Imaging prices at Marshall Medical Center
Placerville, CA · every code in this section with a posted price and a Medicare benchmark.
239 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) | $676.05 | $1,186.68 | 0.4× |
| Abdomen 1 View (74018) | $419.36 | $736.10 | 3.7× |
| Abdomen 2 views (74019) | $645.08 | $1,132.32 | 4.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,197.09 | $3,856.57 | 4.2× |
| Angiography extremity unilateral rs&i (75710) | $1,696.72 | $2,978.27 | 0.4× |
| Ankle 2 views (73600) | $418.88 | $735.27 | 3.7× |
| Arthrogram ankle (73615) | $893.74 | $1,568.79 | 2.0× |
| Arthrogram hip (73525) | $890.36 | $1,562.86 | 2.0× |
| Arthrogram Wrist (73115) | $734.61 | $1,289.47 | 1.6× |
| Bone age studies (77072) | $345.23 | $605.99 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,904.27 | $3,342.58 | 3.7× |
| Bone Imaging Limited Area (78300) | $1,682.62 | $2,953.51 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,784.44 | $3,132.24 | 3.4× |
| Bone survey infant (77076) | $837.62 | $1,470.29 | 6.2× |
| Brain Image W/Flow < 4 Views (78601) | $1,308.26 | $2,296.40 | 2.5× |
| Cat Scan Follow-Up Study (76380) | $1,331.25 | $2,336.76 | 11.8× |
| Cerebrospinal Fluid Scan (78630) | $1,914.10 | $3,359.83 | 2.7× |
| Chest 1 view (71045) | $575.40 | $1,010 | 5.1× |
| Chest 2 views (71046) | $575.40 | $1,010 | 5.1× |
| Chest 3 views (71047) | $575.40 | $1,010 | 5.1× |
| Chest 4 or more views (71048) | $575.40 | $1,010 | 4.2× |
| Clavicle complete (73000) | $520.04 | $912.84 | 4.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,901.53 | $3,337.77 | 14.0× |
| Contrast X-Ray Bladder (74430) | $459.71 | $806.94 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $890.36 | $1,562.86 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $734.61 | $1,289.47 | 1.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $568.74 | $998.32 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $5,098.12 | $8,948.78 | 11.3× |
| CT abdomen and pelvis without contrast (74176) | $6,028.18 | $10,581.32 | 19.5× |
| CT abdomen w contrast (74160) | $2,765.30 | $4,853.95 | 12.1× |
| CT abdomen w wo contrast (74170) | $2,719.99 | $4,774.43 | 11.9× |
| CT abdomen w/o contrast (74150) | $2,689.91 | $4,721.63 | 19.8× |
| CT Angio Abdomen and Pelvis (74174) | $4,771.29 | $8,375.09 | 10.5× |
| CT Angio Chest (71275) | $3,789.74 | $6,652.16 | 16.6× |
| CT Angio Head (70496) | $2,983.58 | $5,237.10 | 13.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,888.05 | $5,069.43 | 12.7× |
| CT Angio Neck (70498) | $2,996.70 | $5,260.13 | 13.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,842.07 | $4,988.71 | 12.5× |
| CT cervical spine w/o contrast (72125) | $2,593.01 | $4,551.53 | 19.1× |
| CT chest w contrast (71260) | $2,643.51 | $4,640.18 | 11.6× |
| CT chest w/wo contrast (71270) | $2,476.70 | $4,347.38 | 10.9× |
| CT head/brain with contrast (70460) | $2,417.34 | $4,243.19 | 10.6× |
| CT head/brain without and with contrast (70470) | $2,304.56 | $4,045.21 | 10.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $288.20 | $505.88 | 2.6× |
| CT iac w contrast (70481) | $2,547.89 | $4,472.33 | 11.2× |
| CT lower ext w/o (73700) | $2,564.01 | $4,500.63 | 18.9× |
| CT lower extremity w/contrast material (73701) | $3,754.94 | $6,591.09 | 16.5× |
| CT lumbar spine w contrast (72132) | $3,163.14 | $5,552.29 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $2,821.78 | $4,953.10 | 20.8× |
| CT maxillofacial w contrast (70487) | $2,759.22 | $4,843.29 | 12.1× |
| CT maxillofacial wo contrast (70486) | $2,752.37 | $4,831.26 | 20.3× |
| CT neck tissue combo (70492) | $3,108.90 | $5,457.09 | 13.7× |
| CT orbits w/o contrast (70480) | $2,433.27 | $4,271.14 | 17.9× |
| CT pelvis w&w/o contrast (72194) | $3,158.27 | $5,543.75 | 13.9× |
| CT pelvis w/o contrast (72192) | $3,012.82 | $5,288.44 | 22.2× |
| CT soft tissue neck w contrast (70491) | $2,766.83 | $4,856.65 | 12.2× |
| CT soft tissue neck w/o contrast (70490) | $2,770.71 | $4,863.46 | 20.4× |
| CT thoracic spine w contrast (72129) | $3,154.24 | $5,536.66 | 13.9× |
| CT thoracic spine w/o contrast (72128) | $2,347.93 | $4,121.35 | 17.3× |
| CT thorax w/o contrast (71250) | $2,314.02 | $4,061.82 | 17.1× |
