Imaging prices at Memorial Hospital of Carbon County
Rawlins, WY · every code in this section with a posted price and a Medicare benchmark.
225 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 |
$60.75–$240 | $81–$320 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$75–$296.25 | $100–$395 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$236.25–$1,371.75 | $315–$1,829 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$65.25–$315.90 | $87–$421.20 | varies |
| Arthrogram ankle (73615) range across 5 matching MRF lines |
$273–$776.78 | $364–$1,035.70 | varies |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$275.25–$769.50 | $367–$1,026 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$696.75–$940.61 | $929–$1,254.15 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$60–$237 | $80–$316 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$375–$1,734 | $500–$2,312 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$236.25–$1,140 | $315–$1,520 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$375–$1,509 | $500–$2,012 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$169.50–$311.25 | $226–$415 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$279–$438.75 | $372–$585 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$52.50–$202.50 | $70–$270 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$68.25–$249 | $91–$332 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$65.25–$331.09 | $87–$441.45 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$288.75–$375 | $385–$500 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$94.50–$398.25 | $126–$531 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$337.50–$455.63 | $450–$607.50 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$303.75–$1,106.66 | $405–$1,475.55 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$733.50–$3,592.50 | $978–$4,790 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$419.25–$3,194.25 | $559–$4,259 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$504.75–$1,844.25 | $673–$2,459 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$564.75–$2,130 | $753–$2,840 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$324.75–$1,565.25 | $433–$2,087 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$595.50–$2,165.25 | $794–$2,887 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$583.50–$1,179 | $778–$1,572 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$687.75–$5,347.01 | $917–$7,129.35 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$582.75–$1,995 | $777–$2,660 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$634.50–$2,743.88 | $846–$3,658.50 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$85.50–$536.25 | $114–$715 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$357–$2,711.25 | $476–$3,615 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$315.75–$2,028.75 | $421–$2,705 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$346.50–$3,099.75 | $462–$4,133 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$351.75–$1,476 | $469–$1,968 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$417.75–$1,675.50 | $557–$2,234 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$367.50–$1,395.75 | $490–$1,861 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$245.25–$2,034 | $327–$2,712 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$382.50–$2,817.75 | $510–$3,757 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$419.25–$1,857 | $559–$2,476 | varies |
| CT lower ext w/o (73700) range across 35 matching MRF lines |
$296.25–$2,222.44 | $395–$2,963.25 | varies |
| CT lower extremity w/contrast material (73701) range across 36 matching MRF lines |
$352.50–$3,269.36 | $470–$4,359.15 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$357–$1,707.75 | $476–$2,277 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$311.25–$1,692 | $415–$2,256 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$354.75–$2,208 | $473–$2,944 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$308.25–$1,704.75 | $411–$2,273 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$470.25–$2,592.75 | $627–$3,457 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$449.25–$4,093.50 | $599–$5,458 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$345–$2,735.25 | $460–$3,647 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$545.25–$1,707 | $727–$2,276 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$502.50–$1,346.25 | $670–$1,795 | varies |
| CT scan of leg combo (73702) range across 35 matching MRF lines |
$413.25–$4,569.41 | $551–$6,092.55 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$391.50–$2,610 | $522–$3,480 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$390.75–$2,164.50 | $521–$2,886 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$350.25–$2,213.25 | $467–$2,951 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$359.25–$2,183.25 | $479–$2,911 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$312–$1,963.50 | $416–$2,618 | varies |
| CT thoracic spine w/wo cont (72130) range across 4 matching MRF lines |
$421.50–$2,496 | $562–$3,328 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$313.50–$1,217.25 | $418–$1,623 | varies |
| CT upper ext wo (73200) range across 48 matching MRF lines |
$345.75–$1,879.20 | $461–$2,505.60 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 48 matching MRF lines |
$536.25–$2,324.70 | $715–$3,099.60 | varies |
| CT upper extremity with contrast (73201) range across 48 matching MRF lines |
