Imaging prices at Lackey Memorial Hospital (Forest, MS)

245 codes. Prices are the hospital's own posted facility charges.

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Procedure	Posted cash	Posted gross	× Medicare
Abdomen 1 View (74018) range across 4 matching MRF lines	$48–$190	$48–$190	varies
Abdomen 2 views (74019) range across 4 matching MRF lines	$60–$190	$60–$190	varies
Angio pulmonary bilat (75743) range across 2 matching MRF lines	$300–$454	$300–$454	varies
Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines	$321–$487	$321–$487	varies
Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines	$284–$430	$284–$430	varies
Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines	$268–$406	$268–$406	varies
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines	$270–$409	$270–$409	varies
Ankle 2 views (73600) range across 6 matching MRF lines	$48–$381	$48–$381	varies
Artery X-Rays Abdomen (75726) range across 2 matching MRF lines	$265–$401	$265–$401	varies
Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines	$300–$455	$300–$455	varies
Artery X-Rays Spine (75705) range across 2 matching MRF lines	$416–$630	$416–$630	varies
Arthrogram ankle (73615) range across 2 matching MRF lines	$174–$263	$174–$263	varies
Arthrogram hip (73525) range across 2 matching MRF lines	$179–$271	$179–$271	varies
Arthrogram Wrist (73115) range across 2 matching MRF lines	$188–$284	$188–$284	varies
Bone age studies (77072) range across 4 matching MRF lines	$41–$190	$41–$190	varies
Bone survey infant (77076) range across 4 matching MRF lines	$109–$321	$109–$321	varies
Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines	$341–$780	$341–$780	varies
Chest 1 view (71045) range across 4 matching MRF lines	$35–$190	$35–$190	varies
Chest 2 views (71046) range across 4 matching MRF lines	$54.60–$190	$54.60–$190	varies
Chest 3 views (71047) range across 4 matching MRF lines	$70–$190	$70–$190	varies
Chest 4 or more views (71048)	$135	$135	1.4×
Cholecystography Oral Contrast (74290) range across 2 matching MRF lines	$123–$185	$123–$185	varies
Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines	$160–$242	$160–$242	varies
Clavicle complete (73000) range across 6 matching MRF lines	$49–$381	$49–$381	varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines	$168–$499	$168–$499	varies
Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines	$245–$372	$245–$372	varies
Contrast X-Ray Bladder (74430) range across 2 matching MRF lines	$65–$99	$65–$99	varies
Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines	$173–$262	$173–$262	varies
Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines	$202–$306	$202–$306	varies
Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines	$136–$206	$136–$206	varies
CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines	$693–$2,483	$693–$2,483	varies
CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines	$597–$1,806	$597–$1,806	varies
CT abdomen w contrast (74160) range across 2 matching MRF lines	$444–$2,287	$444–$2,287	varies
CT abdomen w wo contrast (74170) range across 2 matching MRF lines	$490–$2,533	$490–$2,533	varies
CT abdomen w/o contrast (74150) range across 2 matching MRF lines	$417–$1,445	$417–$1,445	varies
CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines	$338–$2,833	$338–$2,833	varies
CT Angio Chest (71275) range across 2 matching MRF lines	$670–$2,614	$670–$2,614	varies
CT Angio Head (70496) range across 2 matching MRF lines	$270–$1,712	$270–$1,712	varies
Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines	$283–$1,264	$283–$1,264	varies
CT Angio Neck (70498) range across 2 matching MRF lines	$270–$1,817	$270–$1,817	varies
Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines	$350–$1,144	$350–$1,144	varies
CT cervical spine w/ contrast (72126)	$426	$426	1.4×
CT cervical spine w/o contrast (72125) range across 2 matching MRF lines	$373–$2,269	$373–$2,269	varies
CT cervical spine w/wo cont (72127) range across 2 matching MRF lines	$607–$3,844	$607–$3,844	varies
CT chest w contrast (71260) range across 3 matching MRF lines	$433–$2,287	$433–$2,287	varies
CT chest w/wo contrast (71270) range across 3 matching MRF lines	$480–$2,533	$480–$2,533	varies
CT head/brain with contrast (70460) range across 2 matching MRF lines	$444–$2,234	$444–$2,234	varies
