Imaging prices at Delhi Hospital
Delhi, LA · every code in this section with a posted price and a Medicare benchmark.
184 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 |
$27.30–$157.30 | $42–$242 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$33.80–$183.30 | $52–$282 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$20.15–$118.95 | $31–$183 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$27.30–$193.70 | $42–$298 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$265.85–$795.60 | $409–$1,224 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$227.50–$772.85 | $350–$1,189 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$27.30–$118.95 | $42–$183 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$27.30–$128.70 | $42–$198 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$33.80–$196.95 | $52–$303 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$40.30–$235.30 | $62–$362 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$71.50–$196.95 | $110–$303 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$20.15–$118.95 | $31–$183 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$133.90–$1,335.10 | $206–$2,054 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$40.30–$217.10 | $62–$334 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$241.15–$3,225.30 | $371–$4,962 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$208–$1,179.10 | $320–$1,814 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$154.05–$2,379 | $237–$3,660 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$167.70–$2,988.70 | $258–$4,598 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$141.05–$1,214.85 | $217–$1,869 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$261.30–$3,848.65 | $402–$5,921 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$221–$3,010.80 | $340–$4,632 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$208–$3,211 | $320–$4,940 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$228.15–$2,988.70 | $351–$4,598 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$201.50–$3,312.40 | $310–$5,096 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$214.50–$2,739.75 | $330–$4,215 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$86.45–$122.20 | $133–$188 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$147.55–$2,334.80 | $227–$3,592 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$120.90–$1,314.30 | $186–$2,022 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$154.05–$2,585.70 | $237–$3,978 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$141.05–$2,265.25 | $217–$3,485 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$154.05–$2,583.10 | $237–$3,974 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$133.90–$2,115.10 | $206–$3,254 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$154.05–$2,249 | $237–$3,460 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$74.10–$97.50 | $114–$150 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$133.90–$2,596.10 | $206–$3,994 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$154.05–$2,583.10 | $237–$3,974 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$120.90–$1,299.35 | $186–$1,999 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$141.05–$2,241.85 | $217–$3,449 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$147.55–$2,235.35 | $227–$3,439 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$120.90–$1,304.55 | $186–$2,007 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$133.90–$2,294.50 | $206–$3,530 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$107.25–$1,402.05 | $165–$2,157 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$194.35–$2,568.80 | $299–$3,952 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$154.05–$2,821 | $237–$4,340 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$154.05–$1,524.25 | $237–$2,345 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$147.55–$2,748.20 | $227–$4,228 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$133.90–$1,217.45 | $206–$1,873 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$147.55–$2,713.10 | $227–$4,174 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$154.05–$2,655.25 | $237–$4,085 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$167.70–$2,223 | $258–$3,420 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$154.05–$1,301.30 | $237–$2,002 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$147.55–$2,239.25 | $227–$3,445 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$120.90–$1,273.35 | $186–$1,959 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$154.05–$2,585.70 | $237–$3,978 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$133.90–$1,299.35 | $206–$1,999 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$120.90–$1,297.40 | $186–$1,996 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$147.55–$2,694.25 | $227–$4,145 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$141.05–$1,418.30 | $217–$2,182 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$281.45–$2,300.35 | $433–$3,539 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$221–$2,934.75 | $340–$4,515 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 3 matching MRF lines |
$299–$5,804.50 | $460–$8,930 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$214.50–$2,852.20 | $330–$4,388 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$45.50–$265.20 | $70–$408 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$45.50–$98.80 | $70–$152 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$74.10–$203.45 | $114–$313 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$40.30–$478.40 | $62–$736 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$20.15–$118.95 | $31–$183 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$20.15–$118.95 | $31–$183 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$253.50–$1,061.45 | $390–$1,633 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$183.30–$1,125.15 | $282–$1,731 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$20.15–$118.95 | $31–$183 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$334.10–$1,010.75 | $514–$1,555 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$248.95–$642.85 | $383–$989 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$184.60–$1,799.85 | $284–$2,769 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$27.30–$132.60 | $42–$204 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$255.45–$1,229.80 | $393–$1,892 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$145.60–$1,168.05 | $224–$1,797 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$288.60–$3,072.55 | $444–$4,727 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$147.55–$2,224.30 | $227–$3,422 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$147.55–$2,158.65 | $227–$3,321 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$174.20–$2,868.45 | $268–$4,413 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$261.30–$2,945.15 | $402–$4,531 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$181.35–$2,484.95 | $279–$3,823 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$261.30–$3,324.10 | $402–$5,114 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$161.20–$1,977.95 | $248–$3,043 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$274.95–$2,975.05 | $423–$4,577 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$161.20–$1,977.95 | $248–$3,043 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$261.30–$2,864.55 | $402–$4,407 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$174.20–$1,873.95 | $268–$2,883 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$181.35–$1,977.95 | $279–$3,043 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$261.30–$3,040.70 | $402–$4,678 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$274.95–$3,014.05 | $423–$4,637 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$161.20–$2,647.45 | $248–$4,073 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$274.95–$2,993.90 | $423–$4,606 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$114.40–$627.90 | $176–$966 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$375.70–$2,663.05 | $578–$4,097 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$27.30–$120.25 | $42–$185 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$228.80–$1,298.05 | $352–$1,997 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$272.35–$730.60 | $419–$1,124 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$27.30–$111.15 | $42–$171 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$287.95–$5,372.25 | $443–$8,265 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$183.95–$698.10 | $283–$1,074 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$40.30–$180.05 | $62–$277 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$27.30–$128.70 | $42–$198 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$20.15–$118.95 | $31–$183 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$27.30–$128.70 | $42–$198 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$33.80–$160.55 | $52–$247 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$35.10–$118.95 | $54–$183 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$27.30–$128.70 | $42–$198 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$27.30–$128.70 | $42–$198 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$20.15–$110.50 | $31–$170 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$47.45–$231.40 | $73–$356 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$27.30–$113.75 | $42–$175 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$27.30–$128.70 | $42–$198 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$27.30–$118.95 | $42–$183 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$20.15–$117 | $31–$180 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$27.30–$121.55 | $42–$187 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$33.80–$187.85 | $52–$289 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$20.15–$118.95 | $31–$183 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$27.30–$128.70 | $42–$198 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$33.80–$160.55 | $52–$247 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$33.80–$211.25 | $52–$325 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$154.05–$346.45 | $237–$533 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$127.40–$332.80 | $196–$512 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$100.75–$234.65 | $155–$361 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$107.25–$302.90 | $165–$466 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$27.30–$124.80 | $42–$192 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$30.55–$128.70 | $47–$198 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$53.95–$250.90 | $83–$386 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$20.15–$118.95 | $31–$183 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$40.30–$239.85 | $62–$369 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$27.30–$112.45 | $42–$173 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$66.30–$74.10 | $102–$114 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$27.30–$71.50 | $42–$110 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$20.15–$118.95 | $31–$183 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$27.30–$113.75 | $42–$175 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$27.30–$128.05 | $42–$197 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$27.30–$187.85 | $42–$289 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$27.30–$113.75 | $42–$175 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$70.20–$882.05 | $108–$1,357 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$87.10–$109.85 | $134–$169 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$66.95–$336.05 | $103–$517 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$74.10–$265.20 | $114–$408 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$100.75–$271.70 | $155–$418 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$92.95–$316.55 | $143–$487 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$94.25–$138.45 | $145–$213 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$74.10–$229.45 | $114–$353 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$114.40–$208.65 | $176–$321 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$60.45–$215.80 | $93–$332 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$87.10–$208.65 | $134–$321 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$80.60–$185.25 | $124–$285 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$87.10–$215.80 | $134–$332 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$120.90–$155.35 | $186–$239 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$94.25–$240.50 | $145–$370 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$74.10–$305.50 | $114–$470 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$80.60–$208.65 | $124–$321 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$161.20–$193.70 | $248–$298 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$74.10–$215.80 | $114–$332 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$30.55–$118.95 | $47–$183 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$27.30–$120.90 | $42–$186 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$20.15–$118.95 | $31–$183 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$63.70–$133.25 | $98–$205 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$27.30–$95.55 | $42–$147 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$43.55–$126.10 | $67–$194 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$27.30–$192.40 | $42–$296 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$27.30–$137.15 | $42–$211 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$40.30–$132.60 | $62–$204 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$33.80–$128.70 | $52–$198 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$20.15–$126.10 | $31–$194 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$116.35–$381.55 | $179–$587 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$27.30–$81.90 | $42–$126 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$27.30–$224.90 | $42–$346 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$27.30–$148.85 | $42–$229 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$27.30–$118.95 | $42–$183 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$40.30–$284.05 | $62–$437 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$27.30–$143 | $42–$220 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$27.30–$137.15 | $42–$211 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$27.30–$171.60 | $42–$264 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$40.30–$175.50 | $62–$270 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$27.30–$95.55 | $42–$147 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$66.95–$281.45 | $103–$433 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$33.80–$189.15 | $52–$291 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$27.30–$110.50 | $42–$170 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$40.30–$160.55 | $62–$247 | 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.