Imaging prices at Marlette Regional Hospital
Marlette, MI · every code in this section with a posted price and a Medicare benchmark.
279 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,301 | $3,301 | 2.4× |
| Abdomen 1 View (74018) | $176 | $176 | 2.0× |
| Abdomen 2 views (74019) | $211 | $211 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $904.39 | $904.39 | 2.3× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $784.45 | $784.45 | 0.6× |
| Ankle 2 views (73600) | $200 | $200 | 2.3× |
| Arthrogram ankle (73615) range across 7 matching MRF lines |
$390.34–$794.69 | $390.34–$794.69 | varies |
| Arthrogram hip (73525) range across 7 matching MRF lines |
$788.76–$818 | $788.76–$818 | varies |
| Arthrogram Wrist (73115) range across 5 matching MRF lines |
$878–$961.40 | $878–$961.40 | varies |
| Basic radiation dosimetry calculation (77300) | $323 | $323 | 2.4× |
| Bone age studies (77072) | $138 | $138 | 1.3× |
| Bone Imaging 3 Phase (78315) | $2,184 | $2,184 | 5.5× |
| Bone Imaging Limited Area (78300) | $677.86 | $677.86 | 1.7× |
| Bone Imaging Multiple Areas (78305) | $978.54 | $978.54 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,863 | $1,863 | 4.7× |
| Bone marrow imaging limited area (78102) | $597.79 | $597.79 | 1.5× |
| Bone marrow imaging; multiple areas (78103) | $664.29 | $664.29 | 1.7× |
| Bone survey infant (77076) | $602 | $602 | 5.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,193.28 | $5,193.28 | 3.6× |
| Cat Scan Follow-Up Study (76380) | $322.12 | $322.12 | 3.7× |
| Cerebrospinal Fluid Scan (78630) | $907.84 | $907.84 | 1.7× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$140–$175.77 | $140–$175.77 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$189–$263.71 | $189–$263.71 | varies |
| Chest 3 views (71047) | $287.09 | $287.09 | 3.3× |
| Chest 4 or more views (71048) | $254 | $254 | 2.4× |
| Cholecystography Oral Contrast (74290) | $306.50 | $306.50 | 1.8× |
| Clavicle complete (73000) | $200 | $200 | 2.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,192 | $1,192 | 11.4× |
| Continuing medical physics consltj pr wk (77336) | $321 | $321 | 2.4× |
| Contrast X-Ray Bladder (74430) | $213 | $213 | 0.6× |
| Contrast X-Ray Of Elbow (73085) | $405.96 | $405.96 | 1.2× |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
$651–$961.40 | $651–$961.40 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,375 | $3,375 | 9.7× |
| CT abdomen and pelvis without contrast (74176) | $1,404 | $1,404 | 5.9× |
| CT abdomen w contrast (74160) | $2,372 | $2,372 | 13.6× |
| CT abdomen w wo contrast (74170) | $2,688 | $2,688 | 15.4× |
| CT abdomen w/o contrast (74150) | $1,113 | $1,113 | 10.7× |
| CT Angio Abdomen and Pelvis (74174) | $3,802 | $3,802 | 10.9× |
| CT Angio Chest (71275) | $2,688 | $2,688 | 15.4× |
| CT Angio Head (70496) | $2,658 | $2,658 | 15.2× |
| CT angio hrt w/3d image (75574) | $2,301.40 | $2,301.40 | 6.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 7 matching MRF lines |
$1,225.23–$3,212 | $1,225.23–$3,212 | varies |
| CT Angio Neck (70498) | $2,653 | $2,653 | 15.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 8 matching MRF lines |
$1,102.58–$2,628.06 | $1,102.58–$2,628.06 | varies |
| CT bone density (77078) | $558.14 | $558.14 | 6.4× |
| CT cervical spine w/ contrast (72126) | $1,531 | $1,531 | 4.4× |
| CT cervical spine w/o contrast (72125) | $1,144 | $1,144 | 11.0× |
| CT cervical spine w/wo cont (72127) | $1,892 | $1,892 | 10.8× |
| CT chest w contrast (71260) | $1,540 | $1,540 | 8.8× |
| CT chest w/wo contrast (71270) | $1,888 | $1,888 | 10.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,224.29 | $2,224.29 | 12.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,823.10 | $1,823.10 | 17.5× |
| CT head/brain with contrast (70460) | $1,307 | $1,307 | 7.5× |
| CT head/brain without and with contrast (70470) | $1,562 | $1,562 | 8.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,629.24 | $2,629.24 | 7.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $418.47 | $418.47 | 4.8× |
| CT hrt w/3d image congen (75573) | $2,154.95 | $2,154.95 | 6.2× |
| CT iac w contrast (70481) | $1,747 | $1,747 | 10.0× |
| CT l-spine w&w/o contrast (72133) | $1,896 | $1,896 | 10.8× |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$1,135–$2,244.61 | $1,135–$2,244.61 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$1,500.14–$2,328.03 | $1,500.14–$2,328.03 | varies |
| CT lumbar spine w contrast (72132) | $1,536 | $1,536 | 4.4× |
| CT lumbar spine w/o contrast (72131) | $1,131 | $1,131 | 10.9× |
| CT maxillofacial w contrast (70487) | $1,364 | $1,364 | 7.8× |
| CT maxillofacial wo contrast (70486) | $1,206 | $1,206 | 11.6× |
| CT neck tissue combo (70492) | $1,998 | $1,998 | 11.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,901.47 | $1,901.47 | 10.9× |
| CT orbits w/o contrast (70480) | $1,355 | $1,355 | 13.0× |
| CT pelvis w&w/o contrast (72194) | $2,675 | $2,675 | 15.3× |
