Imaging prices at Woodland Heights Medical Center
Lufkin, TX · every code in this section with a posted price and a Medicare benchmark.
256 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) | $230.04 | $1,278 | 2.6× |
| Abdomen 2 views (74019) | $305.28 | $1,696 | 2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $613.44 | $3,408 | 1.5× |
| Angio pulmonary bilat (75743) | $5,911.74 | $32,843 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $1,576.98 | $8,761 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $2,222.46 | $12,347 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,911.74 | $32,843 | 1.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$173.88–$259.56 | $966–$1,442 | varies |
| Arthrogram hip (73525) | $339.48 | $1,886 | 1.0× |
| Bone age studies (77072) | $352.26 | $1,957 | 3.4× |
| Bone Imaging 3 Phase (78315) | $1,240.92 | $6,894 | 3.1× |
| Bone Imaging Limited Area (78300) | $958.86 | $5,327 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,241.46 | $6,897 | 3.1× |
| Bone survey infant (77076) | $957.60 | $5,320 | 9.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $540.54 | $3,003 | 1.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,055.70 | $5,865 | 1.9× |
| Chest 1 view (71045) | $218.16 | $1,212 | 2.5× |
| Chest 2 views (71046) | $220.14 | $1,223 | 2.5× |
| Chest 3 views (71047) | $528.66 | $2,937 | 6.0× |
| Chest 4 or more views (71048) | $297 | $1,650 | 2.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$243.54–$365.76 | $1,353–$2,032 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,052.82 | $5,849 | 10.0× |
| Contrast Exam Abdominl Aorta (75625) | $1,576.98 | $8,761 | 0.5× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$380.88–$399.96 | $2,116–$2,222 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $581.94 | $3,233 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,672.28 | $14,846 | 7.6× |
| CT abdomen and pelvis without contrast (74176) | $1,713.42 | $9,519 | 7.1× |
| CT abdomen w contrast (74160) | $1,170.36 | $6,502 | 6.6× |
| CT abdomen w wo contrast (74170) | $1,371.78 | $7,621 | 7.8× |
| CT abdomen w/o contrast (74150) | $562.68 | $3,126 | 5.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,710.44 | $15,058 | 7.7× |
| CT Angio Chest (71275) | $1,464.84 | $8,138 | 8.3× |
| CT Angio Head (70496) | $1,454.22 | $8,079 | 8.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,223.46–$1,313.82 | $6,797–$7,299 | varies |
| CT Angio Neck (70498) | $1,535.76 | $8,532 | 8.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,095.48 | $6,086 | 6.2× |
| CT cervical spine w/ contrast (72126) | $1,001.34 | $5,563 | 2.9× |
| CT cervical spine w/o contrast (72125) | $1,001.34 | $5,563 | 9.5× |
| CT cervical spine w/wo cont (72127) | $1,101.60 | $6,120 | 6.3× |
| CT chest w contrast (71260) | $1,300.68 | $7,226 | 7.4× |
| CT chest w/wo contrast (71270) | $1,371.78 | $7,621 | 7.8× |
| CT head/brain with contrast (70460) | $1,119.24 | $6,218 | 6.4× |
| CT head/brain without and with contrast (70470) | $1,232.64 | $6,848 | 7.0× |
| CT iac w contrast (70481) | $1,177.74 | $6,543 | 6.7× |
| CT l-spine w&w/o contrast (72133) | $1,225.98 | $6,811 | 7.0× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$836.82–$2,219.04 | $4,649–$12,328 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$836.82–$1,479.24 | $4,649–$8,218 | varies |
| CT lumbar spine w contrast (72132) | $1,114.56 | $6,192 | 3.2× |
| CT lumbar spine w/o contrast (72131) | $1,114.56 | $6,192 | 10.6× |
| CT maxillofacial w contrast (70487) | $711.36 | $3,952 | 4.0× |
| CT maxillofacial wo contrast (70486) | $918 | $5,100 | 8.7× |
| CT neck tissue combo (70492) | $1,176.12 | $6,534 | 6.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,359 | $7,550 | 7.7× |
| CT orbits w/o contrast (70480) | $612.54 | $3,403 | 5.8× |
| CT pelvis w&w/o contrast (72194) | $1,300.68 | $7,226 | 7.4× |
| CT pelvis w/o contrast (72192) | $1,150.38 | $6,391 | 11.0× |
| CT scan of leg combo (73702) | $1,250.46 | $6,947 | 7.1× |
| CT scans face/jaw combo (70488) | $1,108.26 | $6,157 | 6.3× |
| CT soft tissue neck w contrast (70491) | $1,069.56 | $5,942 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $1,550.70 | $8,615 | 14.8× |
| CT thoracic spine w contrast (72129) | $739.08 | $4,106 | 4.2× |
| CT thoracic spine w/o contrast (72128) | $739.08 | $4,106 | 7.0× |
| CT thoracic spine w/wo cont (72130) | $813.24 | $4,518 | 4.6× |
| CT thorax w/o contrast (71250) | $1,026.54 | $5,703 | 9.8× |
| CT upper ext wo (73200) | $1,232.82 | $6,849 | 11.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,525.86 | $8,477 | 8.7× |
