Imaging prices at Bluffton Hospital (Bluffton, OH)

246 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)	$2,390	$2,390	1.8×
Abdomen 1 View (74018) range across 5 matching MRF lines	$30–$406	$30–$406	varies
Abdomen 2 views (74019) range across 3 matching MRF lines	$49–$424	$49–$424	varies
Angiography extremity bilateral rs&i (75716)	$6,592	$6,592	2.2×
Angiography extremity unilateral rs&i (75710)	$6,319	$6,319	2.1×
Ankle 2 views (73600) range across 12 matching MRF lines	$44–$551	$44–$551	varies
Artery X-Rays Abdomen (75726)	$7,916	$7,916	1.5×
Arthrogram hip (73525) range across 3 matching MRF lines	$1,716–$2,573	$1,716–$2,573	varies
Arthrogram Wrist (73115) range across 4 matching MRF lines	$1,010–$1,515	$1,010–$1,515	varies
Basic radiation dosimetry calculation (77300)	$381	$381	3.0×
Bone age studies (77072)	$307	$307	3.1×
Bone Imaging 3 Phase (78315)	$1,143	$1,143	3.0×
Bone Imaging Whole Body (78306)	$994	$994	2.6×
Bone marrow imaging; whole body (78104)	$994	$994	2.6×
Bone survey infant (77076) range across 4 matching MRF lines	$126–$307	$126–$307	varies
Brain Imaging Pet Metabolic Evaluation (78608)	$3,884	$3,884	2.8×
Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines	$324–$423	$324–$423	varies
Cerebrospinal Fluid Scan (78630)	$1,428	$1,428	2.8×
Chest 1 view (71045) range across 26 matching MRF lines	$19.02–$250	$19.02–$250	varies
Chest 2 views (71046) range across 14 matching MRF lines	$29.03–$263	$29.03–$263	varies
Chest 4 or more views (71048) range across 2 matching MRF lines	$39.83–$289	$39.83–$289	varies
Clavicle complete (73000) range across 12 matching MRF lines	$39–$744	$39–$744	varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)	$335	$335	3.4×
Continuing medical physics consltj pr wk (77336)	$310	$310	2.4×
Contrast Exam Abdominl Aorta (75625)	$6,367	$6,367	2.1×
Contrast X-Ray Bladder (74430) range across 2 matching MRF lines	$865–$1,065	$865–$1,065	varies
Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines	$1,123–$1,684	$1,123–$1,684	varies
CT abdomen and pelvis without and with contrast (74178) range across 8 matching MRF lines	$1,174–$4,072	$1,174–$4,072	varies
CT abdomen and pelvis without contrast (74176) range across 20 matching MRF lines	$685–$3,459	$685–$3,459	varies
CT abdomen w contrast (74160) range across 4 matching MRF lines	$562–$1,163	$562–$1,163	varies
CT abdomen w wo contrast (74170) range across 4 matching MRF lines	$562–$1,591	$562–$1,591	varies
CT abdomen w/o contrast (74150) range across 4 matching MRF lines	$336–$734	$336–$734	varies
CT Angio Abdomen and Pelvis (74174) range across 16 matching MRF lines	$1,174–$2,505	$1,174–$2,505	varies
CT Angio Chest (71275) range across 10 matching MRF lines	$562–$1,706	$562–$1,706	varies
CT Angio Head (70496) range across 13 matching MRF lines	$562–$1,548	$562–$1,548	varies
Ct Angio Lwr Extr W/O&W/Dye (73706) range across 8 matching MRF lines	$562–$1,946	$562–$1,946	varies
CT Angio Neck (70498) range across 8 matching MRF lines	$562–$1,548	$562–$1,548	varies
Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines	$562–$1,108	$562–$1,108	varies
CT cervical spine w/ contrast (72126) range across 8 matching MRF lines	$777–$1,174	$777–$1,174	varies
CT cervical spine w/o contrast (72125) range across 4 matching MRF lines	$336–$836	$336–$836	varies
CT chest w contrast (71260) range across 6 matching MRF lines	$561–$1,013	$561–$1,013	varies
CT head/brain with contrast (70460) range across 3 matching MRF lines	$250–$1,012	$250–$1,012	varies
CT head/brain without and with contrast (70470) range across 2 matching MRF lines	$562–$1,281	$562–$1,281	varies
CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines	$166–$277	$166–$277	varies
CT iac w contrast (70481) range across 6 matching MRF lines	$561–$1,012	$561–$1,012	varies
CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines	$562–$1,567	$562–$1,567	varies
CT lower ext w/o (73700) range across 33 matching MRF lines	$250–$785	$250–$785	varies
CT lower extremity w/contrast material (73701) range across 43 matching MRF lines	$561–$1,107	$561–$1,107	varies
