Imaging prices at Community Hospital of Staunton
Staunton, IL · every code in this section with a posted price and a Medicare benchmark.
237 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) | $221.60 | $443.20 | 2.4× |
| Abdomen 2 views (74019) | $252.65 | $505.30 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $914.70 | $1,829.40 | 2.1× |
| Ankle 2 views (73600) | $199.80 | $399.60 | 2.1× |
| Arthrogram Wrist (73115) | $234.10 | $468.20 | 0.6× |
| Bone age studies (77072) | $211.05 | $422.10 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,044.90 | $2,089.80 | 2.4× |
| Bone Imaging Limited Area (78300) | $906.20 | $1,812.40 | 2.1× |
| Bone Imaging Whole Body (78306) | $966.05 | $1,932.10 | 2.3× |
| Bone survey infant (77076) | $162.50 | $325 | 1.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $465.05 | $930.10 | 0.8× |
| Cerebrospinal Fluid Scan (78630) | $479.55 | $959.10 | 0.8× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$39.45–$221.60 | $78.90–$443.20 | varies |
| Chest 2 views (71046) | $253.25 | $506.50 | 2.7× |
| Chest 3 views (71047) | $393.95 | $787.90 | 4.2× |
| Chest 4 or more views (71048) | $393.95 | $787.90 | 3.5× |
| Clavicle complete (73000) | $221.60 | $443.20 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,020.10 | $2,040.20 | 9.1× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$61.70–$703.55 | $123.40–$1,407.10 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,757.25 | $5,514.50 | 7.4× |
| CT abdomen and pelvis without contrast (74176) | $1,968.60 | $3,937.20 | 7.7× |
| CT abdomen w contrast (74160) | $1,512.65 | $3,025.30 | 8.0× |
| CT abdomen w wo contrast (74170) | $1,758.85 | $3,517.70 | 9.4× |
| CT abdomen w/o contrast (74150) | $1,170.70 | $2,341.40 | 10.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,810.65 | $5,621.30 | 7.5× |
| CT Angio Chest (71275) | $1,710.30 | $3,420.60 | 9.1× |
| CT Angio Head (70496) | $1,547.80 | $3,095.60 | 8.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$553.05–$738.25 | $1,106.10–$1,476.50 | varies |
| CT Angio Neck (70498) | $1,547.80 | $3,095.60 | 8.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$829.50–$1,547.80 | $1,659–$3,095.60 | varies |
| CT cervical spine w/ contrast (72126) | $320 | $640 | 0.9× |
| CT cervical spine w/o contrast (72125) | $1,273.45 | $2,546.90 | 11.4× |
| CT cervical spine w/wo cont (72127) | $1,442.30 | $2,884.60 | 7.7× |
| CT chest w contrast (71260) | $1,196.05 | $2,392.10 | 6.4× |
| CT chest w/wo contrast (71270) | $1,442.30 | $2,884.60 | 7.7× |
| CT head/brain with contrast (70460) | $1,196.05 | $2,392.10 | 6.4× |
| CT head/brain without and with contrast (70470) | $1,514.80 | $3,029.60 | 8.1× |
| CT iac w contrast (70481) | $1,196.05 | $2,392.10 | 6.4× |
| CT l-spine w&w/o contrast (72133) | $1,442.30 | $2,884.60 | 7.7× |
| CT lower ext w/o (73700) | $1,071.65 | $2,143.30 | 9.6× |
| CT lower extremity w/contrast material (73701) | $1,255.85 | $2,511.70 | 6.7× |
| CT lumbar spine w contrast (72132) | $1,196.05 | $2,392.10 | 3.2× |
| CT lumbar spine w/o contrast (72131) | $1,118 | $2,236 | 10.0× |
| CT maxillofacial w contrast (70487) | $1,196.05 | $2,392.10 | 6.4× |
| CT maxillofacial wo contrast (70486) | $1,071.65 | $2,143.30 | 9.6× |
| CT neck tissue combo (70492) | $1,514.80 | $3,029.60 | 8.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,442.30 | $2,884.60 | 7.7× |
| CT orbits w/o contrast (70480) | $1,020.10 | $2,040.20 | 9.1× |
| CT pelvis w&w/o contrast (72194) | $1,442.30 | $2,884.60 | 7.7× |
| CT pelvis w/o contrast (72192) | $1,134.15 | $2,268.30 | 10.1× |
| CT scan of leg combo (73702) | $1,514.80 | $3,029.60 | 8.1× |
| CT scans face/jaw combo (70488) | $1,442.30 | $2,884.60 | 7.7× |
| CT soft tissue neck w contrast (70491) | $1,412.10 | $2,824.20 | 7.5× |
| CT soft tissue neck w/o contrast (70490) | $1,160.90 | $2,321.80 | 10.4× |
| CT thoracic spine w contrast (72129) | $1,196.05 | $2,392.10 | 6.4× |
| CT thoracic spine w/o contrast (72128) | $1,071.65 | $2,143.30 | 9.6× |
| CT thoracic spine w/wo cont (72130) | $1,442.30 | $2,884.60 | 7.7× |
| CT thorax w/o contrast (71250) | $1,020.10 | $2,040.20 | 9.1× |
