Imaging prices at Victor Valley Global Medical Center
Victorville, CA · every code in this section with a posted price and a Medicare benchmark.
282 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) | $460 | $460 | 4.1× |
| Abdomen 2 views (74019) | $773 | $773 | 5.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,416–$2,040 | $1,416–$2,040 | varies |
| Angio internal mammary (75756) | $9,559 | $9,559 | 2.4× |
| Angiography extremity bilateral rs&i (75716) | $4,399 | $4,399 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $4,217 | $4,217 | 1.0× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$321–$409 | $321–$409 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $781 | $781 | 0.2× |
| Artery X-Rays Abdomen (75726) | $15,199 | $15,199 | 2.1× |
| Artery X-Rays Pelvis (75736) | $24,545 | $24,545 | 3.4× |
| Arthrogram ankle (73615) | $1,133 | $1,133 | 2.5× |
| Arthrogram hip (73525) | $1,159 | $1,159 | 2.6× |
| Arthrogram Wrist (73115) | $757 | $757 | 1.7× |
| Bone age studies (77072) | $318 | $318 | 2.4× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,416–$1,872 | $1,416–$1,872 | varies |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$1,135–$1,776 | $1,135–$1,776 | varies |
| Bone Imaging Multiple Areas (78305) | $1,805 | $1,805 | 3.5× |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$1,416–$2,028 | $1,416–$2,028 | varies |
| Bone marrow imaging limited area (78102) | $1,416 | $1,416 | 2.8× |
| Brain Flow Imaging Only (78610) | $564 | $564 | 0.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $817 | $817 | 1.2× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $4,872 | $4,872 | 9.5× |
| Cat Scan Follow-Up Study (76380) | $1,388 | $1,388 | 12.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$1,738–$2,094 | $1,738–$2,094 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$1,674–$1,836 | $1,674–$1,836 | varies |
| Chest 1 view (71045) | $311 | $311 | 2.8× |
| Chest 2 views (71046) | $328 | $328 | 2.9× |
| Chest 4 or more views (71048) | $600 | $600 | 4.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$357–$375 | $357–$375 | varies |
| Contrast Exam Abdominl Aorta (75625) | $4,244 | $4,244 | 1.0× |
| Contrast X-Ray Bladder (74430) | $667 | $667 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $1,133 | $1,133 | 2.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,300 | $1,300 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,340–$3,328 | $1,340–$3,328 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$801–$2,026 | $801–$2,026 | varies |
| CT abdomen w contrast (74160) | $3,446 | $3,446 | 15.3× |
| CT abdomen w wo contrast (74170) | $3,589 | $3,589 | 15.9× |
| CT abdomen w/o contrast (74150) | $3,158 | $3,158 | 23.5× |
| CT Angio Chest (71275) | $3,755 | $3,755 | 16.6× |
| CT Angio Head (70496) | $3,526 | $3,526 | 15.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $6,054 | $6,054 | 26.8× |
| CT Angio Neck (70498) | $3,133 | $3,133 | 13.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,189 | $3,189 | 14.1× |
| CT bone density (77078) | $245 | $245 | 2.2× |
| CT cervical spine w/ contrast (72126) | $3,408 | $3,408 | 7.6× |
| CT cervical spine w/o contrast (72125) | $3,078 | $3,078 | 22.9× |
| CT chest w contrast (71260) | $3,042 | $3,042 | 13.5× |
| CT chest w/wo contrast (71270) | $3,618 | $3,618 | 16.0× |
| CT head/brain with contrast (70460) | $3,886 | $3,886 | 17.2× |
| CT head/brain without and with contrast (70470) | $4,052 | $4,052 | 18.0× |
| CT lower ext w/o (73700) | $2,835 | $2,835 | 21.1× |
| CT lower extremity w/contrast material (73701) | $3,010 | $3,010 | 13.3× |
| CT lumbar spine w contrast (72132) | $2,952 | $2,952 | 6.6× |
| CT lumbar spine w/o contrast (72131) | $3,078 | $3,078 | 22.9× |
| CT maxillofacial w contrast (70487) | $2,431 | $2,431 | 10.8× |
| CT maxillofacial wo contrast (70486) | $2,228 | $2,228 | 16.6× |
| CT neck tissue combo (70492) | $3,589 | $3,589 | 15.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,527 | $4,527 | 20.1× |
| CT orbits w/o contrast (70480) | $1,985 | $1,985 | 14.8× |
| CT pelvis w&w/o contrast (72194) | $3,553 | $3,553 | 15.7× |
| CT pelvis w/o contrast (72192) | $2,730 | $2,730 | 20.3× |
| CT scan of leg combo (73702) | $3,241 | $3,241 | 14.4× |
| CT scans face/jaw combo (70488) | $2,663 | $2,663 | 11.8× |
| CT soft tissue neck w contrast (70491) | $3,363 | $3,363 | 14.9× |
| CT soft tissue neck w/o contrast (70490) | $2,498 | $2,498 | 18.6× |
| CT thoracic spine w contrast (72129) | $2,894 | $2,894 | 12.8× |
| CT thoracic spine w/o contrast (72128) | $2,737 | $2,737 | 20.4× |
| CT thorax w/o contrast (71250) | $2,656 | $2,656 | 19.8× |
| CT upper ext wo (73200) | $2,779 | $2,779 | 20.7× |
| CT upper extremity w/o & w/contrast material (73202) | $3,473 | $3,473 | 15.4× |
