Imaging prices at Cullman Regional Medical Center

Cullman, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $215.33 $401.12 2.7×
Abdomen 2 views (74019) $292.88 $546.49 3.1×
Acute Gastrointestinal Blood Loss Imaging (78278) $603.08 $1,123.93 1.7×
Angio internal mammary (75756) $1,316.70 $2,455.14 0.5×
Angio pulmonary bilat (75743) $4,317.23 $8,050.63 1.5×
Angiography extremity bilateral rs&i (75716) $4,835.33 $9,016.70 1.7×
Angiography extremity unilateral rs&i (75710) $3,288.45 $6,132.32 1.1×
Angiography pulmonary unilateral slctv rs&i (75741) $2,404.88 $4,485 0.8×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $1,316.70 $2,455.14 0.5×
Ankle 2 views (73600)
range across 8 matching MRF lines
$165 $307.85–$318.65 2.1×
Aortography thoracic serialography rs&i (75605) $4,835.33 $9,016.70 1.0×
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure
$2,404.88 $4,485 0.5×
Arthrogram hip (73525) $538.73 $1,004.84 1.7×
Arthrogram Wrist (73115) $631.13 $1,176.56 2.0×
Bone age studies (77072) $84.98 $157.72 0.9×
Bone Imaging 3 Phase (78315) $1,301.85 $2,428.11 3.6×
Bone Imaging Limited Area (78300) $839.85 $1,566.92 2.3×
Bone Imaging Whole Body (78306) $1,407.45 $2,623.86 3.9×
Bone marrow imaging; whole body (78104) $711.98 $1,327.01 2.0×
Bone survey infant (77076) $249.98 $466.03 2.6×
Cerebrospinal Fluid Scan (78630) $1,601.33 $2,985.52 3.3×
Chest 1 view (71045) $136.13 $253.82 1.7×
Chest 2 views (71046)
range across 8 matching MRF lines
$212.85 $292.60–$409.11 2.7×
Clavicle complete (73000)
range across 8 matching MRF lines
$198.83 $330.84–$370.53 2.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,635.15 $3,049.07 17.3×
Contrast Exam Abdominl Aorta (75625) $5,844.30 $10,898.60 2.0×
Contrast X-Ray Bladder (74430)
range across 6 matching MRF lines
$554.40 $612.55–$1,033.41 1.8×
Contrast X-Ray Of Elbow (73085) $500.78 $934.13 1.6×
Contrast X-Ray Of Knee Joint (73580) $447.15 $834.05 1.4×
CT abdomen and pelvis without and with contrast (74178) $2,588.03 $4,826.55 8.2×
CT abdomen and pelvis without contrast (74176) $2,074.88 $3,869.45 9.6×
CT abdomen w contrast (74160) $1,605.45 $2,994.38 10.1×
CT abdomen w wo contrast (74170) $1,972.58 $3,678.03 12.4×
CT abdomen w/o contrast (74150) $1,459.43 $2,720.92 15.4×
CT Angio Abdomen and Pelvis (74174) $2,433.75 $4,538.98 7.7×
CT Angio Chest (71275) $1,539.45 $2,871.32 9.7×
CT Angio Head (70496) $1,603.80 $2,990.01 10.1×
CT angio hrt w/3d image (75574) $532.13 $992.21 1.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,414.88 $2,637.85 8.9×
CT Angio Neck (70498) $1,630.20 $3,039.77 10.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,603.80 $2,990.01 10.1×
CT cervical spine w/ contrast (72126) $1,601.33 $2,985.50 5.1×
CT cervical spine w/o contrast (72125) $1,454.48 $2,712.02 15.4×
CT cervical spine w/wo cont (72127) $1,967.63 $3,669.14 12.4×
CT chest w contrast (71260) $1,782 $3,322.53 11.2×
CT chest w/wo contrast (71270) $2,148.30 $4,006.18 13.5×
CT head/brain with contrast (70460) $1,657.43 $3,090.07 10.4×
CT head/brain without and with contrast (70470) $2,023.73 $3,773.72 12.7×
CT heart no contrast quant eval coronry calcium (75571) $90.75 $170 1.2×
CT iac w contrast (70481) $1,687.95 $3,147.52 10.6×
CT l-spine w&w/o contrast (72133) $1,799.33 $3,355.34 11.3×
CT lower ext w/o (73700) $1,191.30 $2,221.86 12.6×
CT lower extremity w/contrast material (73701) $1,338.15 $2,495.32 8.4×
CT lumbar spine w contrast (72132) $1,433.03 $2,671.69 4.5×
CT lumbar spine w/o contrast (72131) $1,286.18 $2,398.23 13.6×
