Imaging prices at Bear Lake Memorial Hospital
Montpelier, ID · every code in this section with a posted price and a Medicare benchmark.
217 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 |
$70.21–$270.73 | $82.60–$318.50 | varies |
| Abdomen 2 views (74019) | $316.20 | $372 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,390.60 | $1,636 | 3.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$60.31–$277.10 | $70.95–$326 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$584.12–$1,576.33 | $687.20–$1,854.50 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$381.55–$1,043.80 | $448.88–$1,228 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$497.29–$1,418.65 | $585.05–$1,669 | varies |
| Bone survey infant (77076) | $557.60 | $656 | 5.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$49.22–$260.10 | $57.90–$306 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$63.82–$315.78 | $75.08–$371.50 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$79.73–$351.05 | $93.80–$413 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$86.85–$351.05 | $102.18–$413 | varies |
| Cholecystography Oral Contrast (74290) | $690.63 | $812.50 | 4.0× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$61.57–$351.48 | $72.43–$413.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$266.18–$1,449.25 | $313.15–$1,705 | varies |
| Continuing medical physics consltj pr wk (77336) | $251.18 | $295.50 | 1.9× |
| Contrast X-Ray Bladder (74430) | $493.43 | $580.50 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,923.58 | $3,439.50 | 8.5× |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$181.90–$2,144.98 | $214–$2,523.50 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$443.70–$1,449.25 | $522–$1,705 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$498.82–$1,323.88 | $586.85–$1,557.50 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$264.69–$1,365.53 | $311.40–$1,606.50 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,223.18 | $2,615.50 | 6.5× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$543.64–$1,772.68 | $639.58–$2,085.50 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$533.21–$1,448.40 | $627.30–$1,704 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,674.50 | $1,970 | 9.7× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$532.57–$1,476.45 | $626.55–$1,737 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$571.99–$1,192.98 | $672.93–$1,403.50 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$188.22–$221.85 | $221.43–$261 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$325.75–$1,457.33 | $383.23–$1,714.50 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$251.94–$1,365.53 | $296.40–$1,606.50 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$322.24–$1,654.10 | $379.10–$1,946 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$378.06–$1,890.83 | $444.78–$2,224.50 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$287.11–$1,300.08 | $337.78–$1,529.50 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$335.11–$1,565.70 | $394.25–$1,842 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$347.65–$1,519.38 | $409–$1,787.50 | varies |
| CT l-spine w&w/o contrast (72133) | $1,837.79 | $2,162.10 | 10.6× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$251.33–$1,144.10 | $295.68–$1,346 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$321.62–$1,182.35 | $378.38–$1,391 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$327–$1,569.53 | $384.70–$1,846.50 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$250.69–$1,420.78 | $294.93–$1,671.50 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$293.97–$1,476.45 | $345.85–$1,737 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$247.25–$1,322.60 | $290.88–$1,556 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$426.90–$1,649.43 | $502.23–$1,940.50 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$404.39–$1,710.63 | $475.75–$2,012.50 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$307.73–$1,608.20 | $362.03–$1,892 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$481.14–$1,612.45 | $566.05–$1,897 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$257.83–$1,192.98 | $303.33–$1,403.50 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$355.09–$1,592.05 | $417.75–$1,873 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$355.79–$1,344.70 | $418.58–$1,582 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$291.17–$1,322.60 | $342.55–$1,556 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$251.33–$1,420.78 | $295.68–$1,671.50 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$257.76–$1,449.25 | $303.25–$1,705 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$309.68–$970.28 | $364.33–$1,141.50 | varies |
| CT upper extremity with contrast (73201) | $1,182.35 | $1,391 | 3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,667.70 | $1,962 | 9.6× |
| Cta Abdomen (74175) | $1,479.85 | $1,741 | 8.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$62.05–$259.68 | $73–$305.50 | varies |
| Dxa bone density study (77085) | $228.23 | $268.50 | 2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $122.40 | $144 | 1.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$182.31–$562.28 | $214.48–$661.50 | varies |
| Fetal Biophys Profile W/Nst (76818) | $227.29 | $267.40 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $419.05 | $493 | 4.1× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$81.18–$385.90 | $95.50–$454 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$53.45–$275.83 | $62.88–$324.50 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$55.32–$325.13 | $65.08–$382.50 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$556.45–$1,301.35 | $654.65–$1,531 | varies |
| Gated Heart Planar Single (78472) | $1,492.60 | $1,756 | 3.8× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$59.08–$272.43 | $69.50–$320.50 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,596.30 | $1,878 | 3.0× |
