Imaging prices at Kalkaska Memorial Health Center
Kalkaska, MI · every code in this section with a posted price and a Medicare benchmark.
218 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) | $112.20 | $132 | 1.3× |
| Abdomen 2 views (74019) | $144.50 | $170 | 1.4× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$95.20–$119 | $112–$140 | varies |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$184.45 | $217 | 0.0× |
| Arthrogram ankle (73615) | $808.35 | $951 | 2.3× |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$239.70–$254.15 | $282–$299 | varies |
| Arthrogram Wrist (73115) range across 5 matching MRF lines |
$158.10–$923.95 | $186–$1,087 | varies |
| Bone age studies (77072) | $225.25 | $265 | 2.2× |
| Bone Imaging Whole Body (78306) | $1,064.20 | $1,252 | 2.7× |
| Bone survey infant (77076) range across 4 matching MRF lines |
$164.05–$169.15 | $193–$199 | varies |
| Chest 1 view (71045) range across 9 matching MRF lines |
$226.10–$291.55 | $266–$343 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$102–$160.65 | $120–$189 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$334.90–$368.90 | $394–$434 | varies |
| Chest 4 or more views (71048) | $411.40 | $484 | 3.9× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $226.95 | $267 | 2.2× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$144.50–$180.20 | $170–$212 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$426.70–$488.75 | $502–$575 | varies |
| Contrast X-Ray Bladder (74430) | $347.65 | $409 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $2,626.50 | $3,090 | 7.6× |
| CT abdomen and pelvis without contrast (74176) range across 10 matching MRF lines |
$1,367.65–$2,547.45 | $1,609–$2,997 | varies |
| CT abdomen w contrast (74160) range across 10 matching MRF lines |
$1,382.10–$1,883.60 | $1,626–$2,216 | varies |
| CT abdomen w wo contrast (74170) | $1,662.60 | $1,956 | 9.5× |
| CT abdomen w/o contrast (74150) | $780.30 | $918 | 7.5× |
| CT Angio Abdomen and Pelvis (74174) range across 5 matching MRF lines |
$1,776.50–$3,440.80 | $2,090–$4,048 | varies |
| CT Angio Chest (71275) range across 5 matching MRF lines |
$2,423.35–$2,473.50 | $2,851–$2,910 | varies |
| CT Angio Head (70496) | $2,802.45 | $3,297 | 16.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,394.05 | $3,993 | 19.4× |
| CT Angio Neck (70498) | $2,319.65 | $2,729 | 13.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,802.85 | $2,121 | 10.3× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $228.65 | $269 | 1.3× |
| CT cervical spine w/ contrast (72126) | $1,696.60 | $1,996 | 4.9× |
| CT cervical spine w/o contrast (72125) | $1,510.45 | $1,777 | 14.5× |
| CT chest w contrast (71260) range across 10 matching MRF lines |
$1,738.25–$1,916.75 | $2,045–$2,255 | varies |
| CT chest w/wo contrast (71270) | $1,709.35 | $2,011 | 9.8× |
| CT head/brain with contrast (70460) | $2,077.40 | $2,444 | 11.9× |
| CT head/brain without and with contrast (70470) | $2,669.85 | $3,141 | 15.3× |
| CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines |
$1,745.05–$2,424.20 | $2,053–$2,852 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $199.75 | $235 | 2.3× |
| CT iac w contrast (70481) range across 5 matching MRF lines |
$1,439.05–$1,798.60 | $1,693–$2,116 | varies |
| CT l-spine w&w/o contrast (72133) | $1,400.80 | $1,648 | 8.0× |
| CT lower ext w/o (73700) | $872.10 | $1,026 | 8.4× |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$1,048.05–$1,310.70 | $1,233–$1,542 | varies |
| CT lumbar spine w contrast (72132) | $2,121.60 | $2,496 | 6.1× |
| CT lumbar spine w/o contrast (72131) | $1,524.05 | $1,793 | 14.6× |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$1,185.75–$1,482.40 | $1,395–$1,744 | varies |
| CT maxillofacial wo contrast (70486) | $1,102.45 | $1,297 | 10.6× |
| CT neck tissue combo (70492) | $1,762.05 | $2,073 | 10.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,685.55 | $1,983 | 9.6× |
| CT orbits w/o contrast (70480) range across 5 matching MRF lines |
$1,124.55–$1,572.50 | $1,323–$1,850 | varies |
| CT pelvis w/o contrast (72192) | $1,092.25 | $1,285 | 10.5× |
| CT scans face/jaw combo (70488) | $1,709.35 | $2,011 | 9.8× |
| CT soft tissue neck w contrast (70491) range across 5 matching MRF lines |
$1,779.05–$1,882.75 | $2,093–$2,215 | varies |