CT lumbar spine w contrast (72132) range across 8 matching MRF lines	$777–$1,174	$777–$1,174	varies
CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines	$336–$836	$336–$836	varies
CT maxillofacial w contrast (70487) range across 4 matching MRF lines	$561–$1,013	$561–$1,013	varies
CT maxillofacial wo contrast (70486) range across 7 matching MRF lines	$250–$828	$250–$828	varies
CT neck tissue combo (70492) range across 2 matching MRF lines	$562–$1,282	$562–$1,282	varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 6 matching MRF lines	$562–$1,281	$562–$1,281	varies
CT orbits w/o contrast (70480) range across 6 matching MRF lines	$336–$744	$336–$744	varies
CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines	$562–$1,584	$562–$1,584	varies
CT pelvis w/o contrast (72192) range across 4 matching MRF lines	$336–$870	$336–$870	varies
CT soft tissue neck w contrast (70491) range across 4 matching MRF lines	$561–$1,012	$561–$1,012	varies
CT soft tissue neck w/o contrast (70490) range across 4 matching MRF lines	$336–$744	$336–$744	varies
CT thoracic spine w contrast (72129) range across 12 matching MRF lines	$391–$1,051	$391–$1,051	varies
CT thoracic spine w/o contrast (72128) range across 6 matching MRF lines	$336–$835	$336–$835	varies
CT thorax w/o contrast (71250) range across 13 matching MRF lines	$250–$744	$250–$744	varies
CT upper ext wo (73200) range across 26 matching MRF lines	$250–$1,044	$250–$1,044	varies
CT upper extremity with contrast (73201) range across 22 matching MRF lines	$1,174–$1,762	$1,174–$1,762	varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines	$562–$1,296	$562–$1,296	varies
Cta Abdomen (74175) range across 10 matching MRF lines	$562–$2,036	$562–$2,036	varies
CTA pelvis (72191) range across 6 matching MRF lines	$562–$1,181	$562–$1,181	varies
Dxa Bone Density Axial (77080) range across 3 matching MRF lines	$307–$421	$307–$421	varies
Dxa bone density study 1/>sites appendiclr skel (77081)	$253	$253	3.0×
Esophagram (74220)	$590	$590	3.5×
Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines	$264–$837	$264–$837	varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 8 matching MRF lines	$192–$823	$192–$823	varies
Fluoroscopy up to 1 hr (76000)	$596	$596	2.6×
Foot 2 views (73620) range across 12 matching MRF lines	$38–$551	$38–$551	varies
Forearm 2 views (73090) range across 10 matching MRF lines	$36–$552	$36–$552	varies
Gastric emptying imaging study (78264)	$1,634	$1,634	4.3×
Hand 2 views (73120) range across 11 matching MRF lines	$36–$552	$36–$552	varies
Hepatobil Syst Image W/Drug (78227)	$3,234	$3,234	6.2×
Hepatobiliary System Imaging (78226)	$1,634	$1,634	4.3×
Ht Muscle Image Spect Sing (78451)	$3,733	$3,733	3.0×
Hysterosalpingogram (74740)	$968	$968	4.2×
Infant hip ultrasound with hip movement (dynamic) (76885)	$408	$408	4.9×
K Flow/Funct Image W/O Drug (78707)	$1,788	$1,788	3.4×
Knee 3 Views (73562) range across 11 matching MRF lines	$54–$630	$54–$630	varies
Lung Ventilat&Perfus Imaging (78582)	$1,126	$1,126	2.2×
Lymph System Imaging (78195)	$1,112	$1,112	2.1×
Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines	$641–$1,398	$641–$1,398	varies
Mlc imrt design & construction per imrt plan (77338)	$639	$639	1.8×
Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines	$1,007–$2,221	$1,007–$2,221	varies
MRA head w/o contrast (70544) range across 4 matching MRF lines	$641–$1,465	$641–$1,465	varies
Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines	$1,007–$1,653	$1,007–$1,653	varies
MRA neck w/o contrast (70547) range across 2 matching MRF lines	$641–$1,286	$641–$1,286	varies
MRI abdomen w contrast (74182) range across 4 matching MRF lines	$825–$1,898	$825–$1,898	varies
MRI abdomen w/o contrast (74181) range across 4 matching MRF lines	$641–$1,519	$641–$1,519	varies
MRI any jt lower extrem w/contrast material (73722)	$2,096	$2,096	2.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 12 matching MRF lines	$1,007–$1,274	$1,007–$1,274	varies
MRI any jt upper extremity w/contrast matrl (73222)	$2,096	$2,096	2.8×
MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines	$427.60–$1,573	$427.60–$1,573	varies
