Imaging prices at Washington Hospital
Fremont, CA · every code in this section with a posted price and a Medicare benchmark.
240 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) | $5,292.30 | $8,142 | 2.6× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$281.53–$351.16 | $433.12–$540.24 | varies |
| Abdomen 2 views (74019) | $475.53 | $731.58 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,338.96 | $2,059.94 | 2.3× |
| Angio pulmonary bilat (75743) | $8,345.20 | $12,838.77 | 1.8× |
| Angiography extremity bilateral rs&i (75716) | $8,345.35 | $12,839 | 1.8× |
| Angiography extremity unilateral rs&i (75710) | $5,532.15 | $8,511 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,532.03 | $8,510.81 | 1.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$262.71–$325.31 | $404.17–$500.48 | varies |
| Artery X-Rays Abdomen (75726) | $5,532.15 | $8,511 | 0.7× |
| Artery X-Rays Pelvis (75736) | $5,532.15 | $8,511 | 0.7× |
| Artery X-Rays Spine (75705) | $5,532.03 | $8,510.81 | 0.7× |
| Arthrogram hip (73525) | $1,024.07 | $1,575.49 | 2.0× |
| Basic radiation dosimetry calculation (77300) | $1,168.70 | $1,798 | 5.9× |
| Bone age studies (77072) | $259.04 | $398.52 | 1.7× |
| Bone Imaging 3 Phase (78315) | $1,058.66 | $1,628.71 | 1.8× |
| Bone Imaging Limited Area (78300) | $620.42 | $954.50 | 1.1× |
| Bone Imaging Whole Body (78306) | $897.85 | $1,381.31 | 1.5× |
| Brain Image W/Flow < 4 Views (78601) | $1,064.14 | $1,637.14 | 1.8× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$315.44–$705.94 | $485.29–$1,086.07 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$335.16–$402.11 | $515.64–$618.63 | varies |
| Chest 3 views (71047) | $363.10 | $558.62 | 2.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$246.70–$331.73 | $379.54–$510.35 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,738.46 | $2,674.56 | 11.4× |
| Continuing medical physics consltj pr wk (77336) | $752.70 | $1,158 | 3.8× |
| Contrast Exam Abdominl Aorta (75625) | $5,532.15 | $8,511 | 1.2× |
| Contrast X-Ray Bladder (74430) | $462.78 | $711.97 | 0.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $801.55 | $1,233.15 | 3.1× |
| CT abdomen and pelvis without and with contrast (74178) | $6,255.86 | $9,624.39 | 12.3× |
| CT abdomen and pelvis without contrast (74176) | $4,740.02 | $7,292.34 | 13.6× |
| CT abdomen w contrast (74160) | $2,373.31 | $3,651.25 | 9.2× |
| CT abdomen w wo contrast (74170) | $2,734.14 | $4,206.37 | 10.7× |
| CT abdomen w/o contrast (74150) | $2,056.80 | $3,164.31 | 13.4× |
| CT Angio Abdomen and Pelvis (74174) | $7,691.77 | $11,833.49 | 15.1× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$3,982.75–$4,489.99 | $6,127.31–$6,907.68 | varies |
| CT Angio Head (70496) | $3,572.79 | $5,496.60 | 13.9× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$3,138.07–$3,434.32 | $4,827.80–$5,283.57 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,167.05 | $4,872.38 | 12.3× |
| CT Angio Neck (70498) | $3,461.20 | $5,324.93 | 13.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,525.58 | $5,423.96 | 13.7× |
| CT cervical spine w/ contrast (72126) | $2,176.40 | $3,348.30 | 4.3× |
| CT cervical spine w/o contrast (72125) | $2,437.61 | $3,750.16 | 15.9× |
| CT cervical spine w/wo cont (72127) | $3,338.56 | $5,136.24 | 13.0× |
| CT chest w contrast (71260) | $2,797.05 | $4,303.16 | 10.9× |
| CT chest w/wo contrast (71270) | $3,408.93 | $5,244.50 | 13.3× |
| CT head/brain with contrast (70460) | $2,299.05 | $3,537 | 9.0× |
| CT head/brain without and with contrast (70470) | $2,709.30 | $4,168.15 | 10.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,414.31 | $5,252.78 | 6.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,137.50 | $1,750 | 8.9× |
| CT iac w contrast (70481) | $2,133.10 | $3,281.69 | 8.3× |
| CT l-spine w&w/o contrast (72133) | $3,183.59 | $4,897.83 | 12.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,993.62–$2,415.61 | $3,067.10–$3,716.32 | varies |
| CT lower extremity w/contrast material (73701) | $509.60 | $784 | 2.0× |
| CT lumbar spine w contrast (72132) | $2,919.17 | $4,491.04 | 5.7× |
| CT lumbar spine w/o contrast (72131) | $2,356.67 | $3,625.64 | 15.4× |
| CT maxillofacial w contrast (70487) | $2,338.61 | $3,597.86 | 9.1× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$681.78–$827.86 | $1,048.89–$1,273.63 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,188.51–$2,552.76 | $3,366.94–$3,927.33 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,176.40 | $3,348.30 | 8.5× |
