Imaging prices at Treasure Valley Hospital
Boise, ID · every code in this section with a posted price and a Medicare benchmark.
252 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) | $93.14 | $150 | 1.1× |
| Angio internal mammary (75756) | $1,252.47 | $11,569.84 | 0.4× |
| Angio pulmonary bilat (75743) | $3,868.20 | — | 1.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,868.20 | — | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $3,868.20 | $11,569.84 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $3,868.20 | $11,569.84 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,868.20 | $11,569.84 | 1.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$93.14 | $131–$151 | 1.1× |
| Aortography thoracic serialography rs&i (75605) | $3,868.20 | $19,962.01 | 0.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,868.20 | — | 1.2× |
| Artery X-Rays Abdomen (75726) | $3,868.20 | $19,962.01 | 0.7× |
| Artery X-Rays Adrenal Gland (75731) | $3,868.20 | — | 1.2× |
| Artery X-Rays Pelvis (75736) | $3,868.20 | $19,962.01 | 0.7× |
| Artery X-Rays Spine (75705) | $3,868.20 | — | 0.7× |
| Arthrogram ankle (73615) | $536.19 | $157 | 1.5× |
| Arthrogram hip (73525) | $536.19 | $635 | 1.5× |
| Arthrogram Wrist (73115) | $536.19 | $639 | 1.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$93.14 | $146–$175 | 0.9× |
| Bone survey infant (77076) | $93.14 | $175 | 0.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,104.56 | $1,481 | 3.1× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,104.56 | $2,877 | 1.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$93.14 | $94–$149 | 1.1× |
| Chest 2 views (71046) range across 4 matching MRF lines |
$93.14 | $146–$249 | 1.1× |
| Chest 3 views (71047) | $93.14 | $216 | 1.1× |
| Chest 4 or more views (71048) | $93.14 | $242 | 0.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$93.14 | $168–$169 | 1.1× |
| Contrast Exam Abdominl Aorta (75625) | $3,868.20 | $11,569.84 | 1.2× |
| Contrast X-Ray Of Elbow (73085) | $536.19 | $639 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $536.19 | $475 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$1,369.62 | $1,815–$2,087 | 3.9× |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$806.61 | $592–$2,415 | 3.3× |
| CT abdomen w contrast (74160) | $583.53 | $428 | 3.3× |
| CT abdomen w wo contrast (74170) | $684.81 | $1,624 | 3.9× |
| CT abdomen w/o contrast (74150) | $403.30 | $296 | 3.8× |
| CT Angio Abdomen and Pelvis (74174) | $3,798.14 | $3,292 | 10.8× |
| CT Angio Chest (71275) | $691.71 | $1,133 | 3.9× |
| CT Angio Head (70496) | $691.71 | $1,111 | 3.9× |
| CT angio hrt w/3d image (75574) | $3,307.90 | $2,876 | 9.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $691.71 | $1,303 | 3.9× |
| CT Angio Neck (70498) | $1,672.77 | $1,450 | 9.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $691.71 | $1,199 | 3.9× |
| CT cervical spine w/ contrast (72126) | $583.53 | $753 | 1.7× |
| CT cervical spine w/o contrast (72125) | $630.40 | $462 | 6.0× |
| CT cervical spine w/wo cont (72127) | $684.81 | $1,356 | 3.9× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$583.53 | $428–$1,510 | 3.3× |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$684.81 | $502–$1,994 | 3.9× |
| CT head/brain with contrast (70460) | $583.53 | $1,309 | 3.3× |
| CT head/brain without and with contrast (70470) | $684.81 | $1,696 | 3.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,185.56 | $2,867 | 6.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $824.58 | $715 | 9.4× |
| CT hrt w/3d image congen (75573) | $2,914.42 | $2,526 | 8.3× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$583.53 | $428–$1,703 | 3.3× |
| CT l-spine w&w/o contrast (72133) | $684.81 | $1,356 | 3.9× |
| CT lower ext w/o (73700) range across 15 matching MRF lines |
$621.38 | $974–$2,316 | 5.9× |
| CT lower extremity w/contrast material (73701) range across 14 matching MRF lines |
$583.53 | $428–$2,550 | 3.3× |
| CT lumbar spine w contrast (72132) | $583.53 | $753 | 1.7× |
| CT lumbar spine w/o contrast (72131) | $623.96 | $1,200 | 5.9× |
| CT maxillofacial w contrast (70487) | $583.53 | $428 | 3.3× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$667.82 | $1,493–$1,500 | 6.3× |
| CT neck tissue combo (70492) | $684.81 | $1,153 | 3.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$684.81 | $1,842–$2,119 | 3.9× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$831.64 | $1,326–$1,525 | 7.9× |
