Imaging prices at TriStar Southern Hills Medical Center
Nashville, TN · every code in this section with a posted price and a Medicare benchmark.
238 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) | $783.11 | $783.11 | 9.4× |
| Abdomen 2 views (74019) | $860.57 | $860.57 | 8.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,341.86 | $1,341.86 | 3.5× |
| Angio pulmonary bilat (75743) | $9,500 | $9,500 | 3.1× |
| Angiography extremity bilateral rs&i (75716) | $7,490.45 | $7,490.45 | 2.5× |
| Angiography extremity unilateral rs&i (75710) | $6,693.57 | $6,693.57 | 2.2× |
| Ankle 2 views (73600) | $741.82 | $741.82 | 8.9× |
| Artery X-Rays Abdomen (75726) | $7,380.32 | $7,380.32 | 1.4× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,419.05–$1,612.80 | $1,419.05–$1,612.80 | varies |
| Bone age studies (77072) | $962.18 | $962.18 | 9.6× |
| Bone Imaging 3 Phase (78315) | $4,475.85 | $4,475.85 | 11.7× |
| Bone Imaging Limited Area (78300) | $3,169.01 | $3,169.01 | 8.3× |
| Bone Imaging Whole Body (78306) | $5,120.52 | $5,120.52 | 13.4× |
| Brain Flow Imaging Only (78610) | $4,677.32 | $4,677.32 | 9.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,873.51 | $1,873.51 | 5.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,639.83 | $3,639.83 | 4.8× |
| Cat Scan Follow-Up Study (76380) | $2,381.73 | $2,381.73 | 28.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,823.61 | $1,823.61 | 3.5× |
| Cerebrospinal Fluid Scan (78630) | $2,569.30 | $2,569.30 | 4.9× |
| Chest 1 view (71045) | $736.64 | $736.64 | 8.8× |
| Chest 2 views (71046) | $1,044.72 | $1,044.72 | 12.5× |
| Chest 3 views (71047) | $1,060.22 | $1,060.22 | 12.7× |
| Chest 4 or more views (71048) | $1,060.22 | $1,060.22 | 10.6× |
| Clavicle complete (73000) | $624.79 | $624.79 | 7.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $822.37 | $822.37 | 8.2× |
| Contrast Exam Abdominl Aorta (75625) | $5,700.44 | $5,700.44 | 1.9× |
| Contrast X-Ray Bladder (74430) | $1,129.07 | $1,129.07 | 3.4× |
| Contrast X-Ray Of Knee Joint (73580) | $2,731.05 | $2,731.05 | 8.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$15,275.26–$16,497.28 | $15,275.26–$16,497.28 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$12,026.94–$12,989.10 | $12,026.94–$12,989.10 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$6,592.05–$7,119.41 | $6,592.05–$7,119.41 | varies |
| CT abdomen w wo contrast (74170) | $8,621.35 | $8,621.35 | 51.2× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$5,796.17–$6,259.86 | $5,796.17–$6,259.86 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$12,948.95–$13,984.87 | $12,948.95–$13,984.87 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$8,282.68–$8,945.29 | $8,282.68–$8,945.29 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$10,116.49–$10,925.81 | $10,116.49–$10,925.81 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$6,909.04–$7,461.76 | $6,909.04–$7,461.76 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$10,941.35–$11,816.66 | $10,941.35–$11,816.66 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$5,041.17–$5,444.46 | $5,041.17–$5,444.46 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) range across 2 matching MRF lines |
$4,370.16–$8,740.31 | $4,370.16–$8,740.31 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$6,094.42–$6,581.97 | $6,094.42–$6,581.97 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$5,877.98–$6,348.22 | $5,877.98–$6,348.22 | varies |
| CT cervical spine w/wo cont (72127) | $1,103.22 | $1,103.22 | 6.6× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$6,663.64–$7,196.73 | $6,663.64–$7,196.73 | varies |
| CT chest w/wo contrast (71270) | $7,404.72 | $7,404.72 | 44.0× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$5,995.57–$6,475.22 | $5,995.57–$6,475.22 | varies |
| CT head/brain without and with contrast (70470) | $7,332.92 | $7,332.92 | 43.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,670.71 | $2,670.71 | 32.0× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$4,640.67–$5,011.92 | $4,640.67–$5,011.92 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$6,974.08–$7,682.64 | $6,974.08–$7,682.64 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$4,575.93–$4,942 | $4,575.93–$4,942 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$5,543.94–$5,987.46 | $5,543.94–$5,987.46 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$6,467.66–$6,985.07 | $6,467.66–$6,985.07 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$5,888.20–$6,359.26 | $5,888.20–$6,359.26 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$4,816.22–$5,201.52 | $4,816.22–$5,201.52 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$5,036.06–$5,438.94 | $5,036.06–$5,438.94 | varies |
