Imaging prices at Ahs Sherman Medical Center
Sherman, TX · every code in this section with a posted price and a Medicare benchmark.
245 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 |
$96.41–$142.74 | $321.36–$475.80 | varies |
| Abdomen 2 views (74019) | $119.51 | $398.36 | 1.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $397.85 | $1,326.15 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $1,124.16 | $3,747.19 | 0.4× |
| Angiography extremity unilateral rs&i (75710) | $1,124.16 | $3,747.19 | 0.4× |
| Ankle 2 views (73600) | $111.93 | $373.09 | 1.3× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,383.48 | $4,611.60 | 0.2× |
| Arthrogram hip (73525) | $162.78 | $542.59 | 0.5× |
| Arthrogram Wrist (73115) | $196.32 | $654.41 | 0.6× |
| Bone age studies (77072) | $130.73 | $435.75 | 1.2× |
| Bone Imaging 3 Phase (78315) | $575.92 | $1,919.72 | 1.4× |
| Bone Imaging Limited Area (78300) | $296.49 | $988.31 | 0.7× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$575.92–$685.52 | $1,919.72–$2,285.06 | varies |
| Bone marrow imaging limited area (78102) | $296.49 | $988.31 | 0.7× |
| Bone marrow imaging; multiple areas (78103) | $389.26 | $1,297.54 | 1.0× |
| Bone survey infant (77076) | $130.10 | $433.65 | 1.2× |
| Brain Image W/Flow < 4 Views (78601) | $207.21 | $690.69 | 0.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $409.82 | $1,366.05 | 0.7× |
| Cerebrospinal Fluid Scan (78630) | $409.82 | $1,366.05 | 0.7× |
| Chest 1 view (71045) | $134.92 | $449.73 | 1.5× |
| Chest 2 views (71046) | $160.94 | $536.48 | 1.8× |
| Chest 4 or more views (71048) | $133.09 | $443.63 | 1.3× |
| Cisternography Positive Contrast Rs&I (70015) | $580.07 | $1,933.58 | 0.7× |
| Clavicle complete (73000) | $148.52 | $495.08 | 1.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $840.48 | $2,801.60 | 8.0× |
| Contrast Exam Abdominl Aorta (75625) | $1,124.16 | $3,747.19 | 0.4× |
| Contrast X-Ray Bladder (74430) | $248.96 | $829.85 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $1,554.11 | $5,180.35 | 4.4× |
| CT abdomen and pelvis without contrast (74176) | $1,183.44 | $3,944.81 | 4.9× |
| CT abdomen w contrast (74160) | $921.43 | $3,071.44 | 5.2× |
| CT abdomen w wo contrast (74170) | $1,151.19 | $3,837.30 | 6.5× |
| CT abdomen w/o contrast (74150) | $844.31 | $2,814.37 | 8.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,070.77 | $6,902.57 | 5.9× |
| CT Angio Chest (71275) | $1,151.19 | $3,837.30 | 6.5× |
| CT Angio Head (70496) | $997.75 | $3,325.84 | 5.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,891.78 | $9,639.26 | 16.4× |
| CT Angio Neck (70498) | $997.75 | $3,325.84 | 5.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,438.05 | $4,793.51 | 8.1× |
| CT cervical spine w/ contrast (72126) | $908.93 | $3,029.78 | 2.6× |
| CT cervical spine w/o contrast (72125) | $957.79 | $3,192.63 | 9.1× |
| CT cervical spine w/wo cont (72127) | $1,135.58 | $3,785.25 | 6.4× |
| CT chest w contrast (71260) | $936.44 | $3,121.47 | 5.3× |
| CT chest w/wo contrast (71270) | $1,151.19 | $3,837.30 | 6.5× |
| CT head/brain with contrast (70460) | $802.32 | $2,674.40 | 4.5× |
| CT head/brain without and with contrast (70470) | $959.35 | $3,197.83 | 5.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $825 | $2,750 | 9.4× |
| CT iac w contrast (70481) | $711.74 | $2,372.48 | 4.0× |
| CT l-spine w&w/o contrast (72133) | $1,135.58 | $3,785.25 | 6.4× |
| CT lower ext w/o (73700) range across 15 matching MRF lines |
$450–$844.31 | $1,500–$2,814.37 | varies |
| CT lower extremity w/contrast material (73701) | $921.43 | $3,071.44 | 5.2× |
| CT lumbar spine w contrast (72132) | $921.43 | $3,071.44 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $844.31 | $2,814.37 | 8.0× |
| CT maxillofacial w contrast (70487) | $623.42 | $2,078.05 | 3.5× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$231.94–$587.49 | $773.12–$1,958.30 | varies |
| CT neck tissue combo (70492) | $1,032.16 | $3,440.53 | 5.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $798.25 | $2,660.83 | 4.5× |
| CT orbits w/o contrast (70480) | $818.51 | $2,728.35 | 7.8× |
| CT pelvis w&w/o contrast (72194) | $1,045.28 | $3,484.25 | 5.9× |
| CT pelvis w/o contrast (72192) | $733.74 | $2,445.81 | 7.0× |
| CT scan of leg combo (73702) range across 9 matching MRF lines |
$1,135.58–$1,382 | $3,785.25–$4,606.65 | varies |
| CT scans face/jaw combo (70488) | $804.20 | $2,680.65 | 4.5× |
