Imaging prices at Mary Lanning Healthcare
Hastings, NE · every code in this section with a posted price and a Medicare benchmark.
226 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) range across 2 matching MRF lines |
$677.70–$11,984.74 | $753–$13,316.38 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$86.40–$244.80 | $96–$272 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$105.30–$291.60 | $117–$324 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$95.40–$684.04 | $106–$760.04 | varies |
| Arthrogram hip (73525) | $946.15 | $1,051.28 | 2.6× |
| Arthrogram Wrist (73115) | $1,042.32 | $1,158.13 | 2.9× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$98.10–$1,054.53 | $109–$1,171.70 | varies |
| Bone age studies (77072) | $164.51 | $182.79 | 1.5× |
| Bone Imaging 3 Phase (78315) | $3,194.71 | $3,549.68 | 7.7× |
| Bone Imaging Multiple Areas (78305) | $708.30 | $787 | 1.7× |
| Bone Imaging Whole Body (78306) | $2,601.48 | $2,890.53 | 6.3× |
| Brachytx isodose intermed (77317) | $288.90 | $321 | 0.7× |
| Brachytx Isodose Plan Simple (77316) | $220.50 | $245 | 0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,009.82 | $8,899.80 | 5.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$73.80–$376.91 | $82–$418.79 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$97.20–$264.52 | $108–$293.91 | varies |
| Cholecystography Oral Contrast (74290) | $238.50 | $265 | 1.3× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$97.20–$443.08 | $108–$492.31 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $225 | $250 | 2.1× |
| Continuing medical physics consltj pr wk (77336) | $1,500.90 | $1,667.67 | 10.8× |
| CT abdomen and pelvis without and with contrast (74178) | $3,984.74 | $4,427.49 | 11.0× |
| CT abdomen and pelvis without contrast (74176) | $3,879.05 | $4,310.05 | 15.7× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$675.90–$3,091.82 | $751–$3,435.36 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$759.60–$3,840.66 | $844–$4,267.40 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$401.40–$2,667.45 | $446–$2,963.83 | varies |
| CT Angio Abdomen and Pelvis (74174) | $3,311.60 | $3,679.56 | 9.1× |
| CT Angio Chest (71275) | $3,595.64 | $3,995.15 | 19.7× |
| CT Angio Head (70496) | $2,466.31 | $2,740.34 | 13.5× |
| CT Angio Neck (70498) | $3,690.07 | $4,100.08 | 20.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,329.42 | $3,699.36 | 18.3× |
| CT cervical spine w/o contrast (72125) | $2,655.28 | $2,950.31 | 24.5× |
| CT chest w contrast (71260) | $2,612.10 | $2,902.33 | 14.3× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$3,320.55–$3,792.19 | $3,689.50–$4,213.54 | varies |
| CT head/brain without and with contrast (70470) | $2,867.26 | $3,185.84 | 15.7× |
| CT l-spine w&w/o contrast (72133) | $1,702.25 | $1,891.39 | 9.3× |
| CT lower ext w/o (73700) | $2,527.07 | $2,807.86 | 23.3× |
| CT lower extremity w/contrast material (73701) | $2,771.16 | $3,079.07 | 15.2× |
| CT lumbar spine w contrast (72132) | $1,805.12 | $2,005.69 | 5.0× |
| CT lumbar spine w/o contrast (72131) | $2,757.86 | $3,064.29 | 25.4× |
| CT maxillofacial w contrast (70487) | $2,217.65 | $2,464.05 | 12.2× |
| CT maxillofacial wo contrast (70486) | $1,561.55 | $1,735.05 | 14.4× |
| CT neck tissue combo (70492) | $2,747.91 | $3,053.23 | 15.1× |
| CT orbits w/o contrast (70480) | $2,785.37 | $3,094.86 | 25.7× |
| CT pelvis w&w/o contrast (72194) | $1,932.44 | $2,147.16 | 10.6× |
| CT pelvis w/o contrast (72192) | $1,431.44 | $1,590.49 | 13.2× |
| CT scan of leg combo (73702) | $3,251.25 | $3,612.50 | 17.9× |
| CT scans face/jaw combo (70488) | $2,002.74 | $2,225.27 | 11.0× |
| CT soft tissue neck w contrast (70491) | $2,955.18 | $3,283.53 | 16.2× |
| CT soft tissue neck w/o contrast (70490) | $1,798.27 | $1,998.08 | 16.6× |
| CT thoracic spine w/o contrast (72128) | $1,687.64 | $1,875.16 | 15.5× |
| CT thorax w/o contrast (71250) | $2,200.95 | $2,445.50 | 20.3× |
| CT upper ext wo (73200) | $2,324 | $2,582.22 | 21.4× |
| CT upper extremity w/o & w/contrast material (73202) | $3,417.22 | $3,796.91 | 18.8× |
| CT upper extremity with contrast (73201) | $1,587.79 | $1,764.21 | 4.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,272.67 | $4,747.41 | 23.5× |
