Imaging prices at York General Health Care Services
York, NE · every code in this section with a posted price and a Medicare benchmark.
241 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) | $319.50 | $319.50 | 3.5× |
| Abdomen 2 views (74019) | $464.25 | $464.25 | 4.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,336.25 | $1,336.25 | 3.2× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $1,177.50 | $1,177.50 | 0.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$248.50–$266.25 | $248.50–$266.25 | varies |
| Arthrogram hip (73525) | $703.50 | $703.50 | 1.9× |
| Arthrogram Wrist (73115) | $753 | $753 | 2.1× |
| Bone age studies (77072) | $178.25 | $178.25 | 1.6× |
| Bone Imaging 3 Phase (78315) | $2,295.25 | $2,295.25 | 5.5× |
| Bone Imaging Limited Area (78300) | $1,327 | $1,327 | 3.2× |
| Bone Imaging Whole Body (78306) | $2,044 | $2,044 | 4.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,288.50 | $7,288.50 | 4.9× |
| Cat Scan Follow-Up Study (76380) | $889.75 | $889.75 | 9.8× |
| Chest 1 view (71045) | $308.50 | $308.50 | 3.4× |
| Chest 2 views (71046) | $363.50 | $363.50 | 4.0× |
| Chest 3 views (71047) | $388.50 | $388.50 | 4.3× |
| Cholecystography Oral Contrast (74290) | $439.25 | $439.25 | 2.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$291.25–$342 | $291.25–$342 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $432.50 | $432.50 | 4.0× |
| Contrast X-Ray Bladder (74430) | $505.25 | $505.25 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $688.25 | $688.25 | 1.9× |
| Contrast X-Ray Of Knee Joint (73580) | $863 | $863 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $6,615.25 | $6,615.25 | 18.3× |
| CT abdomen and pelvis without contrast (74176) | $5,103 | $5,103 | 20.6× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,037–$3,176.50 | $3,037–$3,176.50 | varies |
| CT abdomen w wo contrast (74170) | $3,644.75 | $3,644.75 | 20.0× |
| CT abdomen w/o contrast (74150) | $2,704.25 | $2,704.25 | 24.9× |
| CT Angio Abdomen and Pelvis (74174) | $5,669.75 | $5,669.75 | 15.7× |
| CT Angio Chest (71275) | $4,769 | $4,769 | 26.2× |
| CT Angio Head (70496) | $2,813.50 | $2,813.50 | 15.4× |
| CT Angio Neck (70498) | $2,813.50 | $2,813.50 | 15.4× |
| CT cervical spine w/ contrast (72126) | $3,077.75 | $3,077.75 | 8.5× |
| CT cervical spine w/o contrast (72125) | $2,966.75 | $2,966.75 | 27.3× |
| CT cervical spine w/wo cont (72127) | $3,150.50 | $3,150.50 | 17.3× |
| CT chest w contrast (71260) | $3,129 | $3,129 | 17.2× |
| CT chest w/wo contrast (71270) | $3,964.25 | $3,964.25 | 21.8× |
| CT colonography screening (74263) | $3,937.50 | $3,937.50 | 15.9× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $4,221.25 | $4,221.25 | 23.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $4,081 | $4,081 | 37.6× |
| CT head/brain with contrast (70460) | $2,829.25 | $2,829.25 | 15.5× |
| CT head/brain without and with contrast (70470) | $3,158 | $3,158 | 17.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $132.50 | $132.50 | 1.5× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,566.50–$2,566.75 | $2,566.50–$2,566.75 | varies |
| CT l-spine w&w/o contrast (72133) | $2,951.75 | $2,951.75 | 16.2× |
| CT lower ext w/o (73700) | $2,147.75 | $2,147.75 | 19.8× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,460–$2,534.75 | $2,460–$2,534.75 | varies |
| CT lumbar spine w contrast (72132) | $2,951.75 | $2,951.75 | 8.1× |
| CT lumbar spine w/o contrast (72131) | $2,517 | $2,517 | 23.2× |
| CT maxillofacial w contrast (70487) | $2,238.50 | $2,238.50 | 12.3× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,953.50–$2,234.75 | $1,953.50–$2,234.75 | varies |
| CT neck tissue combo (70492) | $3,139.75 | $3,139.75 | 17.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,132.75 | $3,132.75 | 17.2× |
| CT orbits w/o contrast (70480) | $2,295.25 | $2,295.25 | 21.1× |
| CT pelvis w&w/o contrast (72194) | $3,644.75 | $3,644.75 | 20.0× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$2,503.50–$2,703.75 | $2,503.50–$2,703.75 | varies |
| CT scan of leg combo (73702) | $2,341 | $2,341 | 12.9× |
| CT scans face/jaw combo (70488) | $2,460 | $2,460 | 13.5× |
| CT soft tissue neck w contrast (70491) | $2,980.50 | $2,980.50 | 16.4× |
| CT soft tissue neck w/o contrast (70490) | $2,098.25 | $2,098.25 | 19.3× |
| CT thoracic spine w contrast (72129) | $2,707 | $2,707 | 14.9× |
