Imaging prices at Usc Kenneth Norris Jr Cancer Hospital
Los Angeles, CA · every code in this section with a posted price and a Medicare benchmark.
262 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) | $9,822.25 | $9,822.25 | 5.5× |
| Abdomen 1 View (74018) | $586.50 | $586.50 | 5.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,627.25 | $4,627.25 | 9.0× |
| Angio pulmonary bilat (75743) | $6,065.75 | $6,065.75 | 1.5× |
| Angiography extremity unilateral rs&i (75710) | $9,583 | $9,583 | 2.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$638.75–$958.25 | $638.75–$958.25 | varies |
| Artery X-Rays Abdomen (75726) | $13,397.50 | $13,397.50 | 1.9× |
| Basic radiation dosimetry calculation (77300) | $1,440.75 | $1,440.75 | 8.3× |
| Bone Imaging 3 Phase (78315) | $5,493 | $5,493 | 10.7× |
| Bone Imaging Limited Area (78300) | $3,338.75 | $3,338.75 | 6.5× |
| Bone Imaging Whole Body (78306) | $4,631 | $4,631 | 9.0× |
| Bone marrow imaging limited area (78102) | $2,730.25 | $2,730.25 | 5.3× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,343 | $1,343 | 2.6× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $3,204 | $3,204 | 4.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,528 | $4,528 | 10.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,466 | $2,466 | 3.5× |
| Cerebrospinal Fluid Scan (78630) | $2,649 | $2,649 | 3.8× |
| Chest 1 view (71045) | $800.50 | $800.50 | 7.2× |
| Chest 2 views (71046) | $946.75 | $946.75 | 8.5× |
| Chest 3 views (71047) | $1,080 | $1,080 | 9.6× |
| Chest 4 or more views (71048) | $1,248 | $1,248 | 9.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$296.25–$444.50 | $296.25–$444.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $5,012.75 | $5,012.75 | 37.3× |
| Continuing medical physics consltj pr wk (77336) | $1,249 | $1,249 | 7.2× |
| Contrast X-Ray Bladder (74430) | $1,045.50 | $1,045.50 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $9,755 | $9,755 | 21.7× |
| CT abdomen and pelvis without contrast (74176) | $6,659.75 | $6,659.75 | 21.7× |
| CT abdomen w contrast (74160) | $4,191 | $4,191 | 18.6× |
| CT abdomen w wo contrast (74170) | $4,746.50 | $4,746.50 | 21.0× |
| CT abdomen w/o contrast (74150) | $3,304 | $3,304 | 24.6× |
| CT Angio Abdomen and Pelvis (74174) | $8,742.50 | $8,742.50 | 19.5× |
| CT Angio Chest (71275) | $3,975 | $3,975 | 17.6× |
| CT Angio Head (70496) | $7,579.75 | $7,579.75 | 33.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$3,776–$5,664 | $3,776–$5,664 | varies |
| CT Angio Neck (70498) | $7,579.75 | $7,579.75 | 33.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,776 | $3,776 | 16.7× |
| CT cervical spine w/ contrast (72126) | $2,909 | $2,909 | 6.5× |
| CT cervical spine w/o contrast (72125) | $2,096.25 | $2,096.25 | 15.6× |
| CT cervical spine w/wo cont (72127) | $3,069.50 | $3,069.50 | 13.6× |
| CT chest w contrast (71260) | $4,168.25 | $4,168.25 | 18.5× |
| CT chest w/wo contrast (71270) | $4,300 | $4,300 | 19.1× |
| CT colonography screening (74263) | $3,882.50 | $3,882.50 | 12.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $3,882.50 | $3,882.50 | 28.9× |
| CT head/brain with contrast (70460) | $4,474.50 | $4,474.50 | 19.8× |
| CT head/brain without and with contrast (70470) | $5,146 | $5,146 | 22.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $2,797 | $2,797 | 25.0× |
| CT iac w contrast (70481) | $6,604.50 | $6,604.50 | 29.3× |
| CT l-spine w&w/o contrast (72133) | $7,950 | $7,950 | 35.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,496–$3,744 | $2,496–$3,744 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$4,023–$6,034.50 | $4,023–$6,034.50 | varies |
| CT lumbar spine w contrast (72132) | $7,640.75 | $7,640.75 | 17.0× |
| CT lumbar spine w/o contrast (72131) | $5,270.50 | $5,270.50 | 39.2× |
| CT maxillofacial w contrast (70487) | $4,696.75 | $4,696.75 | 20.8× |
