Imaging prices at Iron County Medical Center
Pilot Knob, MO · every code in this section with a posted price and a Medicare benchmark.
193 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 |
$36–$120.60 | $40–$134 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$36–$131.40 | $40–$146 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$36–$120.60 | $40–$134 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$36–$120.60 | $40–$134 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$36–$120.60 | $40–$134 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$36–$131.40 | $40–$146 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$36–$217.80 | $40–$242 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$36–$131.40 | $40–$146 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$99–$272.70 | $110–$303 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$153–$1,633.50 | $170–$1,815 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$153–$1,143.90 | $170–$1,271 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$153–$1,197.90 | $170–$1,331 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$153–$1,197.90 | $170–$1,331 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$99–$1,089 | $110–$1,210 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$153–$1,008 | $170–$1,120 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$153–$953.10 | $170–$1,059 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$153–$871.20 | $170–$968 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$153–$871.20 | $170–$968 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$153–$871.20 | $170–$968 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$153–$435.60 | $170–$484 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$99–$326.70 | $110–$363 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$99–$708.30 | $110–$787 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$99–$381.60 | $110–$424 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$99–$844.20 | $110–$938 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$99–$844.20 | $110–$938 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$99–$653.40 | $110–$726 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$99–$762.30 | $110–$847 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$99–$272.70 | $110–$303 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$99–$326.70 | $110–$363 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$99–$762.30 | $110–$847 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$99–$871.20 | $110–$968 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$99–$326.70 | $110–$363 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$99–$817.20 | $110–$908 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$99–$762.30 | $110–$847 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$99–$598.50 | $110–$665 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$99–$871.20 | $110–$968 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$99–$272.70 | $110–$303 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$99–$217.80 | $110–$242 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$99–$1,197.90 | $110–$1,331 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$99–$1,089 | $110–$1,210 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$99–$871.20 | $110–$968 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$99–$871.20 | $110–$968 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$99–$871.20 | $110–$968 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$99–$762.30 | $110–$847 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$99–$326.70 | $110–$363 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$99–$326.70 | $110–$363 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$99–$326.70 | $110–$363 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$99–$844.20 | $110–$938 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$99–$871.20 | $110–$968 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$99–$871.20 | $110–$968 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$99–$871.20 | $110–$968 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$153–$980.10 | $170–$1,089 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$153–$871.20 | $170–$968 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$153–$1,197.90 | $170–$1,331 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$99–$126 | $110–$140 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$99–$163.80 | $110–$182 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$81.90–$99 | $91–$110 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$95.04–$619.20 | $105.60–$688 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$36–$131.40 | $40–$146 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$36–$153 | $40–$170 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$36–$158.40 | $40–$176 | varies |
| Magnetic Image Jaw Joint (70336) range across 4 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$158.40–$1,089 | $176–$1,210 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$158.40–$1,089 | $176–$1,210 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$158.40–$1,089 | $176–$1,210 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$158.40–$1,089 | $176–$1,210 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$158.40–$1,089 | $176–$1,210 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$158.40–$1,089 | $176–$1,210 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$158.40–$544.50 | $176–$605 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$158.40–$1,089 | $176–$1,210 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$158.40–$1,089 | $176–$1,210 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$158.40–$1,197.90 | $176–$1,331 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$158.40–$980.10 | $176–$1,089 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$125.15–$3,323.30 | $139.05–$3,692.55 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$36–$126 | $40–$140 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$36–$163.80 | $40–$182 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$36–$153 | $40–$170 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$36–$126 | $40–$140 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$36–$153 | $40–$170 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$36–$174.60 | $40–$194 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$36–$120.60 | $40–$134 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$36–$153 | $40–$170 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$36–$153 | $40–$170 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$36–$163.80 | $40–$182 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$36–$158.40 | $40–$176 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$36–$81.90 | $40–$91 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$36–$108.90 | $40–$121 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$36–$108.90 | $40–$121 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$36–$217.80 | $40–$242 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$36–$108.90 | $40–$121 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$36–$147.60 | $40–$164 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$36–$381.60 | $40–$424 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$36–$163.80 | $40–$182 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$36–$163.80 | $40–$182 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$36–$174.60 | $40–$194 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$36–$174.60 | $40–$194 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$99–$365.40 | $110–$406 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$36–$120.60 | $40–$134 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$36–$163.80 | $40–$182 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$36–$163.80 | $40–$182 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$36–$245.70 | $40–$273 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$36–$136.80 | $40–$152 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$36–$108.90 | $40–$121 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$36–$163.80 | $40–$182 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$36–$326.70 | $40–$363 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$36–$108.90 | $40–$121 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$36–$136.80 | $40–$152 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$36–$245.70 | $40–$273 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$36–$217.80 | $40–$242 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$54–$217.80 | $60–$242 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$63–$381.60 | $70–$424 | varies |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$63–$326.70 | $70–$363 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$54–$272.70 | $60–$303 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$63–$272.70 | $70–$303 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$63–$217.80 | $70–$242 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$63–$190.80 | $70–$212 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$63–$163.80 | $70–$182 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$63–$294.30 | $70–$327 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$63–$294.30 | $70–$327 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$63–$299.70 | $70–$333 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$63–$294.30 | $70–$327 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$63–$333 | $70–$370 | varies |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$63–$435.60 | $70–$484 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$63–$326.70 | $70–$363 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$63–$261.90 | $70–$291 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$63–$136.80 | $70–$152 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$36–$120.60 | $40–$134 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$36–$174.60 | $40–$194 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$36–$217.80 | $40–$242 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$36–$153 | $40–$170 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$36–$544.50 | $40–$605 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$36–$108.90 | $40–$121 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$36–$108.90 | $40–$121 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$36–$163.80 | $40–$182 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$36–$136.80 | $40–$152 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$36–$299.70 | $40–$333 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$36–$153 | $40–$170 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$36–$272.70 | $40–$303 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$36–$190.80 | $40–$212 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$36–$163.80 | $40–$182 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $98.10 | $109 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$36–$98.10 | $40–$109 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$36–$163.80 | $40–$182 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$36–$217.80 | $40–$242 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$36–$185.40 | $40–$206 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$36–$174.60 | $40–$194 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$36–$131.40 | $40–$146 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$36–$174.60 | $40–$194 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$36–$272.70 | $40–$303 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$36–$108.90 | $40–$121 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$36–$229.50 | $40–$255 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$36–$174.60 | $40–$194 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$36–$142.20 | $40–$158 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$36–$120.60 | $40–$134 | 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.