| CT soft tissue neck w/o contrast (70490) range across 5 matching MRF lines |
$1,269.05–$1,315.80 | $1,493–$1,548 | varies |
| CT thoracic spine w contrast (72129) | $1,696.60 | $1,996 | 9.7× |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$881.45–$1,507.90 | $1,037–$1,774 | varies |
| CT thorax w/o contrast (71250) range across 14 matching MRF lines |
$1,093.10–$1,353.20 | $1,286–$1,592 | varies |
| CT unlisted procedure (76497) | $707.20 | $832 | 8.2× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$842.35–$1,307.30 | $991–$1,538 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,574.20 | $1,852 | 9.0× |
| CT upper extremity with contrast (73201) | $1,259.70 | $1,482 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,509.20 | $2,952 | 14.4× |
| Cta Abdomen (74175) | $2,408.90 | $2,834 | 13.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,802.45 | $3,297 | 8.1× |
| CTA pelvis (72191) | $1,943.95 | $2,287 | 11.1× |
| Dxa Bone Density Axial (77080) | $327.25 | $385 | 3.1× |
| Dxa bone density study (77085) | $426.70 | $502 | 4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $79.05 | $93 | 0.9× |
| Esophagram (74220) | $566.10 | $666 | 3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 15 matching MRF lines |
$267.75–$535.50 | $315–$630 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$100.30–$125.80 | $118–$148 | varies |
| Forearm 2 views (73090) | $184.45 | $217 | 2.1× |
| Gated Heart Planar Single (78472) | $1,322.60 | $1,556 | 3.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$107.10–$168.30 | $126–$198 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $579.70 | $682 | 6.7× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$122.40–$153 | $144–$180 | varies |
| Magnetic Image Jaw Joint (70336) range across 5 matching MRF lines |
$512.55–$1,687.25 | $603–$1,985 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $3,494.35 | $4,111 | 10.1× |
| MRA head w/o contrast (70544) range across 6 matching MRF lines |
$512.55–$3,081.25 | $603–$3,625 | varies |
| MRA head with contrast (70545) | $2,383.40 | $2,804 | 6.9× |
| MRA neck w contrast (70548) | $2,527.05 | $2,973 | 7.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,124.65 | $6,029 | 14.7× |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$512.55–$2,394.45 | $603–$2,817 | varies |
| MRI abdomen w contrast (74182) | $2,643.50 | $3,110 | 7.6× |
| MRI abdomen w/o contrast (74181) | $1,927.80 | $2,268 | 8.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 9 matching MRF lines |
$2,260.15–$2,909.55 | $2,659–$3,423 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 11 matching MRF lines |
$2,929.10–$3,771.45 | $3,446–$4,437 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,280.55 | $2,683 | 2.9× |
| MRI bone marrow blood supply (77084) | $2,205.75 | $2,595 | 9.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,745.90 | $2,054 | 7.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $512.55 | $603 | 2.2× |
| MRI cervical spine w contrast (72142) | $2,407.20 | $2,832 | 6.9× |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$584.80–$2,300.10 | $688–$2,706 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$512.55–$2,427.60 | $603–$2,856 | varies |
| MRI chest with contrast (71551) | $2,715.75 | $3,195 | 3.5× |
| MRI chest wo w contrast (71552) | $2,795.65 | $3,289 | 8.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$2,354.50–$2,669.85 | $2,770–$3,141 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 8 matching MRF lines |
$3,123.75–$3,555.55 | $3,675–$4,183 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$640.90–$2,445.45 | $754–$2,877 | varies |
| MRI lumbar spine w contrast (72149) | $2,391.90 | $2,814 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,506.70 | $5,302 | 13.0× |
| MRI orbit face &/neck w/o contrast (70540) range across 6 matching MRF lines |
$512.55–$2,132.65 | $603–$2,509 | varies |
| MRI orbit face neck w contrast (70542) | $2,356.20 | $2,772 | 6.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 6 matching MRF lines |
$3,669.45–$4,316.30 | $4,317–$5,078 | varies |
| MRI pelvis w contrast (72196) | $2,381.70 | $2,802 | 6.9× |
| MRI pelvis w/o & w contrast (72197) range across 6 matching MRF lines |
$3,258.05–$3,422.95 | $3,833–$4,027 | varies |
| MRI pelvis w/o contrast (72195) range across 5 matching MRF lines |
