Imaging prices at Mat-su Regional Medical Center
Palmer, AK · every code in this section with a posted price and a Medicare benchmark.
241 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 6 matching MRF lines |
$225.90–$237.30 | $753–$791 | varies |
| Abdomen 2 views (74019) range across 8 matching MRF lines |
$173.70–$182.40 | $579–$608 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,000.80 | $3,336 | 2.3× |
| Angio pulmonary bilat (75743) | $4,828.20 | $16,094 | 1.4× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$4,622.70–$4,782.90 | $15,409–$15,943 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$4,946.40–$5,118 | $16,488–$17,060 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,828.20 | $16,094 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$2,947.20–$2,992.20 | $9,824–$9,974 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$250.80–$263.40 | $836–$878 | varies |
| Artery X-Rays Abdomen (75726) | $8,260.20 | $27,534 | 1.3× |
| Arthrogram hip (73525) | $837.30 | $2,791 | 2.2× |
| Arthrogram Wrist (73115) | $552.30 | $1,841 | 1.4× |
| Bone age studies (77072) range across 2 matching MRF lines |
$141–$148.20 | $470–$494 | varies |
| Bone Imaging 3 Phase (78315) | $1,205.10 | $4,017 | 2.7× |
| Bone Imaging Limited Area (78300) | $902.10 | $3,007 | 2.0× |
| Bone Imaging Whole Body (78306) | $1,110.90 | $3,703 | 2.5× |
| Bone survey infant (77076) | $226.20 | $754 | 1.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $905.70 | $3,019 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $1,433.40 | $4,778 | 2.4× |
| Chest 1 view (71045) range across 9 matching MRF lines |
$242.70–$254.70 | $809–$849 | varies |
| Chest 2 views (71046) range across 8 matching MRF lines |
$282.30–$296.40 | $941–$988 | varies |
| Chest 4 or more views (71048) | $289.20 | $964 | 2.5× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$418.50–$439.50 | $1,395–$1,465 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $207.60 | $692 | 1.8× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$3,173.70–$3,252.60 | $10,579–$10,842 | varies |
| Contrast X-Ray Bladder (74430) | $384.30 | $1,281 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $376.20 | $1,254 | 1.0× |
| Contrast Xray Throat/Cerv Esopha (74210) | $418.50 | $1,395 | 2.1× |
| CT abdomen and pelvis without and with contrast (74178) | $1,912.80 | $6,376 | 4.9× |
| CT abdomen and pelvis without contrast (74176) | $1,182 | $3,940 | 4.5× |
| CT abdomen w contrast (74160) | $1,369.50 | $4,565 | 7.0× |
| CT abdomen w wo contrast (74170) | $1,897.20 | $6,324 | 9.7× |
| CT abdomen w/o contrast (74150) | $1,141.50 | $3,805 | 9.8× |
| CT Angio Abdomen and Pelvis (74174) | $5,040 | $16,800 | 13.0× |
| CT Angio Chest (71275) | $2,513.40 | $8,378 | 12.9× |
| CT Angio Head (70496) | $2,578.80 | $8,596 | 13.2× |
| CT angio hrt w/3d image (75574) | $418.50 | $1,395 | 1.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,614.20–$5,228.10 | $8,714–$17,427 | varies |
| CT Angio Neck (70498) | $2,613.90 | $8,713 | 13.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,613.90 | $8,713 | 13.4× |
| CT cervical spine w/ contrast (72126) | $1,516.80 | $5,056 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,297.50 | $4,325 | 11.2× |
| CT chest w contrast (71260) | $1,354.20 | $4,514 | 7.0× |
| CT chest w/wo contrast (71270) | $1,795.50 | $5,985 | 9.2× |
| CT head/brain with contrast (70460) | $1,572 | $5,240 | 8.1× |
| CT head/brain without and with contrast (70470) | $1,862.10 | $6,207 | 9.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $103.20 | $344 | 1.1× |
| CT iac w contrast (70481) | $1,387.80 | $4,626 | 7.1× |
| CT l-spine w&w/o contrast (72133) | $1,897.20 | $6,324 | 9.7× |
| CT lower ext w/o (73700) range across 18 matching MRF lines |
$1,057.20–$2,115 | $3,524–$7,050 | varies |
| CT lower extremity w/contrast material (73701) range across 18 matching MRF lines |
$1,327.50–$2,654.70 | $4,425–$8,849 | varies |
| CT lumbar spine w contrast (72132) | $1,516.80 | $5,056 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $1,153.50 | $3,845 | 9.9× |
| CT maxillofacial w contrast (70487) | $855 | $2,850 | 4.4× |
| CT maxillofacial wo contrast (70486) | $1,153.50 | $3,845 | 9.9× |
| CT neck tissue combo (70492) | $1,897.20 | $6,324 | 9.7× |
| CT orbits w/o contrast (70480) | $1,153.50 | $3,845 | 9.9× |
| CT pelvis w&w/o contrast (72194) | $1,897.20 | $6,324 | 9.7× |
