Imaging prices at Decatur Morgan Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $3,710 $3,710 2.9×
Abdomen 1 View (74018)
range across 2 matching MRF lines		 $91.50–$324 $91.50–$324 varies
Abdomen 2 views (74019) $362 $362 3.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $530.31 $530.31 1.5×
Angiography extremity bilateral rs&i (75716)
range across 2 matching MRF lines		 $2,479–$5,254 $2,479–$5,254 varies
Angiography extremity unilateral rs&i (75710)
range across 2 matching MRF lines		 $2,479–$5,254 $2,479–$5,254 varies
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $899 $899 0.3×
Ankle 2 views (73600) $117 $117 1.5×
Aortography thoracic serialography rs&i (75605) $4,878 $4,878 1.0×
Arthrogram ankle (73615) $792 $792 2.5×
Arthrogram hip (73525) $630 $630 2.0×
Arthrogram Wrist (73115) $630 $630 2.0×
Basic radiation dosimetry calculation (77300) $285 $285 2.3×
Bone age studies (77072) $192 $192 2.0×
Bone Imaging 3 Phase (78315) $1,127 $1,127 3.1×
Bone Imaging Limited Area (78300)
range across 2 matching MRF lines		 $1,146.32–$1,457 $1,146.32–$1,457 varies
Bone Imaging Whole Body (78306)
range across 2 matching MRF lines		 $648–$751 $648–$751 varies
Bone survey infant (77076) $272 $272 2.9×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,030 $1,030 2.1×
Chest 1 view (71045) $190 $190 2.4×
Chest 2 views (71046)
range across 3 matching MRF lines		 $190–$252 $190–$252 varies
Chest 3 views (71047)
range across 2 matching MRF lines		 $97.50–$250 $97.50–$250 varies
Cholecystography Oral Contrast (74290) $294 $294 1.8×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $195.04 $195.04 2.0×
Clavicle complete (73000) $308 $308 3.9×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $200 $200 2.1×
Continuing medical physics consltj pr wk (77336) $285 $285 2.3×
Contrast Exam Abdominl Aorta (75625)
range across 2 matching MRF lines		 $2,479–$4,878 $2,479–$4,878 varies
Contrast X-Ray Bladder (74430) $583 $583 1.8×
Contrast X-Ray Of Elbow (73085) $739 $739 2.3×
Contrast X-Ray Of Knee Joint (73580) $756 $756 2.4×
CT abdomen and pelvis without and with contrast (74178) $3,629 $3,629 11.4×
CT abdomen and pelvis without contrast (74176) $1,657 $1,657 7.6×
CT abdomen w contrast (74160) $1,980 $1,980 12.4×
CT abdomen w wo contrast (74170) $2,074 $2,074 13.0×
CT abdomen w/o contrast (74150) $1,620 $1,620 17.0×
CT Angio Abdomen and Pelvis (74174) $4,483 $4,483 14.1×
CT Angio Chest (71275) $1,166 $1,166 7.3×
CT Angio Head (70496) $2,971 $2,971 18.6×
CT angio hrt w/3d image (75574) $972 $972 3.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $420.28 $420.28 2.6×
CT Angio Neck (70498) $1,082 $1,082 6.8×
Ct Angio Upr Extrm W/O&W/Dye (73206) $420.28 $420.28 2.6×
CT cervical spine w/ contrast (72126) $1,798 $1,798 5.7×
CT cervical spine w/o contrast (72125) $1,458 $1,458 15.3×
CT cervical spine w/wo cont (72127) $1,920 $1,920 12.0×
CT chest w contrast (71260) $1,926 $1,926 12.0×
CT chest w/wo contrast (71270) $2,825 $2,825 17.7×
CT colonography screening (74263) $984 $984 4.5×
CT colonogrphy dx image postprocess w/o contrast (74261) $994 $994 10.4×
CT head/brain with contrast (70460) $1,680 $1,680 10.5×
CT head/brain without and with contrast (70470) $2,504 $2,504 15.7×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines		 $144.50–$156 $144.50–$156 varies
CT iac w contrast (70481) $1,404 $1,404 8.8×
CT l-spine w&w/o contrast (72133) $2,160 $2,160 13.5×
CT lower ext w/o (73700) $755 $755 7.9×
CT lower extremity w/contrast material (73701) $907 $907 5.7×
CT lumbar spine w contrast (72132) $1,944 $1,944 6.1×
CT lumbar spine w/o contrast (72131) $1,512 $1,512 15.9×
CT maxillofacial w contrast (70487) $1,945 $1,945 12.2×
CT maxillofacial wo contrast (70486) $1,730 $1,730 18.1×
