Imaging prices at Family Health West Hospital
Fruita, CO · every code in this section with a posted price and a Medicare benchmark.
225 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 |
$11.90–$226.80 | $17–$324 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$14.70–$272.30 | $21–$389 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$46.20–$249.90 | $66–$357 | varies |
| Arthrogram ankle (73615) | $184.10 | $263 | 0.5× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$39.20–$1,183.70 | $56–$1,691 | varies |
| Arthrogram Wrist (73115) | $193.90 | $277 | 0.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$37.10–$368.90 | $53–$527 | varies |
| Bone survey infant (77076) | $153.30 | $219 | 1.4× |
| Cat Scan Follow-Up Study (76380) | $775.60 | $1,108 | 8.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$11.90–$226.80 | $17–$324 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$14.70–$272.30 | $21–$389 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$60.20–$280 | $86–$400 | varies |
| Chest 4 or more views (71048) | $20.30 | $29 | 0.2× |
| Cholecystography Oral Contrast (74290) | $121.80 | $174 | 0.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$46.90–$249.90 | $67–$357 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$70.70–$459.90 | $101–$657 | varies |
| Contrast X-Ray Bladder (74430) | $21 | $30 | 0.1× |
| Contrast X-Ray Of Elbow (73085) | $35 | $50 | 0.1× |
| Contrast X-Ray Of Knee Joint (73580) | $158.20 | $226 | 0.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$130.20–$3,462.90 | $186–$4,947 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$266.70–$2,011.80 | $381–$2,874 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$340.90–$1,518.30 | $487–$2,169 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$91–$2,142.70 | $130–$3,061 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$77.70–$1,250.90 | $111–$1,787 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$142.10–$2,142.70 | $203–$3,061 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$376.60–$2,142.70 | $538–$3,061 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$372.40–$2,142.70 | $532–$3,061 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$380.10–$2,142.70 | $543–$3,061 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$372.40–$2,142.70 | $532–$3,061 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$374.50–$2,142.70 | $535–$3,061 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$247.10–$1,518.30 | $353–$2,169 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$190.40–$1,250.90 | $272–$1,787 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$245–$1,518.30 | $350–$2,169 | varies |
| CT chest w/wo contrast (71270) | $288.40 | $412 | 1.6× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$73.50–$1,518.30 | $105–$2,169 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$254.10–$2,142.70 | $363–$3,061 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$146.30–$638.40 | $209–$912 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$73.50–$1,155.70 | $105–$1,651 | varies |
| CT l-spine w&w/o contrast (72133) | $82.60 | $118 | 0.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$65.10–$1,250.90 | $93–$1,787 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$244.30–$1,518.30 | $349–$2,169 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$247.80–$1,518.30 | $354–$2,169 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$65.10–$1,250.90 | $93–$1,787 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$222.60–$1,518.30 | $318–$2,169 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$56–$1,250.90 | $80–$1,787 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$324.10–$2,142.70 | $463–$3,061 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$309.40–$2,142.70 | $442–$3,061 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$84–$1,250.90 | $120–$1,787 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$336.70–$1,959.30 | $481–$2,799 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$70.70–$1,250.90 | $101–$1,787 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$79.10–$2,142.70 | $113–$3,061 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$270.20–$1,518.30 | $386–$2,169 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$219.10–$1,250.90 | $313–$1,787 | varies |
| CT thoracic spine w contrast (72129) | $249.20 | $356 | 1.3× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$189.70–$1,250.90 | $271–$1,787 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$194.60–$1,250.90 | $278–$1,787 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$219.10–$1,250.90 | $313–$1,787 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $79.10 | $113 | 0.4× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$75.60–$1,518.30 | $108–$2,169 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$154–$2,142.70 | $220–$3,061 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$375.90–$2,142.70 | $537–$3,061 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$116.20–$2,142.70 | $166–$3,061 | varies |
| Discography Cerv/Thor Spine (72285) | $77 | $110 | 0.0× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$13.30–$323.40 | $19–$462 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$45.50–$176.40 | $65–$252 | varies |
| Echo exam uterus (76831) | $166.60 | $238 | 0.7× |
| Echograp Trans R Pros Study (76873) | $250.60 | $358 | 2.3× |
| Esophagram (74220) range across 2 matching MRF lines |
$39.20–$589.40 | $56–$842 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$50.40–$490 | $72–$700 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$60.90–$556.50 | $87–$795 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$10.50–$249.90 | $15–$357 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$10.50–$249.90 | $15–$357 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$11.20–$249.90 | $16–$357 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$134.40–$806.40 | $192–$1,152 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$48.30–$757.40 | $69–$1,082 | varies |
