An X-Ray Procedure is used to study and diagnose disease of the skeletal system as well as for detecting some disease processes in soft tissue. X-rays use invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs on film. X-rays are made by using external radiation to produce images of the body, its organs and other internal structures for diagnostic purposes. X-rays pass through body tissues onto specially treated plates (similar to camera film) and a “negative” type picture is made (the more solid a structure is, the whiter it appears on the film).
| Procedure | Minimum List Price | Average List Price | Maximum List Price |
|---|---|---|---|
| Body X Ray | $725.00 | $1,100.00 | $4,000.00 |
| Bone X-Ray | $525.00 | $1,400.00 | $4,400.00 |
| Facial X-Ray | $170.00 | $280.00 | $2,325.00 |
| X-Ray of Brain | $700.00 | $1,450.00 | $6,000.00 |
| Skull X-Ray | $180.00 | $290.00 | $2,625.00 |
| Eye X-Ray | $270.00 | $650.00 | $2,025.00 |
| Mastoid X-Ray | $140.00 | $850.00 | $1,700.00 |
| Sinus X-Ray | $140.00 | $190.00 | $1,250.00 |
| Nasal X-Ray | $90.00 | $180.00 | $1,450.00 |
| Jaw X-Ray | $170.00 | $310.00 | $1,450.00 |
| Teeth X-Ray | $130.00 | $675.00 | $1,350.00 |
| Salivary Duct X-Ray | $400.00 | $1,250.00 | $3,600.00 |
| Neck X-Ray | $190.00 | $280.00 | $1,800.00 |
| Pituitary Saddle X-Ray | $120.00 | $340.00 | $1,250.00 |
| Chest X-Ray | $190.00 | $370.00 | $5,300.00 |
| Breastbone X-Ray | $150.00 | $210.00 | $1,300.00 |
| Rib X-Ray | $140.00 | $220.00 | $1,200.00 |
| Mammary Duct X-Ray | $675.00 | $2,325.00 | $3,500.00 |
| Abdominal X-Ray | $100.00 | $240.00 | $2,400.00 |
| GI Tract X-Ray | $210.00 | $400.00 | $2,000.00 |
| X-Ray Guide for Stomach Tube | $750.00 | $2,475.00 | $5,000.00 |
| Small Bowel X-Ray (Small Intestine) | $170.00 | $250.00 | $3,800.00 |
| Colon X-Ray | $240.00 | $550.00 | $1,900.00 |
| X-Ray for Atherectomy | $9,000.00 | $9,900.00 | $15,100.00 |
| X-Ray of Vein in Liver | $1,550.00 | $6,200.00 | $32,700.00 |
| Gallbladder X-Ray (Cholecystography) | $250.00 | $825.00 | $2,700.00 |
| X-Ray of Bile Duct or Pancreas | $525.00 | $12,700.00 | $53,600.00 |
| X-Ray of Bile Duct | $525.00 | $4,600.00 | $9,400.00 |
| Spine X-Ray | $190.00 | $280.00 | $3,800.00 |
| Sacroiliac Joint X-Ray | $200.00 | $300.00 | $5,700.00 |
| Tailbone X-Ray | $160.00 | $250.00 | $1,850.00 |
| Pelvic X-Ray | $210.00 | $350.00 | $1,600.00 |
| Bladder X-Ray | $360.00 | $850.00 | $2,400.00 |
| X-Ray of Urinary Tract (Urography) | $310.00 | $470.00 | $3,300.00 |
| Shoulder X-Ray | $150.00 | $210.00 | $1,600.00 |
| Forearm X-Ray | $120.00 | $190.00 | $1,250.00 |
| Elbow X-Ray | $120.00 | $240.00 | $3,700.00 |
| Wrist X-Ray | $130.00 | $190.00 | $1,850.00 |
| Hand X-Ray | $130.00 | $180.00 | $1,350.00 |
| Finger X-Ray | $70.00 | $100.00 | $1,150.00 |
| Hip X-Ray | $160.00 | $260.00 | $1,850.00 |
| Leg X-Ray | $130.00 | $210.00 | $1,700.00 |
| Thigh X-Ray | $170.00 | $280.00 | $1,400.00 |
| Knee X-Ray | $130.00 | $200.00 | $1,350.00 |
| Ankle X-Ray | $120.00 | $180.00 | $1,900.00 |
| Foot X-Ray | $110.00 | $170.00 | $2,175.00 |
| X-Ray of Toe | $70.00 | $110.00 | $1,000.00 |
| X-Ray for Atherectomy | $3,000.00 | $13,000.00 | $22,000.00 |
| X-Ray of Blood Vessel (Angiography) | $1,300.00 | $31,200.00 | $54,200.00 |
| Transcath Therapy X-Ray | $1,900.00 | $8,500.00 | $29,700.00 |
| Aorta X-Ray (Aortography) | $1,550.00 | $15,100.00 | $42,700.00 |
| X-Ray of Artery - Head and Neck (Angiography) | $1,650.00 | $16,200.00 | $31,500.00 |
| X-Ray of Vein in Neck | $1,600.00 | $18,100.00 | $35,800.00 |
| X-Ray of Artery - Adrenal Gland (Angiography) | $1,600.00 | $6,000.00 | $41,300.00 |
| X-Ray of Vein in Trunk (Venography) | $1,500.00 | $7,100.00 | $15,100.00 |
| X-Ray of Artery - Chest (Angiography) | $1,600.00 | $4,800.00 | $15,500.00 |
| X-Ray of Artery - Abdominal (Angiography) | $1,550.00 | $30,800.00 | $59,500.00 |
| X-Ray of Artery - Kidney (Angiography) | $1,650.00 | $18,000.00 | $36,000.00 |
| X-Ray of Artery - Spine (Angiography) | $1,600.00 | $17,800.00 | $29,100.00 |
| X-Ray of Artery - Pelvis (Angiography) | $1,550.00 | $20,300.00 | $41,000.00 |
| X-Ray of Vein in Arm or Leg (Venography) | $1,150.00 | $16,200.00 | $35,400.00 |
| X-Ray of Artery - Arm (Angiography) | $1,600.00 | $4,700.00 | $14,100.00 |
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