| Hepatobiliary System Imaging (78226) | $1,506.20 | $1,772 | 3.8× |
| Ht Muscle Image Spect Sing (78451) | $1,534.68 | $1,805.50 | 1.2× |
| Hysterosalpingogram (74740) | $385.90 | $454 | 1.6× |
| K Flow/Funct Image Multiple (78709) | $1,433.53 | $1,686.50 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $1,383.80 | $1,628 | 2.6× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$76.67–$351.05 | $90.20–$413 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $424.15 | $499 | 1.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,033.60 | $1,216 | 2.6× |
| Magnetic Image Jaw Joint (70336) | $2,365.55 | $2,783 | 10.0× |
| Mammary ductogram or galactogram single (77053) | $549.95 | $647 | 2.3× |
| Meckels Divert Exam (78290) | $1,069.30 | $1,258 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,241.45 | $2,637 | 6.5× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$414.57–$1,577.60 | $487.73–$1,856 | varies |
| MRA neck w contrast (70548) | $2,139.03 | $2,516.50 | 6.2× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$206.68–$1,816.03 | $243.15–$2,136.50 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,203.18–$1,609.05 | $1,415.50–$1,893 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$377.83–$2,189.60 | $444.50–$2,576 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,136.48 | $2,513.50 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,198.10 | $2,586 | 6.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,351.95 | $2,767 | 3.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,807.95 | $2,127 | 7.7× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$530.27–$2,166.65 | $623.85–$2,549 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$368.59–$2,026.83 | $433.63–$2,384.50 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$648.72–$2,198.10 | $763.20–$2,586 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,813.90 | $2,134 | 7.7× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$520.92–$2,175.15 | $612.85–$2,559 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$617.47–$2,362.58 | $726.43–$2,779.50 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,645.18 | $1,935.50 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,371.08 | $2,789.50 | 6.9× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$517.48–$1,844.08 | $608.80–$2,169.50 | varies |
| MRI pelvis w/o & w contrast (72197) | $2,192.15 | $2,579 | 6.4× |
| MRI pelvis w/o contrast (72195) | $1,844.08 | $2,169.50 | 7.8× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$369.22–$2,026.83 | $434.38–$2,384.50 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,633.28 | $1,921.50 | 6.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$784.47–$1,911.23 | $922.90–$2,248.50 | varies |
| MRI, abdomen, combo (74183) | $2,381.28 | $2,801.50 | 6.9× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$618.72–$2,591.23 | $727.90–$3,048.50 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$525.28–$2,362.58 | $617.98–$2,779.50 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$392.73–$2,139.88 | $462.03–$2,517.50 | varies |
| MRI, joint upper extrem combo (73223) | $2,147.95 | $2,527 | 6.2× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$616.21–$2,591.23 | $724.95–$3,048.50 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $966.45 | $1,137 | 0.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,761.23–$2,903.60 | $3,248.50–$3,416 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$59.19–$226.53 | $69.63–$266.50 | varies |
| Nonvascular Shunt X-Ray (75809) | $525.30 | $618 | 5.1× |
| Parathyroid Planar Imaging (78070) | $1,183.63 | $1,392.50 | 3.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$52.90–$333.20 | $62.23–$392 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,408.55 | $6,363 | 3.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,070.58 | $1,259.50 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$94.72–$405.88 | $111.43–$477.50 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$68.49–$286.45 | $80.58–$337 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$53.45–$328.53 | $62.88–$386.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$61.63–$316.20 | $72.50–$372 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$88.40–$555.90 | $104–$654 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$71.98–$265.20 | $84.68–$312 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$64.12–$356.58 | $75.43–$419.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$70.36–$374.43 | $82.78–$440.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$59.08–$257.55 | $69.50–$303 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$71–$316.20 | $83.53–$372 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$69.43–$300.48 | $81.68–$353.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$65.43–$375.28 | $76.98–$441.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$61.01–$255.43 | $71.78–$300.50 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$45.97–$289 | $54.08–$340 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$63.07–$283.90 | $74.20–$334 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$54.51–$260.95 | $64.13–$307 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$59.08–$330.65 | $69.50–$389 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$77.86–$356.58 | $91.60–$419.50 | varies |
| Radiation treatment delivery level 3 (77412) | $275.40 | $324 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$82.73–$385.90 | $97.33–$454 | varies |
| Radiologic exam colon double contrast study (74280) | $767.55 | $903 | 4.4× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$287.16–$589.90 | $337.83–$694 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$89.40–$358.28 | $105.18–$421.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$79.60–$378.68 | $93.65–$445.50 | varies |
