Imaging prices at Crisp Regional Hospital
Cordele, GA · every code in this section with a posted price and a Medicare benchmark.
232 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) range across 2 matching MRF lines |
$165.53–$195.18 | $174.24–$205.45 | varies |
| Abdomen 2 views (74019) | $187.52 | $197.39 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $527.54 | $555.30 | 1.5× |
| Adrenal Cortex & Medulla Img (78075) | $1,232.07 | $1,296.92 | 1.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$180.72–$195.18 | $190.23–$205.45 | varies |
| Arthrogram ankle (73615) | $544.35 | $573 | 1.8× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$786.60–$810.20 | $828–$852.84 | varies |
| Arthrogram Wrist (73115) | $399.58 | $420.61 | 1.3× |
| Bone age studies (77072) | $185.89 | $195.67 | 2.0× |
| Bone Imaging Limited Area (78300) | $849.86 | $894.59 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,112.35 | $1,170.89 | 3.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,142.13 | $3,307.50 | 2.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,046.87 | $2,154.60 | 6.7× |
| Cat Scan Follow-Up Study (76380) | $1,084.14 | $1,141.20 | 14.2× |
| Chest 1 view (71045) | $193.56 | $203.75 | 2.5× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$220.70–$260.24 | $232.32–$273.94 | varies |
| Chest 3 views (71047) | $184.01 | $193.69 | 2.4× |
| Chest 4 or more views (71048) | $159.03 | $167.40 | 1.7× |
| Clavicle complete (73000) | $212.80 | $224 | 2.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$816.05–$840.53 | $859–$884.77 | varies |
| Contrast X-Ray Of Elbow (73085) | $341.05 | $359 | 1.1× |
| Contrast X-Ray Of Knee Joint (73580) | $666.90 | $702 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $5,451.10 | $5,738 | 17.8× |
| CT abdomen and pelvis without contrast (74176) | $3,281.82 | $3,454.55 | 15.7× |
| CT abdomen w contrast (74160) | $2,451.95 | $2,581 | 16.0× |
| CT abdomen w wo contrast (74170) | $2,809.15 | $2,957 | 18.3× |
| CT abdomen w/o contrast (74150) | $1,257.71 | $1,323.90 | 13.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,400.34 | $3,579.30 | 11.1× |
| CT Angio Chest (71275) | $2,454.71 | $2,583.90 | 16.0× |
| CT Angio Head (70496) | $3,199.16 | $3,367.54 | 20.8× |
| CT angio hrt w/3d image (75574) | $2,727.45 | $2,871 | 8.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,894.33–$2,981.16 | $3,046.66–$3,138.06 | varies |
| CT Angio Neck (70498) | $3,053.59 | $3,214.30 | 19.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,382.89 | $2,508.30 | 15.5× |
| CT cervical spine w/ contrast (72126) | $2,515.11 | $2,647.48 | 8.2× |
| CT cervical spine w/o contrast (72125) | $1,972.05 | $2,075.84 | 21.5× |
| CT cervical spine w/wo cont (72127) | $2,189.63 | $2,304.87 | 14.2× |
| CT chest w contrast (71260) | $2,369.20 | $2,493.89 | 15.4× |
| CT chest w/wo contrast (71270) | $2,528.24 | $2,661.30 | 16.4× |
| CT head/brain with contrast (70460) | $1,964.28 | $2,067.66 | 12.8× |
| CT head/brain without and with contrast (70470) | $2,528.24 | $2,661.30 | 16.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $237.50 | $250 | 3.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,870.74–$1,926.87 | $1,969.20–$2,028.28 | varies |
| CT l-spine w&w/o contrast (72133) | $1,870.74 | $1,969.20 | 12.2× |
| CT lower ext w/o (73700) | $1,690.91 | $1,779.91 | 18.5× |
| CT lower extremity w/contrast material (73701) | $2,151.48 | $2,264.72 | 14.0× |
| CT lumbar spine w contrast (72132) | $2,879.30 | $3,030.84 | 9.4× |
| CT lumbar spine w/o contrast (72131) | $1,786.40 | $1,880.42 | 19.5× |
| CT maxillofacial w contrast (70487) | $2,441.01 | $2,569.48 | 15.9× |
| CT maxillofacial wo contrast (70486) | $1,690.91 | $1,779.91 | 18.5× |
| CT neck tissue combo (70492) | $1,870.74 | $1,969.20 | 12.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,870.74 | $1,969.20 | 12.2× |
| CT orbits w/o contrast (70480) | $1,742.59 | $1,834.30 | 19.0× |
| CT pelvis w&w/o contrast (72194) | $1,870.74 | $1,969.20 | 12.2× |
| CT pelvis w/o contrast (72192) | $1,483.02 | $1,561.07 | 16.2× |
| CT scan of leg combo (73702) | $1,870.74 | $1,969.20 | 12.2× |
| CT scans face/jaw combo (70488) | $2,809.15 | $2,957 | 18.3× |
