Imaging prices at Hamilton General Hospital
Hamilton, TX · every code in this section with a posted price and a Medicare benchmark.
239 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) | $217.80 | $363 | 2.5× |
| Abdomen 2 views (74019) | $366 | $610 | 3.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,006.80 | $1,678 | 2.5× |
| Ankle 2 views (73600) | $196.80 | $328 | 2.3× |
| Arthrogram ankle (73615) | $1,456.20 | $2,427 | 4.2× |
| Arthrogram hip (73525) | $1,456.20 | $2,427 | 4.2× |
| Arthrogram Wrist (73115) | $1,456.20 | $2,427 | 4.2× |
| Bone age studies (77072) | $199.20 | $332 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,003.80 | $1,673 | 2.5× |
| Bone Imaging Limited Area (78300) | $780.60 | $1,301 | 1.9× |
| Bone Imaging Multiple Areas (78305) | $1,113.60 | $1,856 | 2.8× |
| Bone Imaging Whole Body (78306) | $884.40 | $1,474 | 2.2× |
| Bone survey infant (77076) | $555 | $925 | 5.3× |
| Cat Scan Follow-Up Study (76380) | $360 | $600 | 4.1× |
| Chest 1 view (71045) | $247.20 | $412 | 2.8× |
| Chest 2 views (71046) | $264.60 | $441 | 3.0× |
| Chest 3 views (71047) | $288.60 | $481 | 3.3× |
| Chest 4 or more views (71048) | $354.60 | $591 | 3.4× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$24.60–$397.20 | $41–$662 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $584.40 | $974 | 5.6× |
| Contrast X-Ray Bladder (74430) | $1,026 | $1,710 | 2.9× |
| Contrast X-Ray Of Elbow (73085) | $1,456.20 | $2,427 | 4.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,456.20 | $2,427 | 4.2× |
| Contrast Xray Throat/Cerv Esopha (74210) | $340.80 | $568 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,985 | $4,975 | 8.5× |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,342.20–$2,167.80 | $2,237–$3,613 | varies |
| CT abdomen w contrast (74160) | $1,688.40 | $2,814 | 9.6× |
| CT abdomen w wo contrast (74170) | $1,876.80 | $3,128 | 10.7× |
| CT abdomen w/o contrast (74150) | $1,251 | $2,085 | 11.9× |
| CT Angio Abdomen and Pelvis (74174) | $1,389.60 | $2,316 | 4.0× |
| CT Angio Chest (71275) | $1,808.40 | $3,014 | 10.3× |
| CT Angio Head (70496) | $1,435.80 | $2,393 | 8.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,336.80 | $2,228 | 7.6× |
| CT Angio Neck (70498) | $1,435.80 | $2,393 | 8.1× |
| CT cervical spine w/ contrast (72126) | $1,663.80 | $2,773 | 4.7× |
| CT cervical spine w/o contrast (72125) | $1,344.60 | $2,241 | 12.8× |
| CT cervical spine w/wo cont (72127) | $1,675.20 | $2,792 | 9.5× |
| CT chest w contrast (71260) | $1,697.40 | $2,829 | 9.6× |
| CT chest w/wo contrast (71270) | $1,964.40 | $3,274 | 11.1× |
| CT head/brain with contrast (70460) | $1,554.60 | $2,591 | 8.8× |
| CT head/brain without and with contrast (70470) | $1,789.80 | $2,983 | 10.2× |
| CT iac w contrast (70481) | $1,413 | $2,355 | 8.0× |
| CT l-spine w&w/o contrast (72133) | $1,529.40 | $2,549 | 8.7× |
| CT lower ext w/o (73700) | $1,254.60 | $2,091 | 11.9× |
| CT lower extremity w/contrast material (73701) | $1,412.40 | $2,354 | 8.0× |
| CT lumbar spine w contrast (72132) | $1,663.80 | $2,773 | 4.7× |
| CT lumbar spine w/o contrast (72131) | $1,336.80 | $2,228 | 12.7× |
| CT maxillofacial w contrast (70487) | $1,383.60 | $2,306 | 7.9× |
| CT maxillofacial wo contrast (70486) | $1,211.40 | $2,019 | 11.5× |
| CT neck tissue combo (70492) | $1,668 | $2,780 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,624.20 | $2,707 | 9.2× |
| CT orbits w/o contrast (70480) | $1,273.20 | $2,122 | 12.1× |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$1,320–$1,668 | $2,200–$2,780 | varies |
| CT pelvis w/o contrast (72192) | $1,252.20 | $2,087 | 11.9× |
| CT scan of leg combo (73702) | $1,668 | $2,780 | 9.5× |
| CT scans face/jaw combo (70488) | $1,668 | $2,780 | 9.5× |
| CT soft tissue neck w contrast (70491) | $1,485.60 | $2,476 | 8.4× |
| CT soft tissue neck w/o contrast (70490) | $1,231.80 | $2,053 | 11.7× |
| CT thoracic spine w contrast (72129) | $1,807.20 | $3,012 | 10.3× |
| CT thoracic spine w/o contrast (72128) | $1,313.40 | $2,189 | 12.5× |
| CT thoracic spine w/wo cont (72130) | $2,015.40 | $3,359 | 11.4× |
| CT thorax w/o contrast (71250) | $1,272.60 | $2,121 | 12.1× |
