Imaging prices at Banner Churchill Community Hospital

Fallon, NV · every code in this section with a posted price and a Medicare benchmark.

302 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $99.16 $185 1.1×
Abdomen 2 views (74019) $143.65 $268 1.3×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,017.90 $1,885 2.4×
Ankle 2 views (73600) $121.67 $227 1.3×
Arthrogram ankle (73615) $446.57 $786 1.2×
Arthrogram hip (73525) $428.39 $754 1.2×
Arthrogram Wrist (73115) $193.17 $340 0.5×
Bone age studies (77072) $176.88 $330 1.6×
Bone Imaging 3 Phase (78315) $1,340.82 $2,483 3.2×
Bone Imaging Limited Area (78300) $885.60 $1,640 2.1×
Bone Imaging Multiple Areas (78305) $1,062.72 $1,968 2.5×
Bone Imaging Whole Body (78306) $1,165.86 $2,159 2.8×
Bone survey infant (77076) $345.18 $644 3.1×
Brain Flow Imaging Only (78610) $260.82 $483 0.5×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $511.92 $948 0.9×
Brain Imaging Minimum 4 Static Views (78605) $307.26 $569 0.5×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $844.56 $1,564 2.0×
Cat Scan Follow-Up Study (76380) $422.01 $1,063 4.6×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $738.72 $1,368 1.3×
Cerebrospinal Fluid Scan (78630) $467.10 $865 0.8×
Chest 1 view (71045) $158.51 $333 1.7×
Chest 2 views (71046) $201.35 $423 2.2×
Chest 3 views (71047) $250.85 $527 2.7×
Chest 4 or more views (71048) $274.65 $577 2.5×
Cholecystography Oral Contrast (74290) $233.16 $435 1.3×
Clavicle complete (73000) $212.79 $397 2.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $599.76 $1,224 5.4×
Contrast X-Ray Bladder (74430) $211.18 $394 0.6×
Contrast X-Ray Of Elbow (73085) $452.82 $797 1.2×
Contrast X-Ray Of Knee Joint (73580) $401.11 $706 1.1×
CT abdomen and pelvis without and with contrast (74178) $2,552.90 $5,210 6.9×
CT abdomen and pelvis without contrast (74176) $1,701.77 $3,473 6.8×
CT abdomen w contrast (74160) $1,396.50 $2,850 7.5×
CT abdomen w wo contrast (74170) $1,675.80 $3,420 9.1×
CT abdomen w/o contrast (74150) $1,117.20 $2,280 10.1×
CT Angio Abdomen and Pelvis (74174) $2,680.79 $5,471 7.3×
CT Angio Chest (71275) $1,820.84 $3,716 9.8×
CT Angio Head (70496) $735.84 $1,752 4.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $964.81 $1,969 5.2×
CT Angio Neck (70498) $950.88 $2,264 5.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $925.61 $1,889 5.0×
CT bone density (77078) $168.07 $343 1.8×
CT cervical spine w/ contrast (72126) $989.80 $2,020 2.7×
CT cervical spine w/o contrast (72125) $791.84 $1,616 7.2×
CT cervical spine w/wo cont (72127) $1,187.76 $2,424 6.4×
CT chest w contrast (71260) $1,445.01 $2,949 7.8×
CT chest w/wo contrast (71270) $1,734.11 $3,539 9.4×
CT head/brain with contrast (70460) $583.80 $1,390 3.2×
CT head/brain without and with contrast (70470) $700.56 $1,668 3.8×
CT iac w contrast (70481) $720.30 $1,715 3.9×
CT l-spine w&w/o contrast (72133) $1,495.97 $3,053 8.1×
CT lower ext w/o (73700) $612.50 $1,250 5.6×
CT lower extremity w/contrast material (73701) $765.87 $1,563 4.1×
CT lumbar spine w contrast (72132) $1,246.56 $2,544 3.4×
CT lumbar spine w/o contrast (72131) $997.15 $2,035 9.0×
CT maxillofacial w contrast (70487) $629.58 $1,499 3.4×
CT maxillofacial wo contrast (70486) $503.58 $1,199 4.6×
CT neck tissue combo (70492) $905.52 $2,156 4.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $864.36 $2,058 4.7×
CT orbits w/o contrast (70480) $576.24 $1,372 5.2×
CT pelvis w&w/o contrast (72194) $1,962.45 $4,005 10.6×
CT pelvis w/o contrast (72192) $1,308.30 $2,670 11.9×