| CT pelvis w/o contrast (72192) | $1,172.40 | $3,908 | 10.1× |
| CT scan of leg combo (73702) | $1,525.80 | $5,086 | 7.8× |
| CT soft tissue neck w contrast (70491) | $1,415.10 | $4,717 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $1,171.80 | $3,906 | 10.1× |
| CT thoracic spine w contrast (72129) | $1,516.80 | $5,056 | 7.8× |
| CT thoracic spine w/o contrast (72128) | $1,222.20 | $4,074 | 10.5× |
| CT thorax w/o contrast (71250) | $865.50 | $2,885 | 7.5× |
| CT upper ext wo (73200) | $1,086.90 | $3,623 | 9.4× |
| CT upper extremity with contrast (73201) | $2,654.70 | $8,849 | 6.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,726.70 | $9,089 | 14.0× |
| Cta Abdomen (74175) | $2,426.40 | $8,088 | 12.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,670 | $8,900 | 6.9× |
| CTA pelvis (72191) | $2,348.70 | $7,829 | 12.1× |
| Dxa Bone Density Axial (77080) | $302.10 | $1,007 | 2.6× |
| Dxa bone density study (77085) | $314.10 | $1,047 | 2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $129.30 | $431 | 1.3× |
| Esophagram (74220) | $418.50 | $1,395 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $468.30 | $1,561 | 4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $440.10 | $1,467 | 3.8× |
| Fluoroscopy up to 1 hr (76000) | $379.20 | $1,264 | 1.4× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$250.80–$263.40 | $836–$878 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$269.10–$507.90 | $897–$1,693 | varies |
| Gastric emptying imaging study (78264) | $1,156.20 | $3,854 | 2.6× |
| Gated Heart Planar Single (78472) | $1,220.70 | $4,069 | 2.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$102.60–$266.70 | $342–$889 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,214.40 | $4,048 | 2.0× |
| Hepatobiliary System Imaging (78226) | $1,214.40 | $4,048 | 2.7× |
| Ht Muscle Image Spect Sing (78451) | $1,992.30 | $6,641 | 1.4× |
| Hysterosalpingogram (74740) | $694.50 | $2,315 | 2.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $296.10 | $987 | 3.1× |
| K Flow/Funct Image W/Drug (78708) | $1,345.80 | $4,486 | 2.2× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$179.40–$188.40 | $598–$628 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,379.40 | $4,598 | 2.3× |
| Lymph System Imaging (78195) | $813 | $2,710 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $2,420.10 | $8,067 | 9.1× |
| Meckels Divert Exam (78290) | $807.30 | $2,691 | 1.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $20.10 | $67 | 0.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,914.30 | $6,381 | 4.9× |
| MRA head w/o contrast (70544) | $1,985.10 | $6,617 | 7.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,958.40 | $6,528 | 5.1× |
| MRA neck w/o contrast (70547) | $1,679.10 | $5,597 | 6.3× |
| MRI abdomen w/o contrast (74181) | $1,662 | $5,540 | 6.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,337.70 | $4,459 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,074.80 | $6,916 | 5.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,816.20 | $6,054 | 2.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $817.50 | $2,725 | 3.1× |
| MRI cervical spine w contrast (72142) | $1,957.20 | $6,524 | 5.1× |
| MRI cervical spine w/o cont (72141) | $1,863.60 | $6,212 | 7.0× |
| MRI chest w/o contrast (71550) | $1,337.70 | $4,459 | 5.1× |
| MRI chest wo w contrast (71552) | $1,226.70 | $4,089 | 3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,337.70 | $4,459 | 3.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,072.10 | $6,907 | 5.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,937.40 | $6,458 | 7.3× |
| MRI lumbar spine w contrast (72149) | $1,581.90 | $5,273 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,683.80 | $8,946 | 6.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,024.50 | $3,415 | 3.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,447.70 | $8,159 | 6.3× |
| MRI pelvis w/o & w contrast (72197) | $2,576.10 | $8,587 | 6.7× |
| MRI pelvis w/o contrast (72195) | $2,216.10 | $7,387 | 8.4× |
| MRI thoracic spine w/o contrast (72146) | $1,750.50 | $5,835 | 6.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,324.90 | $11,083 | 12.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,118.30 | $7,061 | 5.5× |
| MRI, abdomen, combo (74183) | $2,010.60 | $6,702 | 5.2× |
| MRI, dorsal spine combo (72157) | $2,404.50 | $8,015 | 6.2× |
| MRI, dorsal spine contrast (72147) | $2,470.80 | $8,236 | 6.4× |
