Imaging prices at TriStar Hendersonville Medical Center
Hendersonville, TN · every code in this section with a posted price and a Medicare benchmark.
241 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) | $948.61 | $948.61 | 11.4× |
| Abdomen 2 views (74019) | $1,545.66 | $1,545.66 | 15.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,378.87 | $4,378.87 | 11.4× |
| Angiography extremity bilateral rs&i (75716) | $5,664.89 | $5,664.89 | 1.9× |
| Angiography extremity unilateral rs&i (75710) | $5,249.64 | $5,249.64 | 1.7× |
| Aortography thoracic serialography rs&i (75605) | $10,322.10 | $10,322.10 | 1.9× |
| Artery X-Rays Abdomen (75726) | $5,249.64 | $5,249.64 | 1.0× |
| Artery X-Rays Pelvis (75736) | $5,249.64 | $5,249.64 | 1.0× |
| Arthrogram hip (73525) | $2,512.94 | $2,512.94 | 7.5× |
| Arthrogram Wrist (73115) | $2,932 | $2,932 | 8.8× |
| Bone age studies (77072) | $830.47 | $830.47 | 8.3× |
| Bone Imaging 3 Phase (78315) | $4,245.55 | $4,245.55 | 11.1× |
| Bone Imaging Limited Area (78300) | $3,218.19 | $3,218.19 | 8.4× |
| Bone Imaging Whole Body (78306) | $4,489.75 | $4,489.75 | 11.7× |
| Bone survey infant (77076) | $1,158.03 | $1,158.03 | 11.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,470.82 | $3,470.82 | 6.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,525.85 | $3,525.85 | 10.5× |
| Cat Scan Follow-Up Study (76380) | $5,499.81 | $5,499.81 | 65.9× |
| Chest 1 view (71045) | $883.03 | $883.03 | 10.6× |
| Chest 2 views (71046) | $1,075.55 | $1,075.55 | 12.9× |
| Chest 3 views (71047) | $717.03 | $717.03 | 8.6× |
| Chest 4 or more views (71048) | $1,008.59 | $1,008.59 | 10.1× |
| Clavicle complete (73000) | $717.72 | $717.72 | 8.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $559.49 | $559.49 | 5.6× |
| Contrast Exam Abdominl Aorta (75625) | $5,607.61 | $5,607.61 | 1.9× |
| Contrast X-Ray Bladder (74430) | $1,682.43 | $1,682.43 | 5.0× |
| Contrast X-Ray Of Knee Joint (73580) | $2,512.94 | $2,512.94 | 7.5× |
| CT abdomen and pelvis without and with contrast (74178) | $20,426.20 | $20,426.20 | 61.0× |
| CT abdomen and pelvis without contrast (74176) | $17,638.39 | $17,638.39 | 77.1× |
| CT abdomen w contrast (74160) | $8,375.70 | $8,375.70 | 49.8× |
| CT abdomen w wo contrast (74170) | $9,907.86 | $9,907.86 | 58.9× |
| CT abdomen w/o contrast (74150) | $8,375.70 | $8,375.70 | 83.5× |
| CT Angio Abdomen and Pelvis (74174) | $23,451.60 | $23,451.60 | 70.1× |
| CT Angio Chest (71275) | $11,728.87 | $11,728.87 | 69.7× |
| CT Angio Head (70496) | $11,728.87 | $11,728.87 | 69.7× |
| CT angio hrt w/3d image (75574) | $11,728.87 | $11,728.87 | 35.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$11,728.87–$11,729.08 | $11,728.87–$11,729.08 | varies |
| CT Angio Neck (70498) | $11,728.87 | $11,728.87 | 69.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $11,728.87 | $11,728.87 | 69.7× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $537.60 | $537.60 | 3.2× |
| CT cervical spine w/ contrast (72126) | $8,375.70 | $8,375.70 | 25.0× |
| CT cervical spine w/o contrast (72125) | $8,375.70 | $8,375.70 | 83.5× |
| CT cervical spine w/wo cont (72127) | $9,907.86 | $9,907.86 | 58.9× |
| CT chest w contrast (71260) | $8,375.70 | $8,375.70 | 49.8× |
| CT chest w/wo contrast (71270) | $9,907.86 | $9,907.86 | 58.9× |
| CT head/brain with contrast (70460) | $8,375.70 | $8,375.70 | 49.8× |
| CT head/brain without and with contrast (70470) | $9,907.86 | $9,907.86 | 58.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,351.90 | $1,351.90 | 16.2× |