CT scan of leg combo (73702) $918.75 $1,875 5.0×
CT scans face/jaw combo (70488) $755.58 $1,799 4.1×
CT soft tissue neck w contrast (70491) $754.74 $1,797 4.1×
CT soft tissue neck w/o contrast (70490) $603.54 $1,437 5.5×
CT thoracic spine w contrast (72129) $1,036.35 $2,115 5.6×
CT thoracic spine w/o contrast (72128) $829.08 $1,692 7.5×
CT thoracic spine w/wo cont (72130) $1,243.62 $2,538 6.7×
CT thorax w/o contrast (71250) $1,155.91 $2,359 10.5×
CT upper ext wo (73200) $587.51 $1,199 5.3×
CT upper extremity w/o & w/contrast material (73202) $881.51 $1,799 4.8×
CT upper extremity with contrast (73201) $734.51 $1,499 2.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,656.28 $4,172 8.9×
Cta Abdomen (74175) $1,759.59 $3,591 9.5×
CTA pelvis (72191) $2,060.94 $4,206 11.1×
Doppler Fetal Mid Cerebral Artery (76821) $569.57 $816 5.2×
Dxa Bone Density Axial (77080) $338.75 $632 3.1×
Dxa bone density study (77085) $352.69 $658 3.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $221.90 $414 2.4×
Echo exam uterus (76831) $547.23 $784 2.2×
Echo Guide For Artery Repair (76936) $345.51 $495 1.5×
Esophageal Motility Study (78258) $523.80 $970 1.2×
Esophagram (74220) $275.50 $514 1.5×
Fetal Biophys Profile W/Nst (76818) $535.37 $767 4.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $422.29 $605 3.8×
Fluoroscopy up to 1 hr (76000) $360.19 $672 1.4×
Foot 2 views (73620) $101.30 $189 1.1×
Forearm 2 views (73090) $108.81 $203 1.2×
Gastric emptying imaging study (78264) $1,038.42 $1,923 2.5×
Gastroesophageal Reflux Exam (78262) $716.58 $1,327 1.7×
Gated Heart Planar Single (78472) $1,240.38 $2,297 2.9×
Gated Heart, Multiple (78473) $1,496.88 $2,772 3.5×
Hand 2 views (73120) $185.99 $347 1.7×
Heart first pass single,planar (78481) $339.12 $628 0.6×
Hepatobil Syst Image W/Drug (78227) $1,252.26 $2,319 2.2×
Hepatobiliary System Imaging (78226) $498.42 $923 1.2×
Ht Muscle Image Spect Sing (78451) $1,851.66 $3,429 1.4×
Hysterosalpingogram (74740) $428.80 $800 1.7×
Infant hip ultrasound with hip movement (dynamic) (76885) $270.82 $388 2.9×
Infant hip ultrasound, limited static exam (76886) $164.03 $235 1.8×
K Flow/Funct Image Multiple (78709) $801.90 $1,485 1.4×
K Flow/Funct Image W/Drug (78708) $385.56 $714 0.7×
K Flow/Funct Image W/O Drug (78707) $505.98 $937 0.9×
Kidney Imaging Morphol (78700) $324.54 $601 0.8×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $415.80 $770 1.0×
Knee 3 Views (73562) $166.16 $310 1.8×
Leveen/Shunt Patency Exam (78291) $448.20 $830 1.1×
Liver & Spleen Imaging Static Only (78215) $565.38 $1,047 1.3×
Liver & Spleen Imaging W/Vascular Flow (78216) $490.32 $908 1.2×
Liver imaging static only (78201) $414.18 $767 0.7×
Liver imaging w/vascular flow (78202) $606.96 $1,124 1.1×
Lung Ventilat&Perfus Imaging (78582) $586.44 $1,086 1.0×
Lymph System Imaging (78195) $911.52 $1,688 1.6×
Magnetic Image Jaw Joint (70336)
range across 3 matching MRF lines		 $617.46–$696.27 $1,230–$1,387 varies
Mammary ductogram or galactogram multiple (77054) $287.30 $536 1.1×
Mammary ductogram or galactogram single (77053) $242.81 $453 1.0×
Meckels Divert Exam (78290) $914.76 $1,694 2.2×
Mr safety determination physician/other qhp (76016) $57.89 $108 0.6×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $20.37 $38 0.7×
Mr safety implt electronics prepj supvj phys/qhp (76018) $101.84 $190 1.0×
Mr safety implt pos&/immoblj (76019) $155.44 $290 2.5×
Mr safety med physics xm customization plng&mntr (76017) $241.74 $451 1.0×
Mra Head W/O & W/Contrast Material (70546) $1,527.66 $3,105 4.1×
MRA head w/o contrast (70544) $1,018.44 $2,070 4.0×
