Imaging prices at First Care Health Center
Park River, ND · every code in this section with a posted price and a Medicare benchmark.
244 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 3 matching MRF lines |
$16–$105 | $16–$105 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$21–$126 | $21–$126 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $77 | $77 | 0.1× |
| Angio pulmonary bilat (75743) | $126 | $126 | 0.0× |
| Angiography extremity bilateral rs&i (75716) | $101 | $101 | 0.0× |
| Angiography extremity unilateral rs&i (75710) | $89 | $89 | 0.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $101 | $101 | 0.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $89 | $89 | 0.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$8–$114 | $8–$114 | varies |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$88 | $88 | 0.0× |
| Bone age studies (77072) range across 3 matching MRF lines |
$16–$121 | $16–$121 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$76–$1,889 | $76–$1,889 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$56–$1,155 | $56–$1,155 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$56–$1,389 | $56–$1,389 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$56–$1,512 | $56–$1,512 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$56–$358 | $56–$358 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$68–$967 | $68–$967 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$15–$63 | $15–$63 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$19–$114 | $19–$114 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$22–$145 | $22–$145 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$25–$148 | $25–$148 | varies |
| Cholecystography Oral Contrast (74290) | $26 | $26 | 0.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$8–$121 | $8–$121 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$132–$593 | $132–$593 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $28 | $28 | 0.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$128–$2,706 | $128–$2,706 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$110–$1,214 | $110–$1,214 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$81–$1,790 | $81–$1,790 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$94–$2,057 | $94–$2,057 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$77–$962 | $77–$962 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$157–$2,834 | $157–$2,834 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$122–$2,217 | $122–$2,217 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$121–$2,101 | $121–$2,101 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $148 | $148 | 0.8× |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$121–$2,093 | $121–$2,093 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $142 | $142 | 0.8× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$95–$1,706 | $95–$1,706 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$69–$1,404 | $69–$1,404 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$101–$2,115 | $101–$2,115 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$79–$1,893 | $79–$1,893 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$88–$1,788 | $88–$1,788 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$73–$1,130 | $73–$1,130 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$81–$1,369 | $81–$1,369 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$109–$2,211 | $109–$2,211 | varies |
| CT l-spine w&w/o contrast (72133) | $101 | $101 | 0.6× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$64–$1,321 | $64–$1,321 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$88–$1,711 | $88–$1,711 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$95–$1,706 | $95–$1,706 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$64–$1,387 | $64–$1,387 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$89–$1,187 | $89–$1,187 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$58–$1,032 | $58–$1,032 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$113–$2,089 | $113–$2,089 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$113–$2,447 | $113–$2,447 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$81–$1,808 | $81–$1,808 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$98–$2,273 | $98–$2,273 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$71–$976 | $71–$976 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$95–$2,186 | $95–$2,186 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$88–$1,404 | $88–$1,404 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$88–$1,691 | $88–$1,691 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$81–$1,434 | $81–$1,434 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$92–$1,671 | $92–$1,671 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$64–$1,398 | $64–$1,398 | varies |
| CT thoracic spine w/wo cont (72130) | $101 | $101 | 0.6× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$64–$1,293 | $64–$1,293 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$64–$1,385 | $64–$1,385 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$95–$2,370 | $95–$2,370 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$88–$1,965 | $88–$1,965 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$158–$3,134 | $158–$3,134 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$143–$2,215 | $143–$2,215 | varies |
| CTA pelvis (72191) | $143 | $143 | 0.8× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$9–$217 | $9–$217 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $18 | $18 | 0.2× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$87–$432 | $87–$432 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$63–$317 | $63–$317 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$8–$117 | $8–$117 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$8–$121 | $8–$121 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$12–$114 | $12–$114 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$57–$2,579 | $57–$2,579 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$60–$1,973 | $60–$1,973 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$101–$645 | $101–$645 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$47–$446 | $47–$446 | varies |
| Joint Survey Single View (77077) | $26 | $26 | 0.2× |
| Kidney Imaging Morphol (78700) | $36 | $36 | 0.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $37 | $37 | 0.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$8–$144 | $8–$144 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$36–$740 | $36–$740 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $44 | $44 | 0.1× |
| Liver imaging static only (78201) | $33 | $33 | 0.1× |
| Liver imaging w/vascular flow (78202) | $37 | $37 | 0.1× |
| Lymph System Imaging (78195) | $93 | $93 | 0.2× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$115–$2,706 | $115–$2,706 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $253 | $253 | 1.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $232 | $232 | 0.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $256 | $256 | 1.4× |
| Meckels Divert Exam (78290) | $53 | $53 | 0.1× |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$129–$5,190 | $129–$5,190 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$89–$3,391 | $89–$3,391 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$94–$3,352 | $94–$3,352 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$95–$3,603 | $95–$3,603 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$129–$5,226 | $129–$5,226 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$77–$3,407 | $77–$3,407 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$116–$3,750 | $116–$3,750 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$114–$2,648 | $114–$2,648 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$137–$3,026 | $137–$3,026 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$150–$3,701 | $150–$3,701 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$129–$3,268 | $129–$3,268 | varies |
| MRI brain functional w/o physician admnistration (70554) | $168 | $168 | 0.7× |
