Imaging prices at Billings Clinic Hospital (Billings, MT)

418 codes. Prices are the hospital's own posted facility charges.

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Procedure	Posted cash	Posted gross	× Medicare
3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines	$1,057–$5,441	$1,057–$5,441	varies
Abdomen 1 View (74018) range across 10 matching MRF lines	$45–$453	$45–$453	varies
Abdomen 2 views (74019) range across 8 matching MRF lines	$67–$277	$67–$277	varies
Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines	$239–$1,397	$239–$1,397	varies
Acute venous thrombosis imaging, peptide Non-Facility (78456) range across 2 matching MRF lines	$238–$988	$238–$988	varies
Angio internal mammary (75756) range across 2 matching MRF lines	$190–$2,008	$190–$2,008	varies
Angio pulmonary bilat (75743) range across 2 matching MRF lines	$396–$2,812	$396–$2,812	varies
Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 4 matching MRF lines	$311–$2,008	$311–$2,008	varies
Angiography extremity bilateral rs&i (75716) range across 5 matching MRF lines	$318–$2,812	$318–$2,812	varies
Angiography extremity unilateral rs&i (75710) range across 17 matching MRF lines	$280–$2,812	$280–$2,812	varies
Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines	$313–$2,812	$313–$2,812	varies
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines	$276–$2,008	$276–$2,008	varies
Ankle 2 views (73600) range across 8 matching MRF lines	$40–$321	$40–$321	varies
Aortography thoracic serialography rs&i (75605) range across 4 matching MRF lines	$277–$2,812	$277–$2,812	varies
Artery X-Rays Abdomen (75726) range across 5 matching MRF lines	$274–$2,812	$274–$2,812	varies
Artery X-Rays Adrenal Gland (75731) range across 8 matching MRF lines	$281–$2,008	$281–$2,008	varies
Artery X-Rays Pelvis (75736) range across 4 matching MRF lines	$273–$2,812	$273–$2,812	varies
Artery X-Rays Spine (75705) range across 4 matching MRF lines	$540–$2,812	$540–$2,812	varies
Arthrogram ankle (73615) range across 4 matching MRF lines	$140–$430	$140–$430	varies
Arthrogram hip (73525) range across 4 matching MRF lines	$140–$430	$140–$430	varies
Arthrogram Wrist (73115) range across 4 matching MRF lines	$140–$363	$140–$363	varies
Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines	$242–$310	$242–$310	varies
Bone age studies (77072) range across 2 matching MRF lines	$45–$234	$45–$234	varies
Bone Imaging 3 Phase (78315) range across 2 matching MRF lines	$246–$1,599	$246–$1,599	varies
Bone Imaging Limited Area (78300) range across 2 matching MRF lines	$153–$1,090	$153–$1,090	varies
Bone Imaging Whole Body (78306) range across 2 matching MRF lines	$207–$1,617	$207–$1,617	varies
Bone marrow imaging limited area (78102) range across 2 matching MRF lines	$131–$874	$131–$874	varies
Bone marrow imaging; whole body (78104) range across 2 matching MRF lines	$125–$722	$125–$722	varies
Bone survey infant (77076) range across 4 matching MRF lines	$172–$271	$172–$271	varies
Brachytx isodose intermed (77317) range across 2 matching MRF lines	$605–$1,156	$605–$1,156	varies
Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines	$484–$888	$484–$888	varies
Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines	$153–$962	$153–$962	varies
Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines	$76–$560	$76–$560	varies
Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines	$234–$4,999	$234–$4,999	varies
Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines	$628–$3,324	$628–$3,324	varies
Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines	$717–$3,757	$717–$3,757	varies
Cardiac Shunt Detection (78428) range across 2 matching MRF lines	$184–$744	$184–$744	varies
Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines	$242–$1,263	$242–$1,263	varies
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines	$137–$821	$137–$821	varies
Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines	$166–$1,273	$166–$1,273	varies
Chest 1 view (71045) range across 20 matching MRF lines	$45–$375	$45–$375	varies
Chest 2 views (71046) range across 8 matching MRF lines	$54–$337	$54–$337	varies
Chest 3 views (71047) range across 2 matching MRF lines	$67–$217	$67–$217	varies
Chest 4 or more views (71048) range across 2 matching MRF lines	$75–$256	$75–$256	varies
Clavicle complete (73000) range across 8 matching MRF lines	$35–$307	$35–$307	varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)	$209	$209	2.0×
Continuing medical physics consltj pr wk (77336)	$664	$664	4.8×
Contrast Exam Abdominl Aorta (75625) range across 5 matching MRF lines	$279–$2,812	$279–$2,812	varies
Contrast X-Ray Bladder (74430) range across 4 matching MRF lines	$80–$415	$80–$415	varies
Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines	$140–$430	$140–$430	varies
Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines	$139–$498	$139–$498	varies