| CT pelvis w&w/o contrast (72194) | $684.81 | $1,437 | 3.9× |
| CT pelvis w/o contrast (72192) | $403.30 | $1,007 | 3.8× |
| CT scan of leg combo (73702) range across 12 matching MRF lines |
$684.81 | $1,380–$3,174 | 3.9× |
| CT scans face/jaw combo (70488) | $684.81 | $1,153 | 3.9× |
| CT soft tissue neck w contrast (70491) | $777.48 | $570 | 4.4× |
| CT soft tissue neck w/o contrast (70490) | $403.30 | $296 | 3.8× |
| CT thoracic spine w contrast (72129) | $583.53 | $1,153 | 3.3× |
| CT thoracic spine w/o contrast (72128) | $403.30 | $296 | 3.8× |
| CT thoracic spine w/wo cont (72130) | $684.81 | $1,356 | 3.9× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$621.38 | $456–$1,399 | 5.9× |
| CT upper ext wo (73200) range across 17 matching MRF lines |
$618.81 | $928–$1,500 | 5.9× |
| CT upper extremity w/o & w/contrast material (73202) range across 14 matching MRF lines |
$684.81 | $1,380–$1,587 | 3.9× |
| CT upper extremity with contrast (73201) range across 16 matching MRF lines |
$773.61 | $736–$1,338 | 2.2× |
| Cta Abdomen (74175) | $691.71 | $1,236 | 3.9× |
| CTA pelvis (72191) | $691.71 | $1,229 | 3.9× |
| Dilation ureters/urethra rs&i (74485) | $718.28 | — | 0.3× |
| Discography Cerv/Thor Spine (72285) | $2,703.33 | — | 1.4× |
| Diskography lumbar (72295) | $2,703.33 | $1,479 | 1.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$185.28 | $289–$334 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $202.17 | — | 1.9× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$177.76 | $680–$740.97 | 0.7× |
| Follow-Up Angiography (75898) | $359.48 | — | 0.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$93.14 | $131–$146 | 1.1× |
| Forearm 2 views (73090) | $93.14 | $129 | 1.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$93.14 | $129–$214 | 0.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,868.20 | — | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,868.20 | — | 1.2× |
| Hysterosalpingogram (74740) | $359.48 | — | 1.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$110.52 | $131–$167 | 1.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $718.28 | — | 0.2× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $718.28 | — | 0.2× |
| Magnetic Image Jaw Joint (70336) range across 4 matching MRF lines |
$654.06 | $2,004–$2,305 | 2.7× |
| Mammary ductogram or galactogram single (77053) | $359.48 | — | 1.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,104.56 | $3,864–$4,418 | 3.1× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$722.40 | $1,976–$2,890 | 3.0× |
| MRA head with contrast (70545) | $835.14 | $3,341 | 2.4× |
| MRA neck w contrast (70548) | $835.14 | $3,341 | 2.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,104.56 | $5,081 | 3.1× |
| MRA neck w/o contrast (70547) | $722.40 | $2,890 | 3.0× |
| MRI abdomen w contrast (74182) | $835.14 | — | 2.4× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$722.40 | $1,818–$2,091 | 3.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 7 matching MRF lines |
$1,401.87 | $2,763–$3,700 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$1,683.09 | $1,234–$3,232 | 4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$1,379.92 | $2,901–$3,725 | 1.7× |
| MRI cardiac w/o cont stress (75559) | $722.40 | $1,954 | 1.3× |
| MRI cardiac w/o contrast (75557) | $722.40 | $1,136 | 3.0× |
| MRI cervical spine w contrast (72142) | $835.14 | $753 | 2.4× |
| MRI cervical spine w/o cont (72141) | $1,173.52 | $2,648 | 4.9× |
| MRI chest w/o contrast (71550) | $722.40 | $530 | 3.0× |
| MRI chest with contrast (71551) | $835.14 | $2,136 | 1.1× |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$1,104.56 | $810–$2,284 | 3.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 5 matching MRF lines |
$835.14 | $2,285–$2,628 | 2.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,104.56 | $2,696 | 3.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$1,352.84 | $2,100–$2,236 | 5.6× |
| MRI lumbar spine w contrast (72149) | $835.14 | $753 | 2.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,104.56 | $810 | 3.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,323.16 | $1,795 | 5.5× |
| MRI orbit face neck w contrast (70542) | $835.14 | $2,131 | 2.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,778.54 | $2,682 | 5.0× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$835.14 | $2,987–$3,126 | 2.4× |
