General X-ray
CPT Code
|
Procedure
|
Cost
|
| 74020 |
Abdomen (Multi Views, Flat & Stand) |
$ 756 |
| 73610 |
Ankle Complete |
$ 553 |
| 72052 |
C Spine Comp Inc Flex/Ext |
$ 1,001 |
| 72020 |
C Spine One View |
$ 374 |
| 72050 |
Cervical Spine |
$ 815 |
| 71020 |
Chest - Two Views |
$ 668 |
| 73000 |
Clavicle |
$ 452 |
| 73070 |
Elbow 2 Views |
$ 403 |
| 73080 |
Elbow Complete |
$ 498 |
| 74220 |
Esophagus |
$ 934 |
| 70150 |
Facial Bones |
$ 982 |
| 74230 |
Fluro Swallow Eval |
$ 866 |
| 73630 |
Foot Complete |
$ 556 |
| 73090 |
Forearm |
$ 445 |
| 73130 |
Hand |
$ 517 |
| 73510 |
Hip Ap & Lat |
$ 492 |
| 73060 |
Humerus |
$ 479 |
| 73562 |
Knee 3 views |
$ 552 |
| 73564 |
Knee 4+ Views |
$ 669 |
| 74000 |
Kub |
$ 638 |
| 73590 |
Lower Leg |
$ 607 |
| 72110 |
Lumbar Spine with Obliques |
$ 1,000 |
| 72100 |
Lumbar Spine-Ap & Lat |
$ 481 |
| 70160 |
Nasal Bones |
$ 563 |
| 70360 |
Neck Soft Tissue Foreign Body |
$ 466 |
| 70220 |
Paranasal Sinuses 551 |
$ 734 |
| 72190 |
Pelvis With Both Lat Hips 571 |
$ 818 |
| 72170 |
Pelvis With Lat Hip |
$ 534 |
| 74420 |
Retrograde Pyelogram 1-5 Views |
$ 1,514 |
| 1100 |
Ribs Unilateral |
$ 545 |
| 72220 |
Sacrum/Coccyx |
$ 619 |
| 73030 |
Shoulder |
$ 566 |
| 70250 |
Skull Ap & Lat |
$ 695 |
| 73560 |
Standing Knee |
$ 423 |
| 74249 |
Stomach & Small Bowel |
$ 1,794 |
| 72072 |
Thoracic Spine, 3 Views |
$ 743 |
| 73110 |
Wrist Complete |
$ 524 |
These represent Rush-Copley charges only and do not include physician's fees such as your surgeon, pathologist, anesthesiologist or radiologist. Please contact those offices directly for charge information.
