Imaging prices at Madison Health
London, OH · every code in this section with a posted price and a Medicare benchmark.
242 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 |
$28–$298.40 | $35–$373 | varies |
| Abdomen 2 views (74019) | $541.60 | $677 | 5.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $6,192.80 | $7,741 | 16.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$24–$429.60 | $30–$537 | varies |
| Arthrogram hip (73525) | $944.80 | $1,181 | 2.8× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$91.20–$1,068.80 | $114–$1,336 | varies |
| Bone age studies (77072) | $522.40 | $653 | 5.2× |
| Bone Imaging 3 Phase (78315) | $2,306.40 | $2,883 | 6.0× |
| Bone Imaging Limited Area (78300) | $2,109.60 | $2,637 | 5.5× |
| Bone Imaging Whole Body (78306) | $2,153.60 | $2,692 | 5.6× |
| Bone marrow imaging limited area (78102) | $1,141.60 | $1,427 | 3.0× |
| Bone survey infant (77076) | $1,815.20 | $2,269 | 18.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,316.80 | $9,146 | 5.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$28.80–$404 | $36–$505 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$32.80–$460.80 | $41–$576 | varies |
| Chest 3 views (71047) | $33.60 | $42 | 0.4× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$24–$698.40 | $30–$873 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$28.80–$471.20 | $36–$589 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,424 | $1,780 | 14.1× |
| Contrast X-Ray Bladder (74430) | $757.60 | $947 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,028 | $2,535 | 6.0× |
| CT abdomen and pelvis without contrast (74176) | $1,836.80 | $2,296 | 8.0× |
| CT abdomen w contrast (74160) | $2,792.80 | $3,491 | 16.5× |
| CT abdomen w wo contrast (74170) | $3,350.40 | $4,188 | 19.8× |
| CT abdomen w/o contrast (74150) | $2,328 | $2,910 | 23.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,627.20 | $3,284 | 7.8× |
| CT Angio Chest (71275) | $1,628.80 | $2,036 | 9.6× |
| CT Angio Head (70496) | $2,349.60 | $2,937 | 13.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,305.60 | $5,382 | 25.5× |
| CT Angio Neck (70498) | $2,466.40 | $3,083 | 14.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,758.40 | $3,448 | 16.3× |
| CT cervical spine w/ contrast (72126) | $3,000.80 | $3,751 | 8.9× |
| CT cervical spine w/o contrast (72125) | $1,356 | $1,695 | 13.5× |
| CT chest w contrast (71260) | $1,462.40 | $1,828 | 8.6× |
| CT chest w/wo contrast (71270) | $2,956 | $3,695 | 17.5× |
| CT head/brain with contrast (70460) | $2,164.80 | $2,706 | 12.8× |
| CT head/brain without and with contrast (70470) | $2,883.20 | $3,604 | 17.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $84 | $105 | 1.0× |
| CT iac w contrast (70481) | $2,053.60 | $2,567 | 12.1× |
| CT l-spine w&w/o contrast (72133) | $2,911.20 | $3,639 | 17.2× |
| CT lower ext w/o (73700) | $2,328 | $2,910 | 23.1× |
| CT lower extremity w/contrast material (73701) | $2,548 | $3,185 | 15.1× |
| CT lumbar spine w contrast (72132) | $2,736.80 | $3,421 | 8.1× |
| CT lumbar spine w/o contrast (72131) | $2,421.60 | $3,027 | 24.0× |
| CT maxillofacial w contrast (70487) | $2,006.40 | $2,508 | 11.9× |
| CT maxillofacial wo contrast (70486) | $1,320.80 | $1,651 | 13.1× |
| CT neck tissue combo (70492) | $2,722.40 | $3,403 | 16.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,027.20 | $3,784 | 17.9× |
| CT orbits w/o contrast (70480) | $1,951.20 | $2,439 | 19.4× |
| CT pelvis w&w/o contrast (72194) | $2,956 | $3,695 | 17.5× |
| CT pelvis w/o contrast (72192) | $2,445.60 | $3,057 | 24.3× |
| CT scan of leg combo (73702) | $2,530.40 | $3,163 | 15.0× |
| CT scans face/jaw combo (70488) | $2,053.60 | $2,567 | 12.1× |
| CT soft tissue neck w contrast (70491) | $1,432.80 | $1,791 | 8.5× |
| CT soft tissue neck w/o contrast (70490) | $1,289.60 | $1,612 | 12.8× |
| CT thoracic spine w contrast (72129) | $2,652 | $3,315 | 15.7× |
| CT thoracic spine w/o contrast (72128) | $2,292.80 | $2,866 | 22.7× |
| CT thorax w/o contrast (71250) | $1,424 | $1,780 | 14.1× |
| CT upper ext wo (73200) | $2,328 | $2,910 | 23.1× |
| CT upper extremity w/o & w/contrast material (73202) | $2,789.60 | $3,487 | 16.5× |
| CT upper extremity with contrast (73201) | $2,548 | $3,185 | 7.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,627.20 | $3,284 | 15.5× |
