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X-rays

Estimated Average Prices for Procedures

These prices are for John C. Lincoln Health Network services performed at hospitals and facilities and DO NOT INCLUDE physicians' fees. If you would like an estimated average price for a specific location, please call: 623-434-6287.

The chart includes the following information:

  • The average charge for the procedure.
  • The average Arizona Health Care Cost Containment System (AHCCCS) payment John C. Lincoln Health Network receives for this procedure.
  • The average Medicare payment John C. Lincoln Health Network receives for this procedure.

Please select your procedure from the list below.

CPT Code CPT Code Description
71020 CHEST X-RAY 2 VW
72110 X-RAY LUMBAR SPINE 4 VW
73630 X-RAY FOOT 3+ VW
73030 X-RAY SHOULDER 2+ VW
73562 X-RAY KNEE 3 VIEW
74000 X-RAY ABDOMEN 1 VW
73610 X-RAY ANKLE 3+ VW
72100 X-RAY LUMBAR SPINE 2/3 VW
73510 X-RAY HIP UNI 2+ VW
72052 RADEX SPINE CERVICAL 6 OR MORE VIEWS
73130 X-RAY HAND 3+ VW
73110 X-RAY WRIST 3+ VW
73560 X-RAY KNEE 1 OR 2 VIEW
72040 RADEX SPINE CERVICAL 3 VIEWS OR LESS
73564 X-RAY KNEE 4+ VIEW
72050 RADEX SPINE CERVICAL 4 OR 5 VIEWS
73140 X-RAY EXAM OF FINGER(S)
73080 X-RAY ELBOW 3+ VW
72072 X-RAY THORACIC SPINE+SWIM 3 VW
71100 X-RAY RIBS 2 VW UNILAT
73520 X-RAY HIPS 4 VW + PELVIS
72020 X-RAY SPINE ONE VIEW
74020 X-RAY ABDOMEN 2 VW
74220 ESOPHAGRAM
74247 XRAY UPPER GI AIR CONTRAST + KUB

Average Costs and Payments

71020 - CHEST X-RAY 2 VW
Average Charge: $164
Average Payment with AHCCCS: $47
Average Payment with Medicare: $43

72110 - X-RAY LUMBAR SPINE 4 VW
Average Charge: $254
Average Payment with AHCCCS: $69
Average Payment with Medicare: $75

73630 - X-RAY FOOT 3+ VW
Average Charge: $155
Average Payment with AHCCCS: $44
Average Payment with Medicare: $49

73030 - X-RAY SHOULDER 2+ VW
Average Charge: $161
Average Payment with AHCCCS: $40
Average Payment with Medicare: $49

73562 - X-RAY KNEE 3 VIEW
Average Charge: $155
Average Payment with AHCCCS: $44
Average Payment with Medicare: $51

74000 - X-RAY ABDOMEN 1 VW
Average Charge: $180
Average Payment with AHCCCS: $40
Average Payment with Medicare: $43

73610 - X-RAY ANKLE 3+ VW
Average Charge: $165
Average Payment with AHCCCS: $44
Average Payment with Medicare: $49

72100 - X-RAY LUMBAR SPINE 2/3 VW
Average Charge: $181
Average Payment with AHCCCS: $41
Average Payment with Medicare: $49

73510 - X-RAY HIP UNI 2+ VW
Average Charge: $167
Average Payment with AHCCCS: $41
Average Payment with Medicare: $45

72052 - RADEX SPINE CERVICAL 6 OR MORE VIEWS
Average Charge: $248
Average Payment with AHCCCS: $63
Average Payment with Medicare: $71

73130 - X-RAY HAND 3+ VW
Average Charge: $158
Average Payment with AHCCCS: $59
Average Payment with Medicare: $49

73110 - X-RAY WRIST 3+ VW
Average Charge: $182
Average Payment with AHCCCS: $51
Average Payment with Medicare: $52

73560 - X-RAY KNEE 1 OR 2 VIEW
Average Charge: $175
Average Payment with AHCCCS: $50
Average Payment with Medicare: $48

72040 - RADEX SPINE CERVICAL 3 VIEWS OR LESS
Average Charge: $200
Average Payment with AHCCCS: $75
Average Payment with Medicare: $63

73564 - X-RAY KNEE 4+ VIEW
Average Charge: $183
Average Payment with AHCCCS: $44
Average Payment with Medicare: $67

72050 RADEX SPINE CERVICAL 4 OR 5 VIEWS
Average Charge: $233
Average Payment with AHCCCS: $74
Average Payment with Medicare: $66

73140 X-RAY EXAM OF FINGER(S)
Average Charge: $142
Average Payment with AHCCCS: $50
Average Payment with Medicare: $43

73080 - X-RAY ELBOW 3+ VW
Average Charge: $164
Average Payment with AHCCCS: $42
Average Payment with Medicare: $44

72072 - X-RAY THORACIC SPINE+SWIM 3 VW
Average Charge: $190
Average Payment with AHCCCS: $44
Average Payment with Medicare: $62

71100 - X-RAY RIBS 2 VW UNILAT
Average Charge: $185
Average Payment with AHCCCS: $37
Average Payment with Medicare: $53

73520 - X-RAY HIPS 4 VW + PELVIS
Average Charge: $156
Average Payment with AHCCCS: $39
Average Payment with Medicare: $50

72020 - X-RAY SPINE ONE VIEW
Average Charge: $175
Average Payment with AHCCCS: $52
Average Payment with Medicare: $47

74020 - X-RAY ABDOMEN 2 VW
Average Charge: $174
Average Payment with AHCCCS: $44
Average Payment with Medicare: $41

74220 - ESOPHAGRAM
Average Charge: $632
Average Payment with AHCCCS: $86
Average Payment with Medicare: $87

74247 - XRAY UPPER GI AIR CONTRAST + KUB
Average Charge: $1,045
Average Payment with AHCCCS: $84
Average Payment with Medicare: $107