| Cta Abdomen (74175) | $3,466.45 | $3,851.61 | 19.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $5,379.78 | $5,977.53 | 14.9× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$115.20–$564.36 | $128–$627.07 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$92.70–$295.19 | $103–$327.99 | varies |
| Echograp Trans R Pros Study (76873) | $529.20 | $588 | 4.9× |
| Esophagram (74220) | $914.87 | $1,016.52 | 5.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $753.69 | $837.43 | 6.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$128.70–$909.03 | $143–$1,010.03 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$84.60–$295.33 | $94–$328.14 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$84.60–$766.29 | $94–$851.43 | varies |
| Gastric emptying imaging study (78264) | $2,658.04 | $2,953.38 | 6.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$91.80–$277.88 | $102–$308.76 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $837.90 | $931 | 1.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $596.70 | $663 | 0.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$309.60–$4,323.02 | $344–$4,803.35 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,128.64 | $3,476.27 | 5.5× |
| Hepatobiliary System Imaging (78226) | $2,395.80 | $2,662 | 5.8× |
| Hysterosalpingogram (74740) | $1,018.64 | $1,131.82 | 4.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $717.13 | $796.81 | 7.9× |
| Intracavitary radiation source applic simple (77761) | $605.70 | $673 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $2,057.76 | $2,286.40 | 3.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$124.20–$533.03 | $138–$592.25 | varies |
| Lung perfusion differential (78597) | $2,140.45 | $2,378.28 | 5.2× |
| Lung Ventilat&Perfus Imaging (78582) | $2,929.37 | $3,254.85 | 5.2× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$909.90–$2,489.18 | $1,011–$2,765.76 | varies |
| Magnetic Image Jaw Joint (70336) | $2,293.63 | $2,548.48 | 9.3× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$677.70–$7,235.97 | $753–$8,039.97 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,518.50–$3,869.50 | $2,798.33–$4,299.44 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $4,589.04 | $5,098.93 | 12.7× |
| MRI any jt lower extrem w/contrast material (73722) | $3,819.18 | $4,243.53 | 4.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,870.68 | $7,634.09 | 19.0× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$915.30–$4,259.66 | $1,017–$4,732.96 | varies |
| MRI cervical spine w/o cont (72141) | $3,018.37 | $3,353.74 | 12.2× |
| MRI chest w/o contrast (71550) | $4,587.15 | $5,096.83 | 18.5× |
| MRI chest wo w contrast (71552) | $4,936.58 | $5,485.09 | 13.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,802.25 | $3,113.61 | 7.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,369.38 | $4,854.87 | 17.6× |
| MRI lumbar spine w contrast (72149) | $3,519.82 | $3,910.91 | 9.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,125.81 | $5,695.34 | 14.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,108.10 | $3,453.44 | 8.6× |
| MRI pelvis w contrast (72196) | $2,626.79 | $2,918.66 | 7.3× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,125.54–$4,668.26 | $3,472.82–$5,186.95 | varies |
| MRI pelvis w/o contrast (72195) | $2,389.49 | $2,654.99 | 9.6× |
| MRI thoracic spine w/o contrast (72146) | $4,024.87 | $4,472.08 | 16.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,652.46 | $4,058.29 | 14.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,855.84 | $5,395.38 | 13.4× |
| MRI, abdomen, combo (74183) | $4,941.56 | $5,490.62 | 13.6× |
| MRI, dorsal spine combo (72157) | $3,028.39 | $3,364.88 | 8.4× |
| MRI, joint upper extrem (73221) | $2,490.98 | $2,767.76 | 10.1× |
| MRI, joint upper extrem combo (73223) | $7,034.73 | $7,816.37 | 19.4× |
| MRI, lumbar spine combo (72158) | $4,925.35 | $5,472.61 | 13.6× |
| Myocardial Spect Multiple Studies (78452) | $6,026.76 | $6,696.40 | 4.5× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$90.90–$384.03 | $101–$426.70 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$248.40–$1,043.10 | $276–$1,159 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$1,269.90–$15,715.52 | $1,411–$17,461.69 | varies |
| Panoramic X-ray of jaws (70355) | $58.50 | $65 | 0.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,428.78 | $2,698.64 | 4.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$82.80–$423.03 | $92–$470.03 | varies |
