Imaging prices at Helen Newberry Joy Hospital
Newberry, MI · every code in this section with a posted price and a Medicare benchmark.
202 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 |
$13.55–$125.37 | $21.50–$199 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$17.33–$136.08 | $27.50–$216 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$11.97–$159.71 | $19–$253.50 | varies |
| Bone age studies (77072) | $146.16 | $232 | 1.4× |
| Bone Imaging 3 Phase (78315) | $754.11 | $1,197 | 1.9× |
| Bone Imaging Limited Area (78300) | $665.28 | $1,056 | 1.7× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$61.74–$754.11 | $98–$1,197 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$13.55–$120.33 | $21.50–$191 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$16.38–$157.19 | $26–$249.50 | varies |
| Chest 4 or more views (71048) | $167.27 | $265.50 | 1.6× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$12.92–$109.31 | $20.50–$173.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$77.81–$378.32 | $123.50–$600.50 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$146.79–$2,561.27 | $233–$4,065.50 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$126.95–$1,857.87 | $201.50–$2,949 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$94.19–$1,172.12 | $149.50–$1,860.50 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$101.43–$1,566.50 | $161–$2,486.50 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$86.63–$965.48 | $137.50–$1,532.50 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$160.97–$2,178.86 | $255.50–$3,458.50 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$42.84–$1,438.29 | $68–$2,283 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$108.36–$1,624.77 | $172–$2,579 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$137.97–$1,280.48 | $219–$2,032.50 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$53.87–$1,340.33 | $85.50–$2,127.50 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$127.26–$1,280.48 | $202–$2,032.50 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$72.77–$1,233.86 | $115.50–$1,958.50 | varies |
| CT cervical spine w/wo cont (72127) | $1,629.50 | $2,586.50 | 9.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$85.05–$1,438.29 | $135–$2,283 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$91.35–$1,653.44 | $145–$2,624.50 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$82.53–$1,525.23 | $131–$2,421 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$92.61–$1,643.67 | $147–$2,609 | varies |
| CT iac w contrast (70481) | $1,014.30 | $1,610 | 5.8× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$92.30–$1,708.25 | $146.50–$2,711.50 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$72.77–$921.69 | $115.50–$1,463 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$84.42–$1,108.80 | $134–$1,760 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$88.83–$1,357.02 | $141–$2,154 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$72.77–$1,233.86 | $115.50–$1,958.50 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$82.53–$1,107.23 | $131–$1,757.50 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$64.58–$1,006.74 | $102.50–$1,598 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$117.81–$1,525.23 | $187–$2,421 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,317.65 | $2,091.50 | 7.5× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$94.19–$921.69 | $149.50–$1,463 | varies |
| CT pelvis w&w/o contrast (72194) | $1,692.18 | $2,686 | 9.7× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$79.07–$1,223.46 | $125.50–$1,942 | varies |
| CT scan of leg combo (73702) | $1,329.62 | $2,110.50 | 7.6× |
| CT scans face/jaw combo (70488) | $1,208.03 | $1,917.50 | 6.9× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$100.49–$1,314.81 | $159.50–$2,087 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$94.19–$1,127.07 | $149.50–$1,789 | varies |
| CT thoracic spine w contrast (72129) | $1,357.02 | $2,154 | 7.8× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$72.77–$1,233.86 | $115.50–$1,958.50 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$90.09–$1,629.50 | $143–$2,586.50 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$78.75–$1,233.86 | $125–$1,958.50 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$72.77–$1,136.52 | $115.50–$1,804 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,498.77 | $2,379 | 8.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$84.42–$1,250.24 | $134–$1,984.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$173.25–$1,062.18 | $275–$1,686 | varies |
| Cta Abdomen (74175) | $1,340.33 | $2,127.50 | 7.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $224.60 | $356.50 | 0.6× |
| CTA pelvis (72191) | $1,340.33 | $2,127.50 | 7.7× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$14.49–$369.81 | $23–$587 | varies |
| Dxa bone density study (77085) | $21.74 | $34.50 | 0.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $85.37 | $135.50 | 1.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$44.10–$149.94 | $70–$238 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$55.76–$388.08 | $88.50–$616 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$38.43–$354.69 | $61–$563 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$11.34–$173.88 | $18–$276 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$11.97–$125.37 | $19–$199 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$57.02–$717.89 | $90.50–$1,139.50 | varies |
