Imaging prices at Cody Regional Health
Cody, WY · every code in this section with a posted price and a Medicare benchmark.
249 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) range across 2 matching MRF lines |
$586.50–$5,505.80 | $690–$6,477.41 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$55.25–$263.98 | $65–$310.57 | varies |
| Abdomen 2 views (74019) | $202.95 | $238.76 | 1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,356.28 | $1,595.62 | 3.3× |
| Adrenal Cortex & Medulla Img (78075) | $2,646.05 | $3,113 | 2.0× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$437.75–$4,519.45 | $515–$5,317 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$534.65–$4,060.45 | $629–$4,777 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,176.85–$2,208.30 | $2,561–$2,598 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$84.15–$314.83 | $99–$370.39 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$2,208.30–$2,987.75 | $2,598–$3,515 | varies |
| Arthrogram ankle (73615) | $464.10 | $546 | 1.3× |
| Arthrogram hip (73525) | $605.35 | $712.18 | 1.7× |
| Arthrogram Wrist (73115) | $545.70 | $642 | 1.5× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$85–$373.59 | $100–$439.52 | varies |
| Bone age studies (77072) | $289.36 | $340.42 | 2.7× |
| Bone Imaging 3 Phase (78315) | $1,414.59 | $1,664.22 | 3.5× |
| Bone Imaging Limited Area (78300) | $1,081.20 | $1,272 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $1,442.45 | $1,697 | 3.5× |
| Bone Imaging Whole Body (78306) | $1,041 | $1,224.70 | 2.5× |
| Bone survey infant (77076) | $461.89 | $543.40 | 4.3× |
| Cat Scan Follow-Up Study (76380) | $733.55 | $863 | 8.3× |
| Chest 1 view (71045) | $44.20 | $52 | 0.5× |
| Chest 2 views (71046) | $86.70 | $102 | 1.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$83.30–$324.72 | $98–$382.02 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $210.19 | $247.28 | 2.0× |
| Continuing medical physics consltj pr wk (77336) | $533.92 | $628.14 | 3.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$356.15–$2,987.75 | $419–$3,515 | varies |
| Contrast X-Ray Bladder (74430) | $454.76 | $535.01 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $538.82 | $633.90 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $3,074.64 | $3,617.22 | 8.6× |
| CT abdomen and pelvis without contrast (74176) | $2,646.59 | $3,113.63 | 10.9× |
| CT abdomen w contrast (74160) | $1,453.71 | $1,710.25 | 8.1× |
| CT abdomen w wo contrast (74170) | $2,278.91 | $2,681.07 | 12.7× |
| CT abdomen w/o contrast (74150) | $1,570.80 | $1,848 | 14.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,291.73 | $3,872.62 | 9.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,134.90 | $2,511.65 | 11.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,444.90 | $2,876.35 | 13.6× |
| CT cervical spine w/ contrast (72126) | $1,725.07 | $2,029.49 | 4.8× |
| CT cervical spine w/o contrast (72125) | $1,247.34 | $1,467.46 | 11.7× |
| CT cervical spine w/wo cont (72127) | $3,815.92 | $4,489.32 | 21.3× |
| CT chest w contrast (71260) | $1,342.46 | $1,579.37 | 7.5× |
| CT chest w/wo contrast (71270) | $2,102.68 | $2,473.74 | 11.7× |
| CT head/brain with contrast (70460) | $1,339.36 | $1,575.72 | 7.5× |
| CT head/brain without and with contrast (70470) | $2,267.34 | $2,667.46 | 12.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $384.79 | $452.69 | 4.3× |
| CT hrt w/3d image congen (75573) | $264.44 | $311.11 | 0.7× |
| CT iac w contrast (70481) | $2,010.42 | $2,365.20 | 11.2× |
| CT l-spine w&w/o contrast (72133) | $3,008.15 | $3,539 | 16.8× |
| CT lower ext w/o (73700) | $1,233.54 | $1,451.22 | 11.5× |
| CT lower extremity w/contrast material (73701) | $1,744.46 | $2,052.30 | 9.7× |
| CT lumbar spine w contrast (72132) | $1,453.71 | $1,710.25 | 4.1× |
| CT lumbar spine w/o contrast (72131) | $1,383.13 | $1,627.21 | 12.9× |
| CT maxillofacial w contrast (70487) | $2,433.58 | $2,863.04 | 13.6× |
| CT maxillofacial wo contrast (70486) | $1,362.41 | $1,602.84 | 12.8× |
| CT neck tissue combo (70492) | $2,347.48 | $2,761.74 | 13.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,806.69 | $3,301.99 | 15.7× |
| CT orbits w/o contrast (70480) | $1,134.55 | $1,334.77 | 10.6× |
| CT pelvis w&w/o contrast (72194) | $2,081.32 | $2,448.61 | 11.6× |
| CT scan of leg combo (73702) | $2,913.89 | $3,428.10 | 16.3× |
| CT scans face/jaw combo (70488) | $2,109 | $2,481.18 | 11.8× |
| CT soft tissue neck w contrast (70491) | $2,330.84 | $2,742.16 | 13.0× |
| CT soft tissue neck w/o contrast (70490) | $1,134.55 | $1,334.77 | 10.6× |
| CT thoracic spine w contrast (72129) | $1,563.03 | $1,838.86 | 8.7× |
| CT thoracic spine w/o contrast (72128) | $1,247.35 | $1,467.47 | 11.7× |
