Imaging prices at Dosher Memorial Hospital
Southport, NC · every code in this section with a posted price and a Medicare benchmark.
235 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) | $205.50 | $411 | 2.4× |
| Abdomen 2 views (74019) | $262.50 | $525 | 2.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,133.50 | $2,267 | 2.8× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$135.51–$205.50 | $271.02–$411 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$135.52–$289 | $271.04–$578 | varies |
| Bone Imaging 3 Phase (78315) | $958 | $1,916 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,053.50 | $2,107 | 2.6× |
| Bone marrow imaging; whole body (78104) | $903 | $1,806 | 2.3× |
| Bone survey infant (77076) | $656 | $1,312 | 6.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,861.50 | $3,723 | 5.3× |
| Cat Scan Follow-Up Study (76380) | $353.50 | $707 | 4.1× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$37–$187 | $74–$374 | varies |
| Chest 2 views (71046) | $205.50 | $411 | 2.4× |
| Chest 3 views (71047) | $252.50 | $505 | 2.9× |
| Chest 4 or more views (71048) | $278.50 | $557 | 2.7× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$150.77–$205.50 | $301.54–$411 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $415 | $830 | 4.0× |
| Contrast X-Ray Bladder (74430) | $440 | $880 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $407.50 | $815 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,125 | $4,250 | 6.1× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,333.50–$1,400 | $2,667–$2,800 | varies |
| CT abdomen w contrast (74160) | $948 | $1,896 | 5.4× |
| CT abdomen w wo contrast (74170) | $1,043 | $2,086 | 5.9× |
| CT abdomen w/o contrast (74150) | $583.50 | $1,167 | 5.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,185 | $4,370 | 6.3× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$948–$1,612.50 | $1,896–$3,225 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$929–$1,250 | $1,858–$2,500 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $948 | $1,896 | 5.4× |
| CT Angio Neck (70498) | $1,250 | $2,500 | 7.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,425.50–$1,454.50 | $2,851–$2,909 | varies |
| CT cervical spine w/ contrast (72126) | $1,224 | $2,448 | 3.5× |
| CT cervical spine w/o contrast (72125) | $1,000 | $2,000 | 9.6× |
| CT cervical spine w/wo cont (72127) | $1,722 | $3,444 | 9.8× |
| CT chest w contrast (71260) | $1,250 | $2,500 | 7.1× |
| CT chest w/wo contrast (71270) | $1,040.50 | $2,081 | 5.9× |
| CT head/brain with contrast (70460) | $1,071.50 | $2,143 | 6.1× |
| CT head/brain without and with contrast (70470) | $948 | $1,896 | 5.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $574 | $1,148 | 6.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$948–$1,185 | $1,896–$2,370 | varies |
| CT l-spine w&w/o contrast (72133) | $1,701 | $3,402 | 9.7× |
| CT lower ext w/o (73700) range across 18 matching MRF lines |
$583.50–$875 | $1,167–$1,750 | varies |
| CT lower extremity w/contrast material (73701) range across 14 matching MRF lines |
$929–$1,534 | $1,858–$3,068 | varies |
| CT lumbar spine w contrast (72132) | $1,987 | $3,974 | 5.7× |
| CT lumbar spine w/o contrast (72131) | $1,000 | $2,000 | 9.6× |
| CT maxillofacial w contrast (70487) | $948 | $1,896 | 5.4× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$629–$750 | $1,258–$1,500 | varies |
| CT neck tissue combo (70492) | $1,253 | $2,506 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$948–$1,040.50 | $1,896–$2,081 | varies |
| CT orbits w/o contrast (70480) | $583.50 | $1,167 | 5.6× |
| CT pelvis w&w/o contrast (72194) | $1,043 | $2,086 | 5.9× |
| CT pelvis w/o contrast (72192) | $583.50 | $1,167 | 5.6× |
| CT scan of leg combo (73702) range across 14 matching MRF lines |
$948–$1,417.50 | $1,896–$2,835 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,020–$1,040.50 | $2,040–$2,081 | varies |
| CT soft tissue neck w contrast (70491) | $1,250 | $2,500 | 7.1× |
| CT soft tissue neck w/o contrast (70490) | $583.50 | $1,167 | 5.6× |
| CT thoracic spine w contrast (72129) | $1,448 | $2,896 | 8.2× |
| CT thoracic spine w/o contrast (72128) | $641.50 | $1,283 | 6.1× |
| CT thoracic spine w/wo cont (72130) | $1,721 | $3,442 | 9.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$700–$962.50 | $1,400–$1,925 | varies |
| CT upper ext wo (73200) range across 24 matching MRF lines |