| CT upper extremity with contrast (73201) | $3,282 | $3,282 | 7.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,231 | $3,231 | 14.3× |
| Cta Abdomen (74175) | $2,822 | $2,822 | 12.5× |
| CTA pelvis (72191) | $2,822 | $2,822 | 12.5× |
| Discography Cerv/Thor Spine (72285) | $6,331 | $6,331 | 2.5× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$2,901–$3,796 | $2,901–$3,796 | varies |
| Dxa Bone Density Axial (77080) | $533 | $533 | 4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $292 | $292 | 2.6× |
| Echo exam uterus (76831) | $750 | $750 | 2.4× |
| Esophagram (74220) | $920 | $920 | 4.1× |
| Fetal Biophys Profile W/Nst (76818) | $1,007 | $1,007 | 7.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $391 | $391 | 2.9× |
| Fluoroscopy up to 1 hr (76000) | $814 | $814 | 2.7× |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,089–$3,798 | $1,089–$3,798 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$302–$493 | $302–$493 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$331–$440 | $331–$440 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,393–$1,416 | $1,393–$1,416 | varies |
| Gastric Mucosa Imaging (78261) | $593 | $593 | 1.2× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,416–$2,216 | $1,416–$2,216 | varies |
| Gated Heart, Multiple (78473) | $2,537 | $2,537 | 4.9× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$307–$409 | $307–$409 | varies |
| Heart first pass single,planar (78481) | $2,254 | $2,254 | 3.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,559 | $2,559 | 3.7× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,154–$1,416 | $1,154–$1,416 | varies |
| Ht Musc Image Planar Mult (78454) | $2,360 | $2,360 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $3,347 | $3,347 | 2.0× |
| Hysterosalpingogram (74740) | $570 | $570 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $412 | $412 | 3.7× |
| Infusion Ivp (74410) | $656 | $656 | 2.9× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,836–$1,962 | $1,836–$1,962 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,633–$1,836 | $1,633–$1,836 | varies |
| Kidney Imaging Morphol (78700) | $1,080 | $1,080 | 2.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$1,156–$1,680 | $1,156–$1,680 | varies |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$463–$546 | $463–$546 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,234 | $1,234 | 2.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,589 | $1,589 | 3.1× |
| Liver imaging static only (78201) | $4,612 | $4,612 | 6.6× |
| Liver imaging w/vascular flow (78202) | $1,589 | $1,589 | 2.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,510 | $1,510 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,836–$4,079 | $1,836–$4,079 | varies |
| Lung Ventilation Imaging (78579) | $2,215 | $2,215 | 4.3× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,836–$2,077 | $1,836–$2,077 | varies |
| Magnetic Image Jaw Joint (70336) | $3,031 | $3,031 | 9.9× |
| Mammary ductogram or galactogram multiple (77054) | $1,196 | $1,196 | 3.9× |
| Mammary ductogram or galactogram single (77053) | $1,196 | $1,196 | 3.9× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$886–$1,416 | $886–$1,416 | varies |
| MRA head w/o contrast (70544) | $4,107 | $4,107 | 13.4× |
| MRA neck w/o contrast (70547) | $2,987 | $2,987 | 9.7× |
| MRI abdomen w contrast (74182) | $3,366 | $3,366 | 7.5× |
| MRI abdomen w/o contrast (74181) | $3,295 | $3,295 | 10.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,647 | $5,647 | 12.6× |
| MRI cervical spine w contrast (72142) | $6,194 | $6,194 | 13.8× |
| MRI cervical spine w/o cont (72141) | $3,621 | $3,621 | 11.8× |
| MRI chest w/o contrast (71550) | $1,094 | $1,094 | 3.6× |
| MRI chest wo w contrast (71552) | $1,718 | $1,718 | 3.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,052 | $4,052 | 9.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,894 | $3,894 | 12.7× |
| MRI lumbar spine w contrast (72149) | $6,632 | $6,632 | 14.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,367 | $6,367 | 14.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,702 | $2,702 | 8.8× |
| MRI orbit face neck w contrast (70542) | $3,326 | $3,326 | 7.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,921 | $3,921 | 8.7× |
| MRI pelvis w contrast (72196) | $4,052 | $4,052 | 9.0× |
| MRI pelvis w/o & w contrast (72197) | $4,341 | $4,341 | 9.7× |
| MRI pelvis w/o contrast (72195) | $3,827 | $3,827 | 12.5× |
| MRI thoracic spine w/o contrast (72146) | $3,481 | $3,481 | 11.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,894 | $3,894 | 12.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,361 | $3,361 | 7.5× |
| MRI, abdomen, combo (74183) | $3,619 | $3,619 | 8.1× |
