Imaging prices at United Memorial Medical Center
Batavia, NY · every code in this section with a posted price and a Medicare benchmark.
286 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,299.20 | $5,075.70 | 1.9× |
| Abdomen 1 View (74018) | $201.75 | $310.38 | 1.9× |
| Abdomen 2 views (74019) | $275.16 | $423.33 | 2.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $524.85 | $807.46 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $5,842.81 | $8,988.94 | 1.5× |
| Ankle 2 views (73600) | $201.75 | $310.38 | 1.9× |
| Arthrogram hip (73525) | $732.28 | $1,126.58 | 1.7× |
| Arthrogram Wrist (73115) | $732.28 | $1,126.58 | 1.7× |
| Basic radiation dosimetry calculation (77300) | $353.28 | $543.51 | 2.1× |
| Bone age studies (77072) | $275.16 | $423.33 | 2.1× |
| Bone Imaging 3 Phase (78315) | $890.55 | $1,370.07 | 1.8× |
| Bone Imaging Whole Body (78306) | $737.94 | $1,135.29 | 1.5× |
| Bone marrow imaging limited area (78102) | $871.38 | $1,340.58 | 1.7× |
| Bone survey infant (77076) | $275.16 | $423.33 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $907.87 | $1,396.72 | 1.3× |
| Chest 1 view (71045) | $201.75 | $310.38 | 1.9× |
| Chest 2 views (71046) | $201.75 | $310.38 | 1.9× |
| Chest 3 views (71047) | $201.75 | $310.38 | 1.9× |
| Chest 4 or more views (71048) | $275.16 | $423.33 | 2.1× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $251.07 | $386.26 | 1.9× |
| Clavicle complete (73000) | $201.75 | $310.38 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $202.44 | $311.45 | 1.6× |
| Continuing medical physics consltj pr wk (77336) | $345.39 | $531.37 | 2.1× |
| Contrast X-Ray Bladder (74430) | $732.28 | $1,126.58 | 1.7× |
| Contrast X-Ray Of Elbow (73085) | $732.28 | $1,126.58 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $732.28 | $1,126.58 | 1.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $336.54 | $517.76 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,331.85 | $2,049 | 3.1× |
| CT abdomen and pelvis without contrast (74176) | $821.60 | $1,264 | 2.8× |
| CT abdomen w contrast (74160) | $1,280.50 | $1,970 | 5.8× |
| CT abdomen w wo contrast (74170) | $1,544.40 | $2,376 | 7.1× |
| CT abdomen w/o contrast (74150) | $1,092 | $1,680 | 8.4× |
| CT Angio Abdomen and Pelvis (74174) | $1,271.04 | $1,955.45 | 2.9× |
| CT Angio Chest (71275) | $1,020.50 | $1,570 | 4.7× |
| CT Angio Head (70496) | $818.35 | $1,259 | 3.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $888.55 | $1,367 | 4.1× |
| CT Angio Neck (70498) | $1,088.75 | $1,675 | 5.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $888.55 | $1,367 | 4.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $267.13 | $410.97 | 1.2× |
| CT cervical spine w/ contrast (72126) | $664.64 | $1,022.52 | 1.5× |
| CT cervical spine w/o contrast (72125) | $895.70 | $1,378 | 6.9× |
| CT cervical spine w/wo cont (72127) | $1,118 | $1,720 | 5.1× |
| CT chest w contrast (71260) | $924.30 | $1,422 | 4.2× |
| CT chest w/wo contrast (71270) | $1,100.45 | $1,693 | 5.0× |
| CT head/brain with contrast (70460) | $1,118 | $1,720 | 5.1× |
| CT head/brain without and with contrast (70470) | $1,314.30 | $2,022 | 6.0× |
| CT iac w contrast (70481) | $813.80 | $1,252 | 3.7× |
| CT l-spine w&w/o contrast (72133) | $1,363.70 | $2,098 | 6.2× |
| CT lower ext w/o (73700) | $739.70 | $1,138 | 5.7× |
| CT lower extremity w/contrast material (73701) | $781.30 | $1,202 | 3.6× |
| CT lumbar spine w contrast (72132) | $1,118 | $1,720 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $833.95 | $1,283 | 6.4× |
| CT maxillofacial w contrast (70487) | $813.80 | $1,252 | 3.7× |
| CT maxillofacial wo contrast (70486) | $670.80 | $1,032 | 5.1× |
| CT neck tissue combo (70492) | $1,356.55 | $2,087 | 6.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $885.95 | $1,363 | 4.0× |
| CT orbits w/o contrast (70480) | $670.80 | $1,032 | 5.1× |
| CT pelvis w&w/o contrast (72194) | $1,502.15 | $2,311 | 6.9× |