$571.50–$875 | $1,143–$1,750 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 14 matching MRF lines |
$1,587.50–$1,619.50 | $3,175–$3,239 | varies |
| CT upper extremity with contrast (73201) range across 16 matching MRF lines |
$1,504–$1,987 | $3,008–$3,974 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,085.50 | $4,171 | 11.9× |
| Cta Abdomen (74175) | $948 | $1,896 | 5.4× |
| CTA pelvis (72191) | $1,022 | $2,044 | 5.8× |
| Dxa Bone Density Axial (77080) | $262.50 | $525 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $135.50 | $271 | 1.6× |
| Esophagram (74220) | $427 | $854 | 2.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$391.50–$601 | $783–$1,202 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$135.51–$205.50 | $271.02–$411 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$135.51–$205.50 | $271.02–$411 | varies |
| Gastric emptying imaging study (78264) | $1,053.50 | $2,107 | 2.6× |
| Gated Heart Planar Single (78472) | $1,118 | $2,236 | 2.8× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$135.51–$205.50 | $271.02–$411 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,033–$1,350.50 | $2,066–$2,701 | varies |
| Hepatobiliary System Imaging (78226) | $720 | $1,440 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $2,238 | $4,476 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $854 | $1,708 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $752 | $1,504 | 1.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$168.90–$205.50 | $337.80–$411 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,228 | $2,456 | 2.3× |
| Lymph System Imaging (78195) | $733.50 | $1,467 | 1.3× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$400–$1,333.50 | $800–$2,667 | varies |
| Meckels Divert Exam (78290) | $633.50 | $1,267 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,675.50 | $3,351 | 4.8× |
| MRA head w/o contrast (70544) | $1,212.50 | $2,425 | 5.1× |
| MRA head with contrast (70545) | $1,319.50 | $2,639 | 3.8× |
| MRA neck w contrast (70548) | $1,569 | $3,138 | 4.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,987 | $3,974 | 5.7× |
| MRA neck w/o contrast (70547) | $1,212.50 | $2,425 | 5.1× |
| MRI abdomen w contrast (74182) | $2,033.50 | $4,067 | 5.8× |
| MRI abdomen w/o contrast (74181) | $1,212.50 | $2,425 | 5.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 10 matching MRF lines |
$2,027–$3,542 | $4,054–$7,084 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 8 matching MRF lines |
$2,085–$2,185 | $4,170–$4,370 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 18 matching MRF lines |
$450–$1,938 | $900–$3,876 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,297.50 | $2,595 | 5.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,307 | $2,614 | 5.5× |
| MRI cervical spine w contrast (72142) | $1,927 | $3,854 | 5.5× |
| MRI cervical spine w/o cont (72141) | $1,500 | $3,000 | 6.3× |
| MRI chest w/o contrast (71550) | $1,333.50 | $2,667 | 5.6× |
| MRI chest with contrast (71551) | $1,931 | $3,862 | 2.5× |
| MRI chest wo w contrast (71552) | $2,144.50 | $4,289 | 6.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$1,751.50–$1,947.50 | $3,503–$3,895 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 8 matching MRF lines |
$1,987–$2,185 | $3,974–$4,370 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 8 matching MRF lines |
$1,188.50–$1,212.50 | $2,377–$2,425 | varies |
| MRI lumbar spine w contrast (72149) | $1,987 | $3,974 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,185 | $4,370 | 6.3× |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,212.50–$1,492.50 | $2,425–$2,985 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$1,198.50–$1,492.50 | $2,397–$2,985 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$2,142–$2,185 | $4,284–$4,370 | varies |
| MRI pelvis w contrast (72196) | $1,932.50 | $3,865 | 5.5× |
| MRI pelvis w/o & w contrast (72197) range across 7 matching MRF lines |
$2,126.50–$2,200 | $4,253–$4,400 | varies |
| MRI pelvis w/o contrast (72195) | $1,671.50 | $3,343 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $1,212.50 | $2,425 | 5.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 8 matching MRF lines |
$450–$1,947.50 | $900–$3,895 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 7 matching MRF lines |
$1,307–$1,702 | $2,614–$3,404 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$1,872–$1,987 | $3,744–$3,974 | varies |
