Imaging prices at Usc Arcadia Hospital
Arcadia, CA · every code in this section with a posted price and a Medicare benchmark.
278 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) | $180.95 | $517 | 1.6× |
| Abdomen 2 views (74019) | $321.65 | $919 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $584.15 | $1,669 | 1.1× |
| Angio pulmonary bilat (75743) | $3,368.05 | $9,623 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $3,368.05 | $9,623 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $3,368.05 | $9,623 | 0.8× |
| Ankle 2 views (73600) | $243.25 | $695 | 2.2× |
| Aortography thoracic serialography rs&i (75605) | $5,610.85 | $16,031 | 0.8× |
| Artery X-Rays Abdomen (75726) | $5,610.85 | $16,031 | 0.8× |
| Artery X-Rays Pelvis (75736) | $5,610.85 | $16,031 | 0.8× |
| Artery X-Rays Spine (75705) | $8,293.60 | $23,696 | 1.2× |
| Arthrogram ankle (73615) | $452.55 | $1,293 | 1.0× |
| Arthrogram hip (73525) | $526.75 | $1,505 | 1.2× |
| Bone age studies (77072) | $175.35 | $501 | 1.3× |
| Bone Imaging 3 Phase (78315) | $954.10 | $2,726 | 1.9× |
| Bone Imaging Limited Area (78300) | $340.90 | $974 | 0.7× |
| Bone Imaging Multiple Areas (78305) | $551.95 | $1,577 | 1.1× |
| Bone Imaging Whole Body (78306) | $804.30 | $2,298 | 1.6× |
| Bone survey infant (77076) | $179.90 | $514 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) | $327.95 | $937 | 0.6× |
| Cat Scan Follow-Up Study (76380) | $614.25 | $1,755 | 5.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $750.05 | $2,143 | 1.1× |
| Cerebrospinal Fluid Scan (78630) | $811.30 | $2,318 | 1.2× |
| Chest 1 view (71045) | $248.50 | $710 | 2.2× |
| Chest 2 views (71046) | $276.85 | $791 | 2.5× |
| Chest 3 views (71047) | $331.10 | $946 | 3.0× |
| Chest 4 or more views (71048) | $398.30 | $1,138 | 3.0× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $147.06 | $420.18 | 1.1× |
| Clavicle complete (73000) | $383.95 | $1,097 | 3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,632.75 | $4,665 | 12.1× |
| Contrast Exam Abdominl Aorta (75625) | $3,368.05 | $9,623 | 0.8× |
| Contrast X-Ray Bladder (74430) | $320.25 | $915 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $504.70 | $1,442 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,424.45 | $6,927 | 5.4× |
| CT abdomen and pelvis without contrast (74176) | $2,006.20 | $5,732 | 6.5× |
| CT abdomen w contrast (74160) | $1,268.40 | $3,624 | 5.6× |
| CT abdomen w wo contrast (74170) | $1,802.15 | $5,149 | 8.0× |
| CT abdomen w/o contrast (74150) | $1,157.10 | $3,306 | 8.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,891.70 | $8,262 | 6.4× |
| CT Angio Chest (71275) | $2,485.35 | $7,101 | 11.0× |
| CT Angio Head (70496) | $2,111.20 | $6,032 | 9.4× |
| CT angio hrt w/3d image (75574) | $2,877 | $8,220 | 6.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,093.35–$3,140.20 | $5,981–$8,972 | varies |
| CT Angio Neck (70498) | $1,867.95 | $5,337 | 8.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$3,695.65–$5,543.65 | $10,559–$15,839 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $234.50 | $670 | 1.0× |
| CT cervical spine w/ contrast (72126) | $1,995 | $5,700 | 4.4× |
| CT cervical spine w/o contrast (72125) | $1,965.95 | $5,617 | 14.6× |
| CT cervical spine w/wo cont (72127) | $2,005.15 | $5,729 | 8.9× |
| CT chest w contrast (71260) | $1,942.85 | $5,551 | 8.6× |
| CT chest w/wo contrast (71270) | $1,981.70 | $5,662 | 8.8× |
| CT head/brain with contrast (70460) | $1,676.15 | $4,789 | 7.4× |
| CT head/brain without and with contrast (70470) | $1,802.15 | $5,149 | 8.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,683.85 | $4,811 | 3.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,802.15 | $5,149 | 16.1× |
| CT iac w contrast (70481) | $1,419.60 | $4,056 | 6.3× |
| CT l-spine w&w/o contrast (72133) | $2,044.70 | $5,842 | 9.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,273.65–$1,911 | $3,639–$5,460 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,861.30–$2,791.95 | $5,318–$7,977 | varies |
| CT lumbar spine w contrast (72132) | $2,005.15 | $5,729 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,965.95 | $5,617 | 14.6× |
| CT maxillofacial w contrast (70487) | $1,782.20 | $5,092 | 7.9× |
| CT maxillofacial wo contrast (70486) | $1,438.85 | $4,111 | 10.7× |
| CT neck tissue combo (70492) | $1,600.20 | $4,572 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,468.60 | $4,196 | 6.5× |
| CT orbits w/o contrast (70480) | $1,273.65 | $3,639 | 9.5× |
| CT pelvis w&w/o contrast (72194) | $2,005.15 | $5,729 | 8.9× |
| CT pelvis w/o contrast (72192) | $1,352.05 | $3,863 | 10.1× |
| CT scan of leg combo (73702) | $2,129.05 | $6,083 | 9.4× |
