Imaging prices at Wood County Hospital
Bowling Green, OH · every code in this section with a posted price and a Medicare benchmark.
301 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) | $3,907.25 | $3,907.25 | 3.0× |
| Abdomen 1 View (74018) | $347 | $347 | 4.2× |
| Abdomen 2 views (74019) | $516 | $516 | 5.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $889.50 | $889.50 | 2.4× |
| Angiography extremity bilateral rs&i (75716) | $4,924.75 | $4,924.75 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $4,924.75 | $4,924.75 | 1.6× |
| Ankle 2 views (73600) | $244.75 | $244.75 | 3.0× |
| Artery X-Rays Abdomen (75726) | $6,703.50 | $6,703.50 | 1.3× |
| Artery X-Rays Pelvis (75736) | $4,924.75 | $4,924.75 | 0.9× |
| Arthrogram ankle (73615) | $471.50 | $471.50 | 1.4× |
| Arthrogram hip (73525) | $680 | $680 | 2.1× |
| Arthrogram Wrist (73115) | $876 | $876 | 2.7× |
| Basic radiation dosimetry calculation (77300) | $703.75 | $703.75 | 5.5× |
| Bone age studies (77072) | $274.50 | $274.50 | 2.8× |
| Bone Imaging 3 Phase (78315) | $794.75 | $794.75 | 2.1× |
| Bone Imaging Limited Area (78300) | $951 | $951 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $1,010 | $1,010 | 2.7× |
| Bone Imaging Whole Body (78306) | $1,072 | $1,072 | 2.8× |
| Bone survey infant (77076) | $319.50 | $319.50 | 3.2× |
| Brachytx isodose complex (77318) | $1,563.25 | $1,563.25 | 4.4× |
| Brachytx isodose intermed (77317) | $861 | $861 | 2.4× |
| Brachytx Isodose Plan Simple (77316) | $715.50 | $715.50 | 2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,935 | $2,935 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $645 | $645 | 7.8× |
| Chest 1 view (71045) | $239.50 | $239.50 | 2.9× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$301–$379.75 | $301–$379.75 | varies |
| Chest 3 views (71047) | $376.75 | $376.75 | 4.6× |
| Chest 4 or more views (71048) | $450.25 | $450.25 | 4.6× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$279.75–$280.25 | $279.75–$280.25 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $239 | $239 | 2.4× |
| Continuing medical physics consltj pr wk (77336) | $656 | $656 | 5.2× |
| Contrast Exam Abdominl Aorta (75625) | $2,754 | $2,754 | 0.9× |
| Contrast X-Ray Bladder (74430) | $575.75 | $575.75 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $478.75 | $478.75 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,092 | $1,092 | 3.3× |
| CT abdomen and pelvis without contrast (74176) | $1,092 | $1,092 | 4.8× |
| CT abdomen w contrast (74160) | $1,092 | $1,092 | 6.6× |
| CT abdomen w wo contrast (74170) | $1,092 | $1,092 | 6.6× |
| CT abdomen w/o contrast (74150) | $1,092 | $1,092 | 11.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,092 | $1,092 | 3.3× |
| CT Angio Chest (71275) | $1,092 | $1,092 | 6.6× |
| CT Angio Head (70496) | $1,092 | $1,092 | 6.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,001 | $1,001 | 6.0× |
| CT Angio Neck (70498) | $1,092 | $1,092 | 6.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $989 | $989 | 6.0× |
| CT cervical spine w/ contrast (72126) | $1,092 | $1,092 | 3.3× |
| CT cervical spine w/o contrast (72125) | $1,092 | $1,092 | 11.0× |
| CT cervical spine w/wo cont (72127) | $1,660 | $1,660 | 10.0× |
| CT chest w contrast (71260) | $1,092 | $1,092 | 6.6× |
| CT chest w/wo contrast (71270) | $1,092 | $1,092 | 6.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $328.50 | $328.50 | 2.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $194.50 | $194.50 | 2.0× |
| CT head/brain with contrast (70460) | $1,092 | $1,092 | 6.6× |
| CT head/brain without and with contrast (70470) | $1,092 | $1,092 | 6.6× |
| CT iac w contrast (70481) | $1,092 | $1,092 | 6.6× |
| CT l-spine w&w/o contrast (72133) | $1,092 | $1,092 | 6.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$571–$1,092 | $571–$1,092 | varies |
| CT lower extremity w/contrast material (73701) | $1,092 | $1,092 | 6.6× |
| CT lumbar spine w contrast (72132) | $1,092 | $1,092 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $1,092 | $1,092 | 11.0× |
| CT maxillofacial w contrast (70487) | $1,092 | $1,092 | 6.6× |
| CT maxillofacial wo contrast (70486) | $896 | $896 | 9.1× |