| Cta Abdomen (74175) | $2,758.40 | $3,448 | 16.3× |
| CTA pelvis (72191) | $2,758.40 | $3,448 | 16.3× |
| Discography Cerv/Thor Spine (72285) | $4,388.80 | $5,486 | 2.3× |
| Diskography lumbar (72295) | $4,388.80 | $5,486 | 2.3× |
| Dxa Bone Density Axial (77080) | $667.20 | $834 | 6.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $308 | $385 | 3.7× |
| Esophagram (74220) | $1,029.60 | $1,287 | 6.1× |
| Fetal Biophys Profile W/Nst (76818) | $686.40 | $858 | 6.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $617.60 | $772 | 6.1× |
| Fluoroscopy up to 1 hr (76000) | $904 | $1,130 | 3.9× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$26.40–$429.60 | $33–$537 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$28–$384.80 | $35–$481 | varies |
| Gastric emptying imaging study (78264) | $2,300.80 | $2,876 | 6.0× |
| Gated Heart Planar Single (78472) | $4,629.60 | $5,787 | 12.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$25.60–$429.60 | $32–$537 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,550.40 | $3,188 | 4.9× |
| Hepatobiliary System Imaging (78226) | $2,546.40 | $3,183 | 6.6× |
| Ht Muscle Image Spect Sing (78451) | $4,075.20 | $5,094 | 3.3× |
| Hysterosalpingogram (74740) | $1,626.40 | $2,033 | 7.1× |
| Infusion Ivp (74410) | $1,764 | $2,205 | 10.4× |
| K Flow/Funct Image Multiple (78709) | $2,008 | $2,510 | 3.8× |
| K Flow/Funct Image W/Drug (78708) | $1,700 | $2,125 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,377.60 | $1,722 | 2.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$34.40–$451.20 | $43–$564 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,774.40 | $2,218 | 4.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,356.80 | $2,946 | 6.1× |
| Liver imaging static only (78201) | $2,852 | $3,565 | 5.4× |
| Lung Ventilat&Perfus Imaging (78582) | $2,825.60 | $3,532 | 5.4× |
| Lung Ventilation Imaging (78579) | $2,967.20 | $3,709 | 7.7× |
| Lymph System Imaging (78195) | $1,574.40 | $1,968 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $1,556.80 | $1,946 | 6.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,925.60 | $4,907 | 11.7× |
| MRA head w/o contrast (70544) | $1,612 | $2,015 | 7.0× |
| MRA neck w contrast (70548) | $3,189.60 | $3,987 | 9.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,261.60 | $4,077 | 9.7× |
| MRA neck w/o contrast (70547) | $2,720 | $3,400 | 11.8× |
| MRI abdomen w contrast (74182) | $2,535.20 | $3,169 | 7.5× |
| MRI abdomen w/o contrast (74181) | $2,661.60 | $3,327 | 11.6× |
| MRI any jt lower extrem w/contrast material (73722) | $3,194.40 | $3,993 | 4.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,833.60 | $4,792 | 11.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,059.20 | $3,824 | 4.0× |
| MRI cervical spine w contrast (72142) | $2,001.60 | $2,502 | 6.0× |
| MRI cervical spine w/o cont (72141) | $1,741.60 | $2,177 | 7.6× |
| MRI chest wo w contrast (71552) | $3,872.80 | $4,841 | 11.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,111.20 | $3,889 | 9.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,064 | $2,580 | 9.0× |
| MRI lumbar spine w contrast (72149) | $4,092 | $5,115 | 12.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,833.60 | $4,792 | 11.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,483.20 | $3,104 | 10.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,545.60 | $4,432 | 10.5× |
| MRI pelvis w/o & w contrast (72197) | $3,708 | $4,635 | 11.0× |
| MRI pelvis w/o contrast (72195) | $2,574.40 | $3,218 | 11.2× |
| MRI thoracic spine w/o contrast (72146) | $2,661.60 | $3,327 | 11.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,578.40 | $4,473 | 15.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,411.20 | $6,764 | 16.1× |
| MRI, abdomen, combo (74183) | $3,567.20 | $4,459 | 10.6× |
| MRI, dorsal spine combo (72157) | $3,833.60 | $4,792 | 11.4× |
| MRI, joint upper extrem (73221) | $1,741.60 | $2,177 | 7.6× |
| MRI, joint upper extrem combo (73223) | $3,672 | $4,590 | 10.9× |
| MRI, lumbar spine combo (72158) | $4,676 | $5,845 | 13.9× |
| Myelogram cervical (72240) | $1,541.60 | $1,927 | 2.0× |
| Myelogram Lumbar (72265) | $1,844 | $2,305 | 2.4× |
| Myelography thoracic (72255) | $1,915.20 | $2,394 | 2.5× |
