X-Ray (Radiology)

Services

ServiceCPT
Code
HIMG
Charge
Cash
Price
Abdomen KUB (Kidney, Ureter, Bladder) one view74000$66.00 $39.60
Abdomen KUB (Kidney, Ureter, Bladder) one view74000-TC$40.00 $24.00
Ankle (3 views)73610$90.00 $54.00
Ankle (3 views)73610-TC$65.00 $39.03
Cervical Spine (2 or 3 views)72040$97.00 $58.20
Cervical Spine (2 or 3 views)72040-TC$63.00 $37.80
Chest (2 views)71020$82.00 $49.20
Chest (2 views)71020-TC$51.00 $30.60
Finger (1 or 2 views)73140$90.00 $54.00
Finger (1 or 2 views)73140-TC$71.00 $41.87
Foot (1 or 2 views)73630$85.00 $51.00
Foot (1 or 2 views)73630-TC$61.00 $36.58
Forearm (2 views)73090$75.00 $45.00
Forearm (2 views)73090-TC$52.00 $31.20
Hand (3+ views)73130$87.00 $52.20
Hand (3+ views)73130-TC$63.00 $37.80
Hip (2+ views)73510$107.00 $64.20
Knee (1 or 2 views)73560$85.00 $52.27
Knee (1 or 2 views)73560-TC$57.00 $34.20
Lumbar Spine (2 or 3 views)72100$98.00 $58.80
Lumbar Spine (2 or 3 views)72100-TC$64.00 $38.40
Ribs (2 views)71100$88.00 $52.80
Ribs (2 views)71100-TC$56.00 $33.60
Shoulder (2+ views)73030$84.00 $52.72
Shoulder (2+ views)73030-TC$55.00 $32.89
Toes (2 views)73660$82.00 $49.20
Toes (2 views)73660-TC$63.00 $37.80
Wrist (3+ views)73110$101.00 $60.60
Wrist (3+ views)73110-TC$76.00 $45.60