CT maxillofacial w contrast (70487) $1,825.73 $3,404.57 11.5×
CT maxillofacial wo contrast (70486) $1,678.88 $3,131.11 17.7×
CT neck tissue combo (70492) $1,843.05 $3,436.18 11.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,054.25 $3,831.16 12.9×
CT orbits w/o contrast (70480) $1,541.10 $2,874.06 16.3×
CT pelvis w&w/o contrast (72194) $1,972.58 $3,678.03 12.4×
CT pelvis w/o contrast (72192) $1,459.43 $2,720.92 15.4×
CT scan of leg combo (73702) $1,704.45 $3,178.96 10.7×
CT scans face/jaw combo (70488) $2,192.03 $4,088.22 13.8×
CT soft tissue neck w contrast (70491) $1,475.93 $2,752.53 9.3×
CT soft tissue neck w/o contrast (70490) $1,329.08 $2,479.06 14.0×
CT thoracic spine w contrast (72129) $1,597.20 $2,978.05 10.0×
CT thoracic spine w/o contrast (72128) $1,450.35 $2,704.58 15.3×
CT thoracic spine w/wo cont (72130) $1,963.50 $3,661.70 12.4×
CT thorax w/o contrast (71250) $1,635.15 $3,049.07 17.3×
CT upper ext wo (73200) $1,191.30 $2,221.86 12.6×
CT upper extremity w/o & w/contrast material (73202) $1,445.40 $2,695.32 9.1×
CT upper extremity with contrast (73201) $1,338.15 $2,495.32 4.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,202.85 $2,242.64 7.6×
Cta Abdomen (74175) $1,590.60 $2,965.92 10.0×
CTA pelvis (72191) $1,317.53 $2,457.05 8.3×
Diskography lumbar (72295) $1,851.30 $3,452 1.0×
Dxa Bone Density Axial (77080) $267.30 $499.09 2.8×
Dxa bone density study (77085) $237.60 $442.63 2.5×
Echo Guide For Artery Repair (76936)
range across 6 matching MRF lines
$237.60 $285.60–$443.14 1.2×
Esophagram (74220) $282.98 $527.78 1.8×
Fetal Biophys Profile W/Nst (76818) $316.80 $591.07 3.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $369.60 $688.53 3.9×
Fluoroscopy up to 1 hr (76000)
range across 4 matching MRF lines
$380.33 $246.02–$709.31 1.8×
Follow-Up Angiography (75898) $379.50 $707.78 0.1×
Foot 2 views (73620) $165.83 $309.19 2.1×
Forearm 2 views (73090)
range across 8 matching MRF lines
$170.78 $318.62–$347.30 2.2×
Gastric emptying imaging study (78264) $1,176.45 $2,193.29 3.2×
Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) $1,234.20 $2,302.29 3.4×
Gated Heart Planar Single (78472) $998.25 $1,861.60 2.8×
Hand 2 views (73120) $135.30 $253.04 1.4×
Heart first pass single,planar (78481) $982.58 $1,832.02 2.0×
Hepatobil Syst Image W/Drug (78227) $1,145.10 $2,134.97 2.3×
Hepatobiliary System Imaging (78226)
range across 4 matching MRF lines
$567.60 $1,059–$2,134.97 1.6×
Ht Musc Image Planar Mult (78454) $2,999.70 $5,593.52 2.6×
Infant hip ultrasound, limited static exam (76886) $253.28 $472.34 3.2×
K Flow/Funct Image W/Drug (78708) $775.50 $1,446.62 1.6×
K Flow/Funct Image W/O Drug (78707) $1,051.05 $1,959.43 2.1×
Knee 3 Views (73562) $282.98 $527.77 3.6×
Liver & Spleen Imaging Static Only (78215) $669.08 $1,248.36 1.8×
Lung Ventilat&Perfus Imaging (78582) $1,029.60 $1,919.60 2.1×
Lymph System Imaging (78195) $1,034.55 $1,928.84 2.1×
Magnetic Image Jaw Joint (70336) $1,594.73 $2,973.87 7.4×
Meckels Divert Exam (78290) $823.35 $1,535.86 2.3×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $19.80 $41.50 0.8×
Mr safety implt electronics prepj supvj phys/qhp (76018) $75.90 $450 0.9×
Mra Head W/O & W/Contrast Material (70546) $1,979.18 $3,690.84 6.3×
MRA head w/o contrast (70544) $1,442.93 $2,690.84 6.7×
MRA neck w contrast (70548) $1,389.30 $2,591.04 4.4×
Mra Neck W/O &W/Contrast Material (70549) $1,756.43 $3,274.68 5.6×
MRA neck w/o contrast (70547) $1,242.45 $2,317.57 5.7×
MRI abdomen w contrast (74182) $1,650.83 $3,077.78 5.2×
