Imaging prices at Barrett Hospital & Healthcare
Dillon, MT · every code in this section with a posted price and a Medicare benchmark.
249 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) | $209.95 | $221 | 2.4× |
| Abdomen 2 views (74019) | $296.40 | $312 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,610.25 | $1,695 | 3.9× |
| Ankle 2 views (73600) | $209.95 | $221 | 2.4× |
| Arthrogram hip (73525) | $600.40 | $632 | 1.7× |
| Arthrogram Wrist (73115) | $472.15 | $497 | 1.3× |
| Bone age studies (77072) | $186.20 | $196 | 1.7× |
| Bone Imaging 3 Phase (78315) | $1,666.30 | $1,754 | 4.1× |
| Bone Imaging Limited Area (78300) | $989.90 | $1,042 | 2.4× |
| Bone Imaging Multiple Areas (78305) | $1,646.35 | $1,733 | 4.0× |
| Bone Imaging Whole Body (78306) | $1,526.65 | $1,607 | 3.7× |
| Bone survey infant (77076) | $334.40 | $352 | 3.1× |
| Cat Scan Follow-Up Study (76380) | $716.30 | $754 | 8.1× |
| Chest 1 view (71045) | $189.05 | $199 | 2.1× |
| Chest 2 views (71046) | $231.80 | $244 | 2.6× |
| Chest 3 views (71047) | $339.15 | $357 | 3.8× |
| Chest 4 or more views (71048) | $365.75 | $385 | 3.4× |
| Clavicle complete (73000) | $231.80 | $244 | 2.6× |
| Contrast X-Ray Bladder (74430) | $646 | $680 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $3,358.25 | $3,535 | 9.4× |
| CT abdomen and pelvis without contrast (74176) | $2,346.50 | $2,470 | 9.6× |
| CT abdomen w contrast (74160) | $1,991.20 | $2,096 | 11.1× |
| CT abdomen w wo contrast (74170) | $2,244.85 | $2,363 | 12.5× |
| CT abdomen w/o contrast (74150) | $1,506.70 | $1,586 | 14.1× |
| CT Angio Abdomen and Pelvis (74174) | $3,738.25 | $3,935 | 10.5× |
| CT Angio Chest (71275) | $2,491.85 | $2,623 | 13.9× |
| CT Angio Head (70496) | $2,235.35 | $2,353 | 12.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,066.25 | $2,175 | 11.5× |
| CT Angio Neck (70498) | $2,394.95 | $2,521 | 13.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,029.20 | $2,136 | 11.3× |
| CT cervical spine w/ contrast (72126) | $2,109.95 | $2,221 | 5.9× |
| CT cervical spine w/o contrast (72125) | $1,598.85 | $1,683 | 15.0× |
| CT chest w contrast (71260) | $1,638.75 | $1,725 | 9.1× |
| CT chest w/wo contrast (71270) | $1,991.20 | $2,096 | 11.1× |
| CT head/brain with contrast (70460) | $1,615 | $1,700 | 9.0× |
| CT head/brain without and with contrast (70470) | $2,098.55 | $2,209 | 11.7× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$195.70–$242.25 | $206–$255 | varies |
| CT iac w contrast (70481) | $1,749.90 | $1,842 | 9.8× |
| CT l-spine w&w/o contrast (72133) | $2,237.25 | $2,355 | 12.5× |
| CT lower ext w/o (73700) | $1,356.60 | $1,428 | 12.7× |
| CT lower extremity w/contrast material (73701) | $1,731.85 | $1,823 | 9.7× |
| CT lumbar spine w contrast (72132) | $1,886.70 | $1,986 | 5.3× |
| CT lumbar spine w/o contrast (72131) | $1,536.15 | $1,617 | 14.4× |
| CT maxillofacial w contrast (70487) | $1,663.45 | $1,751 | 9.3× |
| CT maxillofacial wo contrast (70486) | $1,237.85 | $1,303 | 11.6× |
| CT neck tissue combo (70492) | $2,223.95 | $2,341 | 12.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,119.45 | $2,231 | 11.8× |
| CT orbits w/o contrast (70480) | $1,450.65 | $1,527 | 13.6× |
| CT pelvis w&w/o contrast (72194) | $2,579.25 | $2,715 | 14.4× |
| CT pelvis w/o contrast (72192) | $1,415.50 | $1,490 | 13.3× |
| CT scan of leg combo (73702) | $1,906.65 | $2,007 | 10.6× |
| CT scans face/jaw combo (70488) | $1,578.90 | $1,662 | 8.8× |
| CT soft tissue neck w contrast (70491) | $1,916.15 | $2,017 | 10.7× |
| CT soft tissue neck w/o contrast (70490) | $1,279.65 | $1,347 | 12.0× |
| CT thoracic spine w contrast (72129) | $1,937.05 | $2,039 | 10.8× |
| CT thoracic spine w/o contrast (72128) | $1,506.70 | $1,586 | 14.1× |
| CT thorax w/o contrast (71250) | $1,313.85 | $1,383 | 12.3× |
| CT unlisted procedure (76497) | $276.45 | $291 | 3.1× |
| CT upper ext wo (73200) | $1,345.20 | $1,416 | 12.6× |
| CT upper extremity w/o & w/contrast material (73202) | $2,130.85 | $2,243 | 11.9× |
| CT upper extremity with contrast (73201) | $1,893.35 | $1,993 | 5.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,738.85 | $2,883 | 15.3× |