| CT upper ext wo (73200) | $2,565.54 | $4,503.31 | 18.9× |
| CT upper extremity with contrast (73201) | $3,925.77 | $6,890.95 | 8.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,317.34 | $4,067.65 | 10.2× |
| Cta Abdomen (74175) | $2,786.65 | $4,891.43 | 12.2× |
| CTA pelvis (72191) | $1,783.79 | $3,131.11 | 7.8× |
| Dxa Bone Density Axial (77080) | $401.65 | $705.02 | 3.0× |
| Echo exam uterus (76831) | $868.28 | $1,524.11 | 2.8× |
| Echo Guide For Artery Repair (76936) | $1,421.39 | $2,494.98 | 5.1× |
| Esophagram (74220) | $523.13 | $918.26 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $1,148.52 | $2,016.01 | 8.5× |
| Fluoroscopy up to 1 hr (76000) | $954.35 | $1,675.18 | 3.1× |
| Foot 2 views (73620) | $332.56 | $583.75 | 2.9× |
| Forearm 2 views (73090) | $509.62 | $894.55 | 4.5× |
| Gastric emptying imaging study (78264) | $1,594.17 | $2,798.26 | 3.1× |
| Gated Heart Planar Single (78472) | $1,614.55 | $2,834.03 | 3.1× |
| Hand 2 views (73120) | $412.56 | $724.18 | 3.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,526.45 | $2,679.39 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,752.52 | $3,076.21 | 3.4× |
| Ht Muscle Image Spect Sing (78451) | $3,478.61 | $6,106.04 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $552.80 | $970.33 | 4.9× |
| Joint Survey Single View (77077) | $645.04 | $1,132.25 | 4.8× |
| K Flow/Funct Image W/Drug (78708) | $1,514.35 | $2,658.16 | 2.1× |
| Knee 3 Views (73562) | $388.96 | $682.75 | 3.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,490.68 | $2,616.61 | 2.9× |
| Lung Perf&Ventilat Diferentl (78598) | $4,476.95 | $7,858.44 | 6.4× |
| Lung Ventilat&Perfus Imaging (78582) | $3,165.20 | $5,555.91 | 4.5× |
| Lung Ventilation Imaging (78579) | $1,637.23 | $2,873.85 | 3.2× |
| Lymph System Imaging (78195) | $2,359.08 | $4,140.92 | 3.3× |
| Magnetic Image Jaw Joint (70336) | $3,144.68 | $5,519.89 | 10.2× |
| Meckels Divert Exam (78290) | $2,932.92 | $5,148.19 | 5.7× |
| Mra Head W/O & W/Contrast Material (70546) | $3,510.25 | $6,161.57 | 7.8× |
| MRA head w/o contrast (70544) | $2,117.28 | $3,716.48 | 6.8× |
| MRA head with contrast (70545) | $2,164.89 | $3,800.06 | 4.8× |
| MRA neck w contrast (70548) | $2,664.95 | $4,677.82 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,931.82 | $6,901.56 | 8.7× |
| MRA neck w/o contrast (70547) | $2,164.89 | $3,800.06 | 7.0× |
| MRI abdomen w contrast (74182) | $3,126.08 | $5,487.23 | 6.9× |
| MRI abdomen w/o contrast (74181) | $3,029.70 | $5,318.06 | 9.8× |
| MRI any jt lower extrem w/contrast material (73722) | $2,665.92 | $4,679.52 | 2.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,012.18 | $5,287.31 | 6.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,610.38 | $4,582.03 | 2.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,245.52 | $3,941.59 | 7.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,592.90 | $4,551.35 | 8.4× |
| MRI cervical spine w contrast (72142) | $4,372.71 | $7,675.46 | 9.7× |
| MRI cervical spine w/o cont (72141) | $2,417.95 | $4,244.25 | 7.8× |
| MRI chest w/o contrast (71550) | $2,242.46 | $3,936.22 | 7.2× |
| MRI chest with contrast (71551) | $1,970.20 | $3,458.32 | 1.9× |
| MRI chest wo w contrast (71552) | $2,479.16 | $4,351.69 | 5.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,776.68 | $6,629.24 | 8.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,080.08 | $5,406.49 | 6.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,689.78 | $4,721.39 | 8.7× |
| MRI lumbar spine w contrast (72149) | $3,144.72 | $5,519.96 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,409.67 | $5,985.03 | 7.5× |
| MRI orbit face &/neck w/o contrast (70540) | $2,880.80 | $5,056.69 | 9.3× |
| MRI orbit face neck w contrast (70542) | $3,623.38 | $6,360.16 | 8.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,051.40 | $5,356.16 | 6.7× |
| MRI pelvis w contrast (72196) | $2,411.70 | $4,233.29 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $2,565.32 | $4,502.94 | 5.7× |
| MRI pelvis w/o contrast (72195) | $2,065.69 | $3,625.92 | 6.7× |