| CT thoracic spine w/o contrast (72128) | $2,486.50 | $2,486.50 | 22.9× |
| CT thoracic spine w/wo cont (72130) | $2,951.75 | $2,951.75 | 16.2× |
| CT thorax w/o contrast (71250) | $2,800.25 | $2,800.25 | 25.8× |
| CT unlisted procedure (76497) | $1,545 | $1,545 | 17.1× |
| CT upper ext wo (73200) | $2,254 | $2,254 | 20.8× |
| CT upper extremity w/o & w/contrast material (73202) | $2,892.25 | $2,892.25 | 15.9× |
| CT upper extremity with contrast (73201) | $2,553.75 | $2,553.75 | 7.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,206 | $4,206 | 23.1× |
| Cta Abdomen (74175) | $4,206 | $4,206 | 23.1× |
| CTA pelvis (72191) | $3,442 | $3,442 | 18.9× |
| Dxa Bone Density Axial (77080) | $557.25 | $557.25 | 5.1× |
| Echo exam uterus (76831) | $666.25 | $666.25 | 2.7× |
| Esophagram (74220) | $627.25 | $627.25 | 3.4× |
| Fetal Biophys Profile W/Nst (76818) | $506 | $506 | 4.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$65.75–$506 | $65.75–$506 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$102.75–$690.75 | $102.75–$690.75 | varies |
| Foot 2 views (73620) | $260 | $260 | 2.9× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$268.75–$311.75 | $268.75–$311.75 | varies |
| Gastric emptying imaging study (78264) | $2,239.25 | $2,239.25 | 5.4× |
| Gated Heart Planar Single (78472) | $1,899.25 | $1,899.25 | 4.6× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$219.75–$235.50 | $219.75–$235.50 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,678 | $2,678 | 4.7× |
| Hepatobiliary System Imaging (78226) | $1,963 | $1,963 | 4.7× |
| Ht Muscle Image Spect Sing (78451) | $2,041.50 | $2,041.50 | 1.5× |
| Hysterosalpingogram (74740) | $499 | $499 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $589.25 | $589.25 | 6.5× |
| Infant hip ultrasound, limited static exam (76886) | $426.25 | $426.25 | 4.7× |
| K Flow/Funct Image W/Drug (78708) | $1,718.25 | $1,718.25 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,722 | $1,722 | 3.1× |
| Knee 3 Views (73562) | $342 | $342 | 3.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,330.25 | $1,330.25 | 3.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,937.25 | $1,937.25 | 4.7× |
| Liver imaging w/vascular flow (78202) | $1,937.25 | $1,937.25 | 3.4× |
| Lymph System Imaging (78195) | $1,816.50 | $1,816.50 | 3.2× |
| Meckels Divert Exam (78290) | $1,359.50 | $1,359.50 | 3.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $20.50 | $20.50 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $3,998 | $3,998 | 11.0× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$2,181.25–$3,513.50 | $2,181.25–$3,513.50 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,911.50–$3,608.50 | $2,911.50–$3,608.50 | varies |
| MRA neck w contrast (70548) | $3,513.50 | $3,513.50 | 9.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,555.25 | $3,555.25 | 9.8× |
| MRA neck w/o contrast (70547) | $3,121 | $3,121 | 12.6× |
| MRI abdomen w contrast (74182) | $3,564.25 | $3,564.25 | 9.8× |
| MRI abdomen w/o contrast (74181) | $3,135.75 | $3,135.75 | 12.7× |
| MRI any jt lower extrem w/contrast material (73722) | $3,204.25 | $3,204.25 | 3.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,908.75 | $3,908.75 | 10.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,204.25 | $3,204.25 | 3.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,919.50 | $3,919.50 | 15.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,104.25 | $3,104.25 | 12.5× |
| MRI cervical spine w contrast (72142) | $3,860 | $3,860 | 10.7× |
| MRI cervical spine w/o cont (72141) | $3,399.75 | $3,399.75 | 13.7× |
| MRI chest w/o contrast (71550) | $3,135.75 | $3,135.75 | 12.7× |
| MRI chest with contrast (71551) | $3,605.25 | $3,605.25 | 4.4× |
| MRI chest wo w contrast (71552) | $4,074.75 | $4,074.75 | 11.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,203.50 | $3,203.50 | 8.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,908.75 | $3,908.75 | 10.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,613.25–$3,005 | $1,613.25–$3,005 | varies |
| MRI lumbar spine w contrast (72149) | $4,180.75 | $4,180.75 | 11.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,538.50 | $4,538.50 | 12.5× |
| MRI orbit face &/neck w/o contrast (70540) | $3,135.75 | $3,135.75 | 12.7× |
| MRI orbit face neck w contrast (70542) | $3,179.50 | $3,179.50 | 8.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,543.50 | $3,543.50 | 9.8× |
