Imaging prices at Eastern New Mexico Medical Center
Roswell, NM · 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 |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $4,286.52 | $20,412 | 3.1× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$115.50–$120.12 | $550–$572 | varies |
| Abdomen 2 views (74019) range across 5 matching MRF lines |
$136.92–$142.38 | $652–$678 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,168.86 | $5,566 | 3.0× |
| Angiography extremity bilateral rs&i (75716) | $1,967.70 | $9,370 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $1,967.70 | $9,370 | 0.6× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$112.77–$117.39 | $537–$559 | varies |
| Basic radiation dosimetry calculation (77300) | $317.94 | $1,514 | 2.4× |
| Bone age studies (77072) range across 2 matching MRF lines |
$115.50–$120.12 | $550–$572 | varies |
| Bone Imaging 3 Phase (78315) | $755.79 | $3,599 | 1.9× |
| Bone Imaging Limited Area (78300) | $569.73 | $2,713 | 1.4× |
| Bone Imaging Whole Body (78306) | $1,023.33 | $4,873 | 2.6× |
| Bone survey infant (77076) | $170.31 | $811 | 1.6× |
| Brain imaging < 4 static views (78600) | $2,596.23 | $12,363 | 6.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,596.23 | $12,363 | 4.8× |
| Cat Scan Follow-Up Study (76380) | $768.18 | $3,658 | 8.9× |
| Chest 1 view (71045) range across 8 matching MRF lines |
$106.26–$110.46 | $506–$526 | varies |
| Chest 2 views (71046) range across 8 matching MRF lines |
$258.51–$268.80 | $1,231–$1,280 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$129.15–$134.19 | $615–$639 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,296.33 | $6,173 | 12.5× |
| Continuing medical physics consltj pr wk (77336) | $703.71 | $3,351 | 5.3× |
| Contrast Exam Abdominl Aorta (75625) | $1,967.70 | $9,370 | 0.6× |
| Contrast X-Ray Bladder (74430) | $196.77 | $937 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $3,730.86 | $17,766 | 10.8× |
| CT abdomen and pelvis without contrast (74176) | $2,592.45 | $12,345 | 11.0× |
| CT abdomen w contrast (74160) | $1,551.90 | $7,390 | 8.9× |
| CT abdomen w wo contrast (74170) | $1,858.50 | $8,850 | 10.7× |
| CT abdomen w/o contrast (74150) | $1,296.33 | $6,173 | 12.5× |
| CT Angio Abdomen and Pelvis (74174) | $3,794.70 | $18,070 | 11.0× |
| CT Angio Chest (71275) | $1,551.90 | $7,390 | 8.9× |
| CT Angio Head (70496) | $255.15 | $1,215 | 1.5× |
| CT angio hrt w/3d image (75574) | $107.73 | $513 | 0.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,551.90 | $7,390 | 8.9× |
| CT Angio Neck (70498) | $1,551.90 | $7,390 | 8.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,551.90 | $7,390 | 8.9× |
| CT cervical spine w/ contrast (72126) | $1,551.90 | $7,390 | 4.5× |
| CT cervical spine w/o contrast (72125) | $1,296.33 | $6,173 | 12.5× |
| CT cervical spine w/wo cont (72127) | $1,936.20 | $9,220 | 11.2× |
| CT chest w contrast (71260) | $1,551.90 | $7,390 | 8.9× |
| CT chest w/wo contrast (71270) | $1,936.20 | $9,220 | 11.2× |
| CT head/brain with contrast (70460) | $1,242.15 | $5,915 | 7.2× |
| CT head/brain without and with contrast (70470) | $1,551.90 | $7,390 | 8.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,936.20 | $9,220 | 5.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $50.82 | $242 | 0.6× |
| CT iac w contrast (70481) | $1,242.15 | $5,915 | 7.2× |
| CT l-spine w&w/o contrast (72133) | $1,936.20 | $9,220 | 11.2× |
| CT lower ext w/o (73700) | $1,089.06 | $5,186 | 10.5× |
| CT lower extremity w/contrast material (73701) | $1,296.33 | $6,173 | 7.5× |
| CT lumbar spine w contrast (72132) | $1,551.90 | $7,390 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,296.33 | $6,173 | 12.5× |
| CT maxillofacial w contrast (70487) | $1,551.90 | $7,390 | 8.9× |
| CT maxillofacial wo contrast (70486) | $1,035.72 | $4,932 | 10.0× |
| CT neck tissue combo (70492) | $1,551.90 | $7,390 | 8.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,107.58 | $14,798 | 17.9× |
| CT orbits w/o contrast (70480) | $1,035.72 | $4,932 | 10.0× |
| CT pelvis w&w/o contrast (72194) | $1,936.20 | $9,220 | 11.2× |
| CT pelvis w/o contrast (72192) | $1,296.33 | $6,173 | 12.5× |
| CT scan of leg combo (73702) | $1,629.60 | $7,760 | 9.4× |
| CT scans face/jaw combo (70488) | $1,242.15 | $5,915 | 7.2× |
