Imaging prices at Buchanan County Health Center
Independence, IA · every code in this section with a posted price and a Medicare benchmark.
241 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) | $374.60 | $440.71 | 4.5× |
| Abdomen 2 views (74019) | $460.10 | $541.30 | 4.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,068.83 | $2,433.92 | 5.4× |
| Ankle 2 views (73600) | $174.61 | $205.43 | 2.1× |
| Arthrogram hip (73525) | $613.55 | $721.83 | 1.8× |
| Bone age studies (77072) | $112.62 | $132.50 | 1.1× |
| Bone Imaging 3 Phase (78315) | $1,980.80 | $2,330.36 | 5.2× |
| Bone Imaging Limited Area (78300) | $1,164.09 | $1,369.52 | 3.0× |
| Bone Imaging Multiple Areas (78305) | $2,125.93 | $2,501.10 | 5.5× |
| Bone Imaging Whole Body (78306) | $1,754.69 | $2,064.35 | 4.6× |
| Bone survey infant (77076) | $590.91 | $695.19 | 5.9× |
| Cat Scan Follow-Up Study (76380) | $1,510.24 | $1,776.76 | 18.1× |
| Chest 1 view (71045) | $334.63 | $393.69 | 4.0× |
| Chest 2 views (71046) | $378.29 | $445.05 | 4.5× |
| Chest 3 views (71047) | $729.16 | $857.84 | 8.7× |
| Chest 4 or more views (71048) | $798.22 | $939.09 | 7.9× |
| Clavicle complete (73000) | $319.79 | $376.23 | 3.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $672.23 | $790.86 | 6.7× |
| Contrast X-Ray Bladder (74430) | $579.69 | $681.99 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,806.02 | $4,477.68 | 11.3× |
| CT abdomen and pelvis without contrast (74176) | $3,072.37 | $3,614.56 | 13.4× |
| CT abdomen w contrast (74160) | $2,631.39 | $3,095.76 | 15.6× |
| CT abdomen w wo contrast (74170) | $3,024.81 | $3,558.61 | 17.9× |
| CT abdomen w/o contrast (74150) | $1,872.09 | $2,202.47 | 18.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,700.92 | $4,354.03 | 11.0× |
| CT Angio Chest (71275) | $3,320.05 | $3,905.95 | 19.7× |
| CT Angio Head (70496) | $2,636.13 | $3,101.33 | 15.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,213.15 | $2,603.71 | 13.1× |
| CT Angio Neck (70498) | $2,636.13 | $3,101.33 | 15.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,169.76 | $2,552.66 | 12.9× |
| CT cervical spine w/ contrast (72126) | $2,731.36 | $3,213.37 | 8.1× |
| CT cervical spine w/o contrast (72125) | $2,346.29 | $2,760.35 | 23.3× |
| CT cervical spine w/wo cont (72127) | $3,116.43 | $3,666.39 | 18.5× |
| CT chest w contrast (71260) | $2,689.24 | $3,163.82 | 15.9× |
| CT chest w/wo contrast (71270) | $3,116.43 | $3,666.39 | 18.5× |
| CT head/brain with contrast (70460) | $2,656 | $3,124.71 | 15.8× |
| CT head/brain without and with contrast (70470) | $2,952.11 | $3,473.08 | 17.5× |
| CT iac w contrast (70481) | $2,482.26 | $2,920.31 | 14.7× |
| CT l-spine w&w/o contrast (72133) | $2,455.22 | $2,888.50 | 14.6× |
| CT lower ext w/o (73700) | $2,254.62 | $2,652.50 | 22.4× |
| CT lower extremity w/contrast material (73701) | $2,213.80 | $2,604.48 | 13.1× |
| CT lumbar spine w contrast (72132) | $2,094.82 | $2,464.50 | 6.2× |
| CT lumbar spine w/o contrast (72131) | $2,057.88 | $2,421.04 | 20.5× |
| CT maxillofacial w contrast (70487) | $2,656.44 | $3,125.23 | 15.8× |
| CT maxillofacial wo contrast (70486) | $1,797.99 | $2,115.29 | 17.9× |
| CT neck tissue combo (70492) | $2,656 | $3,124.71 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,654.60 | $3,123.07 | 15.7× |
| CT orbits w/o contrast (70480) | $2,213.80 | $2,604.48 | 22.0× |
| CT pelvis w&w/o contrast (72194) | $3,440.02 | $4,047.09 | 20.4× |
| CT pelvis w/o contrast (72192) | $1,865.23 | $2,194.39 | 18.6× |
| CT scan of leg combo (73702) | $2,656 | $3,124.71 | 15.8× |
| CT scans face/jaw combo (70488) | $2,656 | $3,124.71 | 15.8× |
| CT soft tissue neck w contrast (70491) | $2,470.33 | $2,906.28 | 14.7× |
| CT soft tissue neck w/o contrast (70490) | $2,018.58 | $2,374.81 | 20.1× |
| CT thoracic spine w contrast (72129) | $2,094.82 | $2,464.50 | 12.4× |
| CT thoracic spine w/o contrast (72128) | $2,057.88 | $2,421.04 | 20.5× |
| CT thoracic spine w/wo cont (72130) | $2,455.22 | $2,888.50 | 14.6× |
| CT thorax w/o contrast (71250) | $2,160.78 | $2,542.10 | 21.5× |
| CT upper ext wo (73200) | $2,087.71 | $2,456.13 | 20.8× |
| CT upper extremity w/o & w/contrast material (73202) | $3,228.87 | $3,798.68 | 19.1× |