| Cta Abdomen (74175) | $2,443.40 | $2,572 | 13.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,591.95 | $3,781 | 10.1× |
| CTA pelvis (72191) | $2,305.65 | $2,427 | 12.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $353.40 | $372 | 3.3× |
| Dxa Bone Density Axial (77080) | $424.65 | $447 | 4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $190 | $200 | 2.1× |
| Echo exam uterus (76831) | $512.05 | $539 | 2.1× |
| Echo Guide For Artery Repair (76936) | $849.30 | $894 | 3.8× |
| Esophagram (74220) | $387.60 | $408 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $536.75 | $565 | 5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $404.70 | $426 | 3.8× |
| Fluoroscopy up to 1 hr (76000) | $494.95 | $521 | 2.0× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$180.50–$194.75 | $190–$205 | varies |
| Forearm 2 views (73090) | $221.35 | $233 | 2.5× |
| Gastric emptying imaging study (78264) | $1,446.85 | $1,523 | 3.5× |
| Gated Heart Planar Single (78472) | $1,581.75 | $1,665 | 3.9× |
| Hand 2 views (73120) | $202.35 | $213 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,864.85 | $1,963 | 3.4× |
| Hepatobiliary System Imaging (78226) | $1,481.05 | $1,559 | 3.6× |
| Ht Muscle Image Spect Sing (78451) | $2,884.20 | $3,036 | 2.2× |
| Hysterosalpingogram (74740) | $582.35 | $613 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $197.60 | $208 | 2.2× |
| Infant hip ultrasound, limited static exam (76886) | $74.10 | $78 | 0.8× |
| Joint Survey Single View (77077) | $189.05 | $199 | 1.8× |
| K Flow/Funct Image W/Drug (78708) | $1,832.55 | $1,929 | 3.3× |
| Knee 3 Views (73562) | $264.10 | $278 | 3.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,311 | $1,380 | 3.2× |
| Lymph System Imaging (78195) | $1,794.55 | $1,889 | 3.2× |
| Magnetic Image Jaw Joint (70336) | $2,128.95 | $2,241 | 8.7× |
| Meckels Divert Exam (78290) | $958.55 | $1,009 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $213.75 | $225 | 7.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,890.85 | $3,043 | 8.1× |
| MRA head w/o contrast (70544) | $2,109.95 | $2,221 | 8.7× |
| MRA head with contrast (70545) | $2,400.65 | $2,527 | 6.7× |
| MRA neck w contrast (70548) | $2,358.85 | $2,483 | 6.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,013.40 | $3,172 | 8.5× |
| MRA neck w/o contrast (70547) | $2,159.35 | $2,273 | 8.9× |
| MRI abdomen w contrast (74182) | $2,524.15 | $2,657 | 7.1× |
| MRI abdomen w/o contrast (74181) | $2,083.35 | $2,193 | 8.5× |
| MRI any jt lower extrem w/contrast material (73722) | $2,260.05 | $2,379 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,926 | $3,080 | 8.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,116.60 | $2,228 | 2.6× |
| MRI bone marrow blood supply (77084) | $1,936.10 | $2,038 | 7.9× |
| MRI cervical spine w contrast (72142) | $2,475.70 | $2,606 | 6.9× |
| MRI cervical spine w/o cont (72141) | $2,109.95 | $2,221 | 8.7× |
| MRI chest w/o contrast (71550) | $2,152.70 | $2,266 | 8.8× |
| MRI chest with contrast (71551) | $1,857.25 | $1,955 | 2.3× |
| MRI chest wo w contrast (71552) | $3,582.45 | $3,771 | 10.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,080.50 | $2,190 | 5.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,283.20 | $3,456 | 9.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,013.05 | $2,119 | 8.3× |
| MRI lumbar spine w contrast (72149) | $2,368.35 | $2,493 | 6.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,444.70 | $3,626 | 9.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,097.60 | $2,208 | 8.6× |
| MRI orbit face neck w contrast (70542) | $2,802.50 | $2,950 | 7.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,471.30 | $3,654 | 9.7× |
| MRI pelvis w contrast (72196) | $2,725.55 | $2,869 | 7.6× |
| MRI pelvis w/o & w contrast (72197) | $3,606.20 | $3,796 | 10.1× |
| MRI pelvis w/o contrast (72195) | $2,217.30 | $2,334 | 9.1× |
| MRI thoracic spine w/o contrast (72146) | $2,152.70 | $2,266 | 8.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,874.70 | $3,026 | 8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,857.25 | $1,955 | 7.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,045.70 | $3,206 | 8.5× |
| MRI, abdomen, combo (74183) | $3,336.40 | $3,512 | 9.4× |
| MRI, dorsal spine combo (72157) | $3,436.15 | $3,617 | 9.6× |