CT head/brain without and with contrast (70470) range across 2 matching MRF lines	$444–$2,533	$444–$2,533	varies
CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines	$86–$220	$86–$220	varies
CT iac w contrast (70481) range across 2 matching MRF lines	$483–$2,287	$483–$2,287	varies
CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines	$382–$3,844	$382–$3,844	varies
CT lower ext w/o (73700) range across 4 matching MRF lines	$944–$2,889	$944–$2,889	varies
CT lower extremity w/contrast material (73701) range across 4 matching MRF lines	$406–$4,573	$406–$4,573	varies
CT lumbar spine w contrast (72132) range across 2 matching MRF lines	$426–$3,593	$426–$3,593	varies
CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines	$351–$2,269	$351–$2,269	varies
CT maxillofacial w contrast (70487) range across 2 matching MRF lines	$454–$2,234	$454–$2,234	varies
CT maxillofacial wo contrast (70486) range across 2 matching MRF lines	$397–$1,445	$397–$1,445	varies
CT neck tissue combo (70492) range across 2 matching MRF lines	$504–$2,533	$504–$2,533	varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines	$504–$2,533	$504–$2,533	varies
CT orbits w/o contrast (70480) range across 2 matching MRF lines	$449–$1,549	$449–$1,549	varies
CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines	$426–$2,533	$426–$2,533	varies
CT pelvis w/o contrast (72192) range across 2 matching MRF lines	$379–$1,445	$379–$1,445	varies
CT scan of leg combo (73702) range across 4 matching MRF lines	$424–$4,967	$424–$4,967	varies
CT scans face/jaw combo (70488) range across 2 matching MRF lines	$495–$2,533	$495–$2,533	varies
CT soft tissue neck w contrast (70491) range across 2 matching MRF lines	$478–$2,234	$478–$2,234	varies
CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines	$449–$1,445	$449–$1,445	varies
CT thoracic spine w contrast (72129)	$424	$424	2.7×
CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines	$351–$2,269	$351–$2,269	varies
CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines	$440–$3,902	$440–$3,902	varies
CT thorax w/o contrast (71250) range across 3 matching MRF lines	$358–$1,445	$358–$1,445	varies
CT upper ext wo (73200) range across 4 matching MRF lines	$356–$2,889	$356–$2,889	varies
CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines	$422–$4,967	$422–$4,967	varies
CT upper extremity with contrast (73201) range across 4 matching MRF lines	$401–$4,467	$401–$4,467	varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines	$354–$1,407	$354–$1,407	varies
Cta Abdomen (74175) range across 2 matching MRF lines	$662–$2,614	$662–$2,614	varies
Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines	$161–$244	$161–$244	varies
Dxa Bone Density Axial (77080) range across 2 matching MRF lines	$32–$345	$32–$345	varies
Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines	$34–$156	$34–$156	varies
Esophagram (74220) range across 2 matching MRF lines	$155–$236	$155–$236	varies
Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines	$119–$354	$119–$354	varies
Foot 2 views (73620) range across 6 matching MRF lines	$45–$381	$45–$381	varies
Forearm 2 views (73090) range across 6 matching MRF lines	$45–$381	$45–$381	varies
Hand 2 views (73120) range across 6 matching MRF lines	$46–$381	$46–$381	varies
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines	$254–$385	$254–$385	varies
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines	$257–$389	$257–$389	varies
Hysterosalpingogram (74740) range across 2 matching MRF lines	$132–$201	$132–$201	varies
Infusion Ivp (74410) range across 2 matching MRF lines	$186–$282	$186–$282	varies
Joint Survey Single View (77077) range across 2 matching MRF lines	$67–$101	$67–$101	varies
Knee 3 Views (73562) range across 6 matching MRF lines	$60–$381	$60–$381	varies
Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines	$134–$203	$134–$203	varies
Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines	$102–$155	$102–$155	varies
Mra Head W/O & W/Contrast Material (70546)	$3,200	$3,200	10.2×
MRA head w/o contrast (70544) range across 2 matching MRF lines	$420–$1,618	$420–$1,618	varies
MRA head with contrast (70545) range across 2 matching MRF lines	$417–$2,083	$417–$2,083	varies
MRA neck w contrast (70548)	$2,197	$2,197	7.0×
Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines	$627–$2,552	$627–$2,552	varies
