Imaging prices at Baraga County Memorial Hospital
L' Anse, MI · every code in this section with a posted price and a Medicare benchmark.
235 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 |
$70–$159 | $70–$159 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$84–$250 | $84–$250 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$706–$1,093 | $706–$1,093 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$75–$175 | $75–$175 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$60–$134 | $60–$134 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$701–$2,157 | $701–$2,157 | varies |
| Bone Imaging Limited Area (78300) range across 6 matching MRF lines |
$461–$1,119 | $461–$1,119 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$599–$1,662 | $599–$1,662 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$663–$1,388 | $663–$1,388 | varies |
| Cat Scan Follow-Up Study (76380) range across 6 matching MRF lines |
$310–$1,108 | $310–$1,108 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$60–$243 | $60–$243 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$77–$248 | $77–$248 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$96–$275 | $96–$275 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$106–$301 | $106–$301 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$188–$390 | $188–$390 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$78–$188 | $78–$188 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$320–$369 | $320–$369 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$98–$435 | $98–$435 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 8 matching MRF lines |
$788–$4,693 | $788–$4,693 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$432–$2,644 | $432–$2,644 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$536–$1,636 | $536–$1,636 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$602–$1,918 | $602–$1,918 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$321–$1,462 | $321–$1,462 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$882–$2,534 | $882–$2,534 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$656–$2,060 | $656–$2,060 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$640–$1,785 | $640–$1,785 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$751–$1,882 | $751–$1,882 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$640–$1,749 | $640–$1,749 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$690–$1,882 | $690–$1,882 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$395–$1,329 | $395–$1,329 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$306–$1,217 | $306–$1,217 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$458–$1,484 | $458–$1,484 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$390–$1,584 | $390–$1,584 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$457–$1,753 | $457–$1,753 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$348–$1,222 | $348–$1,222 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$406–$1,290 | $406–$1,290 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$420–$921 | $420–$921 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$460–$1,630 | $460–$1,630 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$306–$1,073 | $306–$1,073 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$389–$1,165 | $389–$1,165 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$395–$1,461 | $395–$1,461 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$305–$1,336 | $305–$1,336 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$356–$995 | $356–$995 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$300–$910 | $300–$910 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$515–$1,484 | $515–$1,484 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$488–$1,077 | $488–$1,077 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$372–$856 | $372–$856 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$582–$1,508 | $582–$1,508 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$312–$1,217 | $312–$1,217 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$455–$1,336 | $455–$1,336 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$431–$1,151 | $431–$1,151 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$430–$1,329 | $430–$1,329 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$352–$1,217 | $352–$1,217 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$397–$1,426 | $397–$1,426 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$306–$1,300 | $306–$1,300 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$463–$1,595 | $463–$1,595 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$312–$1,461 | $312–$1,461 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$375–$1,000 | $375–$1,000 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$572–$1,264 | $572–$1,264 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$465–$1,093 | $465–$1,093 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$959–$2,609 | $959–$2,609 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$710–$1,815 | $710–$1,815 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$272–$709 | $272–$709 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$92–$355 | $92–$355 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$220–$290 | $220–$290 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$287–$591 | $287–$591 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$104–$342 | $104–$342 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$67–$175 | $67–$175 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$68–$189 | $68–$189 | varies |
| Gated Heart Planar Single (78472) | $110 | $110 | 0.3× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$73–$175 | $73–$175 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$882–$1,161 | $882–$1,161 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$657–$1,161 | $657–$1,161 | varies |
| Ht Muscle Image Spect Sing (78451) range across 4 matching MRF lines |
$705–$722 | $705–$722 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$334–$596 | $334–$596 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$99–$232 | $99–$232 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$412–$1,253 | $412–$1,253 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$673–$1,824 | $673–$1,824 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$384–$1,723 | $384–$1,723 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$722–$2,164 | $722–$2,164 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$604–$2,056 | $604–$2,056 | varies |
| Meckels Divert Exam (78290) | $1,012 | $1,012 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$761–$4,976 | $761–$4,976 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$501–$2,910 | $501–$2,910 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$527–$3,462 | $527–$3,462 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$573–$3,548 | $573–$3,548 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$799–$4,976 | $799–$4,976 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$501–$3,030 | $501–$3,030 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$700–$3,730 | $700–$3,730 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$454–$3,072 | $454–$3,072 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$732–$3,495 | $732–$3,495 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$892–$4,575 | $892–$4,575 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$727–$3,495 | $727–$3,495 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$729–$3,072 | $729–$3,072 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$507–$2,952 | $507–$2,952 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 4 matching MRF lines |
$498–$2,136 | $498–$2,136 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$640–$3,638 | $640–$3,638 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$448–$3,060 | $448–$3,060 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$772–$2,954 | $772–$2,954 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$862–$3,572 | $862–$3,572 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,083–$4,545 | $1,083–$4,545 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$610–$3,495 | $610–$3,495 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$783–$4,325 | $783–$4,325 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$704–$2,899 | $704–$2,899 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$630–$3,572 | $630–$3,572 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$745–$4,763 | $745–$4,763 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$524–$3,138 | $524–$3,138 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$622–$3,678 | $622–$3,678 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$787–$4,763 | $787–$4,763 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$627–$3,730 | $627–$3,730 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$782–$4,763 | $782–$4,763 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$531–$3,148 | $531–$3,148 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$447–$3,238 | $447–$3,238 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$766–$3,495 | $766–$3,495 