| MRI, dorsal spine combo (72157) | $3,813 | $3,813 | 8.5× |
| MRI, dorsal spine contrast (72147) | $3,704 | $3,704 | 8.3× |
| MRI, joint upper extrem (73221) | $2,687 | $2,687 | 8.8× |
| MRI, joint upper extrem combo (73223) | $4,052 | $4,052 | 9.0× |
| MRI, lumbar spine combo (72158) | $6,830 | $6,830 | 15.2× |
| Myelogram Lumbar (72265) | $1,550 | $1,550 | 1.5× |
| Myelograpy 2/more regions rs&i (72270) | $2,584 | $2,584 | 2.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,627 | $1,627 | 3.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,241 | $2,241 | 1.3× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,843–$4,872 | $3,843–$4,872 | varies |
| Neck soft tissue (70360) | $317 | $317 | 2.8× |
| Nm csf leak detection (78650) | $4,612 | $4,612 | 2.8× |
| Nm myocard infarct spect (78469) | $1,626 | $1,626 | 2.3× |
| Nuclear Rx Oral Admin (79005) | $1,670 | $1,670 | 5.6× |
| Optic foramina (70190) | $418 | $418 | 3.7× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,312–$1,416 | $1,312–$1,416 | varies |
| Pelvis 1 or 2 views (72170) | $398 | $398 | 3.0× |
| Peritoneogram Rs&I (74190) | $1,092 | $1,092 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$1,416–$1,984 | $1,416–$1,984 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$322–$961 | $322–$961 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $778 | $778 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$551–$732 | $551–$732 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$313–$409 | $313–$409 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$375–$556 | $375–$556 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $604 | $604 | 4.5× |
| Radex fingr minimum 2 views (73140) | $226 | $226 | 2.0× |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$362–$617 | $362–$617 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$414–$522 | $414–$522 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $285 | $285 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $490 | $490 | 3.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $368 | $368 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) | $465 | $465 | 4.2× |
| Radex shoulder complete minimum 2 views (73030) | $472 | $472 | 4.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $304 | $304 | 2.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $633 | $633 | 2.8× |
| Radex Spine 1 View Specify Level (72020) | $307 | $307 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $442 | $442 | 3.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $588 | $588 | 5.3× |
| Radex Toe Minimum 2 Views (73660) | $372 | $372 | 3.3× |
| Radex upper extremity infant minimum 2 views (73092) | $222 | $222 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$358–$548 | $358–$548 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $500 | $500 | 3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $773 | $773 | 5.7× |
| Radiologic exam colon double contrast study (74280) | $1,573 | $1,573 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $1,225 | $1,225 | 5.4× |
| Radiologic exam knee complete 4/more views (73564) | $389 | $389 | 2.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $130 | $130 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,173 | $1,173 | 5.2× |
| Radiologic exam swallow function contrast study (74230) | $590 | $590 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $633 | $633 | 2.8× |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$385–$463 | $385–$463 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$433–$649 | $433–$649 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $242 | $242 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$511–$678 | $511–$678 | varies |
| Ribs bilateral 3 views (71110) | $637 | $637 | 4.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,081 | $1,081 | 2.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,486 | $2,486 | 4.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,269 | $4,269 | 6.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$2,172–$4,872 | $2,172–$4,872 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$1,441–$2,172 | $1,441–$2,172 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,342 | $6,342 | 3.8× |
| Salivary Gland Imaging (78230) | $600 | $600 | 1.2× |
| Salivary Gland Imaging Serial Images (78231) | $705 | $705 | 1.4× |
| Scapula (73010) range across 2 matching MRF lines |
$498–$521 | $498–$521 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $391 | $391 | 16.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$377–$405 | $377–$405 | varies |
| Shoulder Arthrography (73040) | $1,011 | $1,011 | 2.3× |
| Sialogram (70390) | $776 | $776 | 2.5× |
| Skull less than 4 views (70250) | $426 | $426 | 3.2× |
| Spleen Imaging (78185) | $1,345 | $1,345 | 2.6× |