| MRI, abdomen, combo (74183) | $2,200 | $4,400 | 6.3× |
| MRI, dorsal spine combo (72157) | $1,987 | $3,974 | 5.7× |
| MRI, dorsal spine contrast (72147) | $1,927 | $3,854 | 5.5× |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$1,333.50–$1,668 | $2,667–$3,336 | varies |
| MRI, joint upper extrem combo (73223) range across 8 matching MRF lines |
$1,918.50–$2,185 | $3,837–$4,370 | varies |
| MRI, lumbar spine combo (72158) | $2,200 | $4,400 | 6.3× |
| Musculoskeletal Nuclear Exam (78399) | $853.50 | $1,707 | 2.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,989.50–$3,309.50 | $5,979–$6,619 | varies |
| Neck soft tissue (70360) | $205.50 | $411 | 2.4× |
| Nm myocard infarct spect (78469) | $580 | $1,160 | 1.1× |
| Optic foramina (70190) | $162.50 | $325 | 1.9× |
| Parathyroid Planar Imaging (78070) | $1,053.50 | $2,107 | 2.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,175 | $2,350 | 2.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$147.80–$182 | $295.59–$364 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $620 | $1,240 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $289 | $578 | 2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $230 | $460 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$160.60–$213.50 | $321.20–$427 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$135.51–$187 | $271.02–$374 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$160.60–$205.50 | $321.20–$411 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $289 | $578 | 2.8× |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$130.33–$205.50 | $260.66–$411 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$160.60–$213.50 | $321.20–$427 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$160.60–$234 | $321.20–$468 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $152 | $304 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $257 | $514 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $205.50 | $411 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$197.82–$205.50 | $395.63–$411 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$175.66–$205.50 | $351.32–$411 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $187 | $374 | 2.1× |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$144.55–$187 | $289.10–$374 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$181.06–$205.50 | $362.11–$411 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $366 | $732 | 4.2× |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$135.51–$205.50 | $271.02–$411 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $149 | $298 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$160.60–$205.50 | $321.20–$411 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $289 | $578 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $418 | $836 | 2.4× |
| Radiologic exam colon single contrast study (74270) | $469.50 | $939 | 2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $510 | $1,020 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$225.86–$289 | $451.71–$578 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$248.54–$262.50 | $497.07–$525 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $469.50 | $939 | 2.7× |
| Radiologic exam swallow function contrast study (74230) | $469.50 | $939 | 2.7× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$160.66–$167.50 | $321.32–$335 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$175.66–$187 | $351.32–$374 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$149.16–$187 | $298.32–$374 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $439 | $878 | 4.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$135.51–$205.50 | $271.02–$411 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$255.56–$390 | $511.12–$780 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,874 | $3,748 | 4.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$1,523–$1,594 | $3,046–$3,188 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$270–$1,319 | $540–$2,638 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $580 | $1,160 | 1.1× |
| Scapula (73010) range across 4 matching MRF lines |
$167.86–$262.50 | $335.72–$525 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$30–$38.50 | $60–$77 | varies |
| Sella turcica (70240) | $139.50 | $279 | 1.6× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$110.43–$156 | $220.85–$312 | varies |
