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General X-ray

CPT Code

Procedure

Cost

74018 Abdomen One View $ 506
74019 Abdomen Two Views $ 538
74021 Abdomen 3+ Views $ 630
73610  Ankle Complete $ 516
72052  C Spine Comp Inc Flex/Ext $ 1,041
72020  C Spine One View $ 434
72050  Cervical Spine $ 827
71046 Chest Two Views $ 625
73000  Clavicle $ 453
73070  Elbow Two Views $ 363
73080  Elbow Complete $ 498
74220  Esophagus $ 978
70150  Facial Bones $ 933
74230  Fluro Swallow Eval $ 1,009
73630  Foot Complete $ 512
73090  Forearm $ 471
73130  Hand $ 498
73510  Hip Ap & Lat $ 403
73060  Humerus $ 507
73562 Knee 3 views $ 568
73564  Knee 4+ Views $ 695
73590  Lower Leg $ 548
72110  Lumbar Spine with Obliques $ 930
72100  Lumbar Spine-Ap & Lat $ 565
70160  Nasal Bones $ 586
70360  Neck Soft Tissue Foreign Body $ 465
70220  Paranasal Sinuses  551 $ 778
72190  Pelvis With Both Lat Hips  571 $ 699
72170  Pelvis With Lat Hip  $ 501
74420  Retrograde Pyelogram 1-5 Views  $ 1,454
1100  Ribs Unilateral   $ 558
72220  Sacrum/Coccyx  $ 599
73030  Shoulder   $ 560
70250  Skull Ap & Lat  $ 602
73560  Standing Knee   $ 495
74249  Stomach & Small Bowel  $ 1,897
72072  Thoracic Spine, 3 Views  $ 760
73110  Wrist Complete   $ 518

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.