Imaging prices at Carroll County Memorial Hospital (Carrollton, MO)

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

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Procedure	Posted cash	Posted gross	× Medicare
Abdomen 1 View (74018) range across 4 matching MRF lines	$23.25	$31–$340	0.3×
Abdomen 2 views (74019) range across 4 matching MRF lines	$27	$36–$445	0.3×
Acute Gastrointestinal Blood Loss Imaging (78278) range across 4 matching MRF lines	$108.75	$145–$1,855	0.3×
Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines	$217.50	$290–$8,565	0.1×
Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines	$202.50	$270–$8,165	0.1×
Ankle 2 views (73600) range across 4 matching MRF lines	$19.50	$26–$415	0.2×
Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure	$127.50	$13,525	0.0×
Arthrogram hip (73525) range across 4 matching MRF lines	$67.50	$90–$1,240	0.2×
Arthrogram Wrist (73115) range across 4 matching MRF lines	$63.75	$85–$1,180	0.2×
Bone age studies (77072) range across 2 matching MRF lines	$23.25	$31–$395	0.2×
Bone Imaging 3 Phase (78315) range across 4 matching MRF lines	$108.75	$145–$2,475	0.3×
Bone Imaging Limited Area (78300) range across 2 matching MRF lines	$71.25	$95–$1,960	0.2×
Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines	$90	$120–$1,095	0.2×
Bone Imaging Whole Body (78306) range across 4 matching MRF lines	$93.75	$125–$2,475	0.2×
Bone survey infant (77076) range across 2 matching MRF lines	$78.75	$105–$415	0.8×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines	$71.25	$95–$1,845	0.1×
Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines	$60	$80–$1,410	0.1×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines	$127.50	$170–$1,545	0.3×
Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) range across 2 matching MRF lines	$161.25	$215–$4,120	0.3×
Chest 1 view (71045) range across 6 matching MRF lines	$23.25	$31–$355	0.3×
Chest 2 views (71046) range across 2 matching MRF lines	$27	$36–$415	0.3×
Chest 3 views (71047) range across 4 matching MRF lines	$33.75	$45–$250	0.4×
Chest 4 or more views (71048) range across 2 matching MRF lines	$37.50	$50–$295	0.4×
Clavicle complete (73000) range across 4 matching MRF lines	$19.50	$26–$355	0.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines	$120	$160–$1,030	1.1×
Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines	$161.25	$215–$8,565	0.1×
Contrast X-Ray Bladder (74430) range across 2 matching MRF lines	$37.50	$50–$545	0.1×
Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines	$67.50	$90–$1,855	0.2×
CT abdomen and pelvis without and with contrast (74178) range across 6 matching MRF lines	$221.25	$295–$5,565	0.6×
CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines	$191.25	$255–$4,225	0.8×
CT abdomen w contrast (74160) range across 2 matching MRF lines	$142.50	$190–$3,090	0.8×
CT abdomen w wo contrast (74170) range across 2 matching MRF lines	$157.50	$210–$4,635	0.9×
CT abdomen w/o contrast (74150) range across 2 matching MRF lines	$135	$180–$2,165	1.3×
CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines	$240	$320–$4,635	0.7×
CT Angio Chest (71275) range across 2 matching MRF lines	$198.75	$265–$3,195	1.1×
CT Angio Head (70496) range across 2 matching MRF lines	$191.25	$255–$3,400	1.1×
CT Angio Neck (70498) range across 2 matching MRF lines	$191.25	$255–$3,505	1.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines	$157.50	$210–$3,300	0.9×
CT cervical spine w/ contrast (72126) range across 2 matching MRF lines	$138.75	$185–$3,090	0.4×
CT cervical spine w/o contrast (72125) range across 2 matching MRF lines	$108.75	$145–$2,575	1.0×
CT cervical spine w/wo cont (72127) range across 2 matching MRF lines	$142.50	$190–$3,300	0.8×
CT chest w contrast (71260) range across 6 matching MRF lines	$127.50	$170–$2,785	0.7×
CT chest w/wo contrast (71270) range across 4 matching MRF lines	$142.50	$190–$2,885	0.8×
CT head/brain with contrast (70460) range across 2 matching MRF lines	$123.75	$165–$2,475	0.7×
CT head/brain without and with contrast (70470) range across 2 matching MRF lines	$142.50	$190–$3,090	0.8×
CT heart no contrast quant eval coronry calcium (75571)	—	$55	—
CT iac w contrast (70481) range across 4 matching MRF lines	$123.75	$165–$2,475	0.7×
CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines	$142.50	$190–$3,300	0.8×