| CT neck tissue combo (70492) | $5,989.30 | $5,989.30 | 35.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,527.31 | $5,527.31 | 32.8× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$4,548.65–$4,912.54 | $4,548.65–$4,912.54 | varies |
| CT pelvis w&w/o contrast (72194) | $7,883.27 | $7,883.27 | 46.8× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$6,237.57–$6,736.58 | $6,237.57–$6,736.58 | varies |
| CT scan of leg combo (73702) | $6,059.25 | $6,059.25 | 36.0× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$6,713.07–$7,250.12 | $6,713.07–$7,250.12 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$5,370.12–$5,799.73 | $5,370.12–$5,799.73 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$5,104.26–$5,512.60 | $5,104.26–$5,512.60 | varies |
| CT thoracic spine w contrast (72129) | $6,377.65 | $6,377.65 | 37.9× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$5,995.57–$6,475.22 | $5,995.57–$6,475.22 | varies |
| CT thoracic spine w/wo cont (72130) | $1,136.31 | $1,136.31 | 6.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$5,813.21–$6,278.27 | $5,813.21–$6,278.27 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$4,548.65–$4,912.54 | $4,548.65–$4,912.54 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $6,940.32 | $6,940.32 | 41.2× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$4,548.65–$4,912.54 | $4,548.65–$4,912.54 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$3,362.49–$3,631.49 | $3,362.49–$3,631.49 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$10,300.54–$11,124.58 | $10,300.54–$11,124.58 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$8,740.31–$22,742.47 | $8,740.31–$22,742.47 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$10,515.27–$11,356.49 | $10,515.27–$11,356.49 | varies |
| Discography Cerv/Thor Spine (72285) | $7,868.64 | $7,868.64 | 4.2× |
| Diskography lumbar (72295) | $4,464.66 | $4,464.66 | 2.4× |
| Dxa Bone Density Axial (77080) | $1,060.22 | $1,060.22 | 10.6× |
| Esophagram (74220) | $1,223.73 | $1,223.73 | 7.3× |
| Fetal Biophys Profile W/Nst (76818) | $1,397.61 | $1,397.61 | 13.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$667–$712.54 | $667–$712.54 | varies |
| Foot 2 views (73620) | $714.28 | $714.28 | 8.6× |
| Forearm 2 views (73090) | $817.53 | $817.53 | 9.8× |
| Gastric emptying imaging study (78264) | $2,669.72 | $2,669.72 | 7.0× |
| Gated Heart Planar Single (78472) | $4,333.02 | $4,333.02 | 11.3× |
| Hand 2 views (73120) | $690.15 | $690.15 | 6.9× |
| Hepatobil Syst Image W/Drug (78227) | $2,806.37 | $2,806.37 | 5.4× |
| Hepatobiliary System Imaging (78226) | $2,806.37 | $2,806.37 | 7.3× |
| Hysterosalpingogram (74740) | $1,638.52 | $1,638.52 | 7.2× |
| K Flow/Funct Image W/Drug (78708) | $4,274.38 | $4,274.38 | 8.2× |
| K Flow/Funct Image W/O Drug (78707) | $4,834.97 | $4,834.97 | 9.3× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$925–$1,848.49 | $925–$1,848.49 | varies |
| Liver & Spleen Imaging Static Only (78215) | $3,255 | $3,255 | 8.5× |
| Lung Ventilat&Perfus Imaging (78582) | $3,028.85 | $3,028.85 | 5.8× |
| Lymph System Imaging (78195) | $3,643.75 | $3,643.75 | 7.0× |
| Magnetic Image Jaw Joint (70336) | $9,515.91 | $9,515.91 | 41.6× |
| Mr safety determination physician/other qhp (76016) | $220.13 | $220.13 | 2.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $104.08 | $104.08 | 3.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $229.48 | $229.48 | 2.5× |
| Mr safety implt pos&/immoblj (76019) | $148.50 | $148.50 | 2.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $604.30 | $604.30 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $6,980.43 | $6,980.43 | 20.9× |
| MRA head w/o contrast (70544) | $6,415.71 | $6,415.71 | 28.0× |
| MRA head with contrast (70545) | $6,529.38 | $6,529.38 | 19.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,980.43 | $6,980.43 | 20.9× |
| MRA neck w/o contrast (70547) | $6,415.71 | $6,415.71 | 28.0× |
| MRI abdomen w contrast (74182) | $11,202.27 | $11,202.27 | 33.5× |
| MRI abdomen w/o contrast (74181) | $7,970.93 | $7,970.93 | 34.8× |
| MRI any jt lower extrem w/contrast material (73722) | $10,320 | $10,320 | 13.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $10,320 | $10,320 | 30.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $11,478.27 | $11,478.27 | 15.3× |
| MRI cardiac w/o cont stress (75559) | $2,457.62 | $2,457.62 | 4.7× |
| MRI cardiac w/o contrast (75557) | $1,889.30 | $1,889.30 | 8.3× |
| MRI cervical spine w contrast (72142) | $11,498.12 | $11,498.12 | 34.4× |
