetry (77331) | $1,048 | $1,048 | 8.6× |
| Special Physics Consult (77370) | $2,119 | $2,119 | 17.4× |
| Special teletherapy port plan (77321) | $845 | $845 | 2.5× |
| Special treatment procedure (77470) | $5,171 | $5,171 | 10.3× |
| Stereotactic Body Radiation Delivery (77373) | $25,591 | $25,591 | 15.8× |
| Sternoclavicular joints (71130) | $721 | $721 | 9.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,413 | $1,413 | 4.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,121 | $2,121 | 6.3× |
| Ther rad simulaj-aided field setting simple (77280) | $935 | $935 | 7.7× |
| Thoracic spine 2 views (72070) | $971 | $971 | 10.3× |
| Thyroid Met Imaging Body (78018) | $4,361 | $4,361 | 8.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,360 | $3,360 | 9.3× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,149–$2,133 | $1,149–$2,133 | varies |
| Tx devices design & construction simple (77332) | $719 | $719 | 5.9× |
| Ultrasound Breast Limited (76642) | $591 | $591 | 7.5× |
| Ultrasound Exam Aaa Screen (76706) | $830 | $830 | 8.8× |
| Ultrasound, abdomen limited (76705) | $830 | $830 | 8.8× |
| Umbilical-artery Doppler (OB) (76820) | $830 | $830 | 8.8× |
| Upper gi w/o kub (74240) | $1,591 | $1,591 | 10.0× |
| Urethrocystography retrograde (74450) | $2,050 | $2,050 | 9.5× |
| Us breast unilateral complete (76641) | $830 | $830 | 8.8× |
| Us complete joint (76881) | $830 | $830 | 8.8× |
| Us exam, pelvic, limited (76857) | $830 | $830 | 8.8× |
| Us kidney transplant (76776) | $607 | $607 | 6.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $613 | $613 | 6.5× |
| Us ob detailed single fetus (76811) | $1,726 | $1,726 | 8.0× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$8–$830 | $8–$830 | varies |
| Us ob transvaginal (76817) | $830 | $830 | 8.8× |
| Us pelvic non ob complete (76856) | $830 | $830 | 8.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $830 | $830 | 8.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $830 | $830 | 8.8× |
| Us retroperitoneal complete (76770) | $830 | $830 | 8.8× |
| Us retroperitoneal limited (76775) | $830 | $830 | 8.8× |
| Us scrotum and contents (76870) | $830 | $830 | 8.8× |
| Us spinal canal and contents (76800) | $830 | $830 | 8.8× |
| Us thyroid (76536) | $830 | $830 | 8.8× |
| Us transrectal (76872) | $613 | $613 | 6.5× |
| Vein X-Ray Chest (75827) | $2,665 | $2,665 | 1.9× |
| Venography caval inferior serialography rs&i (75825) | $5,657 | $5,657 | 2.0× |
| Venography extremity bilateral rs&i (75822) | $3,329 | $3,329 | 2.3× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,165–$12,528 | $2,165–$12,528 | varies |
| Wrist 2 views (73100) | $990 | $990 | 12.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$44–$721 | $44–$721 | varies |
| X-Ray Aorta Leg Arteries (75630) | $7,464 | $7,464 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) | $613 | $613 | 6.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,089 | $1,089 | 13.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $971 | $971 | 10.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $721 | $721 | 9.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $721 | $721 | 9.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $971 | $971 | 10.3× |
| X-Ray Exam L-S Spine Bending (72114) | $971 | $971 | 10.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $721 | $721 | 9.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $971 | $971 | 10.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $971 | $971 | 10.3× |
| X-ray humerus (73060) | $1,188 | $1,188 | 15.1× |
| X-ray IV pyelogram (ivp) (74400) | $1,591 | $1,591 | 10.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $721 | $721 | 9.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $971 | $971 | 10.3× |
| X-ray nose-rectum child f.b. (76010) | $721 | $721 | 9.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $971 | $971 | 10.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $971 | $971 | 10.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $792 | $792 | 10.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $721 | $721 | 9.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $971 | $971 | 10.3× |
| X-Ray Stress View (77071) | $455 | $455 | 5.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$264–$3,280 | $264–$3,280 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$73–$971 | $73–$971 | varies |
| X-Rays Bone Survey Complete (77075) | $971 | $971 | 10.3× |
| Xr c-spine 4 or 5 views (72050) | $971 | $971 | 10.3× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$474–$721 | $474–$721 | varies |
| Xr orbits complete 4 views (70200) | $971 | $971 | 10.3× |
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.