| CT maxillofacial wo contrast (70486) | $4,209.75 | $4,209.75 | 31.3× |
| CT neck tissue combo (70492) | $7,579.75 | $7,579.75 | 33.6× |
| CT orbits w/o contrast (70480) | $5,613.50 | $5,613.50 | 41.7× |
| CT pelvis w&w/o contrast (72194) | $5,008.50 | $5,008.50 | 22.2× |
| CT pelvis w/o contrast (72192) | $3,356 | $3,356 | 25.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,543.50–$5,315.25 | $3,543.50–$5,315.25 | varies |
| CT scans face/jaw combo (70488) | $5,874.50 | $5,874.50 | 26.0× |
| CT soft tissue neck w contrast (70491) | $7,183.25 | $7,183.25 | 31.8× |
| CT soft tissue neck w/o contrast (70490) | $4,683 | $4,683 | 34.8× |
| CT thoracic spine w contrast (72129) | $3,766.75 | $3,766.75 | 16.7× |
| CT thoracic spine w/o contrast (72128) | $2,455.75 | $2,455.75 | 18.3× |
| CT thoracic spine w/wo cont (72130) | $3,975 | $3,975 | 17.6× |
| CT thorax w/o contrast (71250) | $3,128 | $3,128 | 23.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,258.50–$3,387.75 | $2,258.50–$3,387.75 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$3,543.50–$5,315.25 | $3,543.50–$5,315.25 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,764.25–$4,146.50 | $2,764.25–$4,146.50 | varies |
| Cta Abdomen (74175) | $4,372.75 | $4,372.75 | 19.4× |
| CTA pelvis (72191) | $5,380.25 | $5,380.25 | 23.8× |
| Dxa Bone Density Axial (77080) | $813.25 | $813.25 | 6.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $735.75 | $735.75 | 6.6× |
| Esophagram (74220) | $537.50 | $537.50 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $909.75 | $909.75 | 3.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$573.25–$860 | $573.25–$860 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$556–$834 | $556–$834 | varies |
| Gastric emptying imaging study (78264) | $4,026.25 | $4,026.25 | 7.8× |
| Gastroesophageal Reflux Exam (78262) | $6,141.25 | $6,141.25 | 11.9× |
| Gated Heart Planar Single (78472) | $3,029.75 | $3,029.75 | 5.9× |
| Gated Heart, Multiple (78473) | $3,204 | $3,204 | 6.2× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$853.75–$1,280.75 | $853.75–$1,280.75 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $10,021.75 | $10,021.75 | 11.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $9,245.25 | $9,245.25 | 10.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $8,529 | $8,529 | 9.5× |
| Heart first pass single,planar (78481) | $2,135.75 | $2,135.75 | 3.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,230 | $6,230 | 1.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,230 | $6,230 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $6,435 | $6,435 | 9.2× |
| Hepatobiliary System Imaging (78226) | $4,303 | $4,303 | 8.4× |
| Ht Musc Image Planar Mult (78454) | $9,782.75 | $9,782.75 | 5.9× |
| Ht Muscle Image Spect Sing (78451) | $4,470 | $4,470 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $8,547.50 | $8,547.50 | 12.2× |
| K Flow/Funct Image W/O Drug (78707) | $6,718.75 | $6,718.75 | 9.6× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,750 | $1,750 | 3.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$533.75–$800.75 | $533.75–$800.75 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,854 | $2,854 | 5.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $4,671.50 | $4,671.50 | 9.1× |
| Liver imaging static only (78201) | $3,800.25 | $3,800.25 | 5.4× |
| Liver imaging w/vascular flow (78202) | $5,303 | $5,303 | 7.6× |
| Lung Ventilat&Perfus Imaging (78582) | $4,311.25 | $4,311.25 | 6.2× |
| Lymph System Imaging (78195) | $4,059.75 | $4,059.75 | 5.8× |
| Mammary ductogram or galactogram multiple (77054) | $1,450.25 | $1,450.25 | 4.7× |
| Mammary ductogram or galactogram single (77053) | $1,160.50 | $1,160.50 | 3.8× |
| Meckels Divert Exam (78290) | $4,301 | $4,301 | 8.4× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$512–$4,330.75 | $512–$4,330.75 | varies |