| CT scans face/jaw combo (70488) | $1,818.25 | $5,195 | 8.1× |
| CT soft tissue neck w contrast (70491) | $1,569.75 | $4,485 | 7.0× |
| CT soft tissue neck w/o contrast (70490) | $1,538.95 | $4,397 | 11.4× |
| CT thoracic spine w contrast (72129) | $1,692.60 | $4,836 | 7.5× |
| CT thoracic spine w/o contrast (72128) | $1,659 | $4,740 | 12.3× |
| CT thoracic spine w/wo cont (72130) | $1,725.50 | $4,930 | 7.6× |
| CT thorax w/o contrast (71250) | $1,537.90 | $4,394 | 11.4× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,273.65–$1,911 | $3,639–$5,460 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,468.25–$2,202.55 | $4,195–$6,293 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,379.70–$2,069.55 | $3,942–$5,913 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,704.50 | $4,870 | 7.6× |
| Cta Abdomen (74175) | $2,099.30 | $5,998 | 9.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,979.15 | $11,369 | 8.9× |
| CTA pelvis (72191) | $1,652.70 | $4,722 | 7.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $294.35 | $841 | 2.2× |
| Echograp Trans R Pros Study (76873) | $377.30 | $1,078 | 2.8× |
| Esophagram (74220) | $395.50 | $1,130 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $351.40 | $1,004 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $329.70 | $942 | 2.5× |
| Fluoroscopy up to 1 hr (76000) | $500.85 | $1,431 | 1.6× |
| Follow-Up Angiography (75898) | $3,368.05 | $9,623 | 0.8× |
| Foot 2 views (73620) | $217 | $620 | 1.9× |
| Forearm 2 views (73090) | $296.10 | $846 | 2.6× |
| Gastric emptying imaging study (78264) | $951.30 | $2,718 | 1.9× |
| Gated Heart Planar Single (78472) | $951.30 | $2,718 | 1.9× |
| Hand 2 views (73120) | $329 | $940 | 2.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,253 | $3,580 | 1.8× |
| Hepatobiliary System Imaging (78226) | $844.90 | $2,414 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $2,310.70 | $6,602 | 1.4× |
| Hysterosalpingogram (74740) | $360.15 | $1,029 | 1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $415.45 | $1,187 | 3.7× |
| Infant hip ultrasound, limited static exam (76886) | $294.35 | $841 | 2.6× |
| Joint Survey Single View (77077) | $386.40 | $1,104 | 2.9× |
| K Flow/Funct Image Multiple (78709) | $1,388.45 | $3,967 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $1,388.45 | $3,967 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,388.45 | $3,967 | 2.0× |
| Knee 3 Views (73562) | $335.65 | $959 | 3.0× |
| Liver & Spleen Imaging Static Only (78215) | $536.55 | $1,533 | 1.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $584.15 | $1,669 | 1.1× |
| Lung perfusion differential (78597) | $811.30 | $2,318 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,054.20 | $3,012 | 1.5× |
| Lung Ventilation Imaging (78579) | $582.05 | $1,663 | 1.1× |
| Lymph System Imaging (78195) | $1,033.90 | $2,954 | 1.5× |
| Meckels Divert Exam (78290) | $558.25 | $1,595 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,132.90 | $6,094 | 4.8× |
| MRA head w/o contrast (70544) | $2,050.65 | $5,859 | 6.7× |
| MRA head with contrast (70545) | $2,091.60 | $5,976 | 4.7× |
| MRA neck w contrast (70548) | $1,938.65 | $5,539 | 4.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,501.80 | $7,148 | 5.6× |
| MRA neck w/o contrast (70547) | $1,564.15 | $4,469 | 5.1× |
| MRI abdomen w contrast (74182) | $1,798.30 | $5,138 | 4.0× |
| MRI abdomen w/o contrast (74181) | $1,731.10 | $4,946 | 5.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,563.80 | $4,468 | 1.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$2,357.60–$3,536.75 | $6,736–$10,105 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,592.50 | $4,550 | 1.6× |
| MRI cervical spine w contrast (72142) | $2,135 | $6,100 | 4.8× |
| MRI cervical spine w/o cont (72141) | $2,093.35 | $5,981 | 6.8× |
| MRI chest w/o contrast (71550) | $1,564.15 | $4,469 | 5.1× |
| MRI chest wo w contrast (71552) | $2,501.80 | $7,148 | 5.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,657.60 | $4,736 | 3.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,357.60 | $6,736 | 5.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,375.85 | $3,931 | 4.5× |
| MRI lumbar spine w contrast (72149) | $2,258.20 | $6,452 | 5.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,748.55 | $7,853 | 6.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,990.45 | $5,687 | 6.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,468.20 | $7,052 | 5.5× |
| MRI pelvis w/o & w contrast (72197) | $2,501.80 | $7,148 | 5.6× |
| MRI pelvis w/o contrast (72195) | $1,501.15 | $4,289 | 4.9× |
