Imaging prices at Beatrice Community Hospital & Health Center, Inc
Beatrice, NE · every code in this section with a posted price and a Medicare benchmark.
252 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 3 matching MRF lines |
$93–$375 | $93–$375 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$109–$466 | $109–$466 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,973 | $1,973 | 4.8× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$80–$435 | $80–$435 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$296–$518 | $296–$518 | varies |
| Arthrogram Wrist (73115) | $813 | $813 | 2.2× |
| Bone age studies (77072) | $314 | $314 | 2.9× |
| Bone Imaging 3 Phase (78315) | $2,207 | $2,207 | 5.3× |
| Bone Imaging Limited Area (78300) | $1,235 | $1,235 | 3.0× |
| Bone Imaging Whole Body (78306) | $1,903 | $1,903 | 4.6× |
| Bone survey infant (77076) | $551 | $551 | 5.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,607 | $2,607 | 1.8× |
| Cat Scan Follow-Up Study (76380) | $1,020 | $1,020 | 11.3× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$82–$333 | $82–$333 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$98–$394 | $98–$394 | varies |
| Chest 3 views (71047) | $433 | $433 | 4.8× |
| Chest 4 or more views (71048) | $497 | $497 | 4.6× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$109–$502 | $109–$502 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $380 | $380 | 3.5× |
| Contrast X-Ray Bladder (74430) | $838 | $838 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,226–$2,146 | $1,226–$2,146 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $605 | $605 | 3.3× |
| CT abdomen and pelvis without and with contrast (74178) | $5,700 | $5,700 | 15.7× |
| CT abdomen and pelvis without contrast (74176) | $4,200 | $4,200 | 17.0× |
| CT abdomen w contrast (74160) | $2,786 | $2,786 | 15.3× |
| CT abdomen w wo contrast (74170) | $3,339 | $3,339 | 18.3× |
| CT abdomen w/o contrast (74150) | $2,725 | $2,725 | 25.1× |
| CT Angio Abdomen and Pelvis (74174) | $7,033 | $7,033 | 19.4× |
| CT Angio Chest (71275) | $3,600 | $3,600 | 19.8× |
| CT Angio Head (70496) | $3,167 | $3,167 | 17.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,000–$5,100 | $3,000–$5,100 | varies |
| CT Angio Neck (70498) | $2,796 | $2,796 | 15.4× |
| CT cervical spine w/ contrast (72126) | $2,728 | $2,728 | 7.5× |
| CT cervical spine w/o contrast (72125) | $2,670 | $2,670 | 24.6× |
| CT cervical spine w/wo cont (72127) | $2,909 | $2,909 | 16.0× |
| CT chest w contrast (71260) | $2,794 | $2,794 | 15.3× |
| CT chest w/wo contrast (71270) | $3,701 | $3,701 | 20.3× |
| CT head/brain with contrast (70460) | $2,612 | $2,612 | 14.3× |
| CT head/brain without and with contrast (70470) | $2,933 | $2,933 | 16.1× |
| CT iac w contrast (70481) | $2,410 | $2,410 | 13.2× |
| CT l-spine w&w/o contrast (72133) | $3,359 | $3,359 | 18.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,372–$4,149 | $2,372–$4,149 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,410–$4,217 | $2,410–$4,217 | varies |
| CT lumbar spine w contrast (72132) | $2,973 | $2,973 | 8.2× |
| CT lumbar spine w/o contrast (72131) | $2,635 | $2,635 | 24.3× |
| CT maxillofacial w contrast (70487) | $2,318 | $2,318 | 12.7× |
| CT maxillofacial wo contrast (70486) | $1,932 | $1,932 | 17.8× |
| CT neck tissue combo (70492) | $2,489 | $2,489 | 13.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,909 | $2,909 | 16.0× |
| CT orbits w/o contrast (70480) | $2,372 | $2,372 | 21.8× |
| CT pelvis w&w/o contrast (72194) | $3,546 | $3,546 | 19.5× |
| CT pelvis w/o contrast (72192) | $2,725 | $2,725 | 25.1× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,909–$5,089 | $2,909–$5,089 | varies |
| CT scans face/jaw combo (70488) | $2,796 | $2,796 | 15.4× |
| CT soft tissue neck w contrast (70491) | $2,414 | $2,414 | 13.3× |
| CT soft tissue neck w/o contrast (70490) | $2,177 | $2,177 | 20.1× |
| CT thoracic spine w contrast (72129) | $2,979 | $2,979 | 16.4× |
| CT thoracic spine w/o contrast (72128) | $2,767 | $2,767 | 25.5× |
| CT thoracic spine w/wo cont (72130) | $3,332 | $3,332 | 18.3× |
| CT thorax w/o contrast (71250) | $2,638 | $2,638 | 24.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,174–$4,109 | $2,174–$4,109 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,909–$5,091 | $2,909–$5,091 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,551–$4,591 | $2,551–$4,591 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,586 | $4,586 | 25.2× |