| Infant hip ultrasound, limited static exam (76886) | $40.60 | $58 | 0.4× |
| Infusion Ivp (74410) | $31.50 | $45 | 0.2× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$58.80–$272.30 | $84–$389 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $96.60 | $138 | 0.3× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$317.80–$1,974.70 | $454–$2,821 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$362.60–$1,578.50 | $518–$2,255 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$116.90–$3,161.90 | $167–$4,517 | varies |
| MRA neck w/o contrast (70547) | $317.80 | $454 | 1.3× |
| MRI abdomen w contrast (74182) | $112 | $160 | 0.3× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$287.70–$1,974.70 | $411–$2,821 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$117.60–$2,242.10 | $168–$3,203 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$140–$3,161.90 | $200–$4,517 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$106.40–$2,242.10 | $152–$3,203 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$116.90–$2,242.10 | $167–$3,203 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$96.60–$1,974.70 | $138–$2,821 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$439.60–$1,974.70 | $628–$2,821 | varies |
| MRI chest with contrast (71551) | $112.70 | $161 | 0.1× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$147–$2,790.90 | $210–$3,987 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $387.80 | $554 | 1.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$496.30–$3,161.90 | $709–$4,517 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$329–$1,974.70 | $470–$2,821 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$398.30–$2,242.10 | $569–$3,203 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$470.40–$3,161.90 | $672–$4,517 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $333.20 | $476 | 1.3× |
| MRI orbit face neck w contrast (70542) | $395.50 | $565 | 1.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$498.40–$3,161.90 | $712–$4,517 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$112–$2,242.10 | $160–$3,203 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$142.80–$3,161.90 | $204–$4,517 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$95.90–$1,974.70 | $137–$2,821 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$279.30–$1,974.70 | $399–$2,821 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$489.30–$2,242.10 | $699–$3,203 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$88.90–$1,974.70 | $127–$2,821 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$140–$3,161.90 | $200–$4,517 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$497.70–$3,161.90 | $711–$4,517 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$149.80–$3,161.90 | $214–$4,517 | varies |
| MRI, dorsal spine contrast (72147) | $116.20 | $166 | 0.3× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$298.20–$1,974.70 | $426–$2,821 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$571.20–$3,161.90 | $816–$4,517 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$149.80–$3,161.90 | $214–$4,517 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$44.80–$226.80 | $64–$324 | varies |
| Ob us nuchal meas 1 gest (76813) | $77.70 | $111 | 0.7× |
| Parathyroid Planar Imaging (78070) | $387.80 | $554 | 0.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$11.90–$249.90 | $17–$357 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$71.40–$272.30 | $102–$389 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$33.60–$202.30 | $48–$289 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$52.50–$272.30 | $75–$389 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$10.50–$249.90 | $15–$357 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$11.90–$272.30 | $17–$389 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$67.90–$294 | $97–$420 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$55.30–$272.30 | $79–$389 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$49–$272.30 | $70–$389 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$53.20–$272.30 | $76–$389 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$53.90–$272.30 | $77–$389 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$52.50–$249.90 | $75–$357 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$50.40–$272.30 | $72–$389 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$46.20–$262.50 | $66–$375 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$10.50–$142.10 | $15–$203 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$48.30–$249.90 | $69–$357 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$76.30–$272.30 | $109–$389 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$9.10–$272.30 | $13–$389 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $10.50 | $15 | 0.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$59.50–$272.30 | $85–$389 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $27.30 | $39 | 0.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$62.30–$294 | $89–$420 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$81.90–$1,367.80 | $117–$1,954 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$67.20–$882 | $96–$1,260 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$67.90–$294 | $97–$420 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$60.90–$272.30 | $87–$389 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$174.30–$702.10 | $249–$1,003 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$179.20–$541.80 | $256–$774 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$58.80–$585.90 | $84–$837 | varies |