| CT upper extremity with contrast (73201) | $1,525.86 | $8,477 | 4.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,659.24 | $9,218 | 9.4× |
| Cta Abdomen (74175) | $1,283.94 | $7,133 | 7.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,077.45 | $11,541.38 | 5.9× |
| CTA pelvis (72191) | $1,426.68 | $7,926 | 8.1× |
| Dxa Bone Density Axial (77080) | $171.18 | $951 | 1.6× |
| Echo Guide For Artery Repair (76936) | $559.98 | $3,111 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $578.52 | $3,214 | 5.5× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$370.80–$389.34 | $2,060–$2,163 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$230.04–$343.44 | $1,278–$1,908 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$230.04–$344.88 | $1,278–$1,916 | varies |
| Gastric emptying imaging study (78264) | $704.52 | $3,914 | 1.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $658.26 | $3,657 | 1.6× |
| Gated Heart Planar Single (78472) | $2,503.62 | $13,909 | 6.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$176.58–$263.52 | $981–$1,464 | varies |
| Hepatobil Syst Image W/Drug (78227) | $903.24 | $5,018 | 1.7× |
| Hepatobiliary System Imaging (78226) | $903.24 | $5,018 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $1,387.62 | $7,709 | 1.1× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$370.80–$389.34 | $2,060–$2,163 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $163.08 | $906 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,097.28 | $6,096 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,097.28 | $6,096 | 2.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$218.52–$451.62 | $1,214–$2,509 | varies |
| Liver & Spleen Imaging Static Only (78215) | $444.24 | $2,468 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $2,216.16 | $12,312 | 4.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,844.46 | $10,247 | 3.4× |
| Lung Ventilation Imaging (78579) | $1,129.14 | $6,273 | 2.8× |
| Lymph System Imaging (78195) | $773.28 | $4,296 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $1,251.72 | $6,954 | 5.2× |
| Meckels Divert Exam (78290) | $1,069.20 | $5,940 | 2.7× |
| Mr safety determination physician/other qhp (76016) | $78.48 | $436 | 0.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $19.08 | $106 | 0.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $138.60 | $770 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $212.04 | $1,178 | 3.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,828.16 | $15,712 | 8.1× |
| MRA head w/o contrast (70544) | $1,778.22 | $9,879 | 7.4× |
| MRA head with contrast (70545) | $2,787.66 | $15,487 | 8.0× |
| MRA neck w contrast (70548) | $1,928.34 | $10,713 | 5.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,784.52 | $9,914 | 5.1× |
| MRA neck w/o contrast (70547) | $1,954.80 | $10,860 | 8.2× |
| MRI abdomen w contrast (74182) | $1,858.68 | $10,326 | 5.3× |
| MRI abdomen w/o contrast (74181) | $1,713.78 | $9,521 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,268.10–$1,892.52 | $7,045–$10,514 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,227.32–$3,324.42 | $12,374–$18,469 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,964.52 | $10,914 | 2.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $534.60 | $2,970 | 2.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $534.78 | $2,971 | 2.2× |
| MRI cervical spine w contrast (72142) | $1,641.96 | $9,122 | 4.7× |
| MRI cervical spine w/o cont (72141) | $1,742.58 | $9,681 | 7.3× |
| MRI chest w/o contrast (71550) | $1,862.10 | $10,345 | 7.8× |
| MRI chest with contrast (71551) | $1,587.42 | $8,819 | 2.0× |
| MRI chest wo w contrast (71552) | $2,583.72 | $14,354 | 7.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,268.10–$1,901.88 | $7,045–$10,566 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,268.10 | $7,045 | 3.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,742.58 | $9,681 | 7.3× |
| MRI lumbar spine w contrast (72149) | $2,108.88 | $11,716 | 6.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,628.18 | $14,601 | 7.5× |
| MRI orbit face &/neck w/o contrast (70540) | $2,981.16 | $16,562 | 12.4× |
| MRI orbit face neck w contrast (70542) | $2,802.24 | $15,568 | 8.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,021.76 | $11,232 | 5.8× |
| MRI pelvis w contrast (72196) | $1,641.96 | $9,122 | 4.7× |
| MRI pelvis w/o & w contrast (72197) | $1,784.52 | $9,914 | 5.1× |
| MRI pelvis w/o contrast (72195) | $2,363.76 | $13,132 | 9.9× |