| MRI cervical spine w/o cont (72141) | $7,357.50 | $7,357.50 | 32.1× |
| MRI chest w/o contrast (71550) | $7,952.88 | $7,952.88 | 34.7× |
| MRI chest wo w contrast (71552) | $3,212.04 | $3,212.04 | 9.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $11,143.97 | $11,143.97 | 33.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $11,478.27 | $11,478.27 | 34.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $8,510.40 | $8,510.40 | 37.2× |
| MRI lumbar spine w contrast (72149) | $11,498.12 | $11,498.12 | 34.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $13,103.90 | $13,103.90 | 39.2× |
| MRI orbit face &/neck w/o contrast (70540) | $5,823.94 | $5,823.94 | 25.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $9,423.30 | $9,423.30 | 28.2× |
| MRI pelvis w contrast (72196) | $10,947.80 | $10,947.80 | 32.7× |
| MRI pelvis w/o & w contrast (72197) | $11,342.99 | $11,342.99 | 33.9× |
| MRI pelvis w/o contrast (72195) | $8,109.85 | $8,109.85 | 35.4× |
| MRI thoracic spine w/o contrast (72146) | $8,387.70 | $8,387.70 | 36.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $6,605.15 | $6,605.15 | 19.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $9,789.56 | $9,789.56 | 42.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $10,262.26 | $10,262.26 | 30.7× |
| MRI, abdomen, combo (74183) | $11,267.20 | $11,267.20 | 33.7× |
| MRI, dorsal spine combo (72157) | $13,103.90 | $13,103.90 | 39.2× |
| MRI, dorsal spine contrast (72147) | $11,498.12 | $11,498.12 | 34.4× |
| MRI, joint upper extrem (73221) | $8,109.85 | $8,109.85 | 35.4× |
| MRI, joint upper extrem combo (73223) | $11,478.27 | $11,478.27 | 34.3× |
| MRI, lumbar spine combo (72158) | $13,103.90 | $13,103.90 | 39.2× |
| Myelogram cervical (72240) | $3,342.96 | $3,342.96 | 4.4× |
| Myelography thoracic (72255) | $3,342.96 | $3,342.96 | 4.4× |
| Myocardial Spect Multiple Studies (78452) | $15,510.51 | $15,510.51 | 12.5× |
| Neck soft tissue (70360) | $628.20 | $628.20 | 7.5× |
| Nuclear Rx Oral Admin (79005) | $2,408.82 | $2,408.82 | 10.8× |
| Parathyroid Planar Imaging (78070) | $4,150.01 | $4,150.01 | 10.8× |
| Pelvis 1 or 2 views (72170) | $793.45 | $793.45 | 7.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,170.35 | $2,170.35 | 21.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $567.97 | $567.97 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $865.74 | $865.74 | 10.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $833 | $833 | 10.0× |
| Radex elbow complete minimum 3 views (73080) | $925.96 | $925.96 | 11.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,056.76 | $1,056.76 | 10.5× |
| Radex fingr minimum 2 views (73140) | $657.46 | $657.46 | 7.9× |
| Radex foot complete minimum 3 views (73630) | $817.53 | $817.53 | 9.8× |
| Radex Hand Minimum 3 Views (73130) | $888.12 | $888.12 | 10.6× |
| Radex lower extremity infant minimum 2 views (73592) | $812.35 | $812.35 | 9.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $757.30 | $757.30 | 9.1× |
| Radex Ribs Unilateral 2 Views (71100) | $1,192.75 | $1,192.75 | 14.3× |
| Radex shoulder complete minimum 2 views (73030) | $645.42 | $645.42 | 7.7× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$310.65–$591.02 | $310.65–$591.02 | varies |
| Radex Spine 1 View Specify Level (72020) | $624.79 | $624.79 | 7.5× |
| Radex Sternum Minimum 2 Views (71120) | $779.66 | $779.66 | 9.3× |
| Radex Toe Minimum 2 Views (73660) | $667.79 | $667.79 | 8.0× |
| Radex upper extremity infant minimum 2 views (73092) | $762.47 | $762.47 | 7.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $888.12 | $888.12 | 10.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,030.96 | $1,030.96 | 10.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,191.67 | $1,191.67 | 11.9× |
| Radiologic exam colon double contrast study (74280) | $2,094.64 | $2,094.64 | 12.4× |
| Radiologic exam colon single contrast study (74270) | $2,024.06 | $2,024.06 | 12.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $960.05 | $960.05 | 5.7× |
| Radiologic exam knee complete 4/more views (73564) | $867.44 | $867.44 | 8.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $925.96 | $925.96 | 9.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,327 | $1,327 | 7.9× |
| Radiologic exam swallow function contrast study (74230) | $1,132.51 | $1,132.51 | 6.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,277.07 | $2,277.07 | 13.5× |
| Radiologic examination femur 1 view (73551) | $404.30 | $404.30 | 4.8× |
| Radiologic examination femur minimum 2 views (73552) | $404.30 | $404.30 | 4.8× |
| Radiologic examination knee 1/2 views (73560) | $796.88 | $796.88 | 9.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $858.84 | $858.84 | 10.3× |