| CT upper extremity with contrast (73201) | $2,213.80 | $2,604.48 | 6.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,286.91 | $6,219.90 | 31.4× |
| Cta Abdomen (74175) | $3,315.28 | $3,900.33 | 19.7× |
| CTA pelvis (72191) | $3,315.28 | $3,900.33 | 19.7× |
| Dxa Bone Density Axial (77080) | $766.01 | $901.19 | 7.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $766.01 | $901.19 | 9.2× |
| Echograp Trans R Pros Study (76873) | $791.61 | $931.31 | 7.9× |
| Esophagram (74220) | $514.26 | $605.02 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) | $1,013.56 | $1,192.43 | 10.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $940.74 | $1,106.76 | 9.4× |
| Fluoroscopy up to 1 hr (76000) | $673.20 | $792.01 | 2.9× |
| Foot 2 views (73620) | $199.07 | $234.20 | 2.4× |
| Forearm 2 views (73090) | $313.55 | $368.89 | 3.7× |
| Gastric emptying imaging study (78264) | $1,880.45 | $2,212.30 | 4.9× |
| Gated Heart Planar Single (78472) | $1,730.28 | $2,035.63 | 4.5× |
| Hand 2 views (73120) | $207.73 | $244.39 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $2,068.47 | $2,433.50 | 4.0× |
| Hepatobiliary System Imaging (78226) | $1,883.05 | $2,215.36 | 4.9× |
| Ht Muscle Image Spect Sing (78451) | $2,406.31 | $2,830.96 | 1.9× |
| Hysterosalpingogram (74740) | $626.64 | $737.23 | 2.7× |
| Infusion Ivp (74410) | $1,409.18 | $1,657.86 | 8.4× |
| Joint Survey Single View (77077) | $268.08 | $315.39 | 2.7× |
| K Flow/Funct Image Multiple (78709) | $2,647.32 | $3,114.50 | 5.1× |
| K Flow/Funct Image W/Drug (78708) | $3,157.14 | $3,714.29 | 6.0× |
| K Flow/Funct Image W/O Drug (78707) | $2,755.81 | $3,242.14 | 5.3× |
| Knee 3 Views (73562) | $404.48 | $475.86 | 4.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,883.05 | $2,215.36 | 4.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,647.71 | $3,114.96 | 5.1× |
| Lung Ventilation Imaging (78579) | $1,948.86 | $2,292.78 | 5.1× |
| Lymph System Imaging (78195) | $1,980.80 | $2,330.36 | 3.8× |
| Magnetic Image Jaw Joint (70336) | $1,617.20 | $1,902.59 | 7.1× |
| Mammary ductogram or galactogram multiple (77054) | $1,401.48 | $1,648.81 | 6.1× |
| Mammary ductogram or galactogram single (77053) | $1,246.54 | $1,466.52 | 5.4× |
| Meckels Divert Exam (78290) | $1,881.97 | $2,214.09 | 4.9× |
| Mra Head W/O & W/Contrast Material (70546) | $7,390.89 | $8,695.17 | 22.0× |
| MRA head w/o contrast (70544) | $3,347.05 | $3,937.71 | 14.6× |
| MRA head with contrast (70545) | $3,071.71 | $3,613.78 | 9.2× |
| MRA neck w contrast (70548) | $3,071.71 | $3,613.78 | 9.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,313.17 | $6,250.79 | 15.8× |
| MRA neck w/o contrast (70547) | $2,845.86 | $3,348.08 | 12.4× |
| MRI abdomen w contrast (74182) | $4,881.30 | $5,742.71 | 14.6× |
| MRI abdomen w/o contrast (74181) | $4,053.93 | $4,769.33 | 17.7× |
| MRI any jt lower extrem w/contrast material (73722) | $3,102.55 | $3,650.07 | 4.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,630.19 | $4,270.82 | 10.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,954.88 | $3,476.34 | 3.9× |
| MRI cervical spine w contrast (72142) | $4,004.43 | $4,711.10 | 11.9× |
| MRI cervical spine w/o cont (72141) | $3,345.42 | $3,935.79 | 14.6× |
| MRI chest w/o contrast (71550) | $2,842.61 | $3,344.25 | 12.4× |
| MRI chest wo w contrast (71552) | $5,583.35 | $6,568.65 | 16.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,102.55 | $3,650.07 | 9.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,433.53 | $4,039.45 | 10.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,054.52 | $3,593.56 | 13.3× |
| MRI lumbar spine w contrast (72149) | $4,444.68 | $5,229.04 | 13.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,170.64 | $6,083.11 | 15.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,845.86 | $3,348.08 | 12.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,163.58 | $6,074.81 | 15.4× |
| MRI pelvis w contrast (72196) | $3,347.05 | $3,937.71 | 10.0× |
| MRI pelvis w/o & w contrast (72197) | $4,654.59 | $5,476 | 13.9× |
| MRI pelvis w/o contrast (72195) | $3,747.03 | $4,408.28 | 16.3× |
