Imaging prices at West Valley Medical Center
Caldwell, ID · every code in this section with a posted price and a Medicare benchmark.
250 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) | $256.41 | $256.41 | 2.9× |
| Abdomen 2 views (74019) | $485.29 | $485.29 | 4.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,205.04 | $3,205.04 | 7.9× |
| Angio pulmonary bilat (75743) | $9,746.32 | $9,746.32 | 3.1× |
| Angiography extremity bilateral rs&i (75716) | $8,708.58 | $8,708.58 | 2.7× |
| Angiography extremity unilateral rs&i (75710) | $8,708.58 | $8,708.58 | 2.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,024.36 | $9,024.36 | 2.8× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$710.42–$1,423.04 | $710.42–$1,423.04 | varies |
| Aortography thoracic serialography rs&i (75605) | $8,708.58 | $8,708.58 | 1.5× |
| Artery X-Rays Pelvis (75736) | $8,708.58 | $8,708.58 | 1.5× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$692.74–$1,237.16 | $692.74–$1,237.16 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,421.80–$2,664.71 | $1,421.80–$2,664.71 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$1,421.80–$1,535.53 | $1,421.80–$1,535.53 | varies |
| Bone age studies (77072) | $688.21 | $688.21 | 6.5× |
| Bone Imaging 3 Phase (78315) | $3,748.63 | $3,748.63 | 9.3× |
| Bone Imaging Limited Area (78300) | $1,602.71 | $1,602.71 | 4.0× |
| Bone Imaging Whole Body (78306) | $3,568.17 | $3,568.17 | 8.8× |
| Bone survey infant (77076) | $1,405.33 | $1,405.33 | 13.3× |
| Chest 1 view (71045) | $256.41 | $256.41 | 2.9× |
| Chest 2 views (71046) | $256.41 | $256.41 | 2.9× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$237.42–$256.41 | $237.42–$256.41 | varies |
| Chest 4 or more views (71048) | $721.54 | $721.54 | 6.8× |
| Clavicle complete (73000) | $688.21 | $688.21 | 7.8× |
| Contrast Exam Abdominl Aorta (75625) | $8,708.58 | $8,708.58 | 2.7× |
| Contrast X-Ray Bladder (74430) | $1,158.90 | $1,158.90 | 3.3× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$641.43–$1,237.16 | $641.43–$1,237.16 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$1,284.76–$1,615.95 | $1,284.76–$1,615.95 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $8,852.52 | $8,852.52 | 25.1× |
| CT abdomen and pelvis without contrast (74176) | $6,250.61 | $6,250.61 | 25.9× |
| CT abdomen w contrast (74160) | $3,788.32 | $3,788.32 | 21.4× |
| CT abdomen w wo contrast (74170) | $4,427.34 | $4,427.34 | 25.0× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$2,367.66–$3,162.40 | $2,367.66–$3,162.40 | varies |
| CT Angio Abdomen and Pelvis (74174) | $12,782.58 | $12,782.58 | 36.3× |
| CT Angio Chest (71275) | $6,344.42 | $6,344.42 | 35.8× |
| CT Angio Head (70496) | $6,252.82 | $6,252.82 | 35.3× |
| CT angio hrt w/3d image (75574) | $1,650.81 | $1,650.81 | 4.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,515.72 | $3,515.72 | 19.8× |
| CT Angio Neck (70498) | $6,307.33 | $6,307.33 | 35.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,515.72 | $3,515.72 | 19.8× |
| CT cervical spine w/ contrast (72126) | $5,016.23 | $5,016.23 | 14.2× |
| CT cervical spine w/o contrast (72125) | $4,377.21 | $4,377.21 | 41.4× |
| CT cervical spine w/wo cont (72127) | $4,959.66 | $4,959.66 | 28.0× |
| CT chest w contrast (71260) | $5,166.68 | $5,166.68 | 29.2× |
| CT chest w/wo contrast (71270) | $5,753.37 | $5,753.37 | 32.5× |
| CT head/brain with contrast (70460) | $4,734.87 | $4,734.87 | 26.7× |
| CT head/brain without and with contrast (70470) | $5,677.04 | $5,677.04 | 32.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,070.29 | $1,070.29 | 3.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $69 | $69 | 0.8× |
| CT hrt w/3d image congen (75573) | $1,650.81 | $1,650.81 | 4.7× |
| CT iac w contrast (70481) | $3,956.28 | $3,956.28 | 22.3× |