$428.25–$2,127.38 | $571–$2,836.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$867–$2,710.50 | $1,156–$3,614 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$651.75–$1,823.25 | $869–$2,431 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$81.75–$387.75 | $109–$517 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$204.75–$462 | $273–$616 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$232.50–$709.50 | $310–$946 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$169.50–$525 | $226–$700 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$95.25–$513 | $127–$684 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$57–$378.68 | $76–$504.90 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$59.25–$331.09 | $79–$441.45 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$375–$1,217.25 | $500–$1,623 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$375–$1,625.25 | $500–$2,167 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$63–$318.94 | $84–$425.25 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$375–$1,811.25 | $500–$2,415 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$375–$1,337.25 | $500–$1,783 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$200.25–$741.75 | $267–$989 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$281.25–$533.25 | $375–$711 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$375–$1,746.75 | $500–$2,329 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$375–$836.25 | $500–$1,115 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$83.25–$357.41 | $111–$476.55 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$375–$1,373.25 | $500–$1,831 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$236.25–$769.50 | $315–$1,026 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$236.25–$1,402.50 | $315–$1,870 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$81.75–$3,225 | $109–$4,300 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$532.50–$2,575.50 | $710–$3,434 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$702.75–$3,045.75 | $937–$4,061 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$524.25–$1,357.50 | $699–$1,810 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$736.50–$2,694.75 | $982–$3,593 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$460.50–$2,575.50 | $614–$3,434 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$651–$1,695.75 | $868–$2,261 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$417.75–$1,811.25 | $557–$2,415 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 18 matching MRF lines |
$679.50–$2,807.66 | $906–$3,743.55 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 18 matching MRF lines |
$836.25–$3,175.20 | $1,115–$4,233.60 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 20 matching MRF lines |
$678–$3,111.68 | $904–$4,148.90 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$590.25–$1,662.75 | $787–$2,217 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$443.25–$2,240.25 | $591–$2,987 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$733.50–$2,794.50 | $978–$3,726 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$810.75–$1,493.25 | $1,081–$1,991 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,023.75–$3,759 | $1,365–$5,012 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 18 matching MRF lines |
$564–$2,608.20 | $752–$3,477.60 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 18 matching MRF lines |
$726–$3,006.11 | $968–$4,008.15 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 18 matching MRF lines |
$479.25–$2,130.30 | $639–$2,840.40 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$579–$2,337 | $772–$3,116 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$687–$2,571.75 | $916–$3,429 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$485.25–$2,575.50 | $647–$3,434 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$576.75–$1,501.50 | $769–$2,002 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$727.50–$2,874.75 | $970–$3,833 | varies |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$578.25–$1,493.25 | $771–$1,991 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$726–$3,480 | $968–$4,640 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$493.50–$2,535.75 | $658–$3,381 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$437.25–$2,183.25 | $583–$2,911 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 18 matching MRF lines |
$715.50–$1,694.93 | $954–$2,259.90 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 18 matching MRF lines |
$656.25–$2,615.29 | $875–$3,487.05 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 13 matching MRF lines |
$888–$3,660.19 | $1,184–$4,880.25 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$727.50–$2,449.50 | $970–$3,266 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$691.50–$2,507.25 | $922–$3,343 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$584.25–$1,650.75 | $779–$2,201 | varies |
| MRI, joint upper extrem (73221) range across 20 matching MRF lines |
$430.50–$2,465.44 | $574–$3,287.25 | varies |
| MRI, joint upper extrem combo (73223) range across 20 matching MRF lines |
$839.25–$3,548.81 | $1,119–$4,731.75 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$682.50–$2,550.75 | $910–$3,401 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$375–$2,377.50 | $500–$3,170 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$63.75–$223.50 | $85–$298 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$236.25–$1,156.50 | $315–$1,542 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$56.25–$311.25 | $75–$415 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$236.25–$975 | $315–$1,300 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$101.25–$374.25 | $135–$499 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$75–$358.43 | $100–$477.90 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$58.50–$271.35 | $78–$361.80 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$66–$392.85 | $88–$523.80 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$96.75–$360 | $129–$480 | varies |
| Radex fingr minimum 2 views (73140) range across 7 matching MRF lines |
$75.75–$249.08 | $101–$332.10 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$69.75–$331.09 | $93–$441.45 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$74.25–$354.38 | $99–$472.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$64.50–$331.09 | $86–$441.45 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$77.25–$307.50 | $103–$410 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$75–$253.50 | $100–$338 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$69.75–$343.24 | $93–$457.65 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$66–$341.25 | $88–$455 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$49.50–$216.75 | $66–$289 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$68.25–$443.25 | $91–$591 | varies |
| Radex Toe Minimum 2 Views (73660) range across 7 matching MRF lines |
$54–$247.05 | $72–$329.40 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$64.50–$303.75 | $86–$405 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$83.25–$318.94 | $111–$425.25 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$89.25–$450 | $119–$600 | varies |
| Radiologic exam colon double contrast study (74280) range across 4 matching MRF lines |