| MRI pelvis w/o & w contrast (72197) range across 5 matching MRF lines |
$1,104.56 | $2,875–$3,766 | 3.1× |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$1,368.30 | $2,601–$2,991 | 5.7× |
| MRI thoracic spine w/o contrast (72146) | $1,176.10 | $2,150 | 4.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 10 matching MRF lines |
$835.14 | $2,285–$2,628 | 2.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 12 matching MRF lines |
$1,363.16 | $1,000–$2,236 | 5.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 11 matching MRF lines |
$1,810.80 | $1,328–$2,692 | 5.1× |
| MRI, abdomen, combo (74183) | $1,104.56 | $810 | 3.1× |
| MRI, dorsal spine combo (72157) | $1,104.56 | $810 | 3.1× |
| MRI, dorsal spine contrast (72147) | $835.14 | $753 | 2.4× |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$816.18 | $2,087–$2,425 | 3.4× |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$1,104.56 | $810–$3,232 | 3.1× |
| MRI, lumbar spine combo (72158) | $1,686.96 | $2,927 | 4.8× |
| Myelogram cervical (72240) | $1,012.48 | $1,438 | 1.3× |
| Myelogram Lumbar (72265) | $1,012.48 | — | 1.3× |
| Myelography thoracic (72255) | $1,012.48 | — | 1.3× |
| Myelograpy 2/more regions rs&i (72270) | $1,012.48 | — | 1.3× |
| Neck soft tissue (70360) | $93.14 | $158 | 1.1× |
| Nonvascular Shunt X-Ray (75809) | $359.48 | — | 3.4× |
| Pelvis 1 or 2 views (72170) | $93.14 | $186 | 0.9× |
| Peritoneogram Rs&I (74190) | $718.28 | — | 1.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,868.20 | — | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $154.96 | $214 | 1.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $359.48 | $328 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$93.14 | $131–$150 | 1.1× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$93.14 | $129–$169 | 1.1× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$98.92 | $131–$158 | 1.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $93.14 | $235 | 0.9× |
| Radex fingr minimum 2 views (73140) | $93.14 | $108 | 1.1× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$93.14 | $129–$131 | 1.1× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$93.14 | $131–$144 | 1.1× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$93.14 | $154–$169 | 1.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $93.14 | — | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $93.14 | $128 | 1.1× |
| Radex Ribs Unilateral 2 Views (71100) | $93.14 | $176 | 1.1× |
| Radex shoulder complete minimum 2 views (73030) | $93.14 | $169 | 1.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $93.14 | $141 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $93.14 | $139 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $93.14 | $169 | 1.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $93.14 | $265 | 1.1× |
| Radex Toe Minimum 2 Views (73660) | $93.14 | $116 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$115.70 | $144–$249 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $93.14 | $195 | 0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $100.54 | $206 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $297.66 | $594 | 1.7× |
| Radiologic exam colon single contrast study (74270) | $185.28 | $457 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$127.29 | $186–$214 | 1.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $93.14 | $214 | 0.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $185.28 | $352 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $185.28 | $417 | 1.0× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$93.14 | $213–$245 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$93.14 | $131–$232 | 1.1× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$93.14 | $144–$169 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$93.14 | $131–$154 | 1.1× |
| Scapula (73010) | $93.14 | $178 | 0.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $127.84 | — | 5.5× |
| Shoulder 1 view (73020) | $93.14 | $150 | 1.1× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$536.19 | $753–$798 | 1.5× |
| Sialogram (70390) | $359.48 | — | 1.5× |
| Skull less than 4 views (70250) | $93.14 | $167 | 0.9× |
| Sternoclavicular joints (71130) | $93.14 | $135 | 1.1× |
| Superior sagittal sinus venogram (75870) | $1,252.47 | — | 0.4× |
| Temporomandble Jt Arthrography Rs&I (70332) | $536.19 | — | 2.2× |
| Thoracic spine 2 views (72070) | $93.14 | $131 | 0.9× |
| Thoracic spine 3 views (72072) | $93.14 | $202 | 0.9× |
