Imaging prices at Boundary Community Hospital
Bonners Ferry, ID · every code in this section with a posted price and a Medicare benchmark.
191 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 |
$32–$223.20 | $40–$279 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$53.60–$304.80 | $67–$381 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$16.80–$350.40 | $21–$438 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$20–$241.60 | $25–$302 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$74.40–$270.40 | $93–$338 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$139.20–$364.80 | $174–$456 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$19.20–$223.20 | $24–$279 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$23.20–$272.80 | $29–$341 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$47.20–$347.20 | $59–$434 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$17.60–$350.40 | $22–$438 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$114.40–$812 | $143–$1,015 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$259.20–$1,561.60 | $324–$1,952 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$235.20–$1,152 | $294–$1,440 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$132.80–$899.20 | $166–$1,124 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$146.40–$1,013.60 | $183–$1,267 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$124.80–$662.40 | $156–$828 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$229.60–$1,561.60 | $287–$1,952 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$192–$1,022.40 | $240–$1,278 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$183.20–$1,023.20 | $229–$1,279 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$183.20–$1,022.40 | $229–$1,278 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$188–$1,022.40 | $235–$1,278 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$220.80–$899.20 | $276–$1,124 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$114.40–$662.40 | $143–$828 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$132.80–$1,013.60 | $166–$1,267 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$122.40–$899.20 | $153–$1,124 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$131.20–$1,013.60 | $164–$1,267 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$118.40–$899.20 | $148–$1,124 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$132.80–$1,013.60 | $166–$1,267 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$156.80–$188 | $196–$235 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$204.80–$899.20 | $256–$1,124 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$225.60–$1,013.60 | $282–$1,267 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$108.80–$662.40 | $136–$828 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$196–$899.20 | $245–$1,124 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$206.40–$899.20 | $258–$1,124 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$114.40–$662.40 | $143–$828 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$202.40–$899.20 | $253–$1,124 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$121.60–$662.40 | $152–$828 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$168.80–$1,013.60 | $211–$1,267 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$231.20–$1,013.60 | $289–$1,267 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$134.40–$662.40 | $168–$828 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$127.20–$1,013.60 | $159–$1,267 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$113.60–$662.40 | $142–$828 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$225.60–$1,013.60 | $282–$1,267 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$144.80–$899.20 | $181–$1,124 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$134.40–$662.40 | $168–$828 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$184.80–$899.20 | $231–$1,124 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$114.40–$662.40 | $143–$828 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$203.20–$1,013.60 | $254–$1,267 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$114.40–$662.40 | $143–$828 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$108.80–$662.40 | $136–$828 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$208.80–$1,013.60 | $261–$1,267 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$198.40–$899.20 | $248–$1,124 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$248–$1,022.40 | $310–$1,278 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$189.60–$1,254.40 | $237–$1,568 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$272–$1,051.20 | $340–$1,314 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$74.40–$290.40 | $93–$363 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$20.80–$281.60 | $26–$352 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$111.20–$158.72 | $139–$198.40 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$110.40–$158.72 | $138–$198.40 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$405.60–$470.40 | $507–$588 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$16–$350.40 | $20–$438 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$16.80–$350.40 | $21–$438 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$17.60–$175.20 | $22–$219 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$38.40–$241.60 | $48–$302 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$154.40–$1,290.40 | $193–$1,613 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$196–$1,867.20 | $245–$2,334 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$125.60–$1,290.40 | $157–$1,613 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$188.80–$1,867.20 | $236–$2,334 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$205.60–$1,290.40 | $257–$1,613 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$196–$1,290.40 | $245–$1,613 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$226.40–$1,867.20 | $283–$2,334 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$159.20–$1,290.40 | $199–$1,613 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$196–$1,290.40 | $245–$1,613 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$236.80–$1,867.20 | $296–$2,334 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$226.40–$1,867.20 | $283–$2,334 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$205.60–$1,290.40 | $257–$1,613 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$205.60–$1,520 | $257–$1,900 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$255.20–$1,867.20 | $319–$2,334 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$196–$1,290.40 | $245–$1,613 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$225.60–$1,867.20 | $282–$2,334 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$230.40–$3,740 | $288–$4,675 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$153.60–$1,290.40 | $192–$1,613 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$159.20–$1,290.40 | $199–$1,613 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$142.40–$1,290.40 | $178–$1,613 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$226.40–$1,867.20 | $283–$2,334 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$230.40–$1,867.20 | $288–$2,334 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$241.60–$1,867.20 | $302–$2,334 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$196–$1,520 | $245–$1,900 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$142.40–$1,290.40 | $178–$1,613 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$226.40–$1,867.20 | $283–$2,334 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$240.80–$1,867.20 | $301–$2,334 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$19.20–$175.20 | $24–$219 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 4 matching MRF lines |