| Ribs bilateral 3 views (71110) | $1,223.73 | $1,223.73 | 12.2× |
| Scapula (73010) | $783.11 | $783.11 | 7.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $116.97 | $116.97 | 5.0× |
| Shoulder 1 view (73020) | $328.73 | $328.73 | 3.9× |
| Shoulder Arthrography (73040) | $2,344.20 | $2,344.20 | 7.0× |
| Skull less than 4 views (70250) | $313.22 | $313.22 | 3.1× |
| Thoracic spine 2 views (72070) | $794.56 | $794.56 | 7.9× |
| Thoracic spine 3 views (72072) | $970.69 | $970.69 | 9.7× |
| Thyroid Imaging With Vascular Flow (78013) | $1,805.62 | $1,805.62 | 4.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,932.23 | $1,932.23 | 5.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$496.50–$993.04 | $496.50–$993.04 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,155.65 | $1,155.65 | 11.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,863.57–$1,919.48 | $1,863.57–$1,919.48 | varies |
| Upper gi w/o kub (74240) | $2,277.07 | $2,277.07 | 13.5× |
| Urethrocystography retrograde (74450) | $965.56 | $965.56 | 4.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$496.50–$993.04 | $496.50–$993.04 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$557.49–$574.21 | $557.49–$574.21 | varies |
| Us complete joint (76881) | $1,148.44 | $1,148.44 | 11.5× |
| Us kidney transplant (76776) | $1,121.99 | $1,121.99 | 11.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $743.95 | $743.95 | 7.4× |
| Us ob detailed single fetus (76811) | $2,164.24 | $2,164.24 | 9.5× |
| Us ob limited 1 or more fetuses (76815) | $1,173.71 | $1,173.71 | 11.7× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$2,454.37–$2,528 | $2,454.37–$2,528 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$2,308.88–$2,378.15 | $2,308.88–$2,378.15 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$2,214.21–$2,280.64 | $2,214.21–$2,280.64 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,264.37 | $1,264.37 | 12.6× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$1,130.17–$2,105.47 | $1,130.17–$2,105.47 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$2,044.15–$2,105.47 | $2,044.15–$2,105.47 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,945.96–$2,004.34 | $1,945.96–$2,004.34 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,635.66–$1,684.73 | $1,635.66–$1,684.73 | varies |
| Venography extremity unilateral rs&i (75820) | $1,934.56 | $1,934.56 | 1.3× |
| Wrist 2 views (73100) | $1,104.95 | $1,104.95 | 13.2× |
| X-ray antegrade pyelogram tube (74425) | $1,290.86 | $1,290.86 | 3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $863.99 | $863.99 | 10.3× |
| X-Ray Exam Breast Specimen (76098) | $2,227.16 | $2,227.16 | 4.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $404.30 | $404.30 | 4.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $669.55 | $669.55 | 6.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,276.57 | $1,276.57 | 12.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $404.30 | $404.30 | 4.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $404.30 | $404.30 | 4.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $669.55 | $669.55 | 6.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $669.55 | $669.55 | 6.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $669.55 | $669.55 | 6.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,276.57 | $1,276.57 | 12.7× |
| X-Ray Exam L-S Spine Bending (72114) | $2,087.76 | $2,087.76 | 20.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $624.79 | $624.79 | 7.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,318.40 | $1,318.40 | 13.1× |
| X-ray humerus (73060) | $788.28 | $788.28 | 9.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $735.99 | $735.99 | 8.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,104.95 | $1,104.95 | 11.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,462.97 | $1,462.97 | 14.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $757.30 | $757.30 | 7.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $941.47 | $941.47 | 11.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,287.41 | $1,287.41 | 15.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,345.93 | $1,345.93 | 13.4× |
| X-Ray Tmj Unilat (70328) | $1,027.52 | $1,027.52 | 12.3× |
| X-Rays Bone Survey Complete (77075) | $1,507.71 | $1,507.71 | 15.0× |
| Xr c-spine 4 or 5 views (72050) | $1,938 | $1,938 | 19.3× |
| Xr facial bones less than 3 views (70140) | $894.99 | $894.99 | 10.7× |
| Xr orbits complete 4 views (70200) | $1,006.84 | $1,006.84 | 10.0× |
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.