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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 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× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $5,249.64 | $5,249.64 | 1.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $5,249.64 | $5,249.64 | 1.0× |
| Aortogram thoracic (75605) | $10,322.10 | $10,322.10 | 1.9× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $5,808.07 | $5,808.07 | 1.9× |
| Aortography abdominal serialography rs&i (75625) | $5,607.61 | $5,607.61 | 1.9× |
| Arthrogram hip (73525) | $2,512.94 | $2,512.94 | 7.5× |
| Arthrogram shoulder (73040) | $2,246.25 | $2,246.25 | 6.7× |
| Arthrogram wrist (73115) | $2,932 | $2,932 | 8.8× |
| Arthrography knee lt (73580) | $2,512.94 | $2,512.94 | 7.5× |
| Bone &/Joint Imaging Limited Area (78300) | $3,218.19 | $3,218.19 | 8.4× |
| Bone &/joint imaging whole body (78306) | $4,489.75 | $4,489.75 | 11.7× |
| Bone age studies (77072) | $830.47 | $830.47 | 8.3× |
| Bone Imaging 3 Phase (78315) | $4,245.55 | $4,245.55 | 11.1× |
| Bone survey complete (77075) | $2,824.38 | $2,824.38 | 28.2× |
| Brain image w/flow 4 + views (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× |
| Cervical spine 2 or 3 views (72040) | $1,315.53 | $1,315.53 | 15.8× |
| Chest 1 view (71045) | $883.03 | $883.03 | 10.6× |
| Chest 3 views (71047) | $717.03 | $717.03 | 8.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,331.63 | $1,331.63 | 7.9× |
| 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× |
| 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 hrt w/3d image (75574) | $11,728.87 | $11,728.87 | 35.0× |
| CT angiography upper extremity lt (73206) | $11,728.87 | $11,728.87 | 69.7× |
| CT c-spine w/o contrast (72125) | $8,375.70 | $8,375.70 | 83.5× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) | $537.60 | $537.60 | 3.2× |
| CT cervical spine w&w/o contrast (72127) | $9,907.86 | $9,907.86 | 58.9× |
| CT cervical spine with contrast (72126) | $8,375.70 | $8,375.70 | 25.0× |
| CT chest w/wo contrast (71270) | $9,907.86 | $9,907.86 | 58.9× |
| CT chest with contrast (71260) | $8,375.70 | $8,375.70 | 49.8× |
| 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 limited/localized follow up study (76380) | $5,499.81 | $5,499.81 | 65.9× |
| CT lower ext w/o (73700) | $8,375.70 | $8,375.70 | 83.5× |
| CT lower extremity w wo contrast (73702) | $9,908 | $9,908 | 58.9× |
| CT lower extremity with contrast (73701) | $8,375.70 | $8,375.70 | 49.8× |
| CT lumbar spine w & w/o contrast (72133) | $9,907.86 | $9,907.86 | 58.9× |
| CT lumbar spine w/o contrast (72131) | $8,375.70 | $8,375.70 | 83.5× |
| CT lumbar spine with contrast (72132) | $8,375.70 | $8,375.70 | 25.0× |
| CT maxillofacial w contrast (70487) | $8,375.70 | $8,375.70 | 49.8× |
| CT maxillofacial w/o contrast (70486) | $8,375.70 | $8,375.70 | 83.5× |
| CT maxillofacial w/wo contrast (70488) | $9,907.86 | $9,907.86 | 58.9× |
| CT neck soft tissue w contrast (70491) | $8,375.70 | $8,375.70 | 49.8× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (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 soft tissue neck w/o & w/contrast material (70492) | $9,785 | $9,785 | 58.1× |
| 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 contrast (72130) | $9,908.28 | $9,908.28 | 58.9× |
| CT thorax w/o contrast (71250) | $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 w/o contrast rt (73200) | $8,375.70 | $8,375.70 | 83.5× |
| 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 abdomen pelvis (74174) | $23,451.60 | $23,451.60 | 70.1× |
| CTA chest (71275) | $11,728.87 | $11,728.87 | 69.7× |
| Cta Head (70496) | $11,728.87 | $11,728.87 | 69.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $23,457.87 | $23,457.87 | 70.1× |
| CTA lwr ext w&w/o contrast (73706) | $11,729 | $11,729 | 69.7× |
| Cta Neck (70498) | $11,728.87 | $11,728.87 | 69.7× |
| Cta Pelvis (72191) | $11,476.44 | $11,476.44 | 68.2× |
| Cystography minimum 3 views rs&i (74430) | $1,682.43 | $1,682.43 | 5.0× |
| Dxa bone density study 1/> sites axial skel (77080) | $462.18 | $462.18 | 4.6× |
| Echoencephalography real time imaging (76506) | $1,293.31 | $1,293.31 | 12.9× |
| Esophagus (74220) | $1,419.34 | $1,419.34 | 8.4× |
| Fetal biophysical profile non-stress testing (76818) | $1,638.76 | $1,638.76 | 16.3× |
| 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× |
| Hand 2 views (73120) | $798.26 | $798.26 | 8.0× |
| Hand 3 views (73130) | $798.26 | $798.26 | 9.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $4,218.88 | $4,218.88 | 8.1× |
| Hepatobiliary syst imaging including gallbladder (78226) | $4,218.88 | $4,218.88 | 11.0× |
| Humerus Min 2 Views Left (73060) | $798.26 | $798.26 | 9.6× |
