Imaging prices at Humboldt Park Health
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
335 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 3 matching MRF lines |
$7.94–$105.13 | $28.35–$375.48 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$9.70–$183.88 | $34.65–$656.73 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$41.45–$445.69 | $148.05–$1,591.75 | varies |
| Angio internal mammary (75756) | $946.68 | $3,381 | 0.3× |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$1,588.78–$3,037.01 | $247.80–$10,846.45 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,371.70 | $305.55–$8,470.35 | 0.7× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,371.70 | $277.20–$8,470.35 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$946.68–$3,020.49 | $194.25–$10,787.48 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$7.06–$81.20 | $25.20–$290 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,676.36 | $16,701.30 | 0.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,116.49 | $7,558.89 | 0.6× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$4,879.81 | $304.50–$17,427.90 | 0.8× |
| Artery X-Rays Pelvis (75736) | $4,676.36 | $16,701.30 | 0.8× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$25.28–$332.51 | $90.30–$1,187.55 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$25.87–$678.20 | $92.40–$2,422.14 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$24.11–$332.51 | $86.10–$1,187.55 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$8.23–$74.66 | $29.40–$266.63 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$42.63–$978.52 | $152.25–$3,494.70 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$35.57–$351.04 | $127.05–$1,253.70 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$21.76–$557.43 | $77.70–$1,990.83 | varies |
| Bone marrow imaging; multiple areas (78103) range across 2 matching MRF lines |
$25.87–$611.34 | $92.40–$2,183.36 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$32.34–$621.56 | $115.50–$2,219.87 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$29.99–$155.50 | $107.10–$555.36 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$767.96 | $94.50–$2,742.73 | 1.3× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines |
$50.86–$351.04 | $181.65–$1,253.70 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$108.49–$762.93 | $387.45–$2,724.75 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$24.11–$459.82 | $86.10–$1,642.20 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$7.64–$115.36 | $27.30–$412 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$9.41–$78.50 | $33.60–$280.35 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$11.76–$78.50 | $42–$280.35 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$12.94–$126.81 | $46.20–$452.90 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $152 | $542.85 | 1.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$7.35–$110.94 | $26.25–$396.20 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$46.16–$387.09 | $164.85–$1,382.46 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,712.44 | $228.90–$9,687.30 | 0.8× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$377.42 | $49.35–$1,347.93 | 1.0× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$22.93–$296.71 | $81.90–$1,059.68 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$28.22–$329.28 | $100.80–$1,176 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$84.97–$1,211.74 | $303.45–$4,327.65 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$73.79–$253.72 | $263.55–$906.15 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$54.39–$1,103.39 | $194.25–$3,940.68 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$59.09–$1,306.22 | $211.05–$4,665.07 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$50.57–$640.26 | $180.60–$2,286.65 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$93.20–$2,834.16 | $332.85–$10,122 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$77.32–$1,138.27 | $276.15–$4,065.25 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$74.09–$631.22 | $264.60–$2,254.35 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$100.84–$162.88 | $360.15–$581.70 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$79.97–$1,058.39 | $285.60–$3,779.98 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$74.09–$907.28 | $264.60–$3,240.30 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$76.15–$1,054.79 | $271.95–$3,767.10 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$10.58–$278.41 | $37.80–$994.31 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) range across 2 matching MRF lines |
$42.28–$194.88 | $151–$696 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$51.74–$391.61 | $184.80–$1,398.60 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$42.34–$412.07 | $151.20–$1,471.69 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$54.10–$550.52 | $193.20–$1,966.13 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$49.69–$699.72 | $177.45–$2,499 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$52.92–$990.98 | $189–$3,539.22 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$48.22–$604.81 | $172.20–$2,160.02 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$54.39–$827.82 | $194.25–$2,956.49 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$73.21–$669.73 | $261.45–$2,391.90 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$24.70–$78.50 | $88.20–$280.35 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$48.22–$326.93 | $172.20–$1,167.60 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$54.10–$391.61 | $193.20–$1,398.60 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$42.34–$750.78 | $151.20–$2,681.34 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$49.39–$480.70 | $176.40–$1,716.79 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$51.74–$685.53 | $184.80–$2,448.33 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$42.34–$293.12 | $151.20–$1,046.85 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$47.92–$467.43 | $171.15–$1,669.38 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$36.16–$409.58 | $129.15–$1,462.78 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$68.21–$726.98 | $243.60–$2,596.35 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$54.10–$350.84 | $193.20–$1,253 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$54.98–$293.12 | $196.35–$1,046.85 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$51.45–$1,038.31 | $183.75–$3,708.26 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$46.45–$613.28 | $165.90–$2,190.27 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$51.45–$458.05 | $183.75–$1,635.90 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$54.10–$538.29 | $193.20–$1,922.47 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$58.80–$692.25 | $210–$2,472.33 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$54.68–$463.46 | $195.30–$1,655.23 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$52.33–$563.21 | $186.90–$2,011.45 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$42.34–$411.79 | $151.20–$1,470.68 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$54.39–$550.87 | $194.25–$1,967.39 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$46.16–$710.58 | $164.85–$2,537.77 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$42.34–$429.04 | $151.20–$1,532.30 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$51.45–$663.17 | $183.75–$2,368.46 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$49.39–$512.62 | $176.40–$1,830.79 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$100.84–$864.08 | $360.15–$3,086 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$77.03–$1,113.06 | $275.10–$3,975.23 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$105.56–$320.60 | $377–$1,145 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$76.15–$391.61 | $271.95–$1,398.60 | varies |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$83.20–$1,034.10 | $122.85–$3,693.23 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$22.93–$93.49 | $81.90–$333.90 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$24.70–$93.49 | $88.20–$333.90 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $27.34 | $97.65 | 0.2× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$8.53–$133.56 | $30.45–$477 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$12.64–$118.44 | $45.15–$423 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$8.53–$254.51 | $30.45–$908.95 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$69.38–$469.52 | $247.80–$1,676.85 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$30.28–$491.96 | $108.15–$1,757 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$86.44–$252.84 | $308.70–$903 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$34.40–$208.45 | $122.85–$744.45 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$25.28–$247.17 | $90.30–$882.75 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$43.81–$140.24 | $156.45–$500.85 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$32.05–$133.56 | $114.45–$477 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$13.82–$138.27 | $49.35–$493.83 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$6.76–$104.08 | $24.15–$371.70 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$7.06–$106 | $25.20–$378.57 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$32.93–$497.11 | $117.60–$1,775.39 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$40.57–$702.84 | $144.90–$2,510.13 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$7.35–$110.37 | $26.25–$394.19 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$37.34–$861.23 | $133.35–$3,075.82 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$31.16–$656.76 | $111.30–$2,345.57 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$16.46–$427.49 | $58.80–$1,526.75 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$31.46–$117.60 | $112.35–$420 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$26.46–$78.50 | $94.50–$280.35 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$57.92–$647.50 | $206.85–$2,312.51 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$49.69–$494.61 | $177.45–$1,766.46 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$39.10–$646.58 | $139.65–$2,309.22 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$8.23–$155.20 | $29.40–$554.28 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$622.15 | $71.40–$2,221.96 | 1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$24.99–$351.04 | $89.25–$1,253.70 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$31.75–$351.04 | $113.40–$1,253.70 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$44.39–$808.04 | $158.55–$2,885.84 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$543.24 | $72.45–$1,940.14 | 1.3× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$49.69–$826.03 | $177.45–$2,950.10 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$62.92–$1,134.79 | $224.70–$4,052.81 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$27.93–$660.69 | $99.75–$2,359.61 | varies |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$24.99–$77.62 | $89.25–$277.20 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) range across 2 matching MRF lines |
