Imaging prices at William Newton Memorial Hospital
Winfield, KS · every code in this section with a posted price and a Medicare benchmark.
270 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) | $3,962 | $3,962 | 3.1× |
| Abdomen 1 View (74018) | $194.40 | $194.40 | 2.4× |
| Abdomen 2 views (74019) | $227.20 | $227.20 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,160.60 | $1,160.60 | 3.2× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$606.40–$6,063.80 | $606.40–$6,063.80 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$606.40–$6,063.80 | $606.40–$6,063.80 | varies |
| Ankle 2 views (73600) | $183.10 | $183.10 | 2.3× |
| Aortography thoracic serialography rs&i (75605) | $3,958.50 | $3,958.50 | 0.8× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$347.30–$4,156.40 | $347.30–$4,156.40 | varies |
| Arthrogram ankle (73615) | $688.30 | $688.30 | 2.1× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$178.50–$700.70 | $178.50–$700.70 | varies |
| Arthrogram Wrist (73115) | $681.50 | $681.50 | 2.1× |
| Basic radiation dosimetry calculation (77300) | $679.30 | $679.30 | 5.5× |
| Bone age studies (77072) | $225.10 | $225.10 | 2.3× |
| Bone Imaging 3 Phase (78315) | $946 | $946 | 2.6× |
| Bone Imaging Limited Area (78300) | $609.10 | $609.10 | 1.7× |
| Bone Imaging Whole Body (78306) | $802.30 | $802.30 | 2.2× |
| Bone survey infant (77076) | $321 | $321 | 3.3× |
| Brachytx isodose complex (77318) | $1,855.60 | $1,855.60 | 5.4× |
| Brachytx isodose intermed (77317) | $1,743.70 | $1,743.70 | 5.1× |
| Brachytx Isodose Plan Simple (77316) | $1,109.80 | $1,109.80 | 3.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $559.40 | $559.40 | 1.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $671.30 | $671.30 | 1.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$180.80–$188.80 | $180.80–$188.80 | varies |
| Chest 2 views (71046) | $223.80 | $223.80 | 2.8× |
| Chest 3 views (71047) | $243 | $243 | 3.0× |
| Chest 4 or more views (71048) | $446.50 | $446.50 | 4.6× |
| Clavicle complete (73000) | $184.30 | $184.30 | 2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $939.80 | $939.80 | 9.8× |
| Continuing medical physics consltj pr wk (77336) | $801.30 | $801.30 | 6.5× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$210–$3,958.50 | $210–$3,958.50 | varies |
| Contrast X-Ray Bladder (74430) | $507.50 | $507.50 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $700.70 | $700.70 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,446.60 | $2,446.60 | 7.6× |
| CT abdomen and pelvis without contrast (74176) | $2,302 | $2,302 | 10.5× |
| CT abdomen w contrast (74160) | $1,169.70 | $1,169.70 | 7.3× |
| CT abdomen w wo contrast (74170) | $1,239.70 | $1,239.70 | 7.7× |
| CT abdomen w/o contrast (74150) | $1,148.20 | $1,148.20 | 11.9× |
| CT Angio Abdomen and Pelvis (74174) | $1,373.10 | $1,373.10 | 4.3× |
| CT Angio Chest (71275) | $1,373.10 | $1,373.10 | 8.5× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$33.80–$1,364.10 | $33.80–$1,364.10 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,158.40 | $1,158.40 | 7.2× |
| CT Angio Neck (70498) | $1,364.10 | $1,364.10 | 8.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,109.80 | $1,109.80 | 6.9× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,241.90–$1,621.70 | $1,241.90–$1,621.70 | varies |
| CT cervical spine w/o contrast (72125) | $1,548.20 | $1,548.20 | 16.1× |
| CT cervical spine w/wo cont (72127) | $1,621.70 | $1,621.70 | 10.1× |
| CT chest w contrast (71260) | $1,179.80 | $1,179.80 | 7.3× |
| CT chest w/wo contrast (71270) | $1,232.90 | $1,232.90 | 7.6× |
| CT head/brain with contrast (70460) | $1,204.70 | $1,204.70 | 7.5× |
| CT head/brain without and with contrast (70470) | $1,239.70 | $1,239.70 | 7.7× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,174.20–$1,176.40 | $1,174.20–$1,176.40 | varies |
| CT l-spine w&w/o contrast (72133) | $1,487.20 | $1,487.20 | 9.2× |
