Imaging prices at TriStar NorthCrest Medical Center
Springfield, TN · every code in this section with a posted price and a Medicare benchmark.
227 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) | $2,134.76 | $2,134.76 | 21.3× |
| Acute gastrointestinal blood loss imaging (78278) | $2,600.67 | $2,600.67 | 6.8× |
| Angiography extremity bilateral rs&i (75716) | $10,439 | $10,439 | 3.4× |
| Ankle 2 views (73600) | $787.24 | $787.24 | 9.4× |
| Aortography abdl bi iliofem low extrem cath rs&i (75630) | $11,906.70 | $11,906.70 | 3.9× |
| Aortography abdominal serialography rs&i (75625) | $9,349 | $9,349 | 3.1× |
| Arthrogram hip (73525) | $3,470.69 | $3,470.69 | 10.4× |
| Arthrogram shoulder (73040) | $2,694.76 | $2,694.76 | 8.1× |
| Arthrogram wrist (73115) | $3,573.26 | $3,573.26 | 10.7× |
| Arthrography knee lt (73580) | $3,470.69 | $3,470.69 | 10.4× |
| Bone &/joint imaging whole body (78306) | $2,738.79 | $2,738.79 | 7.1× |
| Bone age studies (77072) | $632.56 | $632.56 | 6.3× |
| Bone Imaging 3 Phase (78315) | $2,738.79 | $2,738.79 | 7.1× |
| Bone survey complete (77075) | $1,200.21 | $1,200.21 | 12.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,638.56 | $4,638.56 | 3.4× |
| Cervical spine 2 or 3 views (72040) | $1,012.37 | $1,012.37 | 12.1× |
| Chest 1 view (71045) | $501.36 | $501.36 | 6.0× |
| Chest 3 views (71047) | $990.30 | $990.30 | 11.9× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,033.09 | $1,033.09 | 6.1× |
| Clavicle complete (73000) | $501.36 | $501.36 | 6.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $910.60 | $910.60 | 9.1× |
| CT abdomen and pelvis without and with contrast (74178) | $12,242.84 | $12,242.84 | 36.6× |
| CT abdomen and pelvis without contrast (74176) | $9,495.37 | $9,495.37 | 41.5× |
| CT abdomen w contrast (74160) | $5,594 | $5,594 | 33.2× |
| CT abdomen w wo contrast (74170) | $6,120.56 | $6,120.56 | 36.4× |
| CT abdomen w/o contrast (74150) | $3,901.37 | $3,901.37 | 38.9× |
| CT angio hrt w/3d image (75574) | $5,300.31 | $5,300.31 | 15.8× |
| CT angiography upper extremity lt (73206) | $4,671.22 | $4,671.22 | 27.8× |
| CT c-spine w/o contrast (72125) | $6,113.60 | $6,113.60 | 61.0× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) | $537.60 | $537.60 | 3.2× |
| CT cervical spine with contrast (72126) | $7,825.33 | $7,825.33 | 23.4× |
| CT chest w/wo contrast (71270) | $6,120.56 | $6,120.56 | 36.4× |
| CT chest with contrast (71260) | $5,594 | $5,594 | 33.2× |
| CT head/brain with contrast (70460) | $3,901.37 | $3,901.37 | 23.2× |
| CT head/brain without and with contrast (70470) | $4,615.61 | $4,615.61 | 27.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $45 | $45 | 0.5× |
| CT iac w contrast (70481) | $3,901.37 | $3,901.37 | 23.2× |
| CT limited/localized follow up study (76380) | $8,709.84 | $8,709.84 | 104.3× |
| CT lower ext w/o (73700) | $3,901.37 | $3,901.37 | 38.9× |
| CT lower extremity w wo contrast (73702) | $15,690.67 | $15,690.67 | 93.2× |
| CT lower extremity with contrast (73701) | $3,901.37 | $3,901.37 | 23.2× |
| CT lumbar spine w & w/o contrast (72133) | $9,547.50 | $9,547.50 | 56.7× |
| CT lumbar spine w/o contrast (72131) | $7,825.33 | $7,825.33 | 78.0× |
| CT lumbar spine with contrast (72132) | $6,365.58 | $6,365.58 | 19.0× |
| CT maxillofacial w contrast (70487) | $3,901.37 | $3,901.37 | 23.2× |