CT abdomen and pelvis without and with contrast (74178) range across 6 matching MRF lines	$354–$3,191	$354–$3,191	varies
CT abdomen and pelvis without contrast (74176) range across 6 matching MRF lines	$305–$2,558	$305–$2,558	varies
CT abdomen w contrast (74160) range across 4 matching MRF lines	$314–$1,845	$314–$1,845	varies
CT abdomen w wo contrast (74170) range across 6 matching MRF lines	$342–$2,128	$342–$2,128	varies
CT abdomen w/o contrast (74150) range across 4 matching MRF lines	$293–$1,637	$293–$1,637	varies
CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines	$540–$4,156	$540–$4,156	varies
CT Angio Chest (71275) range across 10 matching MRF lines	$448–$2,181	$448–$2,181	varies
CT Angio Head (70496) range across 4 matching MRF lines	$432–$1,876	$432–$1,876	varies
CT angio hrt w/3d image (75574) range across 2 matching MRF lines	$582–$2,330	$582–$2,330	varies
Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines	$466–$1,943	$466–$1,943	varies
CT Angio Neck (70498) range across 2 matching MRF lines	$432–$1,876	$432–$1,876	varies
Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines	$441–$1,943	$441–$1,943	varies
CT bone density (77078)	$36	$36	0.4×
CT cervical spine w/ contrast (72126) range across 2 matching MRF lines	$299–$1,847	$299–$1,847	varies
CT cervical spine w/o contrast (72125) range across 4 matching MRF lines	$264–$1,651	$264–$1,651	varies
CT cervical spine w/wo cont (72127) range across 2 matching MRF lines	$312–$1,779	$312–$1,779	varies
CT chest w contrast (71260) range across 8 matching MRF lines	$307–$1,883	$307–$1,883	varies
CT chest w/wo contrast (71270) range across 8 matching MRF lines	$340–$2,190	$340–$2,190	varies
CT head/brain with contrast (70460) range across 2 matching MRF lines	$277–$1,606	$277–$1,606	varies
CT head/brain without and with contrast (70470) range across 2 matching MRF lines	$314–$1,847	$314–$1,847	varies
CT heart contrast eval cardiac structure&morph (75572) range across 4 matching MRF lines	$364–$2,582	$364–$2,582	varies
CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines	$95–$153	$95–$153	varies
CT hrt w/3d image congen (75573) range across 2 matching MRF lines	$620–$2,476	$620–$2,476	varies
CT iac w contrast (70481) range across 6 matching MRF lines	$340–$1,606	$340–$1,606	varies
CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines	$312–$1,779	$312–$1,779	varies
CT lower ext w/o (73700) range across 32 matching MRF lines	$247–$1,515	$247–$1,515	varies
CT lower extremity w/contrast material (73701) range across 40 matching MRF lines	$287–$1,683	$287–$1,683	varies
CT lumbar spine w contrast (72132) range across 2 matching MRF lines	$299–$1,883	$299–$1,883	varies
CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines	$247–$1,683	$247–$1,683	varies
CT maxillofacial w contrast (70487) range across 4 matching MRF lines	$277–$1,606	$277–$1,606	varies
CT maxillofacial wo contrast (70486) range across 6 matching MRF lines	$210–$1,447	$210–$1,447	varies
CT neck tissue combo (70492) range across 4 matching MRF lines	$357–$1,847	$357–$1,847	varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines	$355–$1,530	$355–$1,530	varies
CT orbits w/o contrast (70480) range across 8 matching MRF lines	$315–$1,447	$315–$1,447	varies
CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines	$299–$2,128	$299–$2,128	varies
CT pelvis w/o contrast (72192) range across 6 matching MRF lines	$269–$1,683	$269–$1,683	varies
CT scan of leg combo (73702) range across 28 matching MRF lines	$299–$1,579	$299–$1,579	varies
CT scans face/jaw combo (70488) range across 4 matching MRF lines	$312–$1,847	$312–$1,847	varies
CT soft tissue neck w contrast (70491) range across 2 matching MRF lines	$341–$1,606	$341–$1,606	varies
CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines	$315–$1,447	$315–$1,447	varies
CT thoracic spine w contrast (72129) range across 2 matching MRF lines	$299–$1,883	$299–$1,883	varies
CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines	$247–$1,683	$247–$1,683	varies
CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines	$312–$1,779	$312–$1,779	varies
CT thorax w/o contrast (71250) range across 17 matching MRF lines	$252–$1,683	$252–$1,683	varies
CT upper ext wo (73200) range across 51 matching MRF lines	$247–$1,515	$247–$1,515	varies
CT upper extremity w/o & w/contrast material (73202) range across 36 matching MRF lines	$299–$1,579	$299–$1,579	varies
CT upper extremity with contrast (73201) range across 52 matching MRF lines	$287–$1,683	$287–$1,683	varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines	$587–$2,120	$587–$2,120	varies
Cta Abdomen (74175) range across 6 matching MRF lines	$445–$2,120	$445–$2,120	varies
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines	$432–$1,876	$432–$1,876	varies
CTA pelvis (72191) range across 2 matching MRF lines	$445–$2,120	$445–$2,120	varies
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines	$75–$291	$75–$291	varies
Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines	$127–$1,127	$127–$1,127	varies
Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines	$288–$1,231	$288–$1,231	varies
Diskography lumbar (72295) range across 2 matching MRF lines	$213–$1,162	$213–$1,162	varies
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 4 matching MRF lines	$95–$220	$95–$220	varies
Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines	$113–$379	$113–$379	varies
Doppler Fetal Mid Cerebral Artery (76821) range across 4 matching MRF lines	$181–$658	$181–$658	varies
Dxa Bone Density Axial (77080) range across 2 matching MRF lines	$50–$364	$50–$364	varies
Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines	$43–$49	$43–$49	varies
Echo exam of fetal heart (76825) range across 4 matching MRF lines	$379–$415	$379–$415	varies
Echo exam uterus (76831) range across 2 matching MRF lines	$121–$458	$121–$458	varies
Echo Guide For Artery Repair (76936) range across 2 matching MRF lines	$490–$1,340	$490–$1,340	varies
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 6 matching MRF lines	$135–$352	$135–$352	varies
Echograp Trans R Pros Study (76873) range across 3 matching MRF lines	$254–$446	$254–$446	varies
Esophagram (74220) range across 6 matching MRF lines	$114–$438	$114–$438	varies
Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines	$271–$655	$271–$655	varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines	$130–$585	$130–$585	varies
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines	$741–$2,771	$741–$2,771	varies
Fluoroscopy up to 1 hr (76000) range across 15 matching MRF lines	$42–$749	$42–$749	varies
Follow-Up Angiography (75898) range across 4 matching MRF lines	$427–$753	$427–$753	varies
Foot 2 views (73620) range across 16 matching MRF lines	$38–$400	$38–$400	varies
Forearm 2 views (73090) range across 8 matching MRF lines	$36–$323	$36–$323	varies
Gastric emptying imaging study (78264) range across 2 matching MRF lines	$191–$1,581	$191–$1,581	varies
Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines	$162–$1,146	$162–$1,146	varies
Gated Heart Planar Single (78472) range across 2 matching MRF lines	$236–$1,145	$236–$1,145	varies
Hand 2 views (73120) range across 12 matching MRF lines	$40–$321	$40–$321	varies
Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 2 matching MRF lines	$654–$4,938	$654–$4,938	varies
Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines	$447–$4,544	$447–$4,544	varies
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines	$307–$3,950	$307–$3,950	varies
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 4 matching MRF lines	$270–$2,008	$270–$2,008	varies
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 3 matching MRF lines	$275–$2,812	$275–$2,812	varies
Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines	$219–$2,488	$219–$2,488	varies
Hepatobiliary System Imaging (78226) range across 2 matching MRF lines	$180–$1,483	$180–$1,483	varies
Ht Muscle Image Spect Sing (78451) range across 6 matching MRF lines	$329–$1,177	$329–$1,177	varies
Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605)	$356	$356	0.5×
Hysterosalpingogram (74740) range across 2 matching MRF lines	$93–$458	$93–$458	varies
Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines	$183–$561	$183–$561	varies
Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines	$101–$356	$101–$356	varies
Interstitial radiation source applic complex (77778) range across 2 matching MRF lines	$1,378–$2,208	$1,378–$2,208	varies
Joint Survey Single View (77077) range across 2 matching MRF lines	$78–$192	$78–$192	varies
K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines	$336–$1,058	$336–$1,058	varies
K Flow/Funct Image W/Drug (78708) range across 4 matching MRF lines	$291–$1,662	$291–$1,662	varies
K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines	$229–$1,025	$229–$1,025	varies
Kidney Imaging Morphol (78700) range across 2 matching MRF lines	$108–$849	$108–$849	varies
Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines	$116–$1,041	$116–$1,041	varies
Knee 3 Views (73562) range across 16 matching MRF lines	$46–$241	$46–$241	varies
Labeled RBC Sequestration Differntl Organ/Tissue (78140) range across 2 matching MRF lines	$150–$733	$150–$733	varies
Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines	$210–$850	$210–$850	varies
Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines	$120–$1,327	$120–$1,327	varies
Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines	$134–$908	$134–$908	varies
Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines	$203–$1,271	$203–$1,271	varies
Lung perfusion differential (78597) range across 2 matching MRF lines	$173–$1,284	$173–$1,284	varies
Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines	$260–$2,416	$260–$2,416	varies
Lung Ventilation Imaging (78579) range across 2 matching MRF lines	$117–$905	$117–$905	varies
