Imaging prices at Forks Community Hospital
Forks, WA · every code in this section with a posted price and a Medicare benchmark.
209 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 |
$130.40–$472.80 | $163–$591 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$176–$556 | $220–$695 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$130.40–$464.80 | $163–$581 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$153.60–$416 | $192–$520 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$402.40–$2,549.60 | $503–$3,187 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$321.60–$1,368.80 | $402–$1,711 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$368.80–$1,168 | $461–$1,460 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$356–$2,384 | $445–$2,980 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$168–$195.20 | $210–$244 | varies |
| Cat Scan Follow-Up Study (76380) | $1,103.20 | $1,379 | 11.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$134.40–$464.80 | $168–$581 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$153.60–$536.80 | $192–$671 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$215.20–$600.80 | $269–$751 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$249.60–$666.40 | $312–$833 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$153.60–$472.80 | $192–$591 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$1,040.80–$1,251.20 | $1,301–$1,564 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,802.40–$5,389.60 | $2,253–$6,737 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,311.20–$4,556 | $1,639–$5,695 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$788–$3,139.20 | $985–$3,924 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$939.20–$3,651.20 | $1,174–$4,564 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$686.40–$2,194.40 | $858–$2,743 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,982.40–$5,773.60 | $2,478–$7,217 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$704.80–$4,976 | $881–$6,220 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,004–$4,745.60 | $1,255–$5,932 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,643.20–$4,554.40 | $4,554–$5,693 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,004–$4,828 | $1,255–$6,035 | varies |
| CT cervical spine w/ contrast (72126) | $3,127.20 | $3,909 | 8.0× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$753.60–$3,454.40 | $942–$4,318 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,029.60–$3,980.80 | $1,287–$4,976 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$844.80–$3,234.40 | $1,056–$4,043 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,711.20–$3,138.40 | $3,389–$3,923 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$686.40–$2,920 | $858–$3,650 | varies |
| CT head/brain without and with contrast (70470) | $3,317.60 | $4,147 | 17.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $104 | $130 | 1.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$739.20–$3,244.80 | $924–$4,056 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,029.60–$3,231.20 | $1,287–$4,039 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$520.80–$2,538.40 | $651–$3,173 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$598.40–$2,872.80 | $748–$3,591 | varies |
| CT lumbar spine w contrast (72132) | $3,095.20 | $3,869 | 8.0× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$753.60–$2,875.20 | $942–$3,594 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$725.60–$3,022.40 | $907–$3,778 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$630.40–$2,368.80 | $788–$2,961 | varies |
| CT neck tissue combo (70492) | $3,400 | $4,250 | 17.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$889.60–$3,600 | $1,112–$4,500 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$648.80–$2,727.20 | $811–$3,409 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$865.60–$3,220 | $1,082–$4,025 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$630.40–$2,742.40 | $788–$3,428 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$715.20–$3,200 | $894–$4,000 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$865.60–$3,240 | $1,082–$4,050 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$739.20–$2,968 | $924–$3,710 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$648.80–$2,260 | $811–$2,825 | varies |
| CT thoracic spine w contrast (72129) | $3,400 | $4,250 | 17.4× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$753.60–$3,115.20 | $942–$3,894 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,029.60–$4,043.20 | $1,287–$5,054 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$738.40–$2,548.80 | $923–$3,186 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$576.80–$2,397.60 | $721–$2,997 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$791.20–$3,040 | $989–$3,800 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$662.40–$2,724 | $828–$3,405 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$604.80–$2,687.20 | $756–$3,359 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,406.40–$4,328.80 | $1,758–$5,411 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$82.40–$596.80 | $103–$746 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$340.80–$496 | $426–$620 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$304.80–$775.20 | $381–$969 | varies |
| Fetal Biophys Profile W/Nst (76818) | $310.40 | $388 | 2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$255.20–$869.60 | $319–$1,087 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$625.60–$781.60 | $782–$977 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$134.40–$435.20 | $168–$544 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$130.40–$476.80 | $163–$596 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$2,593.60–$3,002.40 | $3,242–$3,753 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 2 matching MRF lines |
$371.20–$2,106.40 | $464–$2,633 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$120.80–$489.60 | $151–$612 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$420–$2,517.60 | $525–$3,147 | varies |
| Ht Muscle Image Spect Sing (78451) | $3,775.20 | $4,719 | 2.6× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$292–$547.20 | $365–$684 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$152–$560 | $190–$700 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$265.60–$1,149.60 | $332–$1,437 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$270.40–$1,534.40 | $338–$1,918 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$3,444–$3,986.40 | $4,305–$4,983 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$4,231.20–$4,896.80 | $5,289–$6,121 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$3,003.20–$3,476 | $3,754–$4,345 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$3,528.80–$4,084 | $4,411–$5,105 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$4,231.20–$4,896.80 | $5,289–$6,121 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$3,003.20–$3,476 | $3,754–$4,345 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$3,514.40–$4,067.20 | $4,393–$5,084 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,905.60–$3,363.20 | $3,632–$4,204 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,532.80–$4,987.20 | $4,416–$6,234 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,327.20–$3,851.20 | $4,159–$4,814 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$3,652.80–$4,313.60 | $4,566–$5,392 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,178.40–$3,678.40 | $3,973–$4,598 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$4,101.60–$4,747.20 | $5,127–$5,934 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$5,656.80–$6,547.20 | $7,071–$8,184 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$3,188.80–$3,690.40 | $3,986–$4,613 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,823.20–$4,918.40 | $4,779–$6,148 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,773.60–$3,210.40 | $3,467–$4,013 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$3,786.40–$4,542.40 | $4,733–$5,678 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$4,387.20–$5,077.60 | $5,484–$6,347 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,707.20–$4,290.40 | $4,634–$5,363 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$4,263.20–$4,934.40 | $5,329–$6,168 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$4,901.60–$5,673.60 | $6,127–$7,092 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$3,737.60–$4,325.60 | $4,672–$5,407 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,488–$5,194.40 | $5,610–$6,493 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,251.20–$3,763.20 | $4,064–$4,704 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,467.20–$4,012.80 | $4,334–$5,016 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,965.60–$3,432 | $3,707–$4,290 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,521.60–$2,991.20 | $3,152–$3,739 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,554.40–$4,403.20 | $4,443–$5,504 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,847.20–$5,610.40 | $6,059–$7,013 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$4,779.20–$5,531.20 | $5,974–$6,914 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,982.40–$4,609.60 | $4,978–$5,762 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,892.80–$3,348 | $3,616–$4,185 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,335.20–$5,017.60 | $5,419–$6,272 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,541.60–$5,256.80 | $5,677–$6,571 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$372–$5,956 | $465–$7,445 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$161.60–$426.40 | $202–$533 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$152–$578.40 | $190–$723 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$238.40–$767.20 | $298–$959 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$136.80–$512.80 | $171–$641 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$120.80–$416 | $151–$520 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$149.60–$502.40 | $187–$628 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$212–$666.40 | $265–$833 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$103.20–$415.20 | $129–$519 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$136.80–$494.40 | $171–$618 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$134.40–$516 | $168–$645 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$138.40–$399.20 | $173–$499 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$136.80–$485.60 | $171–$607 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$240.80–$502.40 | $301–$628 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$176–$528.80 | $220–$661 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$149.60–$501.60 | $187–$627 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$122.40–$350.40 | $153–$438 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$153.60–$553.60 | $192–$692 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$304.80–$764.80 | $381–$956 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$104.80–$409.60 | $131–$512 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$134.40–$399.20 | $168–$499 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$134.40–$538.40 | $168–$673 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$172–$697.60 | $215–$872 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$220–$620 | $275–$775 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$617.60–$1,326.40 | $772–$1,658 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$841.60–$1,181.60 | $1,052–$1,477 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$163.20–$649.60 | $204–$812 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$177.60–$677.60 | $222–$847 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$339.20–$1,014.40 | $424–$1,268 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$452.80–$1,308.80 | $566–$1,636 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$120.80–$360 | $151–$450 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$138.40–$613.60 | $173–$767 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$130.40–$509.60 | $163–$637 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$131.20–$236 | $164–$295 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$138.40–$256 | $173–$320 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$293.60–$570.40 | $367–$713 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$161.60–$490.40 | $202–$613 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$294.40–$312.80 | $368–$391 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$136.80–$448.80 | $171–$561 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$173.60–$588.80 | $217–$736 | varies |
| Sternoclavicular joints (71130) | $460 | $575 | 4.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$163.20–$596 | $204–$745 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$256–$643.20 | $320–$804 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$176–$568 | $220–$710 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$381.60–$541.60 | $477–$677 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$554.40–$1,281.60 | $693–$1,602 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$270.40–$990.40 | $338–$1,238 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$208.80–$898.40 | $261–$1,123 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$176–$353.60 | $220–$442 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$409.60–$1,183.20 | $512–$1,479 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $651.20 | $814 | 58.9× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$624–$722.40 | $780–$903 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$241.60–$733.60 | $302–$917 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$473.60–$773.60 | $592–$967 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$284–$749.60 | $355–$937 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$443.20–$856.80 | $554–$1,071 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$388–$676 | $485–$845 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$277.60–$640.80 | $347–$801 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$520–$1,824 | $650–$2,280 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$311.20–$775.20 | $389–$969 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$339.20–$876.80 | $424–$1,096 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$504–$1,377.60 | $630–$1,722 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$240.80–$684 | $301–$855 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$443.20–$1,187.20 | $554–$1,484 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$382.40–$1,123.20 | $478–$1,404 | varies |
| Us transrectal (76872) | $341.60 | $427 | 2.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$120.80–$472 | $151–$590 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$153.60–$679.20 | $192–$849 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$159.20–$644 | $199–$805 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$134.40–$497.60 | $168–$622 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$120.80–$446.40 | $151–$558 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$149.60–$554.40 | $187–$693 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$362.40–$576 | $453–$720 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$184–$686.40 | $230–$858 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$523.20–$763.20 | $654–$954 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$173.60–$559.20 | $217–$699 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$368.80–$958.40 | $461–$1,198 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$249.60–$608.80 | $312–$761 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$149.60–$312.80 | $187–$391 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$149.60–$502.40 | $187–$628 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$122.40–$548.80 | $153–$686 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$79.20–$222.40 | $99–$278 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$159.20–$580 | $199–$725 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$130.40–$441.60 | $163–$552 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$249.60–$712.80 | $312–$891 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$184–$601.60 | $230–$752 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$159.20–$472.80 | $199–$591 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$161.60–$502.40 | $202–$628 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$230.40–$666.40 | $288–$833 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$208–$634.40 | $260–$793 | varies |
| X-Ray Stress View (77071) | $347.20 | $434 | 3.6× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$103.20–$372 | $129–$465 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$188–$524.80 | $235–$656 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$215.20–$895.20 | $269–$1,119 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$173.60–$501.60 | $217–$627 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$122.40–$501.60 | $153–$627 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$212–$666.40 | $265–$833 | 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.