Imaging prices at Warner Hospital and Health Services
Clinton, IL · every code in this section with a posted price and a Medicare benchmark.
232 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) range across 2 matching MRF lines |
$367.50–$530.65 | $367.50–$530.65 | varies |
| Abdomen 2 views (74019) | $604.10 | $604.10 | 5.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,026.15–$2,706.60 | $1,026.15–$2,706.60 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$455.20–$682.80 | $455.20–$682.80 | varies |
| Bone age studies (77072) | $291.35 | $291.35 | 2.6× |
| Bone Imaging 3 Phase (78315) | $2,575 | $2,575 | 6.0× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,232.45–$1,635.05 | $1,232.45–$1,635.05 | varies |
| Bone Imaging Multiple Areas (78305) | $1,660.05 | $1,660.05 | 3.9× |
| Bone Imaging Whole Body (78306) | $2,149.50 | $2,149.50 | 5.0× |
| Bone survey infant (77076) | $456.55 | $456.55 | 4.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,354.70 | $2,354.70 | 4.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,776.40 | $1,776.40 | 3.1× |
| Chest 1 view (71045) | $408.20 | $408.20 | 4.4× |
| Chest 2 views (71046) | $449.05 | $449.05 | 4.8× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$411.75–$529.70 | $411.75–$529.70 | varies |
| Chest 4 or more views (71048) | $415.20 | $415.20 | 3.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$383.65–$502.25 | $383.65–$502.25 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $541.70 | $541.70 | 4.8× |
| CT abdomen and pelvis without and with contrast (74178) | $5,712.20 | $5,712.20 | 15.3× |
| CT abdomen and pelvis without contrast (74176) | $4,732.95 | $4,732.95 | 18.5× |
| CT abdomen w contrast (74160) | $3,170.45 | $3,170.45 | 16.9× |
| CT abdomen w wo contrast (74170) | $3,646.95 | $3,646.95 | 19.4× |
| CT abdomen w/o contrast (74150) | $2,677.65 | $2,677.65 | 23.9× |
| CT Angio Abdomen and Pelvis (74174) | $5,312.15 | $5,312.15 | 14.2× |
| CT Angio Chest (71275) | $4,389.35 | $4,389.35 | 23.4× |
| CT Angio Head (70496) | $3,955 | $3,955 | 21.0× |
| CT angio hrt w/3d image (75574) | $4,079.65 | $4,079.65 | 10.9× |
| CT Angio Neck (70498) | $4,011.05 | $4,011.05 | 21.3× |
| CT bone density (77078) | $897.45 | $897.45 | 9.6× |
| CT cervical spine w/ contrast (72126) | $4,886.90 | $4,886.90 | 13.1× |
| CT cervical spine w/o contrast (72125) | $3,101.05 | $3,101.05 | 27.7× |
| CT cervical spine w/wo cont (72127) | $5,375.10 | $5,375.10 | 28.6× |
| CT chest w contrast (71260) | $3,101.05 | $3,101.05 | 16.5× |
| CT chest w/wo contrast (71270) | $3,427.40 | $3,427.40 | 18.2× |
| CT head/brain with contrast (70460) | $2,697.25 | $2,697.25 | 14.4× |
| CT head/brain without and with contrast (70470) | $3,678.45 | $3,678.45 | 19.6× |
| CT iac w contrast (70481) | $3,419.70 | $3,419.70 | 18.2× |
| CT l-spine w&w/o contrast (72133) | $4,080.20 | $4,080.20 | 21.7× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,423.75–$2,800.45 | $2,423.75–$2,800.45 | varies |
| CT lower extremity w/contrast material (73701) | $3,229.55 | $3,229.55 | 17.2× |
| CT lumbar spine w contrast (72132) | $3,753.80 | $3,753.80 | 10.0× |
| CT lumbar spine w/o contrast (72131) | $3,264.10 | $3,264.10 | 29.1× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,199.60–$3,564.25 | $3,199.60–$3,564.25 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,748.90–$2,820.40 | $2,748.90–$2,820.40 | varies |
| CT neck tissue combo (70492) | $3,474.20 | $3,474.20 | 18.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,749.65 | $3,749.65 | 19.9× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,967.10–$2,950.65 | $1,967.10–$2,950.65 | varies |
| CT pelvis w&w/o contrast (72194) | $3,246.60 | $3,246.60 | 17.3× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$2,508.95–$2,546.65 | $2,508.95–$2,546.65 | varies |
| CT scan of leg combo (73702) | $3,713.90 | $3,713.90 | 19.8× |
| CT scans face/jaw combo (70488) | $3,515.65 | $3,515.65 | 18.7× |
| CT soft tissue neck w contrast (70491) | $2,884.60 | $2,884.60 | 15.3× |
| CT soft tissue neck w/o contrast (70490) | $2,861 | $2,861 | 25.5× |
| CT thoracic spine w contrast (72129) | $4,406.30 | $4,406.30 | 23.4× |
| CT thoracic spine w/o contrast (72128) | $2,842.75 | $2,842.75 | 25.4× |
| CT thoracic spine w/wo cont (72130) | $4,847.60 | $4,847.60 | 25.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$541.70–$2,774.55 | $541.70–$2,774.55 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,800.45–$2,824.10 | $2,800.45–$2,824.10 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $3,713.85 | $3,713.85 | 19.8× |