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$704–$2,899 | $704–$2,899 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$947–$4,575 | $947–$4,575 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$785–$4,763 | $785–$4,763 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$746–$5,192 | $746–$5,192 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$634–$3,754 | $634–$3,754 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$479–$2,832 | $479–$2,832 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$892–$4,575 | $892–$4,575 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$746–$5,192 | $746–$5,192 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$259–$817 | $259–$817 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$245–$794 | $245–$794 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$609–$968 | $609–$968 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$183–$3,470 | $183–$3,470 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$73–$123 | $73–$123 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$199–$401 | $199–$401 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$66–$156 | $66–$156 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$485–$1,149 | $485–$1,149 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$116–$276 | $116–$276 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$139–$387 | $139–$387 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$86–$189 | $86–$189 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$66–$156 | $66–$156 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$77–$189 | $77–$189 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$109–$222 | $109–$222 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$91–$150 | $91–$150 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$79–$189 | $79–$189 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$89–$189 | $89–$189 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$72–$156 | $72–$156 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$142–$301 | $142–$301 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$87–$175 | $87–$175 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$84–$263 | $84–$263 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$91–$189 | $91–$189 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$76–$134 | $76–$134 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$56–$134 | $56–$134 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$77–$202 | $77–$202 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$124–$251 | $124–$251 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$67–$150 | $67–$150 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$72–$159 | $72–$159 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$99–$189 | $99–$189 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$100–$251 | $100–$251 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$493–$815 | $493–$815 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$348–$606 | $348–$606 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$115–$251 | $115–$251 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$101–$190 | $101–$190 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$220–$290 | $220–$290 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$279–$339 | $279–$339 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$315–$558 | $315–$558 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$83–$239 | $83–$239 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$80–$208 | $80–$208 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$152–$744 | $152–$744 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$73–$192 | $73–$192 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$100–$315 | $100–$315 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$555–$2,602 | $555–$2,602 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $121 | $121 | 0.2× |
| Scapula (73010) range across 4 matching MRF lines |
$59–$192 | $59–$192 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$89–$121 | $89–$121 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$51–$175 | $51–$175 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$312–$474 | $312–$474 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$83–$250 | $83–$250 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$96–$217 | $96–$217 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$440–$886 | $440–$886 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$77–$232 | $77–$232 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$90–$241 | $90–$241 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$82–$237 | $82–$237 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 4 matching MRF lines |
$382–$856 | $382–$856 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$185–$361 | $185–$361 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$196–$449 | $196–$449 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$247–$756 | $247–$756 | varies |
| Ultrasound, abdomen limited (76705) range across 13 matching MRF lines |
$149–$704 | $149–$704 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$107–$153 | $107–$153 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $189 | $189 | 2.2× |
| Unlisted us procedure (76999) | $345 | $345 | 4.0× |
| Upper gi w/o kub (74240) | $524 | $524 | 3.0× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$244–$510 | $244–$510 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$235–$566 | $235–$566 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$145–$529 | $145–$529 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$130–$345 | $130–$345 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$121–$155 | $121–$155 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$334–$856 | $334–$856 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$152–$161 | $152–$161 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$431–$823 | $431–$823 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$192–$400 | $192–$400 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$218–$289 | $218–$289 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$246–$539 | $246–$539 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$275–$823 | $275–$823 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$261–$453 | $261–$453 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$249–$756 | $249–$756 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$144–$704 | $144–$704 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$230–$539 | $230–$539 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$253–$591 | $253–$591 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$280–$823 | $280–$823 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$80–$175 | $80–$175 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$232–$900 | $232–$900 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$310–$334 | $310–$334 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$69–$175 | $69–$175 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$38–$768 | $38–$768 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $260 | $260 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$79–$184 | $79–$184 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$113–$202 | $113–$202 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$127–$363 | $127–$363 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$144–$322 | $144–$322 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$93–$250 | $93–$250 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$120–$348 | $120–$348 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$98–$275 | $98–$275 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$76–$189 | $76–$189 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$75–$192 | $75–$192 | varies |
| X-ray IV pyelogram (ivp) (74400) | $629 | $629 | 3.6× |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$351–$850 | $351–$850 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$94–$202 | $94–$202 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 6 matching MRF lines |
$94–$273 | $94–$273 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$67–$213 | $67–$213 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$120–$348 | $120–$348 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$90–$208 | $90–$208 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$75–$189 | $75–$189 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$88–$250 | $88–$250 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$102–$290 | $102–$290 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$190–$558 | $190–$558 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$108–$916 | $108–$916 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$228–$869 | $228–$869 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$128–$315 | $128–$315 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$74–$202 | $74–$202 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$109–$250 | $109–$250 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$202–$606 | $202–$606 | varies |
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.