| CT orbits w/o contrast (70480) | $1,774.55 | $2,730.08 | 11.6× |
| CT pelvis w/o contrast (72192) | $2,379.32 | $3,660.49 | 15.6× |
| CT scan of leg combo (73702) | $2,952.26 | $4,541.94 | 11.5× |
| CT scans face/jaw combo (70488) | $2,508.12 | $3,858.65 | 9.8× |
| CT soft tissue neck w contrast (70491) | $2,236.50 | $3,440.77 | 8.7× |
| CT soft tissue neck w/o contrast (70490) | $1,935 | $2,976.92 | 12.7× |
| CT thoracic spine w contrast (72129) | $2,919.65 | $4,491.77 | 11.4× |
| CT thoracic spine w/o contrast (72128) | $2,410.81 | $3,708.93 | 15.8× |
| CT thoracic spine w/wo cont (72130) | $3,866.79 | $5,948.92 | 15.1× |
| CT thorax w/o contrast (71250) | $2,266.37 | $3,486.73 | 14.8× |
| CT upper ext wo (73200) | $1,942.46 | $2,988.39 | 12.7× |
| CT upper extremity w/o & w/contrast material (73202) | $2,926.07 | $4,501.64 | 11.4× |
| CT upper extremity with contrast (73201) | $2,382.78 | $3,665.81 | 4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,824.33 | $7,422.04 | 18.8× |
| Cta Abdomen (74175) | $3,908.62 | $6,013.26 | 15.2× |
| CTA pelvis (72191) | $3,623.52 | $5,574.64 | 14.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $542.10 | $834 | 3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $313.95 | $483 | 2.1× |
| Dxa Bone Density Axial (77080) | $381.80 | $587.38 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $241.25 | $371.16 | 1.9× |
| Echo exam of fetal heart (76825) | $794.95 | $1,223 | 1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $440.70 | $678 | 2.9× |
| Fluoroscopy up to 1 hr (76000) | $1,568.39 | $2,412.90 | 4.5× |
| Follow-Up Angiography (75898) | $5,133.70 | $7,898 | 1.1× |
| Foot 2 views (73620) | $291.02 | $447.72 | 2.3× |
| Forearm 2 views (73090) | $357.66 | $550.25 | 2.8× |
| Gastric emptying imaging study (78264) | $930.94 | $1,432.22 | 1.6× |
| Gated Heart Planar Single (78472) | $1,241.97 | $1,910.73 | 2.1× |
| Hand 2 views (73120) | $288.23 | $443.44 | 1.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,133.70 | $7,898 | 1.1× |
| Hepatobiliary System Imaging (78226) | $993.26 | $1,528.09 | 1.7× |
| Hysterosalpingogram (74740) | $451.41 | $694.48 | 1.3× |
| K Flow/Funct Image W/Drug (78708) | $974.67 | $1,499.49 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,230.33 | $1,892.81 | 1.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$259.29–$354.61 | $398.90–$545.55 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,969.96 | $3,030.71 | 2.5× |
| Mlc imrt design & construction per imrt plan (77338) | $2,011.75 | $3,095 | 3.7× |
| Mra Head W/O & W/Contrast Material (70546) | $3,861.59 | $5,940.90 | 7.6× |
| MRA head with contrast (70545) | $3,580.82 | $5,508.95 | 7.0× |
| MRI abdomen w/o contrast (74181) | $2,740.94 | $4,216.83 | 7.9× |
| MRI any jt lower extrem w/contrast material (73722) | $3,580.82 | $5,508.95 | 3.1× |
| MRI cervical spine w contrast (72142) | $3,580.82 | $5,508.95 | 7.0× |
| MRI cervical spine w/o cont (72141) | $2,734.31 | $4,206.63 | 7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,580.82 | $5,508.95 | 7.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,740.94 | $4,216.83 | 7.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,861.59 | $5,940.90 | 7.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,740.94 | $4,216.83 | 7.9× |
| MRI pelvis w/o & w contrast (72197) | $3,861.59 | $5,940.90 | 7.6× |
| MRI pelvis w/o contrast (72195) | $2,728.48 | $4,197.66 | 7.8× |
| MRI thoracic spine w/o contrast (72146) | $2,740.94 | $4,216.83 | 7.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,666.19 | $4,101.83 | 7.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,861.59 | $5,940.90 | 7.6× |
| MRI, abdomen, combo (74183) | $3,861.59 | $5,940.90 | 7.6× |
| MRI, dorsal spine combo (72157) | $3,861.59 | $5,940.90 | 7.6× |
| MRI, dorsal spine contrast (72147) | $3,580.82 | $5,508.95 | 7.0× |
| MRI, joint upper extrem (73221) | $2,740.94 | $4,216.83 | 7.9× |
| MRI, lumbar spine combo (72158) | $3,855.92 | $5,932.19 | 7.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$4,055.29–$4,475.59 | $6,238.90–$6,885.52 | varies |
| Neck soft tissue (70360) | $279.31 | $429.70 | 2.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,312.30 | $18,942 | 6.1× |
| Nuclear Rx Intra-Arterial (79445) | $3,068 | $4,720 | 9.0× |
| Nuclear Rx Oral Admin (79005) | $549.55 | $845.46 | 1.6× |