| CT upper ext wo (73200) | $1,340.40 | $2,234 | 12.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,668 | $2,780 | 9.5× |
| CT upper extremity with contrast (73201) | $1,435.80 | $2,393 | 4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,935 | $3,225 | 11.0× |
| Cta Abdomen (74175) | $1,251 | $2,085 | 7.1× |
| Dxa Bone Density Axial (77080) | $242.40 | $404 | 2.3× |
| Dxa bone density study (77085) | $364.20 | $607 | 3.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $198 | $330 | 2.3× |
| Esophagram (74220) | $756.60 | $1,261 | 4.3× |
| Fetal Biophys Profile W/Nst (76818) | $780.60 | $1,301 | 7.4× |
| Fluoroscopy up to 1 hr (76000) | $492.60 | $821 | 2.1× |
| Foot 2 views (73620) | $196.20 | $327 | 2.2× |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$16.20–$247.20 | $27–$412 | varies |
| Gastric emptying imaging study (78264) | $1,006.80 | $1,678 | 2.5× |
| Gated Heart Planar Single (78472) | $827.40 | $1,379 | 2.1× |
| Hand 2 views (73120) | $366 | $610 | 3.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,367.40 | $2,279 | 2.5× |
| Hepatobiliary System Imaging (78226) | $993 | $1,655 | 2.5× |
| Ht Muscle Image Spect Sing (78451) | $2,224.80 | $3,708 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $1,004.40 | $1,674 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,004.40 | $1,674 | 1.8× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$54.60–$255 | $91–$425 | varies |
| Liver & Spleen Imaging Static Only (78215) | $780.60 | $1,301 | 1.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $780.60 | $1,301 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,004.40 | $1,674 | 1.8× |
| Meckels Divert Exam (78290) | $1,003.20 | $1,672 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,164.20 | $3,607 | 6.2× |
| MRA head w/o contrast (70544) | $1,872 | $3,120 | 7.8× |
| MRA head with contrast (70545) | $1,965 | $3,275 | 5.6× |
| MRA neck w contrast (70548) | $1,950.60 | $3,251 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,326.80 | $3,878 | 6.6× |
| MRA neck w/o contrast (70547) | $1,765.80 | $2,943 | 7.4× |
| MRI abdomen w contrast (74182) | $2,432.40 | $4,054 | 6.9× |
| MRI abdomen w/o contrast (74181) | $2,013.60 | $3,356 | 8.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,485.20 | $4,142 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,164.20 | $3,607 | 6.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,784.60 | $4,641 | 3.5× |
| MRI cervical spine w contrast (72142) | $1,964.40 | $3,274 | 5.6× |
| MRI cervical spine w/o cont (72141) | $1,936.80 | $3,228 | 8.1× |
| MRI chest w/o contrast (71550) | $1,536 | $2,560 | 6.4× |
| MRI chest with contrast (71551) | $2,559.60 | $4,266 | 3.3× |
| MRI chest wo w contrast (71552) | $2,567.40 | $4,279 | 7.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,964.40 | $3,274 | 5.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,164.20 | $3,607 | 6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,765.80 | $2,943 | 7.4× |
| MRI lumbar spine w contrast (72149) | $1,964.40 | $3,274 | 5.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,959.80 | $4,933 | 8.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,888.20 | $3,147 | 7.9× |
| MRI orbit face neck w contrast (70542) | $1,964.40 | $3,274 | 5.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,164.20 | $3,607 | 6.2× |
| MRI pelvis w contrast (72196) | $2,373 | $3,955 | 6.8× |
| MRI pelvis w/o & w contrast (72197) | $2,734.20 | $4,557 | 7.8× |
| MRI pelvis w/o contrast (72195) | $1,960.80 | $3,268 | 8.2× |
| MRI thoracic spine w/o contrast (72146) | $1,956 | $3,260 | 8.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,964.40 | $3,274 | 5.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,765.80 | $2,943 | 7.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,412 | $4,020 | 6.9× |
| MRI, abdomen, combo (74183) | $2,879.40 | $4,799 | 8.2× |
| MRI, dorsal spine combo (72157) | $3,182.40 | $5,304 | 9.1× |
| MRI, dorsal spine contrast (72147) | $1,964.40 | $3,274 | 5.6× |
| MRI, joint upper extrem (73221) | $1,826.40 | $3,044 | 7.6× |
| MRI, joint upper extrem combo (73223) | $2,936.40 | $4,894 | 8.4× |
