Imaging prices at Grand River Medical Center
Rifle, CO · every code in this section with a posted price and a Medicare benchmark.
204 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 |
$231.50–$243 | $463–$486 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$260.50–$273.50 | $521–$547 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,157.50 | $2,315 | 2.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Arthrogram Wrist (73115) | $972.50 | $1,945 | 2.6× |
| Bone age studies (77072) range across 2 matching MRF lines |
$144.50–$151.50 | $289–$303 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,418–$1,489 | $2,836–$2,978 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,273.50–$1,337 | $2,547–$2,674 | varies |
| Bone survey infant (77076) | $661.50 | $1,323 | 6.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$144.50–$151.50 | $289–$303 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$101.50–$182 | $203–$364 | varies |
| Chest 4 or more views (71048) | $243 | $486 | 2.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$144.50–$151.50 | $289–$303 | varies |
| Contrast X-Ray Bladder (74430) | $486 | $972 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,453–$2,575.50 | $4,906–$5,151 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,620.50–$1,701.50 | $3,241–$3,403 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,440–$1,512 | $2,880–$3,024 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,642.50–$1,724.50 | $3,285–$3,449 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,071–$1,124.50 | $2,142–$2,249 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,742.50–$2,879.50 | $5,485–$5,759 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,671.50–$1,755 | $3,343–$3,510 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,527–$1,603.50 | $3,054–$3,207 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,700.50–$1,785.50 | $3,401–$3,571 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,527–$1,603.50 | $3,054–$3,207 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,664.50 | $3,329 | 9.0× |
| CT cervical spine w/ contrast (72126) | $1,481.50 | $2,963 | 4.0× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,099.50–$1,154.50 | $2,199–$2,309 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,411–$1,481.50 | $2,822–$2,963 | varies |
| CT chest w/wo contrast (71270) | $1,664.50 | $3,329 | 9.0× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,353.50–$1,421 | $2,707–$2,842 | varies |
| CT head/brain without and with contrast (70470) | $1,603.50 | $3,207 | 8.7× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$116–$122 | $232–$244 | varies |
| CT l-spine w&w/o contrast (72133) | $1,585 | $3,170 | 8.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,042–$1,094 | $2,084–$2,188 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,324.50–$1,390.50 | $2,649–$2,781 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,411–$1,481.50 | $2,822–$2,963 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,099.50–$1,154.50 | $2,199–$2,309 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,179.50–$1,238.50 | $2,359–$2,477 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$926–$972.50 | $1,852–$1,945 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,585–$1,664.50 | $3,170–$3,329 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,437.50–$1,509.50 | $2,875–$3,019 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,099.50–$1,154.50 | $2,199–$2,309 | varies |
| CT pelvis w&w/o contrast (72194) | $1,566 | $3,132 | 8.5× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,099.50–$1,154.50 | $2,199–$2,309 | varies |
| CT scan of leg combo (73702) | $1,512 | $3,024 | 8.2× |
| CT scans face/jaw combo (70488) | $1,360.50 | $2,721 | 7.4× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,411–$1,481.50 | $2,822–$2,963 | varies |
| CT soft tissue neck w/o contrast (70490) | $1,154.50 | $2,309 | 10.5× |
| CT thoracic spine w contrast (72129) | $1,481.50 | $2,963 | 8.0× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,099.50–$1,154.50 | $2,199–$2,309 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,099.50–$1,154.50 | $2,199–$2,309 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,042–$1,094 | $2,084–$2,188 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,512 | $3,024 | 8.2× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,268–$1,331.50 | $2,536–$2,663 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,874.50–$1,968 | $3,749–$3,936 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,469–$1,542.50 | $2,938–$3,085 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Echo exam uterus (76831) | $334.50 | $669 | 1.3× |
| Esophagram (74220) range across 2 matching MRF lines |
$521–$547 | $1,042–$1,094 | varies |
| Fetal Biophys Profile W/Nst (76818) | $486 | $972 | 4.4× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$318.50–$759.50 | $637–$1,519 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,259–$1,322 | $2,518–$2,644 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$173.50–$243 | $347–$486 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,389–$1,458.50 | $2,778–$2,917 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,268–$1,331.50 | $2,536–$2,663 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,543.50–$1,620.50 | $3,087–$3,241 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$694.50–$729 | $1,389–$1,458 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$289.50–$304 | $579–$608 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,317–$1,383 | $2,634–$2,766 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $723.50 | $1,447 | 1.7× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$231.50–$304 | $463–$608 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $2,218.50 | $4,437 | 3.9× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,112.50–$2,218 | $4,225–$4,436 | varies |
| Lung Ventilation Imaging (78579) | $810.50 | $1,621 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $1,641 | $3,282 | 6.5× |
| Meckels Divert Exam (78290) | $881.50 | $1,763 | 2.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $38.50 | $77 | 1.3× |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$1,505–$3,010 | $3,010–$6,020 | varies |
| MRA neck w contrast (70548) | $1,551 | $3,102 | 4.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,089.50 | $4,179 | 5.7× |
| MRA neck w/o contrast (70547) | $1,641 | $3,282 | 6.5× |
| MRI abdomen w contrast (74182) | $2,332.50 | $4,665 | 6.3× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,910–$2,005.50 | $3,820–$4,011 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,163.50–$2,271.50 | $4,327–$4,543 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,279.50–$2,393.50 | $4,559–$4,787 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,990–$2,089.50 | $3,980–$4,179 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,884 | $3,768 | 7.5× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,895.50–$1,990.50 | $3,791–$3,981 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,563–$1,641 | $3,126–$3,282 | varies |