| CT maxillofacial w/o contrast (70486) | $3,901.37 | $3,901.37 | 38.9× |
| CT maxillofacial w/wo contrast (70488) | $4,615.61 | $4,615.61 | 27.4× |
| CT neck soft tissue w contrast (70491) | $3,901.37 | $3,901.37 | 23.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $4,615.61 | $4,615.61 | 27.4× |
| CT orbits w/o contrast (70480) | $3,901.37 | $3,901.37 | 38.9× |
| CT pelvis w & w/o contrast (72194) | $6,120.56 | $6,120.56 | 36.4× |
| CT pelvis w/o contrast (72192) | $3,901.37 | $3,901.37 | 38.9× |
| CT soft tissue neck w/o & w/contrast material (70492) | $4,615.61 | $4,615.61 | 27.4× |
| CT soft tissue neck w/o contrast (70490) | $2,787.44 | $2,787.44 | 27.8× |
| CT thoracic spine w/contrast (72129) | $7,825.33 | $7,825.33 | 46.5× |
| CT thoracic spine w/o contrast (72128) | $5,317.69 | $5,317.69 | 53.0× |
| CT thoracic spine w/wo contrast (72130) | $15,690.67 | $15,690.67 | 93.2× |
| CT thorax w/o contrast (71250) | $6,094.49 | $6,094.49 | 60.8× |
| CT upper extremity w/o & w/contrast material (73202) | $11,006.36 | $11,006.36 | 65.4× |
| CT upper extremity w/o contrast rt (73200) | $3,901.37 | $3,901.37 | 38.9× |
| CT upper extremity with contrast (73201) | $3,901.37 | $3,901.37 | 11.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,608.67 | $4,608.67 | 27.4× |
| Cta Abdomen (74175) | $4,608.67 | $4,608.67 | 27.4× |
| CTA abdomen pelvis (74174) | $3,903.11 | $3,903.11 | 11.7× |
| CTA chest (71275) | $4,608.67 | $4,608.67 | 27.4× |
| Cta Head (70496) | $3,901.37 | $3,901.37 | 23.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $8,510.04 | $8,510.04 | 25.4× |
| CTA lwr ext w&w/o contrast (73706) | $4,608.67 | $4,608.67 | 27.4× |
| Cta Neck (70498) | $4,608.67 | $4,608.67 | 27.4× |
| Cystography minimum 3 views rs&i (74430) | $1,859 | $1,859 | 5.6× |
| Dxa bone density study 1/> sites axial skel (77080) | $615.31 | $615.31 | 6.1× |
| Esophagus (74220) | $1,096.61 | $1,096.61 | 6.5× |
| Fetal biophysical profile non-stress testing (76818) | $2,371.61 | $2,371.61 | 23.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $785.11 | $785.11 | 7.8× |
| Fluoroscopy up to 1 hr (76000) | $903.26 | $903.26 | 3.9× |
| Foot 2 views (73620) | $1,033.09 | $1,033.09 | 12.4× |
| Forearm 2 views (73090) | $501.36 | $501.36 | 6.0× |
| Hand 2 views (73120) | $762.38 | $762.38 | 7.6× |
| Hand 3 views (73130) | $501.36 | $501.36 | 6.0× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $2,307.86 | $2,307.86 | 4.4× |
| Hepatobiliary syst imaging including gallbladder (78226) | $2,307.86 | $2,307.86 | 6.0× |
| Ht muscle image spect sing (78451) | $7,614.16 | $7,614.16 | 6.1× |
| Humerus Min 2 Views Left (73060) | $1,033.09 | $1,033.09 | 12.4× |
| Hysterosalpingogram (74740) | $2,229.14 | $2,229.14 | 9.7× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $2,339.12 | $2,339.12 | 4.5× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $2,911.42 | $2,911.42 | 5.6× |
| Knee 3 views (73562) | $2,049.59 | $2,049.59 | 24.5× |
| Lung perf&ventilat diferentl (78598) | $2,939.04 | $2,939.04 | 5.6× |
| Lymphoscintigraphy (78195) | $2,730.50 | $2,730.50 | 5.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $77.88 | $77.88 | 2.8× |
| MRA head w & w/o contrast (70546) | $16,681.21 | $16,681.21 | 49.8× |
| MRA head w/o contrast (70544) | $4,093 | $4,093 | 17.9× |
| MRA head with contrast (70545) | $4,635.60 | $4,635.60 | 13.9× |