| MRI thoracic spine w/o contrast (72146) | $3,006.59 | $3,537.17 | 13.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,464.09 | $2,898.94 | 10.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,611.99 | $3,072.93 | 7.8× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,887.81–$5,583.35 | $4,573.90–$6,568.65 | varies |
| MRI, dorsal spine combo (72157) | $5,170.64 | $6,083.11 | 15.4× |
| MRI, dorsal spine contrast (72147) | $3,951.40 | $4,648.71 | 11.8× |
| MRI, joint upper extrem (73221) | $3,764.86 | $4,429.25 | 16.4× |
| MRI, joint upper extrem combo (73223) | $6,311.25 | $7,425.01 | 18.8× |
| MRI, lumbar spine combo (72158) | $6,169.49 | $7,258.23 | 18.4× |
| Myocardial Spect Multiple Studies (78452) | $4,424.08 | $5,204.81 | 3.6× |
| Neck soft tissue (70360) | $276.48 | $325.28 | 3.3× |
| Parathyroid Planar Imaging (78070) | $931.75 | $1,096.18 | 2.4× |
| Pelvis 1 or 2 views (72170) | $327.71 | $385.55 | 3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,614.32 | $1,899.21 | 4.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $583.81 | $686.84 | 5.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,409.18 | $1,657.86 | 2.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $337.96 | $397.60 | 4.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $267.75 | $315 | 3.2× |
| Radex elbow complete minimum 3 views (73080) | $348.47 | $409.97 | 4.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $425.96 | $501.13 | 4.2× |
| Radex fingr minimum 2 views (73140) | $322.23 | $379.10 | 3.9× |
| Radex foot complete minimum 3 views (73630) | $332.91 | $391.66 | 4.0× |
| Radex Hand Minimum 3 Views (73130) | $331.72 | $390.26 | 4.0× |
| Radex lower extremity infant minimum 2 views (73592) | $146.26 | $172.08 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $251.01 | $295.31 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $323.75 | $380.89 | 3.9× |
| Radex Ribs Unilateral 2 Views (71100) | $259.34 | $305.11 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) | $534.69 | $629.05 | 6.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $187.68 | $220.80 | 2.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $414.28 | $487.40 | 2.5× |
| Radex Spine 1 View Specify Level (72020) | $238.58 | $280.69 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $212.07 | $249.50 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $351.08 | $413.04 | 4.2× |
| Radex Toe Minimum 2 Views (73660) | $207.73 | $244.39 | 2.5× |
| Radex upper extremity infant minimum 2 views (73092) | $158.62 | $186.62 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $335.67 | $394.91 | 4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $329.28 | $387.40 | 3.3× |
| Radiologic exam colon double contrast study (74280) | $1,010.41 | $1,188.72 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $722.60 | $850.12 | 4.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $514.26 | $605.02 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) | $435.32 | $512.15 | 4.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $369.23 | $434.40 | 3.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $766.01 | $901.19 | 4.5× |
| Radiologic exam swallow function contrast study (74230) | $641.97 | $755.27 | 3.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $865.60 | $1,018.36 | 5.1× |
| Radiologic examination femur 1 view (73551) | $259.34 | $305.11 | 3.1× |
| Radiologic examination femur minimum 2 views (73552) | $305.48 | $359.40 | 3.7× |
| Radiologic examination knee 1/2 views (73560) | $302.99 | $356.47 | 3.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $931.75 | $1,096.18 | 9.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $298.65 | $351.36 | 3.6× |
| Ribs bilateral 3 views (71110) | $414.28 | $487.40 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,621.05 | $1,907.12 | 3.1× |
| Scapula (73010) | $238.58 | $280.69 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.27 | $47.38 | 1.7× |
| Shoulder 1 view (73020) | $145.57 | $171.26 | 1.7× |
| Shoulder Arthrography (73040) | $910.60 | $1,071.30 | 2.7× |
| Skull less than 4 views (70250) | $373.31 | $439.19 | 3.7× |
| Sternoclavicular joints (71130) | $230.57 | $271.26 | 2.8× |
| Thoracic spine 2 views (72070) | $385.18 | $453.16 | 3.8× |
| Thoracic spine 3 views (72072) | $482.59 | $567.76 | 4.8× |
