Imaging prices at Cincinnati Children's Hospital Medical Center (Cincinnati, OH)

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

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Procedure	Posted cash	Posted gross	× Medicare
3-D radiotherapy plan dose-volume histograms (77295)	$537.54	$1,054	0.4×
Abdomen 1 View (74018) range across 3 matching MRF lines	$22.44–$120.87	$44–$237	varies
Abdomen 2 views (74019) range across 3 matching MRF lines	$28.05–$149.43	$55–$293	varies
Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines	$120.87–$845.07	$237–$1,657	varies
Acute venous thrombosis imaging, peptide Non-Facility (78456)	$392.19	$769	0.3×
Adrenal Cortex & Medulla Img (78075)	$464.10	$910	0.4×
Angio internal mammary (75756) range across 5 matching MRF lines	$132.09–$1,774.80	$259–$3,480	varies
Angio pulmonary bilat (75743) range across 3 matching MRF lines	$198.90–$1,241.85	$390–$2,435	varies
Angiography Adrenal Bilateral Slctv Rs&I (75733)	$1,029.18	$2,018	0.3×
Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines	$239.19–$1,387.20	$469–$2,720	varies
Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines	$214.20–$916.98	$420–$1,798	varies
Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines	$156.06–$1,076.10	$306–$2,110	varies
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 3 matching MRF lines	$128.01–$1,641.69	$251–$3,219	varies
Ankle 2 views (73600) range across 4 matching MRF lines	$27.54–$104.04	$54–$204	varies
Aortography thoracic serialography rs&i (75605) range across 4 matching MRF lines	$138.21–$741.54	$271–$1,454	varies
Aortography thoracic w/o serialography rs&i (75600) range across 3 matching MRF lines	$60.69–$844.05	$119–$1,655	varies
Artery X-Rays Abdomen (75726) range across 3 matching MRF lines	$243.27–$735.93	$477–$1,443	varies
Artery X-Rays Adrenal Gland (75731)	$1,010.82	$1,982	0.3×
Artery X-Rays Pelvis (75736) range across 3 matching MRF lines	$142.80–$876.18	$280–$1,718	varies
Artery X-Rays Spine (75705) range across 3 matching MRF lines	$435.54–$1,455.03	$854–$2,853	varies
Arthrogram ankle (73615) range across 3 matching MRF lines	$71.40–$316.71	$140–$621	varies
Arthrogram hip (73525) range across 4 matching MRF lines	$73.95–$411.57	$145–$807	varies
Arthrogram Wrist (73115)	$99.45	$195	0.3×
Basic radiation dosimetry calculation (77300) range across 4 matching MRF lines	$153–$338.13	$300–$663	varies
Bone age studies (77072) range across 3 matching MRF lines	$23.97–$131.58	$47–$258	varies
Bone Imaging 3 Phase (78315) range across 3 matching MRF lines	$119.34–$945.54	$234–$1,854	varies
Bone Imaging Multiple Areas (78305) range across 3 matching MRF lines	$99.96–$338.64	$196–$664	varies
Bone Imaging Whole Body (78306) range across 3 matching MRF lines	$104.04–$720.12	$204–$1,412	varies
Bone marrow imaging limited area (78102)	$203.49	$399	0.5×
Bone marrow imaging; whole body (78104)	$146.88	$288	0.4×
Bone survey infant (77076) range across 3 matching MRF lines	$87.21–$145.35	$171–$285	varies
Brain Flow Imaging Only (78610)	$39.78	$78	0.1×
Brain Image W/Flow < 4 Views (78601) range across 3 matching MRF lines	$61.71–$736.44	$121–$1,444	varies
Brain imaging < 4 static views (78600)	$190.23	$373	0.5×
Brain Imaging Min 4 Static Views W Vascular Flow (78606)	$340.68	$668	0.6×
Brain Imaging Minimum 4 Static Views (78605)	$296.31	$581	0.6×
Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines	$225.93–$4,124.37	$443–$8,087	varies
Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483)	$712.98	$1,398	1.3×
Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines	$342.72–$3,064.59	$672–$6,009	varies
Cardiac MRI w/w/o contrast w/stress (75563) range across 3 matching MRF lines	$363.63–$3,716.88	$713–$7,288	varies
Cardiac Shunt Detection (78428)	$125.46	$246	0.3×
Cat Scan Follow-Up Study (76380) range across 5 matching MRF lines	$118.32–$764.49	$232–$1,499	varies
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 3 matching MRF lines	$72.93–$745.62	$143–$1,462	varies
Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines	$81.60–$947.58	$160–$1,858	varies
Chest 1 view (71045) range across 3 matching MRF lines	$23.97–$114.24	$47–$224	varies
Chest 2 views (71046) range across 3 matching MRF lines	$28.56–$144.84	$56–$284	varies
Chest 3 views (71047) range across 3 matching MRF lines	$34.17–$184.11	$67–$361	varies
Chest 4 or more views (71048) range across 3 matching MRF lines	$37.74–$62.22	$74–$122	varies
Cholecystography Oral Contrast (74290)	$85.68	$168	0.5×
Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 3 matching MRF lines	$48.45–$63.75	$95–$125	varies
Cisternography Positive Contrast Rs&I (70015)	$167.79	$329	0.2×
Clavicle complete (73000) range across 3 matching MRF lines	$26.52–$113.73	$52–$223	varies
