Imaging prices at Harrison County Hospital
Corydon, IN · 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 →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$51–$304.80 | $85–$508 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$69–$342 | $115–$570 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,065.60 | $1,776 | 2.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$51–$211.80 | $85–$353 | varies |
| Arthrogram ankle (73615) | $993.60 | $1,656 | 2.7× |
| Arthrogram hip (73525) | $993.60 | $1,656 | 2.7× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$48–$993.60 | $80–$1,656 | varies |
| Bone age studies (77072) | $145.20 | $242 | 1.3× |
| Bone Imaging 3 Phase (78315) | $1,990.20 | $3,317 | 4.7× |
| Bone Imaging Limited Area (78300) | $1,357.20 | $2,262 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,901.40 | $3,169 | 4.5× |
| Bone survey infant (77076) | $428.40 | $714 | 3.9× |
| Brain Image W/Flow < 4 Views (78601) | $886.80 | $1,478 | 2.1× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$45–$210 | $75–$350 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$60–$230.40 | $100–$384 | varies |
| Chest 3 views (71047) | $373.80 | $623 | 4.1× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$400.80–$546.60 | $668–$911 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$58.20–$241.20 | $97–$402 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $162 | $270 | 1.5× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$54.60–$714.60 | $91–$1,191 | varies |
| Contrast X-Ray Of Elbow (73085) | $993.60 | $1,656 | 2.7× |
| Contrast X-Ray Of Knee Joint (73580) | $993.60 | $1,656 | 2.7× |
| CT abdomen and pelvis without and with contrast (74178) | $3,634.20 | $6,057 | 9.8× |
| CT abdomen and pelvis without contrast (74176) | $2,982 | $4,970 | 11.8× |
| CT abdomen w contrast (74160) | $2,289.60 | $3,816 | 12.3× |
| CT abdomen w wo contrast (74170) | $2,730 | $4,550 | 14.7× |
| CT abdomen w/o contrast (74150) | $2,170.20 | $3,617 | 19.6× |
| CT Angio Abdomen and Pelvis (74174) | $1,784.40 | $2,974 | 4.8× |
| CT Angio Chest (71275) | $1,784.40 | $2,974 | 9.6× |
| CT Angio Head (70496) | $894 | $1,490 | 4.8× |
| CT angio hrt w/3d image (75574) | $1,485 | $2,475 | 4.0× |
| CT Angio Neck (70498) | $894 | $1,490 | 4.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,707.60 | $2,846 | 9.2× |
| CT cervical spine w/o contrast (72125) | $2,007 | $3,345 | 18.1× |
| CT cervical spine w/wo cont (72127) | $2,699.40 | $4,499 | 14.5× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,696.20–$1,697.40 | $2,827–$2,829 | varies |
| CT chest w/wo contrast (71270) | $1,585.80 | $2,643 | 8.5× |
| CT head/brain with contrast (70460) | $1,509.60 | $2,516 | 8.1× |
| CT head/brain without and with contrast (70470) | $1,600.20 | $2,667 | 8.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $31.20 | $52 | 0.3× |
| CT iac w contrast (70481) | $2,062.20 | $3,437 | 11.1× |
| CT l-spine w&w/o contrast (72133) | $2,699.40 | $4,499 | 14.5× |
| CT lower ext w/o (73700) | $909 | $1,515 | 8.2× |
| CT lower extremity w/contrast material (73701) | $2,097 | $3,495 | 11.3× |
| CT lumbar spine w contrast (72132) | $2,336.40 | $3,894 | 6.3× |
| CT lumbar spine w/o contrast (72131) | $2,007 | $3,345 | 18.1× |
| CT maxillofacial w contrast (70487) | $2,242.80 | $3,738 | 12.1× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,075.20–$1,955.40 | $1,792–$3,259 | varies |
| CT neck tissue combo (70492) | $2,821.20 | $4,702 | 15.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,407.80 | $4,013 | 13.0× |
| CT orbits w/o contrast (70480) | $1,764 | $2,940 | 15.9× |
| CT pelvis w&w/o contrast (72194) | $2,569.80 | $4,283 | 13.8× |
| CT pelvis w/o contrast (72192) | $2,007 | $3,345 | 18.1× |
| CT scan of leg combo (73702) | $1,780.20 | $2,967 | 9.6× |
| CT scans face/jaw combo (70488) | $2,421 | $4,035 | 13.0× |
| CT soft tissue neck w contrast (70491) | $2,170.20 | $3,617 | 11.7× |
| CT soft tissue neck w/o contrast (70490) | $1,778.40 | $2,964 | 16.1× |
| CT thoracic spine w/o contrast (72128) | $2,137.20 | $3,562 | 19.3× |
| CT thorax w/o contrast (71250) | $1,239.60 | $2,066 | 11.2× |
| CT upper ext wo (73200) | $1,711.20 | $2,852 | 15.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,681.40 | $4,469 | 14.4× |
| CT upper extremity with contrast (73201) | $2,511.60 | $4,186 | 6.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,784.40 | $2,974 | 9.6× |
| Cta Abdomen (74175) | $1,784.40 | $2,974 | 9.6× |
| CTA pelvis (72191) | $1,784.40 | $2,974 | 9.6× |
| Dxa Bone Density Axial (77080) | $408 | $680 | 3.7× |
| Esophagram (74220) | $660.60 | $1,101 | 3.6× |
| Fetal Biophys Profile W/Nst (76818) | $1,134 | $1,890 | 10.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $775.20 | $1,292 | 7.0× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$561–$595.80 | $13–$993 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$54–$261.60 | $90–$436 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$60.60–$279 | $101–$465 | varies |
| Gastric emptying imaging study (78264) | $1,269 | $2,115 | 3.0× |
| Gated Heart Planar Single (78472) | $2,143.80 | $3,573 | 5.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,606.20 | $2,677 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,558.20 | $2,597 | 3.7× |
| Ht Muscle Image Spect Sing (78451) | $3,114 | $5,190 | 2.3× |
| Joint Survey Single View (77077) | $145.20 | $242 | 1.3× |
