Imaging prices at Community Hospital of Anaconda
Anaconda, MT · every code in this section with a posted price and a Medicare benchmark.
262 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) | $155.85 | $207.80 | 1.8× |
| Abdomen 2 views (74019) | $131.25 | $175 | 1.2× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$4.58–$148.88 | $6.10–$198.50 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$15.98–$78.53 | $21.30–$104.70 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$78.53–$785.93 | $21.30–$1,047.90 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$77.48–$776.93 | $20.90–$1,035.90 | varies |
| Bone age studies (77072) | $90 | $120 | 0.8× |
| Bone Imaging 3 Phase (78315) | $1,259.40 | $1,679.20 | 3.1× |
| Bone Imaging Limited Area (78300) | $737.63 | $983.50 | 1.8× |
| Bone Imaging Multiple Areas (78305) | $1,176.23 | $1,568.30 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,151.10 | $1,534.80 | 2.8× |
| Bone survey infant (77076) | $167.55 | $223.40 | 1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,938.18 | $5,250.90 | 2.7× |
| Cat Scan Follow-Up Study (76380) | $917.55 | $1,223.40 | 10.3× |
| Chest 1 view (71045) | $117 | $156 | 1.3× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$30.30–$183.98 | $40.40–$245.30 | varies |
| Chest 3 views (71047) | $183.98 | $245.30 | 2.1× |
| Chest 4 or more views (71048) | $178.28 | $237.70 | 1.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$4.58–$159.15 | $6.10–$212.20 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$43.20–$266.40 | $57.60–$355.20 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$15.45–$228.30 | $20.60–$304.40 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$80.55–$628.05 | $21.80–$837.40 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,124.13 | $4,165.50 | 8.8× |
| CT abdomen and pelvis without contrast (74176) | $1,997.03 | $2,662.70 | 8.2× |
| CT abdomen w contrast (74160) | $1,656.60 | $2,208.80 | 9.2× |
| CT abdomen w wo contrast (74170) | $1,769.33 | $2,359.10 | 9.9× |
| CT abdomen w/o contrast (74150) | $1,135.65 | $1,514.20 | 10.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,662.95 | $3,550.60 | 7.5× |
| CT Angio Chest (71275) | $1,986.98 | $2,649.30 | 11.1× |
| CT Angio Head (70496) | $1,440.23 | $1,920.30 | 8.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,686.45 | $2,248.60 | 9.4× |
| CT Angio Neck (70498) | $2,220.30 | $2,960.40 | 12.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,327.10 | $3,102.80 | 13.0× |
| CT cervical spine w/ contrast (72126) | $2,469.98 | $3,293.30 | 6.9× |
| CT cervical spine w/o contrast (72125) | $1,373.70 | $1,831.60 | 12.9× |
| CT cervical spine w/wo cont (72127) | $1,969.13 | $2,625.50 | 11.0× |
| CT chest w contrast (71260) | $1,655.48 | $2,207.30 | 9.2× |
| CT chest w/wo contrast (71270) | $1,838.93 | $2,451.90 | 10.3× |
| CT head/brain with contrast (70460) | $1,255.58 | $1,674.10 | 7.0× |
| CT head/brain without and with contrast (70470) | $2,001.30 | $2,668.40 | 11.2× |
| CT iac w contrast (70481) | $1,969.13 | $2,625.50 | 11.0× |
| CT l-spine w&w/o contrast (72133) | $2,036.25 | $2,715 | 11.4× |
| CT lower ext w/o (73700) | $1,253.10 | $1,670.80 | 11.7× |
| CT lower extremity w/contrast material (73701) | $1,308.45 | $1,744.60 | 7.3× |
| CT lumbar spine w contrast (72132) | $1,854.38 | $2,472.50 | 5.2× |
| CT lumbar spine w/o contrast (72131) | $1,528.43 | $2,037.90 | 14.3× |
| CT maxillofacial w contrast (70487) | $1,254.53 | $1,672.70 | 7.0× |
| CT maxillofacial wo contrast (70486) | $998.78 | $1,331.70 | 9.4× |
| CT neck tissue combo (70492) | $1,503.15 | $2,004.20 | 8.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,237.70 | $2,983.60 | 12.5× |
| CT orbits w/o contrast (70480) | $1,611.15 | $2,148.20 | 15.1× |
| CT pelvis w&w/o contrast (72194) | $1,992.45 | $2,656.60 | 11.1× |
| CT pelvis w/o contrast (72192) | $1,061.40 | $1,415.20 | 9.9× |
| CT scan of leg combo (73702) | $1,793.78 | $2,391.70 | 10.0× |
| CT scans face/jaw combo (70488) | $1,508.55 | $2,011.40 | 8.4× |
| CT soft tissue neck w contrast (70491) | $1,342.73 | $1,790.30 | 7.5× |
| CT soft tissue neck w/o contrast (70490) | $858.38 | $1,144.50 | 8.0× |
| CT thoracic spine w contrast (72129) | $2,585.93 | $3,447.90 | 14.4× |
| CT thoracic spine w/o contrast (72128) | $1,253.10 | $1,670.80 | 11.7× |
| CT thoracic spine w/wo cont (72130) | $2,013.98 | $2,685.30 | 11.2× |
| CT thorax w/o contrast (71250) | $993.15 | $1,324.20 | 9.3× |
| CT upper ext wo (73200) | $1,304.40 | $1,739.20 | 12.2× |
| CT upper extremity w/o & w/contrast material (73202) | $2,058.68 | $2,744.90 | 11.5× |
| CT upper extremity with contrast (73201) | $1,611.15 | $2,148.20 | 4.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,685.08 | $3,580.10 | 15.0× |
| Cta Abdomen (74175) | $2,058.68 | $2,744.90 | 11.5× |