| CT iac w contrast (70481) | $8,375.70 | $8,375.70 | 49.8× |
| CT l-spine w&w/o contrast (72133) | $9,907.86 | $9,907.86 | 58.9× |
| CT lower ext w/o (73700) | $8,375.70 | $8,375.70 | 83.5× |
| CT lower extremity w/contrast material (73701) | $8,375.70 | $8,375.70 | 49.8× |
| CT lumbar spine w contrast (72132) | $8,375.70 | $8,375.70 | 25.0× |
| CT lumbar spine w/o contrast (72131) | $8,375.70 | $8,375.70 | 83.5× |
| CT maxillofacial w contrast (70487) | $8,375.70 | $8,375.70 | 49.8× |
| CT maxillofacial wo contrast (70486) | $8,375.70 | $8,375.70 | 83.5× |
| CT neck tissue combo (70492) | $9,785 | $9,785 | 58.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $9,907.86 | $9,907.86 | 58.9× |
| CT orbits w/o contrast (70480) | $8,375.70 | $8,375.70 | 83.5× |
| CT pelvis w&w/o contrast (72194) | $9,907.86 | $9,907.86 | 58.9× |
| CT pelvis w/o contrast (72192) | $8,375.70 | $8,375.70 | 83.5× |
| CT scan of leg combo (73702) | $9,908 | $9,908 | 58.9× |
| CT scans face/jaw combo (70488) | $9,907.86 | $9,907.86 | 58.9× |
| CT soft tissue neck w contrast (70491) | $8,375.70 | $8,375.70 | 49.8× |
| CT soft tissue neck w/o contrast (70490) | $8,375.70 | $8,375.70 | 83.5× |
| CT thoracic spine w contrast (72129) | $8,375.70 | $8,375.70 | 49.8× |
| CT thoracic spine w/o contrast (72128) | $8,375.70 | $8,375.70 | 83.5× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$9,907.86–$9,908.69 | $9,907.86–$9,908.69 | varies |
| CT thorax w/o contrast (71250) | $8,375.70 | $8,375.70 | 83.5× |
| CT upper ext wo (73200) | $8,375.70 | $8,375.70 | 83.5× |
| CT upper extremity w/o & w/contrast material (73202) | $9,907.86 | $9,907.86 | 58.9× |
| CT upper extremity with contrast (73201) | $8,375.70 | $8,375.70 | 25.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $11,728 | $11,728 | 69.7× |
| Cta Abdomen (74175) | $11,728.87 | $11,728.87 | 69.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$23,457.74–$23,458 | $23,457.74–$23,458 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$11,224–$11,728.87 | $11,224–$11,728.87 | varies |
| Dxa Bone Density Axial (77080) | $462.18 | $462.18 | 4.6× |
| Echo Guide For Artery Repair (76936) | $2,656.48 | $2,656.48 | 12.8× |
| Esophagram (74220) | $1,419.34 | $1,419.34 | 8.4× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,560.35–$1,717.16 | $1,560.35–$1,717.16 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $741 | $741 | 7.4× |
| Fluoroscopy up to 1 hr (76000) | $1,365.65 | $1,365.65 | 6.0× |
| Foot 2 views (73620) | $532 | $532 | 6.4× |
| Forearm 2 views (73090) | $798.26 | $798.26 | 9.6× |
| Gastric emptying imaging study (78264) | $3,549.41 | $3,549.41 | 9.3× |
| Hand 2 views (73120) | $798.26 | $798.26 | 8.0× |
| Hepatobil Syst Image W/Drug (78227) | $4,218.88 | $4,218.88 | 8.1× |
| Hepatobiliary System Imaging (78226) | $4,218.88 | $4,218.88 | 11.0× |
| Hysterosalpingogram (74740) | $1,988.52 | $1,988.52 | 8.7× |
| K Flow/Funct Image W/Drug (78708) | $3,611.17 | $3,611.17 | 6.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,083.46 | $3,083.46 | 8.0× |
| Knee 3 Views (73562) | $995.14 | $995.14 | 11.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,012.59 | $2,012.59 | 3.9× |
| Lymph System Imaging (78195) | $3,611.17 | $3,611.17 | 6.9× |
| Magnetic Image Jaw Joint (70336) | $7,989.95 | $7,989.95 | 34.9× |
| Meckels Divert Exam (78290) | $2,333.99 | $2,333.99 | 6.1× |
| Mra Head W/O & W/Contrast Material (70546) | $11,518.81 | $11,518.81 | 34.4× |
| MRA head w/o contrast (70544) | $8,845.46 | $8,845.46 | 38.6× |