CT neck tissue combo (70492) $2,568 $2,568 16.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,984 $1,984 12.4×
CT orbits w/o contrast (70480) $1,269 $1,269 13.3×
CT pelvis w&w/o contrast (72194) $1,980 $1,980 12.4×
CT pelvis w/o contrast (72192) $1,080 $1,080 11.3×
CT scan of leg combo (73702) $1,254 $1,254 7.8×
CT scans face/jaw combo (70488) $1,945 $1,945 12.2×
CT soft tissue neck w contrast (70491) $1,404 $1,404 8.8×
CT soft tissue neck w/o contrast (70490) $1,320 $1,320 13.8×
CT thoracic spine w contrast (72129) $1,404 $1,404 8.8×
CT thoracic spine w/o contrast (72128) $1,350 $1,350 14.2×
CT thoracic spine w/wo cont (72130) $2,052 $2,052 12.8×
CT thorax w/o contrast (71250) $1,555 $1,555 16.3×
CT upper ext wo (73200) $755 $755 7.9×
CT upper extremity w/o & w/contrast material (73202) $1,174 $1,174 7.3×
CT upper extremity with contrast (73201) $907 $907 2.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,700 $2,700 16.9×
Cta Abdomen (74175) $1,512 $1,512 9.5×
CTA pelvis (72191) $2,971 $2,971 18.6×
Dxa Bone Density Axial (77080) $539 $539 5.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $96.30 $96.30 1.2×
Echo exam uterus (76831) $410 $410 1.9×
Echo Guide For Artery Repair (76936) $428 $428 2.2×
Esophagram (74220) $361 $361 2.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $196 $196 2.1×
Fluoroscopy up to 1 hr (76000) $258.76 $258.76 1.2×
Foot 2 views (73620) $156 $156 2.0×
Forearm 2 views (73090) $258 $258 3.3×
Gastric emptying imaging study (78264) $1,057 $1,057 2.9×
Gated Heart Planar Single (78472) $990 $990 2.7×
Hand 2 views (73120) $156 $156 1.6×
Hepatobil Syst Image W/Drug (78227) $1,222 $1,222 2.5×
Hepatobiliary System Imaging (78226) $972 $972 2.7×
Ht Muscle Image Spect Sing (78451) $2,536 $2,536 2.1×
Hysterosalpingogram (74740) $778 $778 3.6×
Infant hip ultrasound with hip movement (dynamic) (76885) $156 $156 2.0×
Infant hip ultrasound, limited static exam (76886) $249.52 $249.52 3.1×
Infusion Ivp (74410) $840 $840 5.3×
Interstitial radiation source applic complex (77778) $1,868 $1,868 2.9×
K Flow/Funct Image Multiple (78709) $600 $600 1.2×
K Flow/Funct Image W/Drug (78708) $852 $852 1.7×
K Flow/Funct Image W/O Drug (78707)
range across 2 matching MRF lines		 $522–$682.31 $522–$682.31 varies
Knee 3 Views (73562) $289 $289 3.6×
Liver & Spleen Imaging Static Only (78215) $642 $642 1.8×
Lung Perf&Ventilat Diferentl (78598) $898 $898 1.8×
Lung Ventilat&Perfus Imaging (78582) $1,264 $1,264 2.6×
Lymph System Imaging (78195) $1,260 $1,260 2.5×
Magnetic Image Jaw Joint (70336) $1,998 $1,998 9.2×
Meckels Divert Exam (78290) $388 $388 1.1×
Mlc imrt design & construction per imrt plan (77338) $473 $473 1.4×
Mr safety determination physician/other qhp (76016) $176 $176 2.2×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $49 $49 1.9×
Mr safety implt electronics prepj supvj phys/qhp (76018) $183.50 $183.50 2.1×
Mr safety implt pos&/immoblj (76019) $119 $119 2.2×
Mr safety med physics xm customization plng&mntr (76017) $483 $483 2.2×
MRA head w/o contrast (70544) $1,584 $1,584 7.3×
MRA head with contrast (70545) $1,705 $1,705 5.4×
MRA neck w contrast (70548) $1,696 $1,696 5.3×
MRA neck w/o contrast (70547) $1,322 $1,322 6.1×
MRI abdomen w contrast (74182) $3,240 $3,240 10.2×
MRI abdomen w/o contrast (74181) $3,082 $3,082 14.2×
MRI any jt lower extrem w/contrast material (73722) $3,360 $3,360 4.7×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,600 $3,600 11.3×
MRI any jt upper extremity w/contrast matrl (73222) $3,300 $3,300 4.6×
MRI Breast W/O Contrast Bilateral (77047) $470 $470 2.2×
MRI Breast Without Contrast Material Unilateral (77046) $470 $470 2.2×
MRI cervical spine w contrast (72142) $3,720 $3,720 11.7×
MRI cervical spine w/o cont (72141) $3,564 $3,564 16.4×