Continuing medical physics consltj pr wk (77336)	$253.98	$498	1.9×
Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines	$174.93–$810.90	$343–$1,590	varies
Contrast X-Ray Bladder (74430) range across 3 matching MRF lines	$39.78–$278.97	$78–$547	varies
Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines	$69.36–$382.50	$136–$750	varies
Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines	$71.40–$413.61	$140–$811	varies
Corpora cavernosography (74445)	$200.43	$393	2.0×
CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines	$247.35–$2,605.08	$485–$5,108	varies
CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines	$214.71–$1,987.98	$421–$3,898	varies
CT abdomen w contrast (74160) range across 4 matching MRF lines	$157.59–$1,320.90	$309–$2,590	varies
CT abdomen w wo contrast (74170) range across 3 matching MRF lines	$194.82–$1,537.65	$382–$3,015	varies
CT abdomen w/o contrast (74150) range across 3 matching MRF lines	$146.88–$1,167.39	$288–$2,289	varies
CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines	$270.30–$2,415.87	$530–$4,737	varies
CT Angio Chest (71275) range across 3 matching MRF lines	$224.40–$1,661.58	$440–$3,258	varies
CT Angio Head (70496) range across 3 matching MRF lines	$215.73–$1,774.29	$423–$3,479	varies
CT angio hrt w/3d image (75574) range across 3 matching MRF lines	$294.27–$1,819.68	$577–$3,568	varies
Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines	$232.56–$1,608.03	$456–$3,153	varies
CT Angio Neck (70498) range across 3 matching MRF lines	$215.73–$1,934.94	$423–$3,794	varies
Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines	$220.83–$1,665.66	$433–$3,266	varies
CT cervical spine w/ contrast (72126) range across 3 matching MRF lines	$150.96–$1,644.24	$296–$3,224	varies
CT cervical spine w/o contrast (72125) range across 3 matching MRF lines	$131.07–$1,255.62	$257–$2,462	varies
CT cervical spine w/wo cont (72127)	$146.37	$287	0.9×
CT chest w contrast (71260) range across 4 matching MRF lines	$144.33–$1,268.88	$283–$2,488	varies
CT chest w/wo contrast (71270) range across 3 matching MRF lines	$154.02–$1,639.14	$302–$3,214	varies
CT head/brain with contrast (70460) range across 3 matching MRF lines	$140.25–$1,279.59	$275–$2,509	varies
CT head/brain without and with contrast (70470) range across 3 matching MRF lines	$157.59–$1,588.14	$309–$3,114	varies
CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines	$214.20–$1,529.49	$420–$2,999	varies
CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines	$64.77–$149.43	$127–$293	varies
CT hrt w/3d image congen (75573) range across 3 matching MRF lines	$312.63–$585.48	$613–$1,148	varies
CT iac w contrast (70481) range across 3 matching MRF lines	$161.67–$1,293.87	$317–$2,537	varies
CT l-spine w&w/o contrast (72133)	$758.88	$1,488	4.4×
CT lower ext w/o (73700) range across 4 matching MRF lines	$135.15–$1,024.59	$265–$2,009	varies
CT lower extremity w/contrast material (73701) range across 3 matching MRF lines	$143.31–$1,168.41	$281–$2,291	varies
CT lumbar spine w contrast (72132) range across 3 matching MRF lines	$156.57–$1,371.90	$307–$2,690	varies
CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines	$123.42–$1,128.12	$242–$2,212	varies
CT maxillofacial w contrast (70487) range across 3 matching MRF lines	$139.23–$1,344.36	$273–$2,636	varies
CT maxillofacial wo contrast (70486) range across 3 matching MRF lines	$118.83–$945.03	$233–$1,853	varies
CT neck tissue combo (70492) range across 3 matching MRF lines	$198.90–$1,525.41	$390–$2,991	varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines	$156.57–$1,493.79	$307–$2,929	varies
CT orbits w/o contrast (70480) range across 3 matching MRF lines	$159.12–$1,012.35	$312–$1,985	varies
CT pelvis w&w/o contrast (72194)	$387.09	$759	2.3×
CT pelvis w/o contrast (72192) range across 3 matching MRF lines	$135.15–$1,157.70	$265–$2,270	varies
CT scan of leg combo (73702) range across 3 matching MRF lines	$149.94–$1,494.30	$294–$2,930	varies
CT scans face/jaw combo (70488) range across 3 matching MRF lines	$148.41–$1,490.73	$291–$2,923	varies
CT soft tissue neck w contrast (70491) range across 4 matching MRF lines	$170.85–$1,240.32	$335–$2,432	varies
CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines	$165.75–$1,064.88	$325–$2,088	varies
CT thoracic spine w contrast (72129) range across 3 matching MRF lines	$151.47–$1,523.88	$297–$2,988	varies
CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines	$123.42–$1,079.16	$242–$2,116	varies
CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines	$157.59–$825.69	$309–$1,619	varies
CT thorax w/o contrast (71250) range across 3 matching MRF lines	$134.13–$1,041.93	$263–$2,043	varies
CT upper ext wo (73200) range across 3 matching MRF lines	$129.54–$1,021.02	$254–$2,002	varies
CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines	$141.27–$1,360.68	$277–$2,668	varies
CT upper extremity with contrast (73201) range across 3 matching MRF lines	$143.31–$1,292.34	$281–$2,534	varies
Cta Abdomen (74175) range across 3 matching MRF lines	$223.38–$1,618.23	$438–$3,173	varies
CTA pelvis (72191) range across 3 matching MRF lines	$237.66–$1,891.59	$466–$3,709	varies
Dilation ureters/urethra rs&i (74485)	$93.84	$184	0.0×
Discography Cerv/Thor Spine (72285)	$713.49	$1,399	0.4×
Diskography lumbar (72295)	$642.60	$1,260	0.3×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 4 matching MRF lines	$68.34–$383.01	$134–$751	varies
Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines	$72.42–$455.94	$142–$894	varies
Doppler Fetal Mid Cerebral Artery (76821) range across 4 matching MRF lines	$87.21–$489.60	$171–$960	varies
Dxa Bone Density Axial (77080) range across 3 matching MRF lines	$36.21–$346.80	$71–$680	varies
Dxa bone density study (77085)	$48.96	$96	0.5×
Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines	$26.52–$330.48	$52–$648	varies
Echo exam of fetal heart (76825) range across 3 matching MRF lines	$402.39–$782.34	$789–$1,534	varies
Echo Guide For Artery Repair (76936) range across 3 matching MRF lines	$229.50–$910.35	$450–$1,785	varies
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 3 matching MRF lines	$102.51–$419.73	$201–$823	varies
Esophageal Motility Study (78258) range across 3 matching MRF lines	$81.09–$709.92	$159–$1,392	varies
Esophagram (74220) range across 3 matching MRF lines	$73.95–$295.80	$145–$580	varies
Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines	$130.05–$133.11	$255–$261	varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines	$94.86–$162.69	$186–$319	varies
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 3 matching MRF lines	$443.70–$2,001.24	$870–$3,924	varies
Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines	$51.51–$251.43	$101–$493	varies
Follow-Up Angiography (75898) range across 4 matching MRF lines	$236.64–$585.48	$464–$1,148	varies
Foot 2 views (73620) range across 3 matching MRF lines	$24.48–$86.19	$48–$169	varies
Forearm 2 views (73090) range across 3 matching MRF lines	$27.03–$112.20	$53–$220	varies
Gastric emptying imaging study (78264) range across 4 matching MRF lines	$95.88–$782.85	$188–$1,535	varies
Gastroesophageal Reflux Exam (78262) range across 3 matching MRF lines	$82.11–$380.46	$161–$746	varies
Gated Heart Planar Single (78472) range across 3 matching MRF lines	$118.83–$716.04	$233–$1,404	varies
Gated Heart, Multiple (78473)	$352.92	$692	0.9×
GI Endoscopic US S&I (76975)	$191.76	$376	0.8×
Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 3 matching MRF lines	$126.48–$955.23	$248–$1,873	varies
Hand 2 views (73120) range across 4 matching MRF lines	$20.91–$107.10	$41–$210	varies
Heart first pass single,planar (78481)	$474.30	$930	0.9×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 4 matching MRF lines	$159.63–$2,080.29	$313–$4,079	varies
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 4 matching MRF lines	$168.81–$2,452.08	$331–$4,808	varies
Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines	$109.14–$1,002.15	$214–$1,965	varies
Hepatobiliary System Imaging (78226) range across 3 matching MRF lines	$90.78–$1,012.35	$178–$1,985	varies
Ht Musc Image Planar Mult (78454)	$218.79	$429	0.2×
Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines	$166.77–$1,197.99	$327–$2,349	varies
Hyperthermia generated by intracavitary probe(s) Non-Facility (77620)	$377.91	$741	0.7×
Hysterosalpingogram (74740)	$132.60	$260	0.6×
Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines	$91.80–$394.23	$180–$773	varies
Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines	$102–$303.96	$200–$596	varies
Infusion Ivp (74410)	$188.70	$370	1.1×
Interstitial radiation source applic complex (77778)	$1,940.55	$3,805	2.9×
Joint Survey Single View (77077) range across 3 matching MRF lines	$43.35–$202.98	$85–$398	varies
K Flow/Funct Image Multiple (78709) range across 3 matching MRF lines	$169.32–$1,108.23	$332–$2,173	varies
K Flow/Funct Image W/Drug (78708)	$441.66	$866	0.8×
K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines	$114.24–$798.66	$224–$1,566	varies
Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 3 matching MRF lines	$62.73–$472.77	$123–$927	varies
Kidney Imaging Morphol (78700) range across 3 matching MRF lines	$53.55–$553.86	$105–$1,086	varies
Kidney Imaging Morphoogy W/Vascular Flow (78701)	$302.94	$594	0.8×
Knee 3 Views (73562) range across 3 matching MRF lines	$23.97–$142.29	$47–$279	varies
Labeled RBC Sequestration Differntl Organ/Tissue (78140)	$341.70	$670	0.9×
Leveen/Shunt Patency Exam (78291)	$146.37	$287	0.4×
Liver & Spleen Imaging Static Only (78215)	$94.35	$185	0.2×