$88–$580.80 | $110–$726 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $48 | $60 | 0.5× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$18.40–$241.60 | $23–$302 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$160.80–$3,300 | $201–$4,125 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$253.60–$3,300 | $317–$4,125 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$251.20–$3,300 | $314–$4,125 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$34.40–$270.40 | $43–$338 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$18.40–$483.20 | $23–$604 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$16.80–$350.40 | $21–$438 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$18.40–$350.40 | $23–$438 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$28–$270.40 | $35–$338 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$14.40–$175.20 | $18–$219 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$17.60–$350.40 | $22–$438 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$18.40–$350.40 | $23–$438 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$29.60–$350.40 | $37–$438 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$18.40–$175.20 | $23–$219 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$24–$175.20 | $30–$219 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$20–$483.20 | $25–$604 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$35.20–$175.20 | $44–$219 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$27.20–$175.20 | $34–$219 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$20.80–$175.20 | $26–$219 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$56.80–$175.20 | $71–$219 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$13.60–$350.40 | $17–$438 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$32–$350.40 | $40–$438 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$18.40–$350.40 | $23–$438 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$27.20–$270.40 | $34–$338 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$24.80–$540.80 | $31–$676 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$27.20–$241.60 | $34–$302 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$19.20–$350.40 | $24–$438 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$17.60–$175.20 | $22–$219 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$16.80–$175.20 | $21–$219 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$19.20–$350.40 | $24–$438 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$88–$90.40 | $110–$113 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$28–$350.40 | $35–$438 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$41.60–$241.60 | $52–$302 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$21.60–$241.60 | $27–$302 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$24–$270.40 | $30–$338 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$22.40–$175.20 | $28–$219 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$72–$246.40 | $90–$308 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$63.20–$240 | $79–$300 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$55.20–$247.20 | $69–$309 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$44.36–$379.20 | $55.45–$474 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$52.80–$290.40 | $66–$363 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $100 | $125 | 1.2× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$99.20–$782.40 | $124–$978 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$76.80–$246.40 | $96–$308 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$44.36–$246.40 | $55.45–$308 | varies |
| Us complete joint (76881) range across 5 matching MRF lines |
$40–$379.20 | $50–$474 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$68–$246.40 | $85–$308 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$37.60–$246.40 | $47–$308 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$200.80–$590.40 | $251–$738 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$63.20–$246.40 | $79–$308 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$68.80–$379.20 | $86–$474 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$72–$379.20 | $90–$474 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$104–$379.20 | $130–$474 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$89.60–$246.40 | $112–$308 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$77.60–$379.20 | $97–$474 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$43.20–$111.20 | $54–$139 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$67.20–$379.20 | $84–$474 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$44–$379.20 | $55–$474 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$17.60–$175.20 | $22–$219 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$20–$241.60 | $25–$302 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$32–$270.40 | $40–$338 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$17.60–$350.40 | $22–$438 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$20–$175.20 | $25–$219 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$40.80–$175.20 | $51–$219 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$31.20–$254.40 | $39–$318 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$96–$270.40 | $120–$338 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$92.80–$270.40 | $116–$338 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$24–$241.60 | $30–$302 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$33.60–$270.40 | $42–$338 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$53.60–$270.40 | $67–$338 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$19.20–$175.20 | $24–$219 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$16.80–$350.40 | $21–$438 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$50.40–$638.40 | $63–$798 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$24–$241.60 | $30–$302 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$32–$175.20 | $40–$219 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$70.40–$270.40 | $88–$338 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$24–$175.20 | $30–$219 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$18.40–$175.20 | $23–$219 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$48–$270.40 | $60–$338 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$58.40–$270.40 | $73–$338 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$54.40–$70.40 | $68–$88 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$41.60–$175.20 | $52–$219 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$87.20–$405.60 | $109–$507 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$30.40–$241.60 | $38–$302 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$38.40–$175.20 | $48–$219 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$44.80–$270.40 | $56–$338 | 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.