| Gated Heart Planar Single (78472) | $382.73 | $607.50 | 1.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$12.29–$146.16 | $19.50–$232 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$64.89–$980.28 | $103–$1,556 | varies |
| Hepatobiliary System Imaging (78226) | $980.28 | $1,556 | 2.5× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$97.97–$1,512 | $155.50–$2,400 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$86.31–$722.61 | $137–$1,147 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$86.31–$722.61 | $137–$1,147 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$13.86–$132.30 | $22–$210 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$75.60–$754.11 | $120–$1,197 | varies |
| Magnetic Image Jaw Joint (70336) | $2,007.50 | $3,186.50 | 8.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,879.73 | $4,571 | 8.3× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$86.94–$2,014.11 | $138–$3,197 | varies |
| MRA head with contrast (70545) | $2,215.40 | $3,516.50 | 6.4× |
| MRA neck w contrast (70548) | $2,147.99 | $3,409.50 | 6.2× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$131.04–$2,791.53 | $208–$4,431 | varies |
| MRA neck w/o contrast (70547) | $1,953 | $3,100 | 8.2× |
| MRI abdomen w contrast (74182) | $2,446.92 | $3,884 | 7.0× |
| MRI abdomen w/o contrast (74181) | $2,014.11 | $3,197 | 8.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$115.29–$2,183.58 | $183–$3,466 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$335.79–$2,483.78 | $533–$3,942.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$135.77–$2,112.39 | $215.50–$3,353 | varies |
| MRI cervical spine w contrast (72142) | $2,532.29 | $4,019.50 | 7.3× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$108.36–$2,087.51 | $172–$3,313.50 | varies |
| MRI chest w/o contrast (71550) | $2,035.85 | $3,231.50 | 8.6× |
| MRI chest with contrast (71551) | $2,258.24 | $3,584.50 | 2.9× |
| MRI chest wo w contrast (71552) | $2,605.05 | $4,135 | 7.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$158.13–$2,355.26 | $251–$3,738.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$98.60–$1,947.33 | $156.50–$3,091 | varies |
| MRI lumbar spine w contrast (72149) | $2,390.22 | $3,794 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$168.53–$2,978.33 | $267.50–$4,727.50 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,173.50 | $3,450 | 9.1× |
| MRI orbit face neck w contrast (70542) | $2,390.22 | $3,794 | 6.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$157.82–$2,875.95 | $250.50–$4,565 | varies |
| MRI pelvis w contrast (72196) | $2,429.60 | $3,856.50 | 7.0× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$160.97–$3,081.65 | $255.50–$4,891.50 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$106.79–$2,208.15 | $169.50–$3,505 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$108.36–$2,136.65 | $172–$3,391.50 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$99.23–$1,947.33 | $157.50–$3,091 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$98.91–$2,286.59 | $157–$3,629.50 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$160.97–$2,879.73 | $255.50–$4,571 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$168.53–$2,794.05 | $267.50–$4,435 | varies |
| MRI, dorsal spine contrast (72147) | $2,563.47 | $4,069 | 7.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$98.91–$1,913.94 | $157–$3,038 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$288.23–$2,787.75 | $457.50–$4,425 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$168.53–$2,875.95 | $267.50–$4,565 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$115.61–$2,716.25 | $183.50–$4,311.50 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$13.55–$118.13 | $21.50–$187.50 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$109.31–$127.58 | $173.50–$202.50 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $172.62 | $274 | 0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $475.97 | $755.50 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$23.94–$285.08 | $38–$452.50 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$12.92–$187.74 | $20.50–$298 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$11.66–$118.13 | $18.50–$187.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$12.92–$382.73 | $20.50–$607.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$19.53–$167.27 | $31–$265.50 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$10.40–$112.46 | $16.50–$178.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$12.29–$180.81 | $19.50–$287 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$16.70–$125.37 | $26.50–$199 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $92.61 | $147 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$12.92–$147.42 | $20.50–$234 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$16.70–$185.54 | $26.50–$294.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$13.86–$133.88 | $22–$212.50 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$14.49–$151.52 | $23–$240.50 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$17.64–$268.07 | $28–$425.50 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$11.66–$99.23 | $18.50–$157.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$12.92–$200.66 | $20.50–$318.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$18.90–$167.27 | $30–$265.50 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$51.35–$168.21 | $81.50–$267 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$17.01–$174.51 | $27–$277 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $109.31 | $173.50 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $56.70 | $90 | 0.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$65.52–$244.76 | $104–$388.50 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$11.97–$138.92 | $19–$220.50 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$13.55–$146.79 | $21.50–$233 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$12.29–$132.30 | $19.50–$210 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $361.31 | $573.50 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$11.97–$125.37 | $19–$199 | varies |
