Imaging prices at Bates County Memorial Hospital
Butler, MO · every code in this section with a posted price and a Medicare benchmark.
227 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) | $471.69 | $673.84 | 5.4× |
| Abdomen 2 views (74019) | $611 | $872.85 | 5.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,739.11 | $2,484.44 | 4.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$438.83–$657.55 | $626.89–$939.35 | varies |
| Arthrogram hip (73525) | $420.55 | $600.78 | 1.2× |
| Arthrogram Wrist (73115) | $1,116.76 | $1,595.36 | 3.2× |
| Bone age studies (77072) | $536.04 | $765.77 | 5.1× |
| Bone Imaging 3 Phase (78315) | $1,948.83 | $2,784.04 | 4.9× |
| Bone Imaging Limited Area (78300) | $1,167.33 | $1,667.61 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,635.39 | $2,336.26 | 4.1× |
| Chest 1 view (71045) | $440.65 | $629.49 | 5.1× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$443.01–$526.20 | $632.86–$751.71 | varies |
| Clavicle complete (73000) | $484.56 | $692.22 | 5.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $244.67 | $349.52 | 2.3× |
| Contrast X-Ray Bladder (74430) | $616.30 | $880.42 | 1.8× |
| Contrast X-Ray Of Elbow (73085) | $447.47 | $639.23 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $841.17 | $1,201.66 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,557.11 | $5,081.58 | 10.2× |
| CT abdomen and pelvis without contrast (74176) | $3,141.74 | $4,488.20 | 13.1× |
| CT abdomen w contrast (74160) | $2,847.53 | $4,067.90 | 16.2× |
| CT abdomen w wo contrast (74170) | $3,260.92 | $4,658.45 | 18.6× |
| CT abdomen w/o contrast (74150) | $2,202.46 | $3,146.37 | 21.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,485.82 | $3,551.16 | 7.1× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,286.44–$2,807.10 | $3,266.33–$4,010.14 | varies |
| CT Angio Head (70496) | $2,282.95 | $3,261.35 | 13.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,374.37–$2,480.33 | $3,391.95–$3,543.32 | varies |
| CT Angio Neck (70498) | $2,282.95 | $3,261.35 | 13.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,064.67 | $2,949.52 | 11.8× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,610.40–$1,929.90 | $2,300.56–$2,757 | varies |
| CT cervical spine w/o contrast (72125) | $2,329.66 | $3,328.08 | 22.2× |
| CT cervical spine w/wo cont (72127) | $2,716.55 | $3,880.78 | 15.5× |
| CT chest w contrast (71260) | $2,440.96 | $3,487.08 | 13.9× |
| CT chest w/wo contrast (71270) | $2,779.24 | $3,970.34 | 15.8× |
| CT head/brain with contrast (70460) | $1,933.69 | $2,762.41 | 11.0× |
| CT head/brain without and with contrast (70470) | $2,464.43 | $3,520.61 | 14.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $47.60 | $68 | 0.5× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,939.75–$1,957.92 | $2,771.06–$2,797.02 | varies |
| CT l-spine w&w/o contrast (72133) | $2,716.55 | $3,880.78 | 15.5× |
| CT lower ext w/o (73700) | $1,957.92 | $2,797.02 | 18.7× |
| CT lower extremity w/contrast material (73701) | $2,385.69 | $3,408.12 | 13.6× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,610.40–$2,931.58 | $2,300.56–$4,187.96 | varies |
| CT lumbar spine w/o contrast (72131) | $2,311.49 | $3,302.12 | 22.1× |
| CT maxillofacial w contrast (70487) | $2,008.64 | $2,869.48 | 11.4× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,769.24–$2,008.64 | $2,527.48–$2,869.48 | varies |
| CT neck tissue combo (70492) | $2,271.36 | $3,244.80 | 12.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,929.15 | $2,755.92 | 11.0× |
| CT orbits w/o contrast (70480) | $1,957.92 | $2,797.02 | 18.7× |
| CT pelvis w&w/o contrast (72194) | $2,001.83 | $2,859.75 | 11.4× |
| CT pelvis w/o contrast (72192) | $2,225.18 | $3,178.82 | 21.3× |
| CT soft tissue neck w contrast (70491) | $2,409.16 | $3,441.65 | 13.7× |
| CT soft tissue neck w/o contrast (70490) | $1,813.40 | $2,590.56 | 17.3× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,610.40–$2,047.26 | $2,300.56–$2,924.65 | varies |
| CT thoracic spine w/o contrast (72128) | $2,036.23 | $2,908.90 | 19.4× |
| CT thorax w/o contrast (71250) | $2,099.50 | $2,999.28 | 20.1× |
| CT upper ext wo (73200) | $1,939.75 | $2,771.06 | 18.5× |
| CT upper extremity with contrast (73201) | $1,976.43 | $2,823.46 | 5.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,422.26 | $3,460.36 | 13.8× |