| MRI thoracic spine w/o contrast (72146) | $2,676.65 | $4,698.35 | 8.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,776.68 | $6,629.24 | 8.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,674.26 | $4,694.15 | 8.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,819.71 | $4,949.46 | 6.2× |
| MRI, abdomen, combo (74183) | $2,576.01 | $4,521.69 | 5.7× |
| MRI, dorsal spine combo (72157) | $3,471.58 | $6,093.69 | 7.7× |
| MRI, dorsal spine contrast (72147) | $2,886.93 | $5,067.46 | 6.4× |
| MRI, joint upper extrem (73221) | $2,619.79 | $4,598.54 | 8.5× |
| MRI, joint upper extrem combo (73223) | $3,012.18 | $5,287.31 | 6.7× |
| MRI, lumbar spine combo (72158) | $3,299.63 | $5,791.87 | 7.3× |
| Myelogram cervical (72240) | $2,831.13 | $4,969.51 | 2.8× |
| Myelogram Lumbar (72265) | $2,441.14 | $4,284.95 | 2.4× |
| Myelography thoracic (72255) | $2,831.13 | $4,969.51 | 2.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,119.76 | $7,231.46 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $5,132.82 | $9,009.68 | 3.1× |
| Neck soft tissue (70360) | $413.68 | $726.14 | 3.7× |
| Parathyroid Planar Imaging (78070) | $1,208 | $2,120.41 | 2.3× |
| Pelvis 1 or 2 views (72170) | $389.38 | $683.48 | 2.9× |
| PET image w/CT, full body (78816) | $3,845.36 | $6,749.80 | 2.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,855.85 | $6,768.21 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,889.20 | $3,316.14 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,304.07 | $2,289.04 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $479.89 | $842.36 | 4.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $326.22 | $572.61 | 2.9× |
| Radex elbow complete minimum 3 views (73080) | $450.38 | $790.55 | 4.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $765.14 | $1,343.05 | 5.6× |
| Radex fingr minimum 2 views (73140) | $279.03 | $489.78 | 2.5× |
| Radex foot complete minimum 3 views (73630) | $450.42 | $790.63 | 4.0× |
| Radex Hand Minimum 3 Views (73130) | $462 | $810.96 | 4.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $523.26 | $918.49 | 4.6× |
| Radex shoulder complete minimum 2 views (73030) | $633.86 | $1,112.62 | 5.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $359.95 | $631.82 | 3.2× |
| Radex Spine 1 View Specify Level (72020) | $382.89 | $672.09 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $658.78 | $1,156.36 | 5.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $572.12 | $1,004.24 | 5.1× |
| Radex Toe Minimum 2 Views (73660) | $244.77 | $429.65 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $741.07 | $1,300.80 | 6.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $851.73 | $1,495.05 | 6.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $755.96 | $1,326.95 | 5.6× |
| Radiologic exam colon double contrast study (74280) | $1,339.84 | $2,351.83 | 5.9× |
| Radiologic exam colon single contrast study (74270) | $1,152.50 | $2,023 | 5.1× |
| Radiologic exam knee complete 4/more views (73564) | $661.99 | $1,161.99 | 4.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $530.68 | $931.51 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $865.12 | $1,518.55 | 3.8× |
| Radiologic exam swallow function contrast study (74230) | $537.95 | $944.27 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,075.55–$1,355.90 | $1,887.92–$2,380.03 | varies |
| Radiologic examination femur minimum 2 views (73552) | $467.72 | $820.99 | 4.1× |
| Radiologic examination knee 1/2 views (73560) | $438.64 | $769.95 | 3.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $680.04 | $1,193.68 | 5.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $386.99 | $679.28 | 3.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,169.49 | $3,808.13 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,107.93 | $8,966 | 7.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,154.90 | $5,537.83 | 4.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,701.63 | $2,986.88 | 2.4× |
| Scapula (73010) | $542.29 | $951.89 | 4.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $147.76 | $259.37 | 6.3× |
| Shoulder 1 view (73020) | $440.44 | $773.11 | 3.9× |
| Shoulder Arthrography (73040) | $734.61 | $1,289.47 | 1.6× |
| Skull less than 4 views (70250) | $532.25 | $934.27 | 3.9× |
| Sternoclavicular joints (71130) | $272.88 | $478.98 | 2.4× |
