Imaging prices at Lake District Hospital
Lakeview, OR · every code in this section with a posted price and a Medicare benchmark.
201 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 |
$22.10–$277.10 | $26–$326 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$27.20–$370.60 | $32–$436 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$19.55–$271.15 | $23–$319 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$67.15–$1,046.35 | $79–$1,231 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$64.60–$261.80 | $76–$308 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$22.95–$314.50 | $27–$370 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$79.05–$553.35 | $93–$651 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$107.10–$1,055.70 | $126–$1,242 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$22.10–$369.75 | $26–$435 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$25.50–$350.20 | $30–$412 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$20.40–$297.50 | $24–$350 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$121.55–$1,902.30 | $143–$2,238 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$66.30–$1,046.35 | $78–$1,231 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$225.25–$4,811 | $265–$5,660 | varies |
| CT abdomen and pelvis without contrast (74176) range across 6 matching MRF lines |
$185.30–$3,368.55 | $218–$3,963 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$144.50–$2,401.25 | $170–$2,825 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$157.25–$2,768.45 | $185–$3,257 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$134.30–$1,863.20 | $158–$2,192 | varies |
| CT Angio Abdomen and Pelvis (74174) | $4,010.30 | $4,718 | 10.3× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$204–$2,727.65 | $240–$3,209 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$195.50–$2,727.65 | $230–$3,209 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$195.50–$2,328.15 | $230–$2,739 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$136.85–$2,013.65 | $161–$2,369 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$113.05–$1,902.30 | $133–$2,238 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$141.95–$2,389.35 | $167–$2,811 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$130.90–$2,443.75 | $154–$2,875 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$140.25–$2,817.75 | $165–$3,315 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$128.35–$1,902.30 | $151–$2,238 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$144.50–$2,351.10 | $170–$2,766 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$126.65–$1,976.25 | $149–$2,325 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$141.95–$2,669.85 | $167–$3,141 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$113.05–$1,672.80 | $133–$1,968 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$130.90–$2,083.35 | $154–$2,451 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$136.85–$2,013.65 | $161–$2,369 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$113.05–$1,902.30 | $133–$2,238 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$126.65–$1,822.40 | $149–$2,144 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$96.90–$1,822.40 | $114–$2,144 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$181.90–$2,433.55 | $214–$2,863 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$141.95–$2,204.05 | $167–$2,593 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$145.35–$1,976.25 | $171–$2,325 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$136.85–$2,713.20 | $161–$3,192 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$122.40–$1,541.05 | $144–$1,813 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$136.85–$2,443.75 | $161–$2,875 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$141.95–$2,013.65 | $167–$2,369 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$155.55–$2,077.40 | $183–$2,444 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$145.35–$1,736.55 | $171–$2,043 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$137.70–$2,013.65 | $162–$2,369 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$113.05–$2,008.55 | $133–$2,363 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$141.95–$2,389.35 | $167–$2,811 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$115.60–$1,902.30 | $136–$2,238 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$113.05–$1,575.90 | $133–$1,854 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$136.85–$2,443.75 | $161–$2,875 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$130.05–$2,083.35 | $153–$2,451 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$264.35–$4,366.45 | $311–$5,137 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$202.30–$2,727.65 | $238–$3,209 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$23.80–$325.55 | $28–$383 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$34.85–$325.55 | $41–$383 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$23.80–$176.80 | $28–$208 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$217.60–$704.65 | $256–$829 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$68–$516.80 | $80–$608 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$119–$921.40 | $140–$1,084 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $469.20 | $552 | 4.0× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$35.70–$544.85 | $42–$641 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$17.85–$247.35 | $21–$291 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$19.55–$277.95 | $23–$327 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$20.40–$311.95 | $24–$367 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$43.35–$1,101.60 | $51–$1,296 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$22.95–$357 | $27–$420 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$165.75–$1,984.75 | $195–$2,335 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$135.15–$2,408.90 | $159–$2,834 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$135.15–$2,031.50 | $159–$2,390 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$169.15–$2,465 | $199–$2,900 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$202.30–$3,828.40 | $238–$4,504 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$135.15–$2,408.90 | $159–$2,834 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$164.90–$2,914.65 | $194–$3,429 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$184.45–$2,408.90 | $217–$2,834 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$241.40–$2,889.15 | $284–$3,399 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$184.45–$2,408.90 | $217–$2,834 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$200.60–$2,504.10 | $236–$2,946 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$167.45–$2,154.75 | $197–$2,535 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$165.75–$1,364.25 | $195–$1,605 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$254.15–$4,524.55 | $299–$5,323 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$241.40–$3,983.10 | $284–$4,686 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$151.30–$2,592.50 | $178–$3,050 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$200.60–$2,567 | $236–$3,020 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$256.70–$4,924.90 | $302–$5,794 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$151.30–$1,984.75 | $178–$2,335 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$240.55–$4,569.60 | $283–$5,376 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$246.50–$4,650.35 | $290–$5,471 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$164.90–$2,154.75 | $194–$2,535 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$166.60–$2,154.75 | $196–$2,535 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$183.60–$2,087.60 | $216–$2,456 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$153–$1,984.75 | $180–$2,335 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$242.25–$2,567 | $285–$3,020 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$245.65–$4,524.55 | $289–$5,323 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$256.70–$4,228.75 | $302–$4,975 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$200.60–$2,690.25 | $236–$3,165 