Imaging prices at Grant Memorial Hospital
Petersburg, WV · every code in this section with a posted price and a Medicare benchmark.
209 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 |
$192–$201.60 | $240–$252 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $810.40 | $1,013 | 2.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$159.20–$262.40 | $199–$328 | varies |
| Bone Imaging 3 Phase (78315) | $810.40 | $1,013 | 2.1× |
| Bone Imaging Limited Area (78300) | $810.40 | $1,013 | 2.1× |
| Bone Imaging Whole Body (78306) | $810.40 | $1,013 | 2.1× |
| Bone survey infant (77076) | $440 | $550 | 4.4× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$192–$384 | $240–$480 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Chest 4 or more views (71048) | $160.80 | $201 | 1.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$192–$403.20 | $240–$504 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $192 | $240 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,528–$1,604.80 | $1,910–$2,006 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$932.80–$980 | $1,166–$1,225 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$729.60–$766.40 | $912–$958 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$729.60–$766.40 | $912–$958 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$448.80–$472 | $561–$590 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,528–$1,604.80 | $1,910–$2,006 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,864–$1,957.60 | $2,330–$2,447 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$778.40–$817.60 | $973–$1,022 | varies |
| CT angio hrt w/3d image (75574) | $402.40 | $503 | 1.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $897.60 | $1,122 | 5.3× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$778.40–$817.60 | $973–$1,022 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$729.60–$766.40 | $912–$958 | varies |
| CT cervical spine w/ contrast (72126) | $1,711.20 | $2,139 | 5.1× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,431.20–$1,503.20 | $1,789–$1,879 | varies |
| CT cervical spine w/wo cont (72127) | $1,750.40 | $2,188 | 10.4× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,592.80–$1,672.80 | $1,991–$2,091 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$729.60–$766.40 | $912–$958 | varies |
| CT head/brain with contrast (70460) | $778.40 | $973 | 4.6× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$778.40–$817.60 | $973–$1,022 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$158.40–$172.80 | $198–$216 | varies |
| CT iac w contrast (70481) | $778.40 | $973 | 4.6× |
| CT l-spine w&w/o contrast (72133) | $729.60 | $912 | 4.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$448.80–$472 | $561–$590 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$729.60–$1,532.80 | $912–$1,916 | varies |
| CT lumbar spine w contrast (72132) | $1,528 | $1,910 | 4.6× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,165.60–$1,224 | $1,457–$1,530 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$778.40–$817.60 | $973–$1,022 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$478.40–$502.40 | $598–$628 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$778.40–$817.60 | $973–$1,022 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,460.80 | $1,826 | 8.7× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$478.40–$502.40 | $598–$628 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,822.40–$2,710.40 | $2,278–$3,388 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$448.80–$472 | $561–$590 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$729.60–$766.40 | $912–$958 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,528–$1,604.80 | $1,910–$2,006 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$778.40–$817.60 | $973–$1,022 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$478.40–$502.40 | $598–$628 | varies |
| CT thoracic spine w contrast (72129) | $729.60 | $912 | 4.3× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$448.80–$472 | $561–$590 | varies |
| CT thoracic spine w/wo cont (72130) | $729.60 | $912 | 4.3× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,340.80–$1,408 | $1,676–$1,760 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$448.80–$472 | $561–$590 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$729.60–$766.40 | $912–$958 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,528–$3,056 | $1,910–$3,820 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$729.60–$766.40 | $912–$958 | varies |
| Cta Abdomen (74175) | $729.60 | $912 | 4.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,104 | $2,630 | 6.3× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$247.20–$260 | $309–$325 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $132 | $165 | 1.6× |
| Esophagram (74220) | $280.80 | $351 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $491.20 | $614 | 2.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$810.40–$851.20 | $1,013–$1,064 | varies |
| Gated Heart Planar Single (78472) | $1,164.80 | $1,456 | 3.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,038.40–$1,090.40 | $1,298–$1,363 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$648.80–$681.60 | $811–$852 | varies |
| Hysterosalpingogram (74740) | $467.20 | $584 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $176 | $220 | 2.1× |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$176–$184.80 | $220–$231 | varies |
| K Flow/Funct Image W/Drug (78708) | $1,038.40 | $1,298 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,028.80–$1,080.80 | $1,286–$1,351 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$192–$403.20 | $240–$504 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,110.40–$1,166.40 | $1,388–$1,458 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $2,552.80 | $3,191 | 7.6× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$923.20–$969.60 | $1,154–$1,212 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $1,512.80 | $1,891 | 4.5× |
| MRA neck w/o contrast (70547) | $923.20 | $1,154 | 4.0× |
| MRI abdomen w contrast (74182) | $2,206.40 | $2,758 | 6.6× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$923.20–$969.60 | $1,154–$1,212 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,696 | $3,370 | 3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,512.80–$1,588.80 | $1,891–$1,986 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,696–$2,831.20 | $3,370–$3,539 | varies |