| CT pelvis w/o contrast (72192) | $1,126 | $1,126 | 10.8× |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$1,613.83–$2,430.30 | $1,613.83–$2,430.30 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$1,712–$1,901.47 | $1,712–$1,901.47 | varies |
| CT soft tissue neck w contrast (70491) | $1,641 | $1,641 | 9.4× |
| CT soft tissue neck w/o contrast (70490) | $1,236 | $1,236 | 11.9× |
| CT thoracic spine w contrast (72129) | $1,544 | $1,544 | 8.8× |
| CT thoracic spine w/o contrast (72128) | $1,140 | $1,140 | 10.9× |
| CT thoracic spine w/wo cont (72130) | $1,819.03 | $1,819.03 | 10.4× |
| CT thorax w/o contrast (71250) | $1,131 | $1,131 | 10.9× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$1,566–$2,244.61 | $1,566–$2,244.61 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 7 matching MRF lines |
$1,613.83–$2,385.25 | $1,613.83–$2,385.25 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$2,002–$2,328.03 | $2,002–$2,328.03 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,101 | $4,101 | 23.5× |
| Cta Abdomen (74175) | $3,023 | $3,023 | 17.3× |
| CTA pelvis (72191) | $2,046.86 | $2,046.86 | 11.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $449.07 | $449.07 | 4.3× |
| Dxa Bone Density Axial (77080) | $240 | $240 | 2.3× |
| Dxa bone density study (77085) | $319 | $319 | 3.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $181 | $181 | 2.1× |
| Echo exam uterus (76831) | $1,392.06 | $1,392.06 | 5.9× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$690.58–$690.69 | $690.58–$690.69 | varies |
| Esophagram (74220) | $562 | $562 | 3.2× |
| Fetal Biophys Profile W/Nst (76818) | $775.18 | $775.18 | 7.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $687.03 | $687.03 | 6.6× |
| Fluoroscopy up to 1 hr (76000) | $227 | $227 | 1.0× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$173–$259 | $173–$259 | varies |
| Forearm 2 views (73090) | $176 | $176 | 2.0× |
| Gastric emptying imaging study (78264) | $2,152 | $2,152 | 5.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,546 | $2,546 | 6.4× |
| Gated Heart Planar Single (78472) | $1,339 | $1,339 | 3.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,007.42 | $1,007.42 | 1.9× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$192–$288 | $192–$288 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,889 | $2,889 | 5.3× |
| Hepatobiliary System Imaging (78226) | $2,125 | $2,125 | 5.3× |
| Ht Muscle Image Spect Sing (78451) | $2,025 | $2,025 | 1.6× |
| Hysterosalpingogram (74740) | $580.45 | $580.45 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $639.39 | $639.39 | 7.4× |
| Infant hip ultrasound, limited static exam (76886) | $463.73 | $463.73 | 5.3× |
| Infusion Ivp (74410) | $623.77 | $623.77 | 3.6× |
| K Flow/Funct Image Multiple (78709) | $653.83 | $653.83 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $972 | $972 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,391 | $1,391 | 2.6× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$259–$389 | $259–$389 | varies |
| Liver & Spleen Imaging Static Only (78215) | $801.80 | $801.80 | 2.0× |
| Liver imaging static only (78201) | $489.27 | $489.27 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,060 | $2,060 | 3.8× |
| Lymph System Imaging (78195) | $1,709.65 | $1,709.65 | 3.2× |
| Mammary ductogram or galactogram multiple (77054) range across 7 matching MRF lines |
$1,720.10–$3,567.71 | $1,720.10–$3,567.71 | varies |
| Mammary ductogram or galactogram single (77053) range across 7 matching MRF lines |
$1,451–$3,009.87 | $1,451–$3,009.87 | varies |
| Meckels Divert Exam (78290) | $784.45 | $784.45 | 2.0× |
| Mlc imrt design & construction per imrt plan (77338) | $880 | $880 | 2.4× |
| Myelogram cervical (72240) | $559 | $559 | 0.7× |
| Myelogram Lumbar (72265) | $564 | $564 | 0.7× |
| Myelography thoracic (72255) | $1,355.94 | $1,355.94 | 1.7× |
| Myelograpy 2/more regions rs&i (72270) | $1,860.42 | $1,860.42 | 2.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,193.28 | $5,193.28 | 4.0× |
| Myocardial Spect Multiple Studies (78452) | $2,905 | $2,905 | 2.3× |
| Neck soft tissue (70360) | $184 | $184 | 2.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $465.67 | $465.67 | 1.2× |
| Nonvascular Shunt X-Ray (75809) | $481 | $481 | 4.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,301 | $3,301 | 2.4× |
| Nuclear Rx Oral Admin (79005) | $1,337.30 | $1,337.30 | 5.8× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$334.51–$334.54 | $334.51–$334.54 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $421.49 | $421.49 | 3.2× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $453.27 | $453.27 | 5.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $450.69 | $450.69 | 4.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $898.37 | $898.37 | 1.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $851.48 | $851.48 | 2.1× |
