Imaging prices at Cascade Medical
Leavenworth, WA · every code in this section with a posted price and a Medicare benchmark.
209 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,516 | $4,395 | 2.3× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$61.60–$151.20 | $77–$189 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$85.60–$205.60 | $107–$257 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$50.40–$389.60 | $63–$487 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$48–$283.20 | $60–$354 | varies |
| Bone Imaging Multiple Areas (78305) | $1,184.80 | $1,481 | 2.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$56.80–$245.60 | $71–$307 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$67.20–$262.40 | $84–$328 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$98.40–$328.80 | $123–$411 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$77.60–$408.80 | $97–$511 | varies |
| Cholecystography Oral Contrast (74290) | $336.80 | $421 | 1.7× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$47.20–$357.60 | $59–$447 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,097.60 | $2,622 | 18.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$366.40–$3,639.20 | $458–$4,549 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$328–$2,804 | $410–$3,505 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$392–$2,626.40 | $490–$3,283 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$423.20–$3,412 | $529–$4,265 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$350.40–$2,219.20 | $438–$2,774 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$739.20–$4,549.60 | $924–$5,687 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$516.80–$3,480.80 | $646–$4,351 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$508–$3,104.80 | $635–$3,881 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$509.60–$3,075.20 | $637–$3,844 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$507.20–$3,104.80 | $634–$3,881 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,809.60 | $3,512 | 14.4× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$360.80–$1,493.60 | $451–$1,867 | varies |
| CT cervical spine w/o contrast (72125) | $1,242.40 | $1,553 | 10.7× |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$373.60–$2,236 | $467–$2,795 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$379.20–$2,438.40 | $474–$3,048 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$420–$3,004 | $525–$3,755 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$365.60–$2,001.60 | $457–$2,502 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$409.60–$3,004.80 | $512–$3,756 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$440.80–$1,740.80 | $551–$2,176 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$374.40–$2,000.80 | $468–$2,501 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$306.40–$1,729.60 | $383–$2,162 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$321.60–$1,919.20 | $402–$2,399 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$350.40–$1,380 | $438–$1,725 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$288–$1,200.80 | $360–$1,501 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$440.80–$1,740.80 | $551–$2,176 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$376–$1,475.20 | $470–$1,844 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$460–$2,547.20 | $575–$3,184 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$462.40–$1,904 | $578–$2,380 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$434.40–$1,475.20 | $543–$1,844 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$358.40–$2,928.80 | $448–$3,661 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$309.60–$1,998.40 | $387–$2,498 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,827.20–$1,898.40 | $2,284–$2,373 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$423.20–$1,904 | $529–$2,380 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$436–$2,049.60 | $545–$2,562 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$428.80–$1,494.40 | $536–$1,868 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$360.80–$1,440.80 | $451–$1,801 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$337.60–$1,225.60 | $422–$1,532 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$382.40–$2,186.40 | $478–$2,733 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$360–$2,097.60 | $450–$2,622 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$287.20–$1,808 | $359–$2,260 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,808–$1,827.20 | $2,260–$2,284 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$296–$1,827.20 | $370–$2,284 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$420–$2,550.40 | $525–$3,188 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$483.20–$3,104 | $604–$3,880 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$508–$3,152 | $635–$3,940 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$420–$3,024 | $525–$3,780 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$69.60–$567.20 | $87–$709 | varies |
| Esophagram (74220) | $702.40 | $878 | 3.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$204.80–$303.20 | $256–$379 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$292.80–$1,432 | $366–$1,790 | varies |
| Fluoroscopy up to 1 hr (76000) | $713.60 | $892 | 2.7× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$47.20–$322.40 | $59–$403 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$49.60–$371.20 | $62–$464 | varies |
| Gastric emptying imaging study (78264) | $2,299.20 | $2,874 | 5.2× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$48–$377.60 | $60–$472 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$56.80–$342.40 | $71–$428 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$352.80–$1,720.80 | $441–$2,151 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$522.40–$2,545.60 | $653–$3,182 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$372–$1,812.80 | $465–$2,266 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$481.60–$2,350.40 | $602–$2,938 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$408.80–$1,992 | $511–$2,490 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$464.80–$2,268 | $581–$2,835 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$342.40–$1,668.80 | $428–$2,086 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$588–$2,868.80 | $735–$3,586 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$531.20–$2,589.60 | $664–$3,237 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$413.60–$2,020 | $517–$2,525 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$600–$2,928 | $750–$3,660 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$481.60–$2,352 | $602–$2,940 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$292.80–$1,432 | $366–$1,790 | varies |
| MRI brain functional w/physician admnistration (70555) range across 2 matching MRF lines |
$292.80–$1,432.80 | $366–$1,791 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$292.80–$1,684 | $366–$2,105 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$292.80–$1,432 | $366–$1,790 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$465.60–$2,272.80 | $582–$2,841 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$408–$1,994.40 | $510–$2,493 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$293.60–$1,432.80 | $367–$1,791 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$361.60–$1,761.60 | $452–$2,202 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$428.80–$2,092 | $536–$2,615 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$416.80–$2,035.20 | $521–$2,544 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$517.60–$2,524.80 | $647–$3,156 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$376–$1,837.60 | $470–$2,297 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$491.20–$2,399.20 | $614–$2,999 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$596.80–$2,911.20 | $746–$3,639 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$371.20–$1,812.80 | $464–$2,266 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$513.60–$2,506.40 | $642–$3,133 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$550.40–$2,684.80 | $688–$3,356 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$488.80–$2,385.60 | $611–$2,982 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$541.60–$2,647.20 | $677–$3,309 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$380.80–$1,860 | $476–$2,325 