Imaging prices at Elmore Community Hospital
Wetumpka, AL · every code in this section with a posted price and a Medicare benchmark.
172 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 |
$9.58–$280.22 | $23.94–$700.56 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$12.19–$442.12 | $30.48–$1,105.29 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$8.46–$104.26 | $21.15–$260.64 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$9.96–$128.26 | $24.90–$320.64 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$9.58–$104.26 | $23.94–$260.64 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$11.46–$104.26 | $28.65–$260.64 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$14.41–$104.26 | $36.03–$260.64 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$16.31–$128.26 | $40.77–$320.64 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$16.92–$216.41 | $42.30–$541.02 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$8.80–$104.26 | $21.99–$260.64 | varies |
| Contrast X-Ray Bladder (74430) | $16.57 | $41.43 | 0.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$104.53–$442.12 | $261.33–$1,105.29 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$90.58–$280.22 | $226.44–$700.56 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$66.16–$216.41 | $165.39–$541.02 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$72.55–$216.41 | $181.38–$541.02 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$61.81–$128.26 | $154.53–$320.64 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$114.26–$442.12 | $285.66–$1,105.29 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$94.80–$216.41 | $237–$541.02 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$90.96–$216.41 | $227.40–$541.02 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$124.51–$219.20 | $311.28–$548 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$98.24–$216.41 | $245.61–$541.02 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$90.96–$216.41 | $227.40–$541.02 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$93.40–$216.41 | $233.49–$541.02 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$51.85–$128.26 | $129.63–$320.64 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$65.82–$216.41 | $164.55–$541.02 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$60.65–$216.41 | $151.62–$541.02 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$65.04–$216.41 | $162.60–$541.02 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$51.85–$216.41 | $129.63–$541.02 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$66.16–$216.41 | $165.39–$541.02 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$30.26–$99.20 | $75.66–$248 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$58.81–$216.41 | $147.03–$541.02 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$65.82–$216.41 | $164.55–$541.02 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$51.85–$128.26 | $129.63–$320.64 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$60.31–$216.41 | $150.78–$541.02 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$51.85–$128.26 | $129.63–$320.64 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$58.81–$216.41 | $147.03–$541.02 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$44.68–$128.26 | $111.69–$320.64 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$84.01–$216.41 | $210.03–$541.02 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$65.82–$216.41 | $164.55–$541.02 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$66.88–$128.26 | $167.19–$320.64 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$63.31–$216.41 | $158.28–$541.02 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$56.58–$128.26 | $141.45–$320.64 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$62.98–$216.41 | $157.44–$541.02 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$65.82–$216.41 | $164.55–$541.02 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$71.77–$216.41 | $179.43–$541.02 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$66.88–$128.26 | $167.19–$320.64 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$51.85–$128.26 | $129.63–$320.64 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$66.16–$216.41 | $165.39–$541.02 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$56.20–$128.26 | $140.49–$320.64 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$51.85–$128.26 | $129.63–$320.64 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$62.98–$216.41 | $157.44–$541.02 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$60.31–$442.12 | $150.78–$1,105.29 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$123.38–$216.41 | $308.46–$541.02 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$94.46–$216.41 | $236.16–$541.02 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$93.40–$216.41 | $233.49–$541.02 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$10.34–$128.26 | $25.86–$320.64 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$31.38–$216.41 | $78.45–$541.02 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$16.37–$280.22 | $40.92–$700.56 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$8.12–$104.26 | $20.31–$260.64 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$8.46–$104.26 | $21.15–$260.64 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$8.80–$128.26 | $21.99–$320.64 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$9.91–$104.26 | $24.78–$260.64 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$62.20–$280.22 | $155.49–$700.56 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$62.53–$280.22 | $156.33–$700.56 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$89.86–$442.12 | $224.64–$1,105.29 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$75.77–$280.22 | $189.42–$700.56 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$84.68–$888.90 | $211.71–$2,222.25 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$112.44–$442.12 | $281.10–$1,105.29 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$84.68–$888.90 | $211.71–$2,222.25 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$77.22–$280.22 | $193.05–$700.56 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$76.12–$442.12 | $190.29–$1,105.29 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$89.86–$888.90 | $224.64–$2,222.25 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$117.95–$439.70 | $294.87–$1,099.26 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$84.35–$442.12 | $210.87–$1,105.29 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$112.44–$442.12 | $281.10–$1,105.29 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$70.27–$280.22 | $175.68–$700.56 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$93.25–$442.12 | $233.13–$1,105.29 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$119.78–$442.12 | $299.46–$1,105.29 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$112.10–$428.56 | $280.26–$1,071.39 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$114.72–$442.12 | $286.80–$1,105.29 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$76.12–$280.22 | $190.29–$700.56 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$77.22–$280.22 | $193.05–$700.56 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $84.35 | $210.87 | 0.