MRI cervical spine w contrast (72142) range across 2 matching MRF lines	$1,007–$1,039	$1,007–$1,039	varies
MRI cervical spine w/o cont (72141) range across 2 matching MRF lines	$641–$662	$641–$662	varies
MRI chest wo w contrast (71552) range across 2 matching MRF lines	$1,007–$2,242	$1,007–$2,242	varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 12 matching MRF lines	$1,007–$1,274	$1,007–$1,274	varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 12 matching MRF lines	$641–$897	$641–$897	varies
MRI lumbar spine w contrast (72149) range across 2 matching MRF lines	$1,007–$1,039	$1,007–$1,039	varies
Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines	$1,007–$1,039	$1,007–$1,039	varies
MRI orbit face &/neck w/o contrast (70540) range across 6 matching MRF lines	$641–$1,600	$641–$1,600	varies
MRI orbit face neck w contrast (70542) range across 6 matching MRF lines	$825–$1,912	$825–$1,912	varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 6 matching MRF lines	$1,007–$2,222	$1,007–$2,222	varies
MRI pelvis w contrast (72196) range across 6 matching MRF lines	$825–$1,032	$825–$1,032	varies
MRI pelvis w/o & w contrast (72197) range across 9 matching MRF lines	$1,007–$1,281	$1,007–$1,281	varies
MRI pelvis w/o contrast (72195) range across 8 matching MRF lines	$641–$769	$641–$769	varies
MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines	$641–$662	$641–$662	varies
MRI upper extremity oth than jt w/o contr matrl (73218) range across 16 matching MRF lines	$636–$641	$636–$641	varies
Mri Uppr Extremity W/O&W/Dye (73220) range across 16 matching MRF lines	$1,007–$1,272	$1,007–$1,272	varies
MRI, abdomen, combo (74183) range across 4 matching MRF lines	$1,007–$3,162	$1,007–$3,162	varies
MRI, dorsal spine combo (72157) range across 2 matching MRF lines	$1,007–$1,039	$1,007–$1,039	varies
MRI, dorsal spine contrast (72147) range across 2 matching MRF lines	$1,007–$1,039	$1,007–$1,039	varies
MRI, joint upper extrem (73221)	$641	$641	2.8×
MRI, joint upper extrem combo (73223) range across 12 matching MRF lines	$1,007–$1,008	$1,007–$1,008	varies
MRI, lumbar spine combo (72158) range across 2 matching MRF lines	$1,007–$1,039	$1,007–$1,039	varies
Myocardial Spect Multiple Studies (78452)	$8,205	$8,205	6.6×
Neck soft tissue (70360) range across 4 matching MRF lines	$41–$268	$41–$268	varies
Ntsty modul radthx pln dose-vol histos (77301)	$2,390	$2,390	1.8×
Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines	$759–$891	$759–$891	varies
Parathyroid imaging w/tomographic spect & CT (78072)	$1,276	$1,276	2.5×
Pelvis 1 or 2 views (72170) range across 4 matching MRF lines	$37–$268	$37–$268	varies
PET image w/CT, full body (78816)	$5,050	$5,050	3.7×
PET imaging CT attenuation skull base mid-thigh (78815)	$3,250	$3,250	2.4×
Pulmonary Perfusion Imaging Particulate (78580)	$694	$694	1.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines	$59–$773	$59–$773	varies
Radex abscess/fistula/sinus tract rs&i (76080)	$908	$908	1.7×
Radex Ankle Complete Minimum 3 Views (73610) range across 12 matching MRF lines	$46–$675	$46–$675	varies
Radex Calcaneus Minimum 2 Views (73650) range across 12 matching MRF lines	$39–$605	$39–$605	varies
Radex elbow complete minimum 3 views (73080) range across 20 matching MRF lines	$46–$691	$46–$691	varies
Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines	$58–$528	$58–$528	varies
Radex fingr minimum 2 views (73140) range across 40 matching MRF lines	$50–$404	$50–$404	varies
Radex foot complete minimum 3 views (73630) range across 12 matching MRF lines	$42–$675	$42–$675	varies
Radex Hand Minimum 3 Views (73130) range across 12 matching MRF lines	$45–$696	$45–$696	varies
Radex lower extremity infant minimum 2 views (73592) range across 12 matching MRF lines	$41–$550	$41–$550	varies
Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines	$49–$416	$49–$416	varies
Radex shoulder complete minimum 2 views (73030) range across 12 matching MRF lines	$40–$688	$40–$688	varies
Radex Sinuses Paransl < 3 Views (70210)	$166	$166	2.0×
Radex Spine 1 View Specify Level (72020) range across 5 matching MRF lines	$28–$382	$28–$382	varies
Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines	$40–$269	$40–$269	varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines	$71–$332	$71–$332	varies
Radex Toe Minimum 2 Views (73660) range across 40 matching MRF lines	$43–$404	$43–$404	varies
Radex upper extremity infant minimum 2 views (73092) range across 12 matching MRF lines	$39–$668	$39–$668	varies
Radex Wrist Complete Minimum 3 Views (73110) range across 36 matching MRF lines	$55–$696	$55–$696	varies
Radiation treatment delivery level 3 (77412)	$614	$614	1.2×
Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines	$52–$528	$52–$528	varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines	$49–$615	$49–$615	varies
Radiologic exam colon double contrast study (74280)	$583	$583	3.5×
Radiologic exam colon single contrast study (74270)	$529	$529	3.2×
Radiologic Exam Esophagus Double Contrast Study (74221)	$883	$883	5.3×
Radiologic exam knee complete 4/more views (73564) range across 21 matching MRF lines	$58–$795	$58–$795	varies
Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines	$56–$320	$56–$320	varies
Radiologic Exam Small Int Single Contrast Study (74250)	$972	$972	5.8×
Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines	$411–$428	$411–$428	varies
Radiologic exam upr gi trc double contrast study (74246)	$972	$972	5.8×
Radiologic examination femur minimum 2 views (73552) range across 15 matching MRF lines	$51–$335	$51–$335	varies
Radiologic examination knee 1/2 views (73560) range across 12 matching MRF lines	$47–$530	$47–$530	varies
Radiologic examination tibia & fibula 2 views (73590) range across 11 matching MRF lines	$41–$550	$41–$550	varies
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802)	$2,073	$2,073	4.0×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines	$2,565–$3,078	$2,565–$3,078	varies
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832)	$3,067	$3,067	2.2×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830)	$2,942	$2,942	2.4×
Scapula (73010) range across 12 matching MRF lines	$28–$861	$28–$861	varies
Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines	$23.44–$427.60	$23.44–$427.60	varies
Shoulder 1 view (73020) range across 12 matching MRF lines	$27–$502	$27–$502	varies
Shoulder Arthrography (73040) range across 3 matching MRF lines	$1,729–$2,594	$1,729–$2,594	varies
Skull less than 4 views (70250) range across 5 matching MRF lines	$48–$499	$48–$499	varies
Special dosimetry (77331)	$313	$313	2.4×
Special Physics Consult (77370)	$238	$238	1.9×
Special teletherapy port plan (77321)	$749	$749	2.1×
Special treatment procedure (77470)	$1,432	$1,432	2.7×
Stereotactic Body Radiation Delivery (77373)	$3,303	$3,303	1.9×
Telethx isodose pln cplx w/basic dosimetry (77307)	$735	$735	2.1×
Ther Rad Simulaj-Aided Field Setting Complex (77290)	$1,053	$1,053	2.9×
Ther rad simulaj-aided field setting simple (77280)	$494	$494	3.8×
Thoracic spine 2 views (72070) range across 2 matching MRF lines	$67–$424	$67–$424	varies
Thoracic spine 3 views (72072) range across 4 matching MRF lines	$49–$498	$49–$498	varies
Thoracolumbar 2 views (72080)	$397	$397	4.8×
Thyroid Met Imaging Body (78018)	$1,280	$1,280	2.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014)	$996	$996	2.6×
Tx Devices Design & Construction Complex (77334)	$639	$639	1.8×
Tx devices design & construction intermediate (77333)	$496	$496	3.9×
Tx devices design & construction simple (77332)	$397	$397	3.1×
Ultrasound Breast Limited (76642) range across 9 matching MRF lines	$50.87–$923	$50.87–$923	varies
Ultrasound elastography first target lesion (76982)	$408	$408	4.1×
Ultrasound Elastography Parenchyma (76981)	$408	$408	4.1×
Ultrasound Exam Aaa Screen (76706)	$561	$561	5.6×
Ultrasound, abdomen limited (76705) range across 34 matching MRF lines	$25.06–$1,278	$25.06–$1,278	varies
Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines	$560–$644	$560–$644	varies
Upper gi w/o kub (74240)	$877	$877	5.2×
Urethrocystography retrograde (74450) range across 2 matching MRF lines	$828–$862	$828–$862	varies
Us chest (76604) range across 4 matching MRF lines	$193–$777	$193–$777	varies
