Imaging prices at Acadia St. Landry Hospital
Church Point, LA · every code in this section with a posted price and a Medicare benchmark.
208 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$20.63–$194.81 | $27.51–$259.74 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$26.12–$235.69 | $34.83–$314.25 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$19.01–$194.81 | $25.35–$259.74 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$21.44–$235.69 | $28.59–$314.25 | varies |
| Bone survey infant (77076) | $78.46 | $104.61 | 0.8× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$20.63–$194.81 | $27.51–$259.74 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$24.59–$194.81 | $32.79–$259.74 | varies |
| Chest 3 views (71047) | $30.80 | $41.07 | 0.4× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$36.18–$235.69 | $48.24–$314.25 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$19.01–$194.81 | $25.35–$259.74 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$110.39–$392.81 | $147.18–$523.75 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $65.36 | $87.15 | 0.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$225.18–$1,425.75 | $300.24–$1,901 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$196.13–$1,275 | $261.51–$1,700 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$143.48–$742.50 | $191.31–$990 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$158.22–$742.50 | $210.96–$990 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$134.15–$742.50 | $178.86–$990 | varies |
| CT Angio Abdomen and Pelvis (74174) | $246.22 | $328.29 | 0.8× |
| CT Angio Chest (71275) | $204.77 | $273.03 | 1.3× |
| CT Angio Head (70496) | $196.94 | $262.59 | 1.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $211.25 | $281.67 | 1.3× |
| CT Angio Neck (70498) | $196.94 | $262.59 | 1.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $201.80 | $269.07 | 1.3× |
| CT bone density (77078) range across 2 matching MRF lines |
$27.74–$253.67 | $36.99–$338.22 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$137.30–$1,374.08 | $183.06–$1,832.10 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$112.70–$675 | $150.27–$900 | varies |
| CT cervical spine w/wo cont (72127) | $938.25 | $1,251 | 5.9× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$140.33–$750.75 | $187.11–$1,001 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$154.58–$750.75 | $206.10–$1,001 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $360.74 | $480.99 | 2.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $269.60 | $359.46 | 2.8× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$126.83–$975.75 | $169.11–$1,301 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$142.79–$1,088.25 | $190.38–$1,451 | varies |
| CT iac w contrast (70481) | $749.25 | $999 | 4.7× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$142.07–$1,013.25 | $189.42–$1,351 | varies |
| CT lower ext w/o (73700) range across 14 matching MRF lines |
$112.70–$742.50 | $150.27–$990 | varies |
| CT lower extremity w/contrast material (73701) range across 14 matching MRF lines |
$129.98–$825 | $173.31–$1,100 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$137.30–$1,374.08 | $183.06–$1,832.10 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$112.70–$750 | $150.27–$1,000 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$126.83–$749.25 | $169.11–$999 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$96.95–$675 | $129.27–$900 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$183.53–$750 | $244.71–$1,000 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$142.07–$862.50 | $189.42–$1,150 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$149.18–$787.50 | $198.90–$1,050 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$137.30–$795 | $183.06–$1,060 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$122.15–$600 | $162.87–$800 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$136.58–$975 | $182.10–$1,300 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$142.79–$788.25 | $190.38–$1,051 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$155.27–$675 | $207.03–$900 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$144.29–$675 | $192.39–$900 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$137.30–$1,088.25 | $183.06–$1,451 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$112.70–$863.25 | $150.27–$1,151 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$142.79–$1,088.25 | $190.38–$1,451 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$129.98–$675 | $173.31–$900 | varies |
| CT upper ext wo (73200) range across 14 matching MRF lines |
$112.70–$742.50 | $150.27–$990 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$137.30–$900 | $183.06–$1,200 | varies |
| CT upper extremity with contrast (73201) range across 14 matching MRF lines |
$129.98–$1,374.08 | $173.31–$1,832.10 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$266.04–$1,418.25 | $354.72–$1,891 | varies |
| Cta Abdomen (74175) | $204.05 | $272.07 | 1.3× |
| CTA pelvis (72191) | $201.80 | $269.07 | 1.3× |
| Dxa Bone Density Axial (77080) | $235.69 | $314.25 | 2.5× |
| Echograp Trans R Pros Study (76873) | $175.21 | $233.61 | 1.9× |
| Esophagram (74220) range across 2 matching MRF lines |
$64.10–$393.89 | $85.47–$525.18 | varies |
| Foot 2 views (73620) range across 13 matching MRF lines |
$17.57–$194.81 | $23.43–$259.74 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$19.01–$194.81 | $25.35–$259.74 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$19.01–$235.69 | $25.35–$314.25 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $83.14 | $110.85 | 1.1× |
| Infant hip ultrasound, limited static exam (76886) | $69.82 | $93.09 | 0.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,931.21 | $2,574.95 | 3.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$21.35–$194.81 | $28.47–$259.74 | varies |
