Imaging prices at Medina Regional Hospital
Hondo, TX · every code in this section with a posted price and a Medicare benchmark.
229 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) | $265.23 | $294.70 | 3.0× |
| Abdomen 2 views (74019) | $333.71 | $370.78 | 3.2× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$149.90–$428.07 | $166.55–$475.63 | varies |
| Bone age studies (77072) | $175.20 | $194.66 | 1.7× |
| Bone survey infant (77076) | $323.21 | $359.12 | 3.1× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$165.31–$247.96 | $183.67–$275.51 | varies |
| Chest 2 views (71046) | $299.78 | $333.08 | 3.4× |
| Chest 3 views (71047) | $367.63 | $408.47 | 4.2× |
| Chest 4 or more views (71048) | $359.61 | $399.56 | 3.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$256.59–$513.18 | $285.09–$570.20 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $723.34 | $803.71 | 6.9× |
| Contrast X-Ray Bladder (74430) | $634.07 | $704.52 | 1.8× |
| Contrast Xray Throat/Cerv Esopha (74210) | $940.68 | $1,045.19 | 5.3× |
| CT abdomen and pelvis without and with contrast (74178) | $3,186.99 | $3,541.10 | 9.1× |
| CT abdomen and pelvis without contrast (74176) | $2,548.64 | $2,831.82 | 10.6× |
| CT abdomen w contrast (74160) | $2,202.61 | $2,447.34 | 12.5× |
| CT abdomen w wo contrast (74170) | $2,447.47 | $2,719.41 | 13.9× |
| CT abdomen w/o contrast (74150) | $1,668.47 | $1,853.85 | 15.9× |
| CT Angio Abdomen and Pelvis (74174) | $3,176.91 | $3,529.89 | 9.1× |
| CT Angio Chest (71275) | $2,604.34 | $2,893.71 | 14.8× |
| CT Angio Head (70496) | $2,310.53 | $2,567.25 | 13.1× |
| CT angio hrt w/3d image (75574) | $792.90 | $881 | 2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$895.50–$2,395.66 | $995–$2,661.84 | varies |
| CT Angio Neck (70498) | $2,310.53 | $2,567.25 | 13.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,395.66 | $2,661.84 | 13.6× |
| CT cervical spine w/ contrast (72126) | $1,968.21 | $2,186.89 | 5.6× |
| CT cervical spine w/o contrast (72125) | $1,796.77 | $1,996.41 | 17.1× |
| CT cervical spine w/wo cont (72127) | $2,139.07 | $2,376.74 | 12.1× |
| CT chest w contrast (71260) | $2,224.80 | $2,471.99 | 12.6× |
| CT chest w/wo contrast (71270) | $2,464.12 | $2,737.91 | 14.0× |
| CT head/brain with contrast (70460) | $2,022.50 | $2,247.22 | 11.5× |
| CT head/brain without and with contrast (70470) | $2,609.69 | $2,899.65 | 14.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $473.11 | $525.67 | 5.4× |
| CT hrt w/3d image congen (75573) | $792.90 | $881 | 2.3× |
| CT iac w contrast (70481) | $2,224.80 | $2,471.99 | 12.6× |
| CT l-spine w&w/o contrast (72133) | $2,224.80 | $2,471.99 | 12.6× |
| CT lower ext w/o (73700) | $1,519.19 | $1,687.98 | 14.5× |
| CT lower extremity w/contrast material (73701) | $1,520.40 | $1,689.33 | 8.6× |
| CT lumbar spine w contrast (72132) | $2,053.95 | $2,282.16 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $1,882.48 | $2,091.64 | 17.9× |
| CT maxillofacial w contrast (70487) | $2,053.95 | $2,282.16 | 11.7× |
| CT maxillofacial wo contrast (70486) | $1,711.63 | $1,901.81 | 16.3× |
| CT neck tissue combo (70492) | $2,182.23 | $2,424.70 | 12.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,395.66 | $2,661.84 | 13.6× |
| CT orbits w/o contrast (70480) | $1,625.89 | $1,806.54 | 15.5× |
| CT pelvis w&w/o contrast (72194) | $2,207.54 | $2,452.82 | 12.5× |
| CT pelvis w/o contrast (72192) | $1,711.63 | $1,901.81 | 16.3× |
| CT scan of leg combo (73702) | $1,530.90 | $1,701 | 8.7× |
| CT scans face/jaw combo (70488) | $2,224.80 | $2,471.99 | 12.6× |
| CT soft tissue neck w contrast (70491) | $1,882.48 | $2,091.64 | 10.7× |
| CT soft tissue neck w/o contrast (70490) | $1,711.63 | $1,901.81 | 16.3× |
| CT thoracic spine w contrast (72129) | $2,224.80 | $2,471.99 | 12.6× |
| CT thoracic spine w/o contrast (72128) | $2,053.95 | $2,282.16 | 19.6× |
| CT thoracic spine w/wo cont (72130) | $2,430.19 | $2,700.21 | 13.8× |
| CT thorax w/o contrast (71250) | $1,968.21 | $2,186.89 | 18.7× |
| CT upper ext wo (73200) | $1,250.87 | $1,389.85 | 11.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,715.94 | $1,906.60 | 9.7× |