| Mr safety determination physician/other qhp (76016) | $336 | $336 | 3.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $100 | $100 | 2.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $350 | $350 | 2.9× |
| Mr safety implt pos&/immoblj (76019) | $178 | $178 | 2.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $921 | $921 | 3.0× |
| MRA head w/o contrast (70544) | $3,270.25 | $3,270.25 | 10.7× |
| MRA neck w/o contrast (70547) | $3,220 | $3,220 | 10.5× |
| MRI abdomen w/o contrast (74181) | $5,682.75 | $5,682.75 | 18.5× |
| MRI cervical spine w contrast (72142) | $9,568.75 | $9,568.75 | 21.3× |
| MRI cervical spine w/o cont (72141) | $9,241.75 | $9,241.75 | 30.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$3,663.25–$5,495 | $3,663.25–$5,495 | varies |
| MRI lumbar spine w contrast (72149) | $5,885.50 | $5,885.50 | 13.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $11,040.25 | $11,040.25 | 24.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $9,539.50 | $9,539.50 | 21.3× |
| MRI pelvis w/o & w contrast (72197) | $9,541.25 | $9,541.25 | 21.3× |
| MRI thoracic spine w/o contrast (72146) | $5,460.25 | $5,460.25 | 17.8× |
| MRI, abdomen, combo (74183) | $7,515.50 | $7,515.50 | 16.7× |
| MRI, dorsal spine combo (72157) | $10,015.25 | $10,015.25 | 22.3× |
| MRI, dorsal spine contrast (72147) | $8,680.25 | $8,680.25 | 19.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$5,545–$8,317.50 | $5,545–$8,317.50 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$8,632.25–$12,948.50 | $8,632.25–$12,948.50 | varies |
| MRI, lumbar spine combo (72158) | $7,622 | $7,622 | 17.0× |
| Myelogram cervical (72240) | $4,791 | $4,791 | 4.8× |
| Myelography thoracic (72255) | $4,791 | $4,791 | 4.8× |
| Myelograpy 2/more regions rs&i (72270) | $7,290.75 | $7,290.75 | 7.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,762 | $1,762 | 3.4× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $2,257 | $2,257 | 3.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $8,221.50 | $8,221.50 | 4.9× |
| Myocardial Spect Multiple Studies (78452) | $5,247.25 | $5,247.25 | 3.2× |
| Neck soft tissue (70360) | $423.25 | $423.25 | 3.8× |
| Nm myocard infarct spect (78469) | $4,874 | $4,874 | 7.0× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$1,912–$12,022.50 | $1,912–$12,022.50 | varies |
| Nuclear Rx Intra-Arterial (79445) | $3,029 | $3,029 | 10.1× |
| Nuclear Rx Oral Admin (79005) | $780 | $780 | 2.6× |
| Parathyroid Planar Imaging (78070) | $2,119.75 | $2,119.75 | 4.1× |
| Pelvis 1 or 2 views (72170) | $960 | $960 | 7.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $14,475 | $14,475 | 3.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,109.25 | $2,109.25 | 4.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $962 | $962 | 7.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,894.75 | $1,894.75 | 2.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$678.50–$1,017.75 | $678.50–$1,017.75 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$350–$525 | $350–$525 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$707.75–$1,061.75 | $707.75–$1,061.75 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $985 | $985 | 7.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$382–$573 | $382–$573 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$573.25–$860 | $573.25–$860 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,067.50–$1,601.25 | $1,067.50–$1,601.25 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $473.25 | $473.25 | 4.2× |
| Radex Ribs Unilateral 2 Views (71100) | $427 | $427 | 3.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$818.50–$1,227.75 | $818.50–$1,227.75 | varies |
| Radex Spine 1 View Specify Level (72020) | $822 | $822 | 7.3× |