| CT lower ext w/o (73700) | $1,095.10 | $1,095.10 | 11.4× |
| CT lower extremity w/contrast material (73701) | $1,225 | $1,225 | 7.6× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,447.60–$1,534.70 | $1,447.60–$1,534.70 | varies |
| CT lumbar spine w/o contrast (72131) | $1,408.10 | $1,408.10 | 14.6× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,091.70–$1,501.90 | $1,091.70–$1,501.90 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,038.60–$1,447.60 | $1,038.60–$1,447.60 | varies |
| CT neck tissue combo (70492) | $1,217.20 | $1,217.20 | 7.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,169.70–$1,210.30 | $1,169.70–$1,210.30 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,134.60–$1,159.40 | $1,134.60–$1,159.40 | varies |
| CT pelvis w&w/o contrast (72194) | $1,210.30 | $1,210.30 | 7.5× |
| CT pelvis w/o contrast (72192) | $1,158.40 | $1,158.40 | 12.0× |
| CT scan of leg combo (73702) | $1,183.30 | $1,183.30 | 7.3× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,169.70–$1,583.30 | $1,169.70–$1,583.30 | varies |
| CT soft tissue neck w contrast (70491) | $1,149.30 | $1,149.30 | 7.1× |
| CT soft tissue neck w/o contrast (70490) | $1,121 | $1,121 | 11.7× |
| CT thoracic spine w contrast (72129) | $1,447.60 | $1,447.60 | 9.0× |
| CT thoracic spine w/o contrast (72128) | $1,457.80 | $1,457.80 | 15.2× |
| CT thorax w/o contrast (71250) | $1,149.30 | $1,149.30 | 12.0× |
| CT upper ext wo (73200) | $826.10 | $826.10 | 8.6× |
| CT upper extremity w/o & w/contrast material (73202) | $962.90 | $962.90 | 6.0× |
| CT upper extremity with contrast (73201) | $1,074.70 | $1,074.70 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,175.40 | $2,175.40 | 13.5× |
| Cta Abdomen (74175) | $1,373.10 | $1,373.10 | 8.5× |
| CTA pelvis (72191) | $1,373.10 | $1,373.10 | 8.5× |
| Dxa Bone Density Axial (77080) | $431.70 | $431.70 | 4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $431.70 | $431.70 | 5.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $457.70 | $457.70 | 4.8× |
| Fluoroscopy up to 1 hr (76000) | $340.20 | $340.20 | 1.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$180.80–$361.60 | $180.80–$361.60 | varies |
| Forearm 2 views (73090) | $187.60 | $187.60 | 2.3× |
| Gastric emptying imaging study (78264) | $745.80 | $745.80 | 2.0× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$196.90–$1,461.20 | $196.90–$1,461.20 | varies |
| Hand 2 views (73120) | $178.60 | $178.60 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) | $780.90 | $780.90 | 1.6× |
| Hepatobiliary System Imaging (78226) | $780.90 | $780.90 | 2.1× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$167.60–$1,413.70 | $167.60–$1,413.70 | varies |
| Interstitial radiation source applic complex (77778) | $3,612.80 | $3,612.80 | 5.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,366.40 | $2,366.40 | 3.7× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,690.60 | $1,690.60 | 3.3× |
| Intracavitary radiation source applic simple (77761) | $1,175.30 | $1,175.30 | 2.3× |
| Joint Survey Single View (77077) | $245.30 | $245.30 | 2.6× |
| K Flow/Funct Image Multiple (78709) | $1,370.80 | $1,370.80 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $850.90 | $850.90 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $850.90 | $850.90 | 1.7× |
| Knee 3 Views (73562) | $210.20 | $210.20 | 2.6× |
| Liver & Spleen Imaging Static Only (78215) | $508.50 | $508.50 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $2,305.40 | $2,305.40 | 10.5× |
| Meckels Divert Exam (78290) | $569.50 | $569.50 | 1.5× |
| Mlc imrt design & construction per imrt plan (77338) | $1,923.40 | $1,923.40 | 5.6× |
| Mra Head W/O & W/Contrast Material (70546) | $3,347.30 | $3,347.30 | 10.4× |
| MRA head w/o contrast (70544) | $3,104.30 | $3,104.30 | 14.1× |
| MRA head with contrast (70545) | $3,315.60 | $3,315.60 | 10.3× |