| CT upper extremity with contrast (73201) | $3,229.55 | $3,229.55 | 8.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,312.15 | $5,312.15 | 28.3× |
| Cta Abdomen (74175) | $4,528.30 | $4,528.30 | 24.1× |
| CTA pelvis (72191) | $2,546.65 | $2,546.65 | 13.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$856.35–$897.45 | $856.35–$897.45 | varies |
| Dxa bone density study (77085) | $981.35 | $981.35 | 8.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $662.30 | $662.30 | 7.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$376.25–$470.30 | $376.25–$470.30 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$489.85–$582.35 | $489.85–$582.35 | varies |
| Gastric emptying imaging study (78264) | $3,474.20 | $3,474.20 | 8.1× |
| Gastric Mucosa Imaging (78261) | $1,684.15 | $1,684.15 | 3.9× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,575–$2,907.15 | $2,575–$2,907.15 | varies |
| Gated Heart, Multiple (78473) | $3,372.50 | $3,372.50 | 7.9× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$551.15–$826.65 | $551.15–$826.65 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,958.65–$2,742.10 | $1,958.65–$2,742.10 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,958.65–$2,126.95 | $1,958.65–$2,126.95 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $751.25 | $751.25 | 8.1× |
| Joint Survey Single View (77077) | $642.45 | $642.45 | 5.7× |
| K Flow/Funct Image Multiple (78709) | $5,117.80 | $5,117.80 | 8.8× |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$1,693.20–$2,590.25 | $1,693.20–$2,590.25 | varies |
| K Flow/Funct Image W/O Drug (78707) | $2,437.15 | $2,437.15 | 4.2× |
| Kidney Imaging Morphol (78700) | $1,666.35 | $1,666.35 | 3.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$489.85–$625.80 | $489.85–$625.80 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,632.25 | $1,632.25 | 3.8× |
| Lung Ventilat&Perfus Imaging (78582) | $2,322.85 | $2,322.85 | 4.0× |
| Lung Ventilation Imaging (78579) | $1,819.75 | $1,819.75 | 4.2× |
| Magnetic Image Jaw Joint (70336) | $2,851.70 | $2,851.70 | 11.2× |
| Meckels Divert Exam (78290) | $1,459.40 | $1,459.40 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$4,831.30–$8,687.95 | $4,831.30–$8,687.95 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$4,621.70–$5,102.10 | $4,621.70–$5,102.10 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$4,354.45–$7,577.05 | $4,354.45–$7,577.05 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$3,721.45–$5,612.25 | $3,721.45–$5,612.25 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$4,774.70–$5,844.45 | $4,774.70–$5,844.45 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$3,592.55–$5,102.10 | $3,592.55–$5,102.10 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$3,652.45–$3,827.80 | $3,652.45–$3,827.80 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$3,509.95–$3,678.45 | $3,509.95–$3,678.45 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$4,402–$4,488.25 | $4,402–$4,488.25 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,313.10 | $5,313.10 | 14.2× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$4,467.80–$5,500.50 | $4,467.80–$5,500.50 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $3,827.80 | $3,827.80 | 15.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,576.95 | $3,576.95 | 14.0× |
| MRI cervical spine w contrast (72142) | $4,010.45 | $4,010.45 | 10.7× |
| MRI cervical spine w/o cont (72141) | $3,827.80 | $3,827.80 | 15.0× |
| MRI chest w/o contrast (71550) | $3,576.95 | $3,576.95 | 14.0× |
| MRI chest with contrast (71551) | $3,827.80 | $3,827.80 | 4.6× |
| MRI chest wo w contrast (71552) | $5,102.10 | $5,102.10 | 13.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,827.80–$4,879.85 | $3,827.80–$4,879.85 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$5,313.10–$8,067.70 | $5,313.10–$8,067.70 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$3,723–$4,436.20 | $3,723–$4,436.20 | varies |
| MRI lumbar spine w contrast (72149) | $4,829.30 | $4,829.30 | 12.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,126.45 | $6,126.45 | 16.4× |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$3,576.95–$3,759.65 | $3,576.95–$3,759.65 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$3,652.45–$4,210.55 | $3,652.45–$4,210.55 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$4,964.95–$5,612.25 | $4,964.95–$5,612.25 | varies |
| MRI pelvis w contrast (72196) | $3,827.80 | $3,827.80 | 10.2× |