| Cta Abdomen (74175) | $2,286.44 | $3,266.33 | 13.0× |
| Discography Cerv/Thor Spine (72285) | $3,397.96 | $4,854.22 | 1.7× |
| Diskography lumbar (72295) | $3,397.96 | $4,854.22 | 1.7× |
| Dxa Bone Density Axial (77080) | $565.58 | $807.96 | 5.4× |
| Echo exam uterus (76831) | $871.45 | $1,244.92 | 3.6× |
| Esophagram (74220) | $644.31 | $920.44 | 3.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $779.84 | $1,114.05 | 7.4× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$523.63–$630.38 | $748.03–$900.54 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$434.65–$650.58 | $620.92–$929.40 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$463.36–$636.65 | $661.94–$909.50 | varies |
| Gastric emptying imaging study (78264) | $1,811.04 | $2,587.19 | 4.5× |
| Gated Heart Planar Single (78472) | $1,477.56 | $2,110.79 | 3.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$456.94–$684.02 | $652.77–$977.16 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,122.21 | $3,031.72 | 3.9× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$432.32–$1,907.19 | $617.59–$2,724.55 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,437.78 | $2,053.96 | 1.1× |
| Hysterosalpingogram (74740) | $1,187.17 | $1,695.95 | 5.0× |
| K Flow/Funct Image Multiple (78709) | $2,339.50 | $3,342.14 | 4.3× |
| K Flow/Funct Image W/Drug (78708) | $1,889.02 | $2,698.59 | 3.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,433.23 | $2,047.47 | 2.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$559.33–$739.04 | $799.04–$1,055.77 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,515.76 | $2,165.36 | 3.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,169.75 | $1,671.07 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $2,346.68 | $3,352.40 | 4.3× |
| Lung Ventilation Imaging (78579) | $364.94 | $521.33 | 0.9× |
| Lymph System Imaging (78195) | $782.11 | $1,117.29 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $2,612.07 | $3,731.52 | 10.9× |
| Meckels Divert Exam (78290) | $1,611.92 | $2,302.73 | 4.0× |
| Mra Head W/O & W/Contrast Material (70546) | $3,072.40 | $4,389.13 | 8.8× |
| MRA head w/o contrast (70544) | $2,864.94 | $4,092.77 | 12.0× |
| MRA head with contrast (70545) | $2,920.22 | $4,171.73 | 8.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,725.03 | $5,321.47 | 10.7× |
| MRA neck w/o contrast (70547) | $2,607.69 | $3,725.27 | 10.9× |
| MRI abdomen w contrast (74182) | $3,636.87 | $5,195.52 | 10.4× |
| MRI abdomen w/o contrast (74181) | $2,635.75 | $3,765.35 | 11.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$2,909.49–$3,162.49 | $4,156.41–$4,517.84 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,427.04 | $4,895.76 | 9.8× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$2,559.86–$3,162.49 | $3,656.93–$4,517.84 | varies |
| MRI bone marrow blood supply (77084) | $2,920.22 | $4,171.73 | 12.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,762.13 | $5,374.47 | 15.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,337.99 | $3,339.98 | 9.8× |
| MRI cervical spine w contrast (72142) | $4,283.79 | $6,119.69 | 12.3× |
| MRI cervical spine w/o cont (72141) | $2,864.94 | $4,092.77 | 12.0× |
| MRI chest w/o contrast (71550) | $2,864.94 | $4,092.77 | 12.0× |
| MRI chest with contrast (71551) | $3,162.49 | $4,517.84 | 4.0× |
| MRI chest wo w contrast (71552) | $3,725.03 | $5,321.47 | 10.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,636.87 | $5,195.52 | 10.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,427.04 | $4,895.76 | 9.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,864.94 | $4,092.77 | 12.0× |
| MRI lumbar spine w contrast (72149) | $2,909.49 | $4,156.41 | 8.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,725.03 | $5,321.47 | 10.7× |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$2,168.53–$2,403.10 | $3,097.89–$3,433 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$1,260.61–$3,347.80 | $1,800.86–$4,782.56 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$3,072.40–$3,195.08 | $4,389.13–$4,564.39 | varies |
| MRI pelvis w contrast (72196) | $3,162.49 | $4,517.84 | 9.1× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,036.06–$3,725.03 | $4,337.22–$5,321.47 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,418.12–$2,864.94 | $3,454.45–$4,092.77 | varies |