MRI abdomen w/o contrast (74181) $1,503.98 $2,804.32 7.0×
MRI any jt lower extrem w/contrast material (73722) $1,612.05 $3,006.69 2.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,979.18 $3,690.34 6.3×
MRI any jt upper extremity w/contrast matrl (73222) $1,532.03 $2,857.63 2.2×
MRI Breast W/O Contrast Bilateral (77047) $1,966.80 $3,667.77 9.1×
MRI Breast Without Contrast Material Unilateral (77046) $983.40 $1,833.89 4.5×
MRI cervical spine w contrast (72142) $1,650.83 $3,077.78 5.2×
MRI cervical spine w/o cont (72141) $1,503.98 $2,804.32 7.0×
MRI chest w/o contrast (71550)
range across 6 matching MRF lines
$1,765.50 $2,317.56–$3,292.30 8.2×
MRI chest with contrast (71551) $1,532.03 $2,857.63 2.2×
MRI chest wo w contrast (71552)
range across 6 matching MRF lines
$2,131.80 $3,274.68–$3,975.96 6.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,536.15 $2,864.49 4.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,902.45 $3,548.14 6.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,389.30 $2,591.03 6.4×
MRI lumbar spine w contrast (72149) $1,650.83 $3,077.78 5.2×
Mri Neck Spine W/O & W/Dye (72156) $2,545.95 $4,747.92 8.1×
MRI orbit face &/neck w/o contrast (70540) $1,814.18 $3,383.36 8.4×
MRI orbit face neck w contrast (70542) $1,948.65 $3,633.36 6.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,181.30 $4,067.02 6.9×
MRI pelvis w/o & w contrast (72197) $1,953.60 $3,642.47 6.2×
MRI pelvis w/o contrast (72195) $1,586.48 $2,958.83 7.3×
MRI thoracic spine w/o contrast (72146) $1,268.03 $2,365.31 5.9×
MRI upper extremity oth than jt w/contr matrl (73219) $813.45 $1,516.46 2.6×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,242.45 $2,317.56 5.7×
Mri Uppr Extremity W/O&W/Dye (73220) $1,756.43 $3,274.68 5.6×
MRI, abdomen, combo (74183) $2,017.13 $3,761.43 6.4×
MRI, dorsal spine combo (72157) $2,736.53 $5,102.75 8.7×
MRI, dorsal spine contrast (72147) $1,414.88 $2,638.77 4.5×
MRI, joint upper extrem (73221)
range across 16 matching MRF lines
$1,242.45 $2,317.56–$2,584.17 5.7×
MRI, joint upper extrem combo (73223)
range across 16 matching MRF lines
$1,756.43 $3,274.68–$3,541.30 5.6×
MRI, lumbar spine combo (72158) $2,842.95 $5,301.01 9.0×
Myocardial Spect Multiple Studies (78452) $3,625.05 $6,759.97 3.1×
Neck soft tissue (70360) $152.63 $284.40 1.9×
Nonvascular Shunt X-Ray (75809) $87.45 $225 0.9×
Nuclear Rx Oral Admin (79005) $622.88 $1,161.71 2.9×
Parathyroid Planar Imaging (78070) $710.33 $1,324.92 2.0×
Parathyroid planar imaging w/wo subtraction (78071) $331.65 $1,004.58 0.9×
Pelvis 1 or 2 views (72170) $142.73 $266.62 1.5×
Pulmonary Perfusion Imaging Particulate (78580) $508.20 $948.45 1.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $53.63 $691.86 0.6×
Radex abscess/fistula/sinus tract rs&i (76080) $312.68 $583.56 0.6×
Radex Ankle Complete Minimum 3 Views (73610) $233.48 $434.80 3.0×
Radex Calcaneus Minimum 2 Views (73650)
range across 8 matching MRF lines
$174.90 $290.55–$325.42 2.2×
Radex elbow complete minimum 3 views (73080) $221.93 $414.29 2.8×
Radex Facial Bones Complete Minimum 3 Views (70150) $286.28 $533.25 3.0×
Radex fingr minimum 2 views (73140)
range across 8 matching MRF lines
$146.03 $272.62–$311.14 1.9×
Radex foot complete minimum 3 views (73630) $231 $431.43 2.9×
Radex Hand Minimum 3 Views (73130) $235.13 $438.91 3.0×
Radex lower extremity infant minimum 2 views (73592) $136.13 $253.13 1.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $273.90 $510.81 3.5×
Radex Ribs Unilateral 2 Views (71100) $304.43 $567.44 3.9×
