Imaging prices at Avoyelles Hospital
Marksville, LA · every code in this section with a posted price and a Medicare benchmark.
239 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) | $37.80 | $126 | 0.5× |
| Abdomen 2 views (74019) | $60 | $200 | 0.6× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $756.30 | $2,521 | 0.6× |
| Angio pulmonary bilat (75743) | $19,117.95 | $63,726.50 | 6.4× |
| Angiography extremity bilateral rs&i (75716) | $2,017.95 | $6,726.50 | 0.7× |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$2,017.95–$5,362.14 | $6,726.50–$17,873.82 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,017.95 | $6,726.50 | 0.7× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$69.60–$139.20 | $232–$464 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,000 | $10,000 | 0.6× |
| Artery X-Rays Pelvis (75736) | $3,000 | $10,000 | 0.6× |
| Arthrogram ankle (73615) | $303.90 | $1,013 | 0.9× |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$180–$303.90 | $600–$1,013 | varies |
| Arthrogram Wrist (73115) | $303.90 | $1,013 | 0.9× |
| Bone age studies (77072) | $79.80 | $266 | 0.8× |
| Bone Imaging 3 Phase (78315) | $710.85 | $2,369.50 | 1.9× |
| Bone Imaging Multiple Areas (78305) | $221.55 | $738.50 | 0.6× |
| Bone Imaging Whole Body (78306) | $710.85 | $2,369.50 | 1.9× |
| Bone survey infant (77076) | $189 | $630 | 1.9× |
| Brain Image W/Flow < 4 Views (78601) | $221.55 | $738.50 | 0.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $287.55 | $958.50 | 0.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $287.55 | $958.50 | 0.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $287.55 | $958.50 | 0.6× |
| Chest 1 view (71045) | $30.90 | $103 | 0.4× |
| Chest 2 views (71046) range across 4 matching MRF lines |
$77.40–$90 | $258–$300 | varies |
| Chest 3 views (71047) | $130.20 | $434 | 1.6× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$113.40–$226.80 | $378–$756 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $115.50 | $385 | 1.2× |
| Contrast Exam Abdominl Aorta (75625) | $2,017.95 | $6,726.50 | 0.7× |
| Contrast X-Ray Bladder (74430) | $150 | $500 | 0.5× |
| Contrast X-Ray Of Elbow (73085) | $303.90 | $1,013 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) | $303.90 | $1,013 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $1,633.50 | $5,445 | 5.0× |
| CT abdomen and pelvis without contrast (74176) | $1,534.05 | $5,113.50 | 6.8× |
| CT abdomen w contrast (74160) | $883.35 | $2,944.50 | 5.4× |
| CT abdomen w wo contrast (74170) | $1,339.50 | $4,465 | 8.1× |
| CT abdomen w/o contrast (74150) | $905.10 | $3,017 | 9.2× |
| CT Angio Abdomen and Pelvis (74174) | $1,244.10 | $4,147 | 3.8× |
| CT Angio Chest (71275) | $1,313.70 | $4,379 | 8.0× |
| CT Angio Head (70496) | $571.50 | $1,905 | 3.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $571.50 | $1,905 | 3.5× |
| CT Angio Neck (70498) | $571.50 | $1,905 | 3.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $571.50 | $1,905 | 3.5× |
| CT cervical spine w/ contrast (72126) | $825 | $2,750 | 2.5× |
| CT cervical spine w/o contrast (72125) | $799.65 | $2,665.50 | 8.1× |
| CT cervical spine w/wo cont (72127) | $777.30 | $2,591 | 4.7× |
| CT chest w contrast (71260) | $966.45 | $3,221.50 | 5.9× |
| CT chest w/wo contrast (71270) | $1,313.25 | $4,377.50 | 8.0× |
| CT head/brain with contrast (70460) | $789.15 | $2,630.50 | 4.8× |
| CT head/brain without and with contrast (70470) | $1,224.90 | $4,083 | 7.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $19.50 | $65 | 0.2× |
| CT iac w contrast (70481) | $825 | $2,750 | 5.0× |
| CT l-spine w&w/o contrast (72133) | $891 | $2,970 | 5.4× |
| CT lower ext w/o (73700) | $727.35 | $2,424.50 | 7.4× |
| CT lower extremity w/contrast material (73701) | $825 | $2,750 | 5.0× |
| CT lumbar spine w contrast (72132) | $825 | $2,750 | 2.5× |
| CT lumbar spine w/o contrast (72131) | $946.80 | $3,156 | 9.6× |
| CT maxillofacial w contrast (70487) | $884.70 | $2,949 | 5.4× |
| CT maxillofacial wo contrast (70486) | $737.40 | $2,458 | 7.5× |
| CT neck tissue combo (70492) | $1,070.10 | $3,567 | 6.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $899.25 | $2,997.50 | 5.5× |
| CT orbits w/o contrast (70480) | $827.25 | $2,757.50 | 8.4× |
