Imaging prices at Cibola General Hospital
Grants, NM · every code in this section with a posted price and a Medicare benchmark.
194 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 |
$179.63–$322.18 | $224.54–$402.73 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$179.63–$399.64 | $224.54–$499.55 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$179.63–$342.78 | $224.54–$428.48 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$179.63–$327.13 | $224.54–$408.91 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$496.87–$831.42 | $621.09–$1,039.27 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$179.63–$299.94 | $224.54–$374.92 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$179.63–$350.20 | $224.54–$437.75 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$196.11–$426.83 | $245.14–$533.54 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$179.63–$341.14 | $224.54–$426.42 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$617.18–$2,366.53 | $771.47–$2,958.16 | varies |
| Contrast X-Ray Bladder (74430) | $207.65 | $259.56 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$1,424.70–$5,000.86 | $1,780.87–$6,251.07 | varies |
| CT abdomen and pelvis without contrast (74176) range across 6 matching MRF lines |
$1,008.58–$4,129.89 | $1,260.72–$5,162.36 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$676.50–$2,935.09 | $845.63–$3,668.86 | varies |
| CT abdomen w wo contrast (74170) range across 6 matching MRF lines |
$747.37–$3,172.40 | $934.21–$3,965.50 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$638.60–$2,055.88 | $798.25–$2,569.85 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 5 matching MRF lines |
$1,161.02–$3,666.80 | $1,451.27–$4,583.50 | varies |
| CT Angio Chest (71275) range across 6 matching MRF lines |
$1,025.06–$3,501.18 | $1,281.32–$4,376.47 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$931.94–$2,944.15 | $1,164.93–$3,680.19 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$1,013.52–$3,625.60 | $1,266.90–$4,532 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$931.94–$2,962.28 | $1,164.93–$3,702.85 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$964.90–$2,437.39 | $1,206.13–$3,046.74 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$652.61–$2,966.40 | $815.76–$3,708 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$617.18–$2,216.56 | $771.47–$2,770.70 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$605.64–$3,523.42 | $757.05–$4,404.28 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$663.32–$2,421.74 | $829.15–$3,027.17 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$734.18–$2,856.81 | $917.73–$3,571.01 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$600.70–$2,740.62 | $750.87–$3,425.78 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$674.03–$2,631.03 | $842.54–$3,288.79 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$234.84–$269.45 | $293.55–$336.81 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$734.18–$2,493.42 | $917.73–$3,116.78 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$674.03–$2,966.40 | $842.54–$3,708 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$584.22–$3,172.40 | $730.27–$3,965.50 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$617.18–$3,172.40 | $771.47–$3,965.50 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$652.61–$2,647.51 | $815.76–$3,309.39 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$617.18–$2,163.82 | $771.47–$2,704.78 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$695.46–$2,679.65 | $869.32–$3,349.56 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$603.99–$1,759.24 | $754.99–$2,199.05 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$768.79–$2,685.42 | $960.99–$3,356.77 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$780.33–$2,785.94 | $975.41–$3,482.43 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$679.80–$1,966.06 | $849.75–$2,457.58 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$652.61–$3,750.02 | $815.76–$4,687.53 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$584.22–$2,111.91 | $730.27–$2,639.89 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$652.61–$3,625.60 | $815.76–$4,532 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$753.14–$2,785.94 | $941.42–$3,482.43 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$734.18–$2,064.12 | $917.73–$2,580.15 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$679.80–$1,845.76 | $849.75–$2,307.20 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$652.61–$2,647.51 | $815.76–$3,309.39 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$617.18–$2,163.82 | $771.47–$2,704.78 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$674.03–$2,966.40 | $842.54–$3,708 | varies |
| CT thorax w/o contrast (71250) range across 6 matching MRF lines |
$619.65–$2,719.20 | $774.56–$3,399 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$584.22–$1,800.44 | $730.27–$2,250.55 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$592.46–$2,486.01 | $740.57–$3,107.51 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$617.18–$2,056.70 | $771.47–$2,570.88 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,278.02–$4,036.78 | $1,597.53–$5,045.97 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$215.06–$455.67 | $268.83–$569.59 | varies |
| Esophagram (74220) | $274.39 | $342.99 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$549.61–$560.32 | $687.01–$700.40 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$994.57–$2,379.71 | $1,243.21–$2,974.64 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$179.63–$661.67 | $224.54–$827.09 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$179.63–$329.60 | $224.54–$412 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$179.63–$359.26 | $224.54–$449.08 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$179.63–$364.21 | $224.54–$455.26 | varies |