| MRI thoracic spine w/o contrast (72146) | $1,742.58 | $9,681 | 7.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,451.70 | $8,065 | 4.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,655.82–$2,483.46 | $9,199–$13,797 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,679.94 | $9,333 | 4.8× |
| MRI, abdomen, combo (74183) | $2,003.76 | $11,132 | 5.7× |
| MRI, dorsal spine combo (72157) | $2,092.50 | $11,625 | 6.0× |
| MRI, dorsal spine contrast (72147) | $2,264.40 | $12,580 | 6.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,914.66–$2,857.68 | $10,637–$15,876 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,964.16–$3,104.28 | $10,912–$17,246 | varies |
| MRI, lumbar spine combo (72158) | $2,535.12 | $14,084 | 7.2× |
| Myocardial Spect Multiple Studies (78452) | $2,687.76 | $14,932 | 2.1× |
| Neck soft tissue (70360) | $216 | $1,200 | 2.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $302.40 | $1,680 | 0.8× |
| Nuclear Rx Oral Admin (79005) | $1,838.52 | $10,214 | 7.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,112.40 | $6,180 | 2.0× |
| Parathyroid Planar Imaging (78070) | $806.04 | $4,478 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,112.40 | $6,180 | 2.8× |
| Pelvis 1 or 2 views (72170) | $243.54 | $1,353 | 2.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $714.96 | $3,972 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $321.66 | $1,787 | 3.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$292.86–$439.56 | $1,627–$2,442 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $167.04 | $928 | 1.9× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$363.60–$545.76 | $2,020–$3,032 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $449.28 | $2,496 | 4.3× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$191.70–$286.20 | $1,065–$1,590 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$230.04–$343.44 | $1,278–$1,908 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$212.94–$317.70 | $1,183–$1,765 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$230.94–$416.34 | $1,283–$2,313 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $246.96 | $1,372 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $275.94 | $1,533 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $313.74 | $1,743 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$227.88–$340.02 | $1,266–$1,889 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $290.34 | $1,613 | 3.3× |
| Radex Spine 1 View Specify Level (72020) | $248.76 | $1,382 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $278.82 | $1,549 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $399.60 | $2,220 | 4.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$191.70–$286.20 | $1,065–$1,590 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$214.02–$293.40 | $1,189–$1,630 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$212.94–$344.88 | $1,183–$1,916 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $131.22 | $729 | 1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $305.46 | $1,697 | 2.9× |
| Radiologic exam colon double contrast study (74280) | $686.70 | $3,815 | 3.9× |
| Radiologic exam colon single contrast study (74270) | $463.14 | $2,573 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$250.56–$451.62 | $1,392–$2,509 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $287.64 | $1,598 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $633.24 | $3,518 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $618.66 | $3,437 | 3.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $772.38 | $4,291 | 4.4× |
| Radiologic examination femur 1 view (73551) | $94.14 | $523 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$336.60–$505.26 | $1,870–$2,807 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$275.94–$413.64 | $1,533–$2,298 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$275.94–$413.64 | $1,533–$2,298 | varies |
| Ribs bilateral 3 views (71110) | $610.56 | $3,392 | 5.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $846.54 | $4,703 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $684.54 | $3,803 | 1.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $993.24 | $5,518 | 1.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $989.46 | $5,497 | 0.8× |
| Scapula (73010) | $275.94 | $1,533 | 2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $21.24 | $118 | 0.9× |
| Shoulder 1 view (73020) | $186.12 | $1,034 | 2.1× |
| Shoulder Arthrography (73040) | $339.48 | $1,886 | 1.0× |