| CT soft tissue neck w contrast (70491) | $1,870.74 | $1,969.20 | 12.2× |
| CT soft tissue neck w/o contrast (70490) | $1,339.41 | $1,409.91 | 14.6× |
| CT thoracic spine w contrast (72129) | $2,081.01 | $2,190.54 | 13.5× |
| CT thoracic spine w/o contrast (72128) | $1,788.36 | $1,882.48 | 19.5× |
| CT thorax w/o contrast (71250) | $1,339.80 | $1,410.32 | 14.6× |
| CT upper ext wo (73200) | $1,690.91 | $1,779.91 | 18.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,870.74 | $1,969.20 | 12.2× |
| CT upper extremity with contrast (73201) | $1,926.87 | $2,028.28 | 6.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,843.58 | $5,098.50 | 31.5× |
| Cta Abdomen (74175) | $2,454.71 | $2,583.90 | 16.0× |
| Dxa Bone Density Axial (77080) | $343.78 | $361.87 | 3.8× |
| Esophagram (74220) | $364.96 | $384.17 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) | $766.46 | $806.80 | 8.4× |
| Fluoroscopy up to 1 hr (76000) | $582.25 | $612.89 | 2.8× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$180.72–$195.18 | $190.23–$205.45 | varies |
| Forearm 2 views (73090) | $252.10 | $265.37 | 3.3× |
| Gastric emptying imaging study (78264) | $753.24 | $792.88 | 2.2× |
| Gated Heart Planar Single (78472) | $1,562.66 | $1,644.91 | 4.5× |
| Hand 2 views (73120) | $198.65 | $209.11 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $851.21 | $896.01 | 1.8× |
| Hepatobiliary System Imaging (78226) | $752.26 | $791.85 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $3,616.33 | $3,806.66 | 3.2× |
| Hysterosalpingogram (74740) | $869.20 | $914.95 | 4.2× |
| K Flow/Funct Image Multiple (78709) | $752.96 | $792.59 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $600.23 | $631.82 | 1.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$182.06–$187.52 | $191.64–$197.39 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $772.11 | $812.75 | 1.6× |
| Lymph System Imaging (78195) | $764.42 | $804.65 | 1.6× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,751.90–$2,834.46 | $2,896.74–$2,983.64 | varies |
| Mammary ductogram or galactogram single (77053) | $522.41 | $549.90 | 2.5× |
| Meckels Divert Exam (78290) | $541.22 | $569.70 | 1.5× |
| Mra Head W/O & W/Contrast Material (70546) | $3,621.40 | $3,812 | 11.8× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,658.42–$2,738.18 | $2,798.34–$2,882.29 | varies |
| MRA neck w contrast (70548) | $2,401.49 | $2,527.88 | 7.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,621.40 | $3,812 | 11.8× |
| MRA neck w/o contrast (70547) | $3,348.75 | $3,525 | 16.0× |
| MRI abdomen w contrast (74182) | $2,751.90 | $2,896.74 | 9.0× |
| MRI abdomen w/o contrast (74181) | $1,861.34 | $1,959.30 | 8.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,252.07 | $3,423.23 | 4.7× |
| MRI cervical spine w contrast (72142) | $2,804.29 | $2,951.88 | 9.2× |
| MRI cervical spine w/o cont (72141) | $2,740.62 | $2,884.86 | 13.1× |
| MRI chest w/o contrast (71550) | $2,046.87 | $2,154.60 | 9.8× |
| MRI chest wo w contrast (71552) | $2,804.40 | $2,952 | 9.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,935.50 | $3,090 | 9.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,571.56 | $3,759.54 | 11.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,780.42 | $2,926.76 | 13.3× |
| MRI lumbar spine w contrast (72149) | $3,074.91 | $3,236.75 | 10.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,843.24 | $4,045.52 | 12.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,046.87 | $2,154.60 | 9.8× |
| MRI orbit face neck w contrast (70542) | $1,817.73 | $1,913.40 | 5.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,342.53 | $2,465.82 | 7.7× |
| MRI pelvis w contrast (72196) | $2,751.90 | $2,896.74 | 9.0× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,770.36–$3,883.47 | $3,968.80–$4,087.86 | varies |
| MRI pelvis w/o contrast (72195) | $2,108.28 | $2,219.24 | 10.1× |
| MRI thoracic spine w/o contrast (72146) | $2,046.87 | $2,154.60 | 9.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,210.05 | $3,379 | 15.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,678.58 | $3,872.19 | 12.0× |
| MRI, abdomen, combo (74183) | $3,883.47 | $4,087.86 | 12.7× |
| MRI, dorsal spine combo (72157) | $2,889.05 | $3,041.10 | 9.4× |
