Imaging prices at Baptist Memorial Hospital-Carroll County
Huntingdon, TN · every code in this section with a posted price and a Medicare benchmark.
247 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) | $89.70 | $390 | 1.1× |
| Abdomen 2 views (74019) | $107.18 | $466 | 1.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $357.42 | $1,554 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $1,810.79 | $7,873 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $1,259.02 | $5,474 | 0.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$57.96–$93.38 | $252–$406 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$1,862.08 | $8,096 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,795.15 | $7,805 | 0.4× |
| Bone Imaging 3 Phase (78315) | $681.49 | $2,963 | 1.9× |
| Bone Imaging Limited Area (78300) | $357.42 | $1,554 | 1.0× |
| Bone Imaging Multiple Areas (78305) | $287.96 | $1,252 | 0.8× |
| Bone Imaging Whole Body (78306) | $557.29 | $2,423 | 1.5× |
| Bone survey infant (77076) | $125.12 | $544 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $342.93 | $1,491 | 4.3× |
| Chest 1 view (71045) | $92 | $400 | 1.2× |
| Chest 2 views (71046) | $105.34 | $458 | 1.3× |
| Chest 4 or more views (71048) | $118.22 | $514 | 1.2× |
| Clavicle complete (73000) | $103.04 | $448 | 1.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $51.06 | $222 | 0.5× |
| Contrast Exam Abdominl Aorta (75625) | $1,810.79 | $7,873 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,815.85 | $7,895 | 5.7× |
| CT abdomen and pelvis without contrast (74176) | $1,414.50 | $6,150 | 6.5× |
| CT abdomen w contrast (74160) | $808.68 | $3,516 | 5.1× |
| CT abdomen w wo contrast (74170) | $915.86 | $3,982 | 5.8× |
| CT abdomen w/o contrast (74150) | $717.60 | $3,120 | 7.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,008.59 | $8,733 | 6.3× |
| CT Angio Chest (71275) | $1,015.91 | $4,417 | 6.4× |
| CT Angio Head (70496) | $1,029.71 | $4,477 | 6.5× |
| CT angio hrt w/3d image (75574) | $888.72 | $3,864 | 2.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$641.70–$812.36 | $2,790–$3,532 | varies |
| CT Angio Neck (70498) | $1,029.71 | $4,477 | 6.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $853.99 | $3,713 | 5.4× |
| CT bone density (77078) | $173.65 | $755 | 2.2× |
| CT cervical spine w/ contrast (72126) | $808.68 | $3,516 | 2.6× |
| CT cervical spine w/o contrast (72125) | $770.73 | $3,351 | 8.1× |
| CT cervical spine w/wo cont (72127) | $861.81 | $3,747 | 5.4× |
| CT chest w contrast (71260) | $808.68 | $3,516 | 5.1× |
| CT chest w/wo contrast (71270) | $900.22 | $3,914 | 5.7× |
| CT head/brain with contrast (70460) | $808.68 | $3,516 | 5.1× |
| CT head/brain without and with contrast (70470) | $887.57 | $3,859 | 5.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $61.87 | $269 | 0.8× |
| CT iac w contrast (70481) | $777.63 | $3,381 | 4.9× |
| CT l-spine w&w/o contrast (72133) | $900.22 | $3,914 | 5.7× |
| CT lower ext w/o (73700) | $688.16 | $2,992 | 7.3× |
| CT lower extremity w/contrast material (73701) | $983.48 | $4,276 | 6.2× |
| CT lumbar spine w contrast (72132) | $827.08 | $3,596 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $790.51 | $3,437 | 8.3× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$585.12–$808.68 | $2,544–$3,516 | varies |
| CT maxillofacial wo contrast (70486) | $688.16 | $2,992 | 7.3× |
| CT neck tissue combo (70492) | $1,029.71 | $4,477 | 6.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $853.53 | $3,711 | 5.4× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$369.61–$583.97 | $1,607–$2,539 | varies |
| CT pelvis w&w/o contrast (72194) | $900.22 | $3,914 | 5.7× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$671.83–$697.59 | $2,921–$3,033 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$587.88–$812.36 | $2,556–$3,532 | varies |
| CT scans face/jaw combo (70488) | $884.35 | $3,845 | 5.6× |
| CT soft tissue neck w contrast (70491) | $808.68 | $3,516 | 5.1× |
| CT soft tissue neck w/o contrast (70490) | $712.54 | $3,098 | 7.5× |
| CT thoracic spine w contrast (72129) | $868.25 | $3,775 | 5.5× |
| CT thoracic spine w/o contrast (72128) | $727.26 | $3,162 | 7.7× |
