Imaging prices at Colorado River Medical Center

Needles, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $1,707.30 $4,878 1.0×
Abdomen 1 View (74018)
range across 3 matching MRF lines
$23.80–$96.95 $68–$277 varies
Abdomen 2 views (74019)
range across 2 matching MRF lines
$34.65–$135.10 $99–$386 varies
Acute Gastrointestinal Blood Loss Imaging (78278) $433.30 $1,238 0.8×
Angiography extremity unilateral rs&i (75710) $1,000.30 $2,858 0.2×
Ankle 2 views (73600)
range across 8 matching MRF lines
$14.35–$89.25 $41–$255 varies
Arthrogram hip (73525) $389.90 $1,114 0.9×
Arthrogram Wrist (73115) $264.60 $756 0.6×
Basic radiation dosimetry calculation (77300) $164.50 $470 1.0×
Bone age studies (77072) $121.45 $347 0.9×
Bone Imaging 3 Phase (78315) $571.55 $1,633 1.1×
Bone Imaging Limited Area (78300) $433.30 $1,238 0.8×
Bone Imaging Whole Body (78306) $538.65 $1,539 1.0×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $483.70 $1,382 0.7×
Cat Scan Follow-Up Study (76380)
range across 2 matching MRF lines
$291.55–$306.25 $833–$875 varies
Cerebrospinal Fluid Scan (78630) $516.60 $1,476 0.7×
Chest 1 view (71045)
range across 2 matching MRF lines
$23.80–$96.95 $68–$277 varies
Chest 2 views (71046)
range across 4 matching MRF lines
$28.70–$119.35 $82–$341 varies
Chest 4 or more views (71048) $185.50 $530 1.4×
Cholecystography Oral Contrast (74290) $266.70 $762 1.2×
Clavicle complete (73000)
range across 3 matching MRF lines
$31.85–$119.35 $91–$341 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $931.35 $2,661 6.9×
Continuing medical physics consltj pr wk (77336) $208.25 $595 1.2×
Contrast X-Ray Bladder (74430) $229.25 $655 0.5×
Contrast X-Ray Of Knee Joint (73580) $374.85 $1,071 0.8×
CT abdomen and pelvis without and with contrast (74178) $2,572.50 $7,350 5.7×
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$111.30–$222.60 $318–$636 varies
CT abdomen w contrast (74160) $1,102.50 $3,150 4.9×
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$224.70–$1,100.05 $642–$3,143 varies
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines
$110.95–$784.35 $317–$2,241 varies
CT Angio Chest (71275) $232.75 $665 1.0×
CT Angio Head (70496) $344.05 $983 1.5×
CT bone density (77078) $154.35 $441 1.4×
CT cervical spine w/ contrast (72126) $1,083.60 $3,096 2.4×
CT cervical spine w/o contrast (72125)
range across 2 matching MRF lines
$136.85–$1,097.95 $391–$3,137 varies
CT cervical spine w/wo cont (72127) $1,340.15 $3,829 5.9×
CT chest w contrast (71260)
range across 2 matching MRF lines
$159.95–$859.95 $457–$2,457 varies
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
$131.95–$1,251.95 $377–$3,577 varies
CT head/brain with contrast (70460)
range across 2 matching MRF lines
$103.25–$383.95 $295–$1,097 varies
CT head/brain without and with contrast (70470)
range across 2 matching MRF lines
$129.50–$1,266.30 $370–$3,618 varies
CT iac w contrast (70481)
range across 4 matching MRF lines
$688.10–$893.90 $1,966–$2,554 varies
CT l-spine w&w/o contrast (72133) $1,340.15 $3,829 5.9×
CT lower ext w/o (73700)
range across 4 matching MRF lines
$131.95–$621.25 $377–$1,775 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$222.60–$780.85 $636–$2,231 varies
CT lumbar spine w contrast (72132) $1,083.60 $3,096 2.4×
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines
$127.75–$1,097.95 $365–$3,137 varies
CT maxillofacial w contrast (70487) $893.90 $2,554 4.0×
CT maxillofacial wo contrast (70486)
range across 4 matching MRF lines
$109.55–$592.90 $313–$1,694 varies
CT neck tissue combo (70492)
range across 2 matching MRF lines
$151.90–$764.75 $434–$2,185 varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $786.10 $2,246 3.5×
CT orbits w/o contrast (70480)
