Imaging prices at Johnson County Healthcare Center
Buffalo, WY · every code in this section with a posted price and a Medicare benchmark.
215 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 |
$64–$329 | $64–$329 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$74–$487 | $74–$487 | varies |
| Ankle 2 views (73600) range across 12 matching MRF lines |
$39–$327 | $39–$327 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$120–$1,017 | $120–$1,017 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$39–$391 | $39–$391 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$107–$329 | $107–$329 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$343–$1,158 | $343–$1,158 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$56–$268 | $56–$268 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$92–$390 | $92–$390 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$77–$605 | $77–$605 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$93–$730 | $93–$730 | varies |
| Cholecystography Oral Contrast (74290) | $158 | $158 | 0.9× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$43–$357 | $43–$357 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$150–$497 | $150–$497 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$86–$771 | $86–$771 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$524–$4,855 | $524–$4,855 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$444–$3,949 | $444–$3,949 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$332–$2,735 | $332–$2,735 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$467–$2,431 | $467–$2,431 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$344–$2,018 | $344–$2,018 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$694–$4,143 | $694–$4,143 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$433–$3,950 | $433–$3,950 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$407–$2,644 | $407–$2,644 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$580–$2,919 | $580–$2,919 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$407–$2,917 | $407–$2,917 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$376–$2,919 | $376–$2,919 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$305–$2,180 | $305–$2,180 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$281–$2,371 | $281–$2,371 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$319–$2,441 | $319–$2,441 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$317–$2,917 | $317–$2,917 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$352–$3,040 | $352–$3,040 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$293–$2,169 | $293–$2,169 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$330–$2,434 | $330–$2,434 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$360–$1,838 | $360–$1,838 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$305–$2,599 | $305–$2,599 | varies |
| CT lower ext w/o (73700) range across 28 matching MRF lines |
$253–$2,603 | $253–$2,603 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$253–$2,322 | $253–$2,322 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$297–$2,646 | $297–$2,646 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$279–$2,389 | $279–$2,389 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$331–$2,772 | $331–$2,772 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$305–$2,066 | $305–$2,066 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$369–$2,727 | $369–$2,727 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$371–$2,336 | $371–$2,336 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$348–$1,323 | $348–$1,323 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$270–$2,447 | $270–$2,447 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$233–$2,087 | $233–$2,087 | varies |
| CT scan of leg combo (73702) range across 14 matching MRF lines |
$289–$2,603 | $289–$2,603 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$365–$3,047 | $365–$3,047 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$350–$2,615 | $350–$2,615 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$343–$2,122 | $343–$2,122 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$300–$2,649 | $300–$2,649 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$280–$2,644 | $280–$2,644 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$315–$2,684 | $315–$2,684 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$302–$2,091 | $302–$2,091 | varies |
| CT upper ext wo (73200) range across 28 matching MRF lines |
$258–$1,822 | $258–$1,822 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 16 matching MRF lines |
$278–$2,461 | $278–$2,461 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$258–$2,004 | $258–$2,004 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$925–$3,809 | $925–$3,809 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$497–$2,704 | $497–$2,704 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$370–$2,670 | $370–$2,670 | varies |
| Dxa Bone Density Axial (77080) | $652 | $652 | 6.1× |
| Echo exam uterus (76831) | $433 | $433 | 1.8× |
| Esophagram (74220) range across 2 matching MRF lines |
$104–$686 | $104–$686 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$214–$731 | $214–$731 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$42–$789 | $42–$789 | varies |
| Foot 2 views (73620) range across 12 matching MRF lines |
$33–$309 | $33–$309 | varies |
| Forearm 2 views (73090) range across 12 matching MRF lines |
$33–$345 | $33–$345 | varies |
| Hand 2 views (73120) range across 14 matching MRF lines |
$33–$593 | $33–$593 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$107–$608 | $107–$608 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$50–$392 | $50–$392 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$326–$2,565 | $326–$2,565 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$124–$671 | $124–$671 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$379–$4,829 | $379–$4,829 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$322–$3,455 | $322–$3,455 | varies |
| MRA neck w contrast (70548) | $4,058 | $4,058 | 11.4× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$379–$4,464 | $379–$4,464 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$317–$3,690 | $317–$3,690 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$406–$2,828 | $406–$2,828 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$319–$3,953 | $319–$3,953 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$453–$3,176 | $453–$3,176 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$403–$2,822 | $403–$2,822 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$400–$3,945 | $400–$3,945 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$489–$4,602 | $489–$4,602 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$319–$3,758 | $319–$3,758 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$342–$2,469 | $342–$2,469 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$430–$3,569 | $430–$3,569 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$420–$3,898 | $420–$3,898 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$428–$3,689 | $428–$3,689 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$425–$3,689 | $425–$3,689 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$425–$4,098 | $425–$4,098 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$389–$3,987 | $389–$3,987 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$377–$3,001 | $377–$3,001 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$374–$2,900 | $374–$2,900 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$330–$2,469 | $330–$2,469 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$330–$3,797 | $330–$3,797 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$520–$3,453 | $520–$3,453 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$442–$3,905 | $442–$3,905 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$503–$3,176 | $503–$3,176 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$330–$2,685 | $330–$2,685 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$335–$3,331 | $335–$3,331 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$399–$3,904 | $399–$3,904 | varies |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$42–$313 | $42–$313 | varies |