| CT thoracic spine w/wo cont (72130) | $900.22 | $3,914 | 5.7× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$75.67–$708.86 | $329–$3,082 | varies |
| CT upper ext wo (73200) | $688.16 | $2,992 | 7.3× |
| CT upper extremity w/o & w/contrast material (73202) | $812.36 | $3,532 | 5.1× |
| CT upper extremity with contrast (73201) | $755.78 | $3,286 | 2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $985.09 | $4,283 | 6.2× |
| Cta Abdomen (74175) | $1,022.58 | $4,446 | 6.4× |
| CTA pelvis (72191) | $985.09 | $4,283 | 6.2× |
| Dxa Bone Density Axial (77080) | $114.77 | $499 | 1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $45.08 | $196 | 0.6× |
| Esophagram (74220) | $165.60 | $720 | 1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $284.28 | $1,236 | 3.0× |
| Fluoroscopy up to 1 hr (76000) | $130.18 | $566 | 0.6× |
| Follow-Up Angiography (75898) | $437 | $1,900 | 0.2× |
| Foot 2 views (73620) | $91.54 | $398 | 1.2× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$43.93–$89.24 | $191–$388 | varies |
| Gastric emptying imaging study (78264) | $590.64 | $2,568 | 1.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $570.86 | $2,482 | 1.6× |
| Gated Heart Planar Single (78472) | $349.60 | $1,520 | 1.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$46–$47.61 | $200–$207 | varies |
| Hepatobil Syst Image W/Drug (78227) | $641.47 | $2,789 | 1.3× |
| Hepatobiliary System Imaging (78226) | $507.38 | $2,206 | 1.4× |
| Ht Musc Image Planar Mult (78454) | $1,260.17 | $5,479 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $1,027.64 | $4,468 | 0.9× |
| Hysterosalpingogram (74740) | $180.78 | $786 | 0.8× |
| Infusion Ivp (74410) | $256.68 | $1,116 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $537.74 | $2,338 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $379.04 | $1,648 | 1.0× |
| Knee 3 Views (73562) | $112.24 | $488 | 1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $379.96 | $1,652 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $735.77 | $3,199 | 1.5× |
| Lung perfusion differential (78597) | $481.16 | $2,092 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $735.77 | $3,199 | 1.5× |
| Lung Ventilation Imaging (78579) | $255.07 | $1,109 | 0.7× |
| Lymph System Imaging (78195) | $220.11 | $957 | 0.4× |
| Magnetic Image Jaw Joint (70336) | $910.80 | $3,960 | 4.2× |
| Meckels Divert Exam (78290) | $350.29 | $1,523 | 1.0× |
| MRA head w/o contrast (70544) | $922.07 | $4,009 | 4.3× |
| MRA neck w contrast (70548) | $985.55 | $4,285 | 3.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,422.09 | $6,183 | 4.5× |
| MRA neck w/o contrast (70547) | $881.82 | $3,834 | 4.1× |
| MRI abdomen w/o contrast (74181) | $856.06 | $3,722 | 4.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,073.87 | $4,669 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,109.52 | $4,824 | 3.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,034.08 | $4,496 | 1.5× |
| MRI cervical spine w contrast (72142) | $972.67 | $4,229 | 3.1× |
| MRI cervical spine w/o cont (72141) | $939.55 | $4,085 | 4.3× |
| MRI chest w/o contrast (71550) | $784.76 | $3,412 | 3.6× |
| MRI chest with contrast (71551) | $939.55 | $4,085 | 1.3× |
| MRI chest wo w contrast (71552) | $1,479.82 | $6,434 | 4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,020.74 | $4,438 | 3.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,109.52 | $4,824 | 3.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $786.14 | $3,418 | 3.6× |
| MRI lumbar spine w contrast (72149) | $1,020.74 | $4,438 | 3.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,382.07 | $6,009 | 4.4× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$381.11–$828 | $1,657–$3,600 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,109.52 | $4,824 | 3.5× |
| MRI pelvis w contrast (72196) | $1,124.93 | $4,891 | 3.6× |
| MRI pelvis w/o & w contrast (72197) | $1,140.80 | $4,960 | 3.6× |
| MRI pelvis w/o contrast (72195) | $1,119.64 | $4,868 | 5.2× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$381.11–$991.07 | $1,657–$4,309 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,020.74 | $4,438 | 3.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $784.76 | $3,412 | 3.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,109.52 | $4,824 | 3.5× |