Lymph System Imaging (78195) range across 2 matching MRF lines	$290–$1,574	$290–$1,574	varies
Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 2 matching MRF lines	$202–$689	$202–$689	varies
Lymphangiography extremity only unilateral rs&i (75801) range across 4 matching MRF lines	$154–$689	$154–$689	varies
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 2 matching MRF lines	$289–$1,354	$289–$1,354	varies
Lymphangiography, pelvic/abdominal, unilateral (75805) range across 2 matching MRF lines	$201–$980	$201–$980	varies
Magnetic Image Jaw Joint (70336) range across 8 matching MRF lines	$362–$1,560	$362–$1,560	varies
Magnetic Resonance Elastography (76391) range across 2 matching MRF lines	$143–$460	$143–$460	varies
Mammary ductogram or galactogram multiple (77054) range across 6 matching MRF lines	$112–$629	$112–$629	varies
Mammary ductogram or galactogram single (77053) range across 4 matching MRF lines	$89–$498	$89–$498	varies
Meckels Divert Exam (78290) range across 2 matching MRF lines	$166–$770	$166–$770	varies
Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines	$525–$825	$525–$825	varies
Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines	$75–$235	$75–$235	varies
Mr safety implant&/fb assmt clin staf 1st 15 min (76014)	$65	$65	2.2×
Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines	$94–$245	$94–$245	varies
Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines	$75–$159	$75–$159	varies
Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines	$96–$646	$96–$646	varies
Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines	$443–$3,553	$443–$3,553	varies
MRA head w/o contrast (70544) range across 4 matching MRF lines	$297–$2,235	$297–$2,235	varies
MRA head with contrast (70545) range across 4 matching MRF lines	$295–$2,222	$295–$2,222	varies
MRA neck w contrast (70548) range across 2 matching MRF lines	$297–$1,695	$297–$1,695	varies
Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines	$443–$3,553	$443–$3,553	varies
MRA neck w/o contrast (70547) range across 2 matching MRF lines	$297–$2,230	$297–$2,230	varies
MRI abdomen w contrast (74182) range across 6 matching MRF lines	$427–$2,173	$427–$2,173	varies
MRI abdomen w/o contrast (74181) range across 8 matching MRF lines	$358–$1,590	$358–$1,590	varies
MRI any jt lower extrem w/contrast material (73722) range across 28 matching MRF lines	$400–$1,873	$400–$1,873	varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 16 matching MRF lines	$529–$3,093	$529–$3,093	varies
MRI any jt upper extremity w/contrast matrl (73222) range across 28 matching MRF lines	$400–$1,852	$400–$1,852	varies
MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines	$402–$2,197	$402–$2,197	varies
MRI Breast Without Contrast Material Unilateral (77046) range across 4 matching MRF lines	$402–$2,208	$402–$2,208	varies
MRI cardiac w/o cont stress (75559) range across 2 matching MRF lines	$698–$2,512	$698–$2,512	varies
MRI cardiac w/o contrast (75557) range across 2 matching MRF lines	$568–$2,009	$568–$2,009	varies
MRI cervical spine w contrast (72142) range across 8 matching MRF lines	$440–$2,039	$440–$2,039	varies
MRI cervical spine w/o cont (72141) range across 8 matching MRF lines	$366–$1,630	$366–$1,630	varies
MRI chest w/o contrast (71550) range across 6 matching MRF lines	$358–$1,996	$358–$1,996	varies
MRI chest with contrast (71551) range across 6 matching MRF lines	$426–$1,655	$426–$1,655	varies
MRI chest wo w contrast (71552) range across 6 matching MRF lines	$558–$3,074	$558–$3,074	varies
MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 16 matching MRF lines	$400–$1,952	$400–$1,952	varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 16 matching MRF lines	$529–$3,093	$529–$3,093	varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 16 matching MRF lines	$333–$1,786	$333–$1,786	varies
MRI lumbar spine w contrast (72149) range across 6 matching MRF lines	$442–$1,980	$442–$1,980	varies
Mri Neck Spine W/O & W/Dye (72156) range across 8 matching MRF lines	$564–$3,234	$564–$3,234	varies
MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines	$332–$1,819	$332–$1,819	varies
MRI orbit face neck w contrast (70542) range across 4 matching MRF lines	$400–$1,997	$400–$1,997	varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines	$528–$3,176	$528–$3,176	varies
MRI pelvis w contrast (72196) range across 10 matching MRF lines	$427–$1,465	$427–$1,465	varies
MRI pelvis w/o & w contrast (72197) range across 12 matching MRF lines	$558–$3,103	$558–$3,103	varies
MRI pelvis w/o contrast (72195) range across 14 matching MRF lines	$360–$1,799	$360–$1,799	varies
MRI spectroscopy (76390) range across 2 matching MRF lines	$339–$1,166	$339–$1,166	varies
MRI thoracic spine w/o contrast (72146) range across 7 matching MRF lines	$366–$1,625	$366–$1,625	varies