| CTA pelvis (72191) | $2,103.45 | $2,804.60 | 11.7× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$203.48–$300 | $271.30–$400 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$23.48–$203.48 | $31.30–$271.30 | varies |
| Dxa Bone Density Axial (77080) | $325.73 | $434.30 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $143.63 | $191.50 | 1.6× |
| Esophagram (74220) | $342 | $456 | 1.9× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$127.35–$295.35 | $169.80–$393.80 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$93.68–$380.48 | $124.90–$507.30 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$23.70–$294.08 | $31.60–$392.10 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$20.63–$111.75 | $5.70–$149 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$21.60–$151.20 | $5.90–$201.60 | varies |
| Gastric emptying imaging study (78264) | $1,335 | $1,780 | 3.3× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$22.73–$111.75 | $6.10–$149 | varies |
| Hepatobil Syst Image W/Drug (78227) | $926.78 | $1,235.70 | 1.7× |
| Hepatobiliary System Imaging (78226) | $926.78 | $1,235.70 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $932.03 | $1,242.70 | 0.7× |
| Hysterosalpingogram (74740) | $942.53 | $1,256.70 | 3.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $411.83 | $549.10 | 4.6× |
| Infant hip ultrasound, limited static exam (76886) | $276.68 | $368.90 | 3.1× |
| Infusion Ivp (74410) | $593.40 | $791.20 | 3.3× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$64.20–$67.20 | $85.60–$89.60 | varies |
| K Flow/Funct Image W/Drug (78708) | $1,793.33 | $2,391.10 | 3.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$5.70–$172.28 | $7.60–$229.70 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$757.65–$959.25 | $1,010.20–$1,279 | varies |
| Meckels Divert Exam (78290) | $896.70 | $1,195.60 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,915.83 | $5,221.10 | 11.0× |
| MRA head w/o contrast (70544) | $2,550.83 | $3,401.10 | 10.5× |
| MRA head with contrast (70545) | $2,595.68 | $3,460.90 | 7.3× |
| MRA neck w contrast (70548) | $2,595.68 | $3,460.90 | 7.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,915.83 | $5,221.10 | 11.0× |
| MRA neck w/o contrast (70547) | $2,550.83 | $3,401.10 | 10.5× |
| MRI abdomen w/o contrast (74181) | $2,058.68 | $2,744.90 | 8.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,864.18 | $3,818.90 | 3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,568.50 | $4,758 | 10.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,864.18 | $3,818.90 | 3.6× |
| MRI bone marrow blood supply (77084) | $2,952.75 | $3,937 | 12.1× |
| MRI cervical spine w contrast (72142) | $2,282.33 | $3,043.10 | 6.4× |
| MRI cervical spine w/o cont (72141) | $1,568.85 | $2,091.80 | 6.4× |
| MRI chest w/o contrast (71550) | $2,550.83 | $3,401.10 | 10.5× |
| MRI chest with contrast (71551) | $2,595.68 | $3,460.90 | 3.2× |
| MRI chest wo w contrast (71552) | $4,443.98 | $5,925.30 | 12.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,506.13 | $3,341.50 | 7.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,129.83 | $4,173.10 | 8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,282.33 | $3,043.10 | 9.4× |
| MRI lumbar spine w contrast (72149) | $2,282.33 | $3,043.10 | 6.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,685.08 | $3,580.10 | 7.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,969.13 | $2,625.50 | 8.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,654.60 | $4,872.80 | 10.3× |
| MRI pelvis w contrast (72196) | $2,506.13 | $3,341.50 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $3,576.15 | $4,768.20 | 10.0× |
| MRI pelvis w/o contrast (72195) | $2,327.10 | $3,102.80 | 9.5× |
| MRI thoracic spine w/o contrast (72146) | $1,739.93 | $2,319.90 | 7.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,327.10 | $3,102.80 | 9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,759.15 | $5,012.20 | 10.5× |
| MRI, abdomen, combo (74183) | $3,576.15 | $4,768.20 | 10.0× |
| MRI, dorsal spine combo (72157) | $2,685.08 | $3,580.10 | 7.5× |
| MRI, dorsal spine contrast (72147) | $2,282.33 | $3,043.10 | 6.4× |
| MRI, joint upper extrem (73221) | $1,545.98 | $2,061.30 | 6.3× |
| MRI, joint upper extrem combo (73223) | $3,568.50 | $4,758 | 10.0× |
| MRI, lumbar spine combo (72158) | $2,685.08 | $3,580.10 | 7.5× |
| Myelogram cervical (72240) | $1,219.05 | $1,625.40 | 1.5× |
| Myelogram Lumbar (72265) | $1,064.33 | $1,419.10 | 1.3× |
| Myelography thoracic (72255) | $1,121.85 | $1,495.80 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,520.55 | $2,027.40 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $1,257.38 | $1,676.50 | 1.0× |
| Neck soft tissue (70360) | $147.75 | $197 | 1.7× |
| Nonvascular Shunt X-Ray (75809) | $247.28 | $329.70 | 2.3× |
| Ob us nuchal meas 1 gest (76813) | $114.23 | $152.30 | 1.1× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $201.53 | $268.70 | 2.3× |