$10–$21.76 | $35.70–$77.70 | varies |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$31.16–$80.85 | $111.30–$288.75 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$25.28–$52.33 | $90.30–$186.90 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$32.05–$213.15 | $114.45–$761.25 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$63.21–$882.91 | $225.75–$3,153.26 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$50.86–$550.66 | $181.65–$1,966.65 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$50.86–$762.93 | $181.65–$2,724.75 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$64.09–$895.09 | $228.90–$3,196.75 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$76.15–$621.81 | $271.95–$2,220.75 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$50.86–$790.57 | $181.65–$2,823.47 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$73.21–$1,168.52 | $261.45–$4,173.27 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$62.33–$550.66 | $222.60–$1,966.65 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$68.80–$845.60 | $245.70–$3,020 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$91.43–$845.60 | $326.55–$3,020 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$69.09–$845.60 | $246.75–$3,020 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$67.62–$753.80 | $241.50–$2,692.13 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$61.45–$748.35 | $219.45–$2,672.69 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$98.20–$475.69 | $350.70–$1,698.90 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$76.44–$1,143.02 | $273–$4,082.20 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$63.21–$727.71 | $225.75–$2,598.95 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$62.33–$937.13 | $222.60–$3,346.89 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$73.50–$1,236.52 | $262.50–$4,416.16 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$96.14–$1,298.64 | $343.35–$4,637.99 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$68.50–$845.60 | $244.65–$3,020 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$91.14–$845.60 | $325.50–$3,020 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$57.33–$563.08 | $204.75–$2,011 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$76.15–$1,191.04 | $271.95–$4,253.71 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$97.61–$1,236.95 | $348.60–$4,417.67 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$57.33–$550.66 | $204.75–$1,966.65 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$68.50–$1,136.76 | $244.65–$4,059.87 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$91.14–$1,033.07 | $325.50–$3,689.52 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$73.21–$1,137.75 | $261.45–$4,063.40 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$93.20–$1,201.93 | $332.85–$4,292.59 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$62.62–$764.18 | $223.65–$2,729.23 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$63.21–$817.08 | $225.75–$2,918.16 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$68.80–$845.60 | $245.70–$3,020 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$57.92–$524.44 | $206.85–$1,873 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$91.43–$845.60 | $326.55–$3,020 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$93.20–$1,202.50 | $332.85–$4,294.64 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$97.61–$1,289.86 | $348.60–$4,606.65 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$75.56–$1,140.43 | $269.85–$4,072.97 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$57.92–$737.54 | $206.85–$2,634.07 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$91.73–$845.60 | $327.60–$3,020 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$97.61–$1,205.22 | $348.60–$4,304.36 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$39.40–$561.34 | $140.70–$2,004.80 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$35.57–$536.40 | $127.05–$1,915.71 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$27.93–$550.35 | $99.75–$1,965.55 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$1,660.39 | $216.30–$5,929.97 | 1.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$66.74–$1,090.85 | $238.35–$3,895.90 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$7.94–$117.45 | $28.35–$419.48 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 2 matching MRF lines |
$35.57–$226.37 | $127.05–$808.45 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$37.63–$1,600.73 | $134.40–$5,716.90 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$20.58–$212.90 | $73.50–$760.35 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$74.09–$556.69 | $264.60–$1,988.18 | varies |
| Ob us nuchal meas 1 gest (76813) range across 3 matching MRF lines |
$45.57–$126.28 | $162.75–$451 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$26.04–$89.88 | $93–$321 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$33.04–$114.24 | $118–$408 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 2 matching MRF lines |
$39.48–$122.30 | $141–$436.80 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$26.75–$195.22 | $95.55–$697.20 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$10.08–$33.81 | $36–$120.75 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$8.82–$77.32 | $31.50–$276.15 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$33.52–$630.20 | $119.70–$2,250.70 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$49.98–$350.74 | $178.50–$1,252.65 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$7.64–$89.08 | $27.30–$318.15 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$30.87–$646.51 | $110.25–$2,308.95 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$13.82–$96.43 | $49.35–$344.40 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$207.56–$613.58 | $79.80–$2,191.34 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$7.64–$155.40 | $27.30–$555 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$7.06–$104.24 | $25.20–$372.28 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$7.64–$99.96 | $27.30–$357 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$11.17–$105 | $39.90–$375 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$6.17–$81.68 | $22.05–$291.70 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$7.35–$117.89 | $26.25–$421.05 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$7.64–$99.67 | $27.30–$355.95 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$7.06–$261.80 | $25.20–$935 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$14.70–$180.86 | $52.50–$645.92 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$7.35–$94.36 | $26.25–$337 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$9.41–$77.32 | $33.60–$276.15 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$8.23–$112.99 | $29.40–$403.54 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$7.64–$77.32 | $27.30–$276.15 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$7.06–$90.85 | $25.20–$324.45 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$8.53–$131.55 | $30.45–$469.83 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$10.29–$169.76 | $36.75–$606.29 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$5.88–$74.49 | $21–$266.03 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$7.06–$93.49 | $25.20–$333.90 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$7.64–$135.53 | $27.30–$484.05 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$17.93–$260.84 | $64.05–$931.58 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$10.58–$128.24 | $37.80–$458 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$11.47–$197.06 | $40.95–$703.78 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$53.80–$452.92 | $192.15–$1,617.58 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$43.81–$582.80 | $156.45–$2,081.43 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$29.69–$157 | $106.05–$560.70 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$10–$197.68 | $35.70–$706 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$10.88–$93.49 | $38.85–$333.90 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$34.10–$416.69 | $121.80–$1,488.19 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$22.64–$156.41 | $80.85–$558.60 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$38.22–$301.55 | $136.50–$1,076.97 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$7.35–$81.01 | $26.25–$289.32 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$7.94–$120.03 | $28.35–$428.68 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$7.35–$111.19 | $26.25–$397.12 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$18.82–$258.01 | $67.20–$921.48 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$7.35–$133.19 | $26.25–$475.69 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$7.06–$84.97 | $25.20–$303.45 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$12.35–$245.29 | $44.10–$876.05 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$41.75–$1,645.52 | $149.10–$5,876.87 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$32.93–$729.83 | $117.60–$2,606.54 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$44.69–$1,208.34 | $159.60–$4,315.50 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 2 matching MRF lines |
$97.02–$1,361.13 | $346.50–$4,861.19 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$7.94–$103.77 | $28.35–$370.59 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$25.28–$63.21 | $90.30–$225.75 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$8.23–$128.32 | $29.40–$458.27 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$6.76–$73.49 | $24.15–$262.48 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$23.81–$462.23 | $85.05–$1,650.82 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$16.17–$210.80 | $57.75–$752.85 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$7.94–$135.60 | $28.35–$484.28 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$37.04–$263.13 | $132.30–$939.75 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$385.55 | $50.40–$1,376.95 | 0.9× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$9.41–$119.09 | $33.60–$425.33 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$30.28–$375.14 | $108.15–$1,339.77 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$89.08–$505.44 | $318.15–$1,805.13 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$8.82–$93.49 | $31.50–$333.90 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$9.70–$170.81 | $34.65–$610.05 | varies |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) range across 2 matching MRF lines |
$28.22–$350.74 | $100.80–$1,252.65 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$28.22–$350.74 | $100.80–$1,252.65 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$453.30 | $55.65–$1,618.93 | 1.1× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$34.10–$759.21 | $121.80–$2,711.47 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$268.90 | $28.35–$960.35 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$20.58–$517.03 | $73.50–$1,846.55 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$29.11–$144.72 | $103.95–$516.84 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$25.58–$96.43 | $91.35–$344.40 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$22.93–$116.76 | $81.90–$417 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$24.70–$298.76 | $88.20–$1,067 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$20.87–$133.56 | $74.55–$477 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$38.81–$325.36 | $138.60–$1,162 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$34.10–$255.85 | $121.80–$913.76 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$23.23–$439.99 | $82.95–$1,571.39 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$13.82–$434.08 | $49.35–$1,550.28 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$13.82–$325.36 | $49.35–$1,162 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$30.87–$133.56 | $110.25–$477 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$24.70–$189.28 | $88.20–$676 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$38.81–$131.12 | $138.60–$468.30 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$82.27–$118.52 | $293.83–$423.28 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$31.75–$102.76 | $113.40–$367 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$29.69–$94.08 | $106.05–$336 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$72.62–$229.32 | $259.35–$819 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$27.34–$119.84 | $97.65–$428 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$31.75–$189.28 | $113.40–$676 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$28.81–$307.48 | $102.90–$1,098.15 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$41.16–$437.36 | $147–$1,562 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$35.57–$359.52 | $127.05–$1,284 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$31.75–$308.40 | $113.40–$1,101.44 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$24.70–$245.49 | $88.20–$876.75 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$26.46–$142.88 | $94.50–$510.30 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$59.39–$93.49 | $212.10–$333.90 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$24.70–$297.73 | $88.20–$1,063.32 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$89.67–$236.73 | $320.25–$845.48 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$22.34–$373.24 | $79.80–$1,333 | varies |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$734.03–$1,079.57 | $178.50–$3,855.60 | varies |
| Venogram Sinus/Jugular (75860) | $946.68 | $3,381 | 0.3× |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$1,079.57–$3,037.92 | $178.50–$10,849.73 | varies |
| Venography extremity bilateral rs&i (75822) | $850.84 | $3,038.70 | 0.5× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$44.69–$865.39 | $159.60–$3,090.69 | varies |
| Venography Renal Bilateral (75833) | $1,079.57 | $3,855.60 | 0.3× |
| Venography Renal Unilateral (75831) | $2,935.30 | $10,483.20 | 0.9× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$55.27–$104.48 | $197.40–$373.15 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$7.35–$112.67 | $26.25–$402.38 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$8.23–$78.68 | $29.40–$281 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$20.87–$331.09 | $74.55–$1,182.45 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,795.52 | $206.85–$9,984 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$9.70–$131.46 | $34.65–$469.49 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$7.35–$108.65 | $26.25–$388.02 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$13.82–$170.81 | $49.35–$610.05 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$11.17–$112.09 | $39.90–$400.32 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$13.82–$96.43 | $49.35–$344.40 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$15.29–$243.26 | $54.60–$868.80 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$8.23–$83.92 | $29.40–$299.71 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$9.70–$96.36 | $34.65–$344.13 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$11.76–$96.43 | $42–$344.40 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$9.70–$127.93 | $34.65–$456.88 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$12.64–$138.69 | $45.15–$495.31 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$13.23–$96.43 | $47.25–$344.40 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$9.70–$124.43 | $34.65–$444.39 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$13.23–$207.34 | $47.25–$740.49 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$11.47–$245.29 | $40.95–$876.05 | varies |
| X-ray eye for foreign body (70030) | $83.04 | $296.56 | 0.9× |
| X-ray head for orthodontia (70350) range across 2 matching MRF lines |
$7.64–$60.70 | $27.30–$216.79 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$7.06–$114.77 | $25.20–$409.89 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$20.87–$319.01 | $74.55–$1,139.33 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$11.17–$77.32 | $39.90–$276.15 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$7.35–$114.30 | $26.25–$408.22 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$9.70–$82.32 | $34.65–$294 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$7.64–$81.62 | $27.30–$291.49 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$14.11–$93.49 | $50.40–$333.90 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$9.70–$96.43 | $34.65–$344.40 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$7.35–$96.43 | $26.25–$344.40 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$7.64–$118.30 | $27.30–$422.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$9.41–$204.14 | $33.60–$729.06 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$12.05–$175.58 | $43.05–$627.08 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$50.57–$78.50 | $180.60–$280.35 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$10.58–$93.49 | $37.80–$333.90 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$7.94–$78.50 | $28.35–$280.35 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$21.76–$409.05 | $77.70–$1,460.89 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$12.05–$139.90 | $43.05–$499.63 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$23.52–$298.25 | $84–$1,065.19 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$11.47–$113.48 | $40.95–$405.30 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$12.64–$77.32 | $45.15–$276.15 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$10.88–$93.49 | $38.85–$333.90 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$12.05–$213.44 | $43.05–$762.29 | 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.