| MRI pelvis w/o & w contrast (72197) | $4,025.25 | $4,025.25 | 11.1× |
| MRI pelvis w/o contrast (72195) | $3,339.50 | $3,339.50 | 13.5× |
| MRI thoracic spine w/o contrast (72146) | $3,399.75 | $3,399.75 | 13.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,604.25 | $3,604.25 | 9.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,442–$3,442.75 | $3,442–$3,442.75 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,908.75 | $3,908.75 | 10.8× |
| MRI, abdomen, combo (74183) | $3,994 | $3,994 | 11.0× |
| MRI, dorsal spine combo (72157) | $3,922.25 | $3,922.25 | 10.8× |
| MRI, dorsal spine contrast (72147) | $3,808 | $3,808 | 10.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,613.25–$2,920.75 | $1,613.25–$2,920.75 | varies |
| MRI, joint upper extrem combo (73223) | $3,908.75 | $3,908.75 | 10.8× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,269–$4,970.50 | $2,269–$4,970.50 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $7,288.50 | $7,288.50 | 5.4× |
| Myocardial Spect Multiple Studies (78452) | $5,019.75 | $5,019.75 | 3.7× |
| Neck soft tissue (70360) | $317 | $317 | 3.5× |
| Parathyroid Planar Imaging (78070) | $706 | $706 | 1.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $778.50 | $778.50 | 1.9× |
| Pelvis 1 or 2 views (72170) | $295.50 | $295.50 | 2.7× |
| Pet Image W/Ct Lmtd (78814) | $7,288.50 | $7,288.50 | 4.9× |
| PET image w/CT, full body (78816) | $7,288.50 | $7,288.50 | 4.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,288.50 | $7,288.50 | 4.9× |
| PET whole body (78813) | $7,288.50 | $7,288.50 | 4.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $549 | $549 | 5.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $439.25 | $439.25 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $318 | $318 | 3.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $295.50 | $295.50 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $295.50 | $295.50 | 3.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $475.75 | $475.75 | 4.4× |
| Radex fingr minimum 2 views (73140) | $239.75 | $239.75 | 2.7× |
| Radex foot complete minimum 3 views (73630) | $315.25 | $315.25 | 3.5× |
| Radex Hand Minimum 3 Views (73130) | $322 | $322 | 3.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $439.25 | $439.25 | 4.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $340 | $340 | 3.8× |
| Radex Ribs Unilateral 2 Views (71100) | $317.50 | $317.50 | 3.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$372.25–$415 | $372.25–$415 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $317 | $317 | 3.5× |
| Radex Spine 1 View Specify Level (72020) | $283.50 | $283.50 | 3.1× |
| Radex Sternum Minimum 2 Views (71120) | $342.75 | $342.75 | 3.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$250–$260 | $250–$260 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $276 | $276 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $318 | $318 | 3.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $428.25 | $428.25 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $1,011.75 | $1,011.75 | 5.6× |
| Radiologic exam colon single contrast study (74270) | $793.75 | $793.75 | 4.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $687.75 | $687.75 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$357.50–$381.75 | $357.50–$381.75 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $393 | $393 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $668 | $668 | 3.7× |
| Radiologic exam swallow function contrast study (74230) | $629 | $629 | 3.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $834.50 | $834.50 | 4.6× |
| Radiologic examination femur 1 view (73551) | $350.75 | $350.75 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) | $388.50 | $388.50 | 4.3× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$294.50–$304.25 | $294.50–$304.25 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $743 | $743 | 6.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $308.50 | $308.50 | 3.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,718.25 | $1,718.25 | 4.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,718.25 | $1,718.25 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,783.50–$1,832.25 | $1,783.50–$1,832.25 | varies |
| Scapula (73010) | $333.75 | $333.75 | 3.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $70.75 | $70.75 | 3.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$248.50–$344 | $248.50–$344 | varies |