| Pelvis 1 or 2 views (72170) | $159 | $159 | 1.5× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$1,714–$4,674.05 | $1,714–$4,674.05 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$1,714–$5,193.28 | $1,714–$5,193.28 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$1,714–$4,674.05 | $1,714–$4,674.05 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,480 | $1,480 | 3.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $284 | $284 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $168.77 | $168.77 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $230 | $230 | 2.7× |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$170–$255 | $170–$255 | varies |
| Radex elbow complete minimum 3 views (73080) | $200 | $200 | 2.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $284 | $284 | 2.7× |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$213–$320 | $213–$320 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$235–$352 | $235–$352 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$194–$292 | $194–$292 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $337.21 | $337.21 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $240 | $240 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) | $213 | $213 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$211–$316 | $211–$316 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $194 | $194 | 2.2× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$176.31–$240.32 | $176.31–$240.32 | varies |
| Radex Sternum Minimum 2 Views (71120) | $197 | $197 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $337.21 | $337.21 | 3.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$267–$401 | $267–$401 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $424.94 | $424.94 | 4.1× |
| Radiation treatment delivery level 3 (77412) | $640 | $640 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $259 | $259 | 2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $246 | $246 | 2.4× |
| Radiologic exam colon double contrast study (74280) | $1,301 | $1,301 | 7.4× |
| Radiologic exam colon single contrast study (74270) | $851 | $851 | 4.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $624 | $624 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$294–$441 | $294–$441 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $246 | $246 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $680 | $680 | 3.9× |
| Radiologic exam swallow function contrast study (74230) | $807 | $807 | 4.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $786 | $786 | 4.5× |
| Radiologic examination femur 1 view (73551) | $188.49 | $188.49 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) | $219 | $219 | 2.5× |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$213–$320 | $213–$320 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $367.49 | $367.49 | 3.5× |
| Radiologic Examination Salivary Gland Calculus (70380) | $306.50 | $306.50 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$194–$292 | $194–$292 | varies |
| Ribs bilateral 3 views (71110) | $246 | $246 | 2.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$890.93–$1,636 | $890.93–$1,636 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $960.43 | $960.43 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,363.06 | $1,363.06 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$948.69–$1,985 | $948.69–$1,985 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,414 | $2,414 | 4.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,595 | $4,595 | 3.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,153.02 | $1,153.02 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,153.02 | $1,153.02 | 0.9× |
| Rp Therapy Intravenous Administration (79101) | $435 | $435 | 1.9× |
| Scapula (73010) range across 5 matching MRF lines |
$124–$501.01 | $124–$501.01 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $79 | $79 | 3.4× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$116–$370.40 | $116–$370.40 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$853–$967.33 | $853–$967.33 | varies |
| Sialogram (70390) | $306.50 | $306.50 | 1.3× |
| Skull less than 4 views (70250) | $221 | $221 | 2.1× |
| Spleen Imaging (78185) | $627.48 | $627.48 | 1.6× |
| Sternoclavicular joints (71130) | $251 | $251 | 2.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $880 | $880 | 2.4× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 7 matching MRF lines |
$456.62–$947.29 | $456.62–$947.29 | varies |
| Testicular Imaging W/Flow (78761) | $851.70 | $851.70 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) | $323 | $323 | 2.4× |
| Thoracic spine 2 views (72070) | $189 | $189 | 1.8× |
| Thoracic spine 3 views (72072) | $235 | $235 | 2.3× |
| Thoracolumbar 2 views (72080) | $250.60 | $250.60 | 2.9× |
| Thyroid Imaging With Vascular Flow (78013) | $383.55 | $383.55 | 1.0× |
| Thyroid Met Imaging Body (78018) | $946.86 | $946.86 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,580 | $1,580 | 4.0× |
| Tx Devices Design & Construction Complex (77334) | $880 | $880 | 2.4× |