| K Flow/Funct Image Multiple (78709) | $1,467 | $2,445 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $886.80 | $1,478 | 1.5× |
| Knee 3 Views (73562) | $408 | $680 | 4.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $996 | $1,660 | 2.4× |
| Liver imaging static only (78201) | $1,293.60 | $2,156 | 2.3× |
| Liver imaging w/vascular flow (78202) | $840 | $1,400 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,734.60 | $2,891 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $2,400 | $4,000 | 9.5× |
| Meckels Divert Exam (78290) | $857.40 | $1,429 | 2.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $15.60 | $26 | 0.5× |
| MRA head w/o contrast (70544) | $2,277 | $3,795 | 9.0× |
| MRA neck w contrast (70548) | $2,709.60 | $4,516 | 7.3× |
| MRA neck w/o contrast (70547) | $3,824.40 | $6,374 | 15.1× |
| MRI abdomen w contrast (74182) | $3,674.40 | $6,124 | 10.0× |
| MRI abdomen w/o contrast (74181) | $2,662.20 | $4,437 | 10.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$3,566.40–$3,870 | $5,944–$6,450 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,420.60 | $5,701 | 9.3× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,420.60–$3,870 | $5,701–$6,450 | varies |
| MRI cervical spine w contrast (72142) | $3,600.60 | $6,001 | 9.8× |
| MRI cervical spine w/o cont (72141) | $3,535.20 | $5,892 | 14.0× |
| MRI chest w/o contrast (71550) | $4,213.80 | $7,023 | 16.7× |
| MRI chest with contrast (71551) | $3,061.80 | $5,103 | 3.7× |
| MRI chest wo w contrast (71552) | $3,150.60 | $5,251 | 8.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$3,420.60–$3,735 | $5,701–$6,225 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,968.40 | $6,614 | 10.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,202.80–$3,420.60 | $5,338–$5,701 | varies |
| MRI lumbar spine w contrast (72149) | $3,600.60 | $6,001 | 9.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,762.60 | $6,271 | 10.2× |
| MRI orbit face &/neck w/o contrast (70540) | $3,685.20 | $6,142 | 14.6× |
| MRI orbit face neck w contrast (70542) | $3,813 | $6,355 | 10.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,384.60 | $5,641 | 9.2× |
| MRI pelvis w contrast (72196) | $3,199.20 | $5,332 | 8.7× |
| MRI pelvis w/o & w contrast (72197) | $3,292.20 | $5,487 | 8.9× |
| MRI pelvis w/o contrast (72195) | $3,108.60 | $5,181 | 12.3× |
| MRI thoracic spine w/o contrast (72146) | $3,762.60 | $6,271 | 14.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,273.60–$3,870 | $5,456–$6,450 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,227.40–$3,273.60 | $5,379–$5,456 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,202.80 | $5,338 | 8.7× |
| MRI, abdomen, combo (74183) | $3,694.20 | $6,157 | 10.0× |
| MRI, dorsal spine combo (72157) | $4,416 | $7,360 | 12.0× |
| MRI, dorsal spine contrast (72147) | $4,090.20 | $6,817 | 11.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,437.40–$3,591.60 | $5,729–$5,986 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,420.60–$4,043.40 | $5,701–$6,739 | varies |
| MRI, lumbar spine combo (72158) | $3,694.20 | $6,157 | 10.0× |
| Myelogram Lumbar (72265) | $1,196.40 | $1,994 | 1.4× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$68.40–$3,543.60 | $114–$5,906 | varies |
| Neck soft tissue (70360) | $284.40 | $474 | 3.1× |
| Nm red cell survival study (78130) | $549.60 | $916 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $2,025 | $3,375 | 8.2× |
| Parathyroid Planar Imaging (78070) | $364.20 | $607 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $364.20 | $607 | 0.9× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$72–$327.60 | $120–$546 | varies |
| PET image w/CT, full body (78816) | $4,301.40 | $7,169 | 2.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,058.40 | $6,764 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $595.80 | $993 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$10.80–$265.80 | $18–$443 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$9.60–$212.40 | $16–$354 | varies |
| Radex elbow complete minimum 3 views (73080) | $260.40 | $434 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$75–$454.20 | $125–$757 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$8.40–$197.40 | $14–$329 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$10.20–$271.20 | $17–$452 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$10.20–$278.40 | $17–$464 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$48–$251.40 | $80–$419 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$51–$291 | $85–$485 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$60–$309.60 | $100–$516 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$68.40–$339 | $114–$565 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$90–$261 | $150–$435 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $497.40 | $829 | 5.4× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$7.80–$162.60 | $13–$271 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$54–$261.60 | $90–$436 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$10.80–$258.60 | $18–$431 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$54–$323.40 | $90–$539 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $430.80 | $718 | 3.9× |
| Radiologic exam colon double contrast study (74280) | $849 | $1,415 | 4.6× |
| Radiologic exam colon single contrast study (74270) | $991.20 | $1,652 | 5.3× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$13.80–$368.40 | $23–$614 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$603.60–$1,002.60 | $1,006–$1,671 | varies |
