Imaging prices at Animas Surgical Hospital
Durango, CO · every code in this section with a posted price and a Medicare benchmark.
204 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 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$350–$7,575 | $350–$7,575 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$2,611–$7,575 | $2,611–$7,575 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$2,611–$7,572 | $2,611–$7,572 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$2,611–$8,504 | $2,611–$8,504 | varies |
| Bone age studies (77072) | $689 | $689 | 6.2× |
| Bone survey infant (77076) | $689 | $689 | 6.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| Chest 3 views (71047) | $410 | $410 | 4.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$279–$368 | $279–$368 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$2,764–$2,903 | $2,764–$2,903 | varies |
| Contrast X-Ray Bladder (74430) | $1,378 | $1,378 | 3.7× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$2,742–$7,572 | $2,742–$7,572 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$2,611–$7,572 | $2,611–$7,572 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,144–$4,352 | $4,144–$4,352 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,108–$3,264 | $3,108–$3,264 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| CT abdomen w/o contrast (74150) | $2,903 | $2,903 | 26.3× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$3,800–$7,978 | $3,800–$7,978 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$981–$3,990 | $981–$3,990 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,990–$7,978 | $3,990–$7,978 | varies |
| CT cervical spine w/ contrast (72126) | $3,990 | $3,990 | 10.8× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,764–$2,903 | $2,764–$2,903 | varies |
| CT cervical spine w/wo cont (72127) | $3,990 | $3,990 | 21.6× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| CT chest w/wo contrast (71270) | $3,990 | $3,990 | 21.6× |
| CT head/brain with contrast (70460) | $3,990 | $3,990 | 21.6× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| CT l-spine w&w/o contrast (72133) | $3,990 | $3,990 | 21.6× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$2,764–$5,802 | $2,764–$5,802 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$3,800–$7,975 | $3,800–$7,975 | varies |
| CT lumbar spine w contrast (72132) | $3,990 | $3,990 | 10.8× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$2,764–$2,903 | $2,764–$2,903 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,764–$2,903 | $2,764–$2,903 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,764–$2,903 | $2,764–$2,903 | varies |
| CT pelvis w&w/o contrast (72194) | $3,990 | $3,990 | 21.6× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$2,764–$2,903 | $2,764–$2,903 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$3,800–$7,743 | $3,800–$7,743 | varies |
| CT scans face/jaw combo (70488) | $3,990 | $3,990 | 21.6× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,800–$3,990 | $3,800–$3,990 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,764–$2,903 | $2,764–$2,903 | varies |
| CT thoracic spine w contrast (72129) | $3,990 | $3,990 | 21.6× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$2,764–$2,903 | $2,764–$2,903 | varies |
| CT thoracic spine w/wo cont (72130) | $3,990 | $3,990 | 21.6× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$2,764–$5,528 | $2,764–$5,528 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$2,764–$5,802 | $2,764–$5,802 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$3,800–$7,743 | $3,800–$7,743 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$3,800–$7,975 | $3,800–$7,975 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,764–$2,903 | $2,764–$2,903 | varies |
| Cta Abdomen (74175) | $2,903 | $2,903 | 15.7× |
| CTA pelvis (72191) | $3,990 | $3,990 | 21.6× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $1,378 | $1,378 | 5.5× |
| Diskography lumbar (72295) | $9,520 | $9,520 | 4.6× |
| Dxa Bone Density Axial (77080) | $770 | $770 | 7.0× |
| Dxa bone density study (77085) | $770 | $770 | 7.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $410 | $410 | 4.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $764 | $764 | 6.9× |
| Fluoroscopy up to 1 hr (76000) | $1,383 | $1,383 | 5.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$350–$2,203 | $350–$2,203 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$350–$2,370 | $350–$2,370 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$656–$4,733 | $656–$4,733 | varies |
| Hysterosalpingogram (74740) | $1,378 | $1,378 | 5.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $407 | $407 | 4.4× |
| Infant hip ultrasound, limited static exam (76886) | $407 | $407 | 4.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$350–$1,047 | $350–$1,047 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $4,835 | $4,835 | 13.1× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$3,454–$3,627 | $3,454–$3,627 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$4,835–$5,077 | $4,835–$5,077 | varies |
| MRA neck w/o contrast (70547) | $3,627 | $3,627 | 14.4× |
| MRI abdomen w contrast (74182) | $5,077 | $5,077 | 13.8× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$3,289–$3,627 | $3,289–$3,627 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$4,835–$10,150 | $4,835–$10,150 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$4,835–$10,150 | $4,835–$10,150 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$4,835–$5,077 | $4,835–$5,077 | varies |
| MRI cervical spine w contrast (72142) | $5,077 | $5,077 | 13.8× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,454–$3,627 | $3,454–$3,627 | varies |
| MRI chest w/o contrast (71550) | $3,627 | $3,627 | 14.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$5,077–$10,150 | $5,077–$10,150 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,835–$10,150 | $4,835–$10,150 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$3,454–$7,251 | $3,454–$7,251 | varies |
| MRI lumbar spine w contrast (72149) | $5,077 | $5,077 | 13.8× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$4,835–$5,077 | $4,835–$5,077 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,454–$3,627 | $3,454–$3,627 | varies |
| MRI orbit face neck w contrast (70542) | $5,077 | $5,077 | 13.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$4,835–$5,077 | $4,835–$5,077 | varies |
