Imaging prices at University Medical Center

Lubbock, TX · every code in this section with a posted price and a Medicare benchmark.

326 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $10,241 $10,241 7.4×
Abdomen 1 View (74018) $592 $592 6.8×
Abdomen 2 views (74019) $743 $743 7.1×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,504 $1,504 3.7×
Angio internal mammary (75756) $8,010 $8,010 2.5×
Angio pulmonary bilat (75743) $10,347 $10,347 3.3×
Angiography extremity bilateral rs&i (75716) $10,347 $10,347 3.3×
Angiography extremity unilateral rs&i (75710) $10,347 $10,347 3.3×
Angiography pulmonary unilateral slctv rs&i (75741) $5,545 $5,545 1.7×
Ankle 2 views (73600) $843 $843 9.6×
Aortography thoracic serialography rs&i (75605) $8,055 $8,055 1.4×
Artery X-Rays Abdomen (75726) $23,489 $23,489 4.2×
Artery X-Rays Pelvis (75736) $15,355 $15,355 2.7×
Artery X-Rays Spine (75705) $16,015 $16,015 2.9×
Arthrogram ankle (73615) $2,788 $2,788 8.0×
Arthrogram hip (73525) $1,728 $1,728 4.9×
Arthrogram Wrist (73115) $1,602 $1,602 4.6×
Basic radiation dosimetry calculation (77300) $957 $957 7.1×
Bone age studies (77072) $613 $613 5.8×
Bone Imaging 3 Phase (78315) $1,614 $1,614 4.0×
Bone Imaging Limited Area (78300) $1,020 $1,020 2.5×
Bone Imaging Whole Body (78306) $1,614 $1,614 4.0×
Bone marrow imaging limited area (78102) $1,006 $1,006 2.5×
Bone survey infant (77076) $843 $843 8.0×
Brachytx isodose intermed (77317) $1,942 $1,942 5.2×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,329 $1,329 2.4×
Brain Imaging Pet Metabolic Evaluation (78608) $11,603 $11,603 8.1×
Cardiac MRI w/w/o contrast & further seq (75561) $3,220 $3,220 9.2×
Cat Scan Follow-Up Study (76380) $1,260 $1,260 14.4×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,358 $1,358 2.5×
Cerebrospinal Fluid Scan (78630) $1,302 $1,302 2.4×
Chest 1 view (71045)
range across 2 matching MRF lines		 $87–$657 $87–$657 varies
Chest 2 views (71046) $657 $657 7.5×
Chest 3 views (71047) $657 $657 7.5×
Chest 4 or more views (71048) $1,149 $1,149 10.9×
Clavicle complete (73000) $842.53 $842.53 9.6×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $560 $560 5.3×
Continuing medical physics consltj pr wk (77336) $1,097 $1,097 8.1×
Contrast Exam Abdominl Aorta (75625) $10,044 $10,044 3.2×
Contrast X-Ray Bladder (74430) $2,046 $2,046 5.8×
Contrast X-Ray Of Knee Joint (73580) $2,354 $2,354 6.7×
CT abdomen and pelvis without and with contrast (74178) $5,871 $5,871 16.8×
CT abdomen and pelvis without contrast (74176) $3,405 $3,405 14.2×
CT abdomen w contrast (74160) $4,450 $4,450 25.3×
CT abdomen w wo contrast (74170) $5,515 $5,515 31.3×
CT abdomen w/o contrast (74150) $3,843 $3,843 36.6×
CT Angio Abdomen and Pelvis (74174) $11,942 $11,942 34.1×
CT Angio Chest (71275) $7,831 $7,831 44.4×
CT Angio Head (70496) $6,604 $6,604 37.5×
CT angio hrt w/3d image (75574) $3,826 $3,826 10.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $6,334 $6,334 35.9×
CT Angio Neck (70498) $5,730 $5,730 32.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $6,122 $6,122 34.7×
CT cervical spine w/ contrast (72126) $4,545 $4,545 13.0×
CT cervical spine w/o contrast (72125) $3,794 $3,794 36.1×
CT cervical spine w/wo cont (72127) $5,676 $5,676 32.2×
CT chest w contrast (71260) $4,601 $4,601 26.1×
CT chest w/wo contrast (71270) $5,748 $5,748 32.6×
CT head/brain with contrast (70460) $4,266 $4,266 24.2×
CT head/brain without and with contrast (70470) $5,051 $5,051 28.7×
CT heart contrast eval cardiac structure&morph (75572) $3,640 $3,640 10.4×
CT heart no contrast quant eval coronry calcium (75571) $648 $648 7.4×
CT hrt w/3d image congen (75573) $2,409 $2,409 6.9×
CT iac w contrast (70481) $4,266 $4,266 24.2×
CT l-spine w&w/o contrast (72133) $5,748 $5,748 32.6×
CT lower ext w/o (73700) $3,329 $3,329 31.7×