| Thoracolumbar 2 views (72080) | $310.36 | $365.14 | 3.7× |
| Thyroid Imaging With Vascular Flow (78013) | $952.17 | $1,120.21 | 2.5× |
| Thyroid Uptake Measurement (78012) | $910.60 | $1,071.30 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $952.17 | $1,120.21 | 2.5× |
| Ultrasound Breast Limited (76642) | $463.36 | $545.13 | 5.5× |
| Ultrasound Exam Aaa Screen (76706) | $953.53 | $1,121.80 | 9.5× |
| Ultrasound, abdomen limited (76705) | $705.18 | $829.63 | 7.0× |
| Upper gi w/o kub (74240) | $828.08 | $974.22 | 4.9× |
| Urethrocystogram voiding (74455) | $626.64 | $737.23 | 2.7× |
| Urethrocystography retrograde (74450) | $579.69 | $681.99 | 2.5× |
| Us breast unilateral complete (76641) | $515.34 | $606.29 | 5.1× |
| Us chest (76604) | $517.88 | $609.28 | 5.2× |
| Us complete joint (76881) | $528.08 | $621.28 | 5.3× |
| Us exam, pelvic, limited (76857) | $517.88 | $609.28 | 5.2× |
| Us head (76506) | $708.94 | $834.05 | 7.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $484.80 | $570.36 | 4.8× |
| Us ob limited 1 or more fetuses (76815) | $977.16 | $1,149.61 | 9.7× |
| Us ob transvaginal (76817) | $488.07 | $574.20 | 4.9× |
| Us pelvic non ob complete (76856) | $909.08 | $1,069.51 | 9.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $487.04 | $572.99 | 4.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $488.07 | $574.20 | 4.9× |
| Us retroperitoneal complete (76770) | $953.53 | $1,121.80 | 9.5× |
| Us retroperitoneal limited (76775) | $795.08 | $935.39 | 7.9× |
| Us scrotum and contents (76870) | $755.76 | $889.14 | 7.5× |
| Us thyroid (76536) | $642.89 | $756.35 | 6.4× |
| Wrist 2 views (73100) | $240.81 | $283.31 | 2.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $245.57 | $288.91 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $398.36 | $468.66 | 4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $327.71 | $385.55 | 3.9× |
| X-Ray Exam Breast Specimen (76098) | $218.32 | $256.85 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $246.27 | $289.74 | 2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $333.19 | $391.99 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $362.56 | $426.55 | 4.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $387.77 | $456.20 | 4.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $374 | $440 | 3.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $407.67 | $479.62 | 4.1× |
| X-Ray Exam L-S Spine Bending (72114) | $534.69 | $629.05 | 5.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $433.53 | $510.04 | 5.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $693.58 | $815.98 | 6.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $471.37 | $554.56 | 4.7× |
| X-ray eye for foreign body (70030) | $302.99 | $356.47 | 3.6× |
| X-ray humerus (73060) | $324.72 | $382.03 | 3.9× |
| X-ray IV pyelogram (ivp) (74400) | $1,481.18 | $1,742.57 | 8.8× |
| X-ray IV pyelogram+tomography (74415) | $1,460.80 | $1,718.59 | 8.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $307.33 | $361.57 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $414.28 | $487.40 | 5.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $398.36 | $468.66 | 4.0× |
| X-ray nose-rectum child f.b. (76010) | $232.78 | $273.86 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $473.91 | $557.55 | 4.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $352.86 | $415.14 | 3.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $334.22 | $393.21 | 4.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $251.01 | $295.31 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $349.17 | $410.79 | 3.5× |
| X-Ray Stress View (77071) | $160.13 | $188.39 | 1.9× |
| X-Ray Tmj Unilat (70328) | $284.45 | $334.65 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,055.71 | $1,242.02 | 3.1× |
| X-Rays Bone Survey Complete (77075) | $1,160.03 | $1,364.75 | 11.5× |
| Xr c-spine 4 or 5 views (72050) | $538.70 | $633.77 | 5.4× |
| Xr facial bones less than 3 views (70140) | $187.68 | $220.80 | 2.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $187.68 | $220.80 | 1.9× |
| Xr orbits complete 4 views (70200) | $349.17 | $410.79 | 3.5× |
| Xr Tomogram Single Plane (76100) | $807.76 | $950.31 | 8.0× |
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.