| CT soft tissue neck w contrast (70491) | $844.31 | $2,814.37 | 4.8× |
| CT soft tissue neck w/o contrast (70490) | $729.20 | $2,430.65 | 6.9× |
| CT thoracic spine w contrast (72129) | $908.93 | $3,029.78 | 5.1× |
| CT thoracic spine w/o contrast (72128) | $844.31 | $2,814.37 | 8.0× |
| CT thoracic spine w/wo cont (72130) | $1,135.58 | $3,785.25 | 6.4× |
| CT thorax w/o contrast (71250) | $840.48 | $2,801.60 | 8.0× |
| CT upper ext wo (73200) range across 14 matching MRF lines |
$450–$702.45 | $1,500–$2,341.50 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 9 matching MRF lines |
$1,382–$1,703.28 | $4,606.65–$5,677.61 | varies |
| CT upper extremity with contrast (73201) range across 12 matching MRF lines |
$692.92–$1,121.39 | $2,309.74–$3,737.95 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $997.75 | $3,325.84 | 5.6× |
| Cta Abdomen (74175) | $1,151.19 | $3,837.30 | 6.5× |
| CTA pelvis (72191) | $908.93 | $3,029.78 | 5.1× |
| Dxa Bone Density Axial (77080) | $199.63 | $665.44 | 1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $153.05 | $510.17 | 1.7× |
| Echo Guide For Artery Repair (76936) | $212.55 | $708.49 | 1.0× |
| Esophagram (74220) | $150.01 | $500.02 | 0.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $163.33 | $544.43 | 1.6× |
| Fluoroscopy up to 1 hr (76000) | $150.01 | $500.02 | 0.6× |
| Foot 2 views (73620) | $127.92 | $426.41 | 1.5× |
| Forearm 2 views (73090) | $184.67 | $615.56 | 2.1× |
| Gastric emptying imaging study (78264) | $364.84 | $1,216.12 | 0.9× |
| Gated Heart Planar Single (78472) | $549.36 | $1,831.20 | 1.4× |
| Hand 2 views (73120) | $134.92 | $449.73 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $587.65 | $1,958.83 | 1.1× |
| Hepatobiliary System Imaging (78226) | $579.68 | $1,932.26 | 1.4× |
| Ht Musc Image Planar Mult (78454) | $1,215.66 | $4,052.21 | 0.9× |
| Ht Muscle Image Spect Sing (78451) | $1,412.30 | $4,707.68 | 1.1× |
| Hysterosalpingogram (74740) | $331.55 | $1,105.16 | 1.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $193.80 | $646.01 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $539.52 | $1,798.39 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $477.30 | $1,591.01 | 0.9× |
| Knee 3 Views (73562) | $161.93 | $539.75 | 1.8× |
| Liver & Spleen Imaging Static Only (78215) | $386.51 | $1,288.35 | 1.0× |
| Liver imaging w/vascular flow (78202) | $604.80 | $2,016 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,258.43 | $4,194.75 | 2.3× |
| Lung perfusion differential (78597) | $733.71 | $2,445.71 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $806.47 | $2,688.24 | 1.5× |
| Lung Ventilation Imaging (78579) | $435.49 | $1,451.63 | 1.1× |
| Lymph System Imaging (78195) | $598.50 | $1,995 | 1.1× |
| Meckels Divert Exam (78290) | $296.49 | $988.31 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,131.85 | $3,772.84 | 3.2× |
| MRA head w/o contrast (70544) | $844.31 | $2,814.37 | 3.5× |
| MRA head with contrast (70545) | $908.93 | $3,029.78 | 2.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $984.22 | $3,280.73 | 2.8× |
| MRA neck w/o contrast (70547) | $844.31 | $2,814.37 | 3.5× |
| MRI abdomen w/o contrast (74181) | $844.31 | $2,814.37 | 3.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 7 matching MRF lines |
$1,150.22–$2,300.45 | $3,834.08–$7,668.16 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 7 matching MRF lines |
$1,222.04–$2,444.09 | $4,073.48–$8,146.96 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$1,150.22–$1,566 | $3,834.08–$5,220 | varies |
| MRI cervical spine w contrast (72142) | $908.93 | $3,029.78 | 2.6× |
| MRI cervical spine w/o cont (72141) | $844.31 | $2,814.37 | 3.5× |
| MRI chest w/o contrast (71550) | $984.22 | $3,280.73 | 4.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 5 matching MRF lines |
$900.45–$1,566 | $3,001.50–$5,220 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$635.57–$1,286.78 | $2,118.57–$4,289.25 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,305.91 | $4,353.04 | 5.4× |
| MRI lumbar spine w contrast (72149) | $921.43 | $3,071.44 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,151.19 | $3,837.30 | 3.3× |
| MRI orbit face &/neck w/o contrast (70540) | $984.22 | $3,280.73 | 4.1× |
| MRI orbit face neck w contrast (70542) | $1,097.78 | $3,659.25 | 3.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,392.94 | $4,643.14 | 4.0× |