CT lower extremity w/contrast material (73701) $4,393 $4,393 24.9×
CT lumbar spine w contrast (72132) $4,601 $4,601 13.1×
CT lumbar spine w/o contrast (72131) $3,843 $3,843 36.6×
CT maxillofacial w contrast (70487) $4,266 $4,266 24.2×
CT maxillofacial wo contrast (70486) $3,232 $3,232 30.8×
CT neck tissue combo (70492) $3,907 $3,907 22.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $5,051 $5,051 28.7×
CT orbits w/o contrast (70480) $3,232 $3,232 30.8×
CT pelvis w&w/o contrast (72194) $5,515 $5,515 31.3×
CT pelvis w/o contrast (72192) $3,843 $3,843 36.6×
CT scan of leg combo (73702) $4,919 $4,919 27.9×
CT scans face/jaw combo (70488) $5,051 $5,051 28.7×
CT soft tissue neck w contrast (70491) $4,266 $4,266 24.2×
CT soft tissue neck w/o contrast (70490) $3,232 $3,232 30.8×
CT thoracic spine w contrast (72129) $4,601 $4,601 26.1×
CT thoracic spine w/o contrast (72128) $3,843 $3,843 36.6×
CT thoracic spine w/wo cont (72130) $3,536 $3,536 20.1×
CT thorax w/o contrast (71250) $3,843 $3,843 36.6×
CT upper ext wo (73200) $3,329 $3,329 31.7×
CT upper extremity w/o & w/contrast material (73202) $5,205 $5,205 29.5×
CT upper extremity with contrast (73201) $4,393 $4,393 12.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $7,777 $7,777 44.1×
Cta Abdomen (74175) $7,461 $7,461 42.3×
CTA pelvis (72191) $5,800 $5,800 32.9×
Doppler Echo Fetal Spectral Display Complete (76827) $687 $687 6.5×
Doppler Fetal Mid Cerebral Artery (76821) $530 $530 5.0×
Dxa Bone Density Axial (77080) $1,030 $1,030 9.8×
Dxa bone density study 1/>sites appendiclr skel (77081) $407 $407 4.7×
Echo exam of fetal heart (76825) $1,192 $1,192 2.2×
Esophagram (74220) $1,209 $1,209 6.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $850 $850 8.1×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $7,448 $7,448 31.1×
Fluoroscopy up to 1 hr (76000) $653 $653 2.7×
Follow-Up Angiography (75898) $5,413 $5,413 1.7×
Foot 2 views (73620) $843 $843 9.6×
Forearm 2 views (73090) $843 $843 9.6×
Gastric emptying imaging study (78264) $1,504 $1,504 3.7×
Gastroesophageal Reflux Exam (78262) $1,115 $1,115 2.8×
Gated Heart Planar Single (78472) $1,697 $1,697 4.2×
Hand 2 views (73120) $843 $843 8.0×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $5,958 $5,958 8.5×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $5,808 $5,808 8.3×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $6,112 $6,112 1.9×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $4,866 $4,866 1.5×
Hepatobil Syst Image W/Drug (78227) $1,610 $1,610 3.0×
Hepatobiliary System Imaging (78226) $1,243 $1,243 3.1×
Ht Muscle Image Spect Sing (78451) $1,760 $1,760 1.4×
Hysterosalpingogram (74740) $2,496 $2,496 10.4×
Infant hip ultrasound with hip movement (dynamic) (76885) $991 $991 11.3×
Infant hip ultrasound, limited static exam (76886) $991 $991 11.3×
Infusion Ivp (74410) $1,441 $1,441 8.2×
K Flow/Funct Image W/Drug (78708) $1,539 $1,539 2.8×
K Flow/Funct Image W/O Drug (78707) $1,630 $1,630 3.0×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $596 $596 1.5×
Knee 3 Views (73562) $843 $843 9.6×
Liver & Spleen Imaging Static Only (78215) $1,752 $1,752 4.4×
Liver imaging static only (78201) $1,995 $1,995 3.7×
Lung Perf&Ventilat Diferentl (78598) $1,020 $1,020 1.9×
Lung Ventilat&Perfus Imaging (78582) $1,112 $1,112 2.0×
Lung Ventilation Imaging (78579) $1,144 $1,144 2.8×
Lymph System Imaging (78195) $1,607 $1,607 2.9×
Magnetic Image Jaw Joint (70336) $2,184 $2,184 9.1×
Meckels Divert Exam (78290) $1,504 $1,504 3.7×
Mlc imrt design & construction per imrt plan (77338) $2,052 $2,052 5.5×
Mra Head W/O & W/Contrast Material (70546) $7,446 $7,446 21.2×
MRA head w/o contrast (70544) $2,915 $2,915 12.2×
MRA head with contrast (70545) $5,099 $5,099 14.5×
MRA neck w contrast (70548) $5,190 $5,190 14.8×
Mra Neck W/O &W/Contrast Material (70549) $8,243 $8,243 23.5×