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$153.85–$2,306.90 | $181–$2,714 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$242.25–$2,889.15 | $285–$3,399 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$256.70–$4,555.15 | $302–$5,359 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$103.70–$329.80 | $122–$388 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$22.10–$230.35 | $26–$271 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$21.25–$271.15 | $25–$319 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$37.40–$470.05 | $44–$553 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$59.50–$1,101.60 | $70–$1,296 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$21.25–$298.35 | $25–$351 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$19.55–$287.30 | $23–$338 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$21.25–$352.75 | $25–$415 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$29.75–$538.90 | $35–$634 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$17–$226.95 | $20–$267 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$20.40–$313.65 | $24–$369 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$21.25–$325.55 | $25–$383 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$39.95–$542.30 | $47–$638 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$21.25–$317.05 | $25–$373 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$26.35–$380.80 | $31–$448 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$22.95–$297.50 | $27–$350 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$21.25–$439.45 | $25–$517 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$19.55–$265.20 | $23–$312 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$23.80–$300.90 | $28–$354 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$28.05–$452.20 | $33–$532 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$15.30–$255 | $18–$300 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$21.25–$301.75 | $25–$355 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$28.90–$487.90 | $34–$574 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$141.10–$952.85 | $166–$1,121 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$117.30–$690.20 | $138–$812 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$26.35–$413.10 | $31–$486 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$28.90–$413.10 | $34–$486 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$91.80–$542.30 | $108–$638 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$60.35–$307.70 | $71–$362 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$101.15–$498.10 | $119–$586 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$20.40–$191.25 | $24–$225 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$22.10–$342.55 | $26–$403 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$20.40–$277.10 | $24–$326 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$50.15–$317.05 | $59–$373 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$19.55–$293.25 | $23–$345 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$34–$497.25 | $40–$585 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$22.10–$317.05 | $26–$373 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$68.85–$69.70 | $81–$82 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$22.95–$260.95 | $27–$307 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$17.85–$325.55 | $21–$383 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$64.60–$1,046.35 | $76–$1,231 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$22.10–$325.55 | $26–$383 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$25.50–$321.30 | $30–$378 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$23.80–$335.75 | $28–$395 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$26.35–$418.20 | $31–$492 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$24.65–$390.15 | $29–$459 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$76.50–$297.50 | $90–$350 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$62.05–$319.60 | $73–$376 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$67.15–$648.55 | $79–$763 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $92.65 | $109 | 1.0× |
| Unlisted us procedure (76999) | $282.20 | $332 | 2.9× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$90.95–$708.05 | $107–$833 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$37.40–$895.05 | $44–$1,053 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$82.45–$617.10 | $97–$726 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$65.45–$448.80 | $77–$528 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$71.40–$846.60 | $84–$996 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$56.10–$470.05 | $66–$553 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$55.25–$314.50 | $65–$370 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$73.95–$469.20 | $87–$552 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$85.85–$469.20 | $101–$552 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$78.20–$845.75 | $92–$995 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$112.20–$469.20 | $132–$552 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$97.75–$343.40 | $115–$404 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$83.30–$658.75 | $98–$775 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$65.45–$533.80 | $77–$628 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$73.10–$582.25 | $86–$685 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$136–$317.05 | $160–$373 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$65.45–$845.75 | $77–$995 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$20.40–$176.80 | $24–$208 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$20.40–$260.95 | $24–$307 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$22.95–$360.40 | $27–$424 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$26.35–$360.40 | $31–$424 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$20.40–$277.95 | $24–$327 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$37.40–$1,101.60 | $44–$1,296 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$29.75–$293.25 | $35–$345 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$37.40–$697.85 | $44–$821 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$22.95–$266.90 | $27–$314 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$26.35–$357 | $31–$420 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$26.35–$289.85 | $31–$341 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$34–$451.35 | $40–$531 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$26.35–$341.70 | $31–$402 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$34–$712.30 | $40–$838 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$30.60–$497.25 | $36–$585 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$22.10–$170 | $26–$200 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$19.55–$277.10 | $23–$326 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$55.25–$1,020.85 | $65–$1,201 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$22.10–$334.90 | $26–$394 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$21.25–$277.10 | $25–$326 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$26.35–$360.40 | $31–$424 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$22.10–$230.35 | $26–$271 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$37.40–$685.10 | $44–$806 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$26.35–$564.40 | $31–$664 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$20.40–$307.70 | $24–$362 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$21.25–$333.20 | $25–$392 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$25.50–$733.55 | $30–$863 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$33.15–$487.90 | $39–$574 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$30.60–$277.10 | $36–$326 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$62.90–$553.35 | $74–$651 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$31.45–$454.75 | $37–$535 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$23.80–$334.90 | $28–$394 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$22.10–$380.80 | $26–$448 | 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.