| MRI pelvis w contrast (72196) | $1,042.57 | $3,475.24 | 3.0× |
| MRI pelvis w/o & w contrast (72197) | $1,392.94 | $4,643.14 | 4.0× |
| MRI pelvis w/o contrast (72195) | $997.75 | $3,325.84 | 4.1× |
| MRI thoracic spine w/o contrast (72146) | $844.31 | $2,814.37 | 3.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 5 matching MRF lines |
$934.68–$1,566 | $3,115.61–$5,220 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $791.04 | $2,636.81 | 3.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,617.60 | $5,392.01 | 4.6× |
| MRI, abdomen, combo (74183) | $1,151.19 | $3,837.30 | 3.3× |
| MRI, dorsal spine combo (72157) | $1,151.19 | $3,837.30 | 3.3× |
| MRI, dorsal spine contrast (72147) | $908.93 | $3,029.78 | 2.6× |
| MRI, joint upper extrem (73221) | $1,093.23 | $3,644.11 | 4.5× |
| MRI, joint upper extrem combo (73223) | $1,222.04 | $4,073.48 | 3.5× |
| MRI, lumbar spine combo (72158) | $1,151.19 | $3,837.30 | 3.3× |
| Myelograpy 2/more regions rs&i (72270) | $507.78 | $1,692.60 | 0.6× |
| Myocardial Spect Multiple Studies (78452) | $1,517.62 | $5,058.74 | 1.2× |
| Neck soft tissue (70360) | $62.03 | $206.76 | 0.7× |
| Parathyroid Planar Imaging (78070) | $409.82 | $1,366.05 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $681.19 | $2,270.63 | 1.7× |
| Pelvis 1 or 2 views (72170) | $130.93 | $436.42 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $454.70 | $1,515.68 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $119.51 | $398.36 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) | $142.74 | $475.80 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $111.37 | $371.23 | 1.3× |
| Radex elbow complete minimum 3 views (73080) | $153.05 | $510.17 | 1.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $161.74 | $539.14 | 1.5× |
| Radex fingr minimum 2 views (73140) | $85.10 | $283.68 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $130.93 | $436.42 | 1.5× |
| Radex Hand Minimum 3 Views (73130) | $142.74 | $475.80 | 1.6× |
| Radex lower extremity infant minimum 2 views (73592) | $157.82 | $526.05 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $109.67 | $365.57 | 1.3× |
| Radex Ribs Unilateral 2 Views (71100) | $98.99 | $329.98 | 1.1× |
| Radex shoulder complete minimum 2 views (73030) | $130.93 | $436.42 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $114.35 | $381.15 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $96.68 | $322.26 | 1.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $141.36 | $471.19 | 1.6× |
| Radex Toe Minimum 2 Views (73660) | $110.33 | $367.77 | 1.3× |
| Radex upper extremity infant minimum 2 views (73092) | $86.22 | $287.39 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $177.23 | $590.76 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $144.90 | $482.99 | 1.4× |
| Radiologic exam colon double contrast study (74280) | $314.16 | $1,047.20 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $257.99 | $859.95 | 1.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $195.55 | $651.84 | 1.1× |
| Radiologic exam knee complete 4/more views (73564) | $156.48 | $521.61 | 1.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $225.45 | $751.49 | 1.3× |
| Radiologic exam swallow function contrast study (74230) | $209.39 | $697.96 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $273.18 | $910.61 | 1.5× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$122.06–$183.09 | $406.88–$610.31 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$50.40–$75.60 | $168–$252 | varies |
| Radiologic examination knee 1/2 views (73560) | $134.92 | $449.73 | 1.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $101.59 | $338.63 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $121.91 | $406.35 | 1.4× |
| Ribs bilateral 3 views (71110) | $174.88 | $582.92 | 1.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $438.97 | $1,463.24 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$409.82–$1,137.90 | $1,366.05–$3,793 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,053.12 | $3,510.41 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,511.30 | $5,037.68 | 2.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $464.94 | $1,549.80 | 0.8× |
| Scapula (73010) | $95.16 | $317.20 | 0.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $28.96 | $96.52 | 1.2× |
| Shoulder 1 view (73020) | $108.25 | $360.84 | 1.2× |
| Shoulder Arthrography (73040) | $206.64 | $688.80 | 0.6× |
