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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $860.57 | $860.57 | 8.6× |
| Acute gastrointestinal blood loss imaging (78278) | $1,341.86 | $1,341.86 | 3.5× |
| 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× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $9,500 | $9,500 | 3.1× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $7,380.32 | $7,380.32 | 1.4× |
| Ankle 2 views (73600) | $741.82 | $741.82 | 8.9× |
| Antegrade urography radiological supvj & interpj (74425) | $1,290.86 | $1,290.86 | 3.9× |
| Aortography abdominal serialography rs&i (75625) | $5,700.44 | $5,700.44 | 1.9× |
| Arthrogram hip (73525) | $1,515.92 | $1,515.92 | 4.5× |
| Arthrogram shoulder (73040) | $2,344.20 | $2,344.20 | 7.0× |
| Arthrography knee lt (73580) | $2,731.05 | $2,731.05 | 8.2× |
| Bone &/Joint Imaging Limited Area (78300) | $3,169.01 | $3,169.01 | 8.3× |
| Bone &/joint imaging whole body (78306) | $5,120.52 | $5,120.52 | 13.4× |
| Bone age studies (77072) | $962.18 | $962.18 | 9.6× |
| Bone Imaging 3 Phase (78315) | $4,475.85 | $4,475.85 | 11.7× |
| Bone survey complete (77075) | $1,507.71 | $1,507.71 | 15.0× |
| Brain Imaging Vascular Flow 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× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,823.61 | $1,823.61 | 3.5× |
| Cervical spine 2 or 3 views (72040) | $624.79 | $624.79 | 7.5× |
| Chest 1 view (71045) | $736.64 | $736.64 | 8.8× |
| Chest 3 views (71047) | $1,060.22 | $1,060.22 | 12.7× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,132.51 | $1,132.51 | 6.7× |
| 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× |
| CT abdomen and pelvis without and with contrast (74178) | $15,886.27 | $15,886.27 | 47.5× |
| CT abdomen and pelvis without contrast (74176) | $12,508.02 | $12,508.02 | 54.6× |
| CT abdomen w contrast (74160) | $6,855.73 | $6,855.73 | 40.7× |
| CT abdomen w wo contrast (74170) | $8,621.35 | $8,621.35 | 51.2× |
| CT abdomen w/o contrast (74150) | $6,028.02 | $6,028.02 | 60.1× |
| CT angiography upper extremity lt (73206) | $5,242.82 | $5,242.82 | 31.2× |
| CT c-spine w/o contrast (72125) | $6,113.10 | $6,113.10 | 60.9× |
| CT cere prfuj alys c+ w/o CT/CTA same anatomy (70473) | $6,555.24 | $6,555.24 | 39.0× |
| CT cervical spine w&w/o contrast (72127) | $1,103.22 | $1,103.22 | 6.6× |
| CT cervical spine with contrast (72126) | $6,338.20 | $6,338.20 | 18.9× |
| CT chest w/wo contrast (71270) | $7,404.72 | $7,404.72 | 44.0× |
| CT chest with contrast (71260) | $6,930.18 | $6,930.18 | 41.2× |
| CT head/brain with contrast (70460) | $6,235.40 | $6,235.40 | 37.1× |
| 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) | $4,826.30 | $4,826.30 | 28.7× |
| CT limited/localized follow up study (76380) | $2,381.73 | $2,381.73 | 28.5× |
| CT lower ext w/o (73700) | $4,758.96 | $4,758.96 | 47.4× |
| CT lower extremity w wo contrast (73702) | $6,059.25 | $6,059.25 | 36.0× |
| CT lower extremity with contrast (73701) | $5,765.70 | $5,765.70 | 34.3× |
| CT lumbar spine w & w/o contrast (72133) | $7,532.01 | $7,532.01 | 44.8× |
| CT lumbar spine w/o contrast (72131) | $6,123.73 | $6,123.73 | 61.1× |
| CT lumbar spine with contrast (72132) | $6,726.36 | $6,726.36 | 20.1× |
| CT maxillofacial w contrast (70487) | $5,008.87 | $5,008.87 | 29.8× |
| CT maxillofacial w/o contrast (70486) | $5,237.50 | $5,237.50 | 52.2× |
| CT maxillofacial w/wo contrast (70488) | $6,981.60 | $6,981.60 | 41.5× |
| CT neck soft tissue w contrast (70491) | $5,584.92 | $5,584.92 | 33.2× |
| CT orbit sella/post fossa/ear w/o & w/contr matr (70482) | $5,527.31 | $5,527.31 | 32.8× |
| CT orbits w/o contrast (70480) | $4,730.60 | $4,730.60 | 47.2× |
| CT pelvis w & w/o contrast (72194) | $7,883.27 | $7,883.27 | 46.8× |
| CT pelvis w/o contrast (72192) | $6,487.08 | $6,487.08 | 64.7× |
| CT soft tissue neck w/o & w/contrast material (70492) | $5,989.30 | $5,989.30 | 35.6× |