MRA neck w/o contrast (70547) $4,983 $4,983 20.8×
MRI abdomen w contrast (74182) $4,899 $4,899 14.0×
MRI abdomen w/o contrast (74181) $3,553 $3,553 14.8×
MRI any jt lower extrem w/contrast material (73722) $4,260 $4,260 5.4×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $8,281 $8,281 23.6×
MRI any jt upper extremity w/contrast matrl (73222) $4,878 $4,878 6.2×
MRI brain functional w/physician admnistration (70555) $1,434 $1,434 6.0×
MRI Breast W/O Contrast Bilateral (77047) $1,730 $1,730 7.2×
MRI cardiac w/o contrast (75557) $2,492 $2,492 10.4×
MRI cervical spine w contrast (72142) $5,270 $5,270 15.0×
MRI cervical spine w/o cont (72141) $4,877 $4,877 20.3×
MRI chest w/o contrast (71550) $2,841 $2,841 11.9×
MRI chest wo w contrast (71552) $7,752 $7,752 22.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $5,391 $5,391 15.4×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,065 $4,065 17.0×
MRI lumbar spine w contrast (72149) $4,261 $4,261 12.2×
Mri Neck Spine W/O & W/Dye (72156) $9,758 $9,758 27.8×
MRI orbit face &/neck w/o contrast (70540) $4,984 $4,984 20.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $8,355 $8,355 23.8×
MRI pelvis w contrast (72196) $4,304 $4,304 12.3×
MRI pelvis w/o & w contrast (72197) $8,906 $8,906 25.4×
MRI pelvis w/o contrast (72195) $4,094 $4,094 17.1×
MRI spectroscopy (76390) $3,155 $3,155 36.1×
MRI thoracic spine w/o contrast (72146) $3,944 $3,944 16.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $4,618 $4,618 19.3×
Mri Uppr Extremity W/O&W/Dye (73220) $6,255 $6,255 17.8×
MRI, abdomen, combo (74183) $9,053 $9,053 25.8×
MRI, dorsal spine combo (72157) $7,894 $7,894 22.5×
MRI, dorsal spine contrast (72147) $4,261 $4,261 12.2×
MRI, joint upper extrem (73221) $3,553 $3,553 14.8×
MRI, joint upper extrem combo (73223) $9,016 $9,016 25.7×
MRI, lumbar spine combo (72158) $7,894 $7,894 22.5×
Myocardial Spect Multiple Studies (78452) $4,171 $4,171 3.2×
Neck soft tissue (70360) $592 $592 6.8×
Ntsty modul radthx pln dose-vol histos (77301) $11,262 $11,262 8.1×
Nuclear Rx Intra-Arterial (79445) $657 $657 2.8×
Nuclear Rx Oral Admin (79005) $1,034 $1,034 4.4×
Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) $673 $673 5.0×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $499 $499 4.8×
Panoramic X-ray of jaws (70355) $647 $647 7.4×
Parathyroid imaging w/tomographic spect & CT (78072) $1,222 $1,222 2.2×
Parathyroid Planar Imaging (78070) $1,119 $1,119 2.8×
Pelvis 1 or 2 views (72170) $843 $843 8.0×
PET image w/CT, full body (78816) $10,013 $10,013 7.0×
PET imaging CT attenuation skull base mid-thigh (78815) $10,013 $10,013 7.0×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $6,602 $6,602 2.1×
Pulmonary Perfusion Imaging Particulate (78580) $1,309 $1,309 3.3×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $1,020 $1,020 9.7×
Radex abscess/fistula/sinus tract rs&i (76080) $2,196 $2,196 4.0×
Radex Ankle Complete Minimum 3 Views (73610) $843 $843 9.6×
Radex Calcaneus Minimum 2 Views (73650) $843 $843 9.6×
Radex elbow complete minimum 3 views (73080) $843 $843 9.6×
Radex Facial Bones Complete Minimum 3 Views (70150) $843 $843 8.0×
Radex fingr minimum 2 views (73140) $843 $843 9.6×
Radex foot complete minimum 3 views (73630) $843 $843 9.6×
Radex Hand Minimum 3 Views (73130) $843 $843 9.6×
Radex lower extremity infant minimum 2 views (73592) $546 $546 6.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $763 $763 8.7×
Radex Ribs Unilateral 2 Views (71100) $486 $486 5.6×
Radex shoulder complete minimum 2 views (73030) $843 $843 9.6×
Radex Sinuses Paransl < 3 Views (70210) $843 $843 9.6×
Radex Spine 1 View Specify Level (72020) $843 $843 9.6×
Radex Sternum Minimum 2 Views (71120) $747 $747 8.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $531 $531 6.1×
Radex Toe Minimum 2 Views (73660) $843 $843 9.6×