| CT pelvis w/o contrast (72192) | $833.30 | $1,282 | 6.4× |
| CT scan of leg combo (73702) | $966.55 | $1,487 | 4.4× |
| CT scans face/jaw combo (70488) | $885.95 | $1,363 | 4.0× |
| CT soft tissue neck w contrast (70491) | $1,133.60 | $1,744 | 5.2× |
| CT soft tissue neck w/o contrast (70490) | $978.25 | $1,505 | 7.5× |
| CT thoracic spine w contrast (72129) | $1,118 | $1,720 | 5.1× |
| CT thoracic spine w/o contrast (72128) | $741 | $1,140 | 5.7× |
| CT thorax w/o contrast (71250) | $887.90 | $1,366 | 6.8× |
| CT upper ext wo (73200) | $530.02 | $815.41 | 4.1× |
| CT upper extremity w/o & w/contrast material (73202) | $781.30 | $1,202 | 3.6× |
| CT upper extremity with contrast (73201) | $584.35 | $899 | 1.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,077.70 | $1,658 | 4.9× |
| Cta Abdomen (74175) | $988.65 | $1,521 | 4.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $554 | $852.30 | 1.3× |
| CTA pelvis (72191) | $988 | $1,520 | 4.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $280.79 | $431.99 | 2.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $288.92 | $444.50 | 2.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $275.16 | $423.33 | 2.1× |
| Dxa Bone Density Axial (77080) | $275.16 | $423.33 | 2.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $201.75 | $310.38 | 1.9× |
| Echo exam of fetal heart (76825) | $1,271.97 | $1,956.88 | 1.9× |
| Echo exam uterus (76831) | $370.37 | $569.80 | 1.2× |
| Echo Guide For Artery Repair (76936) | $692.70 | $1,065.70 | 2.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $591.59 | $910.14 | 2.0× |
| Esophagram (74220) | $336.54 | $517.76 | 1.5× |
| Fetal Biophys Profile W/Nst (76818) | $276.38 | $425.20 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $629.06 | $967.78 | 4.8× |
| Fluoroscopy up to 1 hr (76000) | $579.34 | $891.29 | 1.9× |
| Foot 2 views (73620) | $201.75 | $310.38 | 1.9× |
| Forearm 2 views (73090) | $201.75 | $310.38 | 1.9× |
| Gastric emptying imaging study (78264) | $587.19 | $903.37 | 1.2× |
| Gated Heart Planar Single (78472) | $633.71 | $974.94 | 1.3× |
| Hand 2 views (73120) | $275.16 | $423.33 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $953.83 | $1,467.43 | 1.4× |
| Hepatobiliary System Imaging (78226) | $780.75 | $1,201.15 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $1,434 | $2,206.15 | 0.9× |
| Hysterosalpingogram (74740) | $579.34 | $891.29 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $312.03 | $480.05 | 2.9× |
| Infant hip ultrasound, limited static exam (76886) | $219.26 | $337.32 | 2.0× |
| Joint Survey Single View (77077) | $275.16 | $423.33 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $948.25 | $1,458.85 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,026.41 | $1,579.09 | 1.5× |
| Knee 3 Views (73562) | $201.75 | $310.38 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $669.08 | $1,029.35 | 1.0× |
| Lymph System Imaging (78195) | $531.36 | $817.47 | 0.8× |
| Meckels Divert Exam (78290) | $381.54 | $586.98 | 0.8× |
| Mlc imrt design & construction per imrt plan (77338) | $895.01 | $1,376.94 | 1.9× |
| Mr safety determination physician/other qhp (76016) | $181.62 | $279.42 | 1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $50.71 | $78.01 | 1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $190.38 | $292.90 | 1.6× |
| Mr safety implt pos&/immoblj (76019) | $120.95 | $186.07 | 1.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $500.44 | $769.91 | 1.7× |
| MRA head w/o contrast (70544) | $1,220.15 | $1,877.15 | 4.1× |
| MRA neck w contrast (70548) | $788.31 | $1,212.78 | 1.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,265.69 | $1,947.21 | 2.9× |
| MRA neck w/o contrast (70547) | $538.92 | $829.10 | 1.8× |
| MRI abdomen w contrast (74182) | $1,129.85 | $1,738.23 | 2.6× |
| MRI abdomen w/o contrast (74181) | $936.70 | $1,441.07 | 3.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,383.04 | $2,127.76 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,342.14 | $3,603.29 | 5.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,383.04 | $2,127.76 | 1.4× |