Radex shoulder complete minimum 2 views (73030) $222.75 $416.12 2.8×
Radex Sinuses Paransl < 3 Views (70210) $142.73 $266.27 1.8×
Radex Spine 1 View Specify Level (72020) $150.98 $281.44 1.9×
Radex Sternum Minimum 2 Views (71120) $179.85 $335.51 2.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $80.85 $150 1.0×
Radex Toe Minimum 2 Views (73660) $161.70 $301.78 2.1×
Radex upper extremity infant minimum 2 views (73092) $159.23 $296.99 1.7×
Radex Wrist Complete Minimum 3 Views (73110) $288.75 $538.70 3.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $886.05 $1,651.91 9.4×
Radiolog exam mandible compl minimum 4 views (70110) $286.28 $533.23 3.0×
Radiologic exam colon double contrast study (74280) $467.78 $872.33 2.9×
Radiologic exam colon single contrast study (74270) $396.83 $740.46 2.5×
Radiologic exam knee complete 4/more views (73564) $297 $554.16 3.1×
Radiologic exam pelvis compl minimum 3 views (72190) $248.33 $463.51 2.6×
Radiologic Exam Small Int Single Contrast Study (74250) $401.78 $748.74 2.5×
Radiologic exam swallow function contrast study (74230) $282.98 $527.78 1.8×
Radiologic exam upr gi trc double contrast study (74246)
range across 6 matching MRF lines
$492.53 $862.77–$918.22 3.1×
Radiologic examination femur 1 view (73551) $205.43 $382.59 2.6×
Radiologic examination femur minimum 2 views (73552) $223.58 $417.02 2.8×
Radiologic examination knee 1/2 views (73560) $215.33 $401.12 2.7×
Radiologic Examination Osseous Survey Limited (77074) $335.78 $626.27 3.5×
Radiologic examination tibia & fibula 2 views (73590) $200.48 $373.27 2.5×
Ribs bilateral 3 views (71110) $311.03 $580.49 3.3×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 6 matching MRF lines
$783.75 $1,461.78–$1,850.54 2.2×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801)
range across 6 matching MRF lines
$2,895.75 $1,850.54–$5,399.50 8.0×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $1,689.60 $3,150.27 3.4×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802)
range across 4 matching MRF lines
$2,870.18 $3,466–$5,351.75 5.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 8 matching MRF lines
$1,181.40 $2,202.35–$5,230.76 2.4×
Scapula (73010) $187.28 $348.57 2.0×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 8 matching MRF lines
$54.45 $50.92–$101.84 2.3×
Shoulder 1 view (73020) $155.10 $289.86 2.0×
Shoulder Arthrography (73040) $777.98 $316.12 2.5×
Skull less than 4 views (70250)
range across 4 matching MRF lines
$286.28 $140–$533.25 3.0×
Sternoclavicular joints (71130) $220.28 $411.41 2.8×
Testicular Imaging W/Flow (78761) $1,106.33 $2,063.03 3.1×
Thoracic spine 2 views (72070) $192.23 $358.33 2.0×
Thoracic spine 3 views (72072) $304.43 $567.43 3.2×
Thoracolumbar 2 views (72080) $349.80 $651.93 4.4×
Thyroid Imaging With Vascular Flow (78013) $471.08 $879.12 1.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $952.05 $1,775.09 2.6×
Ultrasound Breast Limited (76642) $240.90 $449.55 3.1×
Ultrasound Exam Aaa Screen (76706) $362.18 $675.12 3.8×
Ultrasound, abdomen limited (76705) $362.18 $675.12 3.8×
Unlisted us procedure (76999) $113.85 $212.54 1.4×
Upper gi w/o kub (74240) $477.68 $891.48 3.0×
Urethrocystography retrograde (74450) $697.95 $1,300.84 3.2×
Us breast unilateral complete (76641)
range across 12 matching MRF lines
$306.90 $571.63–$1,143.26 3.2×
Us chest (76604) $328.35 $612.93 3.5×
Us complete joint (76881) $248.33 $462.67 2.6×
Us exam, pelvic, limited (76857) $137.78 $257.05 1.5×
