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 →

ProcedurePosted cashPosted 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.