Lung perfusion differential (78597) range across 3 matching MRF lines	$111.69–$538.05	$219–$1,055	varies
Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines	$129.03–$1,039.89	$253–$2,039	varies
Lung Ventilation Imaging (78579) range across 3 matching MRF lines	$59.16–$947.58	$116–$1,858	varies
Lymph System Imaging (78195) range across 3 matching MRF lines	$144.33–$984.81	$283–$1,931	varies
Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 3 matching MRF lines	$213.69–$1,225.02	$419–$2,402	varies
Lymphangiography extremity only unilateral rs&i (75801) range across 3 matching MRF lines	$117.81–$1,127.61	$231–$2,211	varies
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 3 matching MRF lines	$164.22–$1,222.47	$322–$2,397	varies
Lymphangiography, pelvic/abdominal, unilateral (75805) range across 3 matching MRF lines	$96.90–$1,167.90	$190–$2,290	varies
Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines	$199.41–$1,951.26	$391–$3,826	varies
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) range across 3 matching MRF lines	$436.56–$4,538.49	$856–$8,899	varies
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) range across 3 matching MRF lines	$418.71–$4,073.37	$821–$7,987	varies
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) range across 3 matching MRF lines	$441.66–$5,081.64	$866–$9,964	varies
Magnetic Resonance Elastography (76391) range across 3 matching MRF lines	$450.33–$1,746.75	$883–$3,425	varies
Meckels Divert Exam (78290) range across 3 matching MRF lines	$81.60–$752.25	$160–$1,475	varies
Medical physics dose eval radiation expos w/rprt (76145)	$898.11	$1,761	2.5×
Mlc imrt design & construction per imrt plan (77338) range across 3 matching MRF lines	$591.09–$808.86	$1,159–$1,586	varies
Mr safety determination physician/other qhp (76016) range across 3 matching MRF lines	$65.79–$71.40	$129–$140	varies
Mr safety implant&/fb assmt clin staf 1st 15 min (76014)	$65.79	$129	2.3×
Mr safety implt electronics prepj supvj phys/qhp (76018) range across 3 matching MRF lines	$65.79–$89.25	$129–$175	varies
Mr safety implt pos&/immoblj (76019) range across 3 matching MRF lines	$65.79–$70.89	$129–$139	varies
Mr safety med physics xm customization plng&mntr (76017) range across 3 matching MRF lines	$91.29–$296.31	$179–$581	varies
Mra Head W/O & W/Contrast Material (70546)	$587.01	$1,151	1.7×
MRA head w/o contrast (70544) range across 3 matching MRF lines	$148.41–$1,903.83	$291–$3,733	varies
MRA head with contrast (70545) range across 3 matching MRF lines	$148.41–$2,229.72	$291–$4,372	varies
MRA neck w contrast (70548)	$337.11	$661	1.0×
Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines	$221.85–$2,417.40	$435–$4,740	varies
MRA neck w/o contrast (70547) range across 4 matching MRF lines	$148.41–$1,899.24	$291–$3,724	varies
MRI abdomen w contrast (74182) range across 3 matching MRF lines	$213.18–$2,289.39	$418–$4,489	varies
MRI abdomen w/o contrast (74181) range across 3 matching MRF lines	$180.54–$1,975.23	$354–$3,873	varies
MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines	$200.94–$2,120.07	$394–$4,157	varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines	$340.17–$2,970.24	$667–$5,824	varies
MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines	$201.45–$2,155.26	$395–$4,226	varies
MRI bone marrow blood supply (77084) range across 3 matching MRF lines	$191.76–$836.40	$376–$1,640	varies
MRI brain functional w/o physician admnistration (70554) range across 3 matching MRF lines	$290.19–$2,531.64	$569–$4,964	varies
MRI brain functional w/physician admnistration (70555) range across 3 matching MRF lines	$350.37–$2,391.39	$687–$4,689	varies
MRI cardiac w/o cont stress (75559) range across 3 matching MRF lines	$356.49–$3,229.32	$699–$6,332	varies
MRI cardiac w/o contrast (75557) range across 3 matching MRF lines	$346.80–$1,941.57	$680–$3,807	varies
MRI cervical spine w contrast (72142) range across 3 matching MRF lines	$244.80–$2,244.51	$480–$4,401	varies
MRI cervical spine w/o cont (72141) range across 3 matching MRF lines	$183.09–$2,048.67	$359–$4,017	varies
MRI chest w/o contrast (71550) range across 3 matching MRF lines	$180.54–$1,933.92	$354–$3,792	varies
MRI chest with contrast (71551) range across 3 matching MRF lines	$214.20–$2,724.93	$420–$5,343	varies
MRI chest wo w contrast (71552) range across 3 matching MRF lines	$278.97–$3,180.87	$547–$6,237	varies
MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines	$199.92–$2,186.88	$392–$4,288	varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines	$265.20–$2,357.73	$520–$4,623	varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines	$194.82–$1,830.90	$382–$3,590	varies
MRI lumbar spine w contrast (72149) range across 3 matching MRF lines	$220.83–$2,305.20	$433–$4,520	varies
Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines	$283.56–$3,150.27	$556–$6,177	varies
MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines	$166.77–$1,957.89	$327–$3,839	varies
MRI orbit face neck w contrast (70542) range across 3 matching MRF lines	$199.92–$2,255.73	$392–$4,423	varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines	$265.20–$3,044.19	$520–$5,969	varies
MRI pelvis w contrast (72196) range across 3 matching MRF lines	$213.18–$2,108.85	$418–$4,135	varies
MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines	$270.81–$2,885.07	$531–$5,657	varies
MRI pelvis w/o contrast (72195) range across 3 matching MRF lines	$181.56–$1,896.69	$356–$3,719	varies
MRI spectroscopy (76390) range across 4 matching MRF lines	$227.46–$1,782.45	$446–$3,495	varies
MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines	$183.09–$2,140.98	$359–$4,198	varies
MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines	$195.84–$2,125.17	$384–$4,167	varies
MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines	$168.30–$1,787.55	$330–$3,505	varies
Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines	$265.71–$2,408.22	$521–$4,722	varies
MRI, abdomen, combo (74183) range across 3 matching MRF lines	$270.81–$3,055.92	$531–$5,992	varies
MRI, dorsal spine combo (72157) range across 3 matching MRF lines	$297.33–$3,105.39	$583–$6,089	varies
MRI, dorsal spine contrast (72147) range across 3 matching MRF lines	$236.64–$2,307.75	$464–$4,525	varies
MRI, joint upper extrem (73221) range across 3 matching MRF lines	$179.01–$1,953.81	$351–$3,831	varies
MRI, joint upper extrem combo (73223) range across 3 matching MRF lines	$266.73–$3,035.01	$523–$5,951	varies
MRI, lumbar spine combo (72158) range across 3 matching MRF lines	$283.56–$2,982.99	$556–$5,849	varies
Myelogram cervical (72240)	$353.43	$693	0.5×
Myelogram Lumbar (72265)	$374.34	$734	0.5×
Myelography thoracic (72255)	$399.33	$783	0.5×
Myelograpy 2/more regions rs&i (72270)	$571.20	$1,120	0.7×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466)	$111.69	$219	0.3×
Myocardial Imaging Pet Metabolic Evaluation (78459)	$374.34	$734	0.3×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453)	$189.72	$372	0.2×
Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines	$158.61–$850.17	$311–$1,667	varies
Neck soft tissue (70360) range across 3 matching MRF lines	$22.44–$111.18	$44–$218	varies
Nm csf leak detection (78650)	$109.65	$215	0.1×
Nm myocard infarct spect (78469)	$201.96	$396	0.4×
Nm red cell survival study (78130)	$265.20	$520	0.7×
Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines	$100.47–$150.96	$197–$296	varies
Ntsty modul radthx pln dose-vol histos (77301) range across 3 matching MRF lines	$1,100.07–$4,141.20	$2,157–$8,120	varies
Nuclear Rx Intra-Arterial (79445) range across 3 matching MRF lines	$272.34–$394.74	$534–$774	varies
Nuclear Rx Oral Admin (79005) range across 5 matching MRF lines	$217.26–$812.94	$426–$1,594	varies
Oph bmtry us echograpy a-scan io lens pwr cal (76519)	$78.54	$154	0.8×
Oph us dx ant sgm us immersion b-scan/hr biom (76513)	$83.64	$164	0.8×
Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 3 matching MRF lines	$115.26–$143.31	$226–$281	varies
Ophthalmic Biometry US Echograpy a-Scan (76516)	$63.24	$124	0.6×
Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 3 matching MRF lines	$75.99–$77.01	$149–$151	varies
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 4 matching MRF lines	$102–$335.58	$200–$658	varies
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 3 matching MRF lines	$19.38–$29.58	$38–$58	varies
Optic foramina (70190)	$66.30	$130	0.8×
Panoramic X-ray of jaws (70355)	$61.20	$120	0.7×
Parathyroid imaging w/tomographic spect & CT (78072) range across 3 matching MRF lines	$184.11–$724.71	$361–$1,421	varies
Parathyroid Planar Imaging (78070)	$215.22	$422	0.6×
Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines	$140.76–$721.14	$276–$1,414	varies
Pelvis 1 or 2 views (72170) range across 3 matching MRF lines	$30.60–$113.73	$60–$223	varies
Perineogram (74775)	$169.83	$333	0.7×
Pet Image Skull-Thigh (78812)	$416.16	$816	0.3×
Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines	$263.16–$4,667.52	$516–$9,152	varies
PET image w/CT, full body (78816) range across 3 matching MRF lines	$332.52–$5,481.99	$652–$10,749	varies
PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines	$293.25–$5,233.11	$575–$10,261	varies
Pet Imaging Limited Area Chest Head/Neck (78811)	$416.16	$816	0.3×
PET whole body (78813)	$416.16	$816	0.3×
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111)	$206.04	$404	0.2×
Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110)	$87.72	$172	0.1×
Platelet survival study Non-Facility (78191)	$583.95	$1,145	1.5×