Radex upper extremity infant minimum 2 views (73092) $843 $843 8.0×
Radex Wrist Complete Minimum 3 Views (73110) $843 $843 9.6×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $1,489 $1,489 14.2×
Radiation Delivery Stereotactic Cranial Linear (77372) $35,177 $35,177 4.8×
Radiation treatment delivery level 3 (77412) $2,119 $2,119 3.8×
Radiolog exam mandible compl minimum 4 views (70110) $843 $843 8.0×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $917 $917 8.7×
Radiologic exam colon double contrast study (74280) $1,849 $1,849 10.5×
Radiologic exam colon single contrast study (74270) $1,209 $1,209 6.9×
Radiologic Exam Esophagus Double Contrast Study (74221) $1,334 $1,334 7.6×
Radiologic exam knee complete 4/more views (73564) $843 $843 8.0×
Radiologic exam pelvis compl minimum 3 views (72190) $843 $843 8.0×
Radiologic Exam Small Int Single Contrast Study (74250) $1,192 $1,192 6.8×
Radiologic exam swallow function contrast study (74230) $1,192 $1,192 6.8×
Radiologic exam teeth complete full mouth (70320) $1,102 $1,102 4.6×
Radiologic exam upr gi trc double contrast study (74246) $2,522 $2,522 14.3×
Radiologic examination femur 1 view (73551) $506 $506 5.8×
Radiologic examination femur minimum 2 views (73552) $780 $780 8.9×
Radiologic examination knee 1/2 views (73560) $843 $843 9.6×
Radiologic Examination Osseous Survey Limited (77074) $812 $812 7.7×
Radiologic examination tibia & fibula 2 views (73590) $843 $843 9.6×
Ribs bilateral 3 views (71110) $840 $840 8.0×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $2,251 $2,251 5.6×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,444 $2,444 4.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,355 $2,355 4.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,072 $3,072 5.6×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $3,997 $3,997 2.8×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $3,524 $3,524 2.7×
Rp Therapy Intravenous Administration (79101) $882 $882 3.8×
Scapula (73010) $843 $843 8.0×
Screening Digital Breast Tomosynthesis Bi (77063) $295 $295 12.6×
Shoulder 1 view (73020) $843 $843 9.6×
Shoulder Arthrography (73040) $2,158 $2,158 6.2×
Skull less than 4 views (70250) $843 $843 8.0×
Special Physics Consult (77370) $1,282 $1,282 9.5×
Special teletherapy port plan (77321) $2,404 $2,404 6.4×
Special treatment procedure (77470) $3,982 $3,982 7.2×
Stereotactic Body Radiation Delivery (77373) $14,354 $14,354 8.0×
Superior sagittal sinus venogram (75870) $3,375 $3,375 1.1×
Telethx isodose pln cplx w/basic dosimetry (77307) $2,411 $2,411 6.4×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $3,669 $3,669 9.8×
Ther rad simulaj-aided field setting simple (77280) $1,273 $1,273 9.4×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $605 $605 3.4×
Thoracic spine 2 views (72070) $843 $843 8.0×
Thoracic spine 3 views (72072) $843 $843 8.0×
Thoracolumbar 2 views (72080) $647 $647 7.4×
Thyroid Imaging With Vascular Flow (78013) $585 $585 1.5×
Thyroid Met Imaging Body (78018) $1,644 $1,644 3.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $809 $809 2.0×
Tx Devices Design & Construction Complex (77334) $1,792 $1,792 4.8×
Tx devices design & construction intermediate (77333) $1,067 $1,067 7.9×
Tx devices design & construction simple (77332) $1,015 $1,015 7.5×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines		 $655–$695.67 $655–$695.67 varies
Ultrasound Elastography Parenchyma (76981) $645 $645 6.1×
Ultrasound Exam Aaa Screen (76706) $609 $609 5.8×
Ultrasound, abdomen limited (76705) $1,556 $1,556 14.8×
Umbilical-artery Doppler (OB) (76820) $530 $530 5.0×
Unlisted Dx Radiographic Procedure (76499) $216 $216 2.5×
Unlisted magnetic resonance procedure (76498) $5,054 $5,054 57.8×
Unlisted us procedure (76999) $439 $439 5.0×
Upper gi w/o kub (74240) $1,514 $1,514 8.6×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $82 $82 7.4×