| CT thoracic spine w/wo cont (72130) | $2,903.60 | $3,416 | 16.2× |
| CT thorax w/o contrast (71250) | $1,577.21 | $1,855.54 | 14.8× |
| CT unlisted procedure (76497) | $859.35 | $1,011 | 9.7× |
| CT upper ext wo (73200) | $1,116.17 | $1,313.14 | 10.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,079.10 | $2,446 | 11.6× |
| CT upper extremity with contrast (73201) | $1,673.56 | $1,968.89 | 4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,126.46 | $2,501.72 | 11.9× |
| Cta Abdomen (74175) | $2,776.02 | $3,265.91 | 15.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,291.73 | $3,872.62 | 9.2× |
| CTA pelvis (72191) | $2,919.75 | $3,435 | 16.3× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$170.85–$475.15 | $201–$559 | varies |
| Dxa bone density study (77085) | $361.73 | $425.57 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $821.13 | $966.03 | 9.2× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$179.35–$811.75 | $211–$955 | varies |
| Esophagram (74220) | $543.50 | $639.41 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) | $180.20 | $212 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$561–$668.31 | $660–$786.25 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$39.95–$505.50 | $47–$594.70 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$73.95–$279.47 | $87–$328.79 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$75.65–$266.04 | $89–$312.99 | varies |
| Gastric emptying imaging study (78264) | $1,420.59 | $1,671.28 | 3.5× |
| Gated Heart Planar Single (78472) | $1,769.68 | $2,081.98 | 4.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$63.75–$217.25 | $75–$255.59 | varies |
| Heart first pass single,planar (78481) | $765.85 | $901 | 1.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,615.01 | $1,900.01 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,579.61 | $1,858.37 | 3.9× |
| Ht Muscle Image Spect Sing (78451) | $1,006.15 | $1,183.70 | 0.8× |
| Hysterosalpingogram (74740) | $910.30 | $1,070.94 | 3.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $610.30 | $718 | 6.9× |
| Infant hip ultrasound, limited static exam (76886) | $473.45 | $557 | 5.3× |
| Joint Survey Single View (77077) | $284.75 | $335 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $1,420.35 | $1,671 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,187.03 | $1,396.50 | 2.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$104.55–$242.90 | $123–$285.77 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,427.66 | $1,679.60 | 3.5× |
| Lung Perf&Ventilat Diferentl (78598) | $1,503.57 | $1,768.90 | 2.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,305.73 | $1,536.15 | 2.4× |
| Lymph System Imaging (78195) | $1,358.78 | $1,598.56 | 2.4× |
| Meckels Divert Exam (78290) | $780.30 | $918 | 1.9× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$586.50–$1,433.75 | $690–$1,686.76 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,327.30 | $2,738 | 1.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$429.25–$2,457.87 | $505–$2,891.61 | varies |
| Neck soft tissue (70360) | $301.56 | $354.78 | 3.4× |
| Nm myocard infarct spect (78469) | $1,948.20 | $2,292 | 3.5× |
| Nonvascular Shunt X-Ray (75809) | $550.80 | $648 | 5.2× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$1,091.40–$4,774.58 | $1,284–$5,617.15 | varies |
| Nuclear Rx Oral Admin (79005) | $843.20 | $992 | 3.5× |
| Ob us nuchal meas 1 gest (76813) | $498.10 | $586 | 4.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $77.35 | $91 | 0.7× |
| Optic foramina (70190) | $213.35 | $251 | 2.4× |
| Panoramic X-ray of jaws (70355) | $118.15 | $139 | 1.3× |
| Parathyroid Planar Imaging (78070) | $1,169.86 | $1,376.30 | 2.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,367.65 | $1,609 | 3.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$71.40–$258.67 | $84–$304.32 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $875.50 | $1,030 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $386.67 | $454.90 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $421.60 | $496 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$95.20–$297.25 | $112–$349.71 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$74.80–$205.13 | $88–$241.33 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$83.30–$334.70 | $98–$393.76 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $323 | $380 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$96.90–$208.05 | $114–$244.76 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$88.40–$319.24 | $104–$375.58 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$94.35–$353.40 | $111–$415.77 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$63.75–$189.42 | $75–$222.85 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $347.65 | $409 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $346.76 | $407.95 | 3.9× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$96.90–$284.44 | $114–$334.63 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$88.40–$281.66 | $104–$331.37 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $175.95 | $207 | 2.