| CT upper ext wo (73200) | $1,273.45 | $2,546.90 | 11.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,618.20 | $3,236.40 | 8.6× |
| CT upper extremity with contrast (73201) | $1,442.30 | $2,884.60 | 3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,040.40 | $4,080.80 | 10.9× |
| Cta Abdomen (74175) | $2,040.40 | $4,080.80 | 10.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,095.60 | $6,191.20 | 8.3× |
| CTA pelvis (72191) | $1,547.80 | $3,095.60 | 8.2× |
| Dxa Bone Density Axial (77080) | $292 | $584 | 2.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $140.75 | $281.50 | 1.5× |
| Echo Guide For Artery Repair (76936) | $404.25 | $808.50 | 1.7× |
| Esophagram (74220) | $341.30 | $682.60 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $128.05 | $256.10 | 1.1× |
| Fluoroscopy up to 1 hr (76000) | $422.15 | $844.30 | 1.7× |
| Foot 2 views (73620) | $221.60 | $443.20 | 2.4× |
| Forearm 2 views (73090) | $214.60 | $429.20 | 2.3× |
| Gastric emptying imaging study (78264) | $914.70 | $1,829.40 | 2.1× |
| Gated Heart Planar Single (78472) | $1,087 | $2,174 | 2.5× |
| Hand 2 views (73120) | $168.85 | $337.70 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,438.80 | $2,877.60 | 2.5× |
| Hepatobiliary System Imaging (78226) | $1,512.65 | $3,025.30 | 3.5× |
| Hysterosalpingogram (74740) | $147.95 | $295.90 | 0.6× |
| K Flow/Funct Image Multiple (78709) | $1,229.85 | $2,459.70 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $1,229.85 | $2,459.70 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,229.85 | $2,459.70 | 2.1× |
| Knee 3 Views (73562) | $221.60 | $443.20 | 2.4× |
| Liver & Spleen Imaging Static Only (78215) | $1,105.95 | $2,211.90 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) | $529.95 | $1,059.90 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,329 | $2,658 | 2.3× |
| Lymph System Imaging (78195) | $503.75 | $1,007.50 | 0.9× |
| Magnetic Image Jaw Joint (70336) | $1,442.30 | $2,884.60 | 5.6× |
| Meckels Divert Exam (78290) | $914.70 | $1,829.40 | 2.1× |
| MRA head w/o contrast (70544) | $1,514.80 | $3,029.60 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,932.70 | $3,865.40 | 5.2× |
| MRA neck w/o contrast (70547) | $1,442.30 | $2,884.60 | 5.6× |
| MRI abdomen w contrast (74182) | $2,033.20 | $4,066.40 | 5.4× |
| MRI abdomen w/o contrast (74181) | $1,758.85 | $3,517.70 | 6.9× |
| MRI any jt lower extrem w/contrast material (73722) | $1,679.40 | $3,358.80 | 2.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,185.25 | $4,370.50 | 5.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $502.90 | $1,005.80 | 0.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,932.70 | $3,865.40 | 7.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,407.15 | $2,814.30 | 5.5× |
| MRI cervical spine w contrast (72142) | $1,970 | $3,940 | 5.3× |
| MRI cervical spine w/o cont (72141) | $1,712.45 | $3,424.90 | 6.7× |
| MRI chest w/o contrast (71550) | $1,442.30 | $2,884.60 | 5.6× |
| MRI chest with contrast (71551) | $1,599.20 | $3,198.40 | 1.9× |
| MRI chest wo w contrast (71552) | $1,932.70 | $3,865.40 | 5.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,970 | $3,940 | 5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,392.05 | $4,784.10 | 6.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,829.20 | $3,658.40 | 7.2× |
| MRI lumbar spine w contrast (72149) | $1,970 | $3,940 | 5.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,932.70 | $3,865.40 | 5.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,442.30 | $2,884.60 | 5.6× |
| MRI orbit face neck w contrast (70542) | $1,599.20 | $3,198.40 | 4.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,932.70 | $3,865.40 | 5.2× |
| MRI pelvis w contrast (72196) | $1,679.40 | $3,358.80 | 4.5× |
| MRI pelvis w/o & w contrast (72197) | $2,208.45 | $4,416.90 | 5.9× |
| MRI pelvis w/o contrast (72195) | $1,153.85 | $2,307.70 | 4.5× |
| MRI thoracic spine w/o contrast (72146) | $1,527.55 | $3,055.10 | 6.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $530.15 | $1,060.30 | 1.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,514.80 | $3,029.60 | 5.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,029 | $4,058 | 5.4× |