CT lower ext w/o (73700) range across 24 matching MRF lines	$108.75	$145–$2,060	1.0×
CT lower extremity w/contrast material (73701) range across 24 matching MRF lines	$127.50	$170–$2,270	0.7×
CT lumbar spine w contrast (72132) range across 2 matching MRF lines	$138.75	$185–$3,090	0.4×
CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines	$108.75	$145–$2,575	1.0×
CT maxillofacial w contrast (70487) range across 4 matching MRF lines	$123.75	$165–$2,475	0.7×
CT maxillofacial wo contrast (70486) range across 4 matching MRF lines	$93.75	$125–$2,270	0.9×
CT neck tissue combo (70492) range across 2 matching MRF lines	$180	$240–$2,785	1.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines	$142.50	$190–$2,990	0.8×
CT orbits w/o contrast (70480) range across 4 matching MRF lines	$142.50	$190–$2,270	1.4×
CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines	$138.75	$185–$3,605	0.8×
CT pelvis w/o contrast (72192) range across 2 matching MRF lines	$120	$160–$2,270	1.1×
CT scan of leg combo (73702) range across 24 matching MRF lines	$138.75	$185–$2,785	0.8×
CT scans face/jaw combo (70488) range across 4 matching MRF lines	$142.50	$190–$2,990	0.8×
CT soft tissue neck w contrast (70491) range across 2 matching MRF lines	$153.75	$205–$2,680	0.9×
CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines	$142.50	$190–$2,060	1.4×
CT thoracic spine w contrast (72129) range across 2 matching MRF lines	$138.75	$185–$3,090	0.8×
CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines	$108.75	$145–$2,575	1.0×
CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines	$142.50	$190–$3,300	0.8×
CT thorax w/o contrast (71250) range across 6 matching MRF lines	$120	$160–$2,165	1.1×
CT upper ext wo (73200) range across 24 matching MRF lines	$108.75	$145–$1,855	1.0×
CT upper extremity w/o & w/contrast material (73202) range across 24 matching MRF lines	$138.75	$185–$2,475	0.8×
CT upper extremity with contrast (73201) range across 24 matching MRF lines	$127.50	$170–$2,060	0.4×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines	$262.50	$350–$3,605	1.5×
Cta Abdomen (74175) range across 2 matching MRF lines	$198.75	$265–$2,990	1.1×
Discography Cerv/Thor Spine (72285) range across 4 matching MRF lines	$127.50	$170–$4,395	0.1×
Diskography lumbar (72295) range across 2 matching MRF lines	$93.75	$125–$5,315	0.0×
Dxa Bone Density Axial (77080) range across 2 matching MRF lines	$23.25	$31–$540	0.2×
Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines	$23.25	$31–$210	0.3×
Esophagram (74220) range across 4 matching MRF lines	$67.50	$90–$890	0.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines	$86.25	$115–$725	0.8×
Fluoroscopy up to 1 hr (76000)	—	$775	—
Foot 2 views (73620) range across 4 matching MRF lines	$19.50	$26–$365	0.2×
Forearm 2 views (73090) range across 4 matching MRF lines	$19.50	$26–$365	0.2×
Gastric emptying imaging study (78264) range across 2 matching MRF lines	$86.25	$115–$2,165	0.2×
Gastric Mucosa Imaging (78261) range across 2 matching MRF lines	$67.50	$90–$1,855	0.2×
Gated Heart Planar Single (78472) range across 4 matching MRF lines	$108.75	$145–$3,090	0.3×
Gated Heart, Multiple (78473) range across 2 matching MRF lines	$161.25	$215–$1,095	0.4×
Hand 2 views (73120) range across 4 matching MRF lines	$19.50	$26–$365	0.2×
Heart first pass single,planar (78481) range across 2 matching MRF lines	$108.75	$145–$1,545	0.2×
Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines	$97.50	$130–$2,575	0.2×
Hepatobiliary System Imaging (78226) range across 2 matching MRF lines	$82.50	$110–$2,270	0.2×
K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines	$153.75	$205–$1,410	0.3×
K Flow/Funct Image W/Drug (78708) range across 4 matching MRF lines	$135	$180–$2,060	0.2×
K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines	$101.25	$135–$1,855	0.2×
Kidney Imaging Morphol (78700) range across 2 matching MRF lines	$52.50	$70–$1,210	0.1×
Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 4 matching MRF lines	$56.25	$75–$1,140	0.1×
Knee 3 Views (73562) range across 6 matching MRF lines	$23.25	$31–$445	0.3×
Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines	$56.25	$75–$1,340	0.1×
Liver imaging static only (78201) range across 2 matching MRF lines	$48.75	$65–$4,635	0.1×