$584.80–$2,174.30 | $688–$2,558 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$584.80–$2,362.15 | $688–$2,779 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 6 matching MRF lines |
$2,362.15–$2,661.35 | $2,779–$3,131 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 11 matching MRF lines |
$528.70–$2,448.85 | $622–$2,881 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 10 matching MRF lines |
$3,269.95–$3,574.25 | $3,847–$4,205 | varies |
| MRI, abdomen, combo (74183) range across 5 matching MRF lines |
$3,467.15–$3,521.55 | $4,079–$4,143 | varies |
| MRI, dorsal spine combo (72157) | $3,909.15 | $4,599 | 11.2× |
| MRI, dorsal spine contrast (72147) | $2,123.30 | $2,498 | 6.1× |
| MRI, joint upper extrem (73221) range across 11 matching MRF lines |
$512.55–$2,400.40 | $603–$2,824 | varies |
| MRI, joint upper extrem combo (73223) range across 8 matching MRF lines |
$3,265.70–$3,729.80 | $3,842–$4,388 | varies |
| MRI, lumbar spine combo (72158) | $4,397.90 | $5,174 | 12.7× |
| Neck soft tissue (70360) | $158.10 | $186 | 1.8× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $702.10 | $826 | 5.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $330.65 | $389 | 3.2× |
| Pelvis 1 or 2 views (72170) | $178.50 | $210 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,259.70 | $1,482 | 3.2× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,211.25 | $1,425 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $158.95 | $187 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$206.55–$400.35 | $243–$471 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $147.05 | $173 | 1.7× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$152.15–$238.85 | $179–$281 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $315.35 | $371 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$204.85–$238.85 | $241–$281 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$148.75–$415.65 | $175–$489 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$126.65–$380.80 | $149–$448 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $162.35 | $191 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $136 | $160 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $334.05 | $393 | 3.9× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$256.70–$566.95 | $302–$667 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $229.50 | $270 | 2.6× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$130.90–$164.05 | $154–$193 | varies |
| Radex Sternum Minimum 2 Views (71120) | $148.75 | $175 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $246.50 | $290 | 2.8× |
| Radex Toe Minimum 2 Views (73660) | $213.35 | $251 | 2.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$151.30–$336.60 | $178–$396 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $394.40 | $464 | 3.8× |
| Radiologic exam colon double contrast study (74280) | $268.60 | $316 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $203.15 | $239 | 1.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $492.15 | $579 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$142.80–$421.60 | $168–$496 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $275.40 | $324 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $169.15 | $199 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $251.60 | $296 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) range across 7 matching MRF lines |
$181.90–$583.10 | $214–$686 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$266.90–$298.35 | $314–$351 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$126.65–$400.35 | $149–$471 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$247.35–$309.40 | $291–$364 | varies |
| Ribs bilateral 3 views (71110) | $198.05 | $233 | 1.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,852.20 | $4,532 | 3.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,709 | $5,540 | 3.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,603.55 | $3,063 | 2.0× |
| Scapula (73010) | $260.10 | $306 | 2.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $147.90 | $174 | 6.3× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$130.90–$475.15 | $154–$559 | varies |
| Skull less than 4 views (70250) | $281.35 | $331 | 2.7× |
| Sternoclavicular joints (71130) | $225.25 | $265 | 2.6× |