| Sternoclavicular joints (71130) | $277 | $277 | 2.5× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$1,213–$1,336 | $1,213–$1,336 | varies |
| Thoracic spine 3 views (72072) | $429 | $429 | 3.2× |
| Thoracolumbar 2 views (72080) | $514 | $514 | 4.6× |
| Thyroid Imaging With Vascular Flow (78013) | $641 | $641 | 1.2× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,820–$2,513 | $1,820–$2,513 | varies |
| Thyroid Uptake Measurement (78012) | $736 | $736 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$1,243–$1,416 | $1,243–$1,416 | varies |
| Ultrasound Breast Limited (76642) | $450 | $450 | 4.0× |
| Ultrasound, abdomen limited (76705) | $802 | $802 | 6.0× |
| Unlisted us procedure (76999) | $1,059 | $1,059 | 9.5× |
| Upper gi w/o kub (74240) | $626 | $626 | 2.8× |
| Ureteral Reflux Study (78740) | $1,080 | $1,080 | 2.1× |
| Urethrocystogram voiding (74455) | $1,104 | $1,104 | 3.6× |
| Us breast unilateral complete (76641) | $640 | $640 | 4.8× |
| Us chest (76604) | $456 | $456 | 3.4× |
| Us complete joint (76881) | $623 | $623 | 4.6× |
| Us exam, pelvic, limited (76857) | $286 | $286 | 2.1× |
| Us head (76506) | $489 | $489 | 3.6× |
| Us kidney transplant (76776) | $749 | $749 | 5.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $405 | $405 | 3.0× |
| Us ob detailed single fetus (76811) | $781 | $781 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $357 | $357 | 2.7× |
| Us ob transvaginal (76817) | $509 | $509 | 3.8× |
| Us pelvic non ob complete (76856) | $1,050 | $1,050 | 7.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $756 | $756 | 5.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $398 | $398 | 3.0× |
| Us retroperitoneal complete (76770) | $1,015 | $1,015 | 7.5× |
| Us retroperitoneal limited (76775) | $561 | $561 | 4.2× |
| Us scrotum and contents (76870) | $1,027 | $1,027 | 7.6× |
| Us spinal canal and contents (76800) | $915 | $915 | 6.8× |
| Us thyroid (76536) | $1,072 | $1,072 | 8.0× |
| Us transrectal (76872) | $890 | $890 | 6.6× |
| Vascular Flow Imaging (78445) | $581 | $581 | 1.1× |
| Vein X-Ray Chest (75827) | $2,042 | $2,042 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $9,559 | $9,559 | 2.4× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,845–$2,281 | $1,845–$2,281 | varies |
| Venography extremity unilateral rs&i (75820) | $2,189 | $2,189 | 1.1× |
| Vertebral fracture assessment via dxa (77086) | $443 | $443 | 4.0× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$455–$492 | $455–$492 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $482 | $482 | 4.3× |
| X-ray antegrade pyelogram tube (74425) | $1,326 | $1,326 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $8,176 | $8,176 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $328 | $328 | 2.9× |
| X-Ray Exam Breast Specimen (76098) | $1,821 | $1,821 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$318–$498 | $318–$498 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $277 | $277 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 7 matching MRF lines |
$219–$565 | $219–$565 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$565–$602 | $565–$602 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $1,390 | $1,390 | 10.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $505 | $505 | 4.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $861 | $861 | 6.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $596 | $596 | 4.4× |
| X-ray eye for foreign body (70030) | $277 | $277 | 2.5× |
| X-ray humerus (73060) | $504 | $504 | 4.5× |
| X-ray IV pyelogram (ivp) (74400) | $1,187 | $1,187 | 5.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $339 | $339 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $602 | $602 | 5.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $619 | $619 | 4.6× |
| X-ray nose-rectum child f.b. (76010) | $267 | $267 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $630 | $630 | 4.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $537 | $537 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $451 | $451 | 4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $668 | $668 | 6.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $646 | $646 | 4.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $824 | $824 | 1.8× |
| X-Rays Bone Length Studies (77073) | $754 | $754 | 5.6× |
| X-Rays Bone Survey Complete (77075) | $755 | $755 | 5.6× |
| Xr c-spine 4 or 5 views (72050) | $584 | $584 | 4.3× |
| Xr facial bones less than 3 views (70140) | $467 | $467 | 4.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $245 | $245 | 1.8× |
| Xr orbits complete 4 views (70200) | $624 | $624 | 4.6× |
| Xr Tomogram Single Plane (76100) | $712 | $712 | 5.3× |
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.