MRA neck w/o contrast (70547) range across 2 matching MRF lines	$420–$1,618	$420–$1,618	varies
MRI abdomen w contrast (74182) range across 2 matching MRF lines	$604–$2,083	$604–$2,083	varies
MRI abdomen w/o contrast (74181) range across 2 matching MRF lines	$509–$1,618	$509–$1,618	varies
MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines	$2,042–$4,082	$2,042–$4,082	varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines	$747–$2,552	$747–$2,552	varies
MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines	$1,996–$3,992	$1,996–$3,992	varies
MRI cervical spine w contrast (72142) range across 2 matching MRF lines	$672–$2,083	$672–$2,083	varies
MRI cervical spine w/o cont (72141) range across 2 matching MRF lines	$561–$1,618	$561–$1,618	varies
MRI chest w/o contrast (71550)	$506	$506	2.3×
MRI chest wo w contrast (71552) range across 3 matching MRF lines	$348–$3,504	$348–$3,504	varies
MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines	$2,083–$4,268	$2,083–$4,268	varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines	$747–$2,552	$747–$2,552	varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines	$470–$1,618	$470–$1,618	varies
MRI lumbar spine w contrast (72149) range across 2 matching MRF lines	$626–$2,083	$626–$2,083	varies
Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines	$898–$2,552	$898–$2,552	varies
MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines	$470–$1,618	$470–$1,618	varies
MRI orbit face neck w contrast (70542) range across 2 matching MRF lines	$565–$2,083	$565–$2,083	varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines	$745–$2,552	$745–$2,552	varies
MRI pelvis w contrast (72196) range across 2 matching MRF lines	$2,083–$2,162	$2,083–$2,162	varies
MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines	$784–$2,552	$784–$2,552	varies
MRI pelvis w/o contrast (72195) range across 2 matching MRF lines	$514–$1,618	$514–$1,618	varies
MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines	$561–$1,618	$561–$1,618	varies
MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines	$2,083–$4,256	$2,083–$4,256	varies
MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines	$470–$3,234	$470–$3,234	varies
Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines	$750–$5,103	$750–$5,103	varies
MRI, abdomen, combo (74183) range across 2 matching MRF lines	$784–$2,552	$784–$2,552	varies
MRI, dorsal spine combo (72157) range across 2 matching MRF lines	$898–$2,552	$898–$2,552	varies
MRI, dorsal spine contrast (72147) range across 2 matching MRF lines	$672–$2,083	$672–$2,083	varies
MRI, joint upper extrem (73221) range across 4 matching MRF lines	$480–$3,234	$480–$3,234	varies
MRI, joint upper extrem combo (73223) range across 4 matching MRF lines	$750–$5,103	$750–$5,103	varies
MRI, lumbar spine combo (72158) range across 2 matching MRF lines	$830–$2,552	$830–$2,552	varies
Neck soft tissue (70360) range across 3 matching MRF lines	$59–$190	$59–$190	varies
Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines	$174–$264	$174–$264	varies
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines	$135–$492	$135–$492	varies
Pelvis 1 or 2 views (72170) range across 3 matching MRF lines	$66–$190	$66–$190	varies
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines	$279–$422	$279–$422	varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines	$77–$321	$77–$321	varies
Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines	$97–$147	$97–$147	varies
Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines	$55–$381	$55–$381	varies
Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines	$47–$381	$47–$381	varies
Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines	$55–$381	$55–$381	varies
Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines	$91–$190	$91–$190	varies
Radex fingr minimum 2 views (73140) range across 6 matching MRF lines	$49–$381	$49–$381	varies
Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines	$50–$381	$50–$381	varies
Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines	$53–$381	$53–$381	varies
Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines	$48–$381	$48–$381	varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines	$119–$238	$119–$238	varies
Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines	$61–$190	$61–$190	varies
Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines	$53–$190	$53–$190	varies
Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines	$51–$381	$51–$381	varies
Radex Sinuses Paransl < 3 Views (70210)	$61	$61	0.8×
Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines	$734–$1,112	$734–$1,112	varies
Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines	$54–$190	$54–$190	varies
Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines	$72–$190	$72–$190	varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines	$88–$177	$88–$177	varies
Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines	$47–$381	$47–$381	varies
Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines	$48–$381	$48–$381	varies
Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines	$60–$381	$60–$381	varies
Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines	$88–$279	$88–$279	varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines	$70–$105	$70–$105	varies
Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines	$372–$564	$372–$564	varies
Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines	$263–$398	$263–$398	varies
Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines	$70–$381	$70–$381	varies
Radiologic Exam Small Int Single Contrast Study (74250)	$261	$261	1.6×
Radiologic exam swallow function contrast study (74230)	$221	$221	1.4×
Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines	$225–$341	$225–$341	varies
Radiologic examination femur 1 view (73551) range across 3 matching MRF lines	$139–$388	$139–$388	varies
Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines	$70–$388	$70–$388	varies
Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines	$51–$381	$51–$381	varies
Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines	$112–$170	$112–$170	varies
Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines	$46–$381	$46–$381	varies
Ribs bilateral 3 views (71110) range across 3 matching MRF lines	$95–$190	$95–$190	varies
Scapula (73010) range across 6 matching MRF lines	$53–$381	$53–$381	varies
Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines	$93–$220	$93–$220	varies
Shoulder 1 view (73020) range across 6 matching MRF lines	$41–$381	$41–$381	varies
Shoulder Arthrography (73040) range across 2 matching MRF lines	$176–$268	$176–$268	varies
Skull less than 4 views (70250) range across 2 matching MRF lines	$85–$190	$85–$190	varies
Superior sagittal sinus venogram (75870) range across 2 matching MRF lines	$262–$397	$262–$397	varies
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines	$364–$552	$364–$552	varies
Thoracic spine 2 views (72070) range across 4 matching MRF lines	$54–$190	$54–$190	varies
Thoracic spine 3 views (72072) range across 3 matching MRF lines	$76–$190	$76–$190	varies
Thoracolumbar 2 views (72080) range across 3 matching MRF lines	$58–$88	$58–$88	varies
Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines	$258–$430	$258–$430	varies
Ultrasound, abdomen limited (76705) range across 5 matching MRF lines	$172–$467	$172–$467	varies
Upper gi w/o kub (74240) range across 2 matching MRF lines	$200–$303	$200–$303	varies
Urethrocystogram voiding (74455) range across 2 matching MRF lines	$143–$216	$143–$216	varies
Us breast unilateral complete (76641) range across 4 matching MRF lines	$123–$875	$123–$875	varies
Us chest (76604) range across 4 matching MRF lines	$174–$399	$174–$399	varies
Us complete joint (76881) range across 2 matching MRF lines	$217–$460	$217–$460	varies
Us exam, pelvic, limited (76857) range across 3 matching MRF lines	$137–$424	$137–$424	varies
Us kidney transplant (76776)	$635	$635	6.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines	$149–$467	$149–$467	varies
Us ob detailed single fetus (76811)	$801	$801	3.7×
Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines	$224–$418	$224–$418	varies
Us ob transvaginal (76817) range across 4 matching MRF lines	$263–$467	$263–$467	varies
Us pelvic non ob complete (76856) range across 3 matching MRF lines	$157.50–$467	$157.50–$467	varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines	$347–$467	$347–$467	varies
Us retroperitoneal complete (76770) range across 2 matching MRF lines	$258–$467	$258–$467	varies
Us retroperitoneal limited (76775) range across 4 matching MRF lines	$166–$467	$166–$467	varies
