Imaging prices at George L Mee Memorial Hospital
King City, CA · every code in this section with a posted price and a Medicare benchmark.
221 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 |
$42–$591.75 | $56–$789 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$51–$864 | $68–$1,152 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$48.75–$855.75 | $65–$1,141 | varies |
| Arthrogram ankle (73615) | $642.75 | $857 | 1.3× |
| Arthrogram hip (73525) | $1,659.75 | $2,213 | 3.3× |
| Arthrogram Wrist (73115) | $914.25 | $1,219 | 1.8× |
| Bone age studies (77072) range across 2 matching MRF lines |
$60–$261.75 | $80–$349 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,768.50 | $2,358 | 3.6× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$36–$587.25 | $48–$783 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$48–$745.50 | $64–$994 | varies |
| Chest 3 views (71047) | $786.75 | $1,049 | 6.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$49.50–$890.25 | $66–$1,187 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,137.75 | $1,517 | 7.7× |
| Contrast X-Ray Of Elbow (73085) | $600 | $800 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $8,667.75 | $11,557 | 17.5× |
| CT abdomen and pelvis without contrast (74176) | $6,300.75 | $8,401 | 18.6× |
| CT abdomen w contrast (74160) | $4,655.25 | $6,207 | 18.7× |
| CT abdomen w wo contrast (74170) | $5,951.25 | $7,935 | 23.9× |
| CT abdomen w/o contrast (74150) | $3,921.75 | $5,229 | 26.4× |
| CT Angio Abdomen and Pelvis (74174) | $6,837 | $9,116 | 13.8× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$4,872.75–$4,935 | $6,497–$6,580 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$4,319.25–$4,472.25 | $5,759–$5,963 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$4,084.50–$6,126.75 | $5,446–$8,169 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$4,319.25–$4,650.75 | $5,759–$6,201 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$4,084.50–$4,403.25 | $5,446–$5,871 | varies |
| CT cervical spine w/ contrast (72126) | $5,194.50 | $6,926 | 10.5× |
| CT cervical spine w/o contrast (72125) | $5,086.50 | $6,782 | 34.2× |
| CT cervical spine w/wo cont (72127) | $5,343 | $7,124 | 21.4× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$4,650.75–$4,800.75 | $6,201–$6,401 | varies |
| CT chest w/wo contrast (71270) | $5,196.75 | $6,929 | 20.8× |
| CT head/brain with contrast (70460) | $4,187.25 | $5,583 | 16.8× |
| CT head/brain without and with contrast (70470) | $4,472.25 | $5,963 | 17.9× |
| CT iac w contrast (70481) | $4,577.25 | $6,103 | 18.4× |
| CT l-spine w&w/o contrast (72133) | $6,029.25 | $8,039 | 24.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$543.75–$5,330.25 | $725–$7,107 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$4,110.75–$6,165.75 | $5,481–$8,221 | varies |
| CT lumbar spine w contrast (72132) | $4,993.50 | $6,658 | 10.1× |
| CT lumbar spine w/o contrast (72131) | $4,678.50 | $6,238 | 31.5× |
| CT maxillofacial w contrast (70487) | $4,589.25 | $6,119 | 18.4× |
| CT maxillofacial wo contrast (70486) | $4,416.75 | $5,889 | 29.7× |
| CT neck tissue combo (70492) | $5,137.50 | $6,850 | 20.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,662.50 | $7,550 | 22.7× |
| CT orbits w/o contrast (70480) | $3,978 | $5,304 | 26.8× |
| CT pelvis w&w/o contrast (72194) | $5,046 | $6,728 | 20.2× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$34.50–$4,338.75 | $46–$5,785 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$4,256.25–$6,384 | $5,675–$8,512 | varies |
| CT scans face/jaw combo (70488) | $4,815 | $6,420 | 19.3× |
| CT soft tissue neck w contrast (70491) | $4,398 | $5,864 | 17.6× |
| CT soft tissue neck w/o contrast (70490) | $3,776.25 | $5,035 | 25.4× |
| CT thoracic spine w contrast (72129) | $4,767.75 | $6,357 | 19.1× |
| CT thoracic spine w/o contrast (72128) | $4,609.50 | $6,146 | 31.0× |
| CT thoracic spine w/wo cont (72130) | $4,924.50 | $6,566 | 19.7× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$4,048.50–$4,198.50 | $5,398–$5,598 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$3,190.50–$4,785.75 | $4,254–$6,381 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$4,275–$6,412.50 | $5,700–$8,550 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$3,992.25–$5,988 | $5,323–$7,984 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,460.25 | $1,947 | 5.9× |
| Cta Abdomen (74175) | $5,918.25 | $7,891 | 23.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$3,090–$4,472.25 | $4,120–$5,963 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$4,196.25–$4,434 | $5,595–$5,912 | varies |
| Dxa Bone Density Axial (77080) | $813.75 | $1,085 | 5.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $314.25 | $419 | 2.5× |
| Echo exam uterus (76831) | $497.25 | $663 | 1.5× |
| Echograp Trans R Pros Study (76873) | $1,409.25 | $1,879 | 9.5× |
| Esophagram (74220) | $1,188 | $1,584 | 4.8× |
| Fetal Biophys Profile W/Nst (76818) | $636.75 | $849 | 4.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $560.25 | $747 | 3.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,631.25 | $2,175 | 4.8× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$1,103.25–$1,563.75 | $1,471–$2,085 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$42–$828 | $56–$1,104 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$42.75–$1,047.75 | $57–$1,397 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$45.75–$859.50 | $61–$1,146 | varies |
| Hysterosalpingogram (74740) | $1,583.25 | $2,111 | 4.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $312.75 | $417 | 2.5× |
