Imaging prices at Mahaska Health Partnership
Oskaloosa, IA · 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) range across 2 matching MRF lines |
$21.25–$136 | $25–$160 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$26.35–$190.40 | $31–$224 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$37.40–$765 | $44–$900 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$67.15–$935 | $79–$1,100 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$21.25–$190.40 | $25–$224 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$113.05–$938.40 | $133–$1,104 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$68.85–$939.25 | $81–$1,105 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$94.35–$938.40 | $111–$1,104 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$80.75–$356.15 | $95–$419 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$163.20–$3,679.65 | $192–$4,329 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$20.40–$136 | $24–$160 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$24.65–$136 | $29–$160 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$31.45–$136 | $37–$160 | varies |
| Chest 4 or more views (71048) | $190.40 | $224 | 1.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$19.55–$391 | $23–$460 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$123.25–$453.90 | $145–$534 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$36.55–$649.40 | $43–$764 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$225.25–$1,622.65 | $265–$1,909 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$195.50–$990.25 | $230–$1,165 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$142.80–$2,380 | $168–$2,800 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$157.25–$1,785 | $185–$2,100 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$133.45–$2,082.50 | $157–$2,450 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$245.65–$1,622.65 | $289–$1,909 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$204–$3,315 | $240–$3,900 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$198.90–$446.25 | $234–$525 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$266.90–$1,530 | $314–$1,800 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$198.90–$1,360 | $234–$1,600 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$200.60–$774.35 | $236–$911 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$136.85–$939.25 | $161–$1,105 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$112.20–$1,700 | $132–$2,000 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$130.90–$1,700 | $154–$2,000 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$140.25–$2,040 | $165–$2,400 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$127.50–$1,572.50 | $150–$1,850 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$142.80–$1,912.50 | $168–$2,250 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$21.25–$63.75 | $25–$75 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$127.50–$1,572.50 | $150–$1,850 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$144.50–$595 | $170–$700 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$112.20–$1,785 | $132–$2,100 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$130.05–$2,380 | $153–$2,800 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$136.85–$1,572.50 | $161–$1,850 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$112.20–$1,572.50 | $132–$1,850 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$126.65–$1,615 | $149–$1,900 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$96.05–$1,530 | $113–$1,800 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$181.05–$1,912.50 | $213–$2,250 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $774.35 | $911 | 4.6× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$144.50–$1,190 | $170–$1,400 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$136–$774.35 | $160–$911 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$122.40–$1,530 | $144–$1,800 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$136–$774.35 | $160–$911 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$141.10–$1,912.50 | $166–$2,250 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$155.55–$1,700 | $183–$2,000 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$143.65–$1,827.50 | $169–$2,150 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$137.70–$310.25 | $162–$365 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$112.20–$1,360 | $132–$1,600 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$121.55–$453.90 | $143–$534 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$112.20–$1,147.50 | $132–$1,350 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$138.55–$595 | $163–$700 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$130.05–$1,470.50 | $153–$1,730 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$263.50–$2,125 | $310–$2,500 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$203.15–$2,125 | $239–$2,500 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$200.60–$1,530 | $236–$1,800 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$22.95–$190.40 | $27–$224 | varies |
| Echo exam uterus (76831) | $792.20 | $932 | 3.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$67.15–$309.40 | $79–$364 | varies |
| Fetal Biophys Profile W/Nst (76818) | $189.55 | $223 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$87.55–$380.80 | $103–$448 | varies |
| Fluoroscopy up to 1 hr (76000) | $396.10 | $466 | 1.7× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$35.70–$612 | $42–$720 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$37.40–$561 | $44–$660 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$87.55–$938.40 | $103–$1,104 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$37.40–$952 | $44–$1,120 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$99.45–$1,203.60 | $117–$1,416 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$82.45–$938.40 | $97–$1,104 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$40.80–$769.25 | $48–$905 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$154.70–$1,572.50 | $182–$1,850 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$132.60–$1,203.60 | $156–$1,416 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,203.60 | $1,416 | 2.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$42.50–$748 | $50–$880 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$118.15–$1,203.60 | $139–$1,416 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$169.15–$3,740 | $199–$4,400 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$134.30–$2,805 | $158–$3,300 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$134.30–$2,210 | $158–$2,600 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$168.30–$2,830.50 | $198–$3,330 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$204.85–$3,697.50 | $241–$4,350 | varies |
| MRI abdomen w contrast (74182) | $2,720 | $3,200 | 8.1× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$164.05–$2,210 | $193–$2,600 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$758.20–$1,946.50 | $892–$2,290 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$241.40–$3,740 | $284–$4,400 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$183.60–$2,465 | $216–$2,900 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$166.60–$2,805 | $196–$3,300 | varies |
| MRI chest w/o contrast (71550) | $2,422.50 | $2,850 | 10.6× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$253.30–$4,845 | $298–$5,700 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$240.55–$3,910 | $283–$4,600 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$151.30–$3,740 | $178–$4,400 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$200.60–$1,622.65 | $236–$1,909 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$257.55–$3,570 | $303–$4,200 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$524.45–$3,825 | $617–$4,500 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$240.55–$3,315 | $283–$3,900 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$246.50–$3,187.50 | $290–$3,750 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$164.90–$990.25 | $194–$1,165 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$166.60–$2,805 | $196–$3,300 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$153–$2,125 | $180–$2,500 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$241.40–$3,740 | $284–$4,400 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$246.50–$3,740 | $290–$4,400 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$257.55–$3,570 | $303–$4,200 | varies |