| MRI pelvis w/o & w contrast (72197) | $5,313.10 | $5,313.10 | 14.2× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,576.95–$3,678.45 | $3,576.95–$3,678.45 | varies |
| MRI thoracic spine w/o contrast (72146) | $4,080.20 | $4,080.20 | 16.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$3,491.95–$6,162.25 | $3,491.95–$6,162.25 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,491.95–$3,576.95 | $3,491.95–$3,576.95 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$4,724.40–$5,102.10 | $4,724.40–$5,102.10 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$4,868.40–$5,246.30 | $4,868.40–$5,246.30 | varies |
| MRI, dorsal spine combo (72157) | $6,249.85 | $6,249.85 | 16.7× |
| MRI, dorsal spine contrast (72147) | $4,243.40 | $4,243.40 | 11.4× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$3,750.10–$4,419.75 | $3,750.10–$4,419.75 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$5,313.10–$6,066.85 | $5,313.10–$6,066.85 | varies |
| MRI, lumbar spine combo (72158) | $5,873.50 | $5,873.50 | 15.7× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$393–$2,995.40 | $393–$2,995.40 | varies |
| Neck soft tissue (70360) | $335.05 | $335.05 | 3.6× |
| Optic foramina (70190) | $415.20 | $415.20 | 4.5× |
| Parathyroid Planar Imaging (78070) | $2,865.25 | $2,865.25 | 6.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,134.55 | $2,134.55 | 5.0× |
| Pelvis 1 or 2 views (72170) | $345.70 | $345.70 | 3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,819.75 | $1,819.75 | 4.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $612.25 | $612.25 | 5.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$489.85–$734.70 | $489.85–$734.70 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$328.30–$538.50 | $328.30–$538.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$367.45–$625.80 | $367.45–$625.80 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $553.50 | $553.50 | 4.9× |
| Radex fingr minimum 2 views (73140) | $326.70 | $326.70 | 3.5× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$498.15–$625.80 | $498.15–$625.80 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$409.20–$613.75 | $409.20–$613.75 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$358.95–$538.35 | $358.95–$538.35 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $498.70 | $498.70 | 4.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $394.15 | $394.15 | 4.2× |
| Radex Ribs Unilateral 2 Views (71100) | $517.75 | $517.75 | 5.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$432.85–$625.80 | $432.85–$625.80 | varies |
| Radex Spine 1 View Specify Level (72020) | $359.15 | $359.15 | 3.9× |
| Radex Sternum Minimum 2 Views (71120) | $353.05 | $353.05 | 3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $502.50 | $502.50 | 5.4× |
| Radex Toe Minimum 2 Views (73660) | $346.30 | $346.30 | 3.7× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$392–$784.05 | $392–$784.05 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$330.45–$906.60 | $330.45–$906.60 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,095.65 | $1,095.65 | 9.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $542.40 | $542.40 | 4.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$1,124.20–$1,686.10 | $1,124.20–$1,686.10 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $599.75 | $599.75 | 5.4× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$466–$706.10 | $466–$706.10 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$370–$739.80 | $370–$739.80 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$392–$625.80 | $392–$625.80 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,077.35 | $3,077.35 | 7.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,480.50 | $3,480.50 | 6.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,373.50–$3,382.85 | $1,373.50–$3,382.85 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,347.10 | $1,347.10 | 1.0× |
| Rp Therapy Intravenous Administration (79101) | $1,696.20 | $1,696.20 | 6.8× |
| Scapula (73010) range across 2 matching MRF lines |
$313.35–$625.80 | $313.35–$625.80 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $151.80 | $151.80 | 6.5× |
| Shoulder 1 view (73020) | $324.75 | $324.75 | 3.5× |
| Skull less than 4 views (70250) | $374.80 | $374.80 | 3.3× |
| Spleen Imaging (78185) | $1,209.85 | $1,209.85 | 2.8× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$335.05–$502.50 | $335.05–$502.50 | varies |
| Testicular Imaging W/Flow (78761) | $1,247.70 | $1,247.70 | 2.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$445.80–$464.30 | $445.80–$464.30 | varies |