| CT neck tissue combo (70492) | $1,092 | $1,092 | 6.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,092 | $1,092 | 6.6× |
| CT orbits w/o contrast (70480) | $1,092 | $1,092 | 11.0× |
| CT pelvis w&w/o contrast (72194) | $1,092 | $1,092 | 6.6× |
| CT pelvis w/o contrast (72192) | $1,092 | $1,092 | 11.0× |
| CT scan of leg combo (73702) | $1,092 | $1,092 | 6.6× |
| CT scans face/jaw combo (70488) | $1,092 | $1,092 | 6.6× |
| CT soft tissue neck w contrast (70491) | $1,092 | $1,092 | 6.6× |
| CT soft tissue neck w/o contrast (70490) | $995 | $995 | 10.1× |
| CT thoracic spine w contrast (72129) | $1,092 | $1,092 | 6.6× |
| CT thoracic spine w/o contrast (72128) | $1,092 | $1,092 | 11.0× |
| CT thoracic spine w/wo cont (72130) | $1,092 | $1,092 | 6.6× |
| CT thorax w/o contrast (71250) | $1,092 | $1,092 | 11.0× |
| CT unlisted procedure (76497) | $126.25 | $126.25 | 1.5× |
| CT upper ext wo (73200) | $1,092 | $1,092 | 11.0× |
| CT upper extremity w/o & w/contrast material (73202) | $1,092 | $1,092 | 6.6× |
| CT upper extremity with contrast (73201) | $1,092 | $1,092 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,092 | $1,092 | 6.6× |
| Cta Abdomen (74175) | $1,092 | $1,092 | 6.6× |
| CTA pelvis (72191) | $1,092 | $1,092 | 6.6× |
| Diskography lumbar (72295) | $7,004.75 | $7,004.75 | 3.8× |
| Dxa Bone Density Axial (77080) | $703 | $703 | 7.1× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$210–$263.75 | $210–$263.75 | varies |
| Esophagram (74220) | $409.50 | $409.50 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) | $221.50 | $221.50 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $221.50 | $221.50 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $582 | $582 | 2.6× |
| Foot 2 views (73620) | $234.50 | $234.50 | 2.8× |
| Forearm 2 views (73090) | $272.50 | $272.50 | 3.3× |
| Gastric emptying imaging study (78264) | $1,179 | $1,179 | 3.1× |
| Gated Heart Planar Single (78472) | $1,030 | $1,030 | 2.7× |
| Hand 2 views (73120) | $242.75 | $242.75 | 2.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,527.75 | $1,527.75 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,286.75 | $1,286.75 | 3.4× |
| Ht Muscle Image Spect Sing (78451) | $2,553 | $2,553 | 2.1× |
| Hysterosalpingogram (74740) | $701.50 | $701.50 | 3.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $189.50 | $189.50 | 2.3× |
| Infant hip ultrasound, limited static exam (76886) | $404.50 | $404.50 | 4.9× |
| Interstitial radiation source applic complex (77778) | $3,659.25 | $3,659.25 | 5.6× |
| K Flow/Funct Image Multiple (78709) | $2,078.50 | $2,078.50 | 4.0× |
| K Flow/Funct Image W/Drug (78708) | $1,415 | $1,415 | 2.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,327.75 | $1,327.75 | 2.6× |
| Knee 3 Views (73562) | $299 | $299 | 3.6× |
| Liver & Spleen Imaging Static Only (78215) | $986.50 | $986.50 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) | $1,237.75 | $1,237.75 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,237.75 | $1,237.75 | 2.4× |
| Lymph System Imaging (78195) | $747 | $747 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $2,230.75 | $2,230.75 | 9.9× |
| Mammary ductogram or galactogram single (77053) | $626.50 | $626.50 | 2.8× |
| Meckels Divert Exam (78290) | $889.50 | $889.50 | 2.4× |
| Mlc imrt design & construction per imrt plan (77338) | $11,720.50 | $11,720.50 | 33.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,454.50 | $1,454.50 | 4.4× |
| MRA head w/o contrast (70544) | $1,431 | $1,431 | 6.3× |
| MRA neck w contrast (70548) | $1,431 | $1,431 | 4.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,453.50 | $1,453.50 | 4.4× |
| MRA neck w/o contrast (70547) | $1,431 | $1,431 | 6.3× |
| MRI abdomen w contrast (74182) | $1,887 | $1,887 | 5.7× |
| MRI abdomen w/o contrast (74181) | $1,611.50 | $1,611.50 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,075.75 | $2,075.75 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,139 | $2,139 | 6.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,887 | $1,887 | 2.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,613.75 | $1,613.75 | 7.1× |