| Hysterosalpingogram (74740) | $212.59 | $265.74 | 0.9× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$179.63–$420.24 | $224.54–$525.30 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$594.93–$2,690.36 | $743.66–$3,362.95 | varies |
| Magnetic Resonance Elastography (76391) range across 2 matching MRF lines |
$500.17–$1,157.72 | $625.21–$1,447.15 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$959.14–$3,607.47 | $1,198.92–$4,509.34 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$641.07–$2,627.74 | $801.34–$3,284.67 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$638.60–$2,944.15 | $798.25–$3,680.19 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$638.60–$2,719.20 | $798.25–$3,399 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$954.19–$3,513.54 | $1,192.74–$4,391.92 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$638.60–$2,474.47 | $798.25–$3,093.09 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$924.53–$3,335.55 | $1,155.66–$4,169.44 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$774.56–$2,754.63 | $968.20–$3,443.29 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 28 matching MRF lines |
$861.90–$2,925.20 | $1,077.38–$3,656.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 16 matching MRF lines |
$1,147.01–$3,770.62 | $1,433.76–$4,713.28 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 32 matching MRF lines |
$861.90–$3,094.12 | $1,077.38–$3,867.65 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$889.10–$2,882.35 | $1,111.37–$3,602.94 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,030–$3,237.50 | $1,287.50–$4,046.87 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$856.14–$2,839.50 | $1,070.17–$3,549.38 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$772.09–$2,506.61 | $965.11–$3,133.26 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$924.53–$2,506.61 | $1,155.66–$3,133.26 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,198.92–$3,760.74 | $1,498.65–$4,700.92 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$861.90–$3,136.97 | $1,077.38–$3,921.21 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$1,144.54–$3,590.99 | $1,430.67–$4,488.74 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$720.18–$2,621.97 | $900.22–$3,277.46 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$785.27–$3,304.24 | $981.59–$4,130.30 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,370.31–$4,012.06 | $1,712.89–$5,015.07 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 6 matching MRF lines |
$717.70–$2,562.64 | $897.13–$3,203.30 | varies |
| MRI orbit face neck w contrast (70542) range across 6 matching MRF lines |
$861.90–$3,237.50 | $1,077.38–$4,046.87 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 8 matching MRF lines |
$1,147.01–$3,761.56 | $1,433.76–$4,701.95 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$924.53–$3,126.26 | $1,155.66–$3,907.82 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,040.71–$3,850.55 | $1,300.89–$4,813.19 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$780.33–$2,638.45 | $975.41–$3,298.06 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$856.14–$2,822.20 | $1,070.17–$3,527.75 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 8 matching MRF lines |
$864.38–$3,090.82 | $1,080.47–$3,863.53 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 8 matching MRF lines |
$720.18–$3,090.82 | $900.22–$3,863.53 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 12 matching MRF lines |
$1,147.01–$3,598.41 | $1,433.76–$4,498.01 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,198.92–$3,835.72 | $1,498.65–$4,794.65 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,362.07–$3,942.84 | $1,702.59–$4,928.55 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,016.82–$3,772.27 | $1,271.02–$4,715.34 | varies |
| MRI, joint upper extrem (73221) range across 20 matching MRF lines |
$720.18–$2,817.26 | $900.22–$3,521.57 | varies |
| MRI, joint upper extrem combo (73223) range across 16 matching MRF lines |
$1,147.01–$3,662.68 | $1,433.76–$4,578.35 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,040.71–$4,031.01 | $1,300.89–$5,038.76 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$179.63–$338.66 | $224.54–$423.33 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$179.63–$355.14 | $224.54–$443.93 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$223.30–$552.90 | $279.13–$691.13 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$179.63–$398.82 | $224.54–$498.52 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$179.63–$311.47 | $224.54–$389.34 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$179.63–$395.52 | $224.54–$494.40 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$190.34–$456.50 | $237.93–$570.62 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$163.15–$298.29 | $203.94–$372.86 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$179.63–$442.49 | $224.54–$553.11 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$179.63–$400.46 | $224.54–$500.58 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$179.63–$371.62 | $224.54–$464.53 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 5 matching MRF lines |
$179.63–$589.98 | $224.54–$737.48 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$179.63–$402.11 | $224.54–$502.64 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$179.63–$359.26 | $224.54–$449.08 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$179.63–$295.82 | $224.54–$369.77 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$179.63–$386.46 | $224.54–$483.07 | varies |
| Radiologic exam colon double contrast study (74280) | $635.30 | $794.13 | 3.7× |
| Radiologic exam colon single contrast study (74270) | $447.43 | $559.29 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$179.63–$495.22 | $224.54–$619.03 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $447.43 | $559.29 | 2.6× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$179.63–$277.69 | $224.54–$347.11 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$179.63–$345.26 | $224.54–$431.57 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$179.63–$349.38 | $224.54–$436.72 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$321.36–$831.42 | $401.70–$1,039.27 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$179.63–$374.10 | $224.54–$467.62 | varies |