| MRI, joint upper extrem (73221) | $1,932 | $6,440 | 7.3× |
| MRI, joint upper extrem combo (73223) | $2,074.80 | $6,916 | 5.4× |
| MRI, lumbar spine combo (72158) | $2,643 | $8,810 | 6.8× |
| Myocardial Spect Multiple Studies (78452) | $2,823.90 | $9,413 | 2.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$254.10–$266.70 | $847–$889 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $487.50 | $1,625 | 1.1× |
| Nuclear Rx Oral Admin (79005) | $531.90 | $1,773 | 2.1× |
| Parathyroid Planar Imaging (78070) | $1,670.70 | $5,569 | 3.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$262.50–$275.70 | $875–$919 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$413.70–$434.40 | $1,379–$1,448 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $694.50 | $2,315 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$312.60–$328.20 | $1,042–$1,094 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$327–$343.50 | $1,090–$1,145 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$254.10–$266.70 | $847–$889 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$316.20–$332.10 | $1,054–$1,107 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$162.90–$171 | $543–$570 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$231.60–$243.30 | $772–$811 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$387.90–$407.40 | $1,293–$1,358 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$207.90–$218.40 | $693–$728 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$308.10–$323.40 | $1,027–$1,078 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$448.50–$471 | $1,495–$1,570 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$177.90–$186.90 | $593–$623 | varies |
| Radex Spine 1 View Specify Level (72020) | $232.20 | $774 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$261.30–$274.50 | $871–$915 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $254.40 | $848 | 2.6× |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$380.70–$399.60 | $1,269–$1,332 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$207.90–$218.40 | $693–$728 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$209.10–$219.60 | $697–$732 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $387.90 | $1,293 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$173.70–$316.20 | $579–$1,054 | varies |
| Radiologic exam colon double contrast study (74280) | $814.20 | $2,714 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $674.70 | $2,249 | 3.5× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$299.70–$314.70 | $999–$1,049 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $327.90 | $1,093 | 2.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $549 | $1,830 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $490.50 | $1,635 | 2.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $411.30 | $1,371 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$296.70–$311.40 | $989–$1,038 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$105.30–$110.70 | $351–$369 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$307.20–$322.50 | $1,024–$1,075 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,991.70 | $6,639 | 4.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $720.90 | $2,403 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,436.90 | $8,123 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,972.50 | $6,575 | 3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,626 | $5,420 | 2.7× |
| Scapula (73010) range across 4 matching MRF lines |
$251.40–$264 | $838–$880 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $87 | $290 | 3.7× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$227.40–$238.80 | $758–$796 | varies |
| Shoulder Arthrography (73040) | $552.30 | $1,841 | 1.4× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$329.10–$345.60 | $1,097–$1,152 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$97.50–$102.30 | $325–$341 | varies |
| Thoracic spine 2 views (72070) | $148.50 | $495 | 1.3× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$303.90–$319.20 | $1,013–$1,064 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$194.10–$203.70 | $647–$679 | varies |
| Thyroid Met Imaging Body (78018) | $750.30 | $2,501 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 6 matching MRF lines |
$1,422.30–$1,493.40 | $4,741–$4,978 | varies |
| Ultrasound Breast Limited (76642) | $239.70 | $799 | 2.5× |