| CT upper extremity with contrast (73201) | $1,506.24 | $1,673.59 | 4.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,823.72 | $3,137.46 | 16.0× |
| Cta Abdomen (74175) | $2,823.72 | $3,137.46 | 16.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $877.50 | $975 | 2.5× |
| CTA pelvis (72191) | $2,395.66 | $2,661.84 | 13.6× |
| Dxa Bone Density Axial (77080) | $547.73 | $608.58 | 5.2× |
| Dxa bone density study (77085) | $361.68 | $401.86 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$134.46–$547.73 | $149.40–$608.58 | varies |
| Echo exam uterus (76831) | $742.03 | $824.47 | 3.1× |
| Esophagram (74220) | $410.79 | $456.43 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $301.50 | $335 | 2.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $625.44 | $694.93 | 6.0× |
| Fluoroscopy up to 1 hr (76000) | $347.88 | $386.53 | 1.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$146.20–$417.59 | $162.44–$463.98 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$169.02–$482.34 | $187.79–$535.93 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$115.97–$315.20 | $128.85–$350.22 | varies |
| Hysterosalpingogram (74740) | $775.95 | $862.16 | 3.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $610.64 | $678.48 | 7.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$246.74–$495.30 | $274.15–$550.33 | varies |
| Magnetic Image Jaw Joint (70336) | $2,990.25 | $3,322.49 | 12.5× |
| Mammary ductogram or galactogram multiple (77054) | $849.96 | $944.39 | 3.5× |
| Mra Head W/O & W/Contrast Material (70546) | $3,417.09 | $3,796.76 | 9.8× |
| MRA head w/o contrast (70544) | $3,161.72 | $3,513.02 | 13.2× |
| MRA head with contrast (70545) | $3,353.55 | $3,726.16 | 9.6× |
| MRA neck w contrast (70548) | $2,931.66 | $3,257.39 | 8.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,995.21 | $3,328.01 | 8.5× |
| MRA neck w/o contrast (70547) | $2,741.07 | $3,045.63 | 11.4× |
| MRI abdomen w contrast (74182) | $3,080.31 | $3,422.56 | 8.8× |
| MRI abdomen w/o contrast (74181) | $2,737.98 | $3,042.20 | 11.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,369.74 | $2,633.04 | 3.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,501.13 | $2,779.03 | 7.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,267.36 | $2,519.28 | 2.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,255.50 | $1,395 | 5.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,165.50 | $1,295 | 4.9× |
| MRI cervical spine w contrast (72142) | $2,823.72 | $3,137.46 | 8.1× |
| MRI cervical spine w/o cont (72141) | $2,567.13 | $2,852.36 | 10.7× |
| MRI chest w/o contrast (71550) | $2,395.66 | $2,661.84 | 10.0× |
| MRI chest with contrast (71551) | $2,580.69 | $2,867.43 | 3.3× |
| MRI chest wo w contrast (71552) | $2,936.59 | $3,262.87 | 8.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,303.77 | $2,559.74 | 6.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,501.13 | $2,779.03 | 7.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,200.77 | $2,445.29 | 9.2× |
| MRI lumbar spine w contrast (72149) | $2,892.19 | $3,213.54 | 8.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,230.82 | $3,589.80 | 9.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,567.13 | $2,852.36 | 10.7× |
| MRI orbit face neck w contrast (70542) | $3,014.92 | $3,349.91 | 8.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,354.16 | $3,726.84 | 9.6× |
| MRI pelvis w contrast (72196) | $2,823.72 | $3,137.46 | 8.1× |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$1,507.54–$3,230.82 | $1,675.04–$3,589.80 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$828.68–$2,652.85 | $920.75–$2,947.61 | varies |
| MRI thoracic spine w/o contrast (72146) | $2,652.85 | $2,947.61 | 11.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,303.77 | $2,559.74 | 6.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,200.77 | $2,445.29 | 9.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,485.09 | $2,761.21 | 7.1× |
| MRI, abdomen, combo (74183) | $3,524.40 | $3,915.99 | 10.1× |
| MRI, dorsal spine combo (72157) | $3,269.05 | $3,632.27 | 9.3× |
| MRI, dorsal spine contrast (72147) | $2,686.79 | $2,985.32 | 7.7× |
| MRI, joint upper extrem (73221) | $2,200.77 | $2,445.29 | 9.2× |