| MRA neck w contrast (70548) | $2,629.70 | $2,629.70 | 8.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,862.50 | $2,862.50 | 8.9× |
| MRA neck w/o contrast (70547) | $2,279.30 | $2,279.30 | 10.4× |
| MRI abdomen w contrast (74182) | $2,725.70 | $2,725.70 | 8.5× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,583.30–$2,781.10 | $2,583.30–$2,781.10 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,944.90–$2,315.60 | $1,944.90–$2,315.60 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,503.10 | $2,503.10 | 7.8× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,944.90–$2,315.60 | $1,944.90–$2,315.60 | varies |
| MRI cervical spine w contrast (72142) | $3,045.50 | $3,045.50 | 9.5× |
| MRI cervical spine w/o cont (72141) | $2,583.30 | $2,583.30 | 11.8× |
| MRI chest w/o contrast (71550) | $2,583.30 | $2,583.30 | 11.8× |
| MRI chest with contrast (71551) | $2,725.70 | $2,725.70 | 3.8× |
| MRI chest wo w contrast (71552) | $2,940.40 | $2,940.40 | 9.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,315.60 | $2,315.60 | 7.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,503.10 | $2,503.10 | 7.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,944.90 | $1,944.90 | 8.9× |
| MRI lumbar spine w contrast (72149) | $3,045.50 | $3,045.50 | 9.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,209.40 | $3,209.40 | 10.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,583.30 | $2,583.30 | 11.8× |
| MRI orbit face neck w contrast (70542) | $2,846.70 | $2,846.70 | 8.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,045.50 | $3,045.50 | 9.5× |
| MRI pelvis w contrast (72196) | $2,555.10 | $2,555.10 | 8.0× |
| MRI pelvis w/o & w contrast (72197) | $2,686.20 | $2,686.20 | 8.4× |
| MRI pelvis w/o contrast (72195) | $2,337 | $2,337 | 10.7× |
| MRI thoracic spine w/o contrast (72146) | $2,583.30 | $2,583.30 | 11.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,315.60 | $2,315.60 | 7.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,944.90 | $1,944.90 | 8.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,503.10 | $2,503.10 | 7.8× |
| MRI, abdomen, combo (74183) | $2,781.10 | $2,781.10 | 8.7× |
| MRI, dorsal spine combo (72157) | $3,140.50 | $3,140.50 | 9.8× |
| MRI, dorsal spine contrast (72147) | $3,209.40 | $3,209.40 | 10.0× |
| MRI, joint upper extrem (73221) | $1,944.90 | $1,944.90 | 8.9× |
| MRI, joint upper extrem combo (73223) | $2,503.10 | $2,503.10 | 7.8× |
| MRI, lumbar spine combo (72158) | $3,140.50 | $3,140.50 | 9.8× |
| Myelogram cervical (72240) | $3,663.70 | $3,663.70 | 5.1× |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$551.30–$3,675 | $551.30–$3,675 | varies |
| Myelography thoracic (72255) | $3,663.70 | $3,663.70 | 5.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$196.90–$4,294.30 | $196.90–$4,294.30 | varies |
| Neck soft tissue (70360) | $187.60 | $187.60 | 2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,494.70 | $8,494.70 | 6.7× |
| Nuclear Rx Oral Admin (79005) | $1,856.70 | $1,856.70 | 8.7× |
| Parathyroid Planar Imaging (78070) | $1,349.30 | $1,349.30 | 3.7× |
| Pelvis 1 or 2 views (72170) | $187.60 | $187.60 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $561.70 | $561.70 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $298.30 | $298.30 | 3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $647.50 | $647.50 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $189.80 | $189.80 | 2.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $187.60 | $187.60 | 2.3× |
| Radex elbow complete minimum 3 views (73080) | $189.80 | $189.80 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $256.50 | $256.50 | 2.7× |
