Imaging prices at Grande Ronde Hospital
La Grande, OR · every code in this section with a posted price and a Medicare benchmark.
197 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 |
$14.25–$191.37 | $23.75–$318.95 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$18.12–$278.28 | $30.20–$463.80 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$13.11–$139.23 | $21.85–$232.05 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$14.82–$248.34 | $24.70–$413.90 | varies |
| Bone Imaging 3 Phase (78315) | $1,086.33 | $1,810.55 | 2.4× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$63.63–$1,154.88 | $106.05–$1,924.80 | varies |
| Bone survey infant (77076) | $54.66 | $91.10 | 0.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,574.42 | $4,290.70 | 1.6× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$14.25–$223.62 | $23.75–$372.70 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$17.01–$257.13 | $28.35–$428.55 | varies |
| Chest 3 views (71047) | $21.42 | $35.70 | 0.2× |
| Chest 4 or more views (71048) | $24.18 | $40.30 | 0.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$13.11–$133.20 | $21.85–$222 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$83.64–$409.62 | $139.40–$682.70 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$62.31–$214.02 | $103.85–$356.70 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$154.95–$3,082.53 | $258.25–$5,137.55 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$134.91–$2,373.93 | $224.85–$3,956.55 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$98.40–$1,574.64 | $164–$2,624.40 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$107.88–$1,735.08 | $179.80–$2,891.80 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$91.95–$1,263.51 | $153.25–$2,105.85 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$168.96–$2,878.68 | $281.60–$4,797.80 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$140.52–$1,852.53 | $234.20–$3,087.55 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$135.48–$1,872.03 | $225.80–$3,120.05 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$145.53–$1,746.33 | $242.55–$2,910.55 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$135.48–$1,872.03 | $225.80–$3,120.05 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $138.36 | $230.60 | 0.7× |
| CT cervical spine w/ contrast (72126) | $94.20 | $157 | 0.2× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$76.89–$1,315.95 | $128.15–$2,193.25 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$90.27–$1,572.81 | $150.45–$2,621.35 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$96.42–$1,937.34 | $160.70–$3,228.90 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$87.54–$1,260.87 | $145.90–$2,101.45 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$98.40–$1,708.23 | $164–$2,847.05 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$87.54–$1,658.88 | $145.90–$2,764.80 | varies |
| CT l-spine w&w/o contrast (72133) | $98.40 | $164 | 0.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$76.89–$1,217.43 | $128.15–$2,029.05 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$89.73–$1,466.13 | $149.55–$2,443.55 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$94.20–$1,491.75 | $157–$2,486.25 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$76.89–$1,253.04 | $128.15–$2,088.40 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$87.54–$1,297.74 | $145.90–$2,162.90 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$66.30–$968.76 | $110.50–$1,614.60 | varies |
| CT neck tissue combo (70492) | $124.83 | $208.05 | 0.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $97.83 | $163.05 | 0.5× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$99.51–$1,125.51 | $165.85–$1,875.85 | varies |
| CT pelvis w&w/o contrast (72194) | $94.20 | $157 | 0.5× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$84.21–$1,200.51 | $140.35–$2,000.85 | varies |
| CT scan of leg combo (73702) | $93.66 | $156.10 | 0.5× |
| CT scans face/jaw combo (70488) | $98.40 | $164 | 0.5× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$107.28–$1,424.70 | $178.80–$2,374.50 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$99.51–$1,183.44 | $165.85–$1,972.40 | varies |
| CT thoracic spine w contrast (72129) | $94.50 | $157.50 | 0.5× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$76.89–$1,361.31 | $128.15–$2,268.85 | varies |
| CT thoracic spine w/wo cont (72130) | $98.28 | $163.80 | 0.5× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$83.64–$1,286.61 | $139.40–$2,144.35 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$76.89–$1,196.31 | $128.15–$1,993.85 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$89.73–$1,285.71 | $149.55–$2,142.85 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$182.31–$1,872.03 | $303.85–$3,120.05 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$139.95–$1,917.03 | $233.25–$3,195.05 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$15.36–$334.77 | $25.60–$557.95 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$54.81–$549.78 | $91.35–$916.30 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$46.86–$384.69 | $78.10–$641.15 | varies |
| Fetal Biophys Profile W/Nst (76818) | $82.26 | $137.10 | 0.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$59.55–$520.38 | $99.25–$867.30 | varies |