| MRI, lumbar spine combo (72158) | $3,096 | $5,160 | 8.8× |
| Myelogram cervical (72240) | $2,176.20 | $3,627 | 2.8× |
| Myelogram Lumbar (72265) | $2,176.20 | $3,627 | 2.8× |
| Myelography thoracic (72255) | $2,176.20 | $3,627 | 2.8× |
| Myocardial Spect Multiple Studies (78452) | $2,224.80 | $3,708 | 1.7× |
| Neck soft tissue (70360) | $221.40 | $369 | 2.5× |
| Parathyroid Planar Imaging (78070) | $855 | $1,425 | 2.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $979.80 | $1,633 | 2.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$16.80–$366 | $28–$610 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $708.60 | $1,181 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $415.20 | $692 | 4.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $719.40 | $1,199 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$43.20–$267 | $72–$445 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$19.80–$198.60 | $33–$331 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$16.80–$310.20 | $28–$517 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $468.60 | $781 | 4.5× |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$25.20–$246 | $42–$410 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$40.20–$258.60 | $67–$431 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$21.60–$269.40 | $36–$449 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$271.20–$406.20 | $452–$677 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $292.80 | $488 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $235.20 | $392 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $276 | $460 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$37.80–$273 | $63–$455 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $217.20 | $362 | 2.5× |
| Radex Spine 1 View Specify Level (72020) | $136.20 | $227 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $250.20 | $417 | 2.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $312 | $520 | 3.6× |
| Radex Toe Minimum 2 Views (73660) range across 24 matching MRF lines |
$58.80–$200.40 | $98–$334 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $354.60 | $591 | 3.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$16.80–$252.60 | $28–$421 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $351.60 | $586 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $230.40 | $384 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $692.40 | $1,154 | 3.9× |
| Radiologic exam colon single contrast study (74270) | $692.40 | $1,154 | 3.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $526.20 | $877 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$37.80–$428.40 | $63–$714 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$21.60–$414 | $36–$690 | varies |
| Radiologic exam swallow function contrast study (74230) | $467.40 | $779 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $809.40 | $1,349 | 4.6× |
| Radiologic examination femur 1 view (73551) | $312 | $520 | 3.6× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$36–$468.60 | $60–$781 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$36–$216 | $60–$360 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $429 | $715 | 4.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$46.80–$271.20 | $78–$452 | varies |
| Ribs bilateral 3 views (71110) | $354.60 | $591 | 3.4× |
| Scapula (73010) range across 4 matching MRF lines |
$18–$354.60 | $30–$591 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $82.20 | $137 | 3.5× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$20.40–$240 | $34–$400 | varies |
| Shoulder Arthrography (73040) | $1,456.20 | $2,427 | 4.2× |
| Skull less than 4 views (70250) | $354.60 | $591 | 3.4× |
| Sternoclavicular joints (71130) | $288.60 | $481 | 3.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$25.80–$354.60 | $43–$591 | varies |
| Thoracic spine 3 views (72072) | $357.60 | $596 | 3.4× |
| Thyroid Uptake Measurement (78012) | $780.60 | $1,301 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $802.20 | $1,337 | 2.0× |
| Ultrasound Breast Limited (76642) | $198 | $330 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $520.20 | $867 | 5.0× |