| CT l-spine w&w/o contrast (72133) | $5,157.58 | $5,157.58 | 29.1× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,989.04–$3,454.62 | $1,989.04–$3,454.62 | varies |
| CT lower extremity w/contrast material (73701) | $2,388.14 | $2,388.14 | 13.5× |
| CT lumbar spine w contrast (72132) | $5,016.23 | $5,016.23 | 14.2× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,686.76–$4,857 | $1,686.76–$4,857 | varies |
| CT maxillofacial w contrast (70487) | $4,377.21 | $4,377.21 | 24.7× |
| CT maxillofacial wo contrast (70486) | $2,843.97 | $2,843.97 | 26.9× |
| CT neck tissue combo (70492) | $5,210.08 | $5,210.08 | 29.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,023.87 | $4,023.87 | 22.7× |
| CT orbits w/o contrast (70480) | $4,115.47 | $4,115.47 | 39.0× |
| CT pelvis w&w/o contrast (72194) | $4,427.34 | $4,427.34 | 25.0× |
| CT pelvis w/o contrast (72192) | $3,088.25 | $3,088.25 | 29.2× |
| CT scan of leg combo (73702) | $2,578.78 | $2,578.78 | 14.6× |
| CT scans face/jaw combo (70488) | $3,711.67 | $3,711.67 | 20.9× |
| CT soft tissue neck w contrast (70491) | $4,913.68 | $4,913.68 | 27.7× |
| CT soft tissue neck w/o contrast (70490) | $4,165.64 | $4,165.64 | 39.4× |
| CT thoracic spine w contrast (72129) | $5,016.23 | $5,016.23 | 28.3× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$2,375.83–$3,173.30 | $2,375.83–$3,173.30 | varies |
| CT thoracic spine w/wo cont (72130) | $5,157.58 | $5,157.58 | 29.1× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,375.83–$3,173.30 | $2,375.83–$3,173.30 | varies |
| CT upper ext wo (73200) | $2,257.31 | $2,257.31 | 21.4× |
| CT upper extremity w/o & w/contrast material (73202) | $2,578.78 | $2,578.78 | 14.6× |
| CT upper extremity with contrast (73201) | $2,388.14 | $2,388.14 | 6.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,784.95 | $6,784.95 | 38.3× |
| Cta Abdomen (74175) | $6,555.99 | $6,555.99 | 37.0× |
| CTA pelvis (72191) | $5,765.40 | $5,765.40 | 32.5× |
| Dxa Bone Density Axial (77080) | $824.73 | $824.73 | 7.8× |
| Dxa bone density study (77085) | $430.27 | $430.27 | 4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $190.35 | $190.35 | 2.2× |
| Esophagram (74220) | $1,229.43 | $1,229.43 | 6.9× |
| Fetal Biophys Profile W/Nst (76818) | $1,254.47 | $1,254.47 | 11.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $996.66 | $996.66 | 9.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,279.01–$1,431.93 | $1,279.01–$1,431.93 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$688.21–$1,284.78 | $688.21–$1,284.78 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$688.21–$1,336.14 | $688.21–$1,336.14 | varies |
| Gastric emptying imaging study (78264) | $2,722.36 | $2,722.36 | 6.7× |
| Gated Heart Planar Single (78472) | $3,211.80 | $3,211.80 | 8.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$688.21–$1,376.46 | $688.21–$1,376.46 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,405.78 | $3,405.78 | 6.2× |
| Hepatobiliary System Imaging (78226) | $2,483.29 | $2,483.29 | 6.1× |
| Ht Muscle Image Spect Sing (78451) | $4,163.61 | $4,163.61 | 3.2× |
| Hysterosalpingogram (74740) | $1,411.96 | $1,411.96 | 5.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $740.97 | $740.97 | 8.4× |
| K Flow/Funct Image W/Drug (78708) | $3,342.61 | $3,342.61 | 6.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$751.33–$1,729.44 | $751.33–$1,729.44 | varies |
| Lung perfusion differential (78597) | $4,422.99 | $4,422.99 | 11.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,541.57 | $2,541.57 | 4.6× |
| Lymph System Imaging (78195) | $1,930.69 | $1,930.69 | 3.5× |
| Mammary ductogram or galactogram multiple (77054) | $1,908.40 | $1,908.40 | 7.9× |
| Mammary ductogram or galactogram single (77053) | $996.62 | $996.62 | 4.1× |