| MRA head with contrast (70545) | $8,949.20 | $8,949.20 | 26.7× |
| MRA neck w contrast (70548) | $8,862 | $8,862 | 26.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $11,518.81 | $11,518.81 | 34.4× |
| MRA neck w/o contrast (70547) | $8,331.24 | $8,331.24 | 36.4× |
| MRI abdomen w contrast (74182) | $9,636.33 | $9,636.33 | 28.8× |
| MRI abdomen w/o contrast (74181) | $8,129.77 | $8,129.77 | 35.5× |
| MRI any jt lower extrem w/contrast material (73722) | $10,840.69 | $10,840.69 | 14.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $10,840.69 | $10,840.69 | 32.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,281.63 | $8,281.63 | 11.0× |
| MRI cardiac w/o cont stress (75559) | $2,306.46 | $2,306.46 | 4.4× |
| MRI cardiac w/o contrast (75557) | $2,306.46 | $2,306.46 | 10.1× |
| MRI cervical spine w contrast (72142) | $8,732.70 | $8,732.70 | 26.1× |
| MRI cervical spine w/o cont (72141) | $8,009.48 | $8,009.48 | 35.0× |
| MRI chest w/o contrast (71550) | $6,624.70 | $6,624.70 | 28.9× |
| MRI chest wo w contrast (71552) | $11,139.90 | $11,139.90 | 33.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $10,840.69 | $10,840.69 | 32.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$7,537.36–$7,550.89 | $7,537.36–$7,550.89 | varies |
| MRI lumbar spine w contrast (72149) | $8,732.70 | $8,732.70 | 26.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $11,139.90 | $11,139.90 | 33.3× |
| MRI orbit face &/neck w/o contrast (70540) | $7,388.51 | $7,388.51 | 32.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $11,204.57 | $11,204.57 | 33.5× |
| MRI pelvis w contrast (72196) | $6,542 | $6,542 | 19.5× |
| MRI pelvis w/o & w contrast (72197) | $11,139.90 | $11,139.90 | 33.3× |
| MRI pelvis w/o contrast (72195) | $7,529.85 | $7,529.85 | 32.9× |
| MRI thoracic spine w/o contrast (72146) | $7,529.85 | $7,529.85 | 32.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $9,660 | $9,660 | 28.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $7,749.36 | $7,749.36 | 33.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $10,840.69 | $10,840.69 | 32.4× |
| MRI, abdomen, combo (74183) | $11,442.13 | $11,442.13 | 34.2× |
| MRI, dorsal spine combo (72157) | $11,139.90 | $11,139.90 | 33.3× |
| MRI, joint upper extrem (73221) | $7,227.63 | $7,227.63 | 31.6× |
| MRI, joint upper extrem combo (73223) | $10,840.69 | $10,840.69 | 32.4× |
| MRI, lumbar spine combo (72158) | $13,118.60 | $13,118.60 | 39.2× |
| Myocardial Spect Multiple Studies (78452) | $11,475.73 | $11,475.73 | 9.2× |
| Neck soft tissue (70360) | $816.16 | $816.16 | 9.8× |
| Nuclear Rx Oral Admin (79005) | $2,360.66 | $2,360.66 | 10.5× |
| Parathyroid Planar Imaging (78070) | $2,881.36 | $2,881.36 | 7.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,877.85 | $1,877.85 | 4.9× |
| Pelvis 1 or 2 views (72170) | $860.91 | $860.91 | 8.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,358.56 | $1,358.56 | 3.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,863.22 | $1,863.22 | 18.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,741.50 | $1,741.50 | 3.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $884.16 | $884.16 | 10.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $798.26 | $798.26 | 9.6× |
| Radex elbow complete minimum 3 views (73080) | $1,034.51 | $1,034.51 | 12.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,546.42 | $1,546.42 | 15.4× |
| Radex fingr minimum 2 views (73140) | $717.72 | $717.72 | 8.6× |
| Radex foot complete minimum 3 views (73630) | $798.26 | $798.26 | 9.6× |