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $205.54 | $241.81 | 1.1× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$63.75–$324.85 | $75–$382.18 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$63.75–$277.89 | $75–$326.93 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$214.20–$336.60 | $252–$396 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$75.65–$214.50 | $89–$252.35 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $212.37 | $249.85 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$104.55–$259.60 | $123–$305.41 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $20,262.30 | $23,838 | 2.7× |
| Radiation treatment delivery level 1 (77402) | $619.65 | $729 | 5.9× |
| Radiation treatment delivery level 2 (77407) | $833 | $980 | 2.1× |
| Radiation treatment delivery level 3 (77412) | $678.14 | $797.81 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $294.79 | $346.81 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $79.90 | $94 | 0.7× |
| Radiologic exam colon double contrast study (74280) | $615.32 | $723.90 | 3.4× |
| Radiologic exam colon single contrast study (74270) | $477.11 | $561.31 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$119–$259.58 | $140–$305.39 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$108.80–$283.02 | $128–$332.96 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $730.27 | $859.14 | 4.1× |
| Radiologic exam swallow function contrast study (74230) | $465.64 | $547.81 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$803.69–$852.76 | $945.52–$1,003.25 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$90.95–$202.53 | $107–$238.27 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$88.40–$226.30 | $104–$266.24 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $384.20 | $452 | 3.6× |
| Radiologic Examination Salivary Gland Calculus (70380) | $200.60 | $236 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$81.60–$186.40 | $96–$219.29 | varies |
| Ribs bilateral 3 views (71110) | $374.53 | $440.62 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,524.25 | $2,969.70 | 4.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,624.35 | $1,911 | 2.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,657.10 | $3,126 | 2.0× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$244.80–$969.97 | $288–$1,141.14 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$62.05–$265.02 | $73–$311.79 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$72.73–$79.19 | $85.56–$93.16 | varies |
| Sella turcica (70240) | $161.50 | $190 | 1.8× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$38.25–$208.05 | $45–$244.76 | varies |
| Shoulder Arthrography (73040) | $547.40 | $644 | 1.5× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$71.40–$314.83 | $84–$370.39 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$119.85–$277.06 | $141–$325.95 | varies |
| Special Physics Consult (77370) | $559.14 | $657.81 | 4.1× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$130.05–$682.55 | $153–$803 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$277.10–$2,319.03 | $326–$2,728.27 | varies |
| Stereotactic Body Radiation Delivery (77373) | $6,528 | $7,680 | 3.6× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$107.10–$203.15 | $126–$239 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$396.10–$1,211.25 | $466–$1,425 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$390.15–$1,211.25 | $459–$1,425 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$213.35–$1,396.93 | $251–$1,643.45 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$147.90–$1,372.75 | $174–$1,615 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$96.90–$1,084.40 | $114–$1,275.77 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$84.15–$344.65 | $99–$405.47 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$73.95–$276.19 | $87–$324.93 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$89.25–$244.81 | $105–$288.01 | varies |
| Thyroid Met Imaging Body (78018) | $620.50 | $730 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,723.32 | $2,027.44 | 4.2× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$157.25–$1,334.80 | $185–$1,570.35 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$109.65–$879.20 | $129–$1,034.35 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$62.05–$455.60 | $73–$536 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$135.15–$340.85 | $159–$401 | varies |