| Meckels Divert Exam (78290) | $2,555.45 | $2,555.45 | 6.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $67.35 | $67.35 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $3,267.68 | $3,267.68 | 9.3× |
| MRA head w/o contrast (70544) | $2,286.61 | $2,286.61 | 9.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,960.74 | $3,960.74 | 11.2× |
| MRA neck w/o contrast (70547) | $3,170.08 | $3,170.08 | 13.1× |
| MRI abdomen w/o contrast (74181) | $2,286.61 | $2,286.61 | 9.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,662.46–$3,253.05 | $2,662.46–$3,253.05 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,159.79 | $3,159.79 | 9.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,808.87 | $2,808.87 | 3.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $897.74 | $897.74 | 3.7× |
| MRI cervical spine w contrast (72142) | $3,541.03 | $3,541.03 | 10.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$725.16–$2,965.07 | $725.16–$2,965.07 | varies |
| MRI chest w/o contrast (71550) | $2,340.98 | $2,340.98 | 9.7× |
| MRI chest wo w contrast (71552) | $1,457.48 | $1,457.48 | 4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,541.03 | $3,541.03 | 10.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,118.24 | $2,118.24 | 8.8× |
| MRI lumbar spine w contrast (72149) | $2,672.21 | $2,672.21 | 7.6× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,366.90–$3,541.03 | $1,366.90–$3,541.03 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,966.97 | $1,966.97 | 8.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,638.62 | $3,638.62 | 10.3× |
| MRI pelvis w/o & w contrast (72197) | $3,289.66 | $3,289.66 | 9.3× |
| MRI pelvis w/o contrast (72195) | $2,354.97 | $2,354.97 | 9.8× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$725.16–$2,286.61 | $725.16–$2,286.61 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,130.47 | $2,130.47 | 8.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,260.91 | $4,260.91 | 12.1× |
| MRI, abdomen, combo (74183) | $3,541.03 | $3,541.03 | 10.0× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,368.19–$3,185.16 | $1,368.19–$3,185.16 | varies |
| MRI, dorsal spine contrast (72147) | $2,903.20 | $2,903.20 | 8.2× |
| MRI, joint upper extrem (73221) | $2,286.61 | $2,286.61 | 9.5× |
| MRI, joint upper extrem combo (73223) | $3,233.51 | $3,233.51 | 9.2× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,368.19–$3,057.81 | $1,368.19–$3,057.81 | varies |
| Myocardial Spect Multiple Studies (78452) | $4,777.10 | $4,777.10 | 3.7× |
| Neck soft tissue (70360) | $688.21 | $688.21 | 7.8× |
| Nonvascular Shunt X-Ray (75809) | $639.53 | $639.53 | 6.1× |
| Ob us nuchal meas 1 gest (76813) | $482.10 | $482.10 | 4.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,143.30 | $4,143.30 | 7.6× |
| Parathyroid Planar Imaging (78070) | $3,011.06 | $3,011.06 | 7.5× |
| Pelvis 1 or 2 views (72170) | $690.44 | $690.44 | 6.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,411.96 | $1,411.96 | 2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$641.24–$1,474.12 | $641.24–$1,474.12 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$688.21–$1,253.92 | $688.21–$1,253.92 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$714.63–$1,523.20 | $714.63–$1,523.20 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,138.83 | $1,138.83 | 10.8× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$586.12–$630.49 | $586.12–$630.49 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$677.94–$1,443.05 | $677.94–$1,443.05 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$714.63–$1,645.05 | $714.63–$1,645.05 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$655.73–$1,161.04 | $655.73–$1,161.04 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $708.18 | $708.18 | 8.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$714.63–$1,571.82 | $714.63–$1,571.82 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$549.91–$608.47 | $549.91–$608.47 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$512–$552.98 | $512–$552.98 | varies |