| MRI thoracic spine w/o contrast (72146) | $2,214.45 | $6,327 | 7.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,563.80–$2,346.05 | $4,468–$6,703 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,393.35 | $3,981 | 4.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,223.90 | $6,354 | 5.0× |
| MRI, abdomen, combo (74183) | $2,997.40 | $8,564 | 6.7× |
| MRI, dorsal spine combo (72157) | $2,780.75 | $7,945 | 6.2× |
| MRI, dorsal spine contrast (72147) | $2,435.65 | $6,959 | 5.4× |
| MRI, joint upper extrem (73221) | $1,552.60 | $4,436 | 5.1× |
| MRI, joint upper extrem combo (73223) | $2,223.90 | $6,354 | 5.0× |
| MRI, lumbar spine combo (72158) | $2,748.55 | $7,853 | 6.1× |
| Myocardial Spect Multiple Studies (78452) | $2,310.70 | $6,602 | 1.4× |
| Neck soft tissue (70360) | $183.05 | $523 | 1.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $327.95 | $937 | 0.6× |
| Nm csf leak detection (78650) | $1,136.45 | $3,247 | 0.7× |
| Nonvascular Shunt X-Ray (75809) | $207.55 | $593 | 1.5× |
| Parathyroid Planar Imaging (78070) | $577.50 | $1,650 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $577.50 | $1,650 | 1.1× |
| Pelvis 1 or 2 views (72170) | $283.85 | $811 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $727.30 | $2,078 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $400.05 | $1,143 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $420 | $1,200 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $347.90 | $994 | 3.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $241.50 | $690 | 2.2× |
| Radex elbow complete minimum 3 views (73080) | $318.85 | $911 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $263.20 | $752 | 2.0× |
| Radex fingr minimum 2 views (73140) | $226.10 | $646 | 2.0× |
| Radex foot complete minimum 3 views (73630) | $303.80 | $868 | 2.7× |
| Radex Hand Minimum 3 Views (73130) | $297.50 | $850 | 2.7× |
| Radex lower extremity infant minimum 2 views (73592) | $138.60 | $396 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $395.50 | $1,130 | 3.5× |
| Radex Ribs Unilateral 2 Views (71100) | $219.80 | $628 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) | $341.25 | $975 | 3.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $196.70 | $562 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $196.70 | $562 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $285.60 | $816 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $351.40 | $1,004 | 3.1× |
| Radex Toe Minimum 2 Views (73660) | $232.40 | $664 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $138.60 | $396 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $332.50 | $950 | 3.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $691.95 | $1,977 | 5.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $351.40 | $1,004 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $321.65 | $919 | 2.4× |
| Radiologic exam colon double contrast study (74280) | $717.50 | $2,050 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $717.50 | $2,050 | 3.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $395.50 | $1,130 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) | $357 | $1,020 | 2.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $219.80 | $628 | 1.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $501.55 | $1,433 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $445.90 | $1,274 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $411.60 | $1,176 | 1.8× |
| Radiologic examination femur 1 view (73551) | $95.55 | $273 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) | $348.25 | $995 | 3.1× |
| Radiologic examination knee 1/2 views (73560) | $247.45 | $707 | 2.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $472.50 | $1,350 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $339.85 | $971 | 3.0× |
| Ribs bilateral 3 views (71110) | $295.05 | $843 | 2.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $314.65 | $899 | 0.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $314.65 | $899 | 0.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,136.45 | $3,247 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,087.45 | $3,107 | 1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,136.45 | $3,247 | 1.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,087.45 | $3,107 | 0.7× |
| Scapula (73010) | $279.65 | $799 | 2.1× |
| Shoulder 1 view (73020) | $247.45 | $707 | 2.2× |
| Shoulder Arthrography (73040) | $546.35 | $1,561 | 1.2× |
| Sialogram (70390) | $243.60 | $696 | 0.8× |
| Skull less than 4 views (70250) | $366.10 | $1,046 | 2.7× |
| Sternoclavicular joints (71130) | $243.95 | $697 | 2.2× |
| Thoracic spine 2 views (72070) | $296.80 | $848 | 2.2× |
| Thoracolumbar 2 views (72080) | $316.75 | $905 | 2.8× |
| Thyroid Met Imaging Body (78018) | $1,103.55 | $3,153 | 1.6× |