Us scrotum and contents (76870) range across 2 matching MRF lines	$224–$467	$224–$467	varies
Us thyroid (76536) range across 3 matching MRF lines	$196–$467	$196–$467	varies
Vasogram (74440) range across 2 matching MRF lines	$139–$211	$139–$211	varies
Vein X-Ray Chest (75827) range across 2 matching MRF lines	$244–$369	$244–$369	varies
Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines	$282–$427	$282–$427	varies
Vein X-Ray Skull Epidural (75872) range across 2 matching MRF lines	$263–$398	$263–$398	varies
Venogram Sinus/Jugular (75860) range across 2 matching MRF lines	$254–$385	$254–$385	varies
Venography Adrenal Unilateral (75840) range across 2 matching MRF lines	$263–$398	$263–$398	varies
Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines	$242–$366	$242–$366	varies
Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines	$242–$367	$242–$367	varies
Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines	$204–$309	$204–$309	varies
Venography Orbital Rs&I (75880) range across 2 matching MRF lines	$256–$388	$256–$388	varies
Venography Renal Bilateral (75833) range across 2 matching MRF lines	$298–$451	$298–$451	varies
Venography Renal Unilateral (75831) range across 2 matching MRF lines	$248–$376	$248–$376	varies
Venous sampling by catheter (75893) range across 2 matching MRF lines	$198–$300	$198–$300	varies
Wrist 2 views (73100) range across 6 matching MRF lines	$51–$381	$51–$381	varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines	$62–$190	$62–$190	varies
X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines	$304–$460	$304–$460	varies
X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines	$85–$190	$85–$190	varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines	$48–$381	$48–$381	varies
X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines	$29–$43	$29–$43	varies
X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines	$71–$193	$71–$193	varies
X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines	$86–$313	$86–$313	varies
X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines	$46–$197	$46–$197	varies
X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines	$63–$197	$63–$197	varies
X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines	$101–$319	$101–$319	varies
X-Ray Exam Hips Bi 3-4 Views (73522)	$101	$101	1.1×
X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines	$121–$321	$121–$321	varies
X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines	$57–$190	$57–$190	varies
X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines	$132–$321	$132–$321	varies
X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines	$63–$190	$63–$190	varies
X-ray eye for foreign body (70030) range across 4 matching MRF lines	$26–$381	$26–$381	varies
X-ray humerus (73060) range across 6 matching MRF lines	$47–$381	$47–$381	varies
X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines	$192–$290	$192–$290	varies
X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines	$239–$362	$239–$362	varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines	$64–$100	$64–$100	varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines	$57–$87	$57–$87	varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines	$57–$190	$57–$190	varies
X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines	$46–$190	$46–$190	varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines	$85–$321	$85–$321	varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines	$66–$190	$66–$190	varies
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines	$61–$190	$61–$190	varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines	$88–$190	$88–$190	varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines	$115–$321	$115–$321	varies
X-Ray Stress View (77071) range across 2 matching MRF lines	$85–$130	$85–$130	varies
X-Rays Bone Length Studies (77073) range across 3 matching MRF lines	$64–$324	$64–$324	varies
X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines	$153–$321	$153–$321	varies
Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines	$112–$321	$112–$321	varies
Xr orbits complete 4 views (70200) range across 3 matching MRF lines	$98–$190	$98–$190	varies
Xr Tomogram Single Plane (76100) range across 2 matching MRF lines	$162–$246	$162–$246	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.