| Cta Abdomen (74175) | $3,856 | $3,856 | 21.2× |
| CTA pelvis (72191) | $3,962 | $3,962 | 21.8× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$350–$529 | $350–$529 | varies |
| Esophagram (74220) | $711 | $711 | 3.9× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$309–$669 | $309–$669 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$90–$539 | $90–$539 | varies |
| Fluoroscopy up to 1 hr (76000) | $850 | $850 | 3.4× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$80–$435 | $80–$435 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$122–$421 | $122–$421 | varies |
| Gastric emptying imaging study (78264) | $1,815 | $1,815 | 4.4× |
| Gated Heart Planar Single (78472) | $1,989 | $1,989 | 4.8× |
| Gated Heart, Multiple (78473) | $2,825 | $2,825 | 6.8× |
| Hand 2 views (73120) range across 8 matching MRF lines |
$80–$429 | $80–$429 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,662 | $1,662 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,282 | $1,282 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $3,075 | $3,075 | 2.3× |
| Hysterosalpingogram (74740) | $730 | $730 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $530 | $530 | 5.9× |
| K Flow/Funct Image W/Drug (78708) | $2,339 | $2,339 | 4.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,849 | $1,849 | 3.3× |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$132–$608 | $132–$608 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,940 | $1,940 | 4.7× |
| Lung Ventilat&Perfus Imaging (78582) | $2,330 | $2,330 | 4.1× |
| Lymph System Imaging (78195) | $1,747 | $1,747 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $2,852 | $2,852 | 11.5× |
| Meckels Divert Exam (78290) | $1,457 | $1,457 | 3.5× |
| Mra Head W/O & W/Contrast Material (70546) | $3,707 | $3,707 | 10.2× |
| MRA head w/o contrast (70544) | $3,357 | $3,357 | 13.5× |
| MRA head with contrast (70545) | $3,533 | $3,533 | 9.8× |
| MRA neck w contrast (70548) | $3,235 | $3,235 | 8.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,693 | $3,693 | 10.2× |
| MRA neck w/o contrast (70547) | $3,072 | $3,072 | 12.4× |
| MRI abdomen w contrast (74182) | $3,627 | $3,627 | 10.0× |
| MRI abdomen w/o contrast (74181) | $4,044 | $4,044 | 16.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$3,422–$6,156 | $3,422–$6,156 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$3,731–$6,716 | $3,731–$6,716 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$3,422–$5,989 | $3,422–$5,989 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $3,472 | $3,472 | 14.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,938 | $2,938 | 11.9× |
| MRI cervical spine w contrast (72142) | $4,197 | $4,197 | 11.6× |
| MRI cervical spine w/o cont (72141) | $3,500 | $3,500 | 14.1× |
| MRI chest w/o contrast (71550) | $3,348 | $3,348 | 13.5× |
| MRI chest with contrast (71551) | $3,525 | $3,525 | 4.3× |
| MRI chest wo w contrast (71552) | $4,664 | $4,664 | 12.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$3,422–$5,989 | $3,422–$5,989 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,731–$6,529 | $3,731–$6,529 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,392–$5,936 | $3,392–$5,936 | varies |
| MRI lumbar spine w contrast (72149) | $3,447 | $3,447 | 9.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,664 | $4,664 | 12.9× |
| MRI orbit face &/neck w/o contrast (70540) | $3,202 | $3,202 | 12.9× |
| MRI orbit face neck w contrast (70542) | $3,370 | $3,370 | 9.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,693 | $3,693 | 10.2× |
| MRI pelvis w contrast (72196) | $3,370 | $3,370 | 9.3× |
| MRI pelvis w/o & w contrast (72197) | $3,716 | $3,716 | 10.3× |
| MRI pelvis w/o contrast (72195) | $2,954 | $2,954 | 11.9× |
| MRI thoracic spine w/o contrast (72146) | $3,788 | $3,788 | 15.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,852–$4,991 | $2,852–$4,991 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,109–$5,441 | $3,109–$5,441 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,731–$6,529 | $3,731–$6,529 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,626–$4,664 | $3,626–$4,664 | varies |
| MRI, dorsal spine combo (72157) | $4,588 | $4,588 | 12.7× |
| MRI, dorsal spine contrast (72147) | $3,627 | $3,627 | 10.0× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$2,609–$5,132 | $2,609–$5,132 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$4,239–$7,418 | $4,239–$7,418 | varies |