MRI upper extremity oth than jt w/contr matrl (73219) range across 28 matching MRF lines	$400–$1,468	$400–$1,468	varies
MRI upper extremity oth than jt w/o contr matrl (73218) range across 32 matching MRF lines	$335–$1,823	$335–$1,823	varies
Mri Uppr Extremity W/O&W/Dye (73220) range across 28 matching MRF lines	$529–$3,093	$529–$3,093	varies
MRI, abdomen, combo (74183) range across 12 matching MRF lines	$558–$3,103	$558–$3,103	varies
MRI, dorsal spine combo (72157) range across 6 matching MRF lines	$564–$3,149	$564–$3,149	varies
MRI, dorsal spine contrast (72147) range across 6 matching MRF lines	$440–$1,764	$440–$1,764	varies
MRI, joint upper extrem (73221) range across 20 matching MRF lines	$335–$1,710	$335–$1,710	varies
MRI, joint upper extrem combo (73223) range across 16 matching MRF lines	$531–$3,093	$531–$3,093	varies
MRI, lumbar spine combo (72158) range across 6 matching MRF lines	$566–$3,149	$566–$3,149	varies
Myelogram cervical (72240) range across 2 matching MRF lines	$127–$220	$127–$220	varies
Myelogram Lumbar (72265) range across 2 matching MRF lines	$113–$218	$113–$218	varies
Myelography thoracic (72255) range across 2 matching MRF lines	$134–$229	$134–$229	varies
Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines	$189–$308	$189–$308	varies
Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines	$345–$5,139	$345–$5,139	varies
Myocardial Spect Multiple Studies (78452) range across 12 matching MRF lines	$384–$1,826	$384–$1,826	varies
Neck soft tissue (70360) range across 2 matching MRF lines	$41–$243	$41–$243	varies
Nm csf leak detection (78650) range across 2 matching MRF lines	$146–$1,068	$146–$1,068	varies
Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines	$118–$264	$118–$264	varies
Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines	$1,577–$6,489	$1,577–$6,489	varies
Nuclear medicine study of endocrine organs (78099)	$180	$180	0.4×
Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines	$484–$565	$484–$565	varies
Nuclear Rx Oral Admin (79005) range across 8 matching MRF lines	$429–$1,008	$429–$1,008	varies
Ob us nuchal meas 1 gest (76813) range across 4 matching MRF lines	$302–$540	$302–$540	varies
Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 3 matching MRF lines	$151–$227	$151–$227	varies
Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510)	$151	$151	1.1×
Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 4 matching MRF lines	$60–$247	$60–$247	varies
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 13 matching MRF lines	$138–$379	$138–$379	varies
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 3 matching MRF lines	$20–$44	$20–$44	varies
Optic foramina (70190) range across 2 matching MRF lines	$50–$198	$50–$198	varies
Parathyroid imaging w/tomographic spect & CT (78072) range across 4 matching MRF lines	$200–$966	$200–$966	varies
Parathyroid Planar Imaging (78070) range across 4 matching MRF lines	$193–$1,821	$193–$1,821	varies
Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines	$288–$1,993	$288–$1,993	varies
Pelvis 1 or 2 views (72170) range across 8 matching MRF lines	$37–$402	$37–$402	varies
Peritoneogram Rs&I (74190) range across 2 matching MRF lines	$116–$302	$116–$302	varies
Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines	$532–$3,571	$532–$3,571	varies
PET image w/CT, full body (78816) range across 2 matching MRF lines	$592–$4,999	$592–$4,999	varies
PET imaging CT attenuation skull base mid-thigh (78815) range across 6 matching MRF lines	$585–$4,999	$585–$4,999	varies
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) range across 2 matching MRF lines	$54–$783	$54–$783	varies
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 4 matching MRF lines	$335–$3,297	$335–$3,297	varies
Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines	$180–$1,149	$180–$1,149	varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines	$77–$304	$77–$304	varies
Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines	$129–$415	$129–$415	varies
Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines	$43–$235	$43–$235	varies
Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines	$40–$319	$40–$319	varies
Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines	$43–$241	$43–$241	varies
Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines	$65–$277	$65–$277	varies
Radex fingr minimum 2 views (73140) range across 8 matching MRF lines	$29–$309	$29–$309	varies
Radex foot complete minimum 3 views (73630) range across 8 matching MRF lines	$41–$235	$41–$235	varies
Radex Hand Minimum 3 Views (73130) range across 12 matching MRF lines	$43–$235	$43–$235	varies
Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines	$34–$233	$34–$233	varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines	$85–$223	$85–$223	varies
Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines	$37–$234	$37–$234	varies
Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines	$55–$219	$55–$219	varies