MRI chest w/o contrast (71550) $2,065 $2,065 9.5×
MRI chest with contrast (71551) $2,592 $2,592 3.6×
MRI chest wo w contrast (71552) $767 $767 2.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,280 $2,280 7.2×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,672 $3,672 11.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,244 $2,244 10.3×
MRI lumbar spine w contrast (72149) $3,720 $3,720 11.7×
Mri Neck Spine W/O & W/Dye (72156) $4,366 $4,366 13.7×
MRI orbit face &/neck w/o contrast (70540) $2,484 $2,484 11.4×
MRI orbit face neck w contrast (70542) $3,168 $3,168 10.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,840 $3,840 12.1×
MRI pelvis w contrast (72196) $3,348 $3,348 10.5×
MRI pelvis w/o & w contrast (72197) $3,780 $3,780 11.9×
MRI pelvis w/o contrast (72195) $3,024 $3,024 13.9×
MRI thoracic spine w/o contrast (72146) $2,808 $2,808 12.9×
MRI upper extremity oth than jt w/contr matrl (73219) $3,000 $3,000 9.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,700 $2,700 12.4×
Mri Uppr Extremity W/O&W/Dye (73220) $3,672 $3,672 11.5×
MRI, abdomen, combo (74183) $3,110 $3,110 9.8×
MRI, dorsal spine combo (72157) $4,366 $4,366 13.7×
MRI, dorsal spine contrast (72147) $3,242 $3,242 10.2×
MRI, joint upper extrem (73221) $3,082 $3,082 14.2×
MRI, joint upper extrem combo (73223) $4,366 $4,366 13.7×
MRI, lumbar spine combo (72158) $4,366 $4,366 13.7×
Myocardial Imaging Pet Metabolic Evaluation (78459) $2,654.50 $2,654.50 2.2×
Myocardial Spect Multiple Studies (78452) $2,867 $2,867 2.4×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $2,979 $2,979 2.3×
Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) $2,979 $2,979 2.3×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $2,979 $2,979 1.5×
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) $3,901 $3,901 1.9×
Neck soft tissue (70360) $360 $360 4.5×
Nm myocard infarct spect (78469) $769 $769 1.6×
Nm whole blood volume (78122) $1,464 $1,464 3.0×
Ntsty modul radthx pln dose-vol histos (77301) $9,348 $9,348 7.4×
Nuclear Rx Oral Admin (79005) $462 $462 2.2×
Parathyroid Planar Imaging (78070) $713 $713 2.0×
Parathyroid planar imaging w/wo subtraction (78071) $720 $720 2.0×
Pelvis 1 or 2 views (72170) $244 $244 2.6×
Pet Image W/Ct Lmtd (78814) $2,979 $2,979 2.3×
PET image w/CT, full body (78816) $2,979 $2,979 2.3×
PET imaging CT attenuation skull base mid-thigh (78815) $2,979 $2,979 2.3×
Pulmonary Perfusion Imaging Particulate (78580) $736 $736 2.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $605 $605 6.3×
Radex abscess/fistula/sinus tract rs&i (76080) $275 $275 0.6×
Radex Ankle Complete Minimum 3 Views (73610) $289 $289 3.6×
Radex Calcaneus Minimum 2 Views (73650) $161 $161 2.0×
Radex elbow complete minimum 3 views (73080) $233 $233 2.9×
Radex Facial Bones Complete Minimum 3 Views (70150) $486 $486 5.1×
Radex fingr minimum 2 views (73140) $192 $192 2.4×
Radex foot complete minimum 3 views (73630) $289 $289 3.6×
Radex Hand Minimum 3 Views (73130) $289 $289 3.6×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $276 $276 2.9×
Radex Nasal Bones Complete Minimum 3 Views (70160) $373 $373 4.7×
Radex Ribs Unilateral 2 Views (71100) $337 $337 4.2×
Radex shoulder complete minimum 2 views (73030) $419 $419 5.3×
Radex Sinuses Paransl < 3 Views (70210) $172 $172 2.2×
Radex Spine 1 View Specify Level (72020) $287 $287 3.6×
Radex Sternum Minimum 2 Views (71120) $259 $259 3.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $190 $190 2.4×
Radex Toe Minimum 2 Views (73660) $216 $216 2.7×
Radex Wrist Complete Minimum 3 Views (73110) $289 $289 3.6×
Radiation Delivery Stereotactic Cranial Linear (77372) $13,837 $13,837 2.1×
Radiation treatment delivery level 1 (77402) $500 $500 5.4×