Us complete joint (76881) range across 10 matching MRF lines	$183–$854	$183–$854	varies
Us exam, pelvic, limited (76857) range across 18 matching MRF lines	$47–$803	$47–$803	varies
Us head (76506)	$777	$777	7.8×
Us kidney transplant (76776) range across 4 matching MRF lines	$210–$460	$210–$460	varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 11 matching MRF lines	$24–$718	$24–$718	varies
Us ob limited 1 or more fetuses (76815) range across 8 matching MRF lines	$181–$678	$181–$678	varies
Us ob transvaginal (76817) range across 15 matching MRF lines	$181–$720	$181–$720	varies
Us pelvic non ob complete (76856) range across 14 matching MRF lines	$137–$1,036	$137–$1,036	varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 6 matching MRF lines	$265–$837	$265–$837	varies
Us retroperitoneal complete (76770) range across 12 matching MRF lines	$138–$1,278	$138–$1,278	varies
Us retroperitoneal limited (76775) range across 10 matching MRF lines	$59–$1,074	$59–$1,074	varies
Us scrotum and contents (76870) range across 8 matching MRF lines	$72–$1,111	$72–$1,111	varies
Us spinal canal and contents (76800)	$392	$392	3.9×
Us thyroid (76536) range across 5 matching MRF lines	$187–$1,244	$187–$1,244	varies
Us transrectal (76872) range across 9 matching MRF lines	$127–$470	$127–$470	varies
Venography extremity bilateral rs&i (75822)	$2,844	$2,844	1.9×
Venography extremity unilateral rs&i (75820)	$2,307	$2,307	1.5×
Venography Renal Unilateral (75831)	$4,592	$4,592	1.5×
Wrist 2 views (73100) range across 12 matching MRF lines	$42–$552	$42–$552	varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines	$46–$356	$46–$356	varies
X-ray antegrade pyelogram tube (74425) range across 5 matching MRF lines	$601–$1,297	$601–$1,297	varies
X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines	$56–$655	$56–$655	varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 12 matching MRF lines	$39–$535	$39–$535	varies
X-Ray Exam Breast Specimen (76098)	$1,046	$1,046	2.0×
X-Ray Exam Entire Spi 1 Vw (72081)	$285	$285	3.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines	$139–$392	$139–$392	varies
X-Ray Exam Hip Uni 1 View (73501) range across 19 matching MRF lines	$45–$279	$45–$279	varies
X-Ray Exam Hip Uni 2-3 Views (73502) range across 16 matching MRF lines	$68–$280	$68–$280	varies
X-Ray Exam Hip Uni 4/> Views (73503) range across 12 matching MRF lines	$87–$374	$87–$374	varies
X-Ray Exam Hips Bi 2 Views (73521) range across 10 matching MRF lines	$58–$213	$58–$213	varies
X-Ray Exam Hips Bi 3-4 Views (73522) range across 6 matching MRF lines	$70–$327	$70–$327	varies
X-Ray Exam Hips Bi 5/> Views (73523) range across 6 matching MRF lines	$84–$662	$84–$662	varies
X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines	$88–$980	$88–$980	varies
X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines	$45–$604	$45–$604	varies
X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines	$78–$1,049	$78–$1,049	varies
X-Ray Exam Unilat Ribs/Chest (71101) range across 8 matching MRF lines	$47–$440	$47–$440	varies
X-ray eye for foreign body (70030) range across 4 matching MRF lines	$40–$332	$40–$332	varies
X-ray humerus (73060) range across 11 matching MRF lines	$42–$534	$42–$534	varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)	$353	$353	4.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 9 matching MRF lines	$49–$604	$49–$604	varies
X-ray nose-rectum child f.b. (76010)	$283	$283	3.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines	$64–$560	$64–$560	varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines	$48–$592	$48–$592	varies
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines	$40–$424	$40–$424	varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines	$51–$232	$51–$232	varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines	$58–$528	$58–$528	varies
X-ray thoracic spine 4 vw (72074) range across 4 matching MRF lines	$58–$571	$58–$571	varies
X-Rays Bone Length Studies (77073)	$307	$307	3.1×
X-Rays Bone Survey Complete (77075)	$307	$307	3.1×
Xr c-spine 4 or 5 views (72050) range across 5 matching MRF lines	$60–$826	$60–$826	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.