| Thyroid Uptake Measurement (78012) | $373.10 | $1,066 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $784.35 | $2,241 | 1.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$263.55–$395.15 | $753–$1,129 | varies |
| Ultrasound Exam Aaa Screen (76706) | $455.70 | $1,302 | 3.4× |
| Ultrasound, abdomen limited (76705) | $599.20 | $1,712 | 4.5× |
| Umbilical-artery Doppler (OB) (76820) | $294.35 | $841 | 2.2× |
| Upper gi w/o kub (74240) | $360.85 | $1,031 | 1.6× |
| Urethrocystogram voiding (74455) | $314.30 | $898 | 1.0× |
| Urethrocystography retrograde (74450) | $291.90 | $834 | 1.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$412.30–$618.10 | $1,178–$1,766 | varies |
| Us chest (76604) | $384.30 | $1,098 | 2.9× |
| Us exam, pelvic, limited (76857) | $442.40 | $1,264 | 3.3× |
| Us head (76506) | $294.35 | $841 | 2.2× |
| Us kidney transplant (76776) | $571.20 | $1,632 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $578.90 | $1,654 | 4.3× |
| Us ob limited 1 or more fetuses (76815) | $473.20 | $1,352 | 3.5× |
| Us ob transvaginal (76817) | $307.65 | $879 | 2.3× |
| Us pelvic non ob complete (76856) | $646.45 | $1,847 | 4.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $702.45 | $2,007 | 5.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $294.35 | $841 | 2.2× |
| Us retroperitoneal complete (76770) | $700.70 | $2,002 | 5.2× |
| Us retroperitoneal limited (76775) | $549.15 | $1,569 | 4.1× |
| Us scrotum and contents (76870) | $778.75 | $2,225 | 5.8× |
| Us spinal canal and contents (76800) | $294.35 | $841 | 2.2× |
| Us thyroid (76536) | $582.05 | $1,663 | 4.3× |
| Vein X-Ray Chest (75827) | $1,654.80 | $4,728 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,368.05 | $9,623 | 0.8× |
| Venogram Sinus/Jugular (75860) | $3,368.05 | $9,623 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $3,368.05 | $9,623 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $1,654.80 | $4,728 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,654.80 | $4,728 | 0.8× |
| Wrist 2 views (73100) | $249.55 | $713 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $293.30 | $838 | 2.6× |
| X-ray antegrade pyelogram tube (74425) | $320.25 | $915 | 0.7× |
| X-Ray Aorta Leg Arteries (75630) | $4,135.25 | $11,815 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $296.80 | $848 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $291.90 | $834 | 2.6× |
| X-Ray Exam Breast Specimen (76098) | $568.40 | $1,624 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $95.55 | $273 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $131.60 | $376 | 1.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $353.85 | $1,011 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $95.55 | $273 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $153.65 | $439 | 1.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $131.60 | $376 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $131.60 | $376 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $131.60 | $376 | 1.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $355.95 | $1,017 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $511.70 | $1,462 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $330.40 | $944 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $416.85 | $1,191 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $441.70 | $1,262 | 3.3× |
| X-ray humerus (73060) | $299.60 | $856 | 2.7× |
| X-ray IV pyelogram (ivp) (74400) | $373.10 | $1,066 | 1.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $210.35 | $601 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $196.70 | $562 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $371 | $1,060 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $129.85 | $371 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $392.70 | $1,122 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $246.05 | $703 | 1.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $128.45 | $367 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $281.75 | $805 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $307.65 | $879 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $329.70 | $942 | 2.5× |
| X-Ray Tmj Unilat (70328) | $138.60 | $396 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $490.70 | $1,402 | 1.1× |
| X-Rays Bone Length Studies (77073) | $246.05 | $703 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $887.25 | $2,535 | 6.6× |
| Xr c-spine 4 or 5 views (72050) | $482.30 | $1,378 | 3.6× |
| Xr facial bones less than 3 views (70140) | $196.70 | $562 | 1.8× |
| Xr orbits complete 4 views (70200) | $307.65 | $879 | 2.3× |
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.