| MRI thoracic spine w/o contrast (72146) | $2,864.94 | $4,092.77 | 12.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,162.49 | $4,517.84 | 9.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,864.94 | $4,092.77 | 12.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,427.04–$4,067.86 | $4,895.76–$5,811.22 | varies |
| MRI, abdomen, combo (74183) | $3,725.03 | $5,321.47 | 10.7× |
| MRI, dorsal spine combo (72157) | $3,427.04 | $4,895.76 | 9.8× |
| MRI, dorsal spine contrast (72147) | $3,162.49 | $4,517.84 | 9.1× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$2,476.54–$2,864.94 | $3,537.91–$4,092.77 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$2,731.87–$3,427.04 | $3,902.67–$4,895.76 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,427.04–$3,725.03 | $4,895.76–$5,321.47 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$828.29–$1,510.46 | $1,183.27–$2,157.79 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$804.82–$947.92 | $1,149.74–$1,354.16 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$763.18–$1,431.72 | $1,090.25–$2,045.31 | varies |
| Myelograpy 2/more regions rs&i (72270) | $1,237.90 | $1,768.42 | 1.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $345.25 | $493.21 | 0.9× |
| Myocardial Spect Multiple Studies (78452) | $4,175.52 | $5,965.02 | 3.2× |
| Neck soft tissue (70360) | $474.72 | $678.16 | 5.4× |
| Nuclear Rx Oral Admin (79005) | $1,410.52 | $2,015.02 | 6.0× |
| Parathyroid Planar Imaging (78070) | $2,115.43 | $3,022.03 | 5.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,874.03 | $4,105.75 | 7.2× |
| Pelvis 1 or 2 views (72170) | $474.72 | $678.16 | 4.5× |
| Pet Image W/Ct Lmtd (78814) | $2,818.39 | $4,026.26 | 2.0× |
| PET image w/CT, full body (78816) | $3,946.66 | $5,638.08 | 2.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,382.85 | $4,832.64 | 2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $989.80 | $1,413.99 | 2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $663.24 | $947.48 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$660.22–$989.56 | $943.16–$1,413.65 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$543.31–$813.57 | $776.15–$1,162.24 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$558.76–$625.51 | $798.22–$893.58 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $567 | $809.99 | 5.4× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$463.36–$506.39 | $661.94–$723.41 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$660.22–$989.56 | $943.16–$1,413.65 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$614.03–$847.71 | $877.18–$1,211.01 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $516.36 | $737.65 | 5.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $636.75 | $909.63 | 6.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $605.70 | $865.28 | 6.9× |
| Radex Ribs Unilateral 2 Views (71100) | $519.63 | $742.32 | 6.0× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$564.90–$921.42 | $807–$1,316.31 | varies |
| Radex Spine 1 View Specify Level (72020) | $429.78 | $613.96 | 4.9× |
| Radex Sternum Minimum 2 Views (71120) | $616.30 | $880.42 | 7.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $514.85 | $735.49 | 5.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$472.45–$650.58 | $674.92–$929.40 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $516.36 | $737.65 | 4.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$629.17–$941.86 | $898.81–$1,345.51 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $514.09 | $734.41 | 4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $741.23 | $1,058.89 | 7.1× |
| Radiologic exam colon double contrast study (74280) | $1,042.04 | $1,488.62 | 5.9× |
| Radiologic exam colon single contrast study (74270) | $826.81 | $1,181.15 | 4.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$803.31–$909.30 | $1,147.58–$1,299 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $847.01 | $1,210.01 | 4.8× |
| Radiologic exam swallow function contrast study (74230) | $720.02 | $1,028.60 | 4.1× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$791.28–$1,181.87 | $1,130.40–$1,688.38 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$585.81–$879.75 | $836.86–$1,256.78 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$564.90–$847.71 | $807–$1,211.01 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$629.17–$866.51 | $898.81–$1,237.87 | varies |