| Radex fingr minimum 2 views (73140) | $160.40 | $160.40 | 2.0× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$187.60–$375.20 | $187.60–$375.20 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$174–$187.60 | $174–$187.60 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $223.80 | $223.80 | 2.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $289.30 | $289.30 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $187.60 | $187.60 | 2.3× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $290.40 | $290.40 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $235.10 | $235.10 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) | $187.60 | $187.60 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $142.40 | $142.40 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $194.40 | $194.40 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $245.30 | $245.30 | 3.1× |
| Radex Toe Minimum 2 Views (73660) | $184.30 | $184.30 | 2.3× |
| Radex upper extremity infant minimum 2 views (73092) | $223.80 | $223.80 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $267.90 | $267.90 | 3.3× |
| Radiation treatment delivery level 1 (77402) | $575.20 | $575.20 | 6.1× |
| Radiation treatment delivery level 2 (77407) | $615.90 | $615.90 | 1.7× |
| Radiation treatment delivery level 3 (77412) | $985.40 | $985.40 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $227.20 | $227.20 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) | $223.80 | $223.80 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $480.30 | $480.30 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $568.50 | $568.50 | 3.5× |
| Radiologic examination femur 1 view (73551) | $162.80 | $162.80 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $187.60 | $187.60 | 2.3× |
| Radiologic examination knee 1/2 views (73560) | $187.60 | $187.60 | 2.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $356.10 | $356.10 | 3.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $189.80 | $189.80 | 2.4× |
| Ribs bilateral 3 views (71110) | $437.30 | $437.30 | 4.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,679.30 | $1,679.30 | 4.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,301.80 | $1,301.80 | 2.6× |
| Scapula (73010) | $187.60 | $187.60 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $72.40 | $72.40 | 3.1× |
| Sella turcica (70240) | $193.30 | $193.30 | 2.4× |
| Shoulder 1 view (73020) | $160.40 | $160.40 | 2.0× |
| Shoulder Arthrography (73040) | $700.70 | $700.70 | 2.2× |
| Skull less than 4 views (70250) | $223.80 | $223.80 | 2.3× |
| Special dosimetry (77331) | $436.20 | $436.20 | 3.5× |
| Special Physics Consult (77370) | $1,330.10 | $1,330.10 | 10.8× |
| Special teletherapy port plan (77321) | $1,218.20 | $1,218.20 | 3.5× |
| Special treatment procedure (77470) | $1,278.20 | $1,278.20 | 2.5× |
| Sternoclavicular joints (71130) | $204.50 | $204.50 | 2.6× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $554.90 | $554.90 | 5.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,792.30 | $1,792.30 | 5.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $829.50 | $829.50 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,129.10 | $2,129.10 | 6.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,301.80 | $1,301.80 | 3.8× |
| Ther rad simulaj-aided field setting simple (77280) | $1,097.40 | $1,097.40 | 8.9× |
| Thoracic spine 2 views (72070) | $259.90 | $259.90 | 2.7× |
| Thoracic spine 3 views (72072) | $283.70 | $283.70 | 3.0× |
| Thyroid Imaging With Vascular Flow (78013) | $491.60 | $491.60 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $609.10 | $609.10 | 1.7× |
| Tx Devices Design & Construction Complex (77334) | $1,923.40 | $1,923.40 | 5.6× |
| Tx devices design & construction intermediate (77333) | $1,330.10 | $1,330.10 | 10.8× |
| Tx devices design & construction simple (77332) | $877 | $877 | 7.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$273.50–$545.90 | $273.50–$545.90 | varies |
| Ultrasound Exam Aaa Screen (76706) | $457.70 | $457.70 | 4.8× |
| Ultrasound, abdomen limited (76705) | $403.50 | $403.50 | 4.2× |
| Unlisted us procedure (76999) | $480.30 | $480.30 | 6.0× |
| Urethrocystogram voiding (74455) | $500.60 | $500.60 | 2.3× |