Liver imaging w/vascular flow (78202) range across 2 matching MRF lines	$56.25	$75–$820	0.1×
Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines	$93.75	$125–$2,575	0.2×
Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines	$82.50	$110–$1,410	0.2×
Lung Ventilation Imaging (78579) range across 2 matching MRF lines	$56.25	$75–$1,755	0.1×
Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines	$165	$220–$2,270	0.7×
Meckels Divert Exam (78290) range across 2 matching MRF lines	$67.50	$90–$1,190	0.2×
Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines	$165	$220–$4,845	0.5×
MRA head w/o contrast (70544) range across 4 matching MRF lines	$135	$180–$2,990	0.6×
MRA neck w contrast (70548) range across 2 matching MRF lines	$168.75	$225–$2,885	0.5×
Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines	$198.75	$265–$3,195	0.6×
MRA neck w/o contrast (70547) range across 2 matching MRF lines	$135	$180–$2,575	0.6×
MRI abdomen w contrast (74182) range across 2 matching MRF lines	$191.25	$255–$3,710	0.5×
MRI abdomen w/o contrast (74181) range across 2 matching MRF lines	$161.25	$215–$2,990	0.7×
MRI any jt lower extrem w/contrast material (73722) range across 12 matching MRF lines	$180	$240–$2,885	0.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 12 matching MRF lines	$232.50	$310–$4,020	0.7×
MRI any jt upper extremity w/contrast matrl (73222) range across 12 matching MRF lines	$180	$240–$2,885	0.2×
MRI cervical spine w contrast (72142) range across 2 matching MRF lines	$198.75	$265–$3,195	0.6×
MRI cervical spine w/o cont (72141) range across 2 matching MRF lines	$165	$220–$2,990	0.7×
MRI chest w/o contrast (71550) range across 2 matching MRF lines	$161.25	$215–$2,885	0.7×
MRI chest with contrast (71551) range across 2 matching MRF lines	$191.25	$255–$3,090	0.2×
MRI chest wo w contrast (71552) range across 2 matching MRF lines	$243.75	$325–$3,505	0.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 12 matching MRF lines	$180	$240–$3,710	0.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 12 matching MRF lines	$232.50	$310–$4,225	0.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 12 matching MRF lines	$150	$200–$2,885	0.6×
MRI lumbar spine w contrast (72149) range across 2 matching MRF lines	$195	$260–$3,195	0.6×
Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines	$247.50	$330–$3,915	0.7×
MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines	$150	$200–$2,680	0.6×
MRI orbit face neck w contrast (70542) range across 2 matching MRF lines	$180	$240–$4,120	0.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines	$232.50	$310–$5,255	0.7×
MRI pelvis w contrast (72196) range across 2 matching MRF lines	$191.25	$255–$3,605	0.5×
MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines	$240	$320–$4,020	0.7×
MRI pelvis w/o contrast (72195) range across 2 matching MRF lines	$165	$220–$2,680	0.7×
MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines	$165	$220–$2,990	0.7×
MRI upper extremity oth than jt w/contr matrl (73219) range across 12 matching MRF lines	$180	$240–$2,785	0.5×
MRI upper extremity oth than jt w/o contr matrl (73218) range across 12 matching MRF lines	$153.75	$205–$2,575	0.6×
Mri Uppr Extremity W/O&W/Dye (73220) range across 12 matching MRF lines	$236.25	$315–$3,300	0.7×
MRI, abdomen, combo (74183) range across 2 matching MRF lines	$240	$320–$4,845	0.7×
MRI, dorsal spine combo (72157) range across 2 matching MRF lines	$247.50	$330–$3,915	0.7×
MRI, dorsal spine contrast (72147) range across 2 matching MRF lines	$195	$260–$3,195	0.6×
MRI, joint upper extrem (73221) range across 16 matching MRF lines	$153.75	$205–$2,680	0.6×
MRI, joint upper extrem combo (73223) range across 12 matching MRF lines	$236.25	$315–$4,020	0.7×
MRI, lumbar spine combo (72158) range across 2 matching MRF lines	$247.50	$330–$3,915	0.7×
Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) range across 2 matching MRF lines	$90	$120–$2,060	0.2×
Myocardial Spect Multiple Studies (78452)	—	$5,665	—
Neck soft tissue (70360) range across 2 matching MRF lines	$23.25	$31–$355	0.3×
Nm myocard infarct spect (78469) range across 2 matching MRF lines	$101.25	$135–$3,605	0.2×
Optic foramina (70190) range across 4 matching MRF lines	$27	$36–$140	0.3×
Parathyroid Planar Imaging (78070) range across 2 matching MRF lines	$86.25	$115–$1,340	0.2×