| MRI cervical spine w contrast (72142) | $2,733.60 | $3,417 | 8.2× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$923.20–$969.60 | $1,154–$1,212 | varies |
| MRI chest w/o contrast (71550) | $923.20 | $1,154 | 4.0× |
| MRI chest wo w contrast (71552) | $1,512.80 | $1,891 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,512.80–$1,588.80 | $1,891–$1,986 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$923.20–$969.60 | $1,154–$1,212 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,236.80–$2,348.80 | $2,796–$2,936 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,512.80–$1,588.80 | $1,891–$1,986 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,680.80 | $2,101 | 7.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,512.80–$1,588.80 | $1,891–$1,986 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,512.80–$1,588.80 | $1,891–$1,986 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$923.20–$969.60 | $1,154–$1,212 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$923.20–$969.60 | $1,154–$1,212 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$923.20–$969.60 | $1,154–$1,212 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,512.80 | $1,891 | 4.5× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,512.80–$1,588.80 | $1,891–$1,986 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,512.80–$1,588.80 | $1,891–$1,986 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$923.20–$969.60 | $1,154–$1,212 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,512.80–$1,588.80 | $1,891–$1,986 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,512.80–$1,588.80 | $1,891–$1,986 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,799.20–$2,939.20 | $3,499–$3,674 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,056 | $2,570 | 2.5× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $145.60 | $182 | 1.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $324.80 | $406 | 3.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,109.60 | $1,387 | 2.1× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$810.40–$851.20 | $1,013–$1,064 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,172.80 | $3,966 | 2.3× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,425.60 | $1,782 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$192–$403.20 | $240–$504 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$192–$403.20 | $240–$504 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$201.60–$384 | $252–$480 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$192–$403.20 | $240–$504 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$129.60–$136.80 | $162–$171 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $136 | $170 | 1.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $160 | $200 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$192–$403.20 | $240–$504 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $164.80 | $206 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $196 | $245 | 2.0× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$280.80–$295.20 | $351–$369 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$396.80–$416.80 | $496–$521 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$396.80–$416.80 | $496–$521 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$236–$472 | $295–$590 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$396.80–$416.80 | $496–$521 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$396.80–$416.80 | $496–$521 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$396.80–$416.80 | $496–$521 | varies |
| Radiologic examination femur 1 view (73551) | $201.60 | $252 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$192–$403.20 | $240–$504 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$192–$403.20 | $240–$504 | varies |
| Ribs bilateral 3 views (71110) | $248 | $310 | 2.5× |
| Scapula (73010) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$64.80–$68.80 | $81–$86 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$192–$384 | $240–$480 | varies |
| Skull less than 4 views (70250) | $248 | $310 | 2.5× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$810.40–$851.20 | $1,013–$1,064 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$134.40–$452 | $168–$565 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$244.80–$257.60 | $306–$322 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$247.20–$260 | $309–$325 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$244.80–$257.60 | $306–$322 | varies |
| Upper gi w/o kub (74240) | $280.80 | $351 | 1.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$247.20–$494.40 | $309–$618 | varies |
| Us chest (76604) | $247.20 | $309 | 2.5× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$247.20–$260 | $309–$325 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$247.20–$260 | $309–$325 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$247.20–$260 | $309–$325 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$160–$448 | $200–$560 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$247.20–$260 | $309–$325 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$247.20–$260 | $309–$325 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$247.20–$260 | $309–$325 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$247.20–$260 | $309–$325 | varies |
| Us spinal canal and contents (76800) | $260 | $325 | 2.6× |
| Us thyroid (76536) range across 2 matching MRF lines |
$247.20–$260 | $309–$325 | varies |
| Us transrectal (76872) | $247.20 | $309 | 2.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| X-Ray Bend Only L-S Spine (72120) | $164.80 | $206 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $173.60 | $217 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $164.80 | $206 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$192–$384 | $240–$480 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$164.80–$173.60 | $206–$217 | varies |
| X-ray nose-rectum child f.b. (76010) | $192 | $240 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| X-ray thoracic spine 4 vw (72074) | $236 | $295 | 2.4× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$173.60–$182.40 | $217–$228 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$236–$248 | $295–$310 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$192–$201.60 | $240–$252 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$173.60–$182.40 | $217–$228 | 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.