range across 4 matching MRF lines
$82.95–$645.40 $237–$1,844 varies
CT pelvis w&w/o contrast (72194) $1,100.05 $3,143 4.9×
CT pelvis w/o contrast (72192)
range across 2 matching MRF lines
$103.25–$784.35 $295–$2,241 varies
CT scan of leg combo (73702) $950.25 $2,715 4.2×
CT scans face/jaw combo (70488) $898.80 $2,568 4.0×
CT soft tissue neck w contrast (70491)
range across 2 matching MRF lines
$222.60–$994 $636–$2,840 varies
CT soft tissue neck w/o contrast (70490)
range across 2 matching MRF lines
$218.40–$764.75 $624–$2,185 varies
CT thoracic spine w contrast (72129) $1,083.60 $3,096 4.8×
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines
$143.85–$1,096.90 $411–$3,134 varies
CT thoracic spine w/wo cont (72130) $1,340.15 $3,829 5.9×
CT thorax w/o contrast (71250)
range across 3 matching MRF lines
$131.95–$931.35 $377–$2,661 varies
CT upper ext wo (73200)
range across 5 matching MRF lines
$182.35–$1,067.15 $521–$3,049 varies
CT upper extremity w/o & w/contrast material (73202) $1,212.75 $3,465 5.4×
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$111.30–$721 $318–$2,060 varies
Dilation ureters/urethra rs&i (74485) $332.85 $951 0.1×
Dxa Bone Density Axial (77080) $165.90 $474 1.2×
Esophageal Motility Study (78258) $288.40 $824 0.6×
Esophagram (74220) $178.85 $511 0.8×
Fetal Biophys Profile W/Nst (76818) $238.70 $682 1.8×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$63–$209.30 $180–$598 varies
Foot 2 views (73620)
range across 4 matching MRF lines
$19.95–$79.10 $57–$226 varies
Forearm 2 views (73090)
range across 4 matching MRF lines
$30.45–$95.90 $87–$274 varies
Gastric emptying imaging study (78264) $505.75 $1,445 1.0×
Gated Heart Planar Single (78472) $540.75 $1,545 1.1×
Ht Muscle Image Spect Sing (78451) $433.30 $1,238 0.3×
Hysterosalpingogram (74740) $302.05 $863 1.0×
K Flow/Funct Image W/O Drug (78707) $531.65 $1,519 0.8×
Kidney Imaging Morphol (78700) $358.75 $1,025 0.7×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $443.10 $1,266 0.9×
Knee 3 Views (73562)
range across 4 matching MRF lines
$24.50–$130.55 $70–$373 varies
Liver & Spleen Imaging Static Only (78215) $474.25 $1,355 0.9×
Liver imaging static only (78201) $395.85 $1,131 0.6×
Lymph System Imaging (78195) $503.30 $1,438 0.7×
Magnetic Image Jaw Joint (70336) $915.95 $2,617 3.0×
Meckels Divert Exam (78290) $476.70 $1,362 0.9×
Mra Head W/O & W/Contrast Material (70546) $1,126.30 $3,218 2.5×
MRA head w/o contrast (70544) $823.90 $2,354 2.7×
MRA head with contrast (70545) $967.40 $2,764 2.2×
MRA neck w contrast (70548) $883.40 $2,524 2.0×
Mra Neck W/O &W/Contrast Material (70549) $1,153.95 $3,297 2.6×
MRA neck w/o contrast (70547) $820.05 $2,343 2.7×
MRI abdomen w contrast (74182) $1,061.20 $3,032 2.4×
MRI abdomen w/o contrast (74181) $953.40 $2,724 3.1×
MRI any jt lower extrem w/contrast material (73722) $872.55 $2,493 0.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $859.25 $2,455 1.9×
MRI any jt upper extremity w/contrast matrl (73222) $859.25 $2,455 0.9×
MRI cervical spine w contrast (72142) $945 $2,700 2.1×
MRI cervical spine w/o cont (72141)
range across 2 matching MRF lines
$156.45–$936.95 $447–$2,677 varies
MRI chest w/o contrast (71550) $821.45 $2,347 2.7×
MRI chest with contrast (71551) $1,411.90 $4,034 1.4×
MRI chest wo w contrast (71552) $1,295.70 $3,702 2.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $950.25 $2,715 2.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $874.65 $2,499 1.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $879.90 $2,514 2.9×
MRI lumbar spine w contrast (72149) $1,083.60 $3,096 2.4×
Mri Neck Spine W/O & W/Dye (72156) $1,340.15 $3,829 3.0×
MRI orbit face &/neck w/o contrast (70540) $921.90 $2,634 3.0×