| CT soft tissue neck w/o contrast (70490) | $5,308.43 | $5,308.43 | 52.9× |
| CT thoracic spine w/contrast (72129) | $6,377.65 | $6,377.65 | 37.9× |
| CT thoracic spine w/o contrast (72128) | $6,235.40 | $6,235.40 | 62.2× |
| CT thoracic spine w/wo contrast (72130) | $1,136.31 | $1,136.31 | 6.8× |
| CT thorax w/o contrast (71250) | $6,045.74 | $6,045.74 | 60.3× |
| CT upper extremity w/o & w/contrast material (73202) | $6,940.32 | $6,940.32 | 41.2× |
| CT upper extremity w/o contrast rt (73200) | $4,730.60 | $4,730.60 | 47.2× |
| CT upper extremity with contrast (73201) | $4,730.60 | $4,730.60 | 14.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,496.99 | $3,496.99 | 20.8× |
| Cta Abdomen (74175) | $10,712.56 | $10,712.56 | 63.7× |
| CTA abdomen pelvis (74174) | $13,466.91 | $13,466.91 | 40.2× |
| CTA chest (71275) | $8,613.98 | $8,613.98 | 51.2× |
| Cta Head (70496) | $10,521.15 | $10,521.15 | 62.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $15,741.39 | $15,741.39 | 47.0× |
| CTA lwr ext w&w/o contrast (73706) | $7,185.40 | $7,185.40 | 42.7× |
| Cta Neck (70498) | $11,379 | $11,379 | 67.6× |
| Cta Pelvis (72191) | $10,935.88 | $10,935.88 | 65.0× |
| Cystography minimum 3 views rs&i (74430) | $1,129.07 | $1,129.07 | 3.4× |
| Diskogram cervical (72285) | $7,868.64 | $7,868.64 | 4.2× |
| Diskography lumbar (72295) | $4,464.66 | $4,464.66 | 2.4× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,060.22 | $1,060.22 | 10.6× |
| Esophagus (74220) | $1,223.73 | $1,223.73 | 7.3× |
| Fetal biophysical profile non-stress testing (76818) | $1,397.61 | $1,397.61 | 13.9× |
| Fluoroscopy up to 1 hr (76000) | $689.77 | $689.77 | 3.0× |
| Foot 2 views (73620) | $714.28 | $714.28 | 8.6× |
| Forearm 2 views (73090) | $817.53 | $817.53 | 9.8× |
| Gated Heart Planar Single (78472) | $4,333.02 | $4,333.02 | 11.3× |
| Hand 2 views (73120) | $690.15 | $690.15 | 6.9× |
| Hand 3 views (73130) | $888.12 | $888.12 | 10.6× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $2,806.37 | $2,806.37 | 5.4× |
| Hepatobiliary syst imaging including gallbladder (78226) | $2,806.37 | $2,806.37 | 7.3× |
| Humerus Min 2 Views Left (73060) | $788.28 | $788.28 | 9.4× |
| Hysterosalpingogram (74740) | $1,638.52 | $1,638.52 | 7.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $4,834.97 | $4,834.97 | 9.3× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $4,274.38 | $4,274.38 | 8.2× |
| Knee 3 views (73562) | $925.96 | $925.96 | 11.1× |
| Liver & spleen imaging static only (78215) | $3,255 | $3,255 | 8.5× |
| Lymphoscintigraphy (78195) | $3,643.75 | $3,643.75 | 7.0× |
| Mr safety determination physician/other qhp (76016) | $220.13 | $220.13 | 2.6× |
| Mr safety implant pos&/immoblj supvj phys/qhp (76019) | $148.50 | $148.50 | 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 med physics xm customization plng&mntr (76017) | $604.30 | $604.30 | 2.6× |
| MRA head w & w/o contrast (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 & w/contrast material (74183) | $11,267.20 | $11,267.20 | 33.7× |
| MRI abdomen w/o contrast (74181) | $7,970.93 | $7,970.93 | 34.8× |
| MRI any jnt lwr ext with con lt (73722) | $10,320 | $10,320 | 13.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $11,478.27 | $11,478.27 | 15.3× |
| MRI c-spine with contrast (72142) | $11,498.12 | $11,498.12 | 34.4× |
| 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/o contrast (72141) | $7,357.50 | $7,357.50 | 32.1× |
| MRI chest w/o & w/contrast material (71552) | $3,212.04 | $3,212.04 | 9.6× |
| MRI chest w/o contrast (71550) | $7,952.88 | $7,952.88 | 34.7× |
| MRI Forearm w/ Contrast Bilateral 73219 (73219) | $6,605.15 | $6,605.15 | 19.7× |
| 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 contr matrl (73718) | $8,510.40 | $8,510.40 | 37.2× |
| MRI orbit face &/neck w/o contrast (70540) | $5,823.94 | $5,823.94 | 25.4× |