Radiation treatment delivery level 2 (77407) $638 $638 1.8×
Radiation treatment delivery level 3 (77412) $743 $743 1.5×
Radiolog exam mandible compl minimum 4 views (70110) $533 $533 5.6×
Radiologic exam colon double contrast study (74280) $1,070 $1,070 6.7×
Radiologic exam colon single contrast study (74270) $810 $810 5.1×
Radiologic Exam Small Int Single Contrast Study (74250) $378 $378 2.4×
Radiologic exam swallow function contrast study (74230) $350 $350 2.2×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines		 $568–$1,142 $568–$1,142 varies
Radiologic examination femur 1 view (73551) $263 $263 3.3×
Radiologic examination femur minimum 2 views (73552) $263 $263 3.3×
Radiologic examination knee 1/2 views (73560) $110.50 $110.50 1.4×
Radiologic Examination Osseous Survey Limited (77074) $486 $486 5.1×
Radiologic Examination Salivary Gland Calculus (70380) $74 $74 0.9×
Radiologic examination tibia & fibula 2 views (73590) $204 $204 2.6×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $154 $154 0.3×
Radiologic examination, teeth; single view Non-Facility (70300) $121 $121 1.5×
Ribs bilateral 3 views (71110) $665 $665 7.0×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 2 matching MRF lines		 $500–$1,146.32 $500–$1,146.32 varies
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,146.32 $1,146.32 3.1×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804)
range across 2 matching MRF lines		 $1,322–$1,928.14 $1,322–$1,928.14 varies
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802)
range across 2 matching MRF lines		 $790–$2,259.06 $790–$2,259.06 varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 4 matching MRF lines		 $1,146.32–$2,294.32 $1,146.32–$2,294.32 varies
Rp loclzj tum spect 2 area/sep acquisj img (78831) $2,259.06 $2,259.06 1.9×
Rp Therapy Intravenous Administration (79101) $980 $980 4.6×
Scapula (73010) $233 $233 2.4×
Screening Digital Breast Tomosynthesis Bi (77063) $60 $60 2.6×
Sella turcica (70240) $122 $122 1.5×
Shoulder 1 view (73020) $246 $246 3.1×
Shoulder Arthrography (73040) $739 $739 2.3×
Sialogram (70390) $275 $275 1.3×
Skull less than 4 views (70250) $154.12 $154.12 1.6×
Special dosimetry (77331) $650 $650 5.3×
Special Physics Consult (77370) $1,092 $1,092 8.9×
Special teletherapy port plan (77321) $1,427 $1,427 4.2×
Special treatment procedure (77470) $1,889 $1,889 3.7×
Spleen Imaging (78185) $439 $439 1.2×
Stereotactic Body Radiation Delivery (77373) $4,214 $4,214 2.6×
Sternoclavicular joints (71130) $180 $180 2.3×
Telethx isodose pln cplx w/basic dosimetry (77307)
range across 2 matching MRF lines		 $1,197–$1,414 $1,197–$1,414 varies
Telethx isodose pln smpl w/dosimetry calculation (77306) $616 $616 1.8×
Temporomandble Jt Arthrography Rs&I (70332) $1,056 $1,056 4.9×
Testicular Imaging W/Flow (78761) $520 $520 1.4×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $1,630 $1,630 4.8×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,418 $1,418 4.2×
Ther rad simulaj-aided field setting simple (77280) $1,064 $1,064 8.7×
Thoracic spine 3 views (72072) $292 $292 3.1×
Thoracolumbar 2 views (72080) $204 $204 2.6×
Thyroid Imaging With Vascular Flow (78013) $311 $311 0.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $984 $984 2.7×
Tx Devices Design & Construction Complex (77334) $670 $670 2.0×
Tx devices design & construction intermediate (77333) $468 $468 3.8×
Tx devices design & construction simple (77332) $468 $468 3.8×
Ultrasound Breast Limited (76642) $258 $258 3.3×
Ultrasound elastography first target lesion (76982) $213.76 $213.76 2.2×
Ultrasound Elastography Parenchyma (76981) $213.76 $213.76 2.2×
Ultrasound Exam Aaa Screen (76706) $248 $248 2.6×
Ultrasound, abdomen limited (76705) $427 $427 4.5×