| MRI cervical spine w contrast (72142) | $2,230.75 | $2,230.75 | 6.8× |
| MRI cervical spine w/o cont (72141) | $1,611.50 | $1,611.50 | 7.1× |
| MRI chest w/o contrast (71550) | $2,422.50 | $2,422.50 | 10.7× |
| MRI chest with contrast (71551) | $1,431 | $1,431 | 1.9× |
| MRI chest wo w contrast (71552) | $2,576.50 | $2,576.50 | 7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $724.25 | $724.25 | 2.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,037 | $2,037 | 6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,992 | $1,992 | 8.8× |
| MRI lumbar spine w contrast (72149) | $1,887 | $1,887 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,887 | $1,887 | 5.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,222 | $2,222 | 9.8× |
| MRI orbit face neck w contrast (70542) | $2,308.25 | $2,308.25 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,345 | $2,345 | 7.1× |
| MRI pelvis w contrast (72196) | $2,588.75 | $2,588.75 | 7.8× |
| MRI pelvis w/o & w contrast (72197) | $1,887 | $1,887 | 5.7× |
| MRI pelvis w/o contrast (72195) | $2,072.75 | $2,072.75 | 9.2× |
| MRI thoracic spine w/o contrast (72146) | $1,611.50 | $1,611.50 | 7.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,098.25 | $2,098.25 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,999.25 | $1,999.25 | 8.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,611.50 | $1,611.50 | 4.9× |
| MRI, abdomen, combo (74183) | $1,887 | $1,887 | 5.7× |
| MRI, dorsal spine combo (72157) | $2,653.75 | $2,653.75 | 8.0× |
| MRI, dorsal spine contrast (72147) | $2,499.50 | $2,499.50 | 7.6× |
| MRI, joint upper extrem (73221) | $1,611.50 | $1,611.50 | 7.1× |
| MRI, joint upper extrem combo (73223) | $2,139 | $2,139 | 6.5× |
| MRI, lumbar spine combo (72158) | $1,887 | $1,887 | 5.7× |
| Myelogram cervical (72240) | $895.25 | $895.25 | 1.2× |
| Myelogram Lumbar (72265) | $895.25 | $895.25 | 1.2× |
| Myelography thoracic (72255) | $895.25 | $895.25 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $1,038.50 | $1,038.50 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $2,998.50 | $2,998.50 | 2.4× |
| Neck soft tissue (70360) | $208 | $208 | 2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,158.25 | $5,158.25 | 3.9× |
| Nuclear Rx Oral Admin (79005) | $948.50 | $948.50 | 4.3× |
| Parathyroid Planar Imaging (78070) | $894.75 | $894.75 | 2.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $894.75 | $894.75 | 2.4× |
| Pelvis 1 or 2 views (72170) | $299 | $299 | 3.0× |
| PET image w/CT, full body (78816) | $3,495.50 | $3,495.50 | 2.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,495.50 | $3,495.50 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $847 | $847 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $525.25 | $525.25 | 5.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $413.75 | $413.75 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $273.50 | $273.50 | 3.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $272.50 | $272.50 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $274.50 | $274.50 | 3.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $282.50 | $282.50 | 2.9× |
| Radex fingr minimum 2 views (73140) | $258 | $258 | 3.1× |
| Radex foot complete minimum 3 views (73630) | $272.50 | $272.50 | 3.3× |
| Radex Hand Minimum 3 Views (73130) | $272.50 | $272.50 | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) | $203 | $203 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $281 | $281 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $235.50 | $235.50 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $324.75 | $324.75 | 3.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$299–$308 | $299–$308 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $243.75 | $243.75 | 3.0× |
| Radex Spine 1 View Specify Level (72020) | $282.50 | $282.50 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $234.50 | $234.50 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $306.25 | $306.25 | 3.7× |
| Radex Toe Minimum 2 Views (73660) | $229.50 | $229.50 | 2.8× |
| Radex upper extremity infant minimum 2 views (73092) | $204 | $204 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $272.50 | $272.50 | 3.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $15,627.50 | $15,627.50 | 2.2× |