| Optic foramina (70190) | $360 | $360 | 4.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$75–$360 | $75–$360 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$74–$394 | $74–$394 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$184–$664 | $184–$664 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$44–$480 | $44–$480 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$34–$305 | $34–$305 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$44–$434 | $44–$434 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$60–$431 | $60–$431 | varies |
| Radex fingr minimum 2 views (73140) range across 13 matching MRF lines |
$29–$278 | $29–$278 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$43–$480 | $43–$480 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$45–$366 | $45–$366 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 8 matching MRF lines |
$34–$618 | $34–$618 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$160–$705 | $160–$705 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$30–$258 | $30–$258 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$63–$438 | $63–$438 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$53–$480 | $53–$480 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$37–$315 | $37–$315 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $119 | $119 | 0.7× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$35–$214 | $35–$214 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$58–$399 | $58–$399 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$66–$504 | $66–$504 | varies |
| Radex Toe Minimum 2 Views (73660) range across 12 matching MRF lines |
$28–$288 | $28–$288 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 8 matching MRF lines |
$35–$311 | $35–$311 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$45–$370 | $45–$370 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$60–$480 | $60–$480 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$76–$536 | $76–$536 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$188–$1,224 | $188–$1,224 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$158–$742 | $158–$742 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$110–$732 | $110–$732 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 9 matching MRF lines |
$58–$1,188 | $58–$1,188 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$58–$461 | $58–$461 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$110–$298 | $110–$298 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$128–$558 | $128–$558 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$171–$756 | $171–$756 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$38–$351 | $38–$351 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 8 matching MRF lines |
$38–$395 | $38–$395 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$43–$322 | $43–$322 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$68–$179 | $68–$179 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$75–$500 | $75–$500 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 12 matching MRF lines |
$38–$366 | $38–$366 | varies |
| Renal Cyst Study (74470) | $116 | $116 | 0.2× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$79–$663 | $79–$663 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$53–$334 | $53–$334 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$16–$134 | $16–$134 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$56–$240 | $56–$240 | varies |
| Shoulder 1 view (73020) range across 8 matching MRF lines |
$38–$315 | $38–$315 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$120–$1,213 | $120–$1,213 | varies |
| Sialogram (70390) range across 3 matching MRF lines |
$149–$734 | $149–$734 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$54–$456 | $54–$456 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$128–$351 | $128–$351 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$158–$882 | $158–$882 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$47–$339 | $47–$339 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$50–$505 | $50–$505 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$51–$278 | $51–$278 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$372–$476 | $372–$476 | varies |
| Ultrasound Exam Aaa Screen (76706) | $638 | $638 | 6.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$317–$791 | $317–$791 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $12.10 | $12.10 | 0.1× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$88–$421 | $88–$421 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$171–$840 | $171–$840 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$93–$746 | $93–$746 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$90–$608 | $90–$608 | varies |
| Us breast unilateral complete (76641) | $311 | $311 | 2.9× |
| Us chest (76604) range across 2 matching MRF lines |
$172–$638 | $172–$638 | varies |
| Us exam, pelvic, limited (76857) | $263 | $263 | 2.5× |
| Us head (76506) range across 2 matching MRF lines |
$159–$1,008 | $159–$1,008 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $134 | $134 | 1.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$159–$365 | $159–$365 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$194–$632 | $194–$632 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$166–$730 | $166–$730 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$217–$578 | $217–$578 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $134 | $134 | 1.3× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$188–$773 | $188–$773 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$225–$669 | $225–$669 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$151–$669 | $151–$669 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$326–$390 | $326–$390 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$107–$759 | $107–$759 | varies |
| Wrist 2 views (73100) range across 12 matching MRF lines |
$33–$254 | $33–$254 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$53–$369 | $53–$369 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 12 matching MRF lines |
$33–$329 | $33–$329 | varies |
| X-Ray Exam Breast Specimen (76098) | $63 | $63 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$59–$637 | $59–$637 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,124 | $1,124 | 10.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$44–$323 | $44–$323 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$67–$237 | $67–$237 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$134–$347 | $134–$347 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$96–$581 | $96–$581 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$148–$453 | $148–$453 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$83–$771 | $83–$771 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$50–$534 | $50–$534 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$78–$779 | $78–$779 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$77–$480 | $77–$480 | varies |
| X-ray eye for foreign body (70030) | $46 | $46 | 0.5× |
| X-ray humerus (73060) range across 12 matching MRF lines |
$35–$311 | $35–$311 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$46–$980 | $46–$980 | varies |
| X-ray IV pyelogram+tomography (74415) | $1,149 | $1,149 | 6.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$60–$337 | $60–$337 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$43–$349 | $43–$349 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$48–$298 | $48–$298 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$90–$293 | $90–$293 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$90–$863 | $90–$863 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$54–$505 | $54–$505 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$47–$360 | $47–$360 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$67–$582 | $67–$582 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$77–$727 | $77–$727 | varies |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$39–$240 | $39–$240 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,017 | $1,017 | 2.9× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$53–$179 | $53–$179 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$98–$425 | $98–$425 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$65–$822 | $65–$822 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$45–$315 | $45–$315 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$75–$360 | $75–$360 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$126–$634 | $126–$634 | 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.