| MRI orbit/face/neck w&w/o cont (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 material (72197) | $11,342.99 | $11,342.99 | 33.9× |
| MRI pelvis w/o contrast (72195) | $8,109.85 | $8,109.85 | 35.4× |
| MRI scan of arm joint before and after contrast (73223) | $11,478.27 | $11,478.27 | 34.3× |
| MRI scan of heart before and after contrast with stress imaging (75563) | $3,639.83 | $3,639.83 | 4.8× |
| MRI scan of leg joint before and after contrast (73723) | $10,320 | $10,320 | 30.8× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $13,103.90 | $13,103.90 | 39.2× |
| MRI spinal canal lumbar w/contrast material (72149) | $11,498.12 | $11,498.12 | 34.4× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $13,103.90 | $13,103.90 | 39.2× |
| MRI spinal canal thoracic w/contrast matrl (72147) | $11,498.12 | $11,498.12 | 34.4× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $13,103.90 | $13,103.90 | 39.2× |
| MRI thoracic spine w/o contrast (72146) | $8,387.70 | $8,387.70 | 36.6× |
| MRI tmj (70336) | $9,515.91 | $9,515.91 | 41.6× |
| MRI upper ext joint w/o contrast (73221) | $8,109.85 | $8,109.85 | 35.4× |
| MRI upper extrem other than jt w/o & w/contras (73220) | $10,262.26 | $10,262.26 | 30.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $9,789.56 | $9,789.56 | 42.8× |
| Myelogram Cervical (72240) | $3,342.96 | $3,342.96 | 4.4× |
| Myelogram 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× |
| Nm cisternogram (78630) | $2,569.30 | $2,569.30 | 4.9× |
| Nm gastric emptying study (78264) | $2,669.72 | $2,669.72 | 7.0× |
| Nuclear Rx Oral Admin (79005) | $2,408.82 | $2,408.82 | 10.8× |
| Ob Us Follow-Up Per Fetus - Us Ob Follow Up Transabdominal Approach (76816) | $1,264.37 | $1,264.37 | 12.6× |
| Parathyroid imaging (78070) | $4,150.01 | $4,150.01 | 10.8× |
| Pelvis 1 or 2 views (72170) | $793.45 | $793.45 | 7.9× |
| Pr MRI, lower extr, w/o contrast f/u by contrast (73720) | $11,478.27 | $11,478.27 | 34.3× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $3,028.85 | $3,028.85 | 5.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $567.97 | $567.97 | 1.1× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $404.30 | $404.30 | 4.8× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $669.55 | $669.55 | 6.7× |
| Radex hips bilateral with pelvis 2 views (73521) | $669.55 | $669.55 | 6.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,030.96 | $1,030.96 | 10.3× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $783.11 | $783.11 | 9.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,191.67 | $1,191.67 | 11.9× |
| Radiologic Exam Chest 2 Views - Xr Chest 2 Views (71046) | $1,044.72 | $1,044.72 | 12.5× |
| 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 upr gi trc double contrast study (74246) | $2,277.07 | $2,277.07 | 13.5× |
| Radiologic exam upr gi trc single contrast study (74240) | $2,277.07 | $2,277.07 | 13.5× |
| Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt (73552) | $404.30 | $404.30 | 4.8× |
| Radiological examination surgical specimen (76098) | $2,227.16 | $2,227.16 | 4.2× |
| Ribs bilateral 3 views (71110) | $1,223.73 | $1,223.73 | 12.2× |
| Scapula complete (73010) | $783.11 | $783.11 | 7.8× |
| Screening digital breast tomosynthesis (77063) | $116.97 | $116.97 | 5.0× |
| Small bowel series (74250) | $1,327 | $1,327 | 7.9× |
| Spine thoracic 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× |
| Tmj unilateral (70328) | $1,027.52 | $1,027.52 | 12.3× |
| Ultrasound, abdomen limited (76705) | $1,891.52 | $1,891.52 | 18.9× |
| Upper Extremity Infant (73092) | $762.47 | $762.47 | 7.6× |
| Urethrocystography retrograde rs&i (74450) | $965.56 | $965.56 | 4.2× |
| Us abdl aorta screen aaa (76706) | $1,155.65 | $1,155.65 | 11.5× |
| Us breast unilateral complete (76641) | $496.50 | $496.50 | 5.0× |
| Us breast unilateral limited (76642) | $496.50 | $496.50 | 5.9× |
| Us chest (76604) | $565.85 | $565.85 | 5.6× |