| MRI, lumbar spine combo (72158) | $4,420 | $4,420 | 12.2× |
| Myelogram Lumbar (72265) | $471 | $471 | 0.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $442 | $442 | 0.3× |
| Myocardial Spect Multiple Studies (78452) | $4,638 | $4,638 | 3.4× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$108–$373 | $108–$373 | varies |
| Nonvascular Shunt X-Ray (75809) | $862 | $862 | 7.9× |
| Parathyroid Planar Imaging (78070) | $1,340 | $1,340 | 3.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,776 | $1,776 | 4.3× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$119–$375 | $119–$375 | varies |
| PET image w/CT, full body (78816) | $4,257 | $4,257 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$4,257–$5,750 | $4,257–$5,750 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,358 | $1,358 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $584 | $584 | 5.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $951 | $951 | 1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$131–$679 | $131–$679 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$108–$421 | $108–$421 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$122–$611 | $122–$611 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$122–$475 | $122–$475 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$108–$426 | $108–$426 | varies |
| Radex foot complete minimum 3 views (73630) range across 10 matching MRF lines |
$131–$685 | $131–$685 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$130–$537 | $130–$537 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$239–$429 | $239–$429 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $433 | $433 | 4.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$114–$347 | $114–$347 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$102–$397 | $102–$397 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$128–$679 | $128–$679 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$119–$347 | $119–$347 | varies |
| Radex Spine 1 View Specify Level (72020) | $291 | $291 | 3.2× |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$114–$355 | $114–$355 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $475 | $475 | 5.3× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$108–$426 | $108–$426 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$224–$392 | $224–$392 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$130–$492 | $130–$492 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$174–$414 | $174–$414 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$95–$533 | $95–$533 | varies |
| Radiologic exam colon double contrast study (74280) | $1,092 | $1,092 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $849 | $849 | 4.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $711 | $711 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$108–$608 | $108–$608 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$125–$363 | $125–$363 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $649 | $649 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $610 | $610 | 3.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $711 | $711 | 3.9× |
| Radiologic examination femur 1 view (73551) | $189 | $189 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$122–$608 | $122–$608 | varies |
| Radiologic examination knee 1/2 views (73560) range across 9 matching MRF lines |
$125–$617 | $125–$617 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $631 | $631 | 5.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$131–$678 | $131–$678 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$125–$466 | $125–$466 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$105–$597 | $105–$597 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $115 | $115 | 4.9× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$80–$509 | $80–$509 | varies |
| Shoulder Arthrography (73040) | $861 | $861 | 2.4× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$99–$339 | $99–$339 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$66–$307 | $66–$307 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $695 | $695 | 3.8× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$128–$428 | $128–$428 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$87–$571 | $87–$571 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$138–$341 | $138–$341 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,079 | $1,079 | 2.6× |
