Imaging prices at Donalsonville Hospital
Donalsonville, GA · every code in this section with a posted price and a Medicare benchmark.
216 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) | $383.35 | $451 | 5.0× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$311.10–$518.50 | $366–$610 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $837.25 | $985 | 2.4× |
| Ankle 2 views (73600) | $119 | $140 | 1.6× |
| Bone age studies (77072) | $139.40 | $164 | 1.5× |
| Bone Imaging 3 Phase (78315) | $1,501.10 | $1,766 | 4.3× |
| Bone Imaging Whole Body (78306) | $946.90 | $1,114 | 2.7× |
| Bone survey infant (77076) | $291.55 | $343 | 3.2× |
| Chest 1 view (71045) | $266.90 | $314 | 3.5× |
| Chest 2 views (71046) range across 4 matching MRF lines |
$243.10–$516.80 | $286–$608 | varies |
| Chest 3 views (71047) | $229.50 | $270 | 3.0× |
| Chest 4 or more views (71048) | $550.80 | $648 | 6.0× |
| Cholecystography Oral Contrast (74290) | $34 | $40 | 0.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$18.70–$427.55 | $22–$503 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $415.65 | $489 | 4.5× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$410.55–$516.80 | $483–$608 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $242.25 | $285 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,571.25–$2,765.90 | $3,025–$3,254 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,671.95 | $1,967 | 8.0× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$136–$2,841.55 | $160–$3,343 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$136–$2,986.90 | $160–$3,514 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$136–$1,875.10 | $160–$2,206 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,983.50 | $3,510 | 9.8× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,550–$4,317.15 | $3,000–$5,079 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,163.65–$2,686.85 | $1,369–$3,161 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,088.45–$2,165.80 | $2,457–$2,548 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,440.75–$2,684.30 | $1,695–$3,158 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,427.60 | $2,856 | 15.8× |
| CT cervical spine w/ contrast (72126) | $1,670.25 | $1,965 | 5.5× |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$131.75–$1,902.30 | $155–$2,238 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$125.80–$2,975 | $148–$3,500 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$125.80–$3,411.05 | $148–$4,013 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$114.75–$1,710.20 | $135–$2,012 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$34–$2,191.30 | $40–$2,578 | varies |
| CT iac w contrast (70481) | $1,728.90 | $2,034 | 11.2× |
| CT l-spine w&w/o contrast (72133) | $1,301.35 | $1,531 | 8.5× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$421.60–$956.25 | $496–$1,125 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$129.20–$1,960.95 | $152–$2,307 | varies |
| CT maxillofacial w contrast (70487) | $924.80 | $1,088 | 6.0× |
| CT maxillofacial wo contrast (70486) | $2,345.15 | $2,759 | 25.6× |
| CT neck tissue combo (70492) | $1,590.35 | $1,871 | 10.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,655.80 | $1,948 | 10.8× |
| CT orbits w/o contrast (70480) | $1,540.20 | $1,812 | 16.8× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$157.25–$2,422.50 | $185–$2,850 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$114.75–$1,847.05 | $135–$2,173 | varies |
| CT scan of leg combo (73702) | $1,365.10 | $1,606 | 8.9× |
| CT scans face/jaw combo (70488) | $1,151.75 | $1,355 | 7.5× |
| CT soft tissue neck w contrast (70491) | $3,156.05 | $3,713 | 20.5× |
| CT soft tissue neck w/o contrast (70490) | $904.40 | $1,064 | 9.9× |
| CT thoracic spine w/o contrast (72128) | $2,705.55 | $3,183 | 29.5× |
| CT thoracic spine w/wo cont (72130) | $1,513 | $1,780 | 9.8× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$125.80–$1,985.60 | $148–$2,336 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$1,352.35–$1,624.35 | $1,591–$1,911 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$956.25–$1,705.10 | $1,125–$2,006 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,652.40 | $1,944 | 10.8× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,440.75–$3,197.70 | $1,695–$3,762 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,618–$3,033.65 | $3,080–$3,569 | varies |
| Dxa Bone Density Axial (77080) | $391 | $460 | 4.3× |
| Dxa bone density study (77085) | $144.50 | $170 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $204.85 | $241 | 2.7× |
| Echograp Trans R Pros Study (76873) | $917.15 | $1,079 | 10.0× |
| Esophagram (74220) | $525.30 | $618 | 3.4× |
| Fetal Biophys Profile W/Nst (76818) | $658.75 | $775 | 7.2× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$108.80–$781.15 | $128–$919 | varies |
| Foot 2 views (73620) | $260.95 | $307 | 3.4× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$20.40–$444.55 | $24–$523 | varies |
| Gastric emptying imaging study (78264) | $1,616.70 | $1,902 | 4.6× |
| Gated Heart Planar Single (78472) | $573.75 | $675 | 1.6× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$226.10–$485.35 | $266–$571 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,023 | $2,380 | 4.3× |
| Hepatobiliary System Imaging (78226) | $3,235.10 | $3,806 | 9.2× |
| Hysterosalpingogram (74740) | $1,354.05 | $1,593 | 6.5× |