| Ribs bilateral 3 views (71110) | $250.74 | $398 | 2.4× |
| Scapula (73010) range across 2 matching MRF lines |
$13.23–$109.31 | $21–$173.50 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$81.59–$100.17 | $129.50–$159 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$11.34–$77.18 | $18–$122.50 | varies |
| Shoulder Arthrography (73040) | $40.32 | $64 | 0.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$13.23–$133.88 | $21–$212.50 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$16.38–$63.63 | $26–$101 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$14.81–$111.20 | $23.50–$176.50 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$16.70–$184.59 | $26.50–$293 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$12.92–$550.94 | $20.50–$874.50 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$44.10–$131.04 | $70–$208 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$40.01–$478.80 | $63.50–$760 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$127.58–$463.37 | $202.50–$735.50 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$36.23–$305.24 | $57.50–$484.50 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$58.91–$186.80 | $93.50–$296.50 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$53.87–$550.94 | $85.50–$874.50 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$41.90–$234.36 | $66.50–$372 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$36.23–$270.90 | $57.50–$430 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$50.72–$452.66 | $80.50–$718.50 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$47.88–$369.81 | $76–$587 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$54.81–$401.31 | $87–$637 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$50.40–$401.31 | $80–$637 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$72.77–$388.40 | $115.50–$616.50 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$62.37–$298.62 | $99–$474 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$78.75–$517.55 | $125–$821.50 | varies |
| Us retroperitoneal limited (76775) | $440.69 | $699.50 | 4.2× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$46.62–$526.37 | $74–$835.50 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$50.40–$478.80 | $80–$760 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$90.09–$335.16 | $143–$532 | varies |
| Vertebral fracture assessment via dxa (77086) | $12.29 | $19.50 | 0.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$12.29–$186.17 | $19.50–$295.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$13.55–$151.52 | $21.50–$240.50 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$12.29–$159.71 | $19.50–$253.50 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$19.53–$173.88 | $31–$276 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $159.39 | $253 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$13.55–$92.61 | $21.50–$147 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$19.53–$201.29 | $31–$319.50 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $17.01 | $27 | 0.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$23.31–$200.66 | $37–$318.50 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$22.68–$193.10 | $36–$306.50 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$17.01–$184.59 | $27–$293 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$22.05–$308.39 | $35–$489.50 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$19.85–$199.08 | $31.50–$316 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$13.55–$243.50 | $21.50–$386.50 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$11.66–$118.13 | $18.50–$187.50 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $153.09 | $243 | 1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$12.92–$132.30 | $20.50–$210 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$19.85–$184.59 | $31.50–$293 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$81.59–$286.34 | $129.50–$454.50 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$17.01–$111.51 | $27–$177 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$12.92–$109.31 | $20.50–$173.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$16.38–$163.49 | $26–$259.50 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $193.10 | $306.50 | 1.9× |
| X-Ray Stress View (77071) | $84.42 | $134 | 1.0× |
| X-Ray Tmj Unilat (70328) | $133.56 | $212 | 1.5× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$19.53–$348.39 | $31–$553 | varies |
| X-Rays Bone Survey Complete (77075) | $382.10 | $606.50 | 3.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$20.16–$213.89 | $32–$339.50 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$20.79–$167.27 | $33–$265.50 | 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.