MRI orbit face neck w contrast (70542) $1,166.20 $3,332 2.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,166.20 $3,332 2.6×
MRI pelvis w contrast (72196) $1,036 $2,960 2.3×
MRI pelvis w/o & w contrast (72197) $1,305.50 $3,730 2.9×
MRI pelvis w/o contrast (72195) $862.40 $2,464 2.8×
MRI thoracic spine w/o contrast (72146) $939.75 $2,685 3.1×
MRI upper extremity oth than jt w/contr matrl (73219) $874.65 $2,499 1.9×
MRI upper extremity oth than jt w/o contr matrl (73218) $874.65 $2,499 2.9×
Mri Uppr Extremity W/O&W/Dye (73220) $1,149.40 $3,284 2.6×
MRI, abdomen, combo (74183) $1,342.60 $3,836 3.0×
MRI, dorsal spine combo (72157) $1,357.30 $3,878 3.0×
MRI, dorsal spine contrast (72147) $1,104.25 $3,155 2.5×
MRI, joint upper extrem (73221) $859.25 $2,455 2.8×
MRI, joint upper extrem combo (73223) $859.25 $2,455 1.9×
MRI, lumbar spine combo (72158) $1,311.45 $3,747 2.9×
Myelogram cervical (72240) $501.20 $1,432 0.5×
Myelogram Lumbar (72265) $484.75 $1,385 0.5×
Myelography thoracic (72255) $465.50 $1,330 0.5×
Myelograpy 2/more regions rs&i (72270) $629.65 $1,799 0.6×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $433.30 $1,238 0.8×
Myocardial Spect Multiple Studies (78452) $433.30 $1,238 0.3×
Neck soft tissue (70360)
range across 2 matching MRF lines
$31.85–$107.45 $91–$307 varies
Ntsty modul radthx pln dose-vol histos (77301) $2,332.05 $6,663 1.3×
Nuclear Rx Oral Admin (79005) $433.30 $1,238 1.4×
Optic foramina (70190) $179.90 $514 1.6×
Panoramic X-ray of jaws (70355) $110.95 $317 1.0×
Parathyroid Planar Imaging (78070) $428.40 $1,224 0.8×
Pelvis 1 or 2 views (72170)
range across 4 matching MRF lines
$22.40–$107.45 $64–$307 varies
Pulmonary Perfusion Imaging Particulate (78580) $459.55 $1,313 0.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
$30.45–$180.95 $87–$517 varies
Radex abscess/fistula/sinus tract rs&i (76080) $296.10 $846 0.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 4 matching MRF lines
$22.40–$116.20 $64–$332 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 4 matching MRF lines
$22.40–$91 $64–$260 varies
Radex elbow complete minimum 3 views (73080)
range across 4 matching MRF lines
$22.40–$122.85 $64–$351 varies
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 5 matching MRF lines
$32.55–$183.05 $93–$523 varies
Radex fingr minimum 2 views (73140)
range across 4 matching MRF lines
$18.20–$81.90 $52–$234 varies
Radex foot complete minimum 3 views (73630)
range across 4 matching MRF lines
$22.40–$109.90 $64–$314 varies
Radex Hand Minimum 3 Views (73130)
range across 6 matching MRF lines
$22.40–$109.90 $64–$314 varies
Radex lower extremity infant minimum 2 views (73592)
range across 4 matching MRF lines
$41.65–$100.10 $119–$286 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $280.70 $802 2.1×
Radex Nasal Bones Complete Minimum 3 Views (70160)
range across 2 matching MRF lines
$22.40–$130.20 $64–$372 varies
Radex Ribs Unilateral 2 Views (71100) $28.70 $82 0.3×
Radex shoulder complete minimum 2 views (73030)
range across 5 matching MRF lines
$22.05–$153.30 $63–$438 varies
Radex Sinuses Paransl < 3 Views (70210) $107.80 $308 1.0×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $296.10 $846 1.3×
Radex Spine 1 View Specify Level (72020) $136.85 $391 1.2×
Radex Sternum Minimum 2 Views (71120)
range across 2 matching MRF lines
$24.50–$144.55 $70–$413 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330)
range across 2 matching MRF lines
$32.55–$210.70 $93–$602 varies
Radex Toe Minimum 2 Views (73660)
range across 4 matching MRF lines
$24.50–$75.25 $70–$215 varies
Radex upper extremity infant minimum 2 views (73092) $180.25 $515 1.3×
Radex Wrist Complete Minimum 3 Views (73110)
range across 8 matching MRF lines
$22.40–$121.45 $64–$347 varies