| Hysterosalpingogram (74740) | $1,988.52 | $1,988.52 | 8.7× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $3,611.17 | $3,611.17 | 6.9× |
| Knee 3 views (73562) | $995.14 | $995.14 | 11.9× |
| Lymphoscintigraphy (78195) | $3,611.17 | $3,611.17 | 6.9× |
| Meckels Diverticulum (78290) | $2,333.99 | $2,333.99 | 6.1× |
| MRA head w & w/o contrast (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 & w/contrast material (74183) | $11,442.13 | $11,442.13 | 34.2× |
| MRI abdomen w/o contrast (74181) | $8,129.77 | $8,129.77 | 35.5× |
| MRI any jnt lwr ext with con lt (73722) | $10,840.69 | $10,840.69 | 14.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,281.63 | $8,281.63 | 11.0× |
| MRI c-spine with contrast (72142) | $8,732.70 | $8,732.70 | 26.1× |
| 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/o contrast (72141) | $8,009.48 | $8,009.48 | 35.0× |
| MRI chest w/o & w/contrast material (71552) | $11,139.90 | $11,139.90 | 33.3× |
| MRI chest w/o contrast (71550) | $6,624.70 | $6,624.70 | 28.9× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $9,660 | $9,660 | 28.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $7,544.12 | $7,544.12 | 33.0× |
| MRI orbit face &/neck w/o contrast (70540) | $7,388.51 | $7,388.51 | 32.3× |
| MRI orbit/face/neck w&w/o cont (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 material (72197) | $11,139.90 | $11,139.90 | 33.3× |
| MRI pelvis w/o contrast (72195) | $7,529.85 | $7,529.85 | 32.9× |
| MRI scan of arm joint before and after contrast (73223) | $10,840.69 | $10,840.69 | 32.4× |
| MRI scan of leg joint before and after contrast (73723) | $10,840.69 | $10,840.69 | 32.4× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $11,139.90 | $11,139.90 | 33.3× |
| MRI spinal canal lumbar w/contrast material (72149) | $8,732.70 | $8,732.70 | 26.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $13,118.60 | $13,118.60 | 39.2× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $11,139.90 | $11,139.90 | 33.3× |
| MRI thoracic spine w/o contrast (72146) | $7,529.85 | $7,529.85 | 32.9× |
| MRI tmj (70336) | $7,989.95 | $7,989.95 | 34.9× |
| MRI upper ext joint w/o contrast (73221) | $7,227.63 | $7,227.63 | 31.6× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $10,840.69 | $10,840.69 | 32.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $7,749.36 | $7,749.36 | 33.9× |
| Myocardial Spect Multiple Studies (78452) | $11,475.73 | $11,475.73 | 9.2× |
| Neck soft tissue (70360) | $816.16 | $816.16 | 9.8× |
| Nm gastric emptying study (78264) | $3,549.41 | $3,549.41 | 9.3× |
| Nuclear medicine study of kidney and blood flow (78701) | $3,083.46 | $3,083.46 | 8.0× |
| Nuclear Rx Oral Admin (79005) | $2,360.66 | $2,360.66 | 10.5× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,454 | $1,454 | 14.5× |
| Osseous survey infant (77076) | $1,158.03 | $1,158.03 | 11.5× |
| Parathyrd planar w/wo subtrj (78071) | $1,877.85 | $1,877.85 | 4.9× |
| Parathyroid imaging (78070) | $2,881.36 | $2,881.36 | 7.5× |
| Pelvis 1 or 2 views (72170) | $860.91 | $860.91 | 8.6× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $10,840.69 | $10,840.69 | 32.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,358.56 | $1,358.56 | 3.5× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $2,012.59 | $2,012.59 | 3.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,741.50 | $1,741.50 | 3.3× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $1,426.90 | $1,426.90 | 17.1× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $1,569.42 | $1,569.42 | 15.6× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,798.14 | $1,798.14 | 17.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,546.42 | $1,546.42 | 15.4× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $948.61 | $948.61 | 11.4× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,075.55 | $1,075.55 | 12.9× |
| Radiologic exam colon single contrast study (74270) | $2,434.18 | $2,434.18 | 14.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,597.08 | $2,597.08 | 15.4× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,246.25 | $2,246.25 | 13.3× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $1,136.86 | $1,136.86 | 13.6× |
| Radiological examination surgical specimen (76098) | $628.23 | $628.23 | 1.2× |
| Ribs bilateral 3 views (71110) | $1,392.50 | $1,392.50 | 13.9× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,561.33 | $4,561.33 | 8.8× |
| Scanogram (77073) | $830.47 | $830.47 | 8.3× |
| Scapula complete (73010) | $798.26 | $798.26 | 8.0× |
| Screening digital breast tomosynthesis (77063) | $188.50 | $188.50 | 8.1× |
| Small bowel series (74250) | $1,242.13 | $1,242.13 | 7.4× |
| Spine thoracic 3 views (72072) | $1,195.59 | $1,195.59 | 11.9× |
| Thyroid carcinoma metastases img whole 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× |