| CT soft tissue neck w contrast (70491) | $1,242.15 | $5,915 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $1,035.72 | $4,932 | 10.0× |
| CT thoracic spine w contrast (72129) | $1,551.90 | $7,390 | 8.9× |
| CT thoracic spine w/o contrast (72128) | $1,296.33 | $6,173 | 12.5× |
| CT thoracic spine w/wo cont (72130) | $1,936.20 | $9,220 | 11.2× |
| CT thorax w/o contrast (71250) | $1,296.33 | $6,173 | 12.5× |
| CT upper ext wo (73200) | $1,089.06 | $5,186 | 10.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,629.60 | $7,760 | 9.4× |
| CT upper extremity with contrast (73201) | $1,296.33 | $6,173 | 3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,551.90 | $7,390 | 8.9× |
| Cta Abdomen (74175) | $1,551.90 | $7,390 | 8.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $401.73 | $1,913 | 1.2× |
| Dxa Bone Density Axial (77080) | $251.16 | $1,196 | 2.4× |
| Dxa bone density study (77085) | $483.21 | $2,301 | 4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $241.50 | $1,150 | 2.8× |
| Esophagram (74220) | $270.90 | $1,290 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $412.65 | $1,965 | 4.0× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$112.14–$116.76 | $534–$556 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$126.84–$131.88 | $604–$628 | varies |
| Gastric emptying imaging study (78264) | $988.68 | $4,708 | 2.5× |
| Gated Heart Planar Single (78472) | $567.84 | $2,704 | 1.4× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$116.97–$121.59 | $557–$579 | varies |
| Hepatobil Syst Image W/Drug (78227) | $844.20 | $4,020 | 1.6× |
| Hepatobiliary System Imaging (78226) | $844.20 | $4,020 | 2.1× |
| Ht Muscle Image Spect Sing (78451) | $1,093.47 | $5,207 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $1,361.64 | $6,484 | 2.5× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$135.24–$140.70 | $644–$670 | varies |
| Liver & Spleen Imaging Static Only (78215) | $703.08 | $3,348 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,298.43 | $6,183 | 2.4× |
| Magnetic Image Jaw Joint (70336) | $1,474.20 | $7,020 | 6.2× |
| Meckels Divert Exam (78290) | $729.96 | $3,476 | 1.8× |
| Mlc imrt design & construction per imrt plan (77338) | $946.26 | $4,506 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,474.20 | $7,020 | 4.3× |
| MRA head w/o contrast (70544) | $1,213.59 | $5,779 | 5.1× |
| MRA head with contrast (70545) | $1,140.30 | $5,430 | 3.3× |
| MRA neck w contrast (70548) | $1,213.59 | $5,779 | 3.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,230.18 | $5,858 | 3.6× |
| MRA neck w/o contrast (70547) | $1,213.59 | $5,779 | 5.1× |
| MRI abdomen w contrast (74182) | $1,568.91 | $7,471 | 4.5× |
| MRI abdomen w/o contrast (74181) | $1,568.91 | $7,471 | 6.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,474.20 | $7,020 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,664.25 | $7,925 | 4.8× |
| MRI cervical spine w contrast (72142) | $1,880.76 | $8,956 | 5.4× |
| MRI cervical spine w/o cont (72141) | $1,568.91 | $7,471 | 6.6× |
| MRI chest w/o contrast (71550) | $1,568.91 | $7,471 | 6.6× |
| MRI chest wo w contrast (71552) | $1,664.25 | $7,925 | 4.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,564.08 | $7,448 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,664.25 | $7,925 | 4.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,568.91 | $7,471 | 6.6× |
| MRI lumbar spine w contrast (72149) | $1,880.76 | $8,956 | 5.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,762.55 | $13,155 | 8.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,568.91 | $7,471 | 6.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,664.25 | $7,925 | 4.8× |
| MRI pelvis w contrast (72196) | $1,568.91 | $7,471 | 4.5× |
| MRI pelvis w/o & w contrast (72197) | $1,568.91 | $7,471 | 4.5× |
| MRI pelvis w/o contrast (72195) | $1,568.91 | $7,471 | 6.6× |
| MRI thoracic spine w/o contrast (72146) | $1,740.48 | $8,288 | 7.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,568.91 | $7,471 | 6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,568.91 | $7,471 | 4.5× |
| MRI, abdomen, combo (74183) | $1,664.25 | $7,925 | 4.8× |
| MRI, dorsal spine combo (72157) | $2,762.55 | $13,155 | 8.0× |
| MRI, dorsal spine contrast (72147) | $1,880.76 | $8,956 | 5.4× |
| MRI, joint upper extrem (73221) | $1,568.91 | $7,471 | 6.6× |