| MRA neck w contrast (70548) | $4,635.60 | $4,635.60 | 13.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,273.48 | $6,273.48 | 18.7× |
| MRA neck w/o contrast (70547) | $3,752.22 | $3,752.22 | 16.4× |
| MRI abdomen w contrast (74182) | $12,686.42 | $12,686.42 | 37.9× |
| MRI abdomen w/o & w/contrast material (74183) | $6,273.48 | $6,273.48 | 18.7× |
| MRI abdomen w/o contrast (74181) | $4,317.01 | $4,317.01 | 18.9× |
| MRI any jnt lwr ext with con lt (73722) | $6,500.85 | $6,500.85 | 8.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,500.85 | $6,500.85 | 8.6× |
| MRI c-spine with contrast (72142) | $11,496.78 | $11,496.78 | 34.3× |
| MRI cervical spine w/o contrast (72141) | $4,317.01 | $4,317.01 | 18.9× |
| MRI chest w/o & w/contrast material (71552) | $6,273.48 | $6,273.48 | 18.7× |
| MRI chest w/o contrast (71550) | $8,721.55 | $8,721.55 | 38.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $8,589 | $8,589 | 25.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,317.01 | $4,317.01 | 18.9× |
| MRI orbit face &/neck w/o contrast (70540) | $10,699.84 | $10,699.84 | 46.7× |
| MRI orbit/face/neck w&w/o cont (70543) | $6,273.48 | $6,273.48 | 18.7× |
| MRI pelvis w/o & w/contrast material (72197) | $4,680.49 | $4,680.49 | 14.0× |
| MRI pelvis w/o contrast (72195) | $4,317.01 | $4,317.01 | 18.9× |
| MRI scan of arm joint before and after contrast (73223) | $6,273.48 | $6,273.48 | 18.7× |
| MRI scan of leg joint before and after contrast (73723) | $6,273.48 | $6,273.48 | 18.7× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $6,273.48 | $6,273.48 | 18.7× |
| MRI spinal canal lumbar w/contrast material (72149) | $6,500.85 | $6,500.85 | 19.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $6,273.48 | $6,273.48 | 18.7× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $6,273.48 | $6,273.48 | 18.7× |
| MRI thoracic spine w/o contrast (72146) | $4,317.01 | $4,317.01 | 18.9× |
| MRI tmj (70336) | $10,518.93 | $10,518.93 | 46.0× |
| MRI upper ext joint w/o contrast (73221) | $4,317.01 | $4,317.01 | 18.9× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $6,273.48 | $6,273.48 | 18.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,317.01 | $4,317.01 | 18.9× |
| Myocardial Spect Multiple Studies (78452) | $7,614.16 | $7,614.16 | 6.1× |
| Neck soft tissue (70360) | $501.36 | $501.36 | 6.0× |
| Nm gastric emptying study (78264) | $2,600.67 | $2,600.67 | 6.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $685.04 | $685.04 | 6.8× |
| Osseous survey infant (77076) | $1,599.38 | $1,599.38 | 15.9× |
| Parathyroid imaging (78070) | $2,155.94 | $2,155.94 | 5.6× |
| Pelvis 1 or 2 views (72170) | $1,033.09 | $1,033.09 | 10.3× |
| PET image w/CT, skull-thigh (78815) | $12,771.28 | $12,771.28 | 9.3× |
| PET imaging CT for attenuation limited area (78814) | $8,252 | $8,252 | 6.0× |
| PET imaging for CT attenuation whole body (78816) | $12,771.28 | $12,771.28 | 9.3× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $6,273.48 | $6,273.48 | 18.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,876.34 | $1,876.34 | 4.9× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $2,939.04 | $2,939.04 | 5.6× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $875.63 | $875.63 | 10.5× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $2,167.56 | $2,167.56 | 21.6× |