Radex shoulder complete minimum 2 views (73030) range across 31 matching MRF lines	$46–$241	$46–$241	varies
Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines	$43–$246	$43–$246	varies
Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines	$171–$568	$171–$568	varies
Radex Spine 1 View Specify Level (72020) range across 12 matching MRF lines	$38–$385	$38–$385	varies
Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines	$50–$251	$50–$251	varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines	$62–$285	$62–$285	varies
Radex Toe Minimum 2 Views (73660) range across 8 matching MRF lines	$29–$309	$29–$309	varies
Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines	$34–$233	$34–$233	varies
Radex Wrist Complete Minimum 3 Views (73110) range across 32 matching MRF lines	$43–$235	$43–$235	varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines	$100–$305	$100–$305	varies
Radiation treatment delivery level 1 (77402)	$371	$371	3.6×
Radiation treatment delivery level 2 (77407)	$469	$469	1.2×
Radiation treatment delivery level 3 (77412)	$792	$792	1.4×
Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines	$62–$246	$62–$246	varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines	$24–$126	$24–$126	varies
Radiologic exam colon double contrast study (74280) range across 4 matching MRF lines	$245–$626	$245–$626	varies
Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines	$171–$533	$171–$533	varies
Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines	$98–$351	$98–$351	varies
Radiologic exam knee complete 4/more views (73564) range across 12 matching MRF lines	$55–$246	$55–$246	varies
Radiologic exam pelvis compl minimum 3 views (72190) range across 6 matching MRF lines	$54–$256	$54–$256	varies
Radiologic Exam Small Int Single Contrast Study (74250) range across 8 matching MRF lines	$116–$458	$116–$458	varies
Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines	$131–$458	$131–$458	varies
Radiologic exam upr gi trc double contrast study (74246) range across 6 matching MRF lines	$119–$632	$119–$632	varies
Radiologic examination femur 1 view (73551) range across 8 matching MRF lines	$40–$357	$40–$357	varies
Radiologic examination femur minimum 2 views (73552) range across 8 matching MRF lines	$43–$411	$43–$411	varies
Radiologic examination knee 1/2 views (73560) range across 16 matching MRF lines	$37–$323	$37–$323	varies
Radiologic Examination Osseous Survey Limited (77074) range across 4 matching MRF lines	$112–$248	$112–$248	varies
Radiologic examination tibia & fibula 2 views (73590) range across 8 matching MRF lines	$37–$323	$37–$323	varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines	$85–$217	$85–$217	varies
Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) range across 2 matching MRF lines	$417–$792	$417–$792	varies
Red Cell Volume Determination Spx Mult Samplings (78121) range across 2 matching MRF lines	$77–$828	$77–$828	varies
Renal Cyst Study (74470) range across 2 matching MRF lines	$129–$563	$129–$563	varies
Ribs bilateral 3 views (71110) range across 2 matching MRF lines	$67–$196	$67–$196	varies
Rp loclzj tum plnr 1 area single day imaging (78800) range across 7 matching MRF lines	$167–$900	$167–$900	varies
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 4 matching MRF lines	$198–$1,493	$198–$1,493	varies
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 6 matching MRF lines	$254–$1,222	$254–$1,222	varies
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 8 matching MRF lines	$205–$1,255	$205–$1,255	varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 24 matching MRF lines	$150–$2,115	$150–$2,115	varies
Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 4 matching MRF lines	$221–$2,176	$221–$2,176	varies
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 4 matching MRF lines	$316–$2,859	$316–$2,859	varies
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 6 matching MRF lines	$221–$2,049	$221–$2,049	varies
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 4 matching MRF lines	$538–$1,069	$538–$1,069	varies
Rp Therapy Intravenous Administration (79101) range across 12 matching MRF lines	$468–$1,008	$468–$1,008	varies
Salivary Gland Imaging Serial Images (78231) range across 2 matching MRF lines	$128–$866	$128–$866	varies
Scapula (73010) range across 4 matching MRF lines	$37–$234	$37–$234	varies
Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines	$26–$120	$26–$120	varies
Sella turcica (70240) range across 2 matching MRF lines	$48–$173	$48–$173	varies
Shoulder 1 view (73020) range across 24 matching MRF lines	$39–$319	$39–$319	varies
Shoulder Arthrography (73040) range across 4 matching MRF lines	$134–$430	$134–$430	varies
Sialogram (70390) range across 2 matching MRF lines	$93–$388	$93–$388	varies
Skull less than 4 views (70250) range across 6 matching MRF lines	$62–$419	$62–$419	varies
