Imaging prices at Field Health System
Centreville, MS · every code in this section with a posted price and a Medicare benchmark.
198 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 |
$30.75–$102.75 | $41–$137 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$43.50–$174.75 | $58–$233 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$85.50–$786 | $114–$1,048 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$30.75–$93 | $41–$124 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$30.75–$77.25 | $41–$103 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$314.25–$718.50 | $419–$958 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$280.50–$421.50 | $374–$562 | varies |
| Bone Imaging Multiple Areas (78305) | $301.50 | $402 | 0.9× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$296.25–$690 | $395–$920 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$85.50–$166.50 | $114–$222 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$284.25–$537 | $379–$716 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$92.25–$216.75 | $123–$289 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$39.75–$108 | $53–$144 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$49.50–$138 | $66–$184 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$65.25–$232.50 | $87–$310 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$30.75–$102.75 | $41–$137 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$112.50–$178.50 | $150–$238 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$65.25–$183.75 | $87–$245 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$551.25–$2,598.75 | $735–$3,465 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$465–$1,968.75 | $620–$2,625 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$200.25–$1,111.50 | $267–$1,482 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$245.25–$1,294.50 | $327–$1,726 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$200.25–$851.25 | $267–$1,135 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$386.25–$1,420.50 | $515–$1,894 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$319.50–$1,074.75 | $426–$1,433 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$307.50–$1,061.25 | $410–$1,415 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$333.75–$1,303.50 | $445–$1,738 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$307.50–$1,056.75 | $410–$1,409 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$318–$1,205.25 | $424–$1,607 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$96–$303 | $128–$404 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$200.25–$847.50 | $267–$1,130 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$200.25–$829.50 | $267–$1,106 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$245.25–$1,206 | $327–$1,608 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$200.25–$1,111.50 | $267–$1,482 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$245.25–$1,417.50 | $327–$1,890 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$245.25–$1,077.75 | $327–$1,437 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$276–$1,132.50 | $368–$1,510 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$18.75–$37.50 | $25–$50 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$297–$1,029.75 | $396–$1,373 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$245.25–$1,318.50 | $327–$1,758 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$200.25–$791.25 | $267–$1,055 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$200.25–$896.25 | $267–$1,195 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$200.25–$1,215.75 | $267–$1,621 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$200.25–$980.25 | $267–$1,307 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$245.25–$1,029.75 | $327–$1,373 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$200.25–$793.50 | $267–$1,058 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$315–$1,238.25 | $420–$1,651 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$200.25–$793.50 | $267–$1,058 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$245.25–$1,296.75 | $327–$1,729 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$200.25–$769.50 | $267–$1,026 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$245.25–$1,205.25 | $327–$1,607 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$276–$1,132.50 | $368–$1,510 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$297–$869.25 | $396–$1,159 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$279.75–$796.50 | $373–$1,062 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$200.25–$1,008 | $267–$1,344 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$200.25–$963.75 | $267–$1,285 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$245.25–$1,194 | $327–$1,592 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$200.25–$833.25 | $267–$1,111 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$200.25–$791.25 | $267–$1,055 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$245.25–$1,213.50 | $327–$1,618 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$200.25–$896.25 | $267–$1,195 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$421.50–$1,347.75 | $562–$1,797 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$319.50–$1,107.75 | $426–$1,477 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$318–$1,101 | $424–$1,468 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$125.25–$192.75 | $167–$257 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$46.50–$68.25 | $62–$91 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$67.50–$192 | $90–$256 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$138–$239.25 | $184–$319 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$85.50–$331.50 | $114–$442 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$27.75–$93 | $37–$124 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$30.75–$102.75 | $41–$137 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$300.75–$540.75 | $401–$721 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 2 matching MRF lines |
$171.75–$1,746.75 | $229–$2,329 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$360.75–$651 | $481–$868 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 2 matching MRF lines |
$189.75–$2,088 | $253–$2,784 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$30.75–$93 | $41–$124 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$127.50–$833.25 | $170–$1,111 | varies |
| Hepatobiliary System Imaging (78226) range across 5 matching MRF lines |
$106.50–$699 | $142–$932 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$433.50–$619.50 | $578–$826 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$264–$546 | $352–$728 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$30.75–$118.50 | $41–$158 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$244.50–$567.75 | $326–$757 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$384.75–$480 | $513–$640 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$360.75–$549 | $481–$732 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$327.75–$1,556.25 | $437–$2,075 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$33.75–$102.75 | $45–$137 | varies |
| Nm unlisted gi procedure (78299) range across 2 matching MRF lines |
$192–$507.75 | $256–$677 | varies |
| Nm whole blood volume (78122) range across 2 matching MRF lines |