| Shoulder Arthrography (73040) | $770.50 | $770.50 | 2.1× |
| Skull less than 4 views (70250) | $322 | $322 | 3.0× |
| Testicular Imaging W/Flow (78761) | $1,107 | $1,107 | 2.7× |
| Thoracic spine 2 views (72070) | $387.75 | $387.75 | 3.6× |
| Thoracic spine 3 views (72072) | $393 | $393 | 3.6× |
| Thoracolumbar 2 views (72080) | $377 | $377 | 4.2× |
| Thyroid Imaging With Vascular Flow (78013) | $706 | $706 | 1.7× |
| Thyroid Uptake Measurement (78012) | $475.75 | $475.75 | 1.1× |
| Ultrasound Breast Limited (76642) | $440.50 | $440.50 | 4.9× |
| Ultrasound Exam Aaa Screen (76706) | $683.50 | $683.50 | 6.3× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$127.50–$689 | $127.50–$689 | varies |
| Upper gi w/o kub (74240) | $653.25 | $653.25 | 3.6× |
| Urethrocystogram voiding (74455) | $668 | $668 | 2.7× |
| Us breast unilateral complete (76641) | $528.75 | $528.75 | 4.9× |
| Us chest (76604) range across 3 matching MRF lines |
$117.50–$651 | $117.50–$651 | varies |
| Us complete joint (76881) | $805.25 | $805.25 | 7.4× |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$86.50–$278.75 | $86.50–$278.75 | varies |
| Us head (76506) | $551.75 | $551.75 | 5.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $561.75 | $561.75 | 5.2× |
| Us ob limited 1 or more fetuses (76815) range across 7 matching MRF lines |
$139–$532.75 | $139–$532.75 | varies |
| Us ob transvaginal (76817) range across 6 matching MRF lines |
$149.75–$526.25 | $149.75–$526.25 | varies |
| Us pelvic non ob complete (76856) | $815.75 | $815.75 | 7.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$395.50–$593.25 | $395.50–$593.25 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$299.75–$532.75 | $299.75–$532.75 | varies |
| Us retroperitoneal complete (76770) | $887.25 | $887.25 | 8.2× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$127.50–$683.50 | $127.50–$683.50 | varies |
| Us scrotum and contents (76870) | $653.25 | $653.25 | 6.0× |
| Us thyroid (76536) | $580 | $580 | 5.3× |
| Us transrectal (76872) range across 2 matching MRF lines |
$386.25–$743 | $386.25–$743 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$219.75–$241.75 | $219.75–$241.75 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $295.50 | $295.50 | 3.3× |
| X-ray antegrade pyelogram tube (74425) | $687.25 | $687.25 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$264.25–$276 | $264.25–$276 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $308.50 | $308.50 | 3.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $484.75 | $484.75 | 4.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $769.25 | $769.25 | 7.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $248.50 | $248.50 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $342 | $342 | 3.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $457.50 | $457.50 | 4.2× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$295.50–$615.50 | $295.50–$615.50 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $692.25 | $692.25 | 6.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $958.50 | $958.50 | 8.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $380.50 | $380.50 | 4.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $648.75 | $648.75 | 6.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $439.25 | $439.25 | 4.0× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$272.75–$336.75 | $272.75–$336.75 | varies |
| X-ray IV pyelogram (ivp) (74400) | $856.50 | $856.50 | 4.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $314.25 | $314.25 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $432.50 | $432.50 | 4.0× |
| X-ray nose-rectum child f.b. (76010) | $267.75 | $267.75 | 3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $636.25 | $636.25 | 5.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $423.50 | $423.50 | 3.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $339.25 | $339.25 | 3.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $439.25 | $439.25 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $513 | $513 | 4.7× |
| X-Ray Stress View (77071) | $295.50 | $295.50 | 3.3× |
| X-Rays Bone Length Studies (77073) | $275.25 | $275.25 | 2.5× |
| Xr c-spine 4 or 5 views (72050) | $604.50 | $604.50 | 5.6× |
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.