MRA head with contrast (70545) $1,273.30 $2,588 3.5×
MRA neck w contrast (70548) $2,055.58 $4,178 5.6×
Mra Neck W/O &W/Contrast Material (70549) $2,466.40 $5,013 6.7×
MRA neck w/o contrast (70547) $1,644.26 $3,342 6.5×
MRI abdomen w contrast (74182) $1,788.12 $3,562 4.9×
MRI abdomen w/o contrast (74181) $1,430.20 $2,849 5.7×
MRI any jt lower extrem w/contrast material (73722) $1,929.19 $3,843 2.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,314.72 $4,611 6.3×
MRI any jt upper extremity w/contrast matrl (73222) $1,166.15 $2,323 1.4×
MRI bone marrow blood supply (77084) $1,331.81 $2,653 5.3×
MRI Breast W/O Contrast Bilateral (77047) $897.07 $1,787 3.6×
MRI Breast Without Contrast Material Unilateral (77046) $759.02 $1,512 3.0×
MRI cervical spine w contrast (72142) $1,414.55 $2,674 3.8×
MRI cervical spine w/o cont (72141) $1,131.53 $2,139 4.5×
MRI chest w/o contrast (71550) $1,080.30 $2,152 4.3×
MRI chest with contrast (71551) $1,350.38 $2,690 1.6×
MRI chest wo w contrast (71552) $1,620.46 $3,228 4.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $931.21 $1,855 2.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,117.45 $2,226 3.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $744.97 $1,484 3.0×
MRI lumbar spine w contrast (72149) $2,438.69 $4,610 6.6×
Mri Neck Spine W/O & W/Dye (72156) $1,697.56 $3,209 4.6×
MRI orbit face &/neck w/o contrast (70540) $1,651.41 $3,110 6.6×
MRI orbit face neck w contrast (70542) $2,064.53 $3,888 5.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,477.12 $4,665 6.7×
MRI pelvis w contrast (72196) $1,337.83 $2,665 3.6×
MRI pelvis w/o & w contrast (72197) $1,605.40 $3,198 4.4×
MRI pelvis w/o contrast (72195) $1,070.26 $2,132 4.2×
MRI thoracic spine w/o contrast (72146) $1,140.52 $2,156 4.5×
MRI upper extremity oth than jt w/contr matrl (73219) $1,123.98 $2,239 3.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $899.08 $1,791 3.6×
Mri Uppr Extremity W/O&W/Dye (73220) $1,348.87 $2,687 3.7×
MRI, abdomen, combo (74183) $2,145.55 $4,274 5.8×
MRI, dorsal spine combo (72157) $1,710.79 $3,234 4.6×
MRI, dorsal spine contrast (72147) $1,425.65 $2,695 3.9×
MRI, joint upper extrem (73221) $932.72 $1,858 3.7×
MRI, joint upper extrem combo (73223) $1,399.07 $2,787 3.8×
MRI, lumbar spine combo (72158) $2,926.43 $5,532 7.9×
Myelogram cervical (72240) $1,123.99 $2,097 1.4×
Myelogram Lumbar (72265) $1,418.79 $2,647 1.7×
Myelography thoracic (72255) $1,120.24 $2,090 1.4×
Myelograpy 2/more regions rs&i (72270) $888.69 $1,658 1.1×
Myocardial Spect Multiple Studies (78452) $3,220.02 $5,963 2.4×
Neck soft tissue (70360) $186.53 $348 2.0×
Nm csf leak detection (78650) $757.08 $1,402 0.6×
Nonvascular Shunt X-Ray (75809) $224.58 $419 2.0×
Ob us nuchal meas 1 gest (76813) $457.89 $656 4.1×
Optic foramina (70190) $165.09 $308 1.8×
Parathyroid Planar Imaging (78070) $483.30 $895 1.1×
Pelvis 1 or 2 views (72170) $199.93 $373 1.8×
Pulmonary Perfusion Imaging Particulate (78580) $609.12 $1,128 1.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $225.12 $420 2.0×
Radex abscess/fistula/sinus tract rs&i (76080) $235.30 $439 0.4×
Radex Ankle Complete Minimum 3 Views (73610) $130.78 $244 1.4×
Radex Calcaneus Minimum 2 Views (73650) $120.06 $224 1.3×
Radex elbow complete minimum 3 views (73080) $128.10 $239 1.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $229.41 $428 2.1×
Radex fingr minimum 2 views (73140) $157.05 $293 1.7×
Radex foot complete minimum 3 views (73630) $216.01 $403 2.4×
Radex Hand Minimum 3 Views (73130) $227.26 $424 2.5×