| MRI, abdomen, combo (74183) | $1,457.51 | $6,337 | 4.6× |
| MRI, dorsal spine combo (72157) | $1,109.52 | $4,824 | 3.5× |
| MRI, dorsal spine contrast (72147) | $1,090.20 | $4,740 | 3.4× |
| MRI, joint upper extrem (73221) | $1,034.08 | $4,496 | 4.8× |
| MRI, joint upper extrem combo (73223) | $1,109.52 | $4,824 | 3.5× |
| MRI, lumbar spine combo (72158) | $1,302.49 | $5,663 | 4.1× |
| Myocardial Spect Multiple Studies (78452) | $1,612.76 | $7,012 | 1.4× |
| Neck soft tissue (70360) | $85.56 | $372 | 1.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $159.39 | $693 | 0.4× |
| Parathyroid Planar Imaging (78070) | $272.78 | $1,186 | 0.8× |
| Pelvis 1 or 2 views (72170) | $89.93 | $391 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $406.64 | $1,768 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $148.35 | $645 | 1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $166.52 | $724 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $103.04 | $448 | 1.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $100.05 | $435 | 1.3× |
| Radex elbow complete minimum 3 views (73080) | $106.49 | $463 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $180.55 | $785 | 1.9× |
| Radex fingr minimum 2 views (73140) | $78.66 | $342 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $99.82 | $434 | 1.3× |
| Radex Hand Minimum 3 Views (73130) | $97.29 | $423 | 1.2× |
| Radex lower extremity infant minimum 2 views (73592) | $73.83 | $321 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $100.97 | $439 | 1.3× |
| Radex Ribs Unilateral 2 Views (71100) | $114.31 | $497 | 1.4× |
| Radex shoulder complete minimum 2 views (73030) | $112.24 | $488 | 1.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $55.89 | $243 | 0.7× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$50.14–$84.41 | $218–$367 | varies |
| Radex Sternum Minimum 2 Views (71120) | $123.51 | $537 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $136.16 | $592 | 1.7× |
| Radex Toe Minimum 2 Views (73660) | $69 | $300 | 0.9× |
| Radex upper extremity infant minimum 2 views (73092) | $68.08 | $296 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $100.05 | $435 | 1.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $167.44 | $728 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $136.16 | $592 | 1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $136.85 | $595 | 1.4× |
| Radiologic exam colon double contrast study (74280) | $230 | $1,000 | 1.4× |
| Radiologic exam colon single contrast study (74270) | $199.64 | $868 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $131.56 | $572 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $126.50 | $550 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $269.79 | $1,173 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $186.53 | $811 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $383.18 | $1,666 | 2.4× |
| Radiologic examination femur 1 view (73551) | $54.28 | $236 | 0.7× |
| Radiologic examination femur minimum 2 views (73552) | $97.98 | $426 | 1.2× |
| Radiologic examination knee 1/2 views (73560) | $99.59 | $433 | 1.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $99.82 | $434 | 1.3× |
| Ribs bilateral 3 views (71110) | $141.68 | $616 | 1.5× |
| Scapula (73010) | $107.18 | $466 | 1.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $24.15 | $105 | 1.0× |
| Shoulder 1 view (73020) | $47.61 | $207 | 0.6× |
| Shoulder Arthrography (73040) | $304.75 | $1,325 | 1.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$88.09–$111.78 | $383–$486 | varies |
| Sternoclavicular joints (71130) | $85.56 | $372 | 1.1× |
| Thoracic spine 2 views (72070) | $127.65 | $555 | 1.3× |
| Thoracic spine 3 views (72072) | $137.08 | $596 | 1.4× |
| Thoracolumbar 2 views (72080) | $106.49 | $463 | 1.3× |
| Thyroid Imaging With Vascular Flow (78013) | $322.69 | $1,403 | 0.9× |
| Thyroid Uptake Measurement (78012) | $292.33 | $1,271 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $378.81 | $1,647 | 1.0× |
| Ultrasound Breast Limited (76642) | $112.24 | $488 | 1.4× |