| MRI brain functional w/physician admnistration (70555) | $197 | $197 | 0.8× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$141–$2,405 | $141–$2,405 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$103–$1,531 | $103–$1,531 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$96–$3,495 | $96–$3,495 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$137–$3,889 | $137–$3,889 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$178–$4,929 | $178–$4,929 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$129–$3,302 | $129–$3,302 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$170–$4,211 | $170–$4,211 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$105–$3,028 | $105–$3,028 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$142–$2,362 | $142–$2,362 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$180–$2,703 | $180–$2,703 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$85–$2,508 | $85–$2,508 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$104–$3,043 | $104–$3,043 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$137–$3,154 | $137–$3,154 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$125–$3,302 | $125–$3,302 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$163–$3,999 | $163–$3,999 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$105–$3,080 | $105–$3,080 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$103–$1,534 | $103–$1,534 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$129–$3,268 | $129–$3,268 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$107–$3,032 | $107–$3,032 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$167–$4,211 | $167–$4,211 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$167–$4,211 | $167–$4,211 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$180–$2,710 | $180–$2,710 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$141–$2,381 | $141–$2,381 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$85–$1,722 | $85–$1,722 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$163–$3,683 | $163–$3,683 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$150–$2,818 | $150–$2,818 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$8–$107 | $8–$107 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $167 | $167 | 1.6× |
| Optic foramina (70190) range across 2 matching MRF lines |
$19–$147 | $19–$147 | varies |
| Parathyroid Planar Imaging (78070) | $56 | $56 | 0.1× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$8–$121 | $8–$121 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$23–$179 | $23–$179 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $41 | $41 | 0.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$8–$132 | $8–$132 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$8–$114 | $8–$114 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$8–$146 | $8–$146 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$20–$183 | $20–$183 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$6–$139 | $6–$139 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$8–$128 | $8–$128 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$8–$128 | $8–$128 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$13–$119 | $13–$119 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $30 | $30 | 0.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$8–$128 | $8–$128 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $33 | $33 | 0.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$18–$138 | $18–$138 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$8–$134 | $8–$134 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$8–$147 | $8–$147 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$7–$96 | $7–$96 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$9–$148 | $9–$148 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$21–$219 | $21–$219 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$6–$128 | $6–$128 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$8–$114 | $8–$114 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$8–$153 | $8–$153 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$20–$146 | $20–$146 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$21–$147 | $21–$147 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$18–$163 | $18–$163 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $18 | $18 | 0.2× |
| Radiologic exam swallow function contrast study (74230) | $786 | $786 | 4.4× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$48–$131 | $48–$131 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$27–$131 | $27–$131 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$8–$122 | $8–$122 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$36–$238 | $36–$238 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$8–$121 | $8–$121 | varies |
| Ribs bilateral 3 views (71110) | $20 | $20 | 0.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$62–$1,579 | $62–$1,579 | varies |
| Salivary Gland Function Study (78232) | $30 | $30 | 0.1× |
| Salivary Gland Imaging (78230) | $36 | $36 | 0.1× |
| Salivary Gland Imaging Serial Images (78231) | $41 | $41 | 0.1× |
| Scapula (73010) range across 3 matching MRF lines |
$8–$121 | $8–$121 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$45–$133 | $45–$133 | varies |
| Sella turcica (70240) | $16 | $16 | 0.2× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$7–$114 | $7–$114 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$19–$147 | $19–$147 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$31–$245 | $31–$245 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$19–$167 | $19–$167 | varies |
| Testicular Imaging W/Flow (78761) | $57 | $57 | 0.1× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$18–$151 | $18–$151 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$18–$172 | $18–$172 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$18–$156 | $18–$156 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,097 | $1,097 | 2.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$96–$370 | $96–$370 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$78–$533 | $78–$533 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$40–$415 | $40–$415 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$41–$128 | $41–$128 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$103–$397 | $103–$397 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$43–$377 | $43–$377 | varies |
| Us complete joint (76881) | $499 | $499 | 4.7× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$30.50–$140 | $30.50–$140 | varies |
| Us head (76506) range across 2 matching MRF lines |
$50–$494 | $50–$494 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$61–$732 | $61–$732 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$69–$174 | $69–$174 | varies |
| Us ob detailed single fetus (76811) | $121 | $121 | 0.5× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$43–$382 | $43–$382 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$49–$364 | $49–$364 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$46–$475 | $46–$475 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$63–$481 | $63–$481 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$69–$462 | $69–$462 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$48–$526 | $48–$526 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$36–$461 | $36–$461 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$43–$390 | $43–$390 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$94–$480 | $94–$480 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$34–$545 | $34–$545 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$38–$1,016 | $38–$1,016 | varies |
| Venous thrombosis imaging (78457) | $60 | $60 | 0.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $71 | $71 | 0.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$8–$121 | $8–$121 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$9–$156 | $9–$156 | varies |
| X-Ray Bend Only L-S Spine (72120) | $19 | $19 | 0.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$7–$122 | $7–$122 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$19–$131 | $19–$131 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$31–$167 | $31–$167 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $238 | $238 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$38–$179 | $38–$179 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$27–$290 | $27–$290 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$18–$148 | $18–$148 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$24–$273 | $24–$273 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$20–$217 | $20–$217 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$12–$110 | $12–$110 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$8–$134 | $8–$134 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$12–$168 | $12–$168 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$8–$150 | $8–$150 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$18–$165 | $18–$165 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$8–$94 | $8–$94 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$23–$199 | $23–$199 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$16–$150 | $16–$150 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $15 | $15 | 0.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$8–$134 | $8–$134 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$24–$178 | $24–$178 | varies |
| X-ray thoracic spine 4 vw (72074) | $19 | $19 | 0.2× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$15–$192 | $15–$192 | varies |
| X-Rays Bone Length Studies (77073) | $23 | $23 | 0.2× |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$43–$377 | $43–$377 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$22–$217 | $22–$217 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$9–$147 | $9–$147 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $15 | $15 | 0.1× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$21–$181 | $21–$181 | 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.