$216.75–$360.75 | $289–$481 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$51–$143.25 | $68–$191 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$506.25–$545.25 | $675–$727 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$43.50–$102.75 | $58–$137 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$281.25–$534.75 | $375–$713 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$43.50–$174.75 | $58–$233 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$85.50–$183.75 | $114–$245 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$30.75–$107.25 | $41–$143 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$27.75–$101.25 | $37–$135 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$30.75–$102.75 | $41–$137 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$67.50–$143.25 | $90–$191 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$27.75–$81.75 | $37–$109 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$30.75–$110.25 | $41–$147 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$30.75–$102.75 | $41–$137 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$30.75–$102.75 | $41–$137 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$73.50–$183.75 | $98–$245 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$43.50–$116.25 | $58–$155 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$50.25–$116.25 | $67–$155 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$30.75–$106.50 | $41–$142 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$43.50–$116.25 | $58–$155 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$30.75–$105.75 | $41–$141 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$30.75–$120 | $41–$160 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$51–$143.25 | $68–$191 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$27.75–$93 | $37–$124 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$30.75–$102.75 | $41–$137 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$30.75–$102.75 | $41–$137 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$72–$303 | $96–$404 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$54–$156 | $72–$208 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$93.75–$339.75 | $125–$453 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$85.50–$260.25 | $114–$347 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$30.75–$135 | $41–$180 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$68.25–$226.50 | $91–$302 | varies |
| Radiologic exam swallow function contrast study (74230) | $244.50 | $326 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$93–$216 | $124–$288 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$27.75–$99 | $37–$132 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$30.75–$117.75 | $41–$157 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$30.75–$101.25 | $41–$135 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$93.75–$329.25 | $125–$439 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$30.75–$102.75 | $41–$137 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $266.25 | $355 | 0.8× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$43.50–$130.50 | $58–$174 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$290.25–$1,024.50 | $387–$1,366 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$30.75–$102.75 | $41–$137 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$47.25–$67.50 | $63–$90 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$43.50–$116.25 | $58–$155 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$30.75–$77.25 | $41–$103 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$51–$116.25 | $68–$155 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$43.50–$120.75 | $58–$161 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$360.75–$506.25 | $481–$675 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$51–$129.75 | $68–$173 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$51–$143.25 | $68–$191 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$43.50–$157.50 | $58–$210 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$183.75–$345 | $245–$460 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$367.50–$374.25 | $490–$499 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$360.75–$506.25 | $481–$675 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$79.50–$153.75 | $106–$205 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$59.25–$157.50 | $79–$210 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$105.75–$277.50 | $141–$370 | varies |
| Unlisted us procedure (76999) | $30 | $40 | 0.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$85.50–$219.75 | $114–$293 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$85.50–$204.75 | $114–$273 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$105.75–$204.75 | $141–$273 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$105.75–$277.50 | $141–$370 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$105.75–$249 | $141–$332 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$45–$168 | $60–$224 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$105.75–$197.25 | $141–$263 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$45–$225 | $60–$300 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$105.75–$261 | $141–$348 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$105.75–$293.25 | $141–$391 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$105.75–$216 | $141–$288 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$105.75–$204.75 | $141–$273 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$84–$168 | $112–$224 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$105.75–$234.75 | $141–$313 | varies |
| Venography extremity bilateral rs&i (75822) | $145.50 | $194 | 0.1× |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$270–$540.75 | $360–$721 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$333–$596.25 | $444–$795 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$30.75–$93 | $41–$124 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$43.50–$124.50 | $58–$166 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$30.75–$95.25 | $41–$127 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$39.75–$608.25 | $53–$811 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$45.75–$132.75 | $61–$177 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$54.75–$233.25 | $73–$311 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$61.50–$252 | $82–$336 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$30.75–$104.25 | $41–$139 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$39–$152.25 | $52–$203 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 5 matching MRF lines |
$47.25–$207 | $63–$276 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$39–$144 | $52–$192 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$51–$174 | $68–$232 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$54.75–$207 | $73–$276 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$67.50–$203.25 | $90–$271 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$43.50–$134.25 | $58–$179 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$67.50–$208.50 | $90–$278 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$45–$132.75 | $60–$177 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$43.50–$116.25 | $58–$155 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$30.75–$102.75 | $41–$137 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$77.25–$286.50 | $103–$382 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$43.50–$116.25 | $58–$155 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$43.50–$129.75 | $58–$173 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$31.50–$87.75 | $42–$117 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$43.50–$147 | $58–$196 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$43.50–$129.75 | $58–$173 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$43.50–$116.25 | $58–$155 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$43.50–$116.25 | $58–$155 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$54–$143.25 | $72–$191 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$73.50–$166.50 | $98–$222 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$43.50–$116.25 | $58–$155 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$65.25–$424.50 | $87–$566 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$67.50–$192.75 | $90–$257 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$43.50–$116.25 | $58–$155 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$43.50–$143.25 | $58–$191 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$58.50–$131.25 | $78–$175 | 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.