Radiation treatment delivery level 1 (77402) $151.90 $434 1.2×
Radiation treatment delivery level 2 (77407) $166.60 $476 0.3×
Radiation treatment delivery level 3 (77412) $277.55 $793 0.4×
Radiolog exam mandible compl minimum 4 views (70110)
range across 2 matching MRF lines
$32.55–$234.85 $93–$671 varies
Radiologic exam colon double contrast study (74280) $300.65 $859 1.3×
Radiologic exam colon single contrast study (74270) $246.40 $704 1.1×
Radiologic exam knee complete 4/more views (73564)
range across 4 matching MRF lines
$29.05–$137.55 $83–$393 varies
Radiologic Exam Small Int Single Contrast Study (74250) $296.10 $846 1.3×
Radiologic exam swallow function contrast study (74230) $229.60 $656 1.0×
Radiologic exam upr gi trc double contrast study (74246) $249.55 $713 1.1×
Radiologic examination femur minimum 2 views (73552)
range across 4 matching MRF lines
$28.70–$141.40 $82–$404 varies
Radiologic examination knee 1/2 views (73560)
range across 4 matching MRF lines
$22.40–$93.45 $64–$267 varies
Radiologic Examination Osseous Survey Limited (77074) $194.60 $556 1.4×
Radiologic examination tibia & fibula 2 views (73590)
range across 4 matching MRF lines
$28.70–$100.10 $82–$286 varies
Ribs bilateral 3 views (71110) $217 $620 1.6×
Rp loclzj tum plnr 1 area single day imaging (78800) $442.05 $1,263 0.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $546.35 $1,561 1.1×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $565.60 $1,616 0.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $635.25 $1,815 0.9×
Rp Therapy Intravenous Administration (79101) $291.55 $833 1.0×
Scapula (73010)
range across 4 matching MRF lines
$26.60–$142.10 $76–$406 varies
Sella turcica (70240) $107.45 $307 1.0×
Shoulder 1 view (73020)
range across 4 matching MRF lines
$19.95–$96.95 $57–$277 varies
Shoulder Arthrography (73040) $405.65 $1,159 0.9×
Skull less than 4 views (70250)
range across 2 matching MRF lines
$22.40–$149.10 $64–$426 varies
Special dosimetry (77331) $208.25 $595 1.2×
Special Physics Consult (77370) $301 $860 1.7×
Special teletherapy port plan (77321) $407.75 $1,165 0.8×
Special treatment procedure (77470) $772.80 $2,208 1.1×
Spleen Imaging (78185) $357.70 $1,022 0.7×
Sternoclavicular joints (71130)
range across 3 matching MRF lines
$108.15–$150.15 $309–$429 varies
Testicular Imaging W/Flow (78761) $245.35 $701 0.5×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $540.05 $1,543 1.1×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $406 $1,160 0.8×
Ther rad simulaj-aided field setting simple (77280) $290.15 $829 1.7×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $259.70 $742 1.2×
Thoracic spine 2 views (72070)
range across 2 matching MRF lines
$29.05–$166.60 $83–$476 varies
Thoracic spine 3 views (72072)
range across 2 matching MRF lines
$29.75–$168 $85–$480 varies
Thoracolumbar 2 views (72080)
range across 4 matching MRF lines
$30.45–$166.60 $87–$476 varies
Tx Devices Design & Construction Complex (77334) $372.05 $1,063 0.8×
Tx devices design & construction intermediate (77333) $259 $740 1.5×
Tx devices design & construction simple (77332) $182.70 $522 1.1×
Ultrasound, abdomen limited (76705)
range across 11 matching MRF lines
$22.40–$230.30 $64–$658 varies
Unlisted us procedure (76999)
range across 3 matching MRF lines
$26.60–$208.25 $76–$595 varies
Upper gi w/o kub (74240) $281.40 $804 1.2×
Urethrocystogram voiding (74455)
range across 2 matching MRF lines
$221.55–$259 $633–$740 varies
Urethrocystography retrograde (74450) $259 $740 0.8×
Us chest (76604)
range across 2 matching MRF lines
$30.45–$205.45 $87–$587 varies
Us complete joint (76881)
range across 2 matching MRF lines
$39.90–$202.30 $114–$578 varies
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$206.85–$208.25 $591–$595 varies