| Ob us nuchal meas 1 gest (76813) | $547.30 | $842 | 3.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $313.30 | $482 | 2.0× |
| Parathyroid Planar Imaging (78070) | $387.73 | $596.51 | 0.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$239.17–$360.75 | $367.95–$555.01 | varies |
| PET image w/CT, full body (78816) | $4,972.50 | $7,650 | 2.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,972.50 | $7,650 | 2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,003.63 | $3,082.50 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $435.18 | $669.52 | 2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $770.25 | $1,185 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $353.97 | $544.56 | 2.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $307.33 | $472.82 | 2.4× |
| Radex elbow complete minimum 3 views (73080) | $373.23 | $574.20 | 2.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $488.63 | $751.74 | 3.2× |
| Radex fingr minimum 2 views (73140) | $269.97 | $415.34 | 2.1× |
| Radex foot complete minimum 3 views (73630) | $347.22 | $534.18 | 2.7× |
| Radex Hand Minimum 3 Views (73130) | $358.17 | $551.03 | 2.8× |
| Radex lower extremity infant minimum 2 views (73592) | $341.58 | $525.50 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $350.65 | $539.46 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) | $296.44 | $456.05 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$267.45–$367.08 | $411.45–$564.74 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $305.04 | $469.29 | 2.4× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$273.34–$280.87 | $420.52–$432.10 | varies |
| Radex Sternum Minimum 2 Views (71120) | $410.20 | $631.08 | 3.2× |
| Radex Toe Minimum 2 Views (73660) | $271.63 | $417.90 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $341.58 | $525.50 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $349.73 | $538.05 | 2.7× |
| Radiation treatment delivery level 3 (77412) | $980.20 | $1,508 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $408.83 | $628.98 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $1,089.39 | $1,675.98 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $1,163.42 | $1,789.87 | 4.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $611.69 | $941.05 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$282.65–$372.72 | $434.84–$573.42 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $451.43 | $694.51 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $883.02 | $1,358.50 | 3.4× |
| Radiologic exam swallow function contrast study (74230) | $812.92 | $1,250.64 | 3.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$857.49–$904.78 | $1,319.22–$1,391.98 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$387.19–$394.56 | $595.68–$607.02 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$239.17–$353.90 | $367.95–$544.46 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $355.83 | $547.43 | 2.8× |
| Ribs bilateral 3 views (71110) | $450.42 | $692.95 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,163.18 | $1,789.50 | 1.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$1,264.54–$3,887.65 | $1,945.44–$5,981 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,887.65 | $5,981 | 2.1× |
| Scapula (73010) | $361.87 | $556.72 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $77.86 | $119.79 | 3.3× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$223.65–$327.35 | $344.07–$503.62 | varies |
| Shoulder Arthrography (73040) | $614.93 | $946.04 | 1.2× |
| Skull less than 4 views (70250) | $388.29 | $597.37 | 2.5× |
| Special Physics Consult (77370) | $1,168.81 | $1,798.17 | 5.9× |
| Special teletherapy port plan (77321) | $3,467.10 | $5,334 | 6.3× |
| Special treatment procedure (77470) | $2,113.15 | $3,251 | 2.6× |
| Stereotactic Body Radiation Delivery (77373) | $9,515.35 | $14,639 | 3.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,274 | $1,960 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,148.60 | $4,844 | 5.7× |
| Ther rad simulaj-aided field setting simple (77280) | $1,657.50 | $2,550 | 8.4× |
| Thoracic spine 2 views (72070) | $352.13 | $541.73 | 2.3× |
| Thoracic spine 3 views (72072) | $453.53 | $697.74 | 3.0× |
| Thoracolumbar 2 views (72080) | $372.82 | $573.56 | 2.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $535.02 | $823.11 | 0.9× |
| Tx Devices Design & Construction Complex (77334) | $1,084.85 | $1,669 | 2.0× |