| CT pelvis w&w/o contrast (72194) | $1,343.55 | $4,478.50 | 8.1× |
| CT pelvis w/o contrast (72192) | $983.85 | $3,279.50 | 10.0× |
| CT scan of leg combo (73702) | $878.40 | $2,928 | 5.3× |
| CT scans face/jaw combo (70488) | $958.65 | $3,195.50 | 5.8× |
| CT soft tissue neck w contrast (70491) | $701.25 | $2,337.50 | 4.3× |
| CT soft tissue neck w/o contrast (70490) | $693 | $2,310 | 7.0× |
| CT thoracic spine w contrast (72129) | $825 | $2,750 | 5.0× |
| CT thoracic spine w/o contrast (72128) | $854.25 | $2,847.50 | 8.7× |
| CT thoracic spine w/wo cont (72130) | $891 | $2,970 | 5.4× |
| CT thorax w/o contrast (71250) | $920.10 | $3,067 | 9.4× |
| CT upper ext wo (73200) | $800.40 | $2,668 | 8.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,125.90 | $3,753 | 6.8× |
| CT upper extremity with contrast (73201) | $825 | $2,750 | 2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $812.25 | $2,707.50 | 4.9× |
| Cta Abdomen (74175) | $622.35 | $2,074.50 | 3.8× |
| CTA pelvis (72191) | $622.35 | $2,074.50 | 3.8× |
| Dxa Bone Density Axial (77080) | $190.35 | $634.50 | 1.9× |
| Esophagram (74220) | $185.70 | $619 | 1.1× |
| Fluoroscopy up to 1 hr (76000) | $120 | $400 | 0.5× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$68.70–$137.40 | $229–$458 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$105.75–$211.50 | $352.50–$705 | varies |
| Gastric emptying imaging study (78264) | $221.55 | $738.50 | 0.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $723.29 | $2,410.98 | 1.9× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$84.15–$168.30 | $280.50–$561 | varies |
| Hepatobil Syst Image W/Drug (78227) | $287.55 | $958.50 | 0.6× |
| Ht Muscle Image Spect Sing (78451) | $646.50 | $2,155 | 0.5× |
| K Flow/Funct Image W/Drug (78708) | $287.55 | $958.50 | 0.6× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$74.25–$148.50 | $247.50–$495 | varies |
| Liver & Spleen Imaging Static Only (78215) | $221.55 | $738.50 | 0.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $221.55 | $738.50 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $287.55 | $958.50 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $777.30 | $2,591 | 3.5× |
| Mra Head W/O & W/Contrast Material (70546) | $956.25 | $3,187.50 | 2.9× |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$420.24–$956.25 | $1,400.82–$3,187.50 | varies |
| MRA head with contrast (70545) | $956.25 | $3,187.50 | 2.9× |
| MRA neck w contrast (70548) | $956.25 | $3,187.50 | 2.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $956.25 | $3,187.50 | 2.9× |
| MRA neck w/o contrast (70547) | $717.30 | $2,391 | 3.2× |
| MRI abdomen w contrast (74182) | $693 | $2,310 | 2.1× |
| MRI abdomen w/o contrast (74181) | $777.30 | $2,591 | 3.5× |
| MRI any jt lower extrem w/contrast material (73722) | $693 | $2,310 | 0.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $772.20 | $2,574 | 2.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $693 | $2,310 | 0.9× |
| MRI cervical spine w contrast (72142) | $693 | $2,310 | 2.1× |
| MRI cervical spine w/o cont (72141) | $777.30 | $2,591 | 3.5× |
| MRI chest w/o contrast (71550) | $777.30 | $2,591 | 3.5× |
| MRI chest with contrast (71551) | $693 | $2,310 | 0.9× |
| MRI chest wo w contrast (71552) | $998.25 | $3,327.50 | 3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $693 | $2,310 | 2.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $772.20 | $2,574 | 2.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $729.60 | $2,432 | 3.3× |
| MRI lumbar spine w contrast (72149) | $693 | $2,310 | 2.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $998.25 | $3,327.50 | 3.0× |
| MRI orbit face &/neck w/o contrast (70540) | $777.30 | $2,591 | 3.5× |
| MRI orbit face neck w contrast (70542) | $693 | $2,310 | 2.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $998.25 | $3,327.50 | 3.0× |
| MRI pelvis w contrast (72196) | $693 | $2,310 | 2.1× |
| MRI pelvis w/o & w contrast (72197) | $998.25 | $3,327.50 | 3.0× |
| MRI pelvis w/o contrast (72195) | $777.15 | $2,590.50 | 3.5× |
| MRI thoracic spine w/o contrast (72146) | $777.30 | $2,591 | 3.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $693 | $2,310 | 2.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $536.25 | $1,787.50 | 2.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $772.20 | $2,574 | 2.4× |