| Radiologic examination femur 1 view (73551) | $42 | $60 | 0.5× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$51.10–$316.40 | $73–$452 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$49–$249.90 | $70–$357 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $93.10 | $133 | 0.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$10.50–$272.30 | $15–$389 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$63–$272.30 | $90–$389 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$11.90–$249.90 | $17–$357 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$73.50–$199.50 | $105–$285 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$30.80–$226.80 | $44–$324 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$36.40–$823.90 | $52–$1,177 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$11.90–$272.30 | $17–$389 | varies |
| Sternoclavicular joints (71130) | $59.50 | $85 | 0.6× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$13.30–$249.90 | $19–$357 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$14.70–$272.30 | $21–$389 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$49.70–$249.90 | $71–$357 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$121.10–$602 | $173–$860 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$35.70–$666.40 | $51–$952 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$37.80–$490 | $54–$700 | varies |
| Umbilical-artery Doppler (OB) (76820) | $63.70 | $91 | 0.6× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$175.70–$511.70 | $251–$731 | varies |
| Urethrocystogram voiding (74455) | $149.80 | $214 | 0.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$147–$602 | $210–$860 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$37.10–$602 | $53–$860 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$59.50–$718.90 | $85–$1,027 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$70–$403.90 | $100–$577 | varies |
| Us head (76506) | $161.70 | $231 | 1.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$44.80–$490 | $64–$700 | varies |
| Us ob detailed single fetus (76811) | $1,099 | $1,570 | 4.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$115.50–$490 | $165–$700 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$132.30–$490 | $189–$700 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$150.50–$628.60 | $215–$898 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$64.40–$602 | $92–$860 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$56–$226.80 | $80–$324 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$48.30–$534.10 | $69–$763 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$84.70–$490 | $121–$700 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$41.30–$602.70 | $59–$861 | varies |
| Us spinal canal and contents (76800) | $84.70 | $121 | 0.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$158.20–$602 | $226–$860 | varies |
| Us transrectal (76872) | $198.80 | $284 | 1.8× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$49–$249.90 | $70–$357 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$41.30–$249.90 | $59–$357 | varies |
| X-ray antegrade pyelogram tube (74425) | $195.30 | $279 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$14.70–$249.90 | $21–$357 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$11.20–$249.90 | $16–$357 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$42.70–$60.90 | $61–$87 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $17.50 | $25 | 0.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$21–$272.30 | $30–$389 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$114.10–$316.40 | $163–$452 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$46.90–$226.80 | $67–$324 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$68.60–$272.30 | $98–$389 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$18.20–$338.80 | $26–$484 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$59.50–$258.30 | $85–$369 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$19.60–$396.90 | $28–$567 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $88.90 | $127 | 0.8× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$88.20–$361.20 | $126–$516 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$14.70–$272.30 | $21–$389 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$89.60–$338.80 | $128–$484 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$17.50–$375.20 | $25–$536 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$11.90–$226.80 | $17–$324 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$45.50–$249.90 | $65–$357 | varies |
| X-ray IV pyelogram (ivp) (74400) | $193.90 | $277 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$11.90–$272.30 | $17–$389 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$57.40–$226.80 | $82–$324 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$14.70–$294 | $21–$420 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$11.90–$226.80 | $17–$324 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$75.60–$430.50 | $108–$615 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$14.70–$272.30 | $21–$389 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$47.60–$249.90 | $68–$357 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$46.90–$249.90 | $67–$357 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$53.90–$294 | $77–$420 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$18.90–$294 | $27–$420 | varies |
| X-Ray Stress View (77071) | $78.40 | $112 | 0.9× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$63.70–$294 | $91–$420 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$18.20–$625.10 | $26–$893 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$36.40–$857.50 | $52–$1,225 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$77–$316.40 | $110–$452 | varies |
| Xr facial bones less than 3 views (70140) | $13.30 | $19 | 0.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $54.60 | $78 | 0.5× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$68.60–$294 | $98–$420 | 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.