Imaging prices at Memorial Hospital Los Banos
Los Banos, CA · every code in this section with a posted price and a Medicare benchmark.
237 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) | $666 | $666 | 6.0× |
| Abdomen 2 views (74019) | $921 | $921 | 6.8× |
| Angiography extremity unilateral rs&i (75710) | $10,002 | $10,002 | 2.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$743–$1,115 | $743–$1,115 | varies |
| Bone age studies (77072) | $431 | $431 | 3.2× |
| Bone survey infant (77076) | $1,689 | $1,689 | 12.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $3,331 | $3,331 | 6.5× |
| Cat Scan Follow-Up Study (76380) | $1,702 | $1,702 | 15.2× |
| Chest 1 view (71045) | $738 | $738 | 6.6× |
| Chest 2 views (71046) | $804 | $804 | 7.2× |
| Chest 3 views (71047) | $723 | $723 | 6.5× |
| Chest 4 or more views (71048) | $832 | $832 | 6.2× |
| Cholecystography Oral Contrast (74290) | $1,893 | $1,893 | 8.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$725–$1,088 | $725–$1,088 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $304 | $304 | 2.3× |
| Contrast X-Ray Bladder (74430) | $1,193 | $1,193 | 2.7× |
| Contrast X-Ray Of Elbow (73085) | $4,761 | $4,761 | 10.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $349 | $349 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $8,994 | $8,994 | 20.0× |
| CT abdomen and pelvis without contrast (74176) | $6,374 | $6,374 | 20.8× |
| CT abdomen w contrast (74160) | $4,755 | $4,755 | 21.1× |
| CT abdomen w wo contrast (74170) | $4,989 | $4,989 | 22.1× |
| CT abdomen w/o contrast (74150) | $4,058 | $4,058 | 30.2× |
| CT Angio Abdomen and Pelvis (74174) | $9,276 | $9,276 | 20.7× |
| CT Angio Chest (71275) | $6,885 | $6,885 | 30.5× |
| CT Angio Head (70496) | $6,173 | $6,173 | 27.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$6,441–$9,662 | $6,441–$9,662 | varies |
| CT Angio Neck (70498) | $5,528 | $5,528 | 24.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,583 | $5,583 | 24.7× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $6,240 | $6,240 | 27.7× |
| CT cervical spine w/ contrast (72126) | $6,645 | $6,645 | 14.8× |
| CT cervical spine w/o contrast (72125) | $5,058 | $5,058 | 37.6× |
| CT cervical spine w/wo cont (72127) | $5,367 | $5,367 | 23.8× |
| CT chest w contrast (71260) | $5,153 | $5,153 | 22.8× |
| CT chest w/wo contrast (71270) | $5,607 | $5,607 | 24.9× |
| CT head/brain with contrast (70460) | $4,869 | $4,869 | 21.6× |
| CT head/brain without and with contrast (70470) | $5,345 | $5,345 | 23.7× |
| CT iac w contrast (70481) | $5,269 | $5,269 | 23.4× |
| CT l-spine w&w/o contrast (72133) | $5,485 | $5,485 | 24.3× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$4,106–$6,159 | $4,106–$6,159 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$5,007–$7,510 | $5,007–$7,510 | varies |
| CT lumbar spine w contrast (72132) | $5,841 | $5,841 | 13.0× |
| CT lumbar spine w/o contrast (72131) | $4,803 | $4,803 | 35.7× |
| CT maxillofacial w contrast (70487) | $5,254 | $5,254 | 23.3× |
| CT maxillofacial wo contrast (70486) | $4,272 | $4,272 | 31.8× |
| CT neck tissue combo (70492) | $4,304 | $4,304 | 19.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,026 | $5,026 | 22.3× |
| CT orbits w/o contrast (70480) | $4,249 | $4,249 | 31.6× |
| CT pelvis w&w/o contrast (72194) | $4,196 | $4,196 | 18.6× |
| CT pelvis w/o contrast (72192) | $4,656 | $4,656 | 34.6× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$5,160–$7,740 | $5,160–$7,740 | varies |
| CT scans face/jaw combo (70488) | $4,353 | $4,353 | 19.3× |
| CT soft tissue neck w contrast (70491) | $4,703 | $4,703 | 20.8× |
| CT soft tissue neck w/o contrast (70490) | $3,933 | $3,933 | 29.3× |
| CT thoracic spine w contrast (72129) | $6,216 | $6,216 | 27.6× |
| CT thoracic spine w/o contrast (72128) | $4,811 | $4,811 | 35.8× |
| CT thoracic spine w/wo cont (72130) | $6,424 | $6,424 | 28.5× |
| CT thorax w/o contrast (71250) | $4,097 | $4,097 | 30.5× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$4,016–$6,024 | $4,016–$6,024 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $5,289 | $5,289 | 23.4× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$4,824–$7,236 | $4,824–$7,236 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,637 | $6,637 | 29.4× |
| Cta Abdomen (74175) | $6,118 | $6,118 | 27.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $11,701 | $11,701 | 26.1× |
| CTA pelvis (72191) | $5,086 | $5,086 | 22.5× |
| Dxa Bone