Imaging prices at Klickitat Valley Health
Goldendale, WA · every code in this section with a posted price and a Medicare benchmark.
199 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–$224.16 | $75–$467 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$43.68–$241.92 | $91–$504 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$30.72–$371.52 | $64–$774 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$36–$160.32 | $75–$334 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$66.24–$305.28 | $138–$636 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$33.12–$173.28 | $69–$361 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$43.68–$221.76 | $91–$462 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$33.12–$224.16 | $69–$467 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$58.56–$298.08 | $122–$621 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$33.12–$221.76 | $69–$462 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$216.48–$918.72 | $451–$1,914 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$23.04–$43.68 | $48–$91 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$384.48–$2,796 | $801–$5,825 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$333.60–$1,961.76 | $695–$4,087 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$275.04–$1,144.80 | $573–$2,385 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$300.48–$1,671.84 | $626–$3,483 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$254.40–$1,056 | $530–$2,200 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$366.72–$3,304.80 | $764–$6,885 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$282.72–$2,081.28 | $589–$4,336 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$272.64–$1,933.44 | $568–$4,028 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$361.44–$2,885.28 | $753–$6,011 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$272.64–$1,933.44 | $568–$4,028 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$292.80–$1,373.76 | $610–$2,862 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$23.04–$262.08 | $48–$546 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$191.04–$997.44 | $398–$2,078 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$168–$1,373.76 | $350–$2,862 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$211.20–$1,486.08 | $440–$3,096 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$196.32–$1,348.32 | $409–$2,809 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$218.88–$1,486.08 | $456–$3,096 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$180.96–$661.44 | $377–$1,378 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$201.12–$1,373.76 | $419–$2,862 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$23.04–$79.20 | $48–$165 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$168–$997.44 | $350–$2,078 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$218.88–$1,486.08 | $456–$3,096 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$239.52–$1,002.72 | $499–$2,089 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$249.60–$1,079.04 | $520–$2,248 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$185.76–$1,322.88 | $387–$2,756 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$157.92–$1,322.88 | $329–$2,756 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$180.96–$850.08 | $377–$1,771 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$152.64–$1,093.92 | $318–$2,279 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$241.92–$1,221.12 | $504–$2,544 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$198.72–$1,379.04 | $414–$2,873 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$201.12–$946.56 | $419–$1,972 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$267.36–$1,373.76 | $557–$2,862 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$157.92–$1,348.32 | $329–$2,809 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$259.68–$1,486.08 | $541–$3,096 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$203.52–$1,017.60 | $424–$2,120 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$224.16–$1,221.12 | $467–$2,544 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$178.08–$864.96 | $371–$1,802 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$180.96–$997.44 | $377–$2,078 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$157.92–$992.16 | $329–$2,067 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$228.96–$1,486.08 | $477–$3,096 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$163.20–$1,157.76 | $340–$2,412 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$188.64–$1,796.16 | $393–$3,742 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$163.20–$1,318.08 | $340–$2,746 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$239.52–$2,439.84 | $499–$5,083 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$394.56–$2,267.04 | $822–$4,723 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$346.08–$2,081.28 | $721–$4,336 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$300.48–$1,908 | $626–$3,975 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$33.12–$112.32 | $69–$234 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$130.08–$305.28 | $271–$636 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$76.32–$427.68 | $159–$891 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$30.72–$386.88 | $64–$806 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$30.72–$412.32 | $64–$859 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$33.12–$407.04 | $69–$848 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$66.24–$290.40 | $138–$605 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$38.40–$559.68 | $80–$1,166 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$318.24–$2,139.84 | $663–$4,458 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$320.64–$2,849.28 | $668–$5,936 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$257.28–$1,748.16 | $536–$3,642 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$257.28–$1,875.36 | $536–$3,907 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$323.52–$1,928.64 | $674–$4,018 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$343.68–$2,864.64 | $716–$5,968 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$257.28–$1,752.96 | $536–$3,652 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$330.72–$1,780.80 | $689–$3,710 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$315.84–$1,526.40 | $658–$3,180 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$310.56–$3,561.60 | $647–$7,420 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$361.44–$4,070.40 | $753–$8,480 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$312.96–$1,780.80 | $652–$3,710 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$46.08–$592.80 | $96–$1,235 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$343.68–$1,831.68 | $716–$3,816 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$320.64–$1,618.08 | $668–$3,371 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$315.84–$2,948.64 | $658–$6,143 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$330.72–$3,203.04 | $689–$6,673 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$379.20–$4,007.04 | $790–$8,348 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$201.12–$2,831.52 | $419–$5,899 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$359.04–$4,477.44 | $748–$9,328 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$290.40–$4,477.44 | $605–$9,328 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$343.68–$1,831.68 | $716–$3,816 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$384.48–$2,340.48 | $801–$4,876 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$290.40–$1,791.36 | $605–$3,732 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$310.56–$2,114.40 | $647–$4,405 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$359.04–$2,617.92 | $748–$5,454 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$330.72–$2,060.64 | $689–$4,293 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$369.12–$2,572.32 | $769–$5,359 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$315.84–$1,628.16 | $658–$3,392 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$320.64–$1,333.44 | $668–$2,778 