| MRI chest w/o contrast (71550) | $1,641 | $3,282 | 6.5× |
| MRI chest wo w contrast (71552) | $2,393.50 | $4,787 | 6.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,279.50–$2,393.50 | $4,559–$4,787 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,563–$1,641 | $3,126–$3,282 | varies |
| MRI lumbar spine w contrast (72149) | $2,089.50 | $4,179 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,279.50–$2,393.50 | $4,559–$4,787 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,641 | $3,282 | 6.5× |
| MRI orbit face neck w contrast (70542) | $1,500.50 | $3,001 | 4.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,279.50–$2,393.50 | $4,559–$4,787 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,279.50–$2,393.50 | $4,559–$4,787 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,563–$1,641 | $3,126–$3,282 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,563–$1,641 | $3,126–$3,282 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,563–$1,641 | $3,126–$3,282 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,279.50–$2,393.50 | $4,559–$4,787 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,337.50–$2,454.50 | $4,675–$4,909 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,279.50–$2,393.50 | $4,559–$4,787 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,563–$1,641 | $3,126–$3,282 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,279.50–$2,393.50 | $4,559–$4,787 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,279.50–$2,393.50 | $4,559–$4,787 | varies |
| Myelogram cervical (72240) | $972.50 | $1,945 | 1.2× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$926–$972.50 | $1,852–$1,945 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,749.50–$2,887 | $5,499–$5,774 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,157.50–$1,215.50 | $2,315–$2,431 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$231.50–$273.50 | $463–$547 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $273.50 | $547 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$202.50–$212.50 | $405–$425 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$347.50–$365 | $695–$730 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $182 | $364 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$231.50–$273.50 | $463–$547 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$347.50–$365 | $695–$730 | varies |
| Radiologic exam colon double contrast study (74280) | $790 | $1,580 | 4.3× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$636.50–$668.50 | $1,273–$1,337 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$260.50–$273.50 | $521–$547 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$492–$516.50 | $984–$1,033 | varies |
| Radiologic exam swallow function contrast study (74230) | $608 | $1,216 | 3.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$579–$608 | $1,158–$1,216 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$173.50–$347 | $347–$694 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$289.50–$304 | $579–$608 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$37.50–$39.50 | $75–$79 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$144.50–$151.50 | $289–$303 | varies |
| Shoulder Arthrography (73040) | $972.50 | $1,945 | 2.6× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$289.50–$304 | $579–$608 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$2,112.50–$2,218 | $4,225–$4,436 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$130–$273.50 | $260–$547 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$275–$289 | $550–$578 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$188–$197.50 | $376–$395 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$405–$425.50 | $810–$851 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $66.50 | $133 | 0.7× |
| Urethrocystogram voiding (74455) | $547 | $1,094 | 2.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$304–$638.50 | $608–$1,277 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$492–$516.50 | $984–$1,033 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$289.50–$304 | $579–$608 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$289.50–$304 | $579–$608 | varies |
| Us head (76506) range across 2 matching MRF lines |
$405–$425.50 | $810–$851 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$289.50–$304 | $579–$608 | varies |
| Us ob transvaginal (76817) | $173.50 | $347 | 1.6× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$347.50–$365 | $695–$730 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$376–$395 | $752–$790 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $167 | $334 | 1.5× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$405–$425.50 | $810–$851 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$405–$425.50 | $810–$851 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$405–$425.50 | $810–$851 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$347.50–$365 | $695–$730 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$395–$516.50 | $790–$1,033 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$173.50–$243 | $347–$486 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| X-Ray Exam Breast Specimen (76098) | $212.50 | $425 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$347.50–$365 | $695–$730 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$144.50–$151.50 | $289–$303 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$289.50–$304 | $579–$608 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$289.50–$304 | $579–$608 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$318.50–$334.50 | $637–$669 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$132–$138.50 | $264–$277 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$173.50–$182 | $347–$364 | varies |
| X-ray IV pyelogram (ivp) (74400) | $665.50 | $1,331 | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $318 | $636 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$144.50–$151.50 | $289–$303 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$231.50–$273.50 | $463–$547 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$144.50–$151.50 | $289–$303 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$347.50–$365 | $695–$730 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $243 | $486 | 2.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$376–$395 | $752–$790 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$260.50–$273.50 | $521–$547 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$926–$972.50 | $1,852–$1,945 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$289.50–$304 | $579–$608 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$231.50–$243 | $463–$486 | varies |
| Xr orbits complete 4 views (70200) | $243 | $486 | 2.2× |
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.