| Ribs bilateral 3 views (71110) | $514.06 | $734.36 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,150.83 | $1,644.03 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,182.78 | $3,118.25 | 4.0× |
| Scapula (73010) | $551.18 | $787.40 | 5.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $36.57 | $52.24 | 1.6× |
| Shoulder 1 view (73020) | $426.29 | $608.98 | 4.9× |
| Shoulder Arthrography (73040) | $1,005.46 | $1,436.36 | 2.9× |
| Skull less than 4 views (70250) | $441.74 | $631.05 | 4.2× |
| Sternoclavicular joints (71130) | $642.04 | $917.20 | 7.4× |
| Thoracic spine 3 views (72072) | $609.49 | $870.69 | 5.8× |
| Thoracolumbar 2 views (72080) | $507.09 | $724.41 | 5.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,043.31 | $1,490.44 | 2.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,465.79 | $2,093.98 | 3.7× |
| Ultrasound Breast Limited (76642) | $533.78 | $762.53 | 6.1× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$652.64–$928.99 | $932.34–$1,327.12 | varies |
| Upper gi w/o kub (74240) | $651.97 | $931.38 | 3.7× |
| Urethrocystogram voiding (74455) | $593.58 | $847.97 | 2.5× |
| Urethrocystography retrograde (74450) | $533.78 | $762.53 | 2.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$533.78–$865.39 | $762.53–$1,236.27 | varies |
| Us chest (76604) | $782.23 | $1,117.47 | 7.5× |
| Us exam, pelvic, limited (76857) | $847.98 | $1,211.39 | 8.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $533.78 | $762.53 | 5.1× |
| Us ob limited 1 or more fetuses (76815) | $865.39 | $1,236.27 | 8.3× |
| Us ob transvaginal (76817) | $887.35 | $1,267.64 | 8.5× |
| Us pelvic non ob complete (76856) | $926.72 | $1,323.88 | 8.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,053.54 | $1,505.05 | 10.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $796.16 | $1,137.36 | 7.6× |
| Us retroperitoneal complete (76770) | $955.49 | $1,364.98 | 9.1× |
| Us scrotum and contents (76870) | $865.39 | $1,236.27 | 8.3× |
| Us thyroid (76536) range across 3 matching MRF lines |
$818.45–$889.62 | $1,169.21–$1,270.88 | varies |
| Us transrectal (76872) | $130.99 | $187.12 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $2,986.09 | $4,265.83 | 0.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$447.89–$670.79 | $639.83–$958.26 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $538.32 | $769.02 | 6.2× |
| X-Ray Bend Only L-S Spine (72120) | $551.18 | $787.40 | 5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$438.83–$657.55 | $626.89–$939.35 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $701.85 | $1,002.64 | 6.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$436.05–$578.14 | $622.92–$825.91 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $557.25 | $796.06 | 6.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $569.09 | $812.98 | 5.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $766.21 | $1,094.58 | 7.3× |
| X-Ray Exam L-S Spine Bending (72114) | $770.75 | $1,101.07 | 7.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $507.09 | $724.41 | 5.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$655.67–$688.20 | $936.67–$983.13 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $779.84 | $1,114.05 | 7.4× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$533.78–$734.17 | $762.53–$1,048.81 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$560.73–$609.49 | $801.03–$870.69 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $759.25 | $1,084.63 | 7.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $420.73 | $601.03 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $507.09 | $724.41 | 5.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $567 | $809.99 | 6.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $708.74 | $1,012.48 | 6.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $478.50 | $683.57 | 1.4× |
| X-Rays Bone Length Studies (77073) | $536.04 | $765.77 | 5.1× |
| X-Rays Bone Survey Complete (77075) | $946.61 | $1,352.30 | 9.0× |
| Xr c-spine 4 or 5 views (72050) | $605.70 | $865.28 | 5.8× |
| Xr facial bones less than 3 views (70140) | $526.96 | $752.79 | 6.0× |
| Xr orbits complete 4 views (70200) | $708.74 | $1,012.48 | 6.8× |
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.