| MRI, dorsal spine contrast (72147) | $2,287.13 | $2,407.50 | 7.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,496.58–$2,571.48 | $2,627.98–$2,706.82 | varies |
| MRI, lumbar spine combo (72158) | $2,889.05 | $3,041.10 | 9.4× |
| Myocardial Spect Multiple Studies (78452) | $4,877.06 | $5,133.75 | 4.3× |
| Neck soft tissue (70360) | $195.18 | $205.45 | 2.6× |
| Optic foramina (70190) | $243.68 | $256.50 | 3.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,353.75 | $1,425 | 2.8× |
| Parathyroid Planar Imaging (78070) | $559.53 | $588.98 | 1.6× |
| Pelvis 1 or 2 views (72170) | $237.21 | $249.69 | 2.6× |
| Pet Image W/Ct Lmtd (78814) | $3,868.88 | $4,072.50 | 3.1× |
| PET image w/CT, full body (78816) | $4,475.46 | $4,711.01 | 3.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,561.97 | $4,802.07 | 3.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $633 | $666.32 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $278.25 | $292.89 | 3.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$499.89–$514.89 | $526.20–$541.99 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $215.51 | $226.85 | 2.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $195.18 | $205.45 | 2.6× |
| Radex elbow complete minimum 3 views (73080) | $212.80 | $224 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $286.89 | $301.99 | 3.1× |
| Radex fingr minimum 2 views (73140) | $170.79 | $179.78 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $212.80 | $224 | 2.8× |
| Radex Hand Minimum 3 Views (73130) | $212.80 | $224 | 2.8× |
| Radex lower extremity infant minimum 2 views (73592) | $153.90 | $162 | 2.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $243.68 | $256.50 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $214.16 | $225.43 | 2.8× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$294.27–$320.28 | $309.76–$337.14 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $168.44 | $177.30 | 2.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $374.49 | $394.20 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $127.70 | $134.42 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $300.03 | $315.82 | 3.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $243.68 | $256.50 | 3.2× |
| Radex Toe Minimum 2 Views (73660) | $173.49 | $182.62 | 2.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $237.21 | $249.69 | 3.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $244.63 | $257.50 | 2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $386.29 | $406.62 | 4.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $317.26 | $333.96 | 3.5× |
| Radiologic exam colon double contrast study (74280) | $669.82 | $705.07 | 4.4× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$328.48–$365.09 | $345.77–$384.31 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$300.03–$309.03 | $315.82–$325.29 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $349.70 | $368.10 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $378.06 | $397.96 | 2.5× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$365.75–$1,476.30 | $385–$1,554 | varies |
| Radiologic examination femur minimum 2 views (73552) | $246.68 | $259.66 | 3.2× |
| Radiologic examination knee 1/2 views (73560) | $242.63 | $255.40 | 3.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $370.22 | $389.70 | 4.0× |
| Radiologic Examination Salivary Gland Calculus (70380) | $566.87 | $596.70 | 7.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $252.10 | $265.37 | 3.3× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $445.78 | $469.24 | 0.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,781.73 | $1,875.50 | 5.1× |
| Scapula (73010) | $263.42 | $277.28 | 2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$92.23–$114 | $97.08–$120 | varies |
| Sella turcica (70240) | $243.68 | $256.50 | 3.2× |
| Shoulder 1 view (73020) | $200.63 | $211.19 | 2.6× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$684.95–$726.05 | $721–$764.26 | varies |
| Sialogram (70390) | $566.87 | $596.70 | 2.7× |
| Skull less than 4 views (70250) | $188.51 | $198.43 | 2.1× |
| Sternoclavicular joints (71130) | $177.84 | $187.20 | 2.3× |
| Thoracic spine 2 views (72070) | $247.75 | $260.79 | 2.7× |