Proton trmt simple w/comp (77522)	$2,729.01	$5,351	2.2×
Proton tx delivery complex (77525)	$3,637.32	$7,132	3.0×
Proton tx delivery intermediate (77523)	$3,182.91	$6,241	2.6×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 3 matching MRF lines	$161.67–$3,233.91	$317–$6,341	varies
Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines	$105.06–$665.04	$206–$1,304	varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines	$38.25–$150.96	$75–$296	varies
Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines	$64.26–$320.79	$126–$629	varies
Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines	$27.54–$124.95	$54–$245	varies
Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines	$27.03–$120.87	$53–$237	varies
Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines	$29.58–$135.66	$58–$266	varies
Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines	$32.64–$209.61	$64–$411	varies
Radex fingr minimum 2 views (73140) range across 3 matching MRF lines	$17.34–$93.84	$34–$184	varies
Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines	$27.03–$117.30	$53–$230	varies
Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines	$24.48–$127.50	$48–$250	varies
Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines	$30.60–$113.22	$60–$222	varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130)	$39.78	$78	0.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines	$20.91–$130.05	$41–$255	varies
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370)	$125.46	$246	1.5×
Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines	$28.56–$157.59	$56–$309	varies
Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines	$28.56–$149.94	$56–$294	varies
Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines	$21.93–$113.22	$43–$222	varies
Radex sm int w/mlt srl imges via enteroclss tube (74251)	$163.71	$321	1.0×
Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines	$19.89–$100.47	$39–$197	varies
Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines	$24.99–$155.55	$49–$305	varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines	$30.09–$80.07	$59–$157	varies
Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines	$16.83–$110.67	$33–$217	varies
Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines	$19.89–$121.38	$39–$238	varies
Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines	$31.11–$122.91	$61–$241	varies
Radiolog exam mandible compl minimum 4 views (70110)	$70.38	$138	0.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines	$33.15–$155.55	$65–$305	varies
Radiologic exam colon double contrast study (74280)	$261.63	$513	1.5×
Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines	$127.50–$393.72	$250–$772	varies
Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines	$38.25–$160.65	$75–$315	varies
Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines	$31.62–$195.33	$62–$383	varies
Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines	$99.45–$319.77	$195–$627	varies
Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines	$65.79–$243.78	$129–$478	varies
Radiologic exam teeth complete full mouth (70320)	$79.05	$155	0.3×
Radiologic exam upr gi trc double contrast study (74246)	$187.68	$368	1.1×
Radiologic examination femur 1 view (73551) range across 3 matching MRF lines	$20.91–$97.41	$41–$191	varies
Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines	$30.09–$117.81	$59–$231	varies
Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines	$29.58–$113.73	$58–$223	varies
Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines	$55.08–$100.47	$108–$197	varies
Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines	$28.05–$113.73	$55–$223	varies
Radiopharm Dacryocystography (78660)	$205.53	$403	0.5×
Red Cell Volume Determination Spx Mult Samplings (78121)	$238.68	$468	0.5×
Renal Cyst Study (74470) range across 3 matching MRF lines	$129.03–$370.77	$253–$727	varies
Rp loclzj tum plnr 1 area single day imaging (78800)	$112.71	$221	0.3×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines	$130.56–$1,435.14	$256–$2,814	varies
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines	$113.73–$713.49	$223–$1,399	varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines	$146.88–$939.93	$288–$1,843	varies
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 3 matching MRF lines	$296.82–$1,014.39	$582–$1,989	varies
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403)	$409.02	$802	1.8×
Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines	$228.99–$899.64	$449–$1,764	varies
Salivary Gland Function Study (78232) range across 3 matching MRF lines	$59.67–$268.77	$117–$527	varies
Salivary Gland Imaging (78230)	$202.98	$398	0.5×
Scapula (73010) range across 3 matching MRF lines	$22.44–$146.37	$44–$287	varies