| Thyroid Uptake Measurement (78012) | $617 | $617 | 1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,342 | $1,342 | 3.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$382–$709 | $382–$709 | varies |
| Ultrasound Exam Aaa Screen (76706) | $491 | $491 | 4.5× |
| Ultrasound, abdomen limited (76705) | $706 | $706 | 6.5× |
| Umbilical-artery Doppler (OB) (76820) | $340 | $340 | 3.1× |
| Unlisted magnetic resonance procedure (76498) | $2,000 | $2,000 | 22.1× |
| Unlisted us procedure (76999) | $399 | $399 | 4.4× |
| Upper gi w/o kub (74240) | $711 | $711 | 3.9× |
| Urethrocystogram voiding (74455) | $792 | $792 | 3.2× |
| Urethrocystography retrograde (74450) | $838 | $838 | 3.4× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$654–$1,199 | $654–$1,199 | varies |
| Us chest (76604) | $671 | $671 | 6.2× |
| Us complete joint (76881) | $603 | $603 | 5.6× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$273–$456 | $273–$456 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $453 | $453 | 4.2× |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$509–$849 | $509–$849 | varies |
| Us ob limited 1 or more fetuses (76815) | $487 | $487 | 4.5× |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$206–$569 | $206–$569 | varies |
| Us pelvic non ob complete (76856) | $841 | $841 | 7.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$274–$791 | $274–$791 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$216–$390 | $216–$390 | varies |
| Us retroperitoneal complete (76770) | $861 | $861 | 7.9× |
| Us retroperitoneal limited (76775) | $670 | $670 | 6.2× |
| Us scrotum and contents (76870) | $666 | $666 | 6.1× |
| Us spinal canal and contents (76800) | $759 | $759 | 7.0× |
| Us thyroid (76536) | $592 | $592 | 5.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$90–$411 | $90–$411 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$73–$329 | $73–$329 | varies |
| X-ray antegrade pyelogram tube (74425) | $838 | $838 | 2.3× |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$102–$465 | $102–$465 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$80–$552 | $80–$552 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$209–$373 | $209–$373 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $346 | $346 | 3.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $652 | $652 | 6.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$61–$224 | $61–$224 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$125–$339 | $125–$339 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 6 matching MRF lines |
$99–$861 | $99–$861 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 5 matching MRF lines |
$99–$608 | $99–$608 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $482 | $482 | 4.4× |
| X-Ray Exam L-S Spine Bending (72114) | $643 | $643 | 5.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$87–$390 | $87–$390 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$148–$718 | $148–$718 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$85–$482 | $85–$482 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$120–$210 | $120–$210 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$115–$608 | $115–$608 | varies |
| X-ray IV pyelogram (ivp) (74400) | $933 | $933 | 5.1× |
| X-ray IV pyelogram+tomography (74415) | $924 | $924 | 5.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$101–$280 | $101–$280 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $335 | $335 | 3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$148–$520 | $148–$520 | varies |
| X-ray nose-rectum child f.b. (76010) | $339 | $339 | 3.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $569 | $569 | 5.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$69–$335 | $69–$335 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$114–$444 | $114–$444 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$115–$339 | $115–$339 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$156–$467 | $156–$467 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $520 | $520 | 4.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $838 | $838 | 2.3× |
| X-Rays Bone Length Studies (77073) | $327 | $327 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $788 | $788 | 7.3× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$119–$575 | $119–$575 | varies |
| Xr facial bones less than 3 views (70140) | $339 | $339 | 3.8× |
| Xr orbits complete 4 views (70200) | $475 | $475 | 4.4× |
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.