| MRI cervical spine w contrast (72142) | $686.71 | $1,056.48 | 1.6× |
| MRI cervical spine w/o cont (72141) | $940.63 | $1,447.12 | 3.2× |
| MRI chest w/o contrast (71550) | $1,253.12 | $1,927.87 | 4.2× |
| MRI chest wo w contrast (71552) | $653.64 | $1,005.60 | 1.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $936.70 | $1,441.07 | 2.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,566.40 | $2,409.85 | 3.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $738.84 | $1,136.67 | 2.5× |
| MRI lumbar spine w contrast (72149) | $591.30 | $909.70 | 1.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,807.45 | $2,780.69 | 4.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,248.42 | $1,920.64 | 4.2× |
| MRI orbit face neck w contrast (70542) | $1,399.16 | $2,152.56 | 3.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,585.54 | $3,977.75 | 5.9× |
| MRI pelvis w/o & w contrast (72197) | $2,101.88 | $3,233.66 | 4.8× |
| MRI pelvis w/o contrast (72195) | $750.61 | $1,154.79 | 2.5× |
| MRI thoracic spine w/o contrast (72146) | $1,024.64 | $1,576.37 | 3.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $984.59 | $1,514.76 | 3.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,085.40 | $3,208.30 | 4.8× |
| MRI, abdomen, combo (74183) | $1,494.95 | $2,299.93 | 3.4× |
| MRI, dorsal spine combo (72157) | $1,807.45 | $2,780.69 | 4.2× |
| MRI, dorsal spine contrast (72147) | $681.19 | $1,047.98 | 1.6× |
| MRI, joint upper extrem (73221) | $984.59 | $1,514.76 | 3.3× |
| MRI, joint upper extrem combo (73223) | $1,670.04 | $2,569.30 | 3.8× |
| MRI, lumbar spine combo (72158) | $1,746.99 | $2,687.67 | 4.0× |
| Myelogram cervical (72240) | $1,494.22 | $2,298.80 | 1.5× |
| Myelogram Lumbar (72265) | $1,494.22 | $2,298.80 | 1.5× |
| Myocardial Spect Multiple Studies (78452) | $1,434 | $2,206.15 | 0.9× |
| N-invas est c ffr sw aly CTA (75580) | $2,209.21 | $3,398.79 | 2.1× |
| Neck soft tissue (70360) | $201.75 | $310.38 | 1.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,299.20 | $5,075.70 | 1.9× |
| Nuclear Rx Oral Admin (79005) | $340.59 | $523.98 | 1.2× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$255.98–$275.16 | $393.81–$423.33 | varies |
| Parathyroid Planar Imaging (78070) | $774.23 | $1,191.13 | 1.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $770.34 | $1,185.14 | 1.5× |
| Pelvis 1 or 2 views (72170) | $275.16 | $423.33 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $871.38 | $1,340.58 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $275.16 | $423.33 | 2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,211.40 | $1,863.69 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $201.75 | $310.38 | 1.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $201.75 | $310.38 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $201.75 | $310.38 | 1.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $275.16 | $423.33 | 2.1× |
| Radex fingr minimum 2 views (73140) | $201.75 | $310.38 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $201.75 | $310.38 | 1.9× |
| Radex Hand Minimum 3 Views (73130) | $201.75 | $310.38 | 1.9× |
| Radex lower extremity infant minimum 2 views (73592) | $201.75 | $310.38 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $201.75 | $310.38 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $201.75 | $310.38 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) | $201.75 | $310.38 | 1.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $201.75 | $310.38 | 1.9× |
| Radex Spine 1 View Specify Level (72020) | $201.75 | $310.38 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $201.75 | $310.38 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $201.75 | $310.38 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $201.75 | $310.38 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $251.07 | $386.26 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $201.75 | $310.38 | 1.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $275.16 | $423.33 | 2.1× |