| MRI, joint upper extrem combo (73223) | $2,267.36 | $2,519.28 | 6.5× |
| MRI, lumbar spine combo (72158) | $3,594.12 | $3,993.46 | 10.3× |
| Myelogram cervical (72240) | $346.52 | $385.02 | 0.4× |
| Myelogram Lumbar (72265) | $329.83 | $366.47 | 0.4× |
| Myelography thoracic (72255) | $311.87 | $346.52 | 0.4× |
| Neck soft tissue (70360) | $196.78 | $218.64 | 2.3× |
| Optic foramina (70190) | $287.44 | $319.37 | 3.3× |
| Pelvis 1 or 2 views (72170) | $258.46 | $287.17 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $376.28 | $418.08 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $775.95 | $862.16 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$273.87–$547.73 | $304.30–$608.58 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$266.47–$479.28 | $296.07–$532.53 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$221.44–$446.58 | $246.04–$496.19 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $316.43 | $351.58 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$141.25–$404.01 | $156.94–$448.90 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$273.87–$547.73 | $304.30–$608.58 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$247.96–$496.55 | $275.51–$551.72 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$218.11–$327.20 | $242.34–$363.55 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $270.18 | $300.19 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $251.67 | $279.63 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $316.43 | $351.58 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$174.56–$292.35 | $193.95–$324.83 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $165.31 | $183.67 | 1.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $442.43 | $491.58 | 2.5× |
| Radex Spine 1 View Specify Level (72020) | $196.78 | $218.64 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $245.49 | $272.76 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $273.87 | $304.30 | 3.1× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$138.17–$246.74 | $153.52–$274.15 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$218.11–$327.20 | $242.34–$363.55 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$256.59–$513.18 | $285.09–$570.20 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $282.50 | $313.88 | 2.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $333.71 | $370.78 | 3.2× |
| Radiologic exam colon double contrast study (74280) | $718.60 | $798.44 | 4.1× |
| Radiologic exam colon single contrast study (74270) | $616.20 | $684.66 | 3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $616.20 | $684.66 | 3.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$265.23–$530.46 | $294.70–$589.40 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $333.07 | $370.07 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $470.63 | $522.92 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $633.46 | $703.84 | 3.6× |
| Radiologic examination femur 1 view (73551) | $88.38 | $98.20 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) | $100.01 | $111.12 | 1.1× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$241.17–$481.74 | $267.96–$535.26 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$180.74–$516.89 | $200.82–$574.32 | varies |
| Ribs bilateral 3 views (71110) | $392.30 | $435.88 | 3.7× |
| Scapula (73010) range across 2 matching MRF lines |
$193.08–$345.41 | $214.53–$383.78 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$70.23–$102.06 | $78.03–$113.40 | varies |
| Sella turcica (70240) | $165.31 | $183.67 | 1.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$169.65–$338.63 | $188.49–$376.25 | varies |
| Skull less than 4 views (70250) | $287.44 | $319.37 | 2.7× |
| Sternoclavicular joints (71130) | $214.65 | $238.50 | 2.5× |
| Thoracic spine 2 views (72070) | $299.16 | $332.40 | 2.8× |
| Ultrasound Breast Limited (76642) | $330.56 | $367.28 | 3.8× |
| Ultrasound Elastography Parenchyma (76981) | $341.78 | $379.75 | 3.3× |
| Ultrasound Exam Aaa Screen (76706) | $382.51 | $425.01 | 3.6× |
| Ultrasound, abdomen limited (76705) | $357.75 | $397.50 | 3.4× |
| Unlisted Dx Radiographic Procedure (76499) | $165.31 | $183.67 | 1.9× |
