Imaging prices at Graham Regional Medical Center
Graham, TX · every code in this section with a posted price and a Medicare benchmark.
227 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) | $249 | $249 | 2.8× |
| Abdomen 2 views (74019) | $409 | $409 | 3.9× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$162–$332 | $162–$332 | varies |
| Arthrogram hip (73525) | $1,322 | $1,322 | 3.8× |
| Arthrogram Wrist (73115) | $1,524 | $1,524 | 4.3× |
| Bone age studies (77072) | $332 | $332 | 3.2× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$813–$1,415 | $813–$1,415 | varies |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$532–$1,155 | $532–$1,155 | varies |
| Bone Imaging Whole Body (78306) | $1,415 | $1,415 | 3.5× |
| Brain imaging < 4 static views (78600) range across 2 matching MRF lines |
$493–$581 | $493–$581 | varies |
| Chest 1 view (71045) | $304 | $304 | 3.5× |
| Chest 2 views (71046) | $304 | $304 | 3.5× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$249–$310 | $249–$310 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$189–$230 | $189–$230 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$113–$249 | $113–$249 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $883 | $883 | 8.4× |
| Contrast X-Ray Bladder (74430) | $251 | $251 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $1,450 | $1,450 | 4.1× |
| Contrast Xray Throat/Cerv Esopha (74210) range across 8 matching MRF lines |
$142–$728 | $142–$728 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,500–$1,737 | $1,500–$1,737 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,100–$1,274 | $1,100–$1,274 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$1,122–$1,300 | $1,122–$1,300 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$1,475–$1,707 | $1,475–$1,707 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$825–$1,221 | $825–$1,221 | varies |
| CT Angio Abdomen and Pelvis (74174) | $1,737 | $1,737 | 5.0× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,100–$1,390 | $1,100–$1,390 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,100–$1,520 | $1,100–$1,520 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,100–$1,274 | $1,100–$1,274 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,100–$1,520 | $1,100–$1,520 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,100–$1,274 | $1,100–$1,274 | varies |
| CT cervical spine w/ contrast (72126) range across 7 matching MRF lines |
$722–$864 | $722–$864 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$1,144–$1,368 | $1,144–$1,368 | varies |
| CT cervical spine w/wo cont (72127) | $864 | $864 | 4.9× |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$1,178–$1,345 | $1,178–$1,345 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$1,297–$1,380 | $1,297–$1,380 | varies |
| CT head/brain with contrast (70460) range across 4 matching MRF lines |
$983–$1,477 | $983–$1,477 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$1,111–$1,518 | $1,111–$1,518 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $304 | $304 | 3.5× |
| CT iac w contrast (70481) | $1,521 | $1,521 | 8.6× |
| CT l-spine w&w/o contrast (72133) | $1,520 | $1,520 | 8.6× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,062–$1,230 | $1,062–$1,230 | varies |
| CT lower extremity w/contrast material (73701) | $1,235 | $1,235 | 7.0× |
| CT lumbar spine w contrast (72132) | $1,510 | $1,510 | 4.3× |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$1,144–$1,371 | $1,144–$1,371 | varies |
| CT maxillofacial w contrast (70487) | $1,559 | $1,559 | 8.8× |
| CT maxillofacial wo contrast (70486) range across 6 matching MRF lines |
$1,051–$1,462 | $1,051–$1,462 | varies |
| CT neck tissue combo (70492) range across 4 matching MRF lines |
$946–$1,275 | $946–$1,275 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$1,400–$1,621 | $1,400–$1,621 | varies |
| CT orbits w/o contrast (70480) range across 8 matching MRF lines |
$937–$1,459 | $937–$1,459 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$1,319–$1,709 | $1,319–$1,709 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$1,054–$1,221 | $1,054–$1,221 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,262–$1,500 | $1,262–$1,500 | varies |
| CT scans face/jaw combo (70488) range across 6 matching MRF lines |
$1,500–$1,737 | $1,500–$1,737 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$912–$1,270 | $912–$1,270 | varies |
| CT soft tissue neck w/o contrast (70490) range across 4 matching MRF lines |
$786–$1,265 | $786–$1,265 | varies |
| CT thoracic spine w contrast (72129) | $1,356 | $1,356 | 7.7× |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$1,168–$1,353 | $1,168–$1,353 | varies |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$937–$1,085 | $937–$1,085 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,060–$1,228 | $1,060–$1,228 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,258–$1,500 | $1,258–$1,500 | varies |
| CT upper extremity with contrast (73201) | $1,238 | $1,238 | 3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,100–$1,274 | $1,100–$1,274 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,100–$1,710 | $1,100–$1,710 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,040 | $3,040 | 8.7× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,100–$1,765 | $1,100–$1,765 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $667 | $667 | 6.4× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$200–$308 | $200–$308 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$117–$469 | $117–$469 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$268–$447 | $268–$447 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$90–$864 | $90–$864 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$85–$249 | $85–$249 | varies |
| Forearm 2 views (73090) range across 9 matching MRF lines |
$85–$249 | $85–$249 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$457–$1,354 | $457–$1,354 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$429–$1,298 | $429–$1,298 | varies |