Urea breath test c-14 isotopic analysis (78268) $379 $379 4.0×
Urethrocystogram voiding (74455) $2,046 $2,046 8.5×
Urethrocystography retrograde (74450) $2,046 $2,046 8.5×
Us breast unilateral complete (76641)
range across 2 matching MRF lines		 $695.67–$696 $695.67–$696 varies
Us chest (76604) $996 $996 9.5×
Us complete joint (76881) $1,384 $1,384 13.2×
Us exam, pelvic, limited (76857) $591 $591 5.6×
Us head (76506) $996 $996 9.5×
Us kidney transplant (76776) $1,567 $1,567 14.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $1,455 $1,455 13.9×
Us ob detailed single fetus (76811) $1,064 $1,064 4.4×
Us ob limited 1 or more fetuses (76815) $554 $554 5.3×
Us ob transvaginal (76817) $957 $957 9.1×
Us pelvic non ob complete (76856)
range across 3 matching MRF lines		 $105–$1,500 $105–$1,500 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,446 $1,446 13.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $957 $957 9.1×
Us retroperitoneal complete (76770) $1,556 $1,556 14.8×
Us retroperitoneal limited (76775) $777 $777 7.4×
Us scrotum and contents (76870) $1,040 $1,040 9.9×
Us spinal canal and contents (76800) $1,556 $1,556 14.8×
Us thyroid (76536) $1,556 $1,556 14.8×
Vein X-Ray Chest (75827) $3,441 $3,441 2.2×
Vein X-Ray Liver W/O Hemodyn (75887) $3,424 $3,424 1.1×
Venography caval inferior serialography rs&i (75825) $10,347 $10,347 3.3×
Venography extremity bilateral rs&i (75822) $3,660 $3,660 2.3×
Venography extremity unilateral rs&i (75820)
range across 3 matching MRF lines		 $3,205–$3,660 $3,205–$3,660 varies
Venography Renal Unilateral (75831) $10,717 $10,717 3.4×
Venous sampling by catheter (75893) $13,017 $13,017 2.3×
Wrist 2 views (73100) $843 $843 9.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $843 $843 9.6×
X-ray antegrade pyelogram tube (74425) $1,817 $1,817 5.2×
X-Ray Aorta Leg Arteries (75630) $10,044 $10,044 3.2×
X-Ray Bend Only L-S Spine (72120) $1,057 $1,057 10.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $843 $843 9.6×
X-Ray Exam Breast Specimen (76098) $2,722 $2,722 5.0×
X-Ray Exam Entire Spi 1 Vw (72081) $282 $282 3.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $780 $780 7.4×
X-Ray Exam Entire Spi 4/5 Vw (72083) $1,489 $1,489 14.2×
X-Ray Exam Hip Uni 1 View (73501) $472 $472 5.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $472 $472 5.4×
X-Ray Exam Hip Uni 4/> Views (73503) $780 $780 7.4×
X-Ray Exam Hips Bi 2 Views (73521) $780 $780 7.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $780 $780 7.4×
X-Ray Exam Hips Bi 5/> Views (73523) $1,489 $1,489 14.2×
X-Ray Exam L-S Spine Bending (72114) $1,455 $1,455 13.9×
X-Ray Exam Neck Spine 2-3 Vw (72040) $843 $843 9.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $1,455 $1,455 13.9×
X-Ray Exam Unilat Ribs/Chest (71101) $843 $843 8.0×
X-ray humerus (73060) $843 $843 9.6×
X-ray IV pyelogram+tomography (74415) $1,441 $1,441 8.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $345 $345 3.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $662 $662 7.6×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $843 $843 8.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $1,455 $1,455 13.9×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $733 $733 7.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $843 $843 9.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $843 $843 9.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,424 $1,424 13.6×
X-Ray Stress View (77071) $508 $508 5.8×
X-Rays Bone Length Studies (77073) $688 $688 6.6×
X-Rays Bone Survey Complete (77075) $1,455 $1,455 13.9×
Xr c-spine 4 or 5 views (72050) $1,455 $1,455 13.9×
Xr facial bones less than 3 views (70140) $843 $843 9.6×
Xr orbits complete 4 views (70200) $843 $843 8.0×

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.