Imaging prices at Decatur County Memorial Hospital
Greensburg, IN · every code in this section with a posted price and a Medicare benchmark.
226 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 |
$49.50–$262.50 | $66–$350 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$57.75–$314.25 | $77–$419 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,690.50 | $2,254 | 4.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$36–$393.75 | $48–$525 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$119.25–$978 | $159–$1,304 | varies |
| Arthrogram Wrist (73115) | $801.75 | $1,069 | 2.2× |
| Bone age studies (77072) | $31.50 | $42 | 0.3× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$200.25–$2,184 | $267–$2,912 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$165–$1,740.75 | $220–$2,321 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$125.25–$813.75 | $167–$1,085 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,381.50 | $1,842 | 2.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$39–$262.50 | $52–$350 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$49.50–$288.75 | $66–$385 | varies |
| Chest 4 or more views (71048) | $49.50 | $66 | 0.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$33–$262.50 | $44–$350 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$101.25–$142.50 | $135–$190 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$32.25–$786 | $43–$1,048 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$342.75–$3,098.25 | $457–$4,131 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$296.25–$2,065.50 | $395–$2,754 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$339–$1,416 | $452–$1,888 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$373.50–$1,698 | $498–$2,264 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$303–$1,416 | $404–$1,888 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$365.25–$3,269.25 | $487–$4,359 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$282–$1,839.75 | $376–$2,453 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$260.25–$2,043.75 | $347–$2,725 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$403.50–$2,043.75 | $538–$2,725 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,965 | $2,620 | 10.6× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$349.50–$2,043.75 | $466–$2,725 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$318.75–$2,043.75 | $425–$2,725 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$124.50–$1,650 | $166–$2,200 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$219.75–$1,332.75 | $293–$1,777 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$131.25–$1,987.50 | $175–$2,650 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$287.25–$1,614 | $383–$2,152 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$257.25–$2,121.75 | $343–$2,829 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$168.75–$1,768.50 | $225–$2,358 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$296.25–$2,043.75 | $395–$2,725 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$118.50–$2,652.75 | $158–$3,537 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$188.25–$1,416 | $251–$1,888 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$186–$1,572.75 | $248–$2,097 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$273–$1,886.25 | $364–$2,515 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$236.25–$1,416 | $315–$1,888 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$109.50–$1,768.50 | $146–$2,358 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$307.50–$1,332.75 | $410–$1,777 | varies |
| CT neck tissue combo (70492) | $274.50 | $366 | 1.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$267.75–$2,454 | $357–$3,272 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$180.75–$2,124 | $241–$2,832 | varies |
| CT pelvis w&w/o contrast (72194) | $2,043.75 | $2,725 | 11.0× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$216.75–$1,416 | $289–$1,888 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$239.25–$2,043.75 | $319–$2,725 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$372.75–$2,043.75 | $497–$2,725 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$229.50–$1,768.50 | $306–$2,358 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$198–$1,332.75 | $264–$1,777 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$114–$1,929 | $152–$2,572 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$188.25–$1,416 | $251–$1,888 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$229.50–$1,332.75 | $306–$1,777 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$186.75–$1,416 | $249–$1,888 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $201.75 | $269 | 1.1× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$186–$1,638.75 | $248–$2,185 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$415.50–$2,043.75 | $554–$2,725 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$270.75–$1,635.75 | $361–$2,181 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$255.75–$2,043.75 | $341–$2,725 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$51.75–$401.25 | $69–$535 | varies |
| Dxa bone density study (77085) | $463.50 | $618 | 4.2× |
| Esophagram (74220) range across 2 matching MRF lines |
$97.50–$485.25 | $130–$647 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$148.50–$636 | $198–$848 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$34.50–$479.25 | $46–$639 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$33–$262.50 | $44–$350 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$34.50–$262.50 | $46–$350 | varies |
| Gastric emptying imaging study (78264) | $1,379.25 | $1,839 | 3.3× |
| Gated Heart Planar Single (78472) | $1,608.75 | $2,145 | 3.8× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$33–$288.75 | $44–$385 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$135.75–$1,779 | $181–$2,372 | varies |
| Hepatobiliary System Imaging (78226) | $1,379.25 | $1,839 | 3.3× |