Shoulder 1 view (73020) range across 3 matching MRF lines	$19.38–$108.63	$38–$213	varies
Shoulder Arthrography (73040)	$121.89	$239	0.4×
Sialogram (70390) range across 3 matching MRF lines	$45.90–$272.34	$90–$534	varies
Skull less than 4 views (70250) range across 3 matching MRF lines	$28.56–$163.20	$56–$320	varies
Special dosimetry (77331)	$120.87	$237	0.9×
Special Physics Consult (77370)	$478.38	$938	3.7×
Special teletherapy port plan (77321) range across 3 matching MRF lines	$125.97–$450.33	$247–$883	varies
Special treatment procedure (77470) range across 3 matching MRF lines	$276.42–$2,058.87	$542–$4,037	varies
Speech evaluation, complex (70371)	$236.64	$464	1.0×
Superior sagittal sinus venogram (75870) range across 3 matching MRF lines	$151.47–$453.90	$297–$890	varies
Telethx isodose pln cplx w/basic dosimetry (77307)	$353.94	$694	1.0×
Testicular Imaging W/Flow (78761)	$300.39	$589	0.8×
Ther Rad Simulaj-Aided Field Setting Complex (77290)	$193.29	$379	0.5×
Ther rad simulaj-aided field setting simple (77280)	$78.54	$154	0.6×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 3 matching MRF lines	$244.29–$714.51	$479–$1,401	varies
Thoracic spine 2 views (72070) range across 3 matching MRF lines	$27.54–$146.88	$54–$288	varies
Thoracolumbar 2 views (72080) range across 3 matching MRF lines	$26.52–$158.61	$52–$311	varies
Thyroid Carcinoma Metastases Img Lmtd Area (78015)	$112.71	$221	0.3×
Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines	$43.35–$443.70	$85–$870	varies
Thyroid Met Imaging Body (78018) range across 3 matching MRF lines	$99.96–$831.30	$196–$1,630	varies
Thyroid Uptake Measurement (78012) range across 3 matching MRF lines	$21.42–$288.66	$42–$566	varies
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines	$60.18–$681.87	$118–$1,337	varies
Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines	$211.65–$312.63	$415–$613	varies
Tx devices design & construction intermediate (77333) range across 3 matching MRF lines	$112.20–$204.51	$220–$401	varies
Tx devices design & construction simple (77332) range across 3 matching MRF lines	$78.03–$154.53	$153–$303	varies
Ultrasound Breast Limited (76642) range across 3 matching MRF lines	$84.15–$322.32	$165–$632	varies
Ultrasound elastography first target lesion (76982) range across 3 matching MRF lines	$70.38–$155.04	$138–$304	varies
Ultrasound Elastography Parenchyma (76981) range across 3 matching MRF lines	$73.95–$112.20	$145–$220	varies
Ultrasound trgt dynamic microbubble 1st lesion (76978) range across 3 matching MRF lines	$273.87–$487.05	$537–$955	varies
Ultrasound, abdomen limited (76705) range across 7 matching MRF lines	$72.42–$394.74	$142–$774	varies
Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines	$61.71–$369.75	$121–$725	varies
Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines	$295.80–$329.46	$580–$646	varies
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 3 matching MRF lines	$177.99–$466.65	$349–$915	varies
Unlisted us procedure (76999) range across 4 matching MRF lines	$102.51–$332.01	$201–$651	varies
Upper gi w/o kub (74240) range across 3 matching MRF lines	$99.45–$264.69	$195–$519	varies
Ureteral Reflux Study (78740) range across 3 matching MRF lines	$81.09–$552.84	$159–$1,084	varies
Urethrocystogram voiding (74455) range across 3 matching MRF lines	$42.33–$359.55	$83–$705	varies
Urethrocystography retrograde (74450) range across 3 matching MRF lines	$40.80–$450.33	$80–$883	varies
Us chest (76604) range across 8 matching MRF lines	$70.89–$383.52	$139–$752	varies
Us complete joint (76881) range across 3 matching MRF lines	$112.71–$353.43	$221–$693	varies
Us exam, pelvic, limited (76857) range across 5 matching MRF lines	$60.69–$310.59	$119–$609	varies
Us head (76506) range across 4 matching MRF lines	$79.56–$410.04	$156–$804	varies
Us kidney transplant (76776) range across 3 matching MRF lines	$93.33–$577.83	$183–$1,133	varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines	$63.75–$146.88	$125–$288	varies
Us ob detailed single fetus (76811) range across 3 matching MRF lines	$235.11–$848.13	$461–$1,663	varies
Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines	$80.07–$303.96	$157–$596	varies
Us ob transvaginal (76817) range across 3 matching MRF lines	$93.33–$364.14	$183–$714	varies
Us pelvic non ob complete (76856) range across 3 matching MRF lines	$84.15–$409.02	$165–$802	varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines	$118.32–$156.57	$232–$307	varies
Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines	$111.18–$229.50	$218–$450	varies
Us retroperitoneal complete (76770) range across 3 matching MRF lines	$91.80–$463.59	$180–$909	varies
Us retroperitoneal limited (76775) range across 5 matching MRF lines	$71.40–$335.58	$140–$658	varies