| Optic foramina (70190) | $183.60 | $244.80 | 2.1× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$5.40–$167.55 | $7.20–$223.40 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,251.45 | $5,668.60 | 2.9× |
| PET image w/CT, full body (78816) | $4,029.60 | $5,372.80 | 2.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,475.18 | $5,966.90 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $177.08 | $236.10 | 1.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $238.58 | $318.10 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$4.73–$160.58 | $6.30–$214.10 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$21.60–$141.60 | $5.90–$188.80 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$4.73–$175.80 | $6.30–$234.40 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $178.28 | $237.70 | 1.7× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$19.43–$128.70 | $5.30–$171.60 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$4.58–$165.30 | $6.10–$220.40 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$4.73–$165.30 | $6.30–$220.40 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$4.58–$111.75 | $6.10–$149 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $273.08 | $364.10 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $175.50 | $234 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$6.30–$228.30 | $8.40–$304.40 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$5.70–$175.80 | $7.60–$234.40 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $139.80 | $186.40 | 1.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $294.08 | $392.10 | 1.6× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$20.63–$158.10 | $5.70–$210.80 | varies |
| Radex Sternum Minimum 2 Views (71120) | $146.25 | $195 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $255.23 | $340.30 | 2.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$18.45–$138.15 | $5.10–$184.20 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$21.60–$111.75 | $5.90–$149 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$4.73–$167.55 | $6.30–$223.40 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$42.15–$202.95 | $56.20–$270.60 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $187.95 | $250.60 | 1.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $186.53 | $248.70 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $504.60 | $672.80 | 2.8× |
| Radiologic exam colon single contrast study (74270) | $386.48 | $515.30 | 2.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$6.90–$186.98 | $9.20–$249.30 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$6.53–$150.38 | $8.70–$200.50 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $294.08 | $392.10 | 1.6× |
| Radiologic exam swallow function contrast study (74230) | $532.35 | $709.80 | 3.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $336.90 | $449.20 | 1.9× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$25.80–$175.80 | $34.40–$234.40 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$25.80–$175.80 | $34.40–$234.40 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$5.55–$159.15 | $7.40–$212.20 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $284.78 | $379.70 | 2.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$4.73–$118.43 | $6.30–$157.90 | varies |
| Ribs bilateral 3 views (71110) | $178.28 | $237.70 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,163.63 | $1,551.50 | 2.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $760.88 | $1,014.50 | 0.6× |
| Scapula (73010) range across 3 matching MRF lines |
$5.55–$118.43 | $7.40–$157.90 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $77.48 | $103.30 | 3.3× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$20.63–$107.48 | $5.70–$143.30 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$75.38–$776.93 | $20.40–$1,035.90 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$6.90–$175.50 | $9.20–$234 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$6.30–$159 | $8.40–$212 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $424.80 | $566.40 | 2.4× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$6.30–$212.40 | $8.40–$283.20 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$5.93–$277.20 | $7.90–$369.60 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$6.68–$202.95 | $8.90–$270.60 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,342.73 | $1,790.30 | 3.3× |
| Ultrasound Breast Limited (76642) | $230.18 | $306.90 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $505.80 | $674.40 | 4.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$76.20–$386.70 | $101.60–$515.60 | varies |
| Unlisted fluoroscopic procedure (76496) | $257.10 | $342.80 | 2.9× |
| Unlisted us procedure (76999) | $408.75 | $545 | 4.6× |
| Upper gi w/o kub (74240) | $330.60 | $440.80 | 1.8× |
| Urethrocystogram voiding (74455) | $358.58 | $478.10 | 1.5× |