| Thoracic spine 3 views (72072) | $269.95 | $284.16 | 2.9× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$216.60–$233.93 | $228–$246.24 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $935.24 | $984.46 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $483.08 | $508.50 | 5.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$649.47–$668.95 | $683.65–$704.16 | varies |
| Umbilical-artery Doppler (OB) (76820) | $289.75 | $305 | 3.2× |
| Unlisted us procedure (76999) | $537.20 | $565.47 | 7.0× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$307.50–$541.46 | $323.68–$569.96 | varies |
| Ureteral Reflux Study (78740) | $307.80 | $324 | 0.9× |
| Urethrocystogram voiding (74455) | $574.70 | $604.95 | 2.7× |
| Urethrocystography retrograde (74450) | $392.07 | $412.70 | 1.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$459.66–$491.06 | $483.85–$516.90 | varies |
| Us chest (76604) | $483.08 | $508.50 | 5.3× |
| Us complete joint (76881) range across 2 matching MRF lines |
$684.33–$689.84 | $720.35–$726.15 | varies |
| Us exam, pelvic, limited (76857) | $667.86 | $703.01 | 7.3× |
| Us head (76506) | $469.40 | $494.10 | 5.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $585.68 | $616.50 | 6.4× |
| Us ob limited 1 or more fetuses (76815) | $406.63 | $428.03 | 4.4× |
| Us ob transvaginal (76817) | $653.44 | $687.83 | 7.1× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$531.91–$667.86 | $559.91–$703.01 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $724.76 | $762.90 | 7.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $581.52 | $612.13 | 6.3× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$497.57–$554.33 | $523.76–$583.50 | varies |
| Us scrotum and contents (76870) | $669.01 | $704.22 | 7.3× |
| Us spinal canal and contents (76800) | $538.17 | $566.49 | 5.9× |
| Us thyroid (76536) | $649.47 | $683.65 | 7.1× |
| Us transrectal (76872) | $483.08 | $508.50 | 5.3× |
| Venography extremity bilateral rs&i (75822) | $1,165.55 | $1,226.89 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $760.52 | $800.55 | 0.6× |
| Wrist 2 views (73100) | $195.18 | $205.45 | 2.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $98.22 | $103.39 | 1.3× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$499.89–$555.44 | $526.20–$584.67 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $145.18 | $152.82 | 1.9× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$568.96–$586.03 | $598.90–$616.87 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $168.03 | $176.87 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $222.92 | $234.65 | 2.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $215.27 | $226.60 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $187.52 | $197.39 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $260.24 | $273.94 | 2.8× |
| X-Ray Exam L-S Spine Bending (72114) | $374.10 | $393.79 | 4.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $237.21 | $249.69 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $379.53 | $399.50 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $260.24 | $273.94 | 2.8× |
| X-ray humerus (73060) | $269.73 | $283.93 | 3.5× |
| X-ray IV pyelogram (ivp) (74400) | $399.58 | $420.61 | 2.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $246.68 | $259.66 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $162.45 | $171 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $252.04 | $265.31 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $217.76 | $229.22 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$357.68–$374.47 | $376.51–$394.18 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $300.03 | $315.82 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $386.29 | $406.62 | 4.2× |
| X-ray thoracic spine 4 vw (72074) | $296 | $311.58 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$672.08–$792.48 | $707.45–$834.19 | varies |
| X-Rays Bone Length Studies (77073) | $271.44 | $285.73 | 3.0× |
| X-Rays Bone Survey Complete (77075) | $522.81 | $550.33 | 5.7× |
| Xr c-spine 4 or 5 views (72050) | $374.10 | $393.79 | 4.1× |
| Xr orbits complete 4 views (70200) | $258.30 | $271.89 | 2.8× |
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.