| Gated Heart, Multiple (78473) | $1,298 | $1,298 | 3.2× |
| Hand 2 views (73120) range across 8 matching MRF lines |
$85–$264 | $85–$264 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$656–$1,837 | $656–$1,837 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$569–$1,297 | $569–$1,297 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,050 | $2,050 | 1.6× |
| Hysterosalpingogram (74740) | $1,527 | $1,527 | 6.4× |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$476–$1,461 | $476–$1,461 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$417–$1,461 | $417–$1,461 | varies |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$97–$332 | $97–$332 | varies |
| Leveen/Shunt Patency Exam (78291) | $571 | $571 | 1.4× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$613–$1,297 | $613–$1,297 | varies |
| Liver imaging static only (78201) range across 3 matching MRF lines |
$429–$563 | $429–$563 | varies |
| Liver imaging w/vascular flow (78202) | $543 | $543 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$595–$1,531 | $595–$1,531 | varies |
| Lung Ventilation Imaging (78579) | $595 | $595 | 1.5× |
| Lymph System Imaging (78195) | $1,394 | $1,394 | 2.6× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$864–$1,381 | $864–$1,381 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,853 | $1,853 | 5.3× |
| MRA head w/o contrast (70544) range across 7 matching MRF lines |
$1,015–$1,747 | $1,015–$1,747 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,308–$1,797 | $1,308–$1,797 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,308–$1,853 | $1,308–$1,853 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,600–$1,973 | $1,600–$1,973 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,500–$1,737 | $1,500–$1,737 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,381–$1,600 | $1,381–$1,600 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,737 | $1,737 | 5.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $575 | $575 | 0.7× |
| MRI cervical spine w contrast (72142) range across 7 matching MRF lines |
$1,108–$1,795 | $1,108–$1,795 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,546–$1,791 | $1,546–$1,791 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,381–$1,658 | $1,381–$1,658 | varies |
| MRI chest wo w contrast (71552) | $2,006 | $2,006 | 5.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,875 | $1,875 | 5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 8 matching MRF lines |
$1,040–$1,909 | $1,040–$1,909 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,737 | $1,737 | 7.2× |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$1,190–$1,824 | $1,190–$1,824 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 5 matching MRF lines |
$1,500–$2,203 | $1,500–$2,203 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$864–$1,381 | $864–$1,381 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,218–$1,381 | $1,218–$1,381 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,600 | $1,600 | 4.6× |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$1,040–$1,698 | $1,040–$1,698 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,600–$1,853 | $1,600–$1,853 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,380–$1,598 | $1,380–$1,598 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,381–$1,600 | $1,381–$1,600 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,751 | $1,751 | 7.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$1,040–$1,512 | $1,040–$1,512 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,900–$2,084 | $1,900–$2,084 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$1,500–$2,093 | $1,500–$2,093 | varies |
| MRI, dorsal spine contrast (72147) range across 4 matching MRF lines |
$850–$2,007 | $850–$2,007 | varies |
| MRI, joint upper extrem (73221) range across 27 matching MRF lines |
$1,015–$2,048 | $1,015–$2,048 | varies |
| MRI, joint upper extrem combo (73223) | $1,751 | $1,751 | 5.0× |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$1,500–$2,464 | $1,500–$2,464 | varies |
| Myelogram cervical (72240) | $2,900 | $2,900 | 3.7× |
| Myelogram Lumbar (72265) | $2,900 | $2,900 | 3.7× |
| Myelograpy 2/more regions rs&i (72270) | $2,900 | $2,900 | 3.7× |
| Myocardial Spect Multiple Studies (78452) | $2,050 | $2,050 | 1.6× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$121–$249 | $121–$249 | varies |
| Ob us nuchal meas 1 gest (76813) | $469 | $469 | 4.5× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$550–$1,185 | $550–$1,185 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$105–$409 | $105–$409 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$618–$1,098 | $618–$1,098 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $176 | $176 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$97–$332 | $97–$332 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$98–$265 | $98–$265 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$92–$249 | $92–$249 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$125–$332 | $125–$332 | varies |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$93–$249 | $93–$249 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$92–$249 | $92–$249 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$88–$249 | $88–$249 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$119–$249 | $119–$249 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 5 matching MRF lines |
$116–$249 | $116–$249 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$101–$332 | $101–$332 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$69–$319 | $69–$319 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$107–$249 | $107–$249 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$128–$249 | $128–$249 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$121–$319 | $121–$319 | varies |
| Radex Toe Minimum 2 Views (73660) range across 7 matching MRF lines |
$104–$249 | $104–$249 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $120 | $120 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 12 matching MRF lines |