| MRI, dorsal spine contrast (72147) | $649.40 | $764 | 1.9× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$153–$2,125 | $180–$2,500 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$242.25–$1,622.65 | $285–$1,909 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$257.55–$3,740 | $303–$4,400 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$231.20–$3,328.60 | $272–$3,916 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$21.25–$136 | $25–$160 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$89.25–$938.40 | $105–$1,104 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$19.55–$340 | $23–$400 | varies |
| Pet Image Skull-Thigh (78812) range across 2 matching MRF lines |
$215.05–$3,801.20 | $253–$4,472 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$243.95–$4,054.50 | $287–$4,770 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$270.30–$4,352 | $318–$5,120 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$267.75–$4,182 | $315–$4,920 | varies |
| PET whole body (78813) range across 2 matching MRF lines |
$220.15–$3,927.85 | $259–$4,621 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $974.95 | $1,147 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$35.70–$348.50 | $42–$410 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$137.70–$2,295 | $162–$2,700 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$39.10–$680 | $46–$800 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$37.40–$297.50 | $44–$350 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$39.10–$714 | $46–$840 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$29.75–$190.40 | $35–$224 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$32.30–$357 | $38–$420 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$39.10–$697 | $46–$820 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$39.10–$629 | $46–$740 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$19.55–$136 | $23–$160 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$24.65–$289 | $29–$340 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$42.50–$697 | $50–$820 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$19.55–$136 | $23–$160 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$18.70–$136 | $22–$160 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$22.10–$170 | $26–$200 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$27.20–$137.70 | $32–$162 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$30.60–$357 | $36–$420 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$18.70–$181.90 | $22–$214 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$39.10–$680 | $46–$800 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$28.05–$190.40 | $33–$224 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$30.60–$191.25 | $36–$225 | varies |
| Radiologic exam colon double contrast study (74280) | $309.40 | $364 | 1.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$78.20–$309.40 | $92–$364 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$52.70–$450.50 | $62–$530 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$90.10–$309.40 | $106–$364 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$59.50–$453.90 | $70–$534 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$100.30–$309.40 | $118–$364 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$18.70–$136 | $22–$160 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$42.50–$272 | $50–$320 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$37.40–$340 | $44–$400 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$37.40–$935 | $44–$1,100 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$33.15–$297.50 | $39–$350 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$20.40–$212.50 | $24–$250 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$42.50–$67.15 | $50–$79 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$35.70–$374 | $42–$440 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$62.90–$1,385.50 | $74–$1,630 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$20.40–$453.90 | $24–$534 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$24.65–$136 | $29–$160 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$22.95–$280.50 | $27–$330 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$939.25 | $24–$1,105 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$54.40–$939.25 | $64–$1,105 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$78.20–$294.10 | $92–$346 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$62.05–$380.80 | $73–$448 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$65.45–$380.80 | $77–$448 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $85 | $100 | 1.0× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$90.10–$309.40 | $106–$364 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$37.40–$396.10 | $44–$466 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$36.55–$616.25 | $43–$725 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$82.45–$380.80 | $97–$448 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$63.75–$380.80 | $75–$448 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$55.25–$181.90 | $65–$214 | varies |
| Us head (76506) range across 2 matching MRF lines |
$72.25–$380.80 | $85–$448 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$85.85–$266.90 | $101–$314 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$77.35–$380.80 | $91–$448 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$219.30–$595 | $258–$700 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$73.10–$380.80 | $86–$448 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$85–$380.80 | $100–$448 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$77.35–$380.80 | $91–$448 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$111.35–$380.80 | $131–$448 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$96.90–$380.80 | $114–$448 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$83.30–$380.80 | $98–$448 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$140.25–$271.15 | $165–$319 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$71.40–$380.80 | $84–$448 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$141.10–$380.80 | $166–$448 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$358.70–$380.80 | $422–$448 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$77.35–$380.80 | $91–$448 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$39.10–$1,003 | $46–$1,180 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$21.25–$136 | $25–$160 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$56.95–$648.55 | $67–$763 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$25.50–$271.15 | $30–$319 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$37.40–$918 | $44–$1,080 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$35.80–$818.55 | $42.12–$963 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$29.75–$147.90 | $35–$174 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$35.70–$271.15 | $42–$319 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$21.25–$136 | $25–$160 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$25.50–$136 | $30–$160 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$25.50–$190.40 | $30–$224 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $190.40 | $224 | 1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $190.40 | $224 | 1.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$34–$190.40 | $40–$224 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$25.50–$225.25 | $30–$265 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$34–$374 | $40–$440 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$30.60–$190.40 | $36–$224 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$20.40–$136 | $24–$160 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$37.40–$544 | $44–$640 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$25.50–$190.40 | $30–$224 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$20.40–$136 | $24–$160 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$36.55–$190.40 | $43–$224 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$25.50–$212.50 | $30–$250 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$19.55–$190.40 | $23–$224 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$19.55–$276.25 | $23–$325 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$24.65–$136 | $29–$160 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$32.30–$190.40 | $38–$224 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$28.05–$271.15 | $33–$319 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$57.80–$649.40 | $68–$764 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$30.60–$79.05 | $36–$93 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$62.05–$190.40 | $73–$224 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$30.60–$552.50 | $36–$650 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$32.30–$190.40 | $38–$224 | 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.