Us head (76506) $316.80 $590.44 3.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 6 matching MRF lines
$248.33 $462.67–$708.51 2.6×
Us ob limited 1 or more fetuses (76815) $339.08 $632.60 3.6×
Us ob transvaginal (76817) $464.48 $865.47 4.9×
Us pelvic non ob complete (76856) $622.05 $1,159.45 6.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $165 $307 1.7×
Us retroperitoneal complete (76770) $362.18 $675.12 3.8×
Us retroperitoneal limited (76775) $377.03 $702.79 4.0×
Us scrotum and contents (76870) $463.65 $864.82 4.9×
Us spinal canal and contents (76800) $253.28 $472.34 2.7×
Us thyroid (76536) $380.33 $708.51 4.0×
Vascular Flow Imaging (78445) $886.05 $1,652.88 2.4×
Vein X-Ray Chest (75827) $1,392.60 $2,596.75 1.0×
Venography caval inferior serialography rs&i (75825) $4,317.23 $8,050.63 1.5×
Venography extremity bilateral rs&i (75822) $1,157.48 $2,159 0.8×
Venography extremity unilateral rs&i (75820) $1,392.60 $2,596.75 1.0×
Venous sampling by catheter (75893)
unusually low: confirm this is the full procedure
$2,404.88 $4,485 0.5×
Vertebral fracture assessment via dxa (77086) $155.93 $291.16 2.0×
Wrist 2 views (73100) $184.80 $344.56 2.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $155.10 $289.94 2.0×
X-ray antegrade pyelogram tube (74425) $575.03 $1,072.47 1.8×
X-Ray Aorta Leg Arteries (75630) $4,835.33 $9,016.70 1.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 8 matching MRF lines
$136.13 $254.32–$275.53 1.7×
X-Ray Exam Breast Specimen (76098) $953.70 $1,778.77 1.9×
X-Ray Exam Entire Spi 1 Vw (72081) $627.83 $1,170.74 8.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $827.48 $1,542.91 8.7×
X-Ray Exam Entire Spi 4/5 Vw (72083) $856.35 $1,597.41 9.0×
X-Ray Exam Hip Uni 1 View (73501)
range across 8 matching MRF lines
$218.63 $407.12–$418.32 2.8×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 8 matching MRF lines
$232.65 $434.37–$446.32 3.0×
X-Ray Exam Hips Bi 2 Views (73521) $175.73 $327.27 1.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $286.28 $534.20 3.0×
X-Ray Exam Hips Bi 5/> Views (73523) $477.68 $890.34 5.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $266.48 $496.68 3.4×
X-Ray Exam Neck Spine 6/>Vws (72052) $376.20 $701.96 4.0×
X-Ray Exam Unilat Ribs/Chest (71101) $330 $615.08 3.5×
X-ray eye for foreign body (70030) $72.60 $130 0.9×
X-ray humerus (73060)
range across 8 matching MRF lines
$223.58 $372.34–$417.02 2.8×
X-ray IV pyelogram (ivp) (74400) $831.60 $1,550 5.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $194.70 $362.58 2.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $151.80 $283.03 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $278.85 $520.24 2.9×
X-ray nose-rectum child f.b. (76010) $155.93 $291.16 2.0×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $322.58 $601.59 3.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $235.95 $440.26 2.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $219.45 $408.83 2.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $238.43 $445.06 3.0×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $360.53 $672.73 3.8×
X-ray thoracic spine 4 vw (72074) $311.85 $581.11 3.3×
X-Ray Tmj Unilat (70328) $66.83 $125 0.8×
X-Ray Urinary Tract Exam With Contrast Material (74420) $383.63 $714.75 1.2×
X-Rays Bone Length Studies (77073) $218.63 $407.59 2.3×
X-Rays Bone Survey Complete (77075) $372.90 $694.85 3.9×
Xr c-spine 4 or 5 views (72050) $296.18 $552.95 3.1×
Xr facial bones less than 3 views (70140) $253.28 $471.62 3.2×

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.