| Tx devices design & construction simple (77332) | $568.75 | $875 | 2.9× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$590.38–$613.71 | $908.28–$944.17 | varies |
| Umbilical-artery Doppler (OB) (76820) | $313.95 | $483 | 2.1× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$839.93–$908.27 | $1,292.20–$1,397.34 | varies |
| Urethrocystogram voiding (74455) | $787.98 | $1,212.28 | 2.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$376.77–$740.83 | $579.65–$1,139.74 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$544.52–$558.23 | $837.72–$858.82 | varies |
| Us complete joint (76881) | $581.34 | $894.37 | 3.8× |
| Us exam, pelvic, limited (76857) | $413.13 | $635.59 | 2.7× |
| Us head (76506) | $838.22 | $1,289.58 | 5.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$498.71–$523.20 | $767.24–$804.92 | varies |
| Us ob detailed single fetus (76811) | $738.62 | $1,136.34 | 2.1× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$498.71–$499.20 | $767.24–$768 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$546.65–$676.55 | $841–$1,040.84 | varies |
| Us pelvic non ob complete (76856) | $639.97 | $984.57 | 4.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$738.01–$920.82 | $1,135.41–$1,416.64 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$499.20–$604.75 | $768–$930.38 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$695.30–$784.73 | $1,069.69–$1,207.27 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$370.76–$614.66 | $570.40–$945.63 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$598.12–$630.17 | $920.19–$969.49 | varies |
| Us spinal canal and contents (76800) | $559.82 | $861.27 | 3.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$507.33–$516.61 | $780.50–$794.79 | varies |
| Vein X-Ray Chest (75827) | $2,221.05 | $3,417 | 1.0× |
| Venogram Sinus/Jugular (75860) | $8,894.87 | $13,684.41 | 1.9× |
| Venography caval inferior serialography rs&i (75825) | $5,133.70 | $7,898 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $2,557.10 | $3,934 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,957.15 | $3,011 | 0.8× |
| Venography Renal Unilateral (75831) | $5,133.70 | $7,898 | 1.1× |
| Wrist 2 views (73100) | $308.80 | $475.08 | 2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $383.65 | $590.23 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $5,532.15 | $8,511 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $438.22 | $674.18 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $344.64 | $530.21 | 2.7× |
| X-Ray Exam Breast Specimen (76098) | $435.24 | $669.60 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $244.51 | $376.17 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $329.24 | $506.53 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$219.08–$314.51 | $337.04–$483.87 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$259.29–$365.53 | $398.90–$562.35 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$394.56–$2,279.45 | $607.02–$3,506.84 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$303.99–$379.52 | $467.68–$583.88 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $454.04 | $698.52 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $577.16 | $887.94 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$340.10–$354.93 | $523.23–$546.04 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $577.47 | $888.41 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $442.38 | $680.59 | 2.9× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$267.46–$385.71 | $411.47–$593.40 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $244.51 | $376.17 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $405.54 | $623.91 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $361.87 | $556.72 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $476.88 | $733.66 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $310.08 | $477.05 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $347.45 | $534.54 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $384.92 | $592.19 | 3.0× |
| X-ray thoracic spine 4 vw (72074) | $536.80 | $825.85 | 3.5× |
| X-Ray Tmj Unilat (70328) | $244.51 | $376.17 | 1.9× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$355.41 | $546.78–$546.79 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $788.42 | $1,212.95 | 5.2× |
| Xr c-spine 4 or 5 views (72050) | $463.48 | $713.04 | 3.0× |
| Xr orbits complete 4 views (70200) | $503.78 | $775.05 | 3.3× |
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.