Pelvis 1 or 2 views (72170) range across 5 matching MRF lines	$19.50	$26–$365	0.2×
Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines	$82.50	$110–$1,545	0.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines	$37.50	$50–$550	0.4×
Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines	$60	$80–$1,545	0.1×
Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines	$19.50	$26–$455	0.2×
Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines	$19.50	$26–$310	0.2×
Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines	$19.50	$26–$455	0.2×
Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines	$33.75	$45–$540	0.3×
Radex fingr minimum 2 views (73140) range across 24 matching MRF lines	$15.75	$21–$310	0.2×
Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines	$19.50	$26–$415	0.2×
Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines	$19.50	$26–$415	0.2×
Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines	$19.50	$26–$250	0.2×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 4 matching MRF lines	$41.25	$55–$155	0.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines	$19.50	$26–$310	0.2×
Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines	$27	$36–$340	0.3×
Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines	$23.25	$31–$435	0.3×
Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines	$19.50	$26–$310	0.2×
Radex Spine 1 View Specify Level (72020) range across 8 matching MRF lines	$23.25	$31–$140	0.3×
Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines	$23.25	$31–$415	0.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines	$27	$36–$540	0.3×
Radex Toe Minimum 2 Views (73660) range across 24 matching MRF lines	$15.75	$21–$310	0.2×
Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines	$19.50	$26–$250	0.2×
Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines	$19.50	$26–$415	0.2×
Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines	$27	$36–$515	0.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines	$33.75	$45–$375	0.3×
Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines	$142.50	$190–$1,135	0.8×
Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines	$112.50	$150–$930	0.6×
Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines	$27	$36–$485	0.3×
Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines	$33.75	$45–$465	0.3×
Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines	$90	$120–$1,030	0.5×
Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines	$63.75	$85–$725	0.4×
Radiologic exam upr gi trc double contrast study (74246) range across 6 matching MRF lines	$101.25	$135–$1,135	0.6×
Radiologic examination femur 1 view (73551) range across 4 matching MRF lines	$19.50	$26–$300	0.2×
Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines	$23.25	$31–$385	0.3×
Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines	$19.50	$26–$415	0.2×
Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines	$52.50	$70–$570	0.5×
Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines	$19.50	$26–$375	0.2×
Ribs bilateral 3 views (71110) range across 2 matching MRF lines	$37.50	$50–$285	0.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines	$116.25	$155–$4,120	0.2×
Scapula (73010) range across 4 matching MRF lines	$23.25	$31–$415	0.2×
Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines	$78.75	$103–$105	3.4×
Shoulder 1 view (73020) range across 4 matching MRF lines	$19.50	$26–$355	0.2×
Shoulder Arthrography (73040) range across 4 matching MRF lines	$63.75	$85–$1,650	0.2×
Skull less than 4 views (70250) range across 4 matching MRF lines	$23.25	$31–$365	0.2×
Sternoclavicular joints (71130) range across 2 matching MRF lines	$27	$36–$395	0.3×
Thoracic spine 2 views (72070) range across 2 matching MRF lines	$23.25	$31–$415	0.2×
Thoracic spine 3 views (72072) range across 4 matching MRF lines	$27	$36–$515	0.3×
Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines	$45	$60–$1,340	0.1×
Thyroid Uptake Measurement (78012) range across 4 matching MRF lines	$23.25	$31–$1,240	0.1×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines	$56.25	$75–$1,030	0.1×
Ultrasound Breast Limited (76642) range across 7 matching MRF lines	$78.75	$105–$620	0.9×
Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines	$63.75	$85–$600	0.6×