| Skull less than 4 views (70250) | $278.82 | $1,549 | 2.7× |
| Sternoclavicular joints (71130) | $313.56 | $1,742 | 3.6× |
| Thoracic spine 3 views (72072) | $284.22 | $1,579 | 2.7× |
| Thyroid Imaging With Vascular Flow (78013) | $1,024.92 | $5,694 | 2.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,076.22 | $5,979 | 2.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$193.32–$276.30 | $1,074–$1,535 | varies |
| Ultrasound Exam Aaa Screen (76706) | $446.58 | $2,481 | 4.3× |
| Ultrasound, abdomen limited (76705) | $404.10 | $2,245 | 3.8× |
| Upper gi w/o kub (74240) | $463.14 | $2,573 | 2.6× |
| Urethrocystogram voiding (74455) | $530.10 | $2,945 | 2.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$193.32–$289.98 | $1,074–$1,611 | varies |
| Us chest (76604) | $466.02 | $2,589 | 4.4× |
| Us complete joint (76881) | $263.34 | $1,463 | 2.5× |
| Us head (76506) | $152.46 | $847 | 1.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $131.58 | $731 | 1.3× |
| Us ob detailed single fetus (76811) | $605.52 | $3,364 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $326.34 | $1,813 | 3.1× |
| Us ob transvaginal (76817) | $149.94 | $833 | 1.4× |
| Us pelvic non ob complete (76856) | $663.30 | $3,685 | 6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $605.52 | $3,364 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $326.34 | $1,813 | 3.1× |
| Us retroperitoneal complete (76770) | $446.40 | $2,480 | 4.3× |
| Us retroperitoneal limited (76775) | $299.88 | $1,666 | 2.9× |
| Us scrotum and contents (76870) | $533.34 | $2,963 | 5.1× |
| Us spinal canal and contents (76800) | $1,528.74 | $8,493 | 14.6× |
| Us thyroid (76536) | $604.26 | $3,357 | 5.8× |
| Us transrectal (76872) | $365.22 | $2,029 | 3.5× |
| Vein X-Ray Chest (75827) | $681.48 | $3,786 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $2,625.84 | $14,588 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $2,952.72 | $16,404 | 1.9× |
| Venography extremity unilateral rs&i (75820) | $713.34 | $3,963 | 0.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$176.58–$263.52 | $981–$1,464 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $287.46 | $1,597 | 3.3× |
| X-ray antegrade pyelogram tube (74425) | $377.28 | $2,096 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) | $2,222.46 | $12,347 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$230.04–$344.88 | $1,278–$1,916 | varies |
| X-Ray Exam Breast Specimen (76098) | $374.22 | $2,079 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $511.38 | $2,841 | 5.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $511.38 | $2,841 | 4.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,022.76 | $5,682 | 9.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $117.18 | $651 | 1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $173.70 | $965 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $260.46 | $1,447 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $260.46 | $1,447 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $520.92 | $2,894 | 5.0× |
| X-Ray Exam L-S Spine Bending (72114) | $614.16 | $3,412 | 5.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $248.76 | $1,382 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $505.80 | $2,810 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $376.56 | $2,092 | 3.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$275.94–$413.64 | $1,533–$2,298 | varies |
| X-ray IV pyelogram (ivp) (74400) | $779.76 | $4,332 | 4.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $68.76 | $382 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $336.60 | $1,870 | 3.2× |
| X-ray nose-rectum child f.b. (76010) | $230.94 | $1,283 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $248.76 | $1,382 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $248.76 | $1,382 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $248.76 | $1,382 | 2.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $387 | $2,150 | 4.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $523.08 | $2,906 | 5.0× |
| X-Ray Tmj Unilat (70328) | $399.60 | $2,220 | 4.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $861.84 | $4,788 | 2.5× |
| X-Rays Bone Length Studies (77073) | $311.58 | $1,731 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $957.60 | $5,320 | 9.1× |
| Xr c-spine 4 or 5 views (72050) | $473.40 | $2,630 | 4.5× |
| Xr facial bones less than 3 views (70140) | $337.14 | $1,873 | 3.9× |
| Xr orbits complete 4 views (70200) | $442.62 | $2,459 | 4.2× |
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.