General X-ray
CPT Code
|
Procedure
|
Cost
|
| 74020 |
Abdomen (Multi Views, Flat & Stand) |
$ 702 |
| 73610 |
Ankle Complete |
$ 503 |
| 72052 |
C Spine Comp Inc Flex/Ext |
$ 873 |
| 72020 |
C Spine One View |
$ 470 |
| 72050 |
Cervical Spine |
$ 764 |
| 71020 |
Chest - Two Views |
$ 609 |
| 73000 |
Clavicle |
$ 407 |
| 73070 |
Elbow 2 Views |
$ 341 |
| 73080 |
Elbow Complete |
$ 471 |
| 74220 |
Esophagus |
$ 790 |
| 70150 |
Facial Bones |
$ 831 |
| 74230 |
Fluro Swallow Eval |
$ 681 |
| 73630 |
Foot Complete |
$ 525 |
| 73090 |
Forearm |
$ 404 |
| 73130 |
Hand |
$ 513 |
| 73510 |
Hip Ap & Lat |
$ 502 |
| 73060 |
Humerus |
$ 456 |
| 73562 |
Knee 3 views |
$ 489 |
| 73564 |
Knee 4+ Views |
$ 599 |
| 74000 |
Kub |
$ 592 |
| 73590 |
Lower Leg |
$ 579 |
| 72110 |
Lumbar Spine with Obliques |
$ 955 |
| 72100 |
Lumbar Spine-Ap & Lat |
$ 421 |
| 70160 |
Nasal Bones |
$ 479 |
| 70360 |
Neck Soft Tissue Foreign Body |
$ 390 |
| 70220 |
Paranasal Sinuses 551 |
$ 676 |
| 72190 |
Pelvis With Both Lat Hips 571 |
$ 692 |
| 72170 |
Pelvis With Lat Hip |
$ 532 |
| 74420 |
Retrograde Pyelogram 1-5 Views |
$ 1,351 |
| 1100 |
Ribs Unilateral |
$ 481 |
| 72220 |
Sacrum/Coccyx |
$ 551 |
| 73030 |
Shoulder |
$ 566 |
| 70250 |
Skull Ap & Lat |
$ 681 |
| 73560 |
Standing Knee |
$ 399 |
| 74249 |
Stomach & Small Bowel |
$ 1,632 |
| 72072 |
Thoracic Spine, 3 Views |
$ 708 |
| 73110 |
Wrist Complete |
$ 526 |
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.