| Radex Sternum Minimum 2 Views (71120) | $571.75 | $571.75 | 5.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $678.50 | $678.50 | 6.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$333.50–$500.25 | $333.50–$500.25 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$382–$573 | $382–$573 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,408.50 | $2,408.50 | 17.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $41,530.50 | $41,530.50 | 4.4× |
| Radiation treatment delivery level 3 (77412) | $2,048 | $2,048 | 2.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,008.25 | $1,008.25 | 7.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $880.25 | $880.25 | 6.5× |
| Radiologic exam colon single contrast study (74270) | $1,499.75 | $1,499.75 | 6.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$660–$990 | $660–$990 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,287.25 | $1,287.25 | 9.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $836.75 | $836.75 | 3.7× |
| Radiologic exam swallow function contrast study (74230) | $1,313 | $1,313 | 5.8× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$762.50–$1,143.75 | $762.50–$1,143.75 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$762.50–$1,143.75 | $762.50–$1,143.75 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$350–$525 | $350–$525 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $706.75 | $706.75 | 5.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$448.50–$672.75 | $448.50–$672.75 | varies |
| Ribs bilateral 3 views (71110) | $671.75 | $671.75 | 5.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,903.25 | $4,903.25 | 9.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,129 | $6,129 | 8.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $8,350.50 | $8,350.50 | 12.0× |
| Rp Therapy Intravenous Administration (79101) | $2,737.25 | $2,737.25 | 9.1× |
| Scapula (73010) range across 3 matching MRF lines |
$812.25–$1,218.50 | $812.25–$1,218.50 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $314.75 | $314.75 | 13.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$682–$1,023 | $682–$1,023 | varies |
| Skull less than 4 views (70250) | $712.25 | $712.25 | 5.3× |
| Special dosimetry (77331) | $404.75 | $404.75 | 2.3× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$186–$1,999 | $186–$1,999 | varies |
| Special teletherapy port plan (77321) | $909.50 | $909.50 | 1.9× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$808–$4,616 | $808–$4,616 | varies |
| Srs Multisource (77371) | $77,077.75 | $77,077.75 | 8.1× |
| Stereotactic Body Radiation Delivery (77373) | $18,101 | $18,101 | 7.9× |
| Sternoclavicular joints (71130) | $295.50 | $295.50 | 2.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $10,534.50 | $10,534.50 | 21.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $5,245.25 | $5,245.25 | 10.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,282.50 | $3,282.50 | 6.8× |
| Ther rad simulaj-aided field setting simple (77280) | $2,072.50 | $2,072.50 | 12.0× |
| Thoracic spine 2 views (72070) | $653.75 | $653.75 | 4.9× |
| Thoracic spine 3 views (72072) | $752.25 | $752.25 | 5.6× |
| Thoracolumbar 2 views (72080) | $668.25 | $668.25 | 6.0× |
| Thyroid Met Imaging Body (78018) | $3,759.50 | $3,759.50 | 5.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $4,313.50 | $4,313.50 | 8.4× |
| Tx Devices Design & Construction Complex (77334) | $4,040.50 | $4,040.50 | 8.4× |
| Tx devices design & construction simple (77332) | $1,581 | $1,581 | 9.1× |
| Ultrasound Breast Limited (76642) | $1,041.50 | $1,041.50 | 9.3× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $1,486 | $1,486 | 3.3× |
| Ultrasound, abdomen limited (76705) | $1,662.25 | $1,662.25 | 12.4× |
| Unlisted Dx Radiographic Procedure (76499) | $927.75 | $927.75 | 8.3× |
| Upper gi w/o kub (74240) | $1,169.25 | $1,169.25 | 5.2× |
| Urethrocystogram voiding (74455) | $2,894.25 | $2,894.25 | 9.4× |