| Infant hip ultrasound, limited static exam (76886) | $312.75 | $417 | 2.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$62.25–$1,027.50 | $83–$1,370 | varies |
| Magnetic Image Jaw Joint (70336) | $2,772 | $3,696 | 8.2× |
| Mammary ductogram or galactogram multiple (77054) | $451.50 | $602 | 1.3× |
| Mammary ductogram or galactogram single (77053) | $384.75 | $513 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $5,289.75 | $7,053 | 10.7× |
| MRA head w/o contrast (70544) | $4,068.75 | $5,425 | 12.0× |
| MRA head with contrast (70545) | $4,445.25 | $5,927 | 9.0× |
| MRA neck w contrast (70548) | $4,311 | $5,748 | 8.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,289.75 | $7,053 | 10.7× |
| MRA neck w/o contrast (70547) | $4,072.50 | $5,430 | 12.0× |
| MRI abdomen w contrast (74182) | $5,194.50 | $6,926 | 10.5× |
| MRI abdomen w/o contrast (74181) | $4,881.75 | $6,509 | 14.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$4,011.75–$4,131.75 | $5,349–$5,509 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,492.50 | $5,990 | 9.1× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,708.75–$3,819.75 | $4,945–$5,093 | varies |
| MRI brain functional w/o physician admnistration (70554) | $4,647.75 | $6,197 | 13.7× |
| MRI cardiac w/o contrast (75557) | $1,367.25 | $1,823 | 4.0× |
| MRI cervical spine w contrast (72142) | $4,678.50 | $6,238 | 9.4× |
| MRI cervical spine w/o cont (72141) | $4,279.50 | $5,706 | 12.6× |
| MRI chest w/o contrast (71550) | $4,008.75 | $5,345 | 11.8× |
| MRI chest with contrast (71551) | $4,155.75 | $5,541 | 3.7× |
| MRI chest wo w contrast (71552) | $4,467.75 | $5,957 | 9.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,750 | $5,000 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,769.25 | $6,359 | 9.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,439.50 | $4,586 | 10.1× |
| MRI lumbar spine w contrast (72149) | $4,696.50 | $6,262 | 9.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,119.25 | $8,159 | 12.3× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$4,452.75–$4,586.25 | $5,937–$6,115 | varies |
| MRI orbit face neck w contrast (70542) | $4,823.25 | $6,431 | 9.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,115.50 | $8,154 | 12.3× |
| MRI pelvis w contrast (72196) | $3,587.25 | $4,783 | 7.2× |
| MRI pelvis w/o & w contrast (72197) | $4,577.25 | $6,103 | 9.2× |
| MRI pelvis w/o contrast (72195) | $3,030.75 | $4,041 | 8.9× |
| MRI spectroscopy (76390) | $1,576.50 | $2,102 | 12.7× |
| MRI thoracic spine w/o contrast (72146) | $4,569 | $6,092 | 13.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,415.25 | $5,887 | 8.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$4,201.50–$4,327.50 | $5,602–$5,770 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,781.25 | $6,375 | 9.6× |
| MRI, abdomen, combo (74183) | $6,215.25 | $8,287 | 12.5× |
| MRI, dorsal spine combo (72157) | $5,722.50 | $7,630 | 11.5× |
| MRI, dorsal spine contrast (72147) | $4,759.50 | $6,346 | 9.6× |
| MRI, joint upper extrem (73221) | $3,603 | $4,804 | 10.6× |
| MRI, joint upper extrem combo (73223) | $3,975.75 | $5,301 | 8.0× |
| MRI, lumbar spine combo (72158) | $5,653.50 | $7,538 | 11.4× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$47.25–$570.75 | $63–$761 | varies |
| Ob us nuchal meas 1 gest (76813) | $615 | $820 | 4.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $200.25 | $267 | 1.3× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$652.50–$978.75 | $870–$1,305 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $328.50 | $438 | 2.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$99–$1,014 | $132–$1,352 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $46.50 | $62 | 1.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$41.25–$662.25 | $55–$883 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$68.25–$1,069.50 | $91–$1,426 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$54.75–$1,084.50 | $73–$1,446 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$42–$777.75 | $56–$1,037 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$46.50–$1,174.50 | $62–$1,566 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$71.25–$1,054.50 | $95–$1,406 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$60–$515.25 | $80–$687 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$51–$1,126.50 | $68–$1,502 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$54.75–$1,056.75 | $73–$1,409 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$46.50–$302.25 | $62–$403 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$60.75–$708 | $81–$944 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$53.25–$870 | $71–$1,160 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$49.50–$747 | $66–$996 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$48.75–$540 | $65–$720 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$48–$685.50 | $64–$914 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$86.25–$1,236 | $115–$1,648 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$45–$522 | $60–$696 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$46.50–$330.75 | $62–$441 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$63–$1,041 | $84–$1,388 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$65.25–$975 | $87–$1,300 | varies |
| Radiologic exam colon double contrast study (74280) | $2,196.75 | $2,929 | 8.8× |
| Radiologic exam colon single contrast study (74270) | $1,753.50 | $2,338 | 7.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,217.25 | $1,623 | 4.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$68.25–$1,171.50 | $91–$1,562 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$58.50–$763.50 | $78–$1,018 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$1,324.50–$1,374.75 | $1,766–$1,833 | varies |