| Infant hip ultrasound, limited static exam (76886) | $374.85 | $441 | 4.9× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$66.30–$1,180.65 | $78–$1,389 | varies |
| K Flow/Funct Image Multiple (78709) | $684.25 | $805 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $512.55 | $603 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $599.25 | $705 | 1.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$29.75–$315.35 | $35–$371 | varies |
| Liver & Spleen Imaging Static Only (78215) | $801.55 | $943 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,150.05 | $1,353 | 2.4× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,628.60–$1,798.60 | $1,916–$2,116 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,836 | $2,160 | 6.0× |
| MRA head w/o contrast (70544) | $2,518.55 | $2,963 | 12.0× |
| MRA head with contrast (70545) | $1,674.50 | $1,970 | 5.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,681.75 | $3,155 | 8.8× |
| MRA neck w/o contrast (70547) | $2,849.20 | $3,352 | 13.6× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,734–$2,871.30 | $2,040–$3,378 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,326.45–$4,312.05 | $2,737–$5,073 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,660.55 | $5,483 | 15.2× |
| MRI cervical spine w contrast (72142) | $3,589.55 | $4,223 | 11.7× |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$267.75–$4,227.90 | $315–$4,974 | varies |
| MRI chest w/o contrast (71550) | $3,278.45 | $3,857 | 15.7× |
| MRI chest wo w contrast (71552) | $4,601.05 | $5,413 | 15.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,728.90 | $2,034 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,585.35 | $6,571 | 18.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,640.10–$3,298 | $3,106–$3,880 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$148.75–$3,623.55 | $175–$4,263 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $4,648.65 | $5,469 | 15.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,728.90 | $2,034 | 8.3× |
| MRI orbit face neck w contrast (70542) | $1,955.85 | $2,301 | 6.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,951.70 | $7,002 | 19.5× |
| MRI pelvis w contrast (72196) | $3,686.45 | $4,337 | 12.1× |
| MRI pelvis w/o & w contrast (72197) | $5,440.85 | $6,401 | 17.8× |
| MRI pelvis w/o contrast (72195) | $4,181.15 | $4,919 | 20.0× |
| MRI thoracic spine w/o contrast (72146) | $4,254.25 | $5,005 | 20.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,978.40 | $3,504 | 9.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,000.90 | $2,354 | 9.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,998.40 | $4,704 | 13.1× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,324.35–$4,438.70 | $3,911–$5,222 | varies |
| MRI, dorsal spine combo (72157) | $3,169.65 | $3,729 | 10.4× |
| MRI, dorsal spine contrast (72147) | $3,013.25 | $3,545 | 9.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,666–$3,673.70 | $1,960–$4,322 | varies |
| MRI, joint upper extrem combo (73223) | $3,403.40 | $4,004 | 11.1× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$5,666.10–$5,893.05 | $6,666–$6,933 | varies |
| Neck soft tissue (70360) | $275.40 | $324 | 3.6× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$124.95–$1,132.20 | $147–$1,332 | varies |
| Parathyroid Planar Imaging (78070) | $1,515.55 | $1,783 | 4.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$22.95–$284.75 | $27–$335 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $471.75 | $555 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $596.70 | $702 | 6.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $402.05 | $473 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$14.45–$389.30 | $17–$458 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$20.40–$369.75 | $24–$435 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$23.80–$473.45 | $28–$557 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$37.40–$423.30 | $44–$498 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$16.15–$351.90 | $19–$414 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$20.40–$191.25 | $24–$225 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$26.35–$485.35 | $31–$571 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$20.40–$570.35 | $24–$671 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $550.80 | $648 | 6.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$23.80–$468.35 | $28–$551 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$25.50–$510.85 | $30–$601 | varies |
| Radex Spine 1 View Specify Level (72020) | $91.80 | $108 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $510.85 | $601 | 6.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $339.15 | $399 | 4.4× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$17–$184.45 | $20–$217 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $570.35 | $671 | 6.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$24.65–$481.10 | $29–$566 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$32.30–$453.05 | $38–$533 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$56.10–$1,501.95 | $66–$1,767 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$56.10–$987.70 | $66–$1,162 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$34–$666.40 | $40–$784 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $646 | $760 | 4.2× |
| Radiologic exam swallow function contrast study (74230) range across 5 matching MRF lines |