| PET image w/CT, full body (78816) | $10,593.10 | $11,770.11 | 7.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,622.62 | $9,580.69 | 5.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$144.90–$697.71 | $161–$775.23 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$108.90–$448.11 | $121–$497.90 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$83.70–$477.55 | $93–$530.61 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$97.20–$529.60 | $108–$588.44 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $662.94 | $736.60 | 6.1× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$115.20–$321.57 | $128–$357.30 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$99–$524.30 | $110–$582.55 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$111.60–$461.68 | $124–$512.98 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $141.31 | $157.01 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$109.80–$389.88 | $122–$433.20 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$105.30–$366.80 | $117–$407.55 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$104.40–$515.84 | $116–$573.16 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$95.40–$375.03 | $106–$416.70 | varies |
| Radex Spine 1 View Specify Level (72020) | $70.20 | $78 | 0.8× |
| Radex Sternum Minimum 2 Views (71120) | $395.50 | $439.44 | 4.4× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$83.70–$202.01 | $93–$224.45 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $163.99 | $182.21 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$124.20–$458.26 | $138–$509.18 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $14,334.21 | $15,926.90 | 1.9× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$1,205.98–$2,375.72 | $1,339.98–$2,639.69 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$1,620.05–$4,233.92 | $1,800.05–$4,704.35 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$2,375.72–$5,226.44 | $2,639.69–$5,807.15 | varies |
| Radiologic exam colon single contrast study (74270) | $1,174.14 | $1,304.60 | 6.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$144.90–$959.74 | $161–$1,066.38 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$126.90–$504.93 | $141–$561.03 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $909 | $1,010 | 5.0× |
| Radiologic exam swallow function contrast study (74230) | $769.94 | $855.49 | 4.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,007.95 | $1,119.94 | 5.5× |
| Radiologic examination femur 1 view (73551) | $85.50 | $95 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$104.40–$436.01 | $116–$484.45 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$99.90–$460.04 | $111–$511.15 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $501.30 | $557 | 4.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$91.80–$424.56 | $102–$471.73 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$126.90–$335.62 | $141–$372.91 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,976.87 | $4,418.74 | 3.0× |
| Rp Therapy Intravenous Administration (79101) | $1,027.08 | $1,141.20 | 4.2× |
| Scapula (73010) range across 2 matching MRF lines |
$72.90–$468.50 | $81–$520.56 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $87.07 | $96.74 | 3.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$63.90–$589.82 | $71–$655.36 | varies |
| Shoulder Arthrography (73040) | $1,903.06 | $2,114.51 | 5.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$104.40–$381.38 | $116–$423.76 | varies |
| Special dosimetry (77331) | $138.60 | $154 | 1.0× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$435.60–$1,183.32 | $484–$1,314.80 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$280.80–$2,672.70 | $312–$2,969.67 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$435.60–$4,381.71 | $484–$4,868.57 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$2,856.60–$8,230.34 | $3,174–$9,144.82 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$459–$3,402.50 | $510–$3,780.55 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $223.20 | $248 | 0.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$247.50–$3,896.22 | $275–$4,329.13 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $172.80 | $192 | 0.4× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$110.70–$2,012.47 | $123–$2,236.08 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$97.20–$270.26 | $108–$300.29 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$114.30–$367.43 | $127–$408.26 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,804.86 | $2,005.40 | 4.3× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$184.50–$2,235.51 | $205–$2,483.90 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$118.80–$1,639.44 | $132–$1,821.60 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$72.90–$1,156.25 | $81–$1,284.72 | varies |