| MRI, abdomen, combo (74183) | $2,251.35 | $4,502.70 | 6.0× |
| MRI, dorsal spine combo (72157) | $1,857.35 | $3,714.70 | 5.0× |
| MRI, dorsal spine contrast (72147) | $1,679.40 | $3,358.80 | 4.5× |
| MRI, joint upper extrem (73221) | $1,643.50 | $3,287 | 6.4× |
| MRI, joint upper extrem combo (73223) | $2,029 | $4,058 | 5.4× |
| MRI, lumbar spine combo (72158) | $2,251.35 | $4,502.70 | 6.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,087 | $2,174 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $2,935.20 | $5,870.40 | 2.1× |
| Neck soft tissue (70360) | $234.95 | $469.90 | 2.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $60.25 | $120.50 | 0.1× |
| Nonvascular Shunt X-Ray (75809) | $125.20 | $250.40 | 1.1× |
| Parathyroid Planar Imaging (78070) | $819.65 | $1,639.30 | 1.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,547.80 | $3,095.60 | 3.6× |
| Pelvis 1 or 2 views (72170) | $221.60 | $443.20 | 2.0× |
| PET image w/CT, full body (78816) | $1,609.30 | $3,218.60 | 1.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,217 | $4,434 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $861.90 | $1,723.80 | 2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $898.45 | $1,796.90 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $221.60 | $443.20 | 2.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $197 | $394 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $246.30 | $492.60 | 2.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $309.60 | $619.20 | 2.8× |
| Radex fingr minimum 2 views (73140) | $189.95 | $379.90 | 2.0× |
| Radex foot complete minimum 3 views (73630) | $221.60 | $443.20 | 2.4× |
| Radex Hand Minimum 3 Views (73130) | $221.60 | $443.20 | 2.4× |
| Radex lower extremity infant minimum 2 views (73592) | $48.35 | $96.70 | 0.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $211.05 | $422.10 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $59.50 | $119 | 0.6× |
| Radex shoulder complete minimum 2 views (73030) | $221.60 | $443.20 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $211.05 | $422.10 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $211.05 | $422.10 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $288.45 | $576.90 | 3.1× |
| Radex Toe Minimum 2 Views (73660) | $189.30 | $378.60 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) | $48.35 | $96.70 | 0.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $261.15 | $522.30 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $263.85 | $527.70 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $252.65 | $505.30 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $527.70 | $1,055.40 | 2.8× |
| Radiologic exam colon single contrast study (74270) | $431.90 | $863.80 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) | $228.70 | $457.40 | 2.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $66.60 | $133.20 | 0.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $291.25 | $582.50 | 1.5× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $57.75 | $115.50 | 0.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $622.70 | $1,245.40 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) | $57.60 | $115.20 | 0.6× |
| Radiologic examination knee 1/2 views (73560) | $205.40 | $410.80 | 2.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $263.85 | $527.70 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $221.60 | $443.20 | 2.4× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $19.85 | $39.70 | 0.2× |
| Ribs bilateral 3 views (71110) | $71.15 | $142.30 | 0.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,829.20 | $3,658.40 | 4.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,166.05 | $6,332.10 | 5.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,829.20 | $3,658.40 | 3.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$544.60–$1,829.20 | $1,089.20–$3,658.40 | varies |
| Scapula (73010) | $168.85 | $337.70 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$84.40–$126.65 | $168.80–$253.30 | varies |
| Shoulder 1 view (73020) | $176.60 | $353.20 | 1.9× |