Special Physics Consult (77370)	$781	$781	5.7×
Special teletherapy port plan (77321) range across 2 matching MRF lines	$222–$791	$222–$791	varies
Special treatment procedure (77470) range across 2 matching MRF lines	$593–$2,172	$593–$2,172	varies
Srs Multisource (77371)	$14,212	$14,212	1.9×
Stereotactic Body Radiation Delivery (77373)	$9,971	$9,971	5.5×
Sternoclavicular joints (71130) range across 2 matching MRF lines	$50–$264	$50–$264	varies
Superior sagittal sinus venogram (75870) range across 4 matching MRF lines	$281–$2,812	$281–$2,812	varies
Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines	$545–$1,101	$545–$1,101	varies
Temporomandble Jt Arthrography Rs&I (70332) range across 4 matching MRF lines	$135–$430	$135–$430	varies
Testicular Imaging W/Flow (78761) range across 2 matching MRF lines	$176–$873	$176–$873	varies
Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines	$675–$1,586	$675–$1,586	varies
Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines	$360–$845	$360–$845	varies
Thoracic spine 2 views (72070) range across 2 matching MRF lines	$55–$251	$55–$251	varies
Thoracic spine 3 views (72072) range across 2 matching MRF lines	$50–$271	$50–$271	varies
Thoracolumbar 2 views (72080) range across 2 matching MRF lines	$54–$256	$54–$256	varies
Thyroid Met Imaging Body (78018) range across 6 matching MRF lines	$203–$1,865	$203–$1,865	varies
Thyroid Uptake Measurement (78012) range across 2 matching MRF lines	$46–$607	$46–$607	varies
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 4 matching MRF lines	$123–$1,569	$123–$1,569	varies
Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines	$278–$1,064	$278–$1,064	varies
Tx devices design & construction simple (77332) range across 3 matching MRF lines	$213–$1,057	$213–$1,057	varies
Ultrasound Breast Limited (76642) range across 8 matching MRF lines	$141–$887	$141–$887	varies
Ultrasound elastography first target lesion (76982) range across 4 matching MRF lines	$93–$244	$93–$244	varies
Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines	$92–$379	$92–$379	varies
Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines	$137–$614	$137–$614	varies
Ultrasound, abdomen limited (76705) range across 8 matching MRF lines	$145–$611	$145–$611	varies
Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines	$128–$583	$128–$583	varies
Unlisted Dx Radiographic Procedure (76499)	$187	$187	2.1×
Unlisted magnetic resonance procedure (76498) range across 20 matching MRF lines	$123–$2,208	$123–$2,208	varies
Upper gi w/o kub (74240) range across 12 matching MRF lines	$171–$655	$171–$655	varies
Ureteral Reflux Study (78740) range across 2 matching MRF lines	$133–$721	$133–$721	varies
Urethrocystogram voiding (74455) range across 6 matching MRF lines	$81–$508	$81–$508	varies
Urethrocystography retrograde (74450) range across 2 matching MRF lines	$81–$490	$81–$490	varies
Us breast unilateral complete (76641) range across 6 matching MRF lines	$180–$822	$180–$822	varies
Us chest (76604) range across 6 matching MRF lines	$132–$563	$132–$563	varies
Us complete joint (76881) range across 8 matching MRF lines	$154–$674	$154–$674	varies
Us exam, pelvic, limited (76857) range across 12 matching MRF lines	$46–$472	$46–$472	varies
Us head (76506) range across 2 matching MRF lines	$160–$538	$160–$538	varies
Us kidney transplant (76776) range across 2 matching MRF lines	$174–$640	$174–$640	varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 26 matching MRF lines	$81–$369	$81–$369	varies
Us ob detailed single fetus (76811) range across 4 matching MRF lines	$326–$918	$326–$918	varies
Us ob limited 1 or more fetuses (76815) range across 9 matching MRF lines	$59–$490	$59–$490	varies
Us ob transvaginal (76817) range across 8 matching MRF lines	$69–$596	$69–$596	varies
Us pelvic non ob complete (76856) range across 2 matching MRF lines	$171–$637	$171–$637	varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 6 matching MRF lines	$89–$655	$89–$655	varies
Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines	$146–$438	$146–$438	varies
Us retroperitoneal complete (76770) range across 4 matching MRF lines	$179–$735	$179–$735	varies
Us retroperitoneal limited (76775) range across 10 matching MRF lines	$142–$547	$142–$547	varies
Us scrotum and contents (76870) range across 4 matching MRF lines	$159–$637	$159–$637	varies
Us spinal canal and contents (76800) range across 2 matching MRF lines	$301–$637	$301–$637	varies
Us thyroid (76536) range across 6 matching MRF lines	$137–$611	$137–$611	varies
Us transrectal (76872) range across 7 matching MRF lines	$108–$298	$108–$298	varies
Vein X-Ray Chest (75827) range across 4 matching MRF lines	$281–$2,812	$281–$2,812	varies
Vein X-Ray Liver W/O Hemodyn (75887) range across 4 matching MRF lines	$338–$4,615	$338–$4,615	varies
Vein X-Ray Skull Epidural (75872) range across 4 matching MRF lines	$280–$2,008	$280–$2,008	varies