| Radiation treatment delivery level 1 (77402) | $281 | $281 | 2.9× |
| Radiation treatment delivery level 2 (77407) | $547.50 | $547.50 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $552 | $552 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $281 | $281 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $309 | $309 | 3.1× |
| Radiologic exam colon double contrast study (74280) | $613.75 | $613.75 | 3.7× |
| Radiologic exam colon single contrast study (74270) | $526.25 | $526.25 | 3.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $378.25 | $378.25 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$303.75–$328.50 | $303.75–$328.50 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $705.25 | $705.25 | 4.3× |
| Radiologic exam swallow function contrast study (74230) | $380.75 | $380.75 | 2.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$702.50–$1,398.50 | $702.50–$1,398.50 | varies |
| Radiologic examination femur minimum 2 views (73552) | $277.75 | $277.75 | 3.4× |
| Radiologic examination knee 1/2 views (73560) | $250.25 | $250.25 | 3.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $384.75 | $384.75 | 3.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $272.50 | $272.50 | 3.3× |
| Ribs bilateral 3 views (71110) | $359 | $359 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $816.75 | $816.75 | 2.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $786.75 | $786.75 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,227.25 | $3,227.25 | 6.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,719.25 | $2,719.25 | 5.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,561 | $2,561 | 5.0× |
| Rp Therapy Intravenous Administration (79101) | $948.50 | $948.50 | 4.3× |
| Scapula (73010) | $255.50 | $255.50 | 2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $61 | $61 | 2.6× |
| Shoulder 1 view (73020) | $179.50 | $179.50 | 2.2× |
| Shoulder Arthrography (73040) | $877 | $877 | 2.7× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$282.75–$296.75 | $282.75–$296.75 | varies |
| Special dosimetry (77331) | $329 | $329 | 2.6× |
| Special Physics Consult (77370) | $329 | $329 | 2.6× |
| Special teletherapy port plan (77321) | $861 | $861 | 2.4× |
| Special treatment procedure (77470) | $1,172.50 | $1,172.50 | 2.2× |
| Stereotactic Body Radiation Delivery (77373) | $10,157.50 | $10,157.50 | 6.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$126.50–$280.25 | $126.50–$280.25 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $861 | $861 | 2.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $715.50 | $715.50 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,433.25 | $1,433.25 | 4.0× |
| Ther rad simulaj-aided field setting simple (77280) | $780 | $780 | 6.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $526.25 | $526.25 | 3.2× |
| Thoracic spine 2 views (72070) | $301 | $301 | 3.0× |
| Thoracic spine 3 views (72072) | $374.50 | $374.50 | 3.8× |
| Thyroid Imaging With Vascular Flow (78013) | $781.25 | $781.25 | 2.1× |
| Thyroid Met Imaging Body (78018) | $967 | $967 | 1.9× |
| Thyroid Uptake Measurement (78012) | $829 | $829 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $835.75 | $835.75 | 2.2× |
| Tx Devices Design & Construction Complex (77334) | $938 | $938 | 2.6× |
| Tx devices design & construction intermediate (77333) | $720.50 | $720.50 | 5.7× |
| Tx devices design & construction simple (77332) | $547.50 | $547.50 | 4.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$158.25–$221.50 | $158.25–$221.50 | varies |
| Ultrasound Elastography Parenchyma (76981) | $216.25 | $216.25 | 2.2× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$231.75–$268.25 | $231.75–$268.25 | varies |
| Ultrasound, abdomen limited (76705) | $542.75 | $542.75 | 5.5× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$673.75–$769.50 | $673.75–$769.50 | varies |
| Ureteral Reflux Study (78740) | $857.50 | $857.50 | 2.3× |
| Urethrocystogram voiding (74455) | $575.75 | $575.75 | 2.6× |
| Urethrocystography retrograde (74450) | $575.75 | $575.75 | 2.6× |