| Us compl joint r-t w/image documentation (76881) | $1,148.44 | $1,148.44 | 11.5× |
| Us kidney transplant (76776) | $1,121.99 | $1,121.99 | 11.2× |
| Us ob detailed single fetus (76811) | $2,164.24 | $2,164.24 | 9.5× |
| Us ob transvaginal (76817) | $2,491.18 | $2,491.18 | 24.8× |
| Us pelvic non ob complete (76856) | $2,343.52 | $2,343.52 | 23.4× |
| Us pregnancy ltd (76815) | $1,173.71 | $1,173.71 | 11.7× |
| Us pregnant uterus 14 wk transabdl 1/1st gestat (76801) | $2,247.42 | $2,247.42 | 22.4× |
| Us retroperitoneal complete (76770) | $2,044.15 | $2,044.15 | 20.4× |
| Us retroperitoneal limited (76775) | $2,074.81 | $2,074.81 | 20.7× |
| Us scrotum and contents (76870) | $1,975.15 | $1,975.15 | 19.7× |
| Us soft tissue head/neck (76536) | $1,660.20 | $1,660.20 | 16.6× |
| Us xtr non-vasc lmtd (76882) | $743.95 | $743.95 | 7.4× |
| 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 Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $2,170.35 | $2,170.35 | 21.6× |
| X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right (73610) | $865.74 | $865.74 | 10.4× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $2,094.64 | $2,094.64 | 12.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $863.99 | $863.99 | 10.3× |
| X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right (73080) | $925.96 | $925.96 | 11.1× |
| 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 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 of femur 1 (73551) | $404.30 | $404.30 | 4.8× |
| X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views (70150) | $1,056.76 | $1,056.76 | 10.5× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $894.99 | $894.99 | 10.7× |
| X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right (73630) | $817.53 | $817.53 | 9.8× |
| X-Ray Heel - Xr Calcaneus 2 Views Right (73650) | $833 | $833 | 10.0× |
| X-Ray Knee 4+ View - Xr Knee 4+ Views Right (73564) | $867.44 | $867.44 | 8.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $735.99 | $735.99 | 8.8× |
| X-Ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Left (73592) | $812.35 | $812.35 | 9.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,104.95 | $1,104.95 | 11.0× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $2,087.76 | $2,087.76 | 20.8× |
| X-Ray Nasal Bones - Xr Nasal Bones (70160) | $757.30 | $757.30 | 9.1× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,006.84 | $1,006.84 | 10.0× |
| X-Ray Pelvis 3+ Vw - Xr Pelvis 3+ Views (72190) | $925.96 | $925.96 | 9.2× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,192.75 | $1,192.75 | 14.3× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,318.40 | $1,318.40 | 13.1× |
| 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 Shoulder 2+ Vw - Xr Shoulder 2+ Views Right (73030) | $645.42 | $645.42 | 7.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,287.41 | $1,287.41 | 15.4× |
| X-Ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views (70210) | $450.84 | $450.84 | 5.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,345.93 | $1,345.93 | 13.4× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $313.22 | $313.22 | 3.1× |
| X-Ray Spine One View - Xr Spine (72020) | $624.79 | $624.79 | 7.5× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $779.66 | $779.66 | 9.3× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $794.56 | $794.56 | 7.9× |
| X-Ray Toe(S) - Xr Toes 2+ Views Right (73660) | $667.79 | $667.79 | 8.0× |
| X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right (73110) | $888.12 | $888.12 | 10.6× |
| Xr chest 4+ views (71048) | $1,060.22 | $1,060.22 | 10.6× |
| Xr finger(s) 2+ views (73140) | $657.46 | $657.46 | 7.9× |
| Xr shoulder 1 view (73020) | $328.73 | $328.73 | 3.9× |
| Xr spine cervical 4 or 5 views (72050) | $1,938 | $1,938 | 19.3× |
| Xr tibia/fibula 2 views (73590) | $858.84 | $858.84 | 10.3× |
| Xray knee 1 or 2 views rt (73560) | $796.88 | $796.88 | 9.5× |