| Ultrasound elastography first target lesion (76982) | $148.50 | $495 | 1.3× |
| Ultrasound Elastography Parenchyma (76981) | $148.50 | $495 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$146.10–$279.60 | $487–$932 | varies |
| Ultrasound, abdomen limited (76705) | $317.10 | $1,057 | 2.7× |
| Umbilical-artery Doppler (OB) (76820) | $364.80 | $1,216 | 3.1× |
| Unlisted us procedure (76999) | $294.30 | $981 | 3.0× |
| Upper gi w/o kub (74240) | $523.80 | $1,746 | 2.7× |
| Ureteral Reflux Study (78740) | $863.40 | $2,878 | 1.9× |
| Urethrocystogram voiding (74455) | $522.60 | $1,742 | 2.0× |
| Urethrocystography retrograde (74450) | $573.30 | $1,911 | 2.2× |
| Us breast unilateral complete (76641) | $239.70 | $799 | 2.1× |
| Us chest (76604) | $350.40 | $1,168 | 3.0× |
| Us complete joint (76881) | $394.20 | $1,314 | 3.4× |
| Us exam, pelvic, limited (76857) | $237.60 | $792 | 2.0× |
| Us head (76506) | $216 | $720 | 1.9× |
| Us kidney transplant (76776) | $277.20 | $924 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $152.40 | $508 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $245.10 | $817 | 2.1× |
| Us ob transvaginal (76817) | $319.50 | $1,065 | 2.8× |
| Us pelvic non ob complete (76856) | $316.50 | $1,055 | 2.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $294.30 | $981 | 2.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $351.30 | $1,171 | 3.0× |
| Us retroperitoneal complete (76770) | $396.60 | $1,322 | 3.4× |
| Us retroperitoneal limited (76775) | $294.30 | $981 | 2.5× |
| Us scrotum and contents (76870) | $510 | $1,700 | 4.4× |
| Us spinal canal and contents (76800) | $410.70 | $1,369 | 3.5× |
| Us thyroid (76536) | $397.20 | $1,324 | 3.4× |
| Venogram Sinus/Jugular (75860) range across 3 matching MRF lines |
$3,888.90–$3,948.30 | $12,963–$13,161 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$5,468.40–$6,334.50 | $18,228–$21,115 | varies |
| Venography extremity unilateral rs&i (75820) range across 7 matching MRF lines |
$1,329.90–$1,540.50 | $4,433–$5,135 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$179.40–$188.40 | $598–$628 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $357.60 | $1,192 | 3.7× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$926.70–$1,031.40 | $3,089–$3,438 | varies |
| X-Ray Aorta Leg Arteries (75630) | $1,953.90 | $6,513 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $196.50 | $655 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$72.60–$251.40 | $242–$838 | varies |
| X-Ray Exam Breast Specimen (76098) | $745.80 | $2,486 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $94.20 | $314 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $196.50 | $655 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $217.50 | $725 | 2.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$242.10–$254.10 | $807–$847 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$320.40–$336.30 | $1,068–$1,121 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $338.70 | $1,129 | 2.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$269.10–$282.60 | $897–$942 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $376.80 | $1,256 | 3.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$324.90–$341.10 | $1,083–$1,137 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$224.10–$235.20 | $747–$784 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $165 | $550 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$104.70–$109.80 | $349–$366 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$295.80–$310.50 | $986–$1,035 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$198–$207.90 | $660–$693 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$268.80–$273.60 | $896–$912 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$189.90–$199.50 | $633–$665 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$240.30–$252.30 | $801–$841 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$375.30–$394.20 | $1,251–$1,314 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $324.90 | $1,083 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $335.10 | $1,117 | 2.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $756 | $2,520 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $318.30 | $1,061 | 2.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$313.80–$329.40 | $1,046–$1,098 | varies |
| Xr orbits complete 4 views (70200) | $343.50 | $1,145 | 3.0× |
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.