| MRI, abdomen, combo (74183) | $998.25 | $3,327.50 | 3.0× |
| MRI, dorsal spine combo (72157) | $998.25 | $3,327.50 | 3.0× |
| MRI, dorsal spine contrast (72147) | $693 | $2,310 | 2.1× |
| MRI, joint upper extrem (73221) | $536.25 | $1,787.50 | 2.4× |
| MRI, joint upper extrem combo (73223) | $772.20 | $2,574 | 2.4× |
| MRI, lumbar spine combo (72158) | $998.25 | $3,327.50 | 3.0× |
| Myocardial Spect Multiple Studies (78452) | $646.50 | $2,155 | 0.5× |
| Neck soft tissue (70360) | $120.60 | $402 | 1.5× |
| Optic foramina (70190) | $55.20 | $184 | 0.7× |
| Parathyroid Planar Imaging (78070) | $646.50 | $2,155 | 1.7× |
| Pelvis 1 or 2 views (72170) | $111.90 | $373 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $221.55 | $738.50 | 0.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $83.55 | $278.50 | 0.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $182.10 | $607 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$113.25–$226.50 | $377.50–$755 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$100.50–$201 | $335–$670 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$129–$258 | $430–$860 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $162.75 | $542.50 | 1.7× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$92.55–$185.10 | $308.50–$617 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$111.90–$223.80 | $373–$746 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$77.92–$211.80 | $259.74–$706 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$107.85–$215.70 | $359.50–$719 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $116.10 | $387 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) | $136.20 | $454 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) range across 11 matching MRF lines |
$141.75–$283.50 | $472.50–$945 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $93.45 | $311.50 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $92.55 | $308.50 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $131.40 | $438 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $192.45 | $641.50 | 2.4× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$89.70–$179.40 | $299–$598 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$107.85–$215.70 | $359.50–$719 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$93.45–$186.90 | $311.50–$623 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $152.25 | $507.50 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $119.85 | $399.50 | 1.2× |
| Radiologic exam colon double contrast study (74280) | $481.95 | $1,606.50 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $243.60 | $812 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) | $82.50 | $275 | 0.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $129 | $430 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $217.50 | $725 | 1.3× |
| Radiologic exam swallow function contrast study (74230) | $245.55 | $818.50 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $236.25 | $787.50 | 1.4× |
| Radiologic examination femur 1 view (73551) | $241.50 | $805 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) range across 8 matching MRF lines |
$120.75–$241.50 | $402.50–$805 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$66–$213 | $220–$710 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$107.85–$215.70 | $359.50–$719 | varies |
| Ribs bilateral 3 views (71110) | $151.20 | $504 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $756.30 | $2,521 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $756.30 | $2,521 | 1.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$756.30–$797.25 | $2,521–$2,657.50 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$102.45–$204.90 | $341.50–$683 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $123.75 | $412.50 | 5.3× |
| Sella turcica (70240) | $124.65 | $415.50 | 1.5× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$92.55–$185.10 | $308.50–$617 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$303.90–$309 | $1,013–$1,030 | varies |
| Sternoclavicular joints (71130) | $98.85 | $329.50 | 1.2× |