Venogram Sinus/Jugular (75860) range across 4 matching MRF lines	$276–$2,812	$276–$2,812	varies
Venography Adrenal Unilateral (75840) range across 8 matching MRF lines	$282–$2,812	$282–$2,812	varies
Venography caval inferior serialography rs&i (75825) range across 5 matching MRF lines	$280–$2,812	$280–$2,812	varies
Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines	$259–$828	$259–$828	varies
Venography extremity unilateral rs&i (75820) range across 9 matching MRF lines	$172–$734	$172–$734	varies
Venography Orbital Rs&I (75880) range across 4 matching MRF lines	$174–$524	$174–$524	varies
Venography Renal Bilateral (75833) range across 5 matching MRF lines	$362–$2,812	$362–$2,812	varies
Venography Renal Unilateral (75831) range across 8 matching MRF lines	$273–$2,812	$273–$2,812	varies
Venous sampling by catheter (75893) range across 4 matching MRF lines	$132–$2,008	$132–$2,008	varies
Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines	$43–$174	$43–$174	varies
Wrist 2 views (73100) range across 16 matching MRF lines	$40–$321	$40–$321	varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines	$51–$256	$51–$256	varies
X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines	$86–$458	$86–$458	varies
X-Ray Aorta Leg Arteries (75630) range across 5 matching MRF lines	$437–$2,903	$437–$2,903	varies
X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines	$55–$234	$55–$234	varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 8 matching MRF lines	$32–$323	$32–$323	varies
X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines	$40–$215	$40–$215	varies
X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines	$57–$230	$57–$230	varies
X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines	$70–$301	$70–$301	varies
X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines	$86–$271	$86–$271	varies
X-Ray Exam Hip Uni 1 View (73501) range across 8 matching MRF lines	$46–$323	$46–$323	varies
X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines	$55–$241	$55–$241	varies
X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines	$68–$228	$68–$228	varies
X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines	$56–$246	$56–$246	varies
X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines	$67–$256	$67–$256	varies
X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines	$78–$239	$78–$239	varies
X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines	$81–$340	$81–$340	varies
X-Ray Exam Neck Spine 2-3 Vw (72040) range across 8 matching MRF lines	$51–$245	$51–$245	varies
X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines	$89–$332	$89–$332	varies
X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines	$67–$256	$67–$256	varies
X-ray eye for foreign body (70030) range across 4 matching MRF lines	$41–$202	$41–$202	varies
X-ray humerus (73060) range across 8 matching MRF lines	$41–$330	$41–$330	varies
X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines	$121–$379	$121–$379	varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines	$45–$234	$45–$234	varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines	$43–$230	$43–$230	varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 10 matching MRF lines	$55–$256	$55–$256	varies
X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines	$45–$265	$45–$265	varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines	$81–$292	$81–$292	varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines	$46–$246	$46–$246	varies
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines	$37–$188	$37–$188	varies
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines	$43–$241	$43–$241	varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines	$62–$277	$62–$277	varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines	$86–$292	$86–$292	varies
X-Ray Stress View (77071)	$162	$162	1.8×
X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines	$54–$198	$54–$198	varies
X-Ray Tmj Unilat (70328) range across 4 matching MRF lines	$45–$230	$45–$230	varies
X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines	$85–$850	$85–$850	varies
X-Rays Bone Length Studies (77073) range across 4 matching MRF lines	$65–$718	$65–$718	varies
X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines	$130–$382	$130–$382	varies
Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines	$78–$292	$78–$292	varies
Xr facial bones less than 3 views (70140) range across 2 matching MRF lines	$49–$246	$49–$246	varies
XR Mastoids < 3 Views Bilateral (70120) range across 4 matching MRF lines	$45–$198	$45–$198	varies
Xr myelogram posterior fossa (70010) range across 2 matching MRF lines	$294–$1,493	$294–$1,493	varies
Xr orbits complete 4 views (70200) range across 2 matching MRF lines	$68–$277	$68–$277	varies
Xr Tomogram Single Plane (76100) range across 2 matching MRF lines	$146–$321	$146–$321	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.