Us head (76506) $96.95 $277 0.7×
Us kidney transplant (76776) $256.90 $734 1.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $202.30 $578 1.5×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$26.60–$205.45 $76–$587 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$28.70–$276.85 $82–$791 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$28.70–$216.30 $82–$618 varies
Us preg uterus real time f/u trnsabdl per fetus (76816) $208.25 $595 1.5×
Us retroperitoneal complete (76770)
range across 5 matching MRF lines
$16.45–$276.85 $47–$791 varies
Us retroperitoneal limited (76775)
range across 3 matching MRF lines
$213.85–$276.85 $611–$791 varies
Us scrotum and contents (76870)
range across 2 matching MRF lines
$30.45–$235.90 $87–$674 varies
Us spinal canal and contents (76800) $244.65 $699 1.8×
Us thyroid (76536)
range across 4 matching MRF lines
$34.65–$208.25 $99–$595 varies
Venography extremity bilateral rs&i (75822) $490.70 $1,402 0.2×
Venography extremity unilateral rs&i (75820) $370.65 $1,059 0.2×
Wrist 2 views (73100)
range across 3 matching MRF lines
$22.40–$88.90 $64–$254 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $147.70 $422 1.3×
X-Ray Bend Only L-S Spine (72120)
range across 2 matching MRF lines
$26.60–$154.70 $76–$442 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 4 matching MRF lines
$21–$93.10 $60–$266 varies
X-Ray Exam Breast Specimen (76098) $199.85 $571 0.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $110.25 $315 0.8×
X-Ray Exam Hip Uni 1 View (73501) $92.05 $263 0.8×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 4 matching MRF lines
$31.85–$138.60 $91–$396 varies
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$34.65–$174.65 $99–$499 varies
X-Ray Exam L-S Spine Bending (72114)
range across 2 matching MRF lines
$42.35–$223.30 $121–$638 varies
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$29.05–$150.15 $83–$429 varies
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines
$46.90–$224.35 $134–$641 varies
X-Ray Exam Unilat Ribs/Chest (71101)
range across 4 matching MRF lines
$34.65–$168 $99–$480 varies
X-ray humerus (73060)
range across 4 matching MRF lines
$32.55–$119 $93–$340 varies
X-ray IV pyelogram (ivp) (74400)
range across 2 matching MRF lines
$269.85–$292.95 $771–$837 varies
X-ray IV pyelogram+tomography (74415) $388.85 $1,111 1.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $114.10 $326 1.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
$24.50–$130.55 $70–$373 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$29.05–$159.25 $83–$455 varies
X-ray nose-rectum child f.b. (76010)
range across 3 matching MRF lines
$16.45–$41.65 $47–$119 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $216.65 $619 1.6×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $170.80 $488 1.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 3 matching MRF lines
$22.40–$171.85 $64–$491 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 2 matching MRF lines
$26.60–$216.65 $76–$619 varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $210 $600 1.6×
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 2 matching MRF lines
$266–$332.85 $760–$951 varies
X-Rays Bone Length Studies (77073) $229.25 $655 1.7×
X-Rays Bone Survey Complete (77075)
range across 2 matching MRF lines
$91.35–$373.45 $261–$1,067 varies
Xr c-spine 4 or 5 views (72050)
range across 2 matching MRF lines
$40.25–$224.35 $115–$641 varies
Xr facial bones less than 3 views (70140)
range across 2 matching MRF lines
$34.65–$114.45 $99–$327 varies
Xr orbits complete 4 views (70200) $179.90 $514 1.3×
Xr Tomogram Single Plane (76100) $119 $340 0.9×

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.