| Myelograpy 2/more regions rs&i (72270) | $2,207.20 | $2,759 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $4,120.80 | $5,151 | 3.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$27.20–$368.80 | $34–$461 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,025.60 | $2,532 | 3.9× |
| Parathyroid Planar Imaging (78070) | $1,785.60 | $2,232 | 4.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,152.80 | $3,941 | 8.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$29.60–$351.20 | $37–$439 | varies |
| PET image w/CT, full body (78816) | $5,911.20 | $7,389 | 4.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,628.80 | $7,036 | 4.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,661.60 | $2,077 | 4.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$55.20–$660.80 | $69–$826 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $857.60 | $1,072 | 1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$30.40–$485.60 | $38–$607 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$27.20–$384.80 | $34–$481 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$31.20–$471.20 | $39–$589 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$42.40–$743.20 | $53–$929 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$23.20–$364 | $29–$455 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$29.60–$471.20 | $37–$589 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$29.60–$471.20 | $37–$589 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$31.20–$624.80 | $39–$781 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$32–$673.60 | $40–$842 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$34.40–$348.80 | $43–$436 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$32.80–$471.20 | $41–$589 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$28.80–$299.20 | $36–$374 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$32.80–$925.60 | $41–$1,157 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$42.40–$1,314.40 | $53–$1,643 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$24–$364 | $30–$455 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$28.80–$624.80 | $36–$781 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$29.60–$471.20 | $37–$589 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$116.80–$687.20 | $146–$859 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$42.40–$708 | $53–$885 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $42.40 | $53 | 0.4× |
| Radiologic exam colon double contrast study (74280) | $1,115.20 | $1,394 | 6.6× |
| Radiologic exam colon single contrast study (74270) | $1,115.20 | $1,394 | 6.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$35.20–$517.60 | $44–$647 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$32–$412.80 | $40–$516 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $816 | $1,020 | 4.8× |
| Radiologic exam swallow function contrast study (74230) | $363.20 | $454 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $985.60 | $1,232 | 5.8× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$36.80–$520 | $46–$650 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$30.40–$386.40 | $38–$483 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$29.60–$471.20 | $37–$589 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$49.60–$388 | $62–$485 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,548 | $1,935 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,537.60 | $5,672 | 8.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,964.80 | $2,456 | 3.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,479.20 | $4,349 | 6.6× |
| Scapula (73010) range across 2 matching MRF lines |
$30.40–$432 | $38–$540 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $61.60 | $77 | 2.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$28–$364 | $35–$455 | varies |
| Shoulder Arthrography (73040) | $1,944.80 | $2,431 | 5.8× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$32.80–$440.80 | $41–$551 | varies |
| Spleen Imaging (78185) | $1,309.60 | $1,637 | 3.4× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$33.60–$431.20 | $42–$539 | varies |
| Thoracic spine 2 views (72070) | $373.60 | $467 | 3.7× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$40.80–$838.40 | $51–$1,048 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$35.20–$392 | $44–$490 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $364.80 | $456 | 0.9× |