| Radex hips bilateral with pelvis 2 views (73521) | $1,142.19 | $1,142.19 | 11.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,135.80 | $2,135.80 | 21.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,142.19 | $1,142.19 | 13.7× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $588.36 | $588.36 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $1,033.09 | $1,033.09 | 6.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,255.45 | $1,255.45 | 7.5× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,143.57 | $1,143.57 | 6.8× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $501.36 | $501.36 | 6.0× |
| Radiological examination surgical specimen (76098) | $2,248.47 | $2,248.47 | 4.3× |
| Ribs bilateral 3 views (71110) | $1,923.23 | $1,923.23 | 19.2× |
| Scanogram (77073) | $508.26 | $508.26 | 5.1× |
| Scapula complete (73010) | $501.36 | $501.36 | 5.0× |
| Screening digital breast tomosynthesis (77063) | $228.19 | $228.19 | 9.8× |
| Small bowel series (74250) | $1,033.09 | $1,033.09 | 6.1× |
| Spine thoracic 3 views (72072) | $1,033.09 | $1,033.09 | 10.3× |
| Thoracolumbar 2 views (72080) | $1,033.09 | $1,033.09 | 12.4× |
| Thyroid Imaging With Vascular Flow (78013) | $4,553.46 | $4,553.46 | 11.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,017.71 | $4,017.71 | 10.5× |
| Tmj unilateral (70328) | $1,728.13 | $1,728.13 | 20.7× |
| Ultrasound, abdomen limited (76705) | $1,059.33 | $1,059.33 | 10.6× |
| Umbilical-artery Doppler (OB) (76820) | $726.47 | $726.47 | 7.2× |
| Urethrocystography retrograde rs&i (74450) | $2,734.02 | $2,734.02 | 11.9× |
| Urethrocystography voiding (74455) | $1,767.85 | $1,767.85 | 7.7× |
| Us abdl aorta screen aaa (76706) | $734.76 | $734.76 | 7.3× |
| Us breast unilateral complete (76641) | $2,433.55 | $2,433.55 | 24.3× |
| Us breast unilateral limited (76642) | $1,408.75 | $1,408.75 | 16.9× |
| Us chest (76604) | $1,059.33 | $1,059.33 | 10.6× |
| Us compl joint r-t w/image documentation (76881) | $1,059.33 | $1,059.33 | 10.6× |
| Us ob detailed single fetus (76811) | $3,041.04 | $3,041.04 | 13.3× |
| Us ob transvaginal (76817) | $1,059.33 | $1,059.33 | 10.6× |
| Us pelvic non ob complete (76856) | $2,490.17 | $2,490.17 | 24.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $546.93 | $546.93 | 5.5× |
| Us pregnancy ltd (76815) | $1,707.08 | $1,707.08 | 17.0× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $1,125.62 | $1,125.62 | 11.2× |
| Us retroperitoneal complete (76770) | $1,059.33 | $1,059.33 | 10.6× |
| Us retroperitoneal limited (76775) | $1,059.33 | $1,059.33 | 10.6× |
| Us scrotum and contents (76870) | $1,059.33 | $1,059.33 | 10.6× |
| Us soft tissue head/neck (76536) | $1,059.33 | $1,059.33 | 10.6× |
| Us xtr non-vasc lmtd (76882) | $1,059.33 | $1,059.33 | 10.6× |
| Venogram extremity bilateral (75822) | $8,034.03 | $8,034.03 | 5.3× |
| Venography extremity unilateral rs&i (75820) | $8,034.03 | $8,034.03 | 5.3× |
| Wrist 2 views (73100) | $1,033.09 | $1,033.09 | 12.4× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,037.23 | $1,037.23 | 10.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,096.61 | $1,096.61 | 13.1× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $1,012.37 | $1,012.37 | 12.1× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $1,588.29 | $1,588.29 | 9.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,033.09 | $1,033.09 | 12.4× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $501.36 | $501.36 | 6.0× |