| Ultrasound Exam Aaa Screen (76706) | $92 | $400 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$157.55–$235.29 | $685–$1,023 | varies |
| Unlisted magnetic resonance procedure (76498) | $24.15 | $105 | 0.3× |
| Upper gi w/o kub (74240) | $290.26 | $1,262 | 1.8× |
| Urethrocystogram voiding (74455) | $267.72 | $1,164 | 1.2× |
| Us breast unilateral complete (76641) | $189.52 | $824 | 2.0× |
| Us chest (76604) | $61.64 | $268 | 0.6× |
| Us complete joint (76881) | $176.87 | $769 | 1.9× |
| Us exam, pelvic, limited (76857) | $146.74 | $638 | 1.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $112.01 | $487 | 1.2× |
| Us ob detailed single fetus (76811) | $468.28 | $2,036 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $228.62 | $994 | 2.4× |
| Us ob transvaginal (76817) | $180.78 | $786 | 1.9× |
| Us pelvic non ob complete (76856) | $287.96 | $1,252 | 3.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $288.19 | $1,253 | 3.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $172.96 | $752 | 1.8× |
| Us retroperitoneal complete (76770) | $280.83 | $1,221 | 3.0× |
| Us retroperitoneal limited (76775) | $232.53 | $1,011 | 2.5× |
| Us scrotum and contents (76870) | $320.62 | $1,394 | 3.4× |
| Us spinal canal and contents (76800) | $118.91 | $517 | 1.3× |
| Us thyroid (76536) | $235.06 | $1,022 | 2.5× |
| Vein X-Ray Chest (75827) | $641.47 | $2,789 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,810.79 | $7,873 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $586.73 | $2,551 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $558.67 | $2,429 | 0.4× |
| Venous thrombosis imaging (78457) | $531.30 | $2,310 | 1.1× |
| Wrist 2 views (73100) | $78.89 | $343 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $111.78 | $486 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) | $1,810.79 | $7,873 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $137.08 | $596 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$43.93–$100.05 | $191–$435 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$328.21–$345.92 | $1,427–$1,504 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $91.31 | $397 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $101.20 | $440 | 1.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $145.13 | $631 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $60.49 | $263 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $118.22 | $514 | 1.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $130.87 | $569 | 1.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $114.54 | $498 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $130.87 | $569 | 1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $151.57 | $659 | 1.6× |
| X-Ray Exam L-S Spine Bending (72114) | $159.16 | $692 | 1.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $112.24 | $488 | 1.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $173.65 | $755 | 1.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $173.65 | $755 | 1.8× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$37.95–$106.49 | $165–$463 | varies |
| X-ray IV pyelogram (ivp) (74400) | $256.68 | $1,116 | 1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $89.24 | $388 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $68.08 | $296 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $137.08 | $596 | 1.4× |
| X-ray nose-rectum child f.b. (76010) | $101.20 | $440 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $232.53 | $1,011 | 2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $131.56 | $572 | 1.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $97.75 | $425 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $97.75 | $425 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $126.50 | $550 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $148.35 | $645 | 1.6× |
| X-ray thoracic spine 4 vw (72074) | $154.33 | $671 | 1.6× |
| X-Ray Tmj Unilat (70328) | $34.50 | $150 | 0.4× |
| X-Rays Bone Survey Complete (77075) | $229.31 | $997 | 2.4× |
| Xr c-spine 4 or 5 views (72050) | $136.16 | $592 | 1.4× |
| Xr facial bones less than 3 views (70140) | $189.29 | $823 | 2.4× |
| Xr orbits complete 4 views (70200) | $132.94 | $578 | 1.4× |
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.