| Ultrasound Breast Limited (76642) | $832.80 | $1,041 | 9.9× |
| Ultrasound Exam Aaa Screen (76706) | $434.40 | $543 | 4.3× |
| Ultrasound, abdomen limited (76705) | $916 | $1,145 | 9.1× |
| Upper gi w/o kub (74240) | $927.20 | $1,159 | 5.5× |
| Urethrocystogram voiding (74455) | $1,080.80 | $1,351 | 4.7× |
| Us breast unilateral complete (76641) | $1,040.80 | $1,301 | 10.3× |
| Us chest (76604) | $649.60 | $812 | 6.4× |
| Us complete joint (76881) | $628 | $785 | 6.2× |
| Us exam, pelvic, limited (76857) | $323.20 | $404 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $475.20 | $594 | 4.7× |
| Us ob detailed single fetus (76811) | $592 | $740 | 2.6× |
| Us ob limited 1 or more fetuses (76815) | $566.40 | $708 | 5.6× |
| Us ob transvaginal (76817) | $883 | $1,103.75 | 8.8× |
| Us pelvic non ob complete (76856) | $1,030.40 | $1,288 | 10.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $580.80 | $726 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $755.20 | $944 | 7.5× |
| Us retroperitoneal complete (76770) | $783.20 | $979 | 7.8× |
| Us retroperitoneal limited (76775) | $628 | $785 | 6.2× |
| Us scrotum and contents (76870) | $628.80 | $786 | 6.2× |
| Us thyroid (76536) | $628.80 | $786 | 6.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$28–$429.60 | $35–$537 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$33.60–$687.20 | $42–$859 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$41.60–$588 | $52–$735 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$25.60–$384.80 | $32–$481 | varies |
| X-Ray Exam Breast Specimen (76098) | $766.40 | $958 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$36.80–$604.80 | $46–$756 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$61.60–$655.20 | $77–$819 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$116.80–$687.20 | $146–$859 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$36.80–$364 | $46–$455 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$36.80–$395.20 | $46–$494 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$61.60–$415.20 | $77–$519 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$61.60–$944 | $77–$1,180 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$61.60–$1,048.80 | $77–$1,311 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$116.80–$1,101.60 | $146–$1,377 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$53.60–$988 | $67–$1,235 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$38.40–$387.20 | $48–$484 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$55.20–$728 | $69–$910 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$42.40–$925.60 | $53–$1,157 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$28–$200.80 | $35–$251 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$30.40–$351.20 | $38–$439 | varies |
| X-ray IV pyelogram (ivp) (74400) | $828.80 | $1,036 | 4.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$37.60–$344.80 | $47–$431 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$26.40–$387.20 | $33–$484 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$42.40–$820 | $53–$1,025 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$27.20–$391.20 | $34–$489 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$56.80–$1,201.60 | $71–$1,502 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$33.60–$471.20 | $42–$589 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$29.60–$269.60 | $37–$337 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$36–$1,103.20 | $45–$1,379 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$42.40–$1,142.40 | $53–$1,428 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$46.40–$1,142.40 | $58–$1,428 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$44–$838.40 | $55–$1,048 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$32.80–$329.60 | $41–$412 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $634.40 | $793 | 1.9× |
| X-Rays Bone Length Studies (77073) | $489.60 | $612 | 4.9× |
| X-Rays Bone Survey Complete (77075) | $683.20 | $854 | 6.8× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$48–$728 | $60–$910 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$28–$499.20 | $35–$624 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$39.20–$1,201.60 | $49–$1,502 | 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.