| Radiologic exam swallow function contrast study (74230) | $333.75 | $445 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,140.50 | $2,854 | 8.6× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$53.25–$1,074.75 | $71–$1,433 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$54.75–$949.50 | $73–$1,266 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$47.25–$729 | $63–$972 | varies |
| Ribs bilateral 3 views (71110) | $1,158.75 | $1,545 | 7.8× |
| Scapula (73010) range across 2 matching MRF lines |
$39–$639 | $52–$852 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $258 | $344 | 11.0× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$28.50–$1,071 | $38–$1,428 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$55.50–$715.50 | $74–$954 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$63–$437.25 | $84–$583 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$56.25–$1,056.75 | $75–$1,409 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$51–$666.75 | $68–$889 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$183.75–$583.50 | $245–$778 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,231.50 | $1,642 | 8.3× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$183.75–$1,447.50 | $245–$1,930 | varies |
| Umbilical-artery Doppler (OB) (76820) | $527.25 | $703 | 3.5× |
| Unlisted us procedure (76999) | $1,445.25 | $1,927 | 11.7× |
| Urethrocystogram voiding (74455) | $1,416 | $1,888 | 4.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$224.25–$633.75 | $299–$845 | varies |
| Us chest (76604) | $630.75 | $841 | 4.2× |
| Us complete joint (76881) range across 2 matching MRF lines |
$138.75–$1,409.25 | $185–$1,879 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$228.75–$918.75 | $305–$1,225 | varies |
| Us head (76506) | $957.75 | $1,277 | 6.4× |
| Us kidney transplant (76776) | $503.25 | $671 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$117.75–$1,077 | $157–$1,436 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$504–$1,652.85 | $672–$2,203.80 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$169.50–$903.75 | $226–$1,205 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$318–$1,054.50 | $424–$1,406 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$237.75–$1,458 | $317–$1,944 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$237.75–$1,381.50 | $317–$1,842 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $846.75 | $1,129 | 5.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$237.75–$1,492.50 | $317–$1,990 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$123.75–$1,492.50 | $165–$1,990 | varies |
| Us scrotum and contents (76870) | $1,268.25 | $1,691 | 8.5× |
| Us spinal canal and contents (76800) | $474 | $632 | 3.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$246.75–$1,360.50 | $329–$1,814 | varies |
| Us transrectal (76872) | $910.50 | $1,214 | 6.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$51–$843 | $68–$1,124 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$45.75–$540 | $61–$720 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$42–$924.75 | $56–$1,233 | varies |
| X-Ray Exam Breast Specimen (76098) | $589.50 | $786 | 0.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$127.50–$788.25 | $170–$1,051 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $694.50 | $926 | 5.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 7 matching MRF lines |
$71.25–$1,145.25 | $95–$1,527 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$60–$1,159.50 | $80–$1,546 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$90.75–$1,353 | $121–$1,804 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$93–$1,311.75 | $124–$1,749 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$56.25–$852 | $75–$1,136 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$93–$1,251 | $124–$1,668 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$60.75–$1,015.50 | $81–$1,354 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$49.50–$775.50 | $66–$1,034 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$48–$897.75 | $64–$1,197 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,541.25 | $2,055 | 6.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $570 | $760 | 4.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$63–$950.25 | $84–$1,267 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$56.25–$875.25 | $75–$1,167 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$41.25–$918 | $55–$1,224 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$73.50–$1,027.50 | $98–$1,370 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$55.50–$761.25 | $74–$1,015 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$47.25–$726 | $63–$968 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$55.50–$913.50 | $74–$1,218 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$65.25–$1,113.75 | $87–$1,485 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$53.25–$849 | $71–$1,132 | varies |
| X-Rays Bone Length Studies (77073) | $1,610.25 | $2,147 | 10.8× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$142.50–$1,610.25 | $190–$2,147 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$77.25–$1,263.75 | $103–$1,685 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$46.50–$666.75 | $62–$889 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$71.25–$615 | $95–$820 | 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.