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$70.61–$280.22 | $176.52–$700.56 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$112.44–$442.12 | $281.10–$1,105.29 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$114.72–$442.12 | $286.80–$1,105.29 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$119.78–$442.12 | $299.46–$1,105.29 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$92.81–$442.12 | $232.02–$1,105.29 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$70.61–$280.22 | $176.52–$700.56 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$112.44–$442.12 | $281.10–$1,105.29 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$119.78–$442.12 | $299.46–$1,105.29 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$9.58–$104.26 | $23.94–$260.64 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$9.18–$128.26 | $22.95–$320.64 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$16.92–$127.61 | $42.30–$319.02 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$9.18–$104.26 | $22.95–$260.64 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$8.46–$104.26 | $21.15–$260.64 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$9.18–$104.26 | $22.95–$260.64 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$13.69–$128.26 | $34.23–$320.64 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$7.30–$104.26 | $18.24–$260.64 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$8.84–$104.26 | $22.11–$260.64 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$9.18–$104.26 | $22.95–$260.64 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$8.46–$104.26 | $21.15–$260.64 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$18.02–$128.26 | $45.06–$320.64 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$9.18–$104.26 | $22.95–$260.64 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$9.91–$104.26 | $24.78–$260.64 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$10.34–$104.26 | $25.86–$260.64 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$12.58–$104.26 | $31.44–$260.64 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$6.96–$104.26 | $17.40–$260.64 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$8.46–$128.26 | $21.15–$320.64 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$9.18–$104.26 | $22.95–$260.64 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$13.30–$128.26 | $33.24–$320.64 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$14.08–$442.12 | $35.19–$1,105.29 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$65.42–$216.41 | $163.56–$541.02 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$53.74–$216.41 | $134.34–$541.02 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$12.13–$128.26 | $30.33–$320.64 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$13.30–$128.26 | $33.24–$320.64 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$42.12–$216.41 | $105.30–$541.02 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$27.65–$216.41 | $69.12–$541.02 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$46.62–$216.41 | $116.55–$541.02 | varies |
| Radiologic examination femur 1 view (73551) | $8.80 | $21.99 | 0.1× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$9.58–$104.26 | $23.94–$260.64 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$8.80–$104.26 | $21.99–$260.64 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$8.46–$104.26 | $21.15–$260.64 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$603.76 | $46.95–$1,509.39 | 1.2× |
| Scapula (73010) range across 3 matching MRF lines |
$9.52–$128.26 | $23.79–$320.64 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$31.38–$59.17 | $78.45–$147.93 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$8.06–$104.26 | $20.16–$260.64 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$9.58–$128.26 | $23.94–$320.64 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$11.46–$104.26 | $28.65–$260.64 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$11.84–$128.26 | $29.61–$320.64 | varies |
| Thyroid Uptake Measurement (78012) | $301.60 | $754 | 0.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$35.72–$104.26 | $89.31–$260.64 | varies |
| Ultrasound elastography first target lesion (76982) range across 3 matching MRF lines |
$31–$128.26 | $77.49–$320.64 | varies |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$30.66–$128.26 | $76.65–$320.64 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$42.06–$216.41 | $105.15–$541.02 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$38.34–$128.26 | $95.85–$320.64 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$29.98–$128.26 | $74.94–$320.64 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$47.29–$128.26 | $118.23–$320.64 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$36.11–$128.26 | $90.27–$320.64 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$34–$128.26 | $84.99–$320.64 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$35.88–$128.26 | $89.70–$320.64 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$51.80–$128.26 | $129.51–$320.64 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$38.39–$128.26 | $95.97–$320.64 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$30.26–$128.26 | $75.66–$320.64 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$33.26–$128.26 | $83.16–$320.64 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$66.77–$128.26 | $166.92–$320.64 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$29.48–$128.26 | $73.71–$320.64 | varies |
| Us transrectal (76872) | $128.26 | $320.64 | 1.4× |
| Vertebral fracture assessment via dxa (77086) range across 3 matching MRF lines |
$8.84–$104.26 | $22.11–$260.64 | varies |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$8.80–$104.26 | $21.99–$260.64 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$9.91–$104.26 | $24.78–$260.64 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$8.80–$104.26 | $21.99–$260.64 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$603.76 | $41.31–$1,509.39 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$13.69–$104.26 | $34.23–$260.64 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$9.91–$104.26 | $24.78–$260.64 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$11.80–$104.26 | $29.49–$260.64 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$11.80–$128.26 | $29.49–$320.64 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$11.80–$104.26 | $29.49–$260.64 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$14.08–$128.26 | $35.19–$320.64 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$8.46–$104.26 | $21.15–$260.64 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$25.20–$216.41 | $63–$541.02 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$25.43–$216.41 | $63.57–$541.02 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$11.80–$128.26 | $29.49–$320.64 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$16.92–$128.26 | $42.30–$320.64 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$11.84–$128.26 | $29.61–$320.64 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$9.18–$104.26 | $22.95–$260.64 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$11.46–$104.26 | $28.65–$260.64 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$14.81–$128.26 | $37.02–$320.64 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$28.76–$128.26 | $71.91–$320.64 | varies |
| Xr c-spine 4 or 5 views (72050) | $128.26 | $320.64 | 1.4× |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$10.63–$104.26 | $26.58–$260.64 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$14.81–$128.26 | $37.02–$320.64 | 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.