| Upper gi w/o kub (74240) | $323.21 | $359.12 | 1.8× |
| Urethrocystogram voiding (74455) | $634.07 | $704.52 | 2.6× |
| Urethrocystography retrograde (74450) | $634.07 | $704.52 | 2.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$360.50–$431.16 | $400.55–$479.06 | varies |
| Us chest (76604) | $412.04 | $457.82 | 3.9× |
| Us complete joint (76881) | $532.32 | $591.46 | 5.1× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$230.69–$491.59 | $256.32–$546.21 | varies |
| Us head (76506) | $880.20 | $977.99 | 8.4× |
| Us kidney transplant (76776) | $355.50 | $395 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$116.18–$526.10 | $129.08–$584.55 | varies |
| Us ob limited 1 or more fetuses (76815) | $411.43 | $457.14 | 3.9× |
| Us ob transvaginal (76817) | $684.64 | $760.71 | 6.5× |
| Us pelvic non ob complete (76856) | $746.34 | $829.26 | 7.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $564.99 | $627.76 | 5.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $485.56 | $539.51 | 4.6× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$488.51–$610.64 | $542.78–$678.48 | varies |
| Us scrotum and contents (76870) | $556.38 | $618.19 | 5.3× |
| Us spinal canal and contents (76800) | $412.04 | $457.82 | 3.9× |
| Us thyroid (76536) | $559.44 | $621.60 | 5.3× |
| Us transrectal (76872) | $495.90 | $551 | 4.7× |
| Venography extremity bilateral rs&i (75822) | $2,562.21 | $2,846.89 | 1.6× |
| Venography extremity unilateral rs&i (75820) | $2,562.21 | $2,846.89 | 1.6× |
| Vertebral fracture assessment via dxa (77086) | $165.31 | $183.67 | 1.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$196.78–$393.52 | $218.64–$437.24 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $191.85 | $213.16 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) | $351 | $389.99 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$125.82–$359.61 | $139.80–$399.56 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,393.98 | $1,548.86 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $107 | $118.88 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $125.60 | $139.55 | 1.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $79.07 | $87.85 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $88.38 | $98.20 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $125.60 | $139.55 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $122.11 | $135.67 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $125.60 | $139.55 | 1.2× |
| X-Ray Exam L-S Spine Bending (72114) | $574.32 | $638.13 | 5.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $316.43 | $351.58 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $518.74 | $576.37 | 4.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $359.61 | $399.56 | 3.4× |
| X-ray eye for foreign body (70030) | $214.21 | $238.01 | 2.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$161.01–$230.08 | $178.89–$255.64 | varies |
| X-ray IV pyelogram (ivp) (74400) | $695.76 | $773.06 | 3.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $229.46 | $254.95 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $241.17 | $267.96 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $484.84 | $538.71 | 4.6× |
| X-ray nose-rectum child f.b. (76010) | $165.31 | $183.67 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $381.82 | $424.24 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $247.96 | $275.51 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $265.23 | $294.70 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $323.21 | $359.12 | 3.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $453.37 | $503.74 | 4.3× |
| X-ray thoracic spine 4 vw (72074) | $434.25 | $482.49 | 4.1× |
| X-Rays Bone Length Studies (77073) | $389.83 | $433.14 | 3.7× |
| X-Rays Bone Survey Complete (77075) | $503.93 | $559.92 | 4.8× |
| Xr c-spine 4 or 5 views (72050) | $445.33 | $494.81 | 4.2× |
| Xr facial bones less than 3 views (70140) | $239.32 | $265.91 | 2.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $205.42 | $228.24 | 2.0× |
| Xr orbits complete 4 views (70200) | $307.80 | $342 | 2.9× |
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.