Us scrotum and contents (76870) range across 3 matching MRF lines	$78.54–$457.98	$154–$898	varies
Us spinal canal and contents (76800) range across 4 matching MRF lines	$159.12–$381.48	$312–$748	varies
Us thyroid (76536) range across 6 matching MRF lines	$69.36–$343.74	$136–$674	varies
Us transrectal (76872)	$84.15	$165	0.8×
Vascular Flow Imaging (78445)	$83.64	$164	0.2×
Vein X-Ray Chest (75827) range across 4 matching MRF lines	$161.16–$860.88	$316–$1,688	varies
Vein X-Ray Liver W/O Hemodyn (75887) range across 3 matching MRF lines	$159.63–$2,684.64	$313–$5,264	varies
Vein X-Ray Spleen/Liver (75810) range across 3 matching MRF lines	$153–$2,366.91	$300–$4,641	varies
Venogram Sinus/Jugular (75860) range across 3 matching MRF lines	$138.21–$1,056.21	$271–$2,071	varies
Venography Adrenal Unilateral (75840)	$1,014.39	$1,989	0.3×
Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines	$150.96–$808.35	$296–$1,585	varies
Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines	$179.01–$618.63	$351–$1,213	varies
Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines	$127.50–$371.28	$250–$728	varies
Venography Orbital Rs&I (75880) range across 3 matching MRF lines	$187.68–$354.96	$368–$696	varies
Venography Renal Bilateral (75833) range across 4 matching MRF lines	$181.56–$806.31	$356–$1,581	varies
Venography Renal Unilateral (75831) range across 4 matching MRF lines	$134.13–$1,017.96	$263–$1,996	varies
Venous sampling by catheter (75893) unusually low: confirm this is the full procedure	$1,915.05	$3,755	0.4×
Venous thrombosis imaging (78457)	$268.77	$527	0.5×
Venous Thrombosis Imaging Venogram Bilateral (78458)	$379.44	$744	1.0×
Wrist 2 views (73100) range across 4 matching MRF lines	$24.48–$100.98	$48–$198	varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines	$23.97–$174.42	$47–$342	varies
X-ray antegrade pyelogram tube (74425)	$58.65	$115	0.2×
X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines	$230.52–$1,386.69	$452–$2,719	varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines	$20.91–$103.53	$41–$203	varies
X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines	$32.64–$166.77	$64–$327	varies
X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines	$39.78–$252.96	$78–$496	varies
X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines	$44.88–$283.56	$88–$556	varies
X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines	$23.97–$85.17	$47–$167	varies
X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines	$28.05–$118.83	$55–$233	varies
X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines	$34.68–$146.37	$68–$287	varies
X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines	$36.72–$177.48	$72–$348	varies
X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines	$39.78–$226.95	$78–$445	varies
X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines	$28.05–$154.53	$55–$303	varies
X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines	$46.41–$255.51	$91–$501	varies
X-ray eye for foreign body (70030) range across 3 matching MRF lines	$22.95–$131.58	$45–$258	varies
X-ray head for orthodontia (70350)	$44.37	$87	0.5×
X-ray humerus (73060) range across 3 matching MRF lines	$26.52–$120.87	$52–$237	varies
X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines	$60.69–$418.20	$119–$820	varies
X-ray IV pyelogram+tomography (74415)	$200.94	$394	1.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines	$22.44–$135.15	$44–$265	varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines	$20.91–$138.21	$41–$271	varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines	$28.05–$159.63	$55–$313	varies
X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines	$23.97–$139.74	$47–$274	varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202)	$64.26	$126	0.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines	$20.91–$130.56	$41–$256	varies
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines	$21.93–$143.31	$43–$281	varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines	$27.54–$152.49	$54–$299	varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260)	$97.92	$192	1.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines	$63.24–$380.97	$124–$747	varies
X-Rays Bone Length Studies (77073) range across 3 matching MRF lines	$37.23–$204.51	$73–$401	varies
X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines	$68.34–$419.73	$134–$823	varies
Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines	$37.74–$220.32	$74–$432	varies
Xr facial bones less than 3 views (70140) range across 3 matching MRF lines	$26.01–$156.57	$51–$307	varies
XR Mastoids < 3 Views Bilateral (70120)	$63.24	$124	0.6×
Xr orbits complete 4 views (70200) range across 3 matching MRF lines	$35.19–$162.18	$69–$318	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.