Radex lower extremity infant minimum 2 views (73592) $109.34 $204 1.2×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $266.39 $497 2.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $152.22 $284 1.7×
Radex Ribs Unilateral 2 Views (71100) $236.91 $442 2.6×
Radex shoulder complete minimum 2 views (73030) $245.49 $458 2.7×
Radex Sinuses Paransl < 3 Views (70210) $183.85 $343 2.0×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $1,277.82 $2,384 6.9×
Radex Spine 1 View Specify Level (72020) $159.19 $297 1.7×
Radex Sternum Minimum 2 Views (71120) $162.94 $304 1.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $307.13 $573 3.3×
Radex Toe Minimum 2 Views (73660) $131.32 $245 1.4×
Radex upper extremity infant minimum 2 views (73092) $116.85 $218 1.1×
Radex Wrist Complete Minimum 3 Views (73110) $213.33 $398 2.3×
Radiolog exam mandible compl minimum 4 views (70110) $202.61 $378 1.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $157.58 $294 1.4×
Radiologic exam colon double contrast study (74280) $417.54 $779 2.3×
Radiologic exam colon single contrast study (74270) $243.88 $455 1.3×
Radiologic exam knee complete 4/more views (73564) $280.33 $523 2.5×
Radiologic exam pelvis compl minimum 3 views (72190) $222.44 $415 2.0×
Radiologic Exam Small Int Single Contrast Study (74250) $212.79 $397 1.1×
Radiologic exam swallow function contrast study (74230) $160.80 $300 0.9×
Radiologic exam upr gi trc double contrast study (74246) $643.20 $1,200 3.5×
Radiologic examination femur minimum 2 views (73552) $197.78 $369 2.2×
Radiologic examination knee 1/2 views (73560) $136.68 $255 1.5×
Radiologic Examination Osseous Survey Limited (77074) $265.32 $495 2.4×
Radiologic examination tibia & fibula 2 views (73590) $121.14 $226 1.3×
Ribs bilateral 3 views (71110) $281.40 $525 2.6×
Rp loclzj tum plnr 1 area single day imaging (78800) $396.36 $734 0.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $525.42 $973 1.2×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $1,165.32 $2,158 2.0×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $665.28 $1,232 1.2×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $806.22 $1,493 1.4×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $793.26 $1,469 0.6×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $871.02 $1,613 0.6×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $871.02 $1,613 0.6×
Scapula (73010) $148.47 $277 1.3×
Screening Digital Breast Tomosynthesis Bi (77063) $37.93 $58 1.6×
Shoulder 1 view (73020) $106.13 $198 1.2×
Shoulder Arthrography (73040) $451.68 $795 1.2×
Skull less than 4 views (70250) $157.58 $294 1.4×
Speech evaluation, complex (70371) $423.98 $791 1.7×
Sternoclavicular joints (71130) $191.35 $357 2.1×
Testicular Imaging W/Flow (78761) $404.46 $749 1.0×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $523.14 $976 2.8×
Thoracic spine 2 views (72070) $278.72 $520 2.5×
Thoracic spine 3 views (72072) $296.41 $553 2.7×
Thoracolumbar 2 views (72080) $149.54 $279 1.6×
Thyroid Imaging With Vascular Flow (78013) $420.66 $779 1.0×
Thyroid Uptake Measurement (78012) $265.68 $492 0.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $545.40 $1,010 1.3×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines		 $362.96–$544.44 $520–$780 varies
Ultrasound Exam Aaa Screen (76706) $240.11 $344 2.2×
Ultrasound, abdomen limited (76705) $557.70 $799 5.1×
Umbilical-artery Doppler (OB) (76820) $282.69 $405 2.6×
Upper gi w/o kub (74240) $602.46 $1,124 3.3×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $28.08 $52 2.5×