| Radex Sternum Minimum 2 Views (71120) | $1,116.69 | $1,116.69 | 12.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $904.46 | $904.46 | 10.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$619.39–$1,052.46 | $619.39–$1,052.46 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $703.76 | $703.76 | 6.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$608.41–$1,398.63 | $608.41–$1,398.63 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $890.22 | $890.22 | 8.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,116.69 | $1,116.69 | 10.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $490.24 | $490.24 | 4.6× |
| Radiologic exam colon double contrast study (74280) | $1,860.35 | $1,860.35 | 10.5× |
| Radiologic exam colon single contrast study (74270) | $1,680.60 | $1,680.60 | 9.5× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$985.73–$1,969.19 | $985.73–$1,969.19 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $931.20 | $931.20 | 8.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,567.36 | $1,567.36 | 8.8× |
| Radiologic exam swallow function contrast study (74230) | $1,147.78 | $1,147.78 | 6.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,350.38 | $1,350.38 | 7.6× |
| Radiologic examination femur 1 view (73551) | $281.97 | $281.97 | 3.2× |
| Radiologic examination femur minimum 2 views (73552) | $281.97 | $281.97 | 3.2× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$581.69–$677.94 | $581.69–$677.94 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,438.93 | $1,438.93 | 13.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$821.45–$1,642.84 | $821.45–$1,642.84 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$792.55–$1,057.50 | $792.55–$1,057.50 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,286.85 | $5,286.85 | 9.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,889.27 | $2,889.27 | 5.3× |
| Scapula (73010) | $688.21 | $688.21 | 6.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $591.51 | $591.51 | 25.3× |
| Shoulder 1 view (73020) | $785.89 | $785.89 | 8.9× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$1,572.56–$1,685.02 | $1,572.56–$1,685.02 | varies |
| Sialogram (70390) | $1,313.72 | $1,313.72 | 5.4× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$372.24–$934.68 | $372.24–$934.68 | varies |
| Sternoclavicular joints (71130) | $871.58 | $871.58 | 9.9× |
| Thoracic spine 2 views (72070) | $821.45 | $821.45 | 7.8× |
| Thoracic spine 3 views (72072) | $1,005.67 | $1,005.67 | 9.5× |
| Thoracolumbar 2 views (72080) | $821.45 | $821.45 | 9.3× |
| Thyroid Uptake Measurement (78012) | $1,330.73 | $1,330.73 | 3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,483.29 | $2,483.29 | 6.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$441.90–$883.81 | $441.90–$883.81 | varies |
| Ultrasound Exam Aaa Screen (76706) | $935.37 | $935.37 | 8.9× |
| Ultrasound, abdomen limited (76705) | $1,215.31 | $1,215.31 | 11.5× |
| Upper gi w/o kub (74240) | $1,489.67 | $1,489.67 | 8.4× |
| Urethrocystogram voiding (74455) | $1,076.75 | $1,076.75 | 4.5× |
| Urethrocystography retrograde (74450) | $1,158.90 | $1,158.90 | 4.8× |
| Us breast unilateral complete (76641) | $441.90 | $441.90 | 4.2× |
| Us chest (76604) | $782.13 | $782.13 | 7.4× |
| Us complete joint (76881) | $816.83 | $816.83 | 7.7× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$173.07–$866.64 | $173.07–$866.64 | varies |
| Us head (76506) | $1,172.15 | $1,172.15 | 11.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $537.33 | $537.33 | 5.1× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$828.27–$927.31 | $828.27–$927.31 | varies |