| Radiation treatment delivery level 1 (77402) | $323.36 | $497.47 | 2.5× |
| Radiation treatment delivery level 2 (77407) | $545.14 | $838.67 | 1.1× |
| Radiation treatment delivery level 3 (77412) | $623.80 | $959.70 | 0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $275.16 | $423.33 | 2.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $275.16 | $423.33 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $336.54 | $517.76 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $336.54 | $517.76 | 1.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $336.54 | $517.76 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $275.16 | $423.33 | 2.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $275.16 | $423.33 | 2.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $336.54 | $517.76 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $336.54 | $517.76 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $336.54 | $517.76 | 1.5× |
| Radiologic examination femur 1 view (73551) | $201.75 | $310.38 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $201.75 | $310.38 | 1.9× |
| Radiologic examination knee 1/2 views (73560) | $201.75 | $310.38 | 1.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $255.98 | $393.81 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $201.75 | $310.38 | 1.9× |
| Ribs bilateral 3 views (71110) | $275.16 | $423.33 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,219.59 | $4,953.21 | 4.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,146.40 | $3,302.15 | 3.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,219.59 | $4,953.21 | 2.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,219.59 | $4,953.21 | 1.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,146.40 | $3,302.15 | 1.3× |
| Scapula (73010) | $275.16 | $423.33 | 2.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $61.42 | $94.50 | 2.6× |
| Shoulder 1 view (73020) | $201.75 | $310.38 | 1.9× |
| Shoulder Arthrography (73040) | $732.28 | $1,126.58 | 1.7× |
| Skull less than 4 views (70250) | $261.20 | $401.84 | 2.0× |
| Special dosimetry (77331) | $345.39 | $531.37 | 2.1× |
| Special Physics Consult (77370) | $286.81 | $441.24 | 1.7× |
| Special teletherapy port plan (77321) | $895.01 | $1,376.94 | 1.9× |
| Special treatment procedure (77470) | $1,444.28 | $2,221.97 | 2.1× |
| Stereotactic Body Radiation Delivery (77373) | $4,584.11 | $7,052.47 | 2.1× |
| Sternoclavicular joints (71130) | $201.75 | $310.38 | 1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $931.06 | $1,432.40 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $931.06 | $1,432.40 | 2.0× |
| Ther rad simulaj-aided field setting simple (77280) | $345.39 | $531.37 | 2.1× |
| Thoracic spine 2 views (72070) | $275.16 | $423.33 | 2.1× |
| Thoracic spine 3 views (72072) | $275.16 | $423.33 | 2.1× |
| Thoracolumbar 2 views (72080) | $201.75 | $310.38 | 1.9× |
| Thyroid Imaging With Vascular Flow (78013) | $324.77 | $499.64 | 0.7× |
| Thyroid Met Imaging Body (78018) | $882.93 | $1,358.36 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $502.50 | $773.08 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $895.01 | $1,376.94 | 1.9× |
| Tx devices design & construction intermediate (77333) | $345.39 | $531.37 | 2.1× |
| Tx devices design & construction simple (77332) | $345.39 | $531.37 | 2.1× |
| Ultrasound Breast Limited (76642) | $215.89 | $332.14 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) | $262.42 | $403.73 | 2.0× |
| Ultrasound, abdomen limited (76705) | $522.05 | $803.15 | 4.0× |
| Umbilical-artery Doppler (OB) (76820) | $312.03 | $480.05 | 2.4× |
| Unlisted us procedure (76999) | $219.26 | $337.32 | 2.0× |
| Upper gi w/o kub (74240) | $336.54 | $517.76 | 1.5× |
| Urethrocystogram voiding (74455) | $579.34 | $891.29 | 1.9× |