| Testicular Imaging W/Flow (78761) | $221.55 | $738.50 | 0.6× |
| Thoracic spine 2 views (72070) | $168.45 | $561.50 | 1.7× |
| Thoracic spine 3 views (72072) | $182.25 | $607.50 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $221.55 | $738.50 | 0.6× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$95.10–$190.20 | $317–$634 | varies |
| Ultrasound, abdomen limited (76705) | $197.55 | $658.50 | 2.0× |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$296.10–$412.50 | $987–$1,375 | varies |
| Ureteral Reflux Study (78740) | $221.55 | $738.50 | 0.6× |
| Urethrocystogram voiding (74455) | $257.85 | $859.50 | 1.1× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$128.10–$256.20 | $427–$854 | varies |
| Us exam, pelvic, limited (76857) | $178.05 | $593.50 | 1.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $219 | $730 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $287.70 | $959 | 2.9× |
| Us ob transvaginal (76817) | $287.70 | $959 | 2.9× |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$165–$347.10 | $550–$1,157 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $287.70 | $959 | 2.9× |
| Us retroperitoneal complete (76770) | $197.55 | $658.50 | 2.0× |
| Us retroperitoneal limited (76775) | $232.80 | $776 | 2.4× |
| Us scrotum and contents (76870) | $234.90 | $783 | 2.4× |
| Us thyroid (76536) | $276.60 | $922 | 2.8× |
| Us transrectal (76872) | $277.50 | $925 | 2.8× |
| Vascular Flow Imaging (78445) | $221.55 | $738.50 | 0.6× |
| Vein X-Ray Chest (75827) | $540 | $1,800 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $2,222.55 | $7,408.50 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,134.95 | $7,116.50 | 0.7× |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$480–$1,200 | $1,600–$4,000 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$480–$540 | $1,600–$1,800 | varies |
| Venous thrombosis imaging (78457) | $287.55 | $958.50 | 0.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $221.55 | $738.50 | 0.6× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$84.15–$168.30 | $280.50–$561 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $165.45 | $551.50 | 2.0× |
| X-Ray Aorta Leg Arteries (75630) | $2,017.95 | $6,726.50 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $92.55 | $308.50 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$100.20–$200.40 | $334–$668 | varies |
| X-Ray Exam Breast Specimen (76098) | $240 | $800 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $118.95 | $396.50 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$57.75–$115.50 | $192.50–$385 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$66–$132 | $220–$440 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $196.05 | $653.50 | 2.0× |
| X-Ray Exam L-S Spine Bending (72114) | $214.95 | $716.50 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $152.40 | $508 | 1.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $258 | $860 | 2.6× |
| X-ray eye for foreign body (70030) | $49.50 | $165 | 0.6× |
| X-ray humerus (73060) range across 8 matching MRF lines |
$107.55–$215.10 | $358.50–$717 | varies |
| X-ray IV pyelogram (ivp) (74400) | $300.60 | $1,002 | 1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $82.50 | $275 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $129 | $430 | 1.3× |
| X-ray nose-rectum child f.b. (76010) | $37.80 | $126 | 0.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $153.90 | $513 | 1.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $107.70 | $359 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $131.10 | $437 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $167.55 | $558.50 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $186.15 | $620.50 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $316.95 | $1,056.50 | 1.0× |
| X-Rays Bone Length Studies (77073) | $424.50 | $1,415 | 4.3× |
| X-Rays Bone Survey Complete (77075) | $248.10 | $827 | 2.5× |
| Xr c-spine 4 or 5 views (72050) | $201.60 | $672 | 2.1× |
| Xr facial bones less than 3 views (70140) | $129 | $430 | 1.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $128.40 | $428 | 1.3× |
| Xr orbits complete 4 views (70200) | $144 | $480 | 1.5× |
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.