| Shoulder Arthrography (73040) | $234.10 | $468.20 | 0.6× |
| Skull less than 4 views (70250) | $211.05 | $422.10 | 1.9× |
| Sternoclavicular joints (71130) | $281.45 | $562.90 | 3.0× |
| Thoracic spine 2 views (72070) | $89.90 | $179.80 | 0.8× |
| Thoracic spine 3 views (72072) | $277.15 | $554.30 | 2.5× |
| Thoracolumbar 2 views (72080) | $89.90 | $179.80 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $492.50 | $985 | 1.1× |
| Thyroid Uptake Measurement (78012) | $351.80 | $703.60 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $819.65 | $1,639.30 | 1.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$112.55–$225.05 | $225.10–$450.10 | varies |
| Ultrasound Exam Aaa Screen (76706) | $186.15 | $372.30 | 1.7× |
| Ultrasound, abdomen limited (76705) | $580.50 | $1,161 | 5.2× |
| Umbilical-artery Doppler (OB) (76820) | $69.50 | $139 | 0.6× |
| Unlisted us procedure (76999) | $121.20 | $242.40 | 1.3× |
| Upper gi w/o kub (74240) | $431.90 | $863.80 | 2.3× |
| Urethrocystogram voiding (74455) | $159.35 | $318.70 | 0.6× |
| Urethrocystography retrograde (74450) | $344.70 | $689.40 | 1.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$188.55–$307.50 | $377.10–$615 | varies |
| Us chest (76604) | $153.25 | $306.50 | 1.4× |
| Us complete joint (76881) | $443.25 | $886.50 | 4.0× |
| Us exam, pelvic, limited (76857) | $281.45 | $562.90 | 2.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $367.25 | $734.50 | 3.3× |
| Us ob limited 1 or more fetuses (76815) | $138.85 | $277.70 | 1.2× |
| Us ob transvaginal (76817) | $404.60 | $809.20 | 3.6× |
| Us pelvic non ob complete (76856) | $545.30 | $1,090.60 | 4.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $434.10 | $868.20 | 3.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $281.45 | $562.90 | 2.5× |
| Us retroperitoneal complete (76770) | $580.50 | $1,161 | 5.2× |
| Us retroperitoneal limited (76775) | $424.95 | $849.90 | 3.8× |
| Us scrotum and contents (76870) | $580.50 | $1,161 | 5.2× |
| Us thyroid (76536) | $452.45 | $904.90 | 4.0× |
| Wrist 2 views (73100) | $211.05 | $422.10 | 2.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $221.60 | $443.20 | 2.4× |
| X-Ray Bend Only L-S Spine (72120) | $263.85 | $527.70 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $204.75 | $409.50 | 2.2× |
| X-Ray Exam Breast Specimen (76098) | $879.50 | $1,759 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $64.50 | $129 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $106.10 | $212.20 | 0.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$52.15–$211.05 | $104.30–$422.10 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $235.80 | $471.60 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$263.10–$277.15 | $526.20–$554.30 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $386.95 | $773.90 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $211.05 | $422.10 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $369.40 | $738.80 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $280.80 | $561.60 | 2.5× |
| X-ray eye for foreign body (70030) | $211.05 | $422.10 | 2.3× |
| X-ray humerus (73060) | $221.60 | $443.20 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $228 | $456 | 2.0× |
| X-ray nose-rectum child f.b. (76010) | $47.45 | $94.90 | 0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $312.40 | $624.80 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $295.50 | $591 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$49.40–$253.25 | $98.80–$506.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $277.15 | $554.30 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $263.85 | $527.70 | 2.4× |
| X-Ray Stress View (77071) | $86 | $172 | 0.9× |
| X-ray thoracic spine 4 vw (72074) | $334.20 | $668.40 | 3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $703.55 | $1,407.10 | 1.9× |
| X-Rays Bone Length Studies (77073) | $179.50 | $359 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $158.55 | $317.10 | 1.4× |
| Xr c-spine 4 or 5 views (72050) | $299.80 | $599.60 | 2.7× |
| Xr orbits complete 4 views (70200) | $249.05 | $498.10 | 2.2× |
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.