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$310.56–$2,289.60 | $647–$4,770 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$292.80–$2,035.20 | $610–$4,240 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$361.44–$2,544 | $753–$5,300 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$369.12–$2,035.20 | $769–$4,240 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$384.48–$2,340.48 | $801–$4,876 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$341.28–$1,831.68 | $711–$3,816 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$292.80–$1,500.96 | $610–$3,127 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$361.44–$2,035.20 | $753–$4,240 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$384.48–$2,340.48 | $801–$4,876 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$36–$214.08 | $75–$446 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$109.44–$320.64 | $228–$668 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$33.12–$183.36 | $69–$382 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$61.44–$330.72 | $128–$689 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$33.12–$488.64 | $69–$1,018 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$30.72–$396.96 | $64–$827 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$33.12–$437.76 | $69–$912 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$50.88–$356.16 | $106–$742 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$28.32–$508.80 | $59–$1,060 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$33.12–$478.56 | $69–$997 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$33.12–$457.92 | $69–$954 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$30.72–$224.16 | $64–$467 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$33.12–$282.72 | $69–$589 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$43.68–$264.96 | $91–$552 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$38.40–$427.68 | $80–$891 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$33.12–$228.96 | $69–$477 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$30.72–$157.92 | $64–$329 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$38.40–$231.84 | $80–$483 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$46.08–$394.56 | $96–$822 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$25.44–$178.08 | $53–$371 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$43.68–$211.20 | $91–$440 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 10 matching MRF lines |
$28.32–$504 | $59–$1,050 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$120–$1,061.28 | $250–$2,211 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$48.48–$305.28 | $101–$636 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$43.68–$272.64 | $91–$568 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$46.08–$636 | $96–$1,325 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$48.48–$287.52 | $101–$599 | varies |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$33.12–$407.04 | $69–$848 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$36–$514.08 | $75–$1,071 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$33.12–$504 | $69–$1,050 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$66.24–$305.28 | $138–$636 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$30.72–$447.84 | $64–$933 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$56.16–$287.52 | $117–$599 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$36–$152.64 | $75–$318 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$71.52–$73.92 | $149–$154 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$30.72–$269.76 | $64–$562 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$36–$259.68 | $75–$541 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$43.68–$295.20 | $91–$615 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$40.80–$254.40 | $85–$530 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$43.68–$282.72 | $91–$589 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$40.80–$234.24 | $85–$488 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$130.08–$457.92 | $271–$954 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$104.64–$427.68 | $218–$891 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$112.32–$414.72 | $234–$864 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $22.56 | $47 | 0.2× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$86.88–$425.28 | $181–$886 | varies |
| Us breast unilateral complete (76641) range across 13 matching MRF lines |
$25.44–$457.92 | $53–$954 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$81.60–$396.96 | $170–$827 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$91.68–$287.52 | $191–$599 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$94.56–$343.68 | $197–$716 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$132.48–$661.44 | $276–$1,378 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$145.44–$381.60 | $303–$795 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$132.48–$457.92 | $276–$954 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$191.04–$359.04 | $398–$748 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$142.56–$498.72 | $297–$1,039 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$72–$402.24 | $150–$838 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$122.40–$407.04 | $255–$848 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$107.04–$443.04 | $223–$923 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$33.12–$366.72 | $69–$764 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$38.40–$188.64 | $80–$393 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$43.68–$285.12 | $91–$594 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$33.12–$320.64 | $69–$668 | varies |
| X-Ray Exam Breast Specimen (76098) | $506.40 | $1,055 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$50.88–$287.52 | $106–$599 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$76.32–$659.04 | $159–$1,373 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$109.44–$1,028.16 | $228–$2,142 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$36–$226.56 | $75–$472 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$43.68–$279.84 | $91–$583 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$33.12–$300.48 | $69–$626 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$33.12–$325.92 | $69–$679 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$58.56–$379.20 | $122–$790 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$33.12–$330.72 | $69–$689 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$58.56–$457.92 | $122–$954 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$43.68–$272.64 | $91–$568 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$58.56–$457.92 | $122–$954 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$50.88–$302.88 | $106–$631 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$33.12–$228.96 | $69–$477 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$28.32–$228.96 | $59–$477 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$36–$282.72 | $75–$589 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$33.12–$302.88 | $69–$631 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$43.68–$282.72 | $91–$589 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$63.84–$353.76 | $133–$737 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$43.68–$272.64 | $91–$568 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$33.12–$231.84 | $69–$483 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$43.68–$259.68 | $91–$541 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$56.16–$298.08 | $117–$621 | varies |
| X-Ray Stress View (77071) | $168 | $350 | 1.7× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$40.80–$203.52 | $85–$424 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$71.52–$491.04 | $149–$1,023 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$50.88–$381.60 | $106–$795 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$38.40–$228.96 | $80–$477 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$180.96–$262.08 | $377–$546 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$53.76–$356.16 | $112–$742 | 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.