| Ultrasound Exam Aaa Screen (76706) | $310.70 | $365.53 | 2.9× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$128.35–$466.33 | $151–$548.62 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$58.65–$561 | $69–$660 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $237.15 | $279 | 2.7× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$657.32–$722.64 | $773.32–$850.16 | varies |
| Urethrocystogram voiding (74455) | $639.68 | $752.57 | 2.6× |
| Urethrocystography retrograde (74450) | $1,050.39 | $1,235.75 | 4.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$147.05–$925.70 | $173–$1,089.06 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$124.95–$319.40 | $147–$375.76 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$64.60–$417.02 | $76–$490.61 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$77.35–$801.97 | $91–$943.49 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$345.10–$712.50 | $406–$838.24 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$84.15–$341.33 | $99–$401.56 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$337.45–$434.13 | $397–$510.74 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$528.70–$680.48 | $622–$800.56 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$192.95–$572.21 | $227–$673.19 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$327.25–$344.65 | $385–$405.47 | varies |
| Us retroperitoneal complete (76770) | $525.91 | $618.72 | 4.9× |
| Us retroperitoneal limited (76775) | $370.48 | $435.86 | 3.5× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$129.20–$699.21 | $152–$822.60 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$109.65–$540.32 | $129–$635.67 | varies |
| Us transrectal (76872) | $124.41 | $146.37 | 1.2× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$164.90–$3,338.80 | $194–$3,928 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$300.05–$898.45 | $353–$1,057 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$87.55–$292.74 | $103–$344.40 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$74.80–$332.35 | $88–$391 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$442.85–$2,910.40 | $521–$3,424 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$75.65–$228.63 | $89–$268.98 | varies |
| X-Ray Exam Breast Specimen (76098) | $232.91 | $274.01 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$112.20–$392.45 | $132–$461.70 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$185.30–$520.29 | $218–$612.10 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$85–$199.75 | $100–$235 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$120.70–$297.32 | $142–$349.79 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$106.25–$359.78 | $125–$423.27 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$102.85–$540.26 | $121–$635.60 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$160.65–$536.63 | $189–$631.33 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$103.70–$427.51 | $122–$502.95 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$160.65–$512.79 | $189–$603.28 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$75.65–$243.17 | $89–$286.08 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$62.90–$278.97 | $74–$328.20 | varies |
| X-ray head for orthodontia (70350) range across 2 matching MRF lines |
$84.99–$130.90 | $99.99–$154 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$83.30–$286.09 | $98–$336.58 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $188.15 | $221.35 | 2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$102.85–$413.14 | $121–$486.05 | varies |
| X-ray nose-rectum child f.b. (76010) | $273.26 | $321.48 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $369.98 | $435.27 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $349.51 | $411.19 | 3.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $229.62 | $270.14 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$85–$283.51 | $100–$333.54 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $352.75 | $415 | 4.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $445.40 | $524 | 4.2× |
| X-Ray Stress View (77071) | $141.95 | $167 | 1.6× |
| X-ray thoracic spine 4 vw (72074) | $506.35 | $595.71 | 4.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $792.64 | $932.52 | 2.2× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$113.90–$166.60 | $134–$196 | varies |
| X-Rays Bone Survey Complete (77075) | $554.11 | $651.89 | 5.2× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$136.85–$531.29 | $161–$625.05 | varies |
| Xr facial bones less than 3 views (70140) | $290.70 | $342 | 3.3× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$85–$424.42 | $100–$499.32 | 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.