| Thoracic spine 2 views (72070) | $692.46 | $1,215.49 | 5.1× |
| Thoracic spine 3 views (72072) | $899.84 | $1,579.50 | 6.6× |
| Thoracolumbar 2 views (72080) | $418.20 | $734.07 | 3.7× |
| Thyroid Uptake Measurement (78012) | $689.13 | $1,209.64 | 1.3× |
| Ultrasound Breast Limited (76642) | $362.39 | $636.11 | 3.2× |
| Ultrasound Exam Aaa Screen (76706) | $927.15 | $1,627.44 | 6.8× |
| Ultrasound, abdomen limited (76705) | $711.09 | $1,248.19 | 5.2× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$1,182.25–$1,388.83 | $2,075.21–$2,437.83 | varies |
| Ureteral Reflux Study (78740) | $1,644.90 | $2,887.31 | 3.2× |
| Urethrocystogram voiding (74455) | $575.80 | $1,010.70 | 1.9× |
| Urethrocystography retrograde (74450) | $767.72 | $1,347.59 | 2.5× |
| Us breast unilateral complete (76641) | $359.44 | $630.92 | 2.6× |
| Us chest (76604) | $602.91 | $1,058.29 | 4.4× |
| Us complete joint (76881) | $500.94 | $879.30 | 3.7× |
| Us exam, pelvic, limited (76857) | $575.19 | $1,009.64 | 4.2× |
| Us head (76506) | $832.11 | $1,460.61 | 6.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $562.28 | $986.98 | 4.1× |
| Us ob detailed single fetus (76811) | $612.77 | $1,075.60 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $665.51 | $1,168.17 | 4.9× |
| Us ob transvaginal (76817) | $1,034.81 | $1,816.42 | 7.6× |
| Us pelvic non ob complete (76856) | $696.49 | $1,222.56 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $735.46 | $1,290.96 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $684.20 | $1,200.98 | 5.0× |
| Us retroperitoneal complete (76770) | $1,018.26 | $1,787.36 | 7.5× |
| Us scrotum and contents (76870) | $1,007.84 | $1,769.08 | 7.4× |
| Us spinal canal and contents (76800) | $532.17 | $934.12 | 3.9× |
| Us thyroid (76536) | $734.62 | $1,289.48 | 5.4× |
| Us transrectal (76872) | $918 | $1,611.38 | 6.8× |
| Venography extremity unilateral rs&i (75820) | $1,109.27 | $1,947.12 | 0.5× |
| Wrist 2 views (73100) | $464.82 | $815.90 | 4.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $486.88 | $854.62 | 4.3× |
| X-ray antegrade pyelogram tube (74425) | $1,045.80 | $1,835.71 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $385.93 | $677.42 | 3.4× |
| X-Ray Exam Breast Specimen (76098) | $664.09 | $1,165.69 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $317.44 | $557.21 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $723.57 | $1,270.09 | 5.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $392.67 | $689.26 | 3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $903.42 | $1,585.79 | 8.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $828.43 | $1,454.15 | 6.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,338.49 | $2,349.47 | 9.9× |
| X-Ray Exam L-S Spine Bending (72114) | $799 | $1,402.49 | 5.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $632.75 | $1,110.67 | 5.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $842.46 | $1,478.77 | 6.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $817.62 | $1,435.18 | 6.0× |
| X-ray eye for foreign body (70030) | $388.33 | $681.64 | 3.4× |
| X-ray humerus (73060) | $485.83 | $852.79 | 4.3× |
| X-ray IV pyelogram+tomography (74415) | $1,042.44 | $1,829.80 | 4.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $273.48 | $480.05 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $682.09 | $1,197.28 | 5.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $610.74 | $1,072.04 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $530.42 | $931.05 | 3.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $491.32 | $862.41 | 4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $664.09 | $1,165.69 | 5.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $672.68 | $1,180.76 | 5.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,141.47 | $2,003.63 | 2.5× |
| X-Rays Bone Length Studies (77073) | $508.95 | $893.37 | 3.8× |
| X-Rays Bone Survey Complete (77075) | $706.65 | $1,240.39 | 5.2× |
| Xr c-spine 4 or 5 views (72050) | $777.42 | $1,364.62 | 5.7× |
| Xr facial bones less than 3 views (70140) | $572.12 | $1,004.24 | 5.1× |
| Xr orbits complete 4 views (70200) | $535.52 | $940.01 | 3.9× |
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.