| MRI, joint upper extrem combo (73223) | $1,664.25 | $7,925 | 4.8× |
| MRI, lumbar spine combo (72158) | $2,762.55 | $13,155 | 8.0× |
| Myocardial Spect Multiple Studies (78452) | $1,241.10 | $5,910 | 1.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$94.29–$98.07 | $449–$467 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,286.52 | $20,412 | 3.1× |
| Parathyroid Planar Imaging (78070) | $419.79 | $1,999 | 1.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$123.48–$128.52 | $588–$612 | varies |
| PET image w/CT, full body (78816) | $1,844.01 | $8,781 | 1.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,844.01 | $8,781 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $823.83 | $3,923 | 2.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$120.75–$125.58 | $575–$598 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$116.55–$121.38 | $555–$578 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$128.10–$133.14 | $610–$634 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$174.51–$181.44 | $831–$864 | varies |
| Radex fingr minimum 2 views (73140) range across 16 matching MRF lines |
$94.71–$98.49 | $451–$469 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$122.85–$127.89 | $585–$609 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$123.90–$128.94 | $590–$614 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$109.83–$114.03 | $523–$543 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$115.50–$120.12 | $550–$572 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$174.51–$181.44 | $831–$864 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$132.30–$137.55 | $630–$655 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $566.79 | $2,699 | 3.3× |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$94.29–$98.07 | $449–$467 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$144.06–$149.73 | $686–$713 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$185.01–$192.36 | $881–$916 | varies |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$97.23–$101.22 | $463–$482 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$109.83–$114.03 | $523–$543 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$121.38–$126.21 | $578–$601 | varies |
| Radiation treatment delivery level 1 (77402) | $98.26 | $467.90 | 1.0× |
| Radiation treatment delivery level 3 (77412) | $520.80 | $2,480 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$174.51–$181.44 | $831–$864 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 5 matching MRF lines |
$164.01–$170.52 | $781–$812 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$147.21–$153.09 | $701–$729 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$148.68–$154.56 | $708–$736 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 4 matching MRF lines |
$566.79–$589.47 | $2,699–$2,807 | varies |
| Radiologic exam swallow function contrast study (74230) | $286.44 | $1,364 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $363.09 | $1,729 | 2.1× |
| Radiologic examination femur 1 view (73551) | $127.26 | $606 | 1.5× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$116.13–$120.75 | $553–$575 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$115.50–$120.12 | $550–$572 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $229.11 | $1,091 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$117.18–$121.80 | $558–$580 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$174.51–$181.44 | $831–$864 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$115.50–$120.12 | $550–$572 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 5 matching MRF lines |
$32.52–$32.55 | $154.88–$155 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$106.26–$110.46 | $506–$526 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$136.92–$142.38 | $652–$678 | varies |
| Special dosimetry (77331) | $117.81 | $561 | 0.9× |
| Special teletherapy port plan (77321) | $867.93 | $4,133 | 2.3× |
| Special treatment procedure (77470) | $1,518.09 | $7,229 | 2.8× |
| Stereotactic Body Radiation Delivery (77373) | $4,441.29 | $21,149 | 2.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,495.20 | $7,120 | 4.0× |
| Ther rad simulaj-aided field setting simple (77280) | $745.50 | $3,550 | 5.6× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$144.06–$149.73 | $686–$713 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$144.06–$149.73 | $686–$713 | varies |