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$396.80–$1,935.20 | $496–$2,419 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$356.80–$1,743.20 | $446–$2,179 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$314.40–$1,533.60 | $393–$1,917 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$490.40–$2,394.40 | $613–$2,993 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$673.60–$3,287.20 | $842–$4,109 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$452–$2,563.20 | $565–$3,204 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$468–$2,284 | $585–$2,855 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$390.40–$1,908 | $488–$2,385 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$519.20–$2,534.40 | $649–$3,168 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$558.40–$2,724.80 | $698–$3,406 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$59.20–$233.60 | $74–$292 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$170.40–$304 | $213–$380 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$68.80–$379.20 | $86–$474 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$93.60–$632 | $117–$790 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$53.60–$416.80 | $67–$521 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$47.20–$328 | $59–$410 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$53.60–$406.40 | $67–$508 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$74.40–$667.20 | $93–$834 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$39.20–$288.80 | $49–$361 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$52.80–$416.80 | $66–$521 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$54.40–$366.40 | $68–$458 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$33.60–$177.60 | $42–$222 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $18.40 | $23 | 0.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$46.40–$507.20 | $58–$634 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $70.40 | $88 | 0.7× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$63.20–$444.80 | $79–$556 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$45.60–$464 | $57–$580 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$47.20–$469.60 | $59–$587 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$64–$271.20 | $80–$339 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$52.80–$336 | $66–$420 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$42.40–$314.40 | $53–$393 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$23.20–$180 | $29–$225 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$56–$371.20 | $70–$464 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$72–$314.40 | $90–$393 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$78.40–$240.80 | $98–$301 | varies |
| Radiologic exam colon double contrast study (74280) | $1,550.40 | $1,938 | 7.9× |
| Radiologic exam colon single contrast study (74270) | $1,138.40 | $1,423 | 5.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$71.20–$528 | $89–$660 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$77.60–$306.40 | $97–$383 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $575.20 | $719 | 2.9× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 2 matching MRF lines |
$19.20–$128 | $24–$160 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $1,192.80 | $1,491 | 6.1× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$53.60–$403.20 | $67–$504 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$53.60–$436 | $67–$545 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$53.60–$411.20 | $67–$514 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$50.40–$414.40 | $63–$518 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$86.40–$660.80 | $108–$826 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$59.20–$400.80 | $74–$501 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$44.80–$80.80 | $56–$101 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$36–$156.80 | $45–$196 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$45.60–$267.20 | $57–$334 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$56.80–$224 | $71–$280 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$50.40–$269.60 | $63–$337 | varies |
| Ther rad simulaj-aided field setting simple (77280) | $1,232 | $1,540 | 8.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$64–$557.60 | $80–$697 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$68.80–$556 | $86–$695 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$68.80–$586.40 | $86–$733 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$148–$576.80 | $185–$721 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$158.40–$692 | $198–$865 | varies |
| Upper gi w/o kub (74240) | $673.60 | $842 | 3.4× |
| Us chest (76604) range across 3 matching MRF lines |
$156–$448 | $195–$560 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$268–$268.80 | $335–$336 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$132.80–$303.20 | $166–$379 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $422 | $527.50 | 3.6× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$506.40–$661.60 | $633–$827 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$176.80–$303.20 | $221–$379 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$202.40–$303.20 | $253–$379 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$185.60–$920.80 | $232–$1,151 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$264.80–$303.20 | $331–$379 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$227.20–$303.20 | $284–$379 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$197.60–$303.20 | $247–$379 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$155.20–$303.20 | $194–$379 | varies |
| Us scrotum and contents (76870) | $456.80 | $571 | 3.9× |
| Us thyroid (76536) range across 2 matching MRF lines |
$153.60–$304 | $192–$380 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$48–$354.40 | $60–$443 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$63.20–$248 | $79–$310 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$67.20–$492.80 | $84–$616 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$46.40–$420 | $58–$525 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$100.80–$306.40 | $126–$383 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $53.60 | $67 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $64.80 | $81 | 0.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $64.80 | $81 | 0.6× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$83.20–$469.60 | $104–$587 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$90.40–$511.20 | $113–$639 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$90.40–$511.20 | $113–$639 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$80.80–$345.60 | $101–$432 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$67.20–$408 | $84–$510 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$104–$824 | $130–$1,030 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $85.60 | $107 | 0.7× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$145.60–$222.40 | $182–$278 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$56–$388 | $70–$485 | varies |
| X-ray IV pyelogram (ivp) (74400) | $761.60 | $952 | 3.9× |
| X-ray IV pyelogram+tomography (74415) | $918.40 | $1,148 | 4.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$51.20–$179.20 | $64–$224 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$64.80–$504 | $81–$630 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$99.20–$941.60 | $124–$1,177 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$73.60–$470.40 | $92–$588 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$64.80–$232 | $81–$290 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$65.60–$489.60 | $82–$612 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$44–$448 | $55–$560 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$93.60–$316.80 | $117–$396 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$44–$232 | $55–$290 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$236–$658.40 | $295–$823 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$91.20–$769.60 | $114–$962 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$56.80–$224 | $71–$280 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $25.60 | $32 | 0.2× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$48.80–$104 | $61–$130 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$96.80–$469.60 | $121–$587 | 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.