| Ht Muscle Image Spect Sing (78451) | $1,344 | $1,792 | 1.0× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$58.50–$903.75 | $78–$1,205 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$165.75–$433.50 | $221–$578 | varies |
| K Flow/Funct Image W/Drug (78708) | $1,779 | $2,372 | 3.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$43.50–$285 | $58–$380 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,325.25 | $1,767 | 3.1× |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$68.25–$672.75 | $91–$897 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,857.75 | $2,477 | 3.2× |
| Lung Ventilation Imaging (78579) | $1,378.50 | $1,838 | 3.3× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$200.25–$2,076.75 | $267–$2,769 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$99.75–$2,580.75 | $133–$3,441 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$225–$2,064 | $300–$2,752 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$156–$2,250 | $208–$3,000 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$186.75–$2,580.75 | $249–$3,441 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$122.25–$2,064 | $163–$2,752 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$162–$2,580.75 | $216–$3,441 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$189.75–$2,064 | $253–$2,752 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$277.50–$2,233.50 | $370–$2,978 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$422.25–$2,580.75 | $563–$3,441 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$272.25–$2,064 | $363–$2,752 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $283.50 | $378 | 1.1× |
| MRI cervical spine w contrast (72142) | $2,481 | $3,308 | 6.7× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$316.50–$1,919.25 | $422–$2,559 | varies |
| MRI chest with contrast (71551) | $2,481 | $3,308 | 3.0× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$423–$2,580.75 | $564–$3,441 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$319.50–$2,580.75 | $426–$3,441 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$283.50–$2,064 | $378–$2,752 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$185.25–$2,250 | $247–$3,000 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$477–$2,625 | $636–$3,500 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$140.25–$2,157.75 | $187–$2,877 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$432–$2,287.50 | $576–$3,050 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$425.25–$2,580.75 | $567–$3,441 | varies |
| MRI pelvis w contrast (72196) | $2,481 | $3,308 | 6.7× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$373.50–$2,700 | $498–$3,600 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$230.25–$2,064 | $307–$2,752 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$267.75–$1,919.25 | $357–$2,559 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$249.75–$2,064 | $333–$2,752 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$267.75–$2,580.75 | $357–$3,441 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$381–$2,361.75 | $508–$3,149 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$420.75–$2,625 | $561–$3,500 | varies |
| MRI, dorsal spine contrast (72147) | $2,250 | $3,000 | 6.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$294–$1,919.25 | $392–$2,559 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$294–$2,580.75 | $392–$3,441 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$382.50–$2,625 | $510–$3,500 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$165.75–$1,819.50 | $221–$2,426 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$218.25–$3,410.25 | $291–$4,547 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$36–$262.50 | $48–$350 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$337.50–$1,335 | $450–$1,780 | varies |
| Parathyroid Planar Imaging (78070) | $1,200 | $1,600 | 2.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,378.50 | $1,838 | 3.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$38.25–$369 | $51–$492 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$1,995–$3,414 | $2,660–$4,552 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$140.25–$5,424.75 | $187–$7,233 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$383.25–$5,424.75 | $511–$7,233 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 2 matching MRF lines |
$158.25–$3,055.50 | $211–$4,074 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,378.50 | $1,838 | 3.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$84.75–$485.25 | $113–$647 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$39–$285 | $52–$380 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$31.50–$262.50 | $42–$350 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$36–$285 | $48–$380 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$51–$442.50 | $68–$590 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$30–$262.50 | $40–$350 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$37.50–$285 | $50–$380 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$33–$300 | $44–$400 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$38.25–$262.50 | $51–$350 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$45.75–$262.50 | $61–$350 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$39–$285 | $52–$380 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$36.75–$262.50 | $49–$350 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$42.75–$185.25 | $57–$247 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$34.50–$262.50 | $46–$350 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$48.75–$262.50 | $65–$350 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$30–$262.50 | $40–$350 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$42.75–$285 | $57–$380 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $66 | $88 | 0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$53.25–$314.25 | $71–$419 | varies |