| Thoracolumbar 2 views (72080) | $144.48 | $688 | 1.7× |
| Thyroid Imaging With Vascular Flow (78013) | $419.79 | $1,999 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $566.79 | $2,699 | 1.4× |
| Tx Devices Design & Construction Complex (77334) | $767.76 | $3,656 | 2.1× |
| Ultrasound Breast Limited (76642) | $79.80 | $380 | 0.9× |
| Ultrasound Elastography Parenchyma (76981) | $93.66 | $446 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$360.78–$633.36 | $1,718–$3,016 | varies |
| Ultrasound, abdomen limited (76705) | $375.27 | $1,787 | 3.6× |
| Us breast unilateral complete (76641) | $269.43 | $1,283 | 2.6× |
| Us chest (76604) | $344.19 | $1,639 | 3.3× |
| Us complete joint (76881) | $128.73 | $613 | 1.2× |
| Us exam, pelvic, limited (76857) | $85.89 | $409 | 0.8× |
| Us head (76506) | $360.78 | $1,718 | 3.5× |
| Us kidney transplant (76776) | $284.97 | $1,357 | 2.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $79.80 | $380 | 0.8× |
| Us ob detailed single fetus (76811) | $392.91 | $1,871 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $290.43 | $1,383 | 2.8× |
| Us pelvic non ob complete (76856) | $208.95 | $995 | 2.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $378.21 | $1,801 | 3.7× |
| Us retroperitoneal complete (76770) | $521.01 | $2,481 | 5.0× |
| Us retroperitoneal limited (76775) | $342.30 | $1,630 | 3.3× |
| Us scrotum and contents (76870) | $405.09 | $1,929 | 3.9× |
| Us thyroid (76536) | $375.27 | $1,787 | 3.6× |
| Vein X-Ray Chest (75827) | $1,675.38 | $7,978 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $564.06 | $2,686 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $631.68 | $3,008 | 0.4× |
| Venography Renal Unilateral (75831) | $657.72 | $3,132 | 0.2× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$113.82–$118.23 | $542–$563 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$136.92–$142.38 | $652–$678 | varies |
| X-Ray Aorta Leg Arteries (75630) | $1,967.70 | $9,370 | 0.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$118.44–$123.06 | $564–$586 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $105 | $500 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$106.26–$110.46 | $506–$526 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $127.26 | $606 | 1.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $148.68 | $708 | 1.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $148.68 | $708 | 1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $148.68 | $708 | 1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $282.24 | $1,344 | 2.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$260.40–$270.90 | $1,240–$1,290 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$133.35–$138.60 | $635–$660 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $249.90 | $1,190 | 2.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$174.51–$181.44 | $831–$864 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$94.29–$98.07 | $449–$467 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$132.09–$137.34 | $629–$654 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$196.14–$203.91 | $934–$971 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$204.12–$212.31 | $972–$1,011 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$148.68–$154.56 | $708–$736 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$115.50–$120.12 | $550–$572 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$197.82–$205.80 | $942–$980 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$136.92–$142.38 | $652–$678 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$127.26–$132.51 | $606–$631 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$174.51–$181.44 | $831–$864 | varies |
| X-ray thoracic spine 4 vw (72074) | $201.39 | $959 | 1.9× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$174.51–$181.44 | $831–$864 | varies |
| X-Rays Bone Survey Complete (77075) | $329.70 | $1,570 | 3.2× |
| Xr c-spine 4 or 5 views (72050) | $197.82 | $942 | 1.9× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$134.40–$139.86 | $640–$666 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$174.51–$181.44 | $831–$864 | 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.