| Ultrasound, abdomen limited (76705) range across 9 matching MRF lines |
$74.40–$595.20 | $124–$992 | varies |
| Unlisted fluoroscopic procedure (76496) | $198 | $330 | 2.3× |
| Upper gi w/o kub (74240) | $783 | $1,305 | 4.4× |
| Urethrocystogram voiding (74455) | $696.60 | $1,161 | 2.9× |
| Us breast unilateral complete (76641) | $490.80 | $818 | 4.7× |
| Us chest (76604) range across 3 matching MRF lines |
$69.60–$490.80 | $116–$818 | varies |
| Us complete joint (76881) | $367.80 | $613 | 3.5× |
| Us exam, pelvic, limited (76857) | $366 | $610 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 13 matching MRF lines |
$62.40–$659.40 | $104–$1,099 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$84.60–$490.80 | $141–$818 | varies |
| Us ob transvaginal (76817) | $625.20 | $1,042 | 6.0× |
| Us pelvic non ob complete (76856) | $559.80 | $933 | 5.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $490.80 | $818 | 4.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $490.80 | $818 | 4.7× |
| Us retroperitoneal complete (76770) | $622.20 | $1,037 | 5.9× |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$72.60–$520.20 | $121–$867 | varies |
| Us scrotum and contents (76870) | $642 | $1,070 | 6.1× |
| Us thyroid (76536) | $512.40 | $854 | 4.9× |
| Venography extremity bilateral rs&i (75822) | $3,136.20 | $5,227 | 2.0× |
| Venography extremity unilateral rs&i (75820) | $1,954.20 | $3,257 | 1.2× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$26.40–$213 | $44–$355 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $250.20 | $417 | 2.9× |
| X-ray antegrade pyelogram tube (74425) | $837 | $1,395 | 2.4× |
| X-Ray Bend Only L-S Spine (72120) | $396 | $660 | 3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$21–$210 | $35–$350 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,552.80 | $2,588 | 2.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $312 | $520 | 3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $366 | $610 | 3.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 9 matching MRF lines |
$22.80–$376.20 | $38–$627 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
$22.20–$303 | $37–$505 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$88.80–$342 | $148–$570 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $429 | $715 | 4.1× |
| X-Ray Exam L-S Spine Bending (72114) | $550.80 | $918 | 5.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$25.80–$253.20 | $43–$422 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $604.80 | $1,008 | 5.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $366 | $610 | 3.5× |
| X-ray eye for foreign body (70030) | $198 | $330 | 2.3× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$23.40–$250.20 | $39–$417 | varies |
| X-ray IV pyelogram (ivp) (74400) | $803.40 | $1,339 | 4.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $292.80 | $488 | 3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$52.80–$163.80 | $88–$273 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$46.20–$366 | $77–$610 | varies |
| X-ray nose-rectum child f.b. (76010) | $217.80 | $363 | 2.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $350.40 | $584 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $354.60 | $591 | 3.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $354.60 | $591 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$19.20–$274.80 | $32–$458 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $755.40 | $1,259 | 8.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $468.60 | $781 | 4.5× |
| X-Ray Stress View (77071) | $192 | $320 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $354.60 | $591 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,410 | $2,350 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $555 | $925 | 5.3× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$31.80–$533.40 | $53–$889 | varies |
| Xr facial bones less than 3 views (70140) | $235.20 | $392 | 2.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $548.40 | $914 | 5.2× |
| Xr orbits complete 4 views (70200) | $365.40 | $609 | 3.5× |
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.