| Thoracic spine 3 views (72072) | $503.35 | $503.35 | 4.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,420.85 | $1,420.85 | 3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,788.45 | $1,788.45 | 4.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,040.75–$1,561.10 | $1,040.75–$1,561.10 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,172.10 | $1,172.10 | 10.5× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$983.45–$1,093.10 | $983.45–$1,093.10 | varies |
| Unlisted genitourinary px dx nuclear medicine (78799) | $1,684.15 | $1,684.15 | 3.9× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$114–$717 | $114–$717 | varies |
| Ureteral Reflux Study (78740) | $1,645.40 | $1,645.40 | 3.8× |
| Us breast unilateral complete (76641) | $1,866.40 | $1,866.40 | 16.7× |
| Us chest (76604) | $770 | $770 | 6.9× |
| Us complete joint (76881) range across 2 matching MRF lines |
$705.90–$1,058.90 | $705.90–$1,058.90 | varies |
| Us exam, pelvic, limited (76857) | $611.80 | $611.80 | 5.5× |
| Us head (76506) | $917.35 | $917.35 | 8.2× |
| Us kidney transplant (76776) | $1,264.95 | $1,264.95 | 11.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $592.95 | $592.95 | 5.3× |
| Us ob detailed single fetus (76811) | $1,040.75 | $1,040.75 | 4.1× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$780.80–$946.20 | $780.80–$946.20 | varies |
| Us pelvic non ob complete (76856) | $977.90 | $977.90 | 8.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $946.20 | $946.20 | 8.4× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,118.40–$1,172.10 | $1,118.40–$1,172.10 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$750.15–$1,430.80 | $750.15–$1,430.80 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,154.05–$1,209.45 | $1,154.05–$1,209.45 | varies |
| Us spinal canal and contents (76800) | $751.25 | $751.25 | 6.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$810.40–$849.30 | $810.40–$849.30 | varies |
| Vascular Flow Imaging (78445) | $542.40 | $542.40 | 1.3× |
| Vertebral fracture assessment via dxa (77086) | $344.60 | $344.60 | 3.7× |
| Wrist 2 views (73100) | $550.95 | $550.95 | 5.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$446.80–$670 | $446.80–$670 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $328.45 | $328.45 | 3.5× |
| X-Ray Exam Breast Specimen (76098) | $919.75 | $919.75 | 1.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $172.05 | $172.05 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $311.45 | $311.45 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$466.10–$706.10 | $466.10–$706.10 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $706.10 | $706.10 | 6.3× |
| X-Ray Exam L-S Spine Bending (72114) | $612.25 | $612.25 | 5.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$543.95–$612.25 | $543.95–$612.25 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $619.30 | $619.30 | 5.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $572.65 | $572.65 | 5.1× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$503.45–$527.65 | $503.45–$527.65 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$394.60–$538.50 | $394.60–$538.50 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $350.95 | $350.95 | 3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $441.30 | $441.30 | 4.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$380.95–$571.40 | $380.95–$571.40 | varies |
| X-ray nose-rectum child f.b. (76010) | $775.70 | $775.70 | 8.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $625.80 | $625.80 | 5.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $353.05 | $353.05 | 3.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $282.45 | $282.45 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $375.70 | $375.70 | 4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$271.25–$519.85 | $271.25–$519.85 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $542.40 | $542.40 | 4.8× |
| X-Ray Stress View (77071) | $607.85 | $607.85 | 6.5× |
| X-ray thoracic spine 4 vw (72074) | $542.40 | $542.40 | 4.8× |
| X-Ray Tmj Unilat (70328) | $335.05 | $335.05 | 3.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $603.90 | $603.90 | 1.6× |
| X-Rays Bone Length Studies (77073) | $695.15 | $695.15 | 6.2× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,428.30–$1,465.45 | $1,428.30–$1,465.45 | varies |
| Xr c-spine 4 or 5 views (72050) | $619.30 | $619.30 | 5.5× |
| Xr facial bones less than 3 views (70140) | $459.05 | $459.05 | 4.9× |
| Xr orbits complete 4 views (70200) | $463.20 | $463.20 | 4.1× |
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.