| MRI, dorsal spine contrast (72147) | $2,905.10 | $3,058 | 8.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,345.20–$2,045.35 | $1,416–$2,153 | varies |
| MRI, joint upper extrem combo (73223) | $3,455.15 | $3,637 | 9.7× |
| MRI, lumbar spine combo (72158) | $3,552.05 | $3,739 | 10.0× |
| Myelogram cervical (72240) | $1,334.75 | $1,405 | 1.7× |
| Myelogram Lumbar (72265) | $1,321.45 | $1,391 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $3,713.55 | $3,909 | 2.8× |
| Neck soft tissue (70360) | $215.65 | $227 | 2.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $95.95 | $101 | 0.9× |
| Optic foramina (70190) | $206.15 | $217 | 2.3× |
| Parathyroid Planar Imaging (78070) | $1,398.40 | $1,472 | 3.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,748 | $1,840 | 4.3× |
| Pelvis 1 or 2 views (72170) | $222.30 | $234 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $328.70 | $346 | 3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $526.30 | $554 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $231.80 | $244 | 2.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $196.65 | $207 | 2.2× |
| Radex elbow complete minimum 3 views (73080) | $253.65 | $267 | 2.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $388.55 | $409 | 3.6× |
| Radex fingr minimum 2 views (73140) | $177.65 | $187 | 2.0× |
| Radex foot complete minimum 3 views (73630) | $236.55 | $249 | 2.7× |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$231.80–$335.35 | $244–$353 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $163.40 | $172 | 1.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $340.10 | $358 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $274.55 | $289 | 3.1× |
| Radex Ribs Unilateral 2 Views (71100) | $268.85 | $283 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) | $242.25 | $255 | 2.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $216.60 | $228 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $224.20 | $236 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) | $264.10 | $278 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $374.30 | $394 | 4.2× |
| Radex Toe Minimum 2 Views (73660) | $177.65 | $187 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$142.50–$214.70 | $150–$226 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $242.25 | $255 | 2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $401.85 | $423 | 3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $332.50 | $350 | 3.1× |
| Radiologic exam colon double contrast study (74280) | $910.10 | $958 | 5.1× |
| Radiologic exam colon single contrast study (74270) | $615.60 | $648 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) | $280.25 | $295 | 2.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $304 | $320 | 2.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $584.25 | $615 | 3.3× |
| Radiologic exam swallow function contrast study (74230) | $389.50 | $410 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $607.05 | $639 | 3.4× |
| Radiologic examination femur minimum 2 views (73552) | $221.35 | $233 | 2.5× |
| Radiologic examination knee 1/2 views (73560) | $228.95 | $241 | 2.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $374.30 | $394 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $209.95 | $221 | 2.4× |
| Ribs bilateral 3 views (71110) | $362.90 | $382 | 3.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,389.85 | $1,463 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,911.40 | $2,012 | 3.4× |
| Scapula (73010) range across 2 matching MRF lines |
$226.10–$337.25 | $238–$355 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $90.25 | $95 | 3.9× |
| Sella turcica (70240) | $299.25 | $315 | 3.4× |
| Shoulder 1 view (73020) | $194.75 | $205 | 2.2× |
| Shoulder Arthrography (73040) | $916.75 | $965 | 2.6× |
| Skull less than 4 views (70250) | $269.80 | $284 | 2.5× |
| Sternoclavicular joints (71130) | $235.60 | $248 | 2.6× |
| Thoracic spine 3 views (72072) | $333.45 | $351 | 3.1× |
| Thoracolumbar 2 views (72080) | $247.95 | $261 | 2.8× |
| Thyroid Imaging With Vascular Flow (78013) | $694.45 | $731 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,264.45 | $1,331 | 3.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$73.15–$285.95 | $77–$301 | varies |