| Ultrasound Breast Limited (76642) | $175 | $175 | 2.0× |
| Ultrasound Elastography Parenchyma (76981) | $618 | $618 | 5.9× |
| Ultrasound Exam Aaa Screen (76706) | $656 | $656 | 6.3× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$56.15–$483 | $56.15–$483 | varies |
| Umbilical-artery Doppler (OB) (76820) | $209.07 | $209.07 | 2.0× |
| Upper gi w/o kub (74240) | $689 | $689 | 3.9× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $246.47 | $246.47 | 22.3× |
| Ureteral Reflux Study (78740) | $390.44 | $390.44 | 1.0× |
| Urethrocystogram voiding (74455) | $718 | $718 | 3.0× |
| Us bone density measurement (76977) | $461.23 | $461.23 | 4.4× |
| Us breast unilateral complete (76641) | $226 | $226 | 2.2× |
| Us chest (76604) range across 3 matching MRF lines |
$51.41–$3,547 | $51.41–$3,547 | varies |
| Us complete joint (76881) | $89 | $89 | 0.9× |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$46.56–$1,755 | $46.56–$1,755 | varies |
| Us head (76506) | $372.02 | $372.02 | 3.6× |
| Us kidney transplant (76776) | $907 | $907 | 8.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $251 | $251 | 2.4× |
| Us ob detailed single fetus (76811) | $992.12 | $992.12 | 4.2× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$62.18–$1,761 | $62.18–$1,761 | varies |
| Us ob transvaginal (76817) | $464 | $464 | 4.5× |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
$289.79–$597 | $289.79–$597 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $575 | $575 | 5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $364.80 | $364.80 | 3.5× |
| Us retroperitoneal complete (76770) | $597 | $597 | 5.7× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$53.89–$437 | $53.89–$437 | varies |
| Us scrotum and contents (76870) | $570 | $570 | 5.5× |
| Us spinal canal and contents (76800) | $768.50 | $768.50 | 7.4× |
| Us thyroid (76536) | $680 | $680 | 6.5× |
| Us transrectal (76872) | $1,372 | $1,372 | 13.2× |
| Vasogram (74440) | $297.11 | $297.11 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $724.10 | $724.10 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $507.05 | $507.05 | 0.3× |
| Vertebral fracture assessment via dxa (77086) | $208 | $208 | 2.4× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$211–$316 | $211–$316 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $162 | $162 | 1.9× |
| X-ray antegrade pyelogram tube (74425) | $312.32 | $312.32 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $173 | $173 | 2.0× |
| X-Ray Exam Breast Specimen (76098) range across 5 matching MRF lines |
$180.72–$185.36 | $180.72–$185.36 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$240.32–$246 | $240.32–$246 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $448 | $448 | 4.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $505 | $505 | 4.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $194 | $194 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $300 | $300 | 3.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $248 | $248 | 2.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $324 | $324 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $381 | $381 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) | $381 | $381 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $235 | $235 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $392 | $392 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $240 | $240 | 2.3× |
| X-ray eye for foreign body (70030) range across 7 matching MRF lines |
$151.63–$258.76 | $151.63–$258.76 | varies |
| X-ray humerus (73060) | $197 | $197 | 2.3× |
| X-ray IV pyelogram (ivp) (74400) | $907 | $907 | 5.2× |
| X-ray IV pyelogram+tomography (74415) | $643.70 | $643.70 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $259 | $259 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $238 | $238 | 2.3× |
| X-ray nose-rectum child f.b. (76010) | $170 | $170 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $302 | $302 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $232 | $232 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $197 | $197 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $221 | $221 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $254 | $254 | 2.4× |
| X-Ray Stress View (77071) | $220.39 | $220.39 | 2.5× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$211–$285.05 | $211–$285.05 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $400.36 | $400.36 | 1.2× |
| X-Rays Bone Length Studies (77073) | $262 | $262 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $597 | $597 | 5.7× |
| Xr c-spine 4 or 5 views (72050) | $332 | $332 | 3.2× |
| Xr facial bones less than 3 views (70140) | $184 | $184 | 2.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $147.97 | $147.97 | 1.4× |
| Xr myelogram posterior fossa (70010) | $922.72 | $922.72 | 2.7× |
| Xr Tomogram Single Plane (76100) range across 4 matching MRF lines |
$337.21–$674.21 | $337.21–$674.21 | 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.