$34.85–$525.30 | $41–$618 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$59.50–$618.80 | $70–$728 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$250.75–$302.60 | $295–$356 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$182.75–$406.30 | $215–$478 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $760.75 | $895 | 8.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$17–$473.45 | $20–$557 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$33.15–$473.45 | $39–$557 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$18.70–$284.75 | $22–$335 | varies |
| Sella turcica (70240) | $374 | $440 | 4.9× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$25.50–$279.65 | $30–$329 | varies |
| Sternoclavicular joints (71130) | $355.30 | $418 | 4.7× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $17.85 | $21 | 0.2× |
| Tbs technical calculation only (77091) range across 2 matching MRF lines |
$36.55–$196.35 | $43–$231 | varies |
| Testicular Imaging W/Flow (78761) | $1,055.70 | $1,242 | 3.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$23.80–$427.55 | $28–$503 | varies |
| Thoracic spine 3 views (72072) | $661.30 | $778 | 7.2× |
| Thyroid Imaging With Vascular Flow (78013) | $581.40 | $684 | 1.7× |
| Thyroid Uptake Measurement (78012) | $581.40 | $684 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $870.40 | $1,024 | 2.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$559.30–$634.95 | $658–$747 | varies |
| Ultrasound Exam Aaa Screen (76706) | $413.10 | $486 | 4.5× |
| Ultrasound, abdomen limited (76705) range across 11 matching MRF lines |
$63.75–$1,038.70 | $75–$1,222 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$51–$1,598.85 | $60–$1,881 | varies |
| Us bone density measurement (76977) range across 2 matching MRF lines |
$140.25–$169.15 | $165–$199 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$559.30–$684.25 | $658–$805 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$230.35–$775.20 | $271–$912 | varies |
| Us complete joint (76881) | $782.85 | $921 | 8.5× |
| Us exam, pelvic, limited (76857) | $567.80 | $668 | 6.2× |
| Us head (76506) | $470.90 | $554 | 5.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$141.95–$153 | $167–$180 | varies |
| Us ob detailed single fetus (76811) | $697 | $820 | 3.3× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$323–$606.90 | $380–$714 | varies |
| Us ob transvaginal (76817) | $358.70 | $422 | 3.9× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$68–$1,237.60 | $80–$1,456 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $485.35 | $571 | 5.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $325.55 | $383 | 3.6× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$467.50–$1,147.50 | $550–$1,350 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$68–$637.50 | $80–$750 | varies |
| Us scrotum and contents (76870) | $651.95 | $767 | 7.1× |
| Us spinal canal and contents (76800) | $539.75 | $635 | 5.9× |
| Us thyroid (76536) range across 4 matching MRF lines |
$63.75–$967.30 | $75–$1,138 | varies |
| Vascular Flow Imaging (78445) | $581.40 | $684 | 1.7× |
| Venography extremity bilateral rs&i (75822) | $973.25 | $1,145 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $634.10 | $746 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $169.15 | $199 | 2.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$24.65–$221 | $29–$260 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $125.80 | $148 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $289 | $340 | 3.8× |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$57.80–$204 | $68–$240 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $373.15 | $439 | 4.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$242.25–$301.75 | $285–$355 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $389.30 | $458 | 5.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$462.40–$481.10 | $544–$566 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $385.05 | $453 | 4.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $207.40 | $244 | 2.3× |
| X-Ray Exam L-S Spine Bending (72114) | $548.25 | $645 | 6.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$22.95–$604.35 | $27–$711 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$36.55–$457.30 | $43–$538 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$24.65–$419.05 | $29–$493 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$20.40–$465.80 | $24–$548 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$66.30–$663 | $78–$780 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $32.30 | $38 | 0.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$22.10–$623.90 | $26–$734 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $754.80 | $888 | 8.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $285.60 | $336 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $284.75 | $335 | 3.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$34–$415.65 | $40–$489 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$39.95–$707.20 | $47–$832 | varies |
| X-ray thoracic spine 4 vw (72074) | $214.20 | $252 | 2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$62.90–$605.20 | $74–$712 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$425–$442 | $500–$520 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$36.55–$789.65 | $43–$929 | varies |
| Xr orbits complete 4 views (70200) | $323 | $380 | 3.5× |
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.