| Magnetic Image Jaw Joint (70336) | $166.86 | $222.48 | 0.8× |
| Mra Head W/O & W/Contrast Material (70546) | $167.58 | $223.44 | 0.5× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$134.96–$975 | $179.94–$1,300 | varies |
| MRA head with contrast (70545) | $134.96 | $179.94 | 0.4× |
| MRA neck w contrast (70548) | $169.20 | $225.60 | 0.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $203.15 | $270.87 | 0.6× |
| MRA neck w/o contrast (70547) | $135.68 | $180.90 | 0.6× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$195.32–$1,050.75 | $260.43–$1,401 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$165.24–$1,050 | $220.32–$1,400 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$184.25–$1,200 | $245.67–$1,600 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$240.84–$1,350 | $321.12–$1,800 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$184.25–$1,192.50 | $245.67–$1,590 | varies |
| MRI bone marrow blood supply (77084) | $180.88 | $241.17 | 0.8× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$201.51–$1,313.25 | $268.68–$1,751 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$167.58–$1,050 | $223.44–$1,400 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$165.24–$1,050 | $220.32–$1,400 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$194.60–$1,117.50 | $259.47–$1,490 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$251.91–$1,125.75 | $335.88–$1,501 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$183.53–$1,200 | $244.71–$1,600 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$240.12–$1,350 | $320.16–$1,800 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$151.43–$1,117.50 | $201.90–$1,490 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$200.81–$1,275.75 | $267.75–$1,701 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$257.81–$1,313.25 | $343.74–$1,751 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$150.71–$1,050 | $200.94–$1,400 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$183.53–$1,124.25 | $244.71–$1,499 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$240.12–$1,237.50 | $320.16–$1,650 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$195.32–$1,117.50 | $260.43–$1,490 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$245.61–$1,313.25 | $327.48–$1,751 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$165.24–$975 | $220.32–$1,300 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$167.58–$1,238.25 | $223.44–$1,651 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$184.25–$1,192.50 | $245.67–$1,590 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$152.12–$1,117.50 | $202.83–$1,490 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$240.84–$1,275 | $321.12–$1,700 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$245.61–$1,200.75 | $327.48–$1,601 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$257.81–$1,875 | $343.74–$2,500 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$200.81–$1,463.25 | $267.75–$1,951 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$154.87–$1,350 | $206.49–$1,800 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$240.84–$1,275 | $321.12–$1,700 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$257.81–$1,350.75 | $343.74–$1,801 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$20.63–$194.81 | $27.51–$259.74 | varies |
| Optic foramina (70190) | $194.81 | $259.74 | 2.5× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$19.82–$235.69 | $26.43–$314.25 | varies |
| Peritoneogram Rs&I (74190) | $52.74 | $70.32 | 0.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$35.57–$235.69 | $47.43–$314.25 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$19.82–$194.81 | $26.43–$259.74 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$18.29–$194.81 | $24.39–$259.74 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$19.82–$194.81 | $26.43–$259.74 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$29.99–$235.69 | $39.99–$314.25 | varies |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$15.86–$194.81 | $21.15–$259.74 | varies |
| Radex foot complete minimum 3 views (73630) range across 13 matching MRF lines |
$19.10–$194.81 | $25.47–$259.74 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$19.82–$194.81 | $26.43–$259.74 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$18.29–$194.81 | $24.39–$259.74 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$38.93–$235.69 | $51.90–$314.25 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$19.82–$194.81 | $26.43–$259.74 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$25.31–$194.81 | $33.75–$259.74 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$21.35–$194.81 | $28.47–$259.74 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$19.82–$194.81 | $26.43–$259.74 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$18.29–$194.81 | $24.39–$259.74 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$22.77–$194.81 | $30.36–$259.74 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$27.65–$194.81 | $36.87–$259.74 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$15.14–$194.81 | $20.19–$259.74 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$18.29–$235.69 | $24.39–$314.25 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$19.82–$194.81 | $26.43–$259.74 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $46.76 | $62.34 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$28.46–$235.69 | $37.95–$314.25 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $30.08 | $40.11 | 0.