| X-ray exam hip uni 1 view (73501) | $1,001.32 | $1,001.32 | 12.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $981.20 | $981.20 | 11.8× |
| X-ray exam hip uni 4/> views (73503) | $1,556.43 | $1,556.43 | 15.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,142.19 | $1,142.19 | 11.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,707.12 | $2,707.12 | 27.0× |
| X-ray exam of femur 1 (73551) | $1,428.28 | $1,428.28 | 17.1× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,256.82 | $1,256.82 | 12.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $501.36 | $501.36 | 6.0× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $501.36 | $501.36 | 6.0× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $1,033.09 | $1,033.09 | 12.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,218.15 | $1,218.15 | 14.6× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $2,636.58 | $2,636.58 | 26.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,030.32 | $1,030.32 | 12.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,012.37 | $1,012.37 | 10.1× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $1,200.21 | $1,200.21 | 12.0× |
| X-Ray Lumbar Spine Flex/Exten - Xr Lumbar Spine 4+ Views W/ Flex Ext (72120) | $934.37 | $934.37 | 9.3× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $1,012.37 | $1,012.37 | 12.1× |
| X-Ray Nose-Rectum Child F.B. - Xr Nose to Rectum Foreign Body Peds (76010) | $1,033.09 | $1,033.09 | 12.4× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $990.64 | $990.64 | 9.9× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $1,118.71 | $1,118.71 | 11.2× |
| X-Ray Retrograde Pyelogram - Fl Pyelogram Retrograde (74420) | $1,859 | $1,859 | 5.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $946.78 | $946.78 | 11.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $766.53 | $766.53 | 7.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $875.63 | $875.63 | 8.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,033.09 | $1,033.09 | 10.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,033.09 | $1,033.09 | 12.4× |
| X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $2,063.41 | $2,063.41 | 24.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,256.82 | $1,256.82 | 15.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $875.63 | $875.63 | 8.7× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $501.36 | $501.36 | 5.0× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,103.52 | $1,103.52 | 13.2× |
| X-Ray Thoracic Spine 4 Vw - Xr Thoracic Spine Complete 4+ Views (72074) | $1,305.17 | $1,305.17 | 13.0× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $991.27 | $991.27 | 11.9× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $1,033.09 | $1,033.09 | 12.4× |
| Xr c-spine 6 or more views (72052) | $875.63 | $875.63 | 8.7× |
| Xr chest 4+ views (71048) | $1,393 | $1,393 | 13.9× |
| Xr finger(s) 2+ views (73140) | $991.27 | $991.27 | 11.9× |
| Xr shoulder 1 view (73020) | $501.36 | $501.36 | 6.0× |
| Xr spine cervical 4 or 5 views (72050) | $1,740.22 | $1,740.22 | 17.4× |
| Xr tibia/fibula 2 views (73590) | $1,033.09 | $1,033.09 | 12.4× |
| Xr tmj bilateral (70330) | $1,191.92 | $1,191.92 | 14.3× |
| Xray knee 1 or 2 views rt (73560) | $1,033.09 | $1,033.09 | 12.4× |