| Ribs bilateral 3 views (71110) | $486.16 | $607.70 | 4.7× |
| Scapula (73010) range across 4 matching MRF lines |
$179.63–$362.56 | $224.54–$453.20 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 9 matching MRF lines |
$47.79–$269.45 | $59.74–$336.81 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$179.63–$309.82 | $224.54–$387.28 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$179.63–$387.28 | $224.54–$484.10 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$322.18–$529.83 | $402.73–$662.29 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$179.63–$404.58 | $224.54–$505.73 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$179.63–$467.21 | $224.54–$584.01 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$179.63–$381.51 | $224.54–$476.89 | varies |
| Ultrasound Breast Limited (76642) range across 12 matching MRF lines |
$442.49–$891.57 | $553.11–$1,114.46 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$269.45–$453.20 | $336.81–$566.50 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 4 matching MRF lines |
$269.45–$453.20 | $336.81–$566.50 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$328.78–$494.40 | $410.97–$618 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$423.54–$763.85 | $529.42–$954.81 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$299.11–$403.76 | $373.89–$504.70 | varies |
| Upper gi w/o kub (74240) | $447.43 | $559.29 | 2.6× |
| Urethrocystogram voiding (74455) | $220.01 | $275.01 | 0.9× |
| Us breast unilateral complete (76641) range across 12 matching MRF lines |
$477.92–$1,184.09 | $597.40–$1,480.11 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$385.63–$562.79 | $482.04–$703.49 | varies |
| Us complete joint (76881) | $657.55 | $821.94 | 6.4× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$271.92–$533.13 | $339.90–$666.41 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$296.64–$465.56 | $370.80–$581.95 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$824–$1,044.01 | $1,030–$1,305.01 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$472.98–$519.94 | $591.22–$649.93 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$538.07–$592.46 | $672.59–$740.57 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$491.93–$844.60 | $614.91–$1,055.75 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$532.30–$688.04 | $665.38–$860.05 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$524.89–$622.12 | $656.11–$777.65 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$524.06–$829.77 | $655.08–$1,037.21 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$418.59–$655.08 | $523.24–$818.85 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$456.50–$786.10 | $570.62–$982.62 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$393.87–$741.60 | $492.34–$927 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$491.93–$678.98 | $614.91–$848.72 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$179.63–$359.26 | $224.54–$449.08 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$190.34–$332.90 | $237.93–$416.12 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$179.63–$444.14 | $224.54–$555.17 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$179.63–$329.60 | $224.54–$412 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$179.63–$642.72 | $224.54–$803.40 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$179.63–$296.64 | $224.54–$370.80 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$231.54–$441.66 | $289.43–$552.08 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$179.63–$285.93 | $224.54–$357.41 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$171.39–$358.44 | $214.24–$448.05 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$242.26–$491.10 | $302.82–$613.88 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$173.04–$501.82 | $216.30–$627.27 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$135.96–$491.93 | $169.95–$614.91 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$252.97–$623.77 | $316.21–$779.71 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$179.63–$683.10 | $224.54–$853.87 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$179.63–$399.64 | $224.54–$499.55 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$260.38–$639.42 | $325.48–$799.28 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$196.11–$469.68 | $245.14–$587.10 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$179.63–$355.14 | $224.54–$443.93 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 5 matching MRF lines |
$179.63–$447.43 | $224.54–$559.29 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$299.94–$359.26 | $374.92–$449.08 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$179.63–$443.31 | $224.54–$554.14 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$223.30–$594.93 | $279.13–$743.66 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$179.63–$383.98 | $224.54–$479.98 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$179.63–$369.15 | $224.54–$461.44 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$179.63–$428.48 | $224.54–$535.60 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$244.73–$517.47 | $305.91–$646.84 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$179.63–$491.93 | $224.54–$614.91 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$179.63–$299.11 | $224.54–$373.89 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$196.11–$383.16 | $245.14–$478.95 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 4 matching MRF lines |
$179.63–$229.07 | $224.54–$286.34 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$201.06–$450.73 | $251.32–$563.41 | 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.