| Urethrocystography retrograde (74450) | $1,744.75 | $1,744.75 | 5.7× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$1,200–$1,800 | $1,200–$1,800 | varies |
| Us chest (76604) | $2,174.50 | $2,174.50 | 16.2× |
| Us complete joint (76881) | $1,151.75 | $1,151.75 | 8.6× |
| Us exam, pelvic, limited (76857) | $1,063.75 | $1,063.75 | 7.9× |
| Us kidney transplant (76776) | $2,126 | $2,126 | 15.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$1,035.50–$1,553.25 | $1,035.50–$1,553.25 | varies |
| Us pelvic non ob complete (76856) | $1,468 | $1,468 | 10.9× |
| Us retroperitoneal complete (76770) | $1,731.50 | $1,731.50 | 12.9× |
| Us retroperitoneal limited (76775) | $1,357 | $1,357 | 10.1× |
| Us scrotum and contents (76870) | $2,280.50 | $2,280.50 | 17.0× |
| Us thyroid (76536) | $1,330.25 | $1,330.25 | 9.9× |
| Us transrectal (76872) | $1,429.25 | $1,429.25 | 10.6× |
| Vein X-Ray Chest (75827) | $3,689.50 | $3,689.50 | 1.8× |
| Venography caval inferior serialography rs&i (75825) | $4,399 | $4,399 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $2,873.75 | $2,873.75 | 1.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$141.50–$212.25 | $141.50–$212.25 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $409.50 | $409.50 | 3.7× |
| X-ray antegrade pyelogram tube (74425) | $744.25 | $744.25 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $924.50 | $924.50 | 6.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$666.50–$999.75 | $666.50–$999.75 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,091 | $1,091 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $762.50 | $762.50 | 6.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,263.25 | $1,263.25 | 9.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,408.50 | $2,408.50 | 17.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $762.50 | $762.50 | 6.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $762.50 | $762.50 | 6.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,263.25 | $1,263.25 | 9.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,263.25 | $1,263.25 | 9.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,833.75 | $2,833.75 | 21.1× |
| X-Ray Exam L-S Spine Bending (72114) | $1,159.25 | $1,159.25 | 8.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,098.75 | $1,098.75 | 9.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,498.25 | $1,498.25 | 11.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $644.50 | $644.50 | 4.8× |
| X-ray humerus (73060) | $853.75 | $853.75 | 7.6× |
| X-ray IV pyelogram (ivp) (74400) | $2,256.75 | $2,256.75 | 10.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,008.25 | $1,008.25 | 9.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $660 | $660 | 5.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $849.75 | $849.75 | 6.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $985.75 | $985.75 | 7.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $538.75 | $538.75 | 4.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $507.25 | $507.25 | 3.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $560.50 | $560.50 | 5.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,094.50 | $1,094.50 | 9.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $844.50 | $844.50 | 6.3× |
| X-ray thoracic spine 4 vw (72074) | $817.25 | $817.25 | 6.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,038.50 | $2,038.50 | 4.5× |
| X-Rays Bone Length Studies (77073) | $454.75 | $454.75 | 3.4× |
| X-Rays Bone Survey Complete (77075) | $934.50 | $934.50 | 7.0× |
| Xr c-spine 4 or 5 views (72050) | $1,348.75 | $1,348.75 | 10.0× |
| Xr facial bones less than 3 views (70140) | $857.75 | $857.75 | 7.7× |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$635–$952.50 | $635–$952.50 | varies |
| Xr orbits complete 4 views (70200) | $474.75 | $474.75 | 3.5× |
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.