| MRI pelvis w contrast (72196) | $5,077 | $5,077 | 13.8× |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$4,835–$5,077 | $4,835–$5,077 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,454–$3,627 | $3,454–$3,627 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,454–$3,627 | $3,454–$3,627 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,077 | $5,077 | 13.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,454–$3,627 | $3,454–$3,627 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$4,835–$5,077 | $4,835–$5,077 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,835–$5,077 | $4,835–$5,077 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$4,835–$5,077 | $4,835–$5,077 | varies |
| MRI, dorsal spine contrast (72147) | $5,077 | $5,077 | 13.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$3,454–$7,251 | $3,454–$7,251 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,835–$5,077 | $4,835–$5,077 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,914–$5,077 | $4,914–$5,077 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$368–$689 | $368–$689 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$305–$733 | $305–$733 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$350–$4,575 | $350–$4,575 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$350–$4,575 | $350–$4,575 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$305–$699 | $305–$699 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$350–$734 | $350–$734 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$350–$734 | $350–$734 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$283–$733 | $283–$733 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| Radex Spine 1 View Specify Level (72020) | $368 | $368 | 4.0× |
| Radex Sternum Minimum 2 Views (71120) | $368 | $368 | 4.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $368 | $368 | 4.0× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$293–$699 | $293–$699 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$350–$733 | $350–$733 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$668–$1,378 | $668–$1,378 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$656–$1,376 | $656–$1,376 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| Radiologic examination femur 1 view (73551) | $699 | $699 | 7.6× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$350–$1,616 | $350–$1,616 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$302–$525 | $302–$525 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$350–$733 | $350–$733 | varies |
| Ribs bilateral 3 views (71110) | $689 | $689 | 6.2× |
| Scapula (73010) range across 3 matching MRF lines |
$350–$1,047 | $350–$1,047 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$350–$733 | $350–$733 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,312–$2,754 | $1,312–$2,754 | varies |
| Skull less than 4 views (70250) | $689 | $689 | 6.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$625–$689 | $625–$689 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| Ultrasound Breast Limited (76642) | $350 | $350 | 3.8× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$698–$733 | $698–$733 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$727–$764 | $727–$764 | varies |
| Upper gi w/o kub (74240) | $689 | $689 | 3.7× |
| Urethrocystogram voiding (74455) | $1,378 | $1,378 | 5.5× |
| Urethrocystography retrograde (74450) | $1,378 | $1,378 | 5.5× |
| Us breast unilateral complete (76641) | $657 | $657 | 6.0× |
| Us chest (76604) range across 2 matching MRF lines |
$574–$603 | $574–$603 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$1,452–$1,525 | $1,452–$1,525 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$692–$764 | $692–$764 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$387–$798 | $387–$798 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$727–$764 | $727–$764 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$727–$764 | $727–$764 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$727–$764 | $727–$764 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$727–$764 | $727–$764 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $764 | $764 | 6.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$727–$764 | $727–$764 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$727–$764 | $727–$764 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$727–$764 | $727–$764 | varies |
| Us spinal canal and contents (76800) | $407 | $407 | 3.7× |
| Us thyroid (76536) range across 3 matching MRF lines |
$727–$2,599 | $727–$2,599 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$727–$4,132.50 | $727–$4,132.50 | varies |
| Vertebral fracture assessment via dxa (77086) | $410 | $410 | 4.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$299–$724 | $299–$724 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| X-ray antegrade pyelogram tube (74425) | $2,742 | $2,742 | 7.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$350–$4,254 | $350–$4,254 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$390–$410 | $390–$410 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$1,465–$1,539 | $1,465–$1,539 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $368 | $368 | 4.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$656–$1,001 | $656–$1,001 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,539 | $1,539 | 14.0× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$307–$368 | $307–$368 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$507–$689 | $507–$689 | varies |
| X-ray eye for foreign body (70030) | $368 | $368 | 4.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$350–$733 | $350–$733 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,378 | $1,378 | 7.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $368 | $368 | 4.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $689 | $689 | 6.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| X-Ray Tmj Unilat (70328) | $368 | $368 | 4.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$2,408–$4,722 | $2,408–$4,722 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$350–$368 | $350–$368 | varies |
| X-Rays Bone Survey Complete (77075) | $689 | $689 | 6.2× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$656–$689 | $656–$689 | varies |
| Xr facial bones less than 3 views (70140) | $368 | $368 | 4.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $689 | $689 | 6.2× |
| Xr orbits complete 4 views (70200) | $689 | $689 | 6.2× |
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.