Unlisted fluoroscopic procedure (76496) $98 $98 1.2×
Upper gi w/o kub (74240)
range across 2 matching MRF lines		 $324–$1,142 $324–$1,142 varies
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $34 $34 3.1×
Urea breath test c-14 isotopic analysis (78268) $169 $169 1.8×
Ureteral Reflux Study (78740) $520 $520 1.4×
Urethrocystogram voiding (74455) $1,026 $1,026 4.7×
Urethrocystography retrograde (74450) $268 $268 1.2×
Us breast unilateral complete (76641) $258 $258 2.7×
Us chest (76604) $222.22 $222.22 2.3×
Us exam, pelvic, limited (76857) $163 $163 1.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $562 $562 5.9×
Us ob limited 1 or more fetuses (76815) $254 $254 2.7×
Us ob transvaginal (76817) $254 $254 2.7×
Us pelvic non ob complete (76856) $674 $674 7.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $218.73 $218.73 2.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $312 $312 3.3×
Us retroperitoneal complete (76770) $674 $674 7.1×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines		 $175.14–$248 $175.14–$248 varies
Us scrotum and contents (76870) $462 $462 4.8×
Us spinal canal and contents (76800) $95.50 $95.50 1.0×
Us thyroid (76536) $390 $390 4.1×
Us transrectal (76872) $286 $286 3.0×
Vein X-Ray Chest (75827)
range across 2 matching MRF lines		 $2,479–$2,849.08 $2,479–$2,849.08 varies
Vein X-Ray Spleen/Liver (75810) $2,479 $2,479 0.9×
Venography caval inferior serialography rs&i (75825)
range across 2 matching MRF lines		 $2,479–$4,590.04 $2,479–$4,590.04 varies
Venography extremity bilateral rs&i (75822) $2,749.54 $2,749.54 1.9×
Venography extremity unilateral rs&i (75820)
range across 2 matching MRF lines		 $803–$1,083.92 $803–$1,083.92 varies
Venography Renal Unilateral (75831) $2,479 $2,479 0.9×
Wrist 2 views (73100) $130 $130 1.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $174 $174 2.2×
X-ray antegrade pyelogram tube (74425) $244 $244 0.8×
X-Ray Aorta Leg Arteries (75630)
range across 3 matching MRF lines		 $2,479–$4,921.50 $2,479–$4,921.50 varies
X-Ray Bend Only L-S Spine (72120) $259 $259 2.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $173 $173 2.2×
X-Ray Exam Breast Specimen (76098) $432 $432 0.9×
X-Ray Exam Entire Spi 1 Vw (72081) $208 $208 2.6×
X-Ray Exam Hip Uni 1 View (73501) $104 $104 1.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $240 $240 3.0×
X-Ray Exam Hips Bi 2 Views (73521) $175 $175 1.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $175 $175 1.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $324 $324 4.1×
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines		 $175–$599 $175–$599 varies
X-Ray Exam Unilat Ribs/Chest (71101) $337 $337 3.5×
X-ray eye for foreign body (70030) $108 $108 1.4×
X-ray humerus (73060) $278 $278 3.5×
X-ray IV pyelogram (ivp) (74400) $1,024 $1,024 6.4×
X-ray IV pyelogram+tomography (74415) $988 $988 6.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $430 $430 4.5×
X-ray nose-rectum child f.b. (76010) $192 $192 2.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $665 $665 7.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $162 $162 1.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $378 $378 4.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $432 $432 5.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $540 $540 5.7×
X-Ray Stress View (77071) $72 $72 0.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,026 $1,026 3.2×
X-Rays Bone Length Studies (77073) $254 $254 2.7×
X-Rays Bone Survey Complete (77075) $194 $194 2.0×
Xr c-spine 4 or 5 views (72050) $424 $424 4.4×
Xr facial bones less than 3 views (70140) $168 $168 2.1×
Xr orbits complete 4 views (70200) $335 $335 3.5×
Xr Tomogram Single Plane (76100) $780 $780 8.2×

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.