| Urethrocystography retrograde (74450) | $476.70 | $635.60 | 2.0× |
| Us breast unilateral complete (76641) | $274.05 | $365.40 | 2.6× |
| Us chest (76604) range across 2 matching MRF lines |
$61.58–$291.83 | $82.10–$389.10 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$109.50–$384.83 | $146–$513.10 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$51.45–$303.30 | $68.60–$404.40 | varies |
| Us head (76506) | $345.60 | $460.80 | 3.2× |
| Us kidney transplant (76776) | $899.85 | $1,199.80 | 8.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$88.65–$296.03 | $118.20–$394.70 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$75.98–$279.23 | $101.30–$372.30 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$88.58–$364.43 | $118.10–$485.90 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$79.80–$577.43 | $106.40–$769.90 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$111.38–$559.50 | $148.50–$746 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$99.98–$339.38 | $133.30–$452.50 | varies |
| Us retroperitoneal complete (76770) | $567.30 | $756.40 | 5.3× |
| Us retroperitoneal limited (76775) | $319.73 | $426.30 | 3.0× |
| Us scrotum and contents (76870) | $432.90 | $577.20 | 4.1× |
| Us spinal canal and contents (76800) | $411.83 | $549.10 | 3.9× |
| Us thyroid (76536) | $662.40 | $883.20 | 6.2× |
| Us transrectal (76872) | $438.90 | $585.20 | 4.1× |
| Vein X-Ray Chest (75827) | $427.50 | $570 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $1,450.58 | $1,934.10 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $128.85 | $171.80 | 1.4× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$5.40–$111.75 | $7.20–$149 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$6.53–$150.38 | $8.70–$200.50 | varies |
| X-ray antegrade pyelogram tube (74425) | $631.05 | $841.40 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$6.90–$201.75 | $9.20–$269 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$21.60–$159.15 | $5.90–$212.20 | varies |
| X-Ray Exam Breast Specimen (76098) | $169.05 | $225.40 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$32.40–$150.38 | $43.20–$200.50 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$63.53–$232.05 | $84.70–$309.40 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$42.08–$202.95 | $56.10–$270.60 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$25.80–$107.48 | $34.40–$143.30 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$31.35–$183.15 | $41.80–$244.20 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$31.35–$131.25 | $41.80–$175 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$37.80–$298.65 | $50.40–$398.20 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$37.80–$298.65 | $50.40–$398.20 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$37.80–$298.65 | $50.40–$398.20 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$9.75–$555.38 | $13–$740.50 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$6.68–$180.68 | $8.90–$240.90 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$10.28–$329.18 | $13.70–$438.90 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$35.78–$269.03 | $47.70–$358.70 | varies |
| X-ray eye for foreign body (70030) | $147.75 | $197 | 1.7× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$4.73–$166.58 | $6.30–$222.10 | varies |
| X-ray IV pyelogram (ivp) (74400) | $382.35 | $509.80 | 2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $175.50 | $234 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$5.70–$111.75 | $7.60–$149 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$6.68–$202.95 | $8.90–$270.60 | varies |
| X-ray nose-rectum child f.b. (76010) | $118.43 | $157.90 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $201.75 | $269 | 1.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$5.40–$139.80 | $7.20–$186.40 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$23.70–$118.43 | $6.30–$157.90 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$4.73–$175.80 | $6.30–$234.40 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $178.28 | $237.70 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $201.75 | $269 | 1.9× |
| X-Ray Stress View (77071) | $46.50 | $62 | 0.5× |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$5.93–$206.33 | $7.90–$275.10 | varies |
| X-Ray Tmj Unilat (70328) | $111.75 | $149 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $590.70 | $787.60 | 1.7× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$39.90–$270.45 | $53.20–$360.60 | varies |
| X-Rays Bone Survey Complete (77075) | $326.70 | $435.60 | 3.1× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$9–$293.85 | $12–$391.80 | varies |
| Xr facial bones less than 3 views (70140) | $139.80 | $186.40 | 1.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $124.50 | $166 | 1.2× |
| Xr orbits complete 4 views (70200) | $178.28 | $237.70 | 1.7× |
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.