| Radiologic exam swallow function contrast study (74230) | $742.80 | $1,238 | 4.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $925.80 | $1,543 | 5.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$63–$271.80 | $105–$453 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$10.80–$251.40 | $18–$419 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $592.80 | $988 | 5.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$10.20–$271.20 | $17–$452 | varies |
| Ribs bilateral 3 views (71110) | $349.20 | $582 | 3.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,035 | $1,725 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,972.40 | $4,954 | 5.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$759–$2,293.20 | $1,265–$3,822 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$57–$251.40 | $95–$419 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$45–$215.40 | $75–$359 | varies |
| Shoulder Arthrography (73040) | $993.60 | $1,656 | 2.7× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$118.80–$246.60 | $198–$411 | varies |
| Sternoclavicular joints (71130) | $190.80 | $318 | 2.1× |
| Thoracic spine 2 views (72070) | $339 | $565 | 3.1× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$39.60–$378 | $66–$630 | varies |
| Thoracolumbar 2 views (72080) | $402.60 | $671 | 4.4× |
| Thyroid Imaging With Vascular Flow (78013) | $607.20 | $1,012 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,028.40 | $1,714 | 2.4× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$60–$368.40 | $100–$614 | varies |
| Ultrasound Exam Aaa Screen (76706) | $483 | $805 | 4.4× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$108–$780.60 | $180–$1,301 | varies |
| Unlisted us procedure (76999) | $363 | $605 | 3.9× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$660.60–$1,316.40 | $1,101–$2,194 | varies |
| Urethrocystogram voiding (74455) | $906 | $1,510 | 3.6× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$60–$368.40 | $100–$614 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$100.20–$347.40 | $167–$579 | varies |
| Us complete joint (76881) | $120 | $200 | 1.1× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$78–$247.80 | $130–$413 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$30–$597 | $50–$995 | varies |
| Us ob detailed single fetus (76811) | $1,085.40 | $1,809 | 4.3× |
| Us ob limited 1 or more fetuses (76815) | $452.40 | $754 | 4.1× |
| Us ob transvaginal (76817) | $747 | $1,245 | 6.8× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$124.80–$753.60 | $208–$1,256 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $864.60 | $1,441 | 7.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $632.40 | $1,054 | 5.7× |
| Us retroperitoneal complete (76770) | $940.20 | $1,567 | 8.5× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$627.60–$673.80 | $1,046–$1,123 | varies |
| Us scrotum and contents (76870) | $777 | $1,295 | 7.0× |
| Us thyroid (76536) range across 3 matching MRF lines |
$103.20–$722.40 | $172–$1,204 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$48–$274.80 | $80–$458 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$60–$268.80 | $100–$448 | varies |
| X-Ray Bend Only L-S Spine (72120) | $742.20 | $1,237 | 6.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$6.60–$271.80 | $11–$453 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$109.20–$357 | $182–$595 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $215.40 | $359 | 2.3× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$66–$302.40 | $110–$504 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$36–$291 | $60–$485 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $568.20 | $947 | 5.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $568.20 | $947 | 5.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$60.60–$368.40 | $101–$614 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $531 | $885 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$78–$349.20 | $130–$582 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$62.40–$115.20 | $104–$192 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$94.80–$271.80 | $158–$453 | varies |
| X-ray IV pyelogram (ivp) (74400) | $908.40 | $1,514 | 4.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$7.80–$251.40 | $13–$419 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$13.80–$446.40 | $23–$744 | varies |
| X-ray nose-rectum child f.b. (76010) | $145.20 | $242 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $393 | $655 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$16.20–$327 | $27–$545 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$7.80–$323.40 | $13–$539 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$53.40–$414 | $89–$690 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $636.60 | $1,061 | 5.8× |
| X-ray thoracic spine 4 vw (72074) | $594 | $990 | 5.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $840.60 | $1,401 | 2.3× |
| X-Rays Bone Length Studies (77073) | $181.80 | $303 | 1.6× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$51–$381 | $85–$635 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$63–$426.60 | $105–$711 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$48–$328.80 | $80–$548 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$62.40–$310.80 | $104–$518 | 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.