$109–$260 | $109–$260 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 5 matching MRF lines |
$135–$332 | $135–$332 | varies |
| Radiologic exam colon double contrast study (74280) range across 4 matching MRF lines |
$257–$709 | $257–$709 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$250–$525 | $250–$525 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$162–$163 | $162–$163 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$142–$421 | $142–$421 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$279–$728 | $279–$728 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$246–$728 | $246–$728 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$260–$525 | $260–$525 | varies |
| Radiologic examination femur 1 view (73551) | $249 | $249 | 2.8× |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$86–$256 | $86–$256 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$96–$249 | $96–$249 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) range across 2 matching MRF lines |
$7–$8 | $7–$8 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $10 | $10 | 0.0× |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$135–$164 | $135–$164 | varies |
| Scapula (73010) range across 7 matching MRF lines |
$113–$448 | $113–$448 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $91 | $91 | 3.9× |
| Sella turcica (70240) range across 3 matching MRF lines |
$125–$319 | $125–$319 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$75–$249 | $75–$249 | varies |
| Shoulder Arthrography (73040) | $1,527 | $1,527 | 4.4× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$147–$332 | $147–$332 | varies |
| Spleen Imaging (78185) | $380 | $380 | 0.9× |
| Testicular Imaging W/Flow (78761) range across 3 matching MRF lines |
$304–$489 | $304–$489 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$125–$332 | $125–$332 | varies |
| Thoracic spine 3 views (72072) | $332 | $332 | 3.2× |
| Thyroid Uptake Measurement (78012) | $1,415 | $1,415 | 3.5× |
| Ultrasound Breast Limited (76642) | $473 | $473 | 5.4× |
| Ultrasound, abdomen limited (76705) range across 15 matching MRF lines |
$245–$667 | $245–$667 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$170–$320 | $170–$320 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$271–$525 | $271–$525 | varies |
| Urethrocystogram voiding (74455) | $1,100 | $1,100 | 4.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$430–$860 | $430–$860 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$152–$469 | $152–$469 | varies |
| Us complete joint (76881) | $308 | $308 | 2.9× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$216–$320 | $216–$320 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $469 | $469 | 4.5× |
| Us ob detailed single fetus (76811) | $659 | $659 | 2.7× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$152–$667 | $152–$667 | varies |
| Us ob transvaginal (76817) | $228 | $228 | 2.2× |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$216–$667 | $216–$667 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $306 | $306 | 2.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $319 | $319 | 3.0× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$295–$667 | $295–$667 | varies |
| Us retroperitoneal limited (76775) range across 7 matching MRF lines |
$295–$667 | $295–$667 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$304–$667 | $304–$667 | varies |
| Us thyroid (76536) range across 11 matching MRF lines |
$233–$667 | $233–$667 | varies |
| Vein X-Ray Chest (75827) | $271 | $271 | 0.2× |
| Wrist 2 views (73100) range across 9 matching MRF lines |
$118–$319 | $118–$319 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 5 matching MRF lines |
$120–$332 | $120–$332 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$170–$332 | $170–$332 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 8 matching MRF lines |
$86–$284 | $86–$284 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$41–$1,478 | $41–$1,478 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $332 | $332 | 3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $249 | $249 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $332 | $332 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$194–$332 | $194–$332 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$141–$332 | $141–$332 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$188–$332 | $188–$332 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$135–$409 | $135–$409 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$127–$319 | $127–$319 | varies |
| X-ray humerus (73060) range across 7 matching MRF lines |
$108–$262 | $108–$262 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$290–$922 | $290–$922 | varies |
| X-ray IV pyelogram+tomography (74415) | $466 | $466 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$112–$279 | $112–$279 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$135–$332 | $135–$332 | varies |
| X-ray nose-rectum child f.b. (76010) | $114 | $114 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$169–$420 | $169–$420 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$135–$438 | $135–$438 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$114–$332 | $114–$332 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 7 matching MRF lines |
$108–$249 | $108–$249 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$135–$332 | $135–$332 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$224–$332 | $224–$332 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$213–$332 | $213–$332 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$185–$555 | $185–$555 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$198–$332 | $198–$332 | varies |
| Xr myelogram posterior fossa (70010) | $2 | $2 | 0.0× |
| Xr orbits complete 4 views (70200) range across 5 matching MRF lines |
$135–$340 | $135–$340 | 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.