| Urethrocystography retrograde (74450) | $579.34 | $891.29 | 1.9× |
| Us breast unilateral complete (76641) | $426.20 | $655.70 | 3.3× |
| Us chest (76604) | $255.90 | $393.70 | 2.0× |
| Us complete joint (76881) | $522.05 | $803.15 | 4.0× |
| Us exam, pelvic, limited (76857) | $255.90 | $393.70 | 2.0× |
| Us head (76506) | $297.18 | $457.20 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $215.89 | $332.14 | 1.7× |
| Us ob detailed single fetus (76811) | $646.80 | $995.08 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $478.31 | $735.86 | 3.7× |
| Us ob transvaginal (76817) | $312.03 | $480.05 | 2.4× |
| Us pelvic non ob complete (76856) | $582.54 | $896.21 | 4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $312.03 | $480.05 | 2.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $312.03 | $480.05 | 2.4× |
| Us retroperitoneal complete (76770) | $419.69 | $645.68 | 3.2× |
| Us retroperitoneal limited (76775) | $408.52 | $628.49 | 3.1× |
| Us scrotum and contents (76870) | $561.14 | $863.29 | 4.3× |
| Us spinal canal and contents (76800) | $312.03 | $480.05 | 2.4× |
| Us thyroid (76536) range across 2 matching MRF lines |
$312.97–$511.82 | $481.49–$787.41 | varies |
| Us transrectal (76872) | $1,589.41 | $2,445.24 | 12.2× |
| Wrist 2 views (73100) | $201.75 | $310.38 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $201.75 | $310.38 | 1.9× |
| X-ray antegrade pyelogram tube (74425) | $732.28 | $1,126.58 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $275.16 | $423.33 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $201.75 | $310.38 | 1.9× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,131.32–$1,174.36 | $1,740.49–$1,806.70 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $201.75 | $310.38 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $275.16 | $423.33 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $201.75 | $310.38 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $201.75 | $310.38 | 1.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $275.16 | $423.33 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $275.16 | $423.33 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $275.16 | $423.33 | 2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $275.16 | $423.33 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $275.16 | $423.33 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $201.75 | $310.38 | 1.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $275.16 | $423.33 | 2.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $275.16 | $423.33 | 2.1× |
| X-ray eye for foreign body (70030) | $201.75 | $310.38 | 1.9× |
| X-ray humerus (73060) | $201.75 | $310.38 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $201.75 | $310.38 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $201.75 | $310.38 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $275.16 | $423.33 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $201.75 | $310.38 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $275.16 | $423.33 | 2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $275.16 | $423.33 | 2.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $255.98 | $393.81 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $201.75 | $310.38 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $201.75 | $310.38 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $261.20 | $401.84 | 2.0× |
| X-ray thoracic spine 4 vw (72074) | $255.98 | $393.81 | 2.0× |
| X-Ray Tmj Unilat (70328) | $181.62 | $279.42 | 1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $732.28 | $1,126.58 | 1.7× |
| X-Rays Bone Length Studies (77073) | $275.16 | $423.33 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $275.16 | $423.33 | 2.1× |
| Xr c-spine 4 or 5 views (72050) | $275.16 | $423.33 | 2.1× |
| Xr facial bones less than 3 views (70140) | $201.75 | $310.38 | 1.9× |
| Xr orbits complete 4 views (70200) | $275.16 | $423.33 | 2.1× |
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.