Urea breath test c-14 isotopic analysis (78268) $228.42 $423 2.4×
Ureteral Reflux Study (78740) $447.12 $828 1.1×
Urethrocystogram voiding (74455) $462.03 $862 1.8×
Urethrocystography retrograde (74450) $404.68 $755 1.6×
Us breast unilateral complete (76641)
range across 3 matching MRF lines		 $442.53–$663.80 $634–$951 varies
Us chest (76604) $298.05 $427 2.7×
Us exam, pelvic, limited (76857) $582.83 $835 5.3×
Us head (76506) $429.97 $616 3.9×
Us kidney transplant (76776) $369.94 $530 3.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $365.75 $524 3.3×
Us ob detailed single fetus (76811) $598.88 $858 2.4×
Us ob limited 1 or more fetuses (76815) $427.18 $612 3.9×
Us ob transvaginal (76817) $490 $702 4.4×
Us pelvic non ob complete (76856) $662.40 $949 6.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $651.23 $933 5.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $506.05 $725 4.6×
Us retroperitoneal complete (76770) $683.34 $979 6.2×
Us retroperitoneal limited (76775) $355.28 $509 3.2×
Us scrotum and contents (76870) $613.54 $879 5.6×
Us spinal canal and contents (76800) $249.19 $357 2.3×
Us thyroid (76536) $582.13 $834 5.3×
Us transrectal (76872) $313.40 $449 2.8×
Vascular Flow Imaging (78445) $342.36 $634 0.8×
Venography extremity bilateral rs&i (75822) $486.15 $907 0.3×
Venography extremity unilateral rs&i (75820) $323.74 $604 0.2×
Vertebral fracture assessment via dxa (77086) $117.38 $219 1.3×
Wrist 2 views (73100) $101.30 $189 1.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $152.76 $285 1.7×
X-ray antegrade pyelogram tube (74425) $462.57 $863 1.3×
X-Ray Bend Only L-S Spine (72120) $313.56 $585 2.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $113.63 $212 1.2×
X-Ray Exam Breast Specimen (76098) $92.73 $173 0.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $233.70 $436 2.1×
X-Ray Exam Hip Uni 1 View (73501) $104.52 $195 1.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $248.70 $464 2.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $288.90 $539 2.6×
X-Ray Exam L-S Spine Bending (72114) $511.88 $955 4.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $226.19 $422 2.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $368.77 $688 3.3×
X-Ray Exam Unilat Ribs/Chest (71101) $267.46 $499 2.4×
X-ray eye for foreign body (70030) $108.81 $203 1.2×
X-ray humerus (73060) $181.70 $339 2.0×
X-ray IV pyelogram (ivp) (74400) $504.38 $941 2.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $108.81 $203 1.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $248.17 $463 2.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $319.99 $597 2.9×
X-ray nose-rectum child f.b. (76010) $89.51 $167 1.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $336.61 $628 3.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $251.92 $470 2.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $179.02 $334 1.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $151.15 $282 1.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $170.98 $319 1.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $231.02 $431 2.1×
X-Ray Stress View (77071) $137.75 $257 1.5×
X-Ray Tmj Unilat (70328) $117.38 $219 1.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $393.42 $734 1.1×
X-Rays Bone Length Studies (77073) $272.82 $509 2.5×
X-Rays Bone Survey Complete (77075) $282.47 $527 2.6×
Xr c-spine 4 or 5 views (72050) $310.34 $579 2.8×
Xr facial bones less than 3 views (70140) $134.54 $251 1.5×
Xr orbits complete 4 views (70200) $212.79 $397 1.9×

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.