| Thoracic spine 2 views (72070) | $203.15 | $239 | 2.0× |
| Thoracic spine 3 views (72072) | $337.45 | $397 | 3.2× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$191.25–$238.85 | $225–$281 | varies |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$401.20–$572.05 | $472–$673 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$514.25–$541.45 | $605–$637 | varies |
| Ultrasound, abdomen limited (76705) range across 11 matching MRF lines |
$409.70–$734.40 | $482–$864 | varies |
| Umbilical-artery Doppler (OB) (76820) | $417.35 | $491 | 4.0× |
| Unlisted us procedure (76999) | $384.20 | $452 | 4.4× |
| Upper gi w/o kub (74240) range across 8 matching MRF lines |
$164.90–$674.05 | $194–$793 | varies |
| Urethrocystogram voiding (74455) | $306 | $360 | 1.3× |
| Us breast unilateral complete (76641) | $497.25 | $585 | 4.8× |
| Us chest (76604) range across 9 matching MRF lines |
$379.95–$662.15 | $447–$779 | varies |
| Us complete joint (76881) range across 9 matching MRF lines |
$328.10–$649.40 | $386–$764 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$216.75–$521.90 | $255–$614 | varies |
| Us kidney transplant (76776) | $430.10 | $506 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 18 matching MRF lines |
$340.85–$538.05 | $401–$633 | varies |
| Us ob detailed single fetus (76811) range across 10 matching MRF lines |
$348.50–$378.25 | $410–$445 | varies |
| Us ob limited 1 or more fetuses (76815) range across 7 matching MRF lines |
$300.90–$630.70 | $354–$742 | varies |
| Us pelvic non ob complete (76856) | $449.65 | $529 | 4.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 9 matching MRF lines |
$360.40–$533.80 | $424–$628 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 16 matching MRF lines |
$181.90–$492.15 | $214–$579 | varies |
| Us retroperitoneal complete (76770) | $697 | $820 | 6.7× |
| Us retroperitoneal limited (76775) | $456.45 | $537 | 4.4× |
| Us scrotum and contents (76870) range across 5 matching MRF lines |
$542.30–$639.20 | $638–$752 | varies |
| Us spinal canal and contents (76800) | $428.40 | $504 | 4.1× |
| Us thyroid (76536) | $643.45 | $757 | 6.2× |
| Vertebral fracture assessment via dxa (77086) | $327.25 | $385 | 3.8× |
| Wrist 2 views (73100) | $175.10 | $206 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $283.90 | $334 | 3.3× |
| X-Ray Bend Only L-S Spine (72120) | $219.30 | $258 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$130.90–$250.75 | $154–$295 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $96.90 | $114 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $414.80 | $488 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $100.30 | $118 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$238–$297.50 | $280–$350 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $232.05 | $273 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $238.85 | $281 | 2.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $274.55 | $323 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $546.55 | $643 | 5.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $508.30 | $598 | 4.9× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$139.40–$183.60 | $164–$216 | varies |
| X-ray IV pyelogram (ivp) (74400) | $238 | $280 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $92.65 | $109 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$255.85–$276.25 | $301–$325 | varies |
| X-ray nose-rectum child f.b. (76010) | $396.10 | $466 | 4.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $234.60 | $276 | 2.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $193.80 | $228 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $283.90 | $334 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $270.30 | $318 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $409.70 | $482 | 3.9× |
| X-ray thoracic spine 4 vw (72074) | $158.95 | $187 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $844.05 | $993 | 2.4× |
| X-Rays Bone Length Studies (77073) | $203.15 | $239 | 2.0× |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$342.55–$370.60 | $403–$436 | varies |
| Xr c-spine 4 or 5 views (72050) | $377.40 | $444 | 3.6× |
| Xr facial bones less than 3 views (70140) | $261.80 | $308 | 3.0× |
| Xr orbits complete 4 views (70200) | $311.95 | $367 | 3.0× |
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.