| Radiologic exam colon double contrast study (74280) | $903.75 | $1,205 | 4.9× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$108.75–$485.25 | $145–$647 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$63.75–$485.25 | $85–$647 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$131.25–$485.25 | $175–$647 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$108.75–$556.50 | $145–$742 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$27–$262.50 | $36–$350 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$31.50–$262.50 | $42–$350 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$35.25–$262.50 | $47–$350 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$34.50–$262.50 | $46–$350 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$29.25–$262.50 | $39–$350 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$101.25–$168.75 | $135–$225 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$27–$262.50 | $36–$350 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$96–$978 | $128–$1,304 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$42.75–$262.50 | $57–$350 | varies |
| Sternoclavicular joints (71130) | $43.50 | $58 | 0.5× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$48–$394.50 | $64–$526 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$34.50–$262.50 | $46–$350 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$141.75–$1,698 | $189–$2,264 | varies |
| Thyroid Uptake Measurement (78012) | $1,256.25 | $1,675 | 3.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$106.50–$434.25 | $142–$579 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$56.25–$257.25 | $75–$343 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$56.25–$257.25 | $75–$343 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$70.50–$480.75 | $94–$641 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$132–$636 | $176–$848 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$84–$141.75 | $112–$189 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$34.50–$864 | $46–$1,152 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$114–$716.25 | $152–$955 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$90.75–$491.25 | $121–$655 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$92.25–$572.25 | $123–$763 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$70.50–$458.25 | $94–$611 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$114.75–$491.25 | $153–$655 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$177–$485.25 | $236–$647 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$161.25–$636 | $215–$848 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$147–$636 | $196–$848 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $396 | $528 | 3.6× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$135–$636 | $180–$848 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$124.50–$636 | $166–$848 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$129–$636 | $172–$848 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$194.25–$687.75 | $259–$917 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$103.50–$636 | $138–$848 | varies |
| Us transrectal (76872) | $177.75 | $237 | 1.6× |
| Vein X-Ray Chest (75827) | $288.75 | $385 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $147 | $196 | 1.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$33–$262.50 | $44–$350 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $43.50 | $58 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$48.75–$262.50 | $65–$350 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$32.25–$262.50 | $43–$350 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$37.50–$423.75 | $50–$565 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$26.25–$198.75 | $35–$265 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$30.75–$354 | $41–$472 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$30–$262.50 | $40–$350 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$53.25–$285 | $71–$380 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$51–$510.75 | $68–$681 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$24.75–$485.25 | $33–$647 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$54–$498.75 | $72–$665 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$57–$903.75 | $76–$1,205 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$86.25–$485.25 | $115–$647 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$51–$279.75 | $68–$373 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$68.25–$485.25 | $91–$647 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$58.50–$366.75 | $78–$489 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$39–$262.50 | $52–$350 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$36–$262.50 | $48–$350 | varies |
| X-ray IV pyelogram+tomography (74415) | $903.75 | $1,205 | 4.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$30–$262.50 | $40–$350 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$50.25–$262.50 | $67–$350 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$51–$314.25 | $68–$419 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$30–$262.50 | $40–$350 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$60–$485.25 | $80–$647 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$54.75–$316.50 | $73–$422 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$36–$262.50 | $48–$350 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$60–$314.25 | $80–$419 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$61.50–$442.50 | $82–$590 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$54–$1,102.50 | $72–$1,470 | varies |
| X-Rays Bone Length Studies (77073) | $262.50 | $350 | 2.4× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$129–$759.75 | $172–$1,013 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$65.25–$485.25 | $87–$647 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$42.75–$262.50 | $57–$350 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$42.75–$262.50 | $57–$350 | varies |
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.