$237–$765 | $316–$1,020 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$321.75–$561.75 | $429–$749 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$93.75–$306.75 | $125–$409 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$85.50–$392.25 | $114–$523 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$255.75–$543.75 | $341–$725 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$265.50–$359.25 | $354–$479 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$171–$969 | $228–$1,292 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$71.25–$355.39 | $95–$473.85 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$69–$326.03 | $92–$434.70 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$132.75–$292.50 | $177–$390 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$63.75–$330.08 | $85–$440.10 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$89.25–$424.50 | $119–$566 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$49.50–$346.20 | $66–$461.60 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $20.25 | $27 | 0.9× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$44.25–$306.75 | $59–$409 | varies |
| Shoulder Arthrography (73040) range across 10 matching MRF lines |
$231.75–$1,332.75 | $309–$1,777 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$72.75–$338.25 | $97–$451 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$216–$313.50 | $288–$418 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$66.75–$356.25 | $89–$475 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$120–$443.25 | $160–$591 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$70.50–$422.25 | $94–$563 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$236.25–$847.50 | $315–$1,130 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$236.25–$966 | $315–$1,288 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$236.25–$1,072.50 | $315–$1,430 | varies |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$172.50–$352.50 | $230–$470 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$218.25–$630 | $291–$840 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$179.25–$495 | $239–$660 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$256.50–$816 | $342–$1,088 | varies |
| Urea breath test c-14 isotopic analysis (78268) range across 2 matching MRF lines |
$366.75–$3,731.25 | $489–$4,975 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$216.75–$658.50 | $289–$878 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$99.75–$684.75 | $133–$913 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$69–$388.50 | $92–$518 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$159.75–$375 | $213–$500 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$124.50–$467.25 | $166–$623 | varies |
| Us head (76506) range across 2 matching MRF lines |
$192.75–$235.50 | $257–$314 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$113.25–$409.50 | $151–$546 | varies |
| Us ob detailed single fetus (76811) range across 5 matching MRF lines |
$393–$808.50 | $524–$1,078 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$213–$363.75 | $284–$485 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$189.75–$606.75 | $253–$809 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$176.25–$757.50 | $235–$1,010 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 5 matching MRF lines |
$56.25–$614.25 | $75–$819 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$223.50–$423 | $298–$564 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$222–$680.25 | $296–$907 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$158.25–$447 | $211–$596 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$206.25–$533.25 | $275–$711 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$296.25–$518.25 | $395–$691 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$228.75–$576.75 | $305–$769 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$68.25–$275.40 | $91–$367.20 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$57.75–$309.75 | $77–$413 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$282.75–$746.25 | $377–$995 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$83.25–$323.25 | $111–$431 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 12 matching MRF lines |
$59.25–$304.76 | $79–$406.35 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$54.75–$445.50 | $73–$594 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$142.50–$402 | $190–$536 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 10 matching MRF lines |
$66–$217.50 | $88–$290 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
$95.25–$207.75 | $127–$277 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$83.25–$348.75 | $111–$465 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$126–$476.25 | $168–$635 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$80.25–$318 | $107–$424 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$126–$748.50 | $168–$998 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$85.50–$318 | $114–$424 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$66–$247.50 | $88–$330 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$64.50–$309.15 | $86–$412.20 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$281.25–$794.25 | $375–$1,059 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$78–$365.25 | $104–$487 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$82.50–$306 | $110–$408 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$81–$318.75 | $108–$425 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$60.75–$176.25 | $81–$235 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$106.50–$403.50 | $142–$538 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$79.50–$307.50 | $106–$410 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$66.75–$271.50 | $89–$362 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$66–$252.75 | $88–$337 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$76.50–$373.50 | $102–$498 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$90.75–$568.50 | $121–$758 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$156–$726.75 | $208–$969 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$90.75–$288 | $121–$384 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$202.50–$541.50 | $270–$722 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$108–$561 | $144–$748 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$65.25–$393.75 | $87–$525 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$98.25–$318.75 | $131–$425 | 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.