| Thoracolumbar 2 views (72080) | $93.14 | $131 | 1.1× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$310.48 | $228–$262 | 2.9× |
| Unlisted Dx Radiographic Procedure (76499) | $93.14 | — | 1.1× |
| Unlisted fluoroscopic procedure (76496) | $177.76 | — | 2.0× |
| Upper gi w/o kub (74240) | $185.28 | $471 | 1.0× |
| Urethrocystogram voiding (74455) | $349.89 | — | 1.5× |
| Urethrocystography retrograde (74450) | $349.89 | — | 1.5× |
| Us breast unilateral complete (76641) | $494.91 | — | 4.7× |
| Us chest (76604) range across 2 matching MRF lines |
$128.20 | $214–$246 | 1.2× |
| Us complete joint (76881) | $202.17 | $250 | 1.9× |
| Us exam, pelvic, limited (76857) | $128.20 | $229 | 1.2× |
| Us head (76506) | $128.20 | $338 | 1.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$108.63 | $214–$284 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $128.20 | $352 | 1.2× |
| Us ob transvaginal (76817) | $128.20 | — | 1.2× |
| Us pelvic non ob complete (76856) | $202.17 | $214 | 1.9× |
| Us retroperitoneal complete (76770) | $202.17 | $214 | 1.9× |
| Us retroperitoneal limited (76775) | $202.17 | $214 | 1.9× |
| Us scrotum and contents (76870) | $202.17 | $214 | 1.9× |
| Us thyroid (76536) | $369.82 | $271 | 3.5× |
| Us transrectal (76872) | $202.17 | — | 1.9× |
| Vein X-Ray Chest (75827) | $1,252.47 | $5,778.57 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,252.47 | — | 0.4× |
| Venogram Sinus/Jugular (75860) | $1,252.47 | — | 0.4× |
| Venography Adrenal Unilateral (75840) | $3,868.20 | — | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $3,868.20 | $11,569.84 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $1,252.47 | $5,778.57 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,252.47 | $5,778.57 | 0.8× |
| Venography Orbital Rs&I (75880) | $1,252.47 | — | 2.0× |
| Venography Renal Bilateral (75833) | $3,868.20 | — | 1.2× |
| Venography Renal Unilateral (75831) | $3,868.20 | — | 1.2× |
| Venous sampling by catheter (75893) | $3,868.20 | — | 0.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$93.14 | $124–$131 | 1.1× |
| X-ray antegrade pyelogram tube (74425) | $349.89 | — | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $3,868.20 | $11,569.84 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $154.96 | $214 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$93.14 | $131–$144 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$93.14 | $415–$477 | 0.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$93.14 | $95–$171 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $111.82 | $122 | 1.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $111.82 | $128 | 1.1× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$154.96 | $128–$200 | 1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $154.96 | $200 | 1.5× |
| X-Ray Exam L-S Spine Bending (72114) | $154.96 | $287 | 1.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $95.06 | $171 | 1.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $154.96 | $260 | 1.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$93.14 | $214–$234 | 0.9× |
| X-ray eye for foreign body (70030) | $93.14 | $169 | 1.1× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$93.14 | $131–$158 | 1.1× |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$349.89 | $440–$525 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $93.14 | $117 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $93.14 | $249 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $96.33 | $178 | 0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $154.96 | $253 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $93.14 | $1,437 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $93.14 | $200 | 1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $93.14 | $131 | 1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $154.96 | $214 | 1.5× |
| X-Ray Stress View (77071) | $93.14 | — | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $93.14 | $214 | 0.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $349.89 | $549 | 1.0× |
| X-Rays Bone Length Studies (77073) | $93.14 | $320 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $154.96 | $253 | 1.5× |
| Xr c-spine 4 or 5 views (72050) | $154.96 | $311 | 1.5× |
| Xr facial bones less than 3 views (70140) | $93.14 | $169 | 1.1× |
| Xr orbits complete 4 views (70200) | $93.14 | $206 | 0.9× |
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.