| Us breast unilateral complete (76641) | $221.50 | $221.50 | 2.2× |
| Us chest (76604) | $343 | $343 | 3.5× |
| Us complete joint (76881) | $384.25 | $384.25 | 3.9× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$403.50–$607.75 | $403.50–$607.75 | varies |
| Us head (76506) | $221.50 | $221.50 | 2.2× |
| Us kidney transplant (76776) | $491 | $491 | 5.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $384.25 | $384.25 | 3.9× |
| Us ob limited 1 or more fetuses (76815) | $348.25 | $348.25 | 3.5× |
| Us ob transvaginal (76817) | $368.75 | $368.75 | 3.7× |
| Us pelvic non ob complete (76856) | $406.75 | $406.75 | 4.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $602.50 | $602.50 | 6.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $445.50 | $445.50 | 4.5× |
| Us retroperitoneal complete (76770) | $542.75 | $542.75 | 5.5× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$221.50–$498.50 | $221.50–$498.50 | varies |
| Us scrotum and contents (76870) | $512 | $512 | 5.2× |
| Us spinal canal and contents (76800) | $378.50 | $378.50 | 3.8× |
| Us thyroid (76536) | $360.50 | $360.50 | 3.6× |
| Us transrectal (76872) | $441.25 | $441.25 | 4.5× |
| Venography caval inferior serialography rs&i (75825) | $2,247.50 | $2,247.50 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $3,319.50 | $3,319.50 | 2.2× |
| Venography extremity unilateral rs&i (75820) | $1,478.25 | $1,478.25 | 1.0× |
| Venography Renal Unilateral (75831) | $2,835.50 | $2,835.50 | 0.9× |
| Vertebral fracture assessment via dxa (77086) | $167.25 | $167.25 | 2.0× |
| Wrist 2 views (73100) | $248.75 | $248.75 | 3.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $278.75 | $278.75 | 3.4× |
| X-ray antegrade pyelogram tube (74425) | $997.75 | $997.75 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $4,924.75 | $4,924.75 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $154.75 | $154.75 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $235.50 | $235.50 | 2.9× |
| X-Ray Exam Breast Specimen (76098) | $251.25 | $251.25 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$271.25–$302 | $271.25–$302 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $354.25 | $354.25 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$150.75–$153 | $150.75–$153 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $150.75 | $150.75 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $249 | $249 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $577.75 | $577.75 | 5.8× |
| X-Ray Exam L-S Spine Bending (72114) | $379.75 | $379.75 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $383.75 | $383.75 | 4.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $383.75 | $383.75 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $405.50 | $405.50 | 4.1× |
| X-ray eye for foreign body (70030) | $263 | $263 | 3.2× |
| X-ray humerus (73060) | $272.50 | $272.50 | 3.3× |
| X-ray IV pyelogram (ivp) (74400) | $653 | $653 | 3.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $176.75 | $176.75 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $278.75 | $278.75 | 3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$353.25–$354.25 | $353.25–$354.25 | varies |
| X-ray nose-rectum child f.b. (76010) | $224.25 | $224.25 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $486.75 | $486.75 | 4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $263.25 | $263.25 | 2.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $263.25 | $263.25 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$296.75–$297 | $296.75–$297 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $376.75 | $376.75 | 3.8× |
| X-ray thoracic spine 4 vw (72074) | $450.25 | $450.25 | 4.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $575.75 | $575.75 | 1.7× |
| X-Rays Bone Length Studies (77073) | $438.50 | $438.50 | 4.4× |
| X-Rays Bone Survey Complete (77075) | $592.50 | $592.50 | 6.0× |
| Xr c-spine 4 or 5 views (72050) | $352.25 | $352.25 | 3.6× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$286.75–$298.50 | $286.75–$298.50 | varies |
| Xr orbits complete 4 views (70200) | $258 | $258 | 2.6× |
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.