Ultrasound, abdomen limited (76705) range across 4 matching MRF lines	$67.50	$90–$930	0.6×
Unlisted Dx Radiographic Procedure (76499)	—	$140	—
Unlisted us procedure (76999) range across 4 matching MRF lines	$60	$80–$335	0.7×
Upper gi w/o kub (74240) range across 4 matching MRF lines	$90	$120–$930	0.5×
Us breast unilateral complete (76641) range across 6 matching MRF lines	$82.50	$110–$1,030	0.8×
Us chest (76604) range across 4 matching MRF lines	$60	$80–$335	0.6×
Us exam, pelvic, limited (76857) range across 2 matching MRF lines	$56.25	$75–$515	0.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 12 matching MRF lines	$71.25	$95–$605	0.7×
Us ob detailed single fetus (76811) range across 4 matching MRF lines	$210	$280–$1,600	0.9×
Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines	$75	$100–$670	0.7×
Us ob transvaginal (76817) range across 3 matching MRF lines	$86.25	$115–$825	0.8×
Us pelvic non ob complete (76856) range across 2 matching MRF lines	$78.75	$105–$1,030	0.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines	$108.75	$145–$825	1.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines	$93.75	$125–$500	0.9×
Us retroperitoneal complete (76770) range across 2 matching MRF lines	$82.50	$110–$1,135	0.8×
Us retroperitoneal limited (76775) range across 2 matching MRF lines	$67.50	$90–$725	0.6×
Us scrotum and contents (76870) range across 4 matching MRF lines	$75	$100–$930	0.7×
Us thyroid (76536) range across 4 matching MRF lines	$67.50–$71.25	$90–$930	varies
Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines	$82.50	$110–$1,920	0.1×
Wrist 2 views (73100) range across 4 matching MRF lines	$19.50	$26–$365	0.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines	$23.25	$31–$355	0.3×
X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines	$232.50	$310–$8,565	0.1×
X-Ray Bend Only L-S Spine (72120)	—	$355	—
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines	$19.50	$26–$355	0.2×
X-Ray Exam Breast Specimen (76098)	$60	$80	0.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines	$37.50	$50–$515	0.4×
X-Ray Exam Hip Uni 1 View (73501) range across 8 matching MRF lines	$23.25	$31–$355	0.3×
X-Ray Exam Hip Uni 2-3 Views (73502) range across 10 matching MRF lines	$27	$36–$355	0.3×
X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines	$27	$36–$620	0.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) range across 6 matching MRF lines	$27	$36–$415	0.3×
X-Ray Exam Neck Spine 6/>Vws (72052) range across 5 matching MRF lines	$37.50	$50–$725	0.4×
X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines	$33.75	$45–$495	0.3×
X-ray eye for foreign body (70030) range across 2 matching MRF lines	$23.25	$31–$310	0.3×
X-ray humerus (73060) range across 4 matching MRF lines	$19.50	$26–$250	0.2×
X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines	$56.25	$75–$555	0.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines	$23.25	$31–$310	0.3×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines	$19.50	$26–$280	0.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines	$27	$36–$465	0.3×
X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines	$23.25	$31–$310	0.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines	$37.50	$50–$640	0.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines	$27	$36–$395	0.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines	$19.50	$26–$355	0.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 6 matching MRF lines	$19.50	$26–$395	0.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines	$27	$36–$495	0.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines	$33.75	$45–$515	0.3×
X-Ray Tmj Unilat (70328) range across 4 matching MRF lines	$23.25	$31–$140	0.3×
X-Rays Bone Length Studies (77073) range across 2 matching MRF lines	$33.75	$45–$825	0.3×
X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines	$63.75	$85–$930	0.6×
Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines	$33.75	$45–$620	0.3×
Xr facial bones less than 3 views (70140) range across 4 matching MRF lines	$23.25	$31–$310	0.3×
XR Mastoids < 3 Views Bilateral (70120) range across 4 matching MRF lines	$23.25	$31–$140	0.2×
Xr orbits complete 4 views (70200) range across 6 matching MRF lines	$33.75	$45–$415	0.3×

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.