| Fluoroscopy up to 1 hr (76000) | $24.66 | $41.10 | 0.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$12.03–$131.37 | $20.05–$218.95 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$12.57–$179.19 | $20.95–$298.65 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$58.74–$932.28 | $97.90–$1,553.80 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$13.11–$210.33 | $21.85–$350.55 | varies |
| Heart Image (Pet) Multiple (78492) | $3,656.61 | $6,094.35 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$66.87–$983.31 | $111.45–$1,638.85 | varies |
| Hysterosalpingogram (74740) | $220.11 | $366.85 | 0.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$57.42–$257.49 | $95.70–$429.15 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$14.76–$236.49 | $24.60–$394.15 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $114.12 | $190.20 | 0.3× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$93.09–$2,143.92 | $155.15–$3,573.20 | varies |
| MRI abdomen w contrast (74182) | $133.65 | $222.75 | 0.3× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$113.19–$2,039.82 | $188.65–$3,399.70 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$125.94–$761.97 | $209.90–$1,269.95 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$166.38–$2,212.14 | $277.30–$3,686.90 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$125.94–$1,880.58 | $209.90–$3,134.30 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$114.84–$1,885.26 | $191.40–$3,142.10 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$166.38–$2,209.89 | $277.30–$3,683.15 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$104.52–$1,739.94 | $174.20–$2,899.90 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$177.24–$2,221.44 | $295.40–$3,702.40 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$96.57–$2,084.91 | $160.95–$3,474.85 | varies |
| MRI orbit face neck w contrast (70542) | $125.40 | $209 | 0.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$165.81–$2,335.17 | $276.35–$3,891.95 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$169.71–$2,220.42 | $282.85–$3,700.70 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$113.19–$1,762.14 | $188.65–$2,936.90 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$114.84–$1,969.62 | $191.40–$3,282.70 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$105.06–$1,919.01 | $175.10–$3,198.35 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$166.38–$2,037.81 | $277.30–$3,396.35 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$169.71–$2,103.45 | $282.85–$3,505.75 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$177.24–$2,908.65 | $295.40–$4,847.75 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$105.60–$1,634.79 | $176–$2,724.65 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$166.92–$2,220.36 | $278.20–$3,700.60 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$177.24–$2,908.65 | $295.40–$4,847.75 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,449.25 | $5,748.75 | 2.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$171.24–$2,767.86 | $285.40–$4,613.10 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$14.25–$195.45 | $23.75–$325.75 | varies |
| Ob us nuchal meas 1 gest (76813) | $240.48 | $400.80 | 2.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$13.68–$214.71 | $22.80–$357.85 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$179.73–$4,139.37 | $299.55–$6,898.95 | varies |
| Pet Myocardial Sngl Study (78491) | $2,574.42 | $4,290.70 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$25.11–$426.27 | $41.85–$710.45 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$13.68–$204.45 | $22.80–$340.75 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$12.57–$115.32 | $20.95–$192.20 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$13.68–$214.89 | $22.80–$358.15 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $20.31 | $33.85 | 0.2× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$10.89–$115.23 | $18.15–$192.05 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$13.11–$200.25 | $21.85–$333.75 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$13.68–$191.28 | $22.80–$318.80 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $12.57 | $20.95 | 0.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$13.68–$213.60 | $22.80–$356 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$17.55–$238.20 | $29.25–$397 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$14.76–$205.74 | $24.60–$342.90 | varies |
| Radex Spine 1 View Specify Level (72020) | $12.54 | $20.90 | 0.1× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$15.36–$217.08 | $25.60–$361.80 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $18.66 | $31.10 | 0.2× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$10.32–$159.72 | $17.20–$266.20 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $12.57 | $20.95 | 0.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$13.68–$208.23 | $22.80–$347.05 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$19.26–$326.79 | $32.10–$544.65 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $20.88 | $34.80 | 0.2× |
| Radiologic exam colon double contrast study (74280) | $97.35 | $162.25 | 0.5× |
| Radiologic exam colon single contrast study (74270) | $80.07 | $133.45 | 0.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$18.12–$408.66 | $30.20–$681.10 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $19.74 | $32.90 | 0.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$62.43–$490.26 | $104.05–$817.10 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$41.34–$436.86 | $68.90–$728.10 | varies |