| Radex Hand Minimum 3 Views (73130) | $798.26 | $798.26 | 9.6× |
| Radex lower extremity infant minimum 2 views (73592) | $717.72 | $717.72 | 8.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $798.26 | $798.26 | 9.6× |
| Radex Ribs Unilateral 2 Views (71100) | $685.51 | $685.51 | 8.2× |
| Radex shoulder complete minimum 2 views (73030) | $798.26 | $798.26 | 9.6× |
| Radex Spine 1 View Specify Level (72020) | $597.79 | $597.79 | 7.2× |
| Radex Sternum Minimum 2 Views (71120) | $1,034.51 | $1,034.51 | 12.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,904.40 | $1,904.40 | 22.8× |
| Radex Toe Minimum 2 Views (73660) | $717.72 | $717.72 | 8.6× |
| Radex upper extremity infant minimum 2 views (73092) | $717.72 | $717.72 | 7.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $798.26 | $798.26 | 9.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,546.42 | $1,546.42 | 15.4× |
| Radiologic exam colon double contrast study (74280) | $2,827.97 | $2,827.97 | 16.8× |
| Radiologic exam colon single contrast study (74270) | $2,434.18 | $2,434.18 | 14.5× |
| Radiologic exam knee complete 4/more views (73564) | $1,077.47 | $1,077.47 | 10.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,242.13 | $1,242.13 | 7.4× |
| Radiologic exam swallow function contrast study (74230) | $1,331.63 | $1,331.63 | 7.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,597.08 | $2,597.08 | 15.4× |
| Radiologic examination femur 1 view (73551) | $1,034.13 | $1,034.13 | 12.4× |
| Radiologic examination femur minimum 2 views (73552) | $1,136.86 | $1,136.86 | 13.6× |
| Radiologic examination knee 1/2 views (73560) | $884.16 | $884.16 | 10.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $884.16 | $884.16 | 10.6× |
| Ribs bilateral 3 views (71110) | $1,392.50 | $1,392.50 | 13.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,218.19 | $3,218.19 | 8.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,778.15 | $5,778.15 | 11.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,561.33 | $4,561.33 | 8.8× |
| Scapula (73010) | $798.26 | $798.26 | 8.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $188.50 | $188.50 | 8.1× |
| Shoulder 1 view (73020) | $547.69 | $547.69 | 6.6× |
| Shoulder Arthrography (73040) | $2,246.25 | $2,246.25 | 6.7× |
| Skull less than 4 views (70250) | $1,315.53 | $1,315.53 | 13.1× |
| Thoracic spine 2 views (72070) | $1,379.62 | $1,379.62 | 13.8× |
| Thoracic spine 3 views (72072) | $1,195.59 | $1,195.59 | 11.9× |
| Thyroid Met Imaging Body (78018) | $6,199.21 | $6,199.21 | 11.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $6,269.39 | $6,269.39 | 16.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,232.75–$1,850 | $1,232.75–$1,850 | varies |
| Ultrasound Exam Aaa Screen (76706) | $2,137.71 | $2,137.71 | 21.3× |
| Ultrasound, abdomen limited (76705) | $2,117 | $2,117 | 21.1× |
| Umbilical-artery Doppler (OB) (76820) | $819.76 | $819.76 | 8.2× |
| Unlisted us procedure (76999) | $2,200.03 | $2,200.03 | 26.4× |
| Upper gi w/o kub (74240) | $2,246.25 | $2,246.25 | 13.3× |
| Urethrocystogram voiding (74455) | $1,979.56 | $1,979.56 | 8.6× |
| Urethrocystography retrograde (74450) | $1,979.56 | $1,979.56 | 8.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,232.75–$1,850 | $1,232.75–$1,850 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$1,945.40–$2,137 | $1,945.40–$2,137 | varies |
| Us complete joint (76881) | $1,533.95 | $1,533.95 | 15.3× |
| Us exam, pelvic, limited (76857) | $430.05 | $430.05 | 4.3× |