| Ultrasound Breast Limited (76642) | $385.59 | $428.43 | 4.3× |
| Ultrasound Exam Aaa Screen (76706) | $713.93 | $793.26 | 6.6× |
| Ultrasound, abdomen limited (76705) | $541.55 | $601.72 | 5.0× |
| Upper gi w/o kub (74240) | $875.70 | $973 | 4.8× |
| Us breast unilateral complete (76641) | $435.69 | $484.10 | 4.0× |
| Us chest (76604) range across 2 matching MRF lines |
$189.90–$388.09 | $211–$431.21 | varies |
| Us complete joint (76881) | $189.90 | $211 | 1.7× |
| Us exam, pelvic, limited (76857) | $656.87 | $729.85 | 6.1× |
| Us head (76506) | $749.34 | $832.60 | 6.9× |
| Us kidney transplant (76776) | $946 | $1,051.11 | 8.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$189.90–$620.78 | $211–$689.76 | varies |
| Us ob limited 1 or more fetuses (76815) | $352.81 | $392.01 | 3.2× |
| Us ob transvaginal (76817) | $508.99 | $565.54 | 4.7× |
| Us pelvic non ob complete (76856) | $1,039.28 | $1,154.75 | 9.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$344.70–$705.65 | $383–$784.05 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $454.53 | $505.03 | 4.2× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$312.30–$1,037.96 | $347–$1,153.29 | varies |
| Us retroperitoneal limited (76775) | $876.29 | $973.65 | 8.1× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$288.90–$590.10 | $321–$655.67 | varies |
| Us spinal canal and contents (76800) | $679.32 | $754.80 | 6.3× |
| Us thyroid (76536) | $645.56 | $717.29 | 5.9× |
| Us transrectal (76872) | $508.50 | $565 | 4.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$99.90–$344.57 | $111–$382.85 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $89.10 | $99 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$123.30–$640.67 | $137–$711.86 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$85.50–$436.51 | $95–$485.01 | varies |
| X-Ray Exam Breast Specimen (76098) | $529.20 | $588 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$209.70–$637 | $233–$707.78 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$99–$314.28 | $110–$349.20 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$142.20–$233.49 | $158–$259.43 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $183.60 | $204 | 1.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$123.30–$623.05 | $137–$692.28 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $827.03 | $918.92 | 7.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $180 | $200 | 1.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$180–$539.82 | $200–$599.80 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$116.10–$271.92 | $129–$302.13 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $183.60 | $204 | 1.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$123.30–$292.08 | $137–$324.53 | varies |
| X-ray head for orthodontia (70350) | $54 | $60 | 0.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$93.60–$909.51 | $104–$1,010.57 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$122.40–$159.80 | $136–$177.56 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$117–$569.19 | $130–$632.43 | varies |
| X-ray nose-rectum child f.b. (76010) | $244.64 | $271.82 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $387.73 | $430.81 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $486.48 | $540.53 | 4.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $98.10 | $109 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$93.60–$228.78 | $104–$254.20 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $110.70 | $123 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $359.52 | $399.47 | 3.3× |
| X-Ray Stress View (77071) | $170.10 | $189 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $239.40 | $266 | 0.7× |
| X-Rays Bone Length Studies (77073) | $135.90 | $151 | 1.3× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$161.10–$610.23 | $179–$678.03 | varies |
| Xr facial bones less than 3 views (70140) | $92.70 | $103 | 1.0× |
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.