| Radiologic examination femur 1 view (73551) | $13.08 | $21.80 | 0.1× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$14.25–$248.55 | $23.75–$414.25 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$13.11–$172.08 | $21.85–$286.80 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$12.57–$188.46 | $20.95–$314.10 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$14.22–$189.60 | $23.70–$316 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$46.86–$79.74 | $78.10–$132.90 | varies |
| Shoulder 1 view (73020) | $12.03 | $20.05 | 0.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$14.25–$234.96 | $23.75–$391.60 | varies |
| Special Physics Consult (77370) | $177.54 | $295.90 | 1.2× |
| Sternoclavicular joints (71130) | $17.01 | $28.35 | 0.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$15.87–$275.67 | $26.45–$459.45 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$17.58–$319.44 | $29.30–$532.40 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$16.44–$242.52 | $27.40–$404.20 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $649.08 | $1,081.80 | 1.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$53.01–$162.72 | $88.35–$271.20 | varies |
| Ultrasound Elastography Parenchyma (76981) | $387.21 | $645.35 | 3.3× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$42.45–$296.34 | $70.75–$493.90 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$45.81–$352.59 | $76.35–$587.65 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$38.64–$377.07 | $64.40–$628.45 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$50.97–$327.87 | $84.95–$546.45 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$62.43–$476.88 | $104.05–$794.80 | varies |
| Us breast unilateral complete (76641) | $534.51 | $890.85 | 4.6× |
| Us chest (76604) range across 2 matching MRF lines |
$44.70–$357.45 | $74.50–$595.75 | varies |
| Us complete joint (76881) | $70.20 | $117 | 0.6× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$38.43–$336.15 | $64.05–$560.25 | varies |
| Us head (76506) range across 2 matching MRF lines |
$49.11–$382.59 | $81.85–$637.65 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$53.52–$308.34 | $89.20–$513.90 | varies |
| Us ob detailed single fetus (76811) | $147.90 | $246.50 | 0.6× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$50.76–$333.39 | $84.60–$555.65 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$58.53–$247.98 | $97.55–$413.30 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$53.52–$514.65 | $89.20–$857.75 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$76.86–$404.76 | $128.10–$674.60 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$167.91–$294.33 | $279.85–$490.55 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$56.88–$535.83 | $94.80–$893.05 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$44.67–$345.63 | $74.45–$576.05 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$49.68–$521.73 | $82.80–$869.55 | varies |
| Us spinal canal and contents (76800) | $95.82 | $159.70 | 0.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$44.10–$384.39 | $73.50–$640.65 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$219.36–$304.35 | $365.60–$507.25 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$13.11–$178.11 | $21.85–$296.85 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$14.76–$187.14 | $24.60–$311.90 | varies |
| X-Ray Bend Only L-S Spine (72120) | $17.55 | $29.25 | 0.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$13.11–$231.33 | $21.85–$385.55 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$24.57–$265.05 | $40.95–$441.75 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$20.31–$202.62 | $33.85–$337.70 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$24.57–$463.29 | $40.95–$772.15 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $28.11 | $46.85 | 0.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$14.76–$202.50 | $24.60–$337.50 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$17.55–$281.88 | $29.25–$469.80 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$17.52–$315.66 | $29.20–$526.10 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$24–$141.30 | $40–$235.50 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$17.55–$223.50 | $29.25–$372.50 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $23.46 | $39.10 | 0.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$20.88–$355.65 | $34.80–$592.75 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$13.11–$160.89 | $21.85–$268.15 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $14.25 | $23.75 | 0.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$17.55–$258.42 | $29.25–$430.70 | varies |
| X-ray nose-rectum child f.b. (76010) | $14.25 | $23.75 | 0.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$17.58–$291.48 | $29.30–$485.80 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $13.11 | $21.85 | 0.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$13.68–$118.86 | $22.80–$198.10 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$22.02–$321.54 | $36.70–$535.90 | varies |
| X-ray thoracic spine 4 vw (72074) | $19.26 | $32.10 | 0.2× |
| X-Ray Tmj Unilat (70328) | $14.25 | $23.75 | 0.1× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$21.24–$314.79 | $35.40–$524.65 | varies |
| X-Rays Bone Survey Complete (77075) | $42.96 | $71.60 | 0.4× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$21.45–$344.46 | $35.75–$574.10 | varies |
| Xr facial bones less than 3 views (70140) | $15.84 | $26.40 | 0.2× |
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.