| Radiologic examination femur 1 view (73551) | $349.35 | $411 | 4.1× |
| Radiologic examination femur minimum 2 views (73552) | $283.48 | $333.50 | 3.3× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$64.05–$300.48 | $75.35–$353.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $2,843.68 | $3,345.50 | 27.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$59.70–$349.35 | $70.23–$411 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$82.99–$407.58 | $97.63–$479.50 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,147.93 | $1,350.50 | 2.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,479.43 | $1,740.50 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,210.85 | $2,601 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,572.50 | $1,850 | 2.9× |
| Scapula (73010) range across 4 matching MRF lines |
$45.39–$407.58 | $53.40–$479.50 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $49.73 | $58.50 | 2.1× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$40.91–$243.53 | $48.13–$286.50 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$67.94–$351.05 | $79.93–$413 | varies |
| Sternoclavicular joints (71130) | $444.55 | $523 | 5.2× |
| Ther rad simulaj-aided field setting simple (77280) | $450.50 | $530 | 3.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$62.43–$397.80 | $73.45–$468 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$74.49–$455.60 | $87.63–$536 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $818.98 | $963.50 | 2.1× |
| Thyroid Uptake Measurement (78012) | $379.53 | $446.50 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,272.88 | $1,497.50 | 3.2× |
| Ultrasound Breast Limited (76642) | $539.75 | $635 | 6.3× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$164.77–$670.65 | $193.85–$789 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$42.50–$85 | $50–$100 | varies |
| Upper gi w/o kub (74240) | $527 | $620 | 3.0× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $152.58 | $179.50 | 13.8× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$191.21–$576.30 | $224.95–$678 | varies |
| Urethrocystography retrograde (74450) | $527 | $620 | 2.2× |
| Us breast unilateral complete (76641) | $539.75 | $635 | 5.2× |
| Us chest (76604) range across 2 matching MRF lines |
$111.10–$196.35 | $130.70–$231 | varies |
| Us complete joint (76881) | $361.25 | $425 | 3.5× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$95.86–$368.90 | $112.78–$434 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$290.70–$671.93 | $342–$790.50 | varies |
| Us ob transvaginal (76817) | $459.85 | $541 | 4.5× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$198.80–$635.80 | $233.88–$748 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$115.60–$198.48 | $136–$233.50 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$207.30–$448.38 | $243.88–$527.50 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$204.43–$730.15 | $240.50–$859 | varies |
| Us retroperitoneal limited (76775) | $490.45 | $577 | 4.7× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$189.13–$579.70 | $222.50–$682 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$206.72–$747.58 | $243.20–$879.50 | varies |
| Venography extremity bilateral rs&i (75822) | $1,353.63 | $1,592.50 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $901.85 | $1,061 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $133.03 | $156.50 | 1.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$63.44–$266.90 | $74.63–$314 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$54.83–$407.58 | $64.50–$479.50 | varies |
| X-ray antegrade pyelogram tube (74425) | $456.03 | $536.50 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$55.32–$240.98 | $65.08–$283.50 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$132.73–$631.13 | $156.15–$742.50 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $298.35 | $351 | 3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$47.94–$336.18 | $56.40–$395.50 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$77.86–$452.63 | $91.60–$532.50 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$115.81–$463.68 | $136.25–$545.50 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$75.06–$283.90 | $88.30–$334 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$117.07–$562.28 | $137.73–$661.50 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$79.73–$426.70 | $93.80–$502 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$62.31–$250.75 | $73.30–$295 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$60.31–$341.28 | $70.95–$401.50 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$249.65–$769.68 | $293.70–$905.50 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$281.18–$795.18 | $330.80–$935.50 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$72.93–$250.75 | $85.80–$295 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$75.29–$351.05 | $88.58–$413 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$75.06–$342.98 | $88.30–$403.50 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$94.72–$408.85 | $111.43–$481 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $423.30 | $498 | 4.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$225.97–$351.48 | $265.85–$413.50 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$61.63–$407.58 | $72.50–$479.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$71.30–$385.90 | $83.88–$454 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$84.79–$555.90 | $99.75–$654 | varies |
| X-Rays Bone Length Studies (77073) | $354.88 | $417.50 | 3.4× |
| X-Rays Bone Survey Complete (77075) | $696.15 | $819 | 6.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$102.20–$456.03 | $120.23–$536.50 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$60.50–$351.05 | $71.18–$413 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $72.29 | $85.05 | 0.7× |
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.