| Us ob transvaginal (76817) | $688.94 | $688.94 | 6.5× |
| Us pelvic non ob complete (76856) | $1,215.31 | $1,215.31 | 11.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $828.27 | $828.27 | 7.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$489.60–$847.15 | $489.60–$847.15 | varies |
| Us retroperitoneal complete (76770) | $1,327.56 | $1,327.56 | 12.6× |
| Us retroperitoneal limited (76775) | $972.82 | $972.82 | 9.2× |
| Us scrotum and contents (76870) | $1,039.20 | $1,039.20 | 9.8× |
| Us spinal canal and contents (76800) | $818.97 | $818.97 | 7.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$557.65–$816.83 | $557.65–$816.83 | varies |
| Vein X-Ray Chest (75827) | $3,620.93 | $3,620.93 | 2.3× |
| Venography caval inferior serialography rs&i (75825) | $8,708.58 | $8,708.58 | 2.7× |
| Venography extremity bilateral rs&i (75822) | $2,837.64 | $2,837.64 | 1.8× |
| Venography extremity unilateral rs&i (75820) | $3,925.08 | $3,925.08 | 2.5× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$688.21–$1,225.48 | $688.21–$1,225.48 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $888.03 | $888.03 | 10.1× |
| X-ray antegrade pyelogram tube (74425) | $923.12 | $923.12 | 2.6× |
| X-Ray Aorta Leg Arteries (75630) | $8,708.58 | $8,708.58 | 2.7× |
| X-Ray Bend Only L-S Spine (72120) | $1,025.70 | $1,025.70 | 9.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$832.53–$1,527.41 | $832.53–$1,527.41 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,789.30 | $1,789.30 | 3.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $281.97 | $281.97 | 3.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $466.93 | $466.93 | 4.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $890.22 | $890.22 | 8.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $281.97 | $281.97 | 3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $281.97 | $281.97 | 3.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $432.33 | $432.33 | 4.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $466.93 | $466.93 | 4.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $466.93 | $466.93 | 4.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $890.22 | $890.22 | 8.4× |
| X-Ray Exam L-S Spine Bending (72114) | $1,411.96 | $1,411.96 | 13.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $821.45 | $821.45 | 9.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,411.96 | $1,411.96 | 13.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $861.39 | $861.39 | 8.2× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$456.35–$692.65 | $456.35–$692.65 | varies |
| X-ray humerus (73060) | $717.09 | $717.09 | 8.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $710.42 | $710.42 | 8.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $577.21 | $577.21 | 6.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $821.45 | $821.45 | 7.8× |
| X-ray nose-rectum child f.b. (76010) | $597.21 | $597.21 | 6.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,081.19 | $1,081.19 | 10.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,038.99 | $1,038.99 | 9.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $852.52 | $852.52 | 9.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,030.13 | $1,030.13 | 11.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,307.61 | $1,307.61 | 12.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,749.41 | $1,749.41 | 5.0× |
| X-Rays Bone Length Studies (77073) | $814.77 | $814.77 | 7.7× |
| X-Rays Bone Survey Complete (77075) | $2,040.23 | $2,040.23 | 19.3× |
| Xr c-spine 4 or 5 views (72050) | $1,229.93 | $1,229.93 | 11.6× |
| Xr facial bones less than 3 views (70140) | $828.08 | $828.08 | 9.4× |
| Xr orbits complete 4 views (70200) | $734.69 | $734.69 | 7.0× |
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.