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$25.31–$235.69 | $33.75–$314.25 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$28.46–$235.69 | $37.95–$314.25 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $393.89 | $525.18 | 2.5× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$19.01–$194.81 | $25.35–$259.74 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$20.63–$194.81 | $27.51–$259.74 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$19.01–$194.81 | $25.35–$259.74 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $49.91 | $66.54 | 0.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$18.29–$194.81 | $24.39–$259.74 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $39.33 | $52.44 | 0.1× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$33.12–$235.69 | $44.16–$314.25 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$20.54–$235.69 | $27.39–$314.25 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$22.16–$194.81 | $29.55–$259.74 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$17.48–$194.81 | $23.31–$259.74 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$22.77–$235.69 | $30.36–$314.25 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$25.31–$194.81 | $33.75–$259.74 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$22.97–$235.69 | $30.63–$314.25 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$26.12–$235.69 | $34.83–$314.25 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$24.50–$194.81 | $32.67–$259.74 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$76.12–$324.68 | $101.49–$432.90 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$61.99–$392.81 | $82.65–$523.75 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$65.95–$392.81 | $87.93–$523.75 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$81.61–$392.81 | $108.81–$523.75 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$65.23–$392.81 | $86.97–$523.75 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$77.33–$495 | $103.10–$660 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$55.49–$392.81 | $73.98–$523.75 | varies |
| Us kidney transplant (76776) | $86.78 | $115.71 | 0.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$58.71–$392.81 | $78.28–$523.75 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$83.95–$392.81 | $111.93–$523.75 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$76.93–$392.81 | $102.57–$523.75 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$82.42–$392.81 | $109.89–$523.75 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$65.14–$392.81 | $86.85–$523.75 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$71.44–$392.81 | $95.25–$523.75 | varies |
| Us spinal canal and contents (76800) | $133.54 | $178.05 | 1.4× |
| Us thyroid (76536) range across 2 matching MRF lines |
$63.52–$392.81 | $84.69–$523.75 | varies |
| Us transrectal (76872) | $75.20 | $100.26 | 0.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$19.01–$194.81 | $25.35–$259.74 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$21.35–$194.81 | $28.47–$259.74 | varies |
| X-Ray Bend Only L-S Spine (72120) | $25.31 | $33.75 | 0.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$19.01–$194.81 | $25.35–$259.74 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $29.99 | $39.99 | 0.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $36.50 | $48.66 | 0.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$41.15–$235.69 | $54.87–$314.25 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$21.35–$194.81 | $28.47–$259.74 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$25.31–$194.81 | $33.75–$259.74 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $30.80 | $41.07 | 0.3× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$25.31–$235.69 | $33.75–$314.25 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $33.12 | $44.16 | 0.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $35.44 | $47.25 | 0.4× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$33.95–$235.69 | $45.27–$314.25 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$25.31–$194.81 | $33.75–$259.74 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$33.95–$235.69 | $45.27–$314.25 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$30.08–$235.69 | $40.11–$314.25 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$19.01–$194.81 | $25.35–$259.74 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$54.68–$393.89 | $72.90–$525.18 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$20.63–$194.81 | $27.51–$259.74 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$19.71–$194.81 | $26.28–$259.74 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$25.31–$235.69 | $33.75–$314.25 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$20.63–$194.81 | $27.51–$259.74 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$36.27–$235.69 | $48.36–$314.25 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $26.10 | $34.80 | 0.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$19.82–$235.69 | $26.43–$314.25 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$19.82–$194.81 | $26.43–$259.74 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$25.31–$194.81 | $33.75–$259.74 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$32.31–$235.69 | $43.08–$314.25 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$27.74–$235.69 | $36.99–$314.25 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$20.63–$194.81 | $27.51–$259.74 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$31.01–$235.69 | $41.34–$314.25 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$62.71–$235.69 | $83.61–$314.25 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$30.80–$235.69 | $41.07–$314.25 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$22.86–$194.81 | $30.48–$259.74 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$20.63–$235.69 | $27.51–$314.25 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$31.61–$235.69 | $42.15–$314.25 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.