Imaging prices at Massac Memorial Hospital
Metropolis, IL · every code in this section with a posted price and a Medicare benchmark.
236 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) | $366.80 | $524 | 3.9× |
| Abdomen 2 views (74019) | $380.80 | $544 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,075.90 | $1,537 | 2.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$284.20–$426.30 | $406–$609 | varies |
| Bone age studies (77072) | $377.30 | $539 | 3.4× |
| Bone Imaging 3 Phase (78315) | $1,932 | $2,760 | 4.5× |
| Bone Imaging Limited Area (78300) | $1,110.90 | $1,587 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $1,083.60 | $1,548 | 2.5× |
| Bone Imaging Whole Body (78306) | $2,408 | $3,440 | 5.6× |
| Brain Flow Imaging Only (78610) | $1,472.10 | $2,103 | 2.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,472.10 | $2,103 | 2.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,472.10 | $2,103 | 2.5× |
| Cat Scan Follow-Up Study (76380) | $632.10 | $903 | 6.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$62.30–$241.50 | $89–$345 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$45.50–$371.70 | $65–$531 | varies |
| Chest 3 views (71047) | $324.10 | $463 | 3.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$328.30–$492.80 | $469–$704 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $135.80 | $194 | 1.2× |
| Contrast X-Ray Bladder (74430) | $948.50 | $1,355 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $4,865 | $6,950 | 13.0× |
| CT abdomen and pelvis without contrast (74176) | $3,404.10 | $4,863 | 13.3× |
| CT abdomen w contrast (74160) | $1,862 | $2,660 | 9.9× |
| CT abdomen w wo contrast (74170) | $2,715.30 | $3,879 | 14.4× |
| CT abdomen w/o contrast (74150) | $1,715 | $2,450 | 15.3× |
| CT Angio Abdomen and Pelvis (74174) | $3,369.10 | $4,813 | 9.0× |
| CT Angio Chest (71275) | $2,534.70 | $3,621 | 13.5× |
| CT Angio Head (70496) | $1,953.70 | $2,791 | 10.4× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$184.26–$1,961.40 | $263.23–$2,802 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,615.20 | $3,736 | 13.9× |
| CT Angio Neck (70498) | $2,347.10 | $3,353 | 12.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,762.90 | $3,947 | 14.7× |
| CT cervical spine w/ contrast (72126) | $2,107.70 | $3,011 | 5.6× |
| CT cervical spine w/o contrast (72125) | $1,988 | $2,840 | 17.7× |
| CT cervical spine w/wo cont (72127) | $2,678.20 | $3,826 | 14.2× |
| CT chest w contrast (71260) | $1,904.70 | $2,721 | 10.1× |
| CT chest w/wo contrast (71270) | $2,823.80 | $4,034 | 15.0× |
| CT head/brain with contrast (70460) | $1,673 | $2,390 | 8.9× |
| CT head/brain without and with contrast (70470) | $2,218.30 | $3,169 | 11.8× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$60.20–$103.60 | $86–$148 | varies |
| CT iac w contrast (70481) | $1,776.60 | $2,538 | 9.5× |
| CT l-spine w&w/o contrast (72133) | $2,796.50 | $3,995 | 14.9× |
| CT lower ext w/o (73700) | $1,676.50 | $2,395 | 15.0× |
| CT lower extremity w/contrast material (73701) | $1,831.90 | $2,617 | 9.7× |
| CT lumbar spine w contrast (72132) | $2,218.30 | $3,169 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $1,988 | $2,840 | 17.7× |
| CT maxillofacial w contrast (70487) | $1,776.60 | $2,538 | 9.5× |
| CT maxillofacial wo contrast (70486) | $1,603 | $2,290 | 14.3× |
| CT neck tissue combo (70492) | $2,218.30 | $3,169 | 11.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,154.60 | $3,078 | 11.5× |
| CT orbits w/o contrast (70480) | $1,603 | $2,290 | 14.3× |
| CT pelvis w&w/o contrast (72194) | $2,715.30 | $3,879 | 14.4× |
| CT pelvis w/o contrast (72192) | $1,988 | $2,840 | 17.7× |
| CT scan of leg combo (73702) | $2,287.60 | $3,268 | 12.2× |
| CT scans face/jaw combo (70488) | $2,034.90 | $2,907 | 10.8× |
| CT soft tissue neck w contrast (70491) | $1,776.60 | $2,538 | 9.5× |
| CT soft tissue neck w/o contrast (70490) | $1,470.70 | $2,101 | 13.1× |
| CT thoracic spine w contrast (72129) | $2,218.30 | $3,169 | 11.8× |
| CT thoracic spine w/o contrast (72128) | $1,988 | $2,840 | 17.7× |
| CT thoracic spine w/wo cont (72130) | $2,480.10 | $3,543 | 13.2× |