| Shoulder Arthrography (73040) | $371 | $742 | 1.1× |
| Skull less than 4 views (70250) | $262.50 | $525 | 2.5× |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$159.70–$163 | $319.39–$326 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$245.12–$289 | $490.23–$578 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$164.56–$171.50 | $329.12–$343 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $820.50 | $1,641 | 2.0× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$117–$685 | $234–$1,370 | varies |
| Ultrasound Exam Aaa Screen (76706) | $437.50 | $875 | 4.2× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$373.50–$481.50 | $747–$963 | varies |
| Unlisted us procedure (76999) | $472 | $944 | 5.4× |
| Upper gi w/o kub (74240) | $469.50 | $939 | 2.7× |
| Urethrocystogram voiding (74455) | $463 | $926 | 1.9× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$481.50–$962.50 | $963–$1,925 | varies |
| Us chest (76604) | $437.50 | $875 | 4.2× |
| Us exam, pelvic, limited (76857) | $437.50 | $875 | 4.2× |
| Us kidney transplant (76776) | $367 | $734 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$146–$481.50 | $292–$963 | varies |
| Us ob limited 1 or more fetuses (76815) | $365.50 | $731 | 3.5× |
| Us ob transvaginal (76817) | $481.50 | $963 | 4.6× |
| Us pelvic non ob complete (76856) | $481.50 | $963 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$437.50–$625 | $875–$1,250 | varies |
| Us retroperitoneal complete (76770) | $481.50 | $963 | 4.6× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$437.50–$874.50 | $875–$1,749 | varies |
| Us scrotum and contents (76870) | $2,085.50 | $4,171 | 19.9× |
| Us thyroid (76536) | $481.50 | $963 | 4.6× |
| Venography extremity bilateral rs&i (75822) | $833.50 | $1,667 | 0.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$135.51–$205.50 | $271.02–$411 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$138.13–$366 | $276.26–$732 | varies |
| X-Ray Bend Only L-S Spine (72120) | $289 | $578 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$135.51–$187 | $271.02–$374 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$92.50–$131.50 | $185–$263 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$200.75–$205.50 | $401.50–$411 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$240.75–$262.50 | $481.50–$525 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$160.60–$205.50 | $321.20–$411 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$175.66–$213.50 | $351.32–$427 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $241.09 | $482.18 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $364 | $728 | 3.5× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$262.50–$289.31 | $525–$578.61 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$205.50–$249.13 | $411–$498.26 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $289 | $578 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $262.50 | $525 | 2.5× |
| X-ray eye for foreign body (70030) | $205.50 | $411 | 2.4× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$151.31–$205.50 | $302.61–$411 | varies |
| X-ray IV pyelogram (ivp) (74400) | $467.50 | $935 | 2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $167.50 | $335 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$167.13–$411 | $334.26–$822 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$225.02–$262.50 | $450.04–$525 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $390 | $780 | 3.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$176.81–$289 | $353.61–$578 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$107.74–$110 | $215.47–$220 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$175.66–$187 | $351.32–$374 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $201.50 | $403 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $289 | $578 | 2.8× |
| X-Ray Tmj Unilat (70328) | $135.50 | $271 | 1.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $458.50 | $917 | 1.3× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$257–$381 | $514–$762 | varies |
| X-Rays Bone Survey Complete (77075) | $262.50 | $525 | 2.5× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$263–$276.04 | $526–$552.07 | varies |
| Xr facial bones less than 3 views (70140) | $192 | $384 | 2.2× |
| Xr orbits complete 4 views (70200) | $262.50 | $525 | 2.5× |
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.