| Us chest (76604) | $672.40 | $672.40 | 7.0× |
| Us complete joint (76881) | $308.50 | $308.50 | 3.2× |
| Us exam, pelvic, limited (76857) | $273.50 | $273.50 | 2.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $308.50 | $308.50 | 3.2× |
| Us ob limited 1 or more fetuses (76815) | $398.90 | $398.90 | 4.1× |
| Us ob transvaginal (76817) | $540.20 | $540.20 | 5.6× |
| Us pelvic non ob complete (76856) | $540.20 | $540.20 | 5.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $544.70 | $544.70 | 5.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $646.40 | $646.40 | 6.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$457.70–$586.50 | $457.70–$586.50 | varies |
| Us retroperitoneal limited (76775) | $454.30 | $454.30 | 4.7× |
| Us scrotum and contents (76870) | $365.10 | $365.10 | 3.8× |
| Us thyroid (76536) | $363.90 | $363.90 | 3.8× |
| Us transrectal (76872) | $398.90 | $398.90 | 4.1× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$71.70–$909.60 | $71.70–$909.60 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$393.80–$4,058.30 | $393.80–$4,058.30 | varies |
| Wrist 2 views (73100) | $174 | $174 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $227.20 | $227.20 | 2.8× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$275.60–$4,156.40 | $275.60–$4,156.40 | varies |
| X-Ray Bend Only L-S Spine (72120) | $259.90 | $259.90 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $141.30 | $141.30 | 1.8× |
| X-Ray Exam Breast Specimen (76098) | $172.90 | $172.90 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $296.10 | $296.10 | 3.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $331.20 | $331.20 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $249.80 | $249.80 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $281.40 | $281.40 | 3.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $299.50 | $299.50 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $498.40 | $498.40 | 5.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $524.40 | $524.40 | 5.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $549.30 | $549.30 | 5.7× |
| X-Ray Exam L-S Spine Bending (72114) | $314.20 | $314.20 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $252 | $252 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$284.80–$298.30 | $284.80–$298.30 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $324.40 | $324.40 | 3.4× |
| X-ray eye for foreign body (70030) | $194.40 | $194.40 | 2.4× |
| X-ray humerus (73060) | $187.60 | $187.60 | 2.3× |
| X-ray IV pyelogram (ivp) (74400) | $700.70 | $700.70 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $160.40 | $160.40 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $187.60 | $187.60 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $259.90 | $259.90 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $194.40 | $194.40 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $460 | $460 | 4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $235.10 | $235.10 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $235.10 | $235.10 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $210.20 | $210.20 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $269 | $269 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $284.80 | $284.80 | 3.0× |
| X-Ray Stress View (77071) | $183.10 | $183.10 | 2.3× |
| X-ray thoracic spine 4 vw (72074) | $312 | $312 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $647.50 | $647.50 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $736.40 | $736.40 | 7.7× |
| Xr c-spine 4 or 5 views (72050) | $257.70 | $257.70 | 2.7× |
| Xr facial bones less than 3 views (70140) | $165 | $165 | 2.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $289.30 | $289.30 | 3.0× |
| Xr orbits complete 4 views (70200) | $157.10 | $157.10 | 1.6× |
| Xr Tomogram Single Plane (76100) | $604.60 | $604.60 | 6.3× |
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.