| CT thorax w/o contrast (71250) | $1,689.10 | $2,413 | 15.1× |
| CT upper ext wo (73200) | $1,706.60 | $2,438 | 15.2× |
| CT upper extremity w/o & w/contrast material (73202) | $2,255.40 | $3,222 | 12.0× |
| CT upper extremity with contrast (73201) | $1,831.90 | $2,617 | 4.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,534.70 | $3,621 | 13.5× |
| Cta Abdomen (74175) | $2,534.70 | $3,621 | 13.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,155.90 | $5,937 | 11.1× |
| CTA pelvis (72191) | $2,762.90 | $3,947 | 14.7× |
| Dxa Bone Density Axial (77080) | $599.90 | $857 | 5.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $510.30 | $729 | 5.5× |
| Esophagram (74220) | $744.80 | $1,064 | 4.0× |
| Fluoroscopy up to 1 hr (76000) | $515.90 | $737 | 2.0× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$284.20–$426.30 | $406–$609 | varies |
| Forearm 2 views (73090) | $353.50 | $505 | 3.8× |
| Gastric emptying imaging study (78264) | $1,159.20 | $1,656 | 2.7× |
| Gated Heart Planar Single (78472) | $1,246 | $1,780 | 2.9× |
| Gated Heart, Multiple (78473) | $1,143.10 | $1,633 | 2.7× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$322.70–$484.40 | $461–$692 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,333.50 | $1,905 | 2.3× |
| Hepatobiliary System Imaging (78226) | $1,333.50 | $1,905 | 3.1× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$113.09–$2,415 | $161.55–$3,450 | varies |
| K Flow/Funct Image Multiple (78709) | $1,357.30 | $1,939 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,423.80 | $2,034 | 2.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$476–$714 | $680–$1,020 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,333.50 | $1,905 | 3.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,029.70 | $1,471 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $2,096.50 | $2,995 | 3.6× |
| Lung Ventilation Imaging (78579) | $1,092 | $1,560 | 2.5× |
| Magnetic Image Jaw Joint (70336) | $2,261 | $3,230 | 8.8× |
| Meckels Divert Exam (78290) | $1,076.60 | $1,538 | 2.5× |
| MRA head w/o contrast (70544) | $2,349.90 | $3,357 | 9.2× |
| MRA neck w contrast (70548) | $2,757.30 | $3,939 | 7.4× |
| MRA neck w/o contrast (70547) | $2,349.90 | $3,357 | 9.2× |
| MRI abdomen w contrast (74182) | $2,529.80 | $3,614 | 6.8× |
| MRI abdomen w/o contrast (74181) | $2,108.40 | $3,012 | 8.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,719.50 | $3,885 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,223.50–$4,477.20 | $4,605–$6,396 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,757.30 | $3,939 | 3.3× |
| MRI cervical spine w contrast (72142) | $2,730 | $3,900 | 7.3× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$280–$2,338.70 | $400–$3,341 | varies |
| MRI chest w/o contrast (71550) | $2,219.70 | $3,171 | 8.7× |
| MRI chest with contrast (71551) | $2,450 | $3,500 | 2.9× |
| MRI chest wo w contrast (71552) | $3,253.60 | $4,648 | 8.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,439.50 | $3,485 | 6.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,984.80 | $4,264 | 8.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,441.60 | $3,488 | 9.5× |
| MRI lumbar spine w contrast (72149) | $2,732.10 | $3,903 | 7.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,332.70 | $4,761 | 8.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,074.10 | $2,963 | 8.1× |
| MRI orbit face neck w contrast (70542) | $2,299.50 | $3,285 | 6.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,984.80 | $4,264 | 8.0× |
| MRI pelvis w contrast (72196) | $2,730 | $3,900 | 7.3× |
| MRI pelvis w/o & w contrast (72197) | $3,253.60 | $4,648 | 8.7× |
| MRI pelvis w/o contrast (72195) | $2,441.60 | $3,488 | 9.5× |
| MRI thoracic spine w/o contrast (72146) | $2,441.60 | $3,488 | 9.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,713.20 | $3,876 | 7.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,441.60 | $3,488 | 9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,984.80 | $4,264 | 8.0× |
| MRI, abdomen, combo (74183) | $3,021.20 | $4,316 | 8.1× |
| MRI, dorsal spine combo (72157) | $3,425.80 | $4,894 | 9.2× |