| Tmj unilateral (70328) | $1,376.37 | $1,376.37 | 16.5× |
| Tumor Imaging Whole Body - Nm Tumor Local Whole Body Mult Days (78804) | $5,778.15 | $5,778.15 | 11.1× |
| Tumor Imaging, Limited Area - Nm Tumor Localization Limited (78800) | $3,218.19 | $3,218.19 | 8.4× |
| Ultrasound, abdomen limited (76705) | $2,117 | $2,117 | 21.1× |
| Umbilical-artery Doppler (OB) (76820) | $819.76 | $819.76 | 8.2× |
| Unlisted Ultrasound Procedure (76999) | $2,200.03 | $2,200.03 | 26.4× |
| Upper Extremity Infant (73092) | $717.72 | $717.72 | 7.2× |
| Urethrocystography retrograde rs&i (74450) | $1,979.56 | $1,979.56 | 8.6× |
| Urethrocystography voiding (74455) | $1,979.56 | $1,979.56 | 8.6× |
| Us abdl aorta screen aaa (76706) | $2,137.71 | $2,137.71 | 21.3× |
| Us breast unilateral complete (76641) | $1,232.75 | $1,232.75 | 12.3× |
| Us breast unilateral limited (76642) | $1,232.75 | $1,232.75 | 14.8× |
| Us chest (76604) | $2,137 | $2,137 | 21.3× |
| Us compl joint r-t w/image documentation (76881) | $1,533.95 | $1,533.95 | 15.3× |
| Us guided compression repair (76936) | $2,656.48 | $2,656.48 | 12.8× |
| Us ob transvaginal (76817) | $3,225 | $3,225 | 32.2× |
| Us pelvic non ob complete (76856) | $2,617 | $2,617 | 26.1× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $430.05 | $430.05 | 4.3× |
| Us pregnancy ltd (76815) | $1,392.67 | $1,392.67 | 13.9× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $2,396 | $2,396 | 23.9× |
| 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 soft tissue head/neck (76536) | $1,388.01 | $1,388.01 | 13.8× |
| Us spinal canal and contents (76800) | $2,137.91 | $2,137.91 | 21.3× |
| Us xtr non-vasc lmtd (76882) | $1,405.10 | $1,405.10 | 14.0× |
| Venogram extremity bilateral (75822) | $4,077.28 | $4,077.28 | 2.7× |
| Venography caval inferior serialography rs&i (75825) | $6,600.97 | $6,600.97 | 2.2× |
| Venography caval superior serialography rs&i (75827) | $6,562 | $6,562 | 4.3× |
| 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 selective rs&i (75831) | $6,168 | $6,168 | 2.0× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,863.22 | $1,863.22 | 18.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $884.16 | $884.16 | 10.6× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,827.97 | $2,827.97 | 16.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $798.26 | $798.26 | 9.6× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $1,034.51 | $1,034.51 | 12.4× |
| 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 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 of femur 1 (73551) | $1,034.13 | $1,034.13 | 12.4× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,546.42 | $1,546.42 | 15.4× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $798.26 | $798.26 | 9.6× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $798.26 | $798.26 | 9.6× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $798.26 | $798.26 | 9.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $1,077.47 | $1,077.47 | 10.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $717.72 | $717.72 | 8.6× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $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 Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $1,868.59 | $1,868.59 | 18.6× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $676.76 | $676.76 | 6.7× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $798.26 | $798.26 | 9.6× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,567.91 | $1,567.91 | 15.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $685.51 | $685.51 | 8.2× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,163.39 | $1,163.39 | 11.6× |
| 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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $798.26 | $798.26 | 9.6× |
| 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 Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,315.53 | $1,315.53 | 13.1× |
| X-Ray Spine One View - Xr Spine (72020) | $597.79 | $597.79 | 7.2× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,034.51 | $1,034.51 | 12.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $1,379.62 | $1,379.62 | 13.8× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $717.72 | $717.72 | 8.6× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $798.26 | $798.26 | 9.6× |
| Xr c-spine 6 or more views (72052) | $1,716.45 | $1,716.45 | 17.1× |
| Xr chest 4+ views (71048) | $1,008.59 | $1,008.59 | 10.1× |
| Xr finger(s) 2+ views (73140) | $717.72 | $717.72 | 8.6× |
| Xr shoulder 1 view (73020) | $547.69 | $547.69 | 6.6× |
| Xr spine cervical 4 or 5 views (72050) | $676.53 | $676.53 | 6.7× |
| Xr tibia/fibula 2 views (73590) | $884.16 | $884.16 | 10.6× |
| Xr tmj bilateral (70330) | $1,904.40 | $1,904.40 | 22.8× |
| Xray knee 1 or 2 views rt (73560) | $884.16 | $884.16 | 10.6× |