| Skull less than 4 views (70250) | $123.74 | $412.47 | 1.2× |
| Thoracic spine 2 views (72070) | $161.93 | $539.75 | 1.5× |
| Thoracic spine 3 views (72072) | $130.93 | $436.42 | 1.2× |
| Thoracolumbar 2 views (72080) | $129.15 | $430.50 | 1.5× |
| Thyroid Uptake Measurement (78012) | $138.60 | $462 | 0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $397.29 | $1,324.30 | 1.0× |
| Ultrasound Breast Limited (76642) | $153.05 | $510.17 | 1.7× |
| Ultrasound Exam Aaa Screen (76706) | $125.58 | $418.59 | 1.2× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$150.90–$192.40 | $503–$641.33 | varies |
| Upper gi w/o kub (74240) | $262.97 | $876.57 | 1.5× |
| Urethrocystogram voiding (74455) | $216.48 | $721.61 | 0.9× |
| Urethrocystography retrograde (74450) | $216.48 | $721.61 | 0.9× |
| Us breast unilateral complete (76641) | $199.63 | $665.44 | 1.9× |
| Us chest (76604) | $170.84 | $569.47 | 1.6× |
| Us complete joint (76881) | $168.53 | $561.75 | 1.6× |
| Us exam, pelvic, limited (76857) | $133.09 | $443.63 | 1.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $111.21 | $370.69 | 1.1× |
| Us ob detailed single fetus (76811) | $138.60 | $462 | 0.6× |
| Us ob limited 1 or more fetuses (76815) | $157.91 | $526.37 | 1.5× |
| Us ob transvaginal (76817) | $207.81 | $692.69 | 2.0× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$238.28–$303.68 | $794.25–$1,012.28 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $136.71 | $455.70 | 1.3× |
| Us retroperitoneal complete (76770) | $261.53 | $871.77 | 2.5× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$129.90–$165.58 | $433–$551.92 | varies |
| Us scrotum and contents (76870) | $200.38 | $667.94 | 1.9× |
| Us spinal canal and contents (76800) | $189.79 | $632.63 | 1.8× |
| Us thyroid (76536) range across 4 matching MRF lines |
$166.13–$211.80 | $553.75–$705.99 | varies |
| Venography caval inferior serialography rs&i (75825) | $916.26 | $3,054.19 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $335.78 | $1,119.26 | 0.2× |
| Venography Renal Bilateral (75833) | $916.26 | $3,054.19 | 0.3× |
| Venography Renal Unilateral (75831) | $870.11 | $2,900.36 | 0.3× |
| Wrist 2 views (73100) | $115.92 | $386.39 | 1.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $89.38 | $297.94 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $216.48 | $721.61 | 0.6× |
| X-Ray Aorta Leg Arteries (75630) | $1,139.61 | $3,798.71 | 0.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $123.74 | $412.47 | 1.4× |
| X-Ray Exam Breast Specimen (76098) | $178.51 | $595.04 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $104.42 | $348.08 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $129.15 | $430.50 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $212.03 | $706.76 | 2.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $125.69 | $418.95 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $133.80 | $445.99 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $170.81 | $569.36 | 1.6× |
| X-Ray Exam L-S Spine Bending (72114) | $170.17 | $567.23 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $146.17 | $487.23 | 1.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $176.79 | $589.31 | 1.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $111.93 | $373.09 | 1.1× |
| X-ray humerus (73060) | $123.74 | $412.47 | 1.4× |
| X-ray IV pyelogram (ivp) (74400) | $216.48 | $721.61 | 1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $112.14 | $373.80 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $170.81 | $569.36 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $184.82 | $616.05 | 1.8× |
| X-ray nose-rectum child f.b. (76010) | $144.35 | $481.16 | 1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$80.01–$120.02 | $266.70–$400.05 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$61.82–$139.78 | $206.06–$465.94 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $122.80 | $409.34 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $140.81 | $469.35 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $184.97 | $616.57 | 1.8× |
| X-Ray Tmj Unilat (70328) | $59.85 | $199.50 | 0.7× |
| X-Rays Bone Survey Complete (77075) | $203.97 | $679.91 | 1.9× |
| Xr c-spine 4 or 5 views (72050) | $192.40 | $641.33 | 1.8× |
| Xr facial bones less than 3 views (70140) | $87.81 | $292.69 | 1.0× |
| Xr orbits complete 4 views (70200) | $114.35 | $381.15 | 1.1× |
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.