| MRI, dorsal spine contrast (72147) | $2,765 | $3,950 | 7.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$280–$2,177 | $400–$3,110 | varies |
| MRI, joint upper extrem combo (73223) | $3,331.30 | $4,759 | 8.9× |
| MRI, lumbar spine combo (72158) | $3,336.90 | $4,767 | 8.9× |
| Myelogram cervical (72240) | $1,562.40 | $2,232 | 1.9× |
| Myelogram Lumbar (72265) | $1,961.40 | $2,802 | 2.3× |
| Myelography thoracic (72255) | $1,514.80 | $2,164 | 1.8× |
| Myelograpy 2/more regions rs&i (72270) | $1,799 | $2,570 | 2.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,058.40 | $1,512 | 2.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$122.08–$6,595.40 | $174.40–$9,422 | varies |
| Neck soft tissue (70360) | $275.10 | $393 | 2.9× |
| Nonvascular Shunt X-Ray (75809) | $247.10 | $353 | 2.2× |
| Parathyroid Planar Imaging (78070) | $1,281 | $1,830 | 3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,303.70 | $3,291 | 5.4× |
| Pelvis 1 or 2 views (72170) | $413.70 | $591 | 3.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,308.30 | $1,869 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $512.40 | $732 | 4.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$338.80–$508.20 | $484–$726 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$275.10–$413 | $393–$590 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$301.70–$452.90 | $431–$647 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $494.90 | $707 | 4.4× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$373.80–$560.70 | $534–$801 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$338.80–$508.20 | $484–$726 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$375.20–$562.80 | $536–$804 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$191.10–$287 | $273–$410 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $446.60 | $638 | 4.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $447.30 | $639 | 4.8× |
| Radex Ribs Unilateral 2 Views (71100) | $372.40 | $532 | 4.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$375.20–$562.80 | $536–$804 | varies |
| Radex Sternum Minimum 2 Views (71120) | $359.10 | $513 | 3.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $556.50 | $795 | 6.0× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$256.20–$384.30 | $366–$549 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$261.10–$392 | $373–$560 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$299.60–$449.40 | $428–$642 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $495.60 | $708 | 4.4× |
| Radiologic exam colon double contrast study (74280) | $1,307.60 | $1,868 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $844.90 | $1,207 | 4.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $784.70 | $1,121 | 4.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$568.40–$852.60 | $812–$1,218 | varies |
| Radiologic exam swallow function contrast study (74230) | $396.90 | $567 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $698.60 | $998 | 3.7× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$389.90–$585.20 | $557–$836 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$418.60–$627.90 | $598–$897 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $377.30 | $539 | 3.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$354.90–$532.70 | $507–$761 | varies |
| Ribs bilateral 3 views (71110) | $424.90 | $607 | 3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,142.40 | $1,632 | 2.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,435 | $2,050 | 3.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,134.30 | $3,049 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$81.15–$2,147.60 | $115.93–$3,068 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$353.50–$530.60 | $505–$758 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $123.90 | $177 | 5.3× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$296.10–$444.50 | $423–$635 | varies |
| Skull less than 4 views (70250) | $367.50 | $525 | 3.3× |
| Sternoclavicular joints (71130) | $336.70 | $481 | 3.6× |
| Testicular Imaging W/Flow (78761) | $1,152.90 | $1,647 | 2.7× |
| Thoracic spine 2 views (72070) | $450.10 | $643 | 4.0× |