| Ultrasound Exam Aaa Screen (76706) | $484.50 | $510 | 4.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$67.45–$409.45 | $71–$431 | varies |
| Umbilical-artery Doppler (OB) (76820) | $313.50 | $330 | 2.9× |
| Unlisted Dx Radiographic Procedure (76499) | $174.80 | $184 | 2.0× |
| Unlisted fluoroscopic procedure (76496) | $345.80 | $364 | 3.9× |
| Unlisted magnetic resonance procedure (76498) | $1,025.05 | $1,079 | 11.5× |
| Unlisted us procedure (76999) | $365.75 | $385 | 4.1× |
| Upper gi w/o kub (74240) | $602.30 | $634 | 3.4× |
| Urethrocystogram voiding (74455) | $570 | $600 | 2.3× |
| Urethrocystography retrograde (74450) | $497.80 | $524 | 2.0× |
| Us breast unilateral complete (76641) | $384.75 | $405 | 3.6× |
| Us chest (76604) range across 3 matching MRF lines |
$119.70–$355.30 | $126–$374 | varies |
| Us complete joint (76881) | $430.35 | $453 | 4.0× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$44.65–$371.45 | $47–$391 | varies |
| Us head (76506) | $354.35 | $373 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$56.05–$350.55 | $59–$369 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$73.15–$351.50 | $77–$370 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$77.90–$447.45 | $82–$471 | varies |
| Us pelvic non ob complete (76856) | $549.10 | $578 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$104.50–$474.05 | $110–$499 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$90.25–$323 | $95–$340 | varies |
| Us retroperitoneal complete (76770) | $624.15 | $657 | 5.8× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$66.50–$436.05 | $70–$459 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$210.90–$554.80 | $222–$584 | varies |
| Us spinal canal and contents (76800) | $406.60 | $428 | 3.8× |
| Us thyroid (76536) range across 3 matching MRF lines |
$59.85–$462.65 | $63–$487 | varies |
| Wrist 2 views (73100) | $191.90 | $202 | 2.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $274.55 | $289 | 3.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $199.50 | $210 | 2.2× |
| X-Ray Exam Breast Specimen (76098) | $526.30 | $554 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $418 | $440 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $215.65 | $227 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $249.85 | $263 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $323 | $340 | 3.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $278.35 | $293 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $527.25 | $555 | 4.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $248.90 | $262 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $479.75 | $505 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $339.15 | $357 | 3.2× |
| X-ray eye for foreign body (70030) | $280.25 | $295 | 3.2× |
| X-ray humerus (73060) | $226.10 | $238 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $239.40 | $252 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $177.65 | $187 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $268.85 | $283 | 2.5× |
| X-ray nose-rectum child f.b. (76010) | $209.95 | $221 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $384.75 | $405 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $259.35 | $273 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $219.45 | $231 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $268.85 | $283 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $352.45 | $371 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $475.95 | $501 | 4.5× |
| X-Ray Stress View (77071) | $150.10 | $158 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $367.65 | $387 | 3.4× |
| X-Ray Tmj Unilat (70328) | $189.05 | $199 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $570 | $600 | 1.6× |
| X-Rays Bone Length Studies (77073) | $312.55 | $329 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $559.55 | $589 | 5.2× |
| Xr c-spine 4 or 5 views (72050) | $377.15 | $397 | 3.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $304.95 | $321 | 2.9× |
| Xr orbits complete 4 views (70200) | $319.20 | $336 | 3.0× |
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.