| Us head (76506) | $1,293.31 | $1,293.31 | 12.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,405.10 | $1,405.10 | 14.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,325.91–$1,459.43 | $1,325.91–$1,459.43 | varies |
| Us ob transvaginal (76817) | $3,225 | $3,225 | 32.2× |
| Us pelvic non ob complete (76856) | $2,617 | $2,617 | 26.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,396 | $2,396 | 23.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,454 | $1,454 | 14.5× |
| Us retroperitoneal complete (76770) | $2,409 | $2,409 | 24.0× |
| Us retroperitoneal limited (76775) | $1,563 | $1,563 | 15.6× |
| Us scrotum and contents (76870) | $1,583 | $1,583 | 15.8× |
| Us spinal canal and contents (76800) | $2,137.91 | $2,137.91 | 21.3× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,321.25–$1,454.77 | $1,321.25–$1,454.77 | varies |
| Vein X-Ray Chest (75827) | $6,562 | $6,562 | 4.3× |
| Venography caval inferior serialography rs&i (75825) | $6,600.97 | $6,600.97 | 2.2× |
| Venography extremity bilateral rs&i (75822) | $4,077.28 | $4,077.28 | 2.7× |
| Venography extremity unilateral rs&i (75820) | $3,373.87 | $3,373.87 | 2.2× |
| Venography Renal Bilateral (75833) | $6,606 | $6,606 | 2.2× |
| Venography Renal Unilateral (75831) | $6,168 | $6,168 | 2.0× |
| X-Ray Aorta Leg Arteries (75630) | $5,808.07 | $5,808.07 | 1.9× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$676.53–$677 | $676.53–$677 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $798.26 | $798.26 | 9.6× |
| X-Ray Exam Breast Specimen (76098) | $628.23 | $628.23 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,426.90 | $1,426.90 | 17.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,569.42 | $1,569.42 | 15.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,034.13 | $1,034.13 | 12.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,136.86 | $1,136.86 | 13.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,239.62 | $1,239.62 | 12.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,798.14 | $1,798.14 | 17.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,977.11 | $1,977.11 | 19.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,156.09 | $2,156.09 | 21.5× |
| X-Ray Exam L-S Spine Bending (72114) | $1,868.59 | $1,868.59 | 18.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,315.53 | $1,315.53 | 15.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,716.45 | $1,716.45 | 17.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,163.39 | $1,163.39 | 11.6× |
| X-ray humerus (73060) | $798.26 | $798.26 | 9.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $717.72 | $717.72 | 8.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,569.70 | $1,569.70 | 15.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,515.99 | $1,515.99 | 15.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,054.20 | $1,054.20 | 10.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,077.47 | $1,077.47 | 12.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,419.34 | $1,419.34 | 17.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,546.42 | $1,546.42 | 15.4× |
| X-Ray Tmj Unilat (70328) | $1,376.37 | $1,376.37 | 16.5× |
| X-Rays Bone Length Studies (77073) | $830.47 | $830.47 | 8.3× |
| X-Rays Bone Survey Complete (77075) | $2,824.38 | $2,824.38 | 28.2× |
| Xr c-spine 4 or 5 views (72050) | $676.53 | $676.53 | 6.7× |
| Xr facial bones less than 3 views (70140) | $798.26 | $798.26 | 9.6× |
| Xr orbits complete 4 views (70200) | $1,567.91 | $1,567.91 | 15.6× |
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.