| Thoracic spine 3 views (72072) | $560.70 | $801 | 5.0× |
| Thoracolumbar 2 views (72080) | $413 | $590 | 4.4× |
| Thyroid Imaging With Vascular Flow (78013) | $688.10 | $983 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,026.90 | $1,467 | 2.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$459.90–$690.20 | $657–$986 | varies |
| Ultrasound Exam Aaa Screen (76706) | $694.40 | $992 | 6.2× |
| Ultrasound, abdomen limited (76705) | $788.90 | $1,127 | 7.0× |
| Unlisted magnetic resonance procedure (76498) | $1,885.80 | $2,694 | 20.2× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$131.60–$873.60 | $188–$1,248 | varies |
| Urethrocystogram voiding (74455) | $848.40 | $1,212 | 3.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$506.10–$759.50 | $723–$1,085 | varies |
| Us chest (76604) | $506.80 | $724 | 4.5× |
| Us exam, pelvic, limited (76857) | $466.90 | $667 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $519.40 | $742 | 4.6× |
| Us ob limited 1 or more fetuses (76815) | $707.70 | $1,011 | 6.3× |
| Us ob transvaginal (76817) | $707.70 | $1,011 | 6.3× |
| Us pelvic non ob complete (76856) | $767.20 | $1,096 | 6.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $707.70 | $1,011 | 6.3× |
| Us retroperitoneal complete (76770) | $842.80 | $1,204 | 7.5× |
| Us retroperitoneal limited (76775) | $783.30 | $1,119 | 7.0× |
| Us scrotum and contents (76870) | $588 | $840 | 5.2× |
| Us spinal canal and contents (76800) | $142.80 | $204 | 1.3× |
| Us thyroid (76536) | $944.30 | $1,349 | 8.4× |
| Us transrectal (76872) | $442.40 | $632 | 3.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$245–$367.50 | $350–$525 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $403.90 | $577 | 4.3× |
| X-Ray Bend Only L-S Spine (72120) | $431.90 | $617 | 3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$247.10–$371 | $353–$530 | varies |
| X-Ray Exam Breast Specimen (76098) | $886.90 | $1,267 | 1.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $376.60 | $538 | 4.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $610.40 | $872 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $233.10 | $333 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $338.10 | $483 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $422.10 | $603 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $884.80 | $1,264 | 7.9× |
| X-Ray Exam L-S Spine Bending (72114) | $788.20 | $1,126 | 7.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $401.10 | $573 | 4.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$105–$830.90 | $150–$1,187 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $593.60 | $848 | 5.3× |
| X-ray eye for foreign body (70030) | $274.40 | $392 | 2.9× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$311.50–$467.60 | $445–$668 | varies |
| X-ray IV pyelogram (ivp) (74400) | $906.50 | $1,295 | 4.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $395.50 | $565 | 4.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $501.20 | $716 | 5.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $525.70 | $751 | 4.7× |
| X-ray nose-rectum child f.b. (76010) | $345.80 | $494 | 3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $476 | $680 | 4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $282.80 | $404 | 2.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $256.20 | $366 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $497.70 | $711 | 5.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $503.30 | $719 | 5.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $603.40 | $862 | 5.4× |
| X-ray thoracic spine 4 vw (72074) | $81.20 | $116 | 0.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $948.50 | $1,355 | 2.5× |
| X-Rays Bone Length Studies (77073) | $394.80 | $564 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $338.10 | $483 | 3.0× |
| Xr c-spine 4 or 5 views (72050) | $665 | $950 | 5.9× |
| Xr facial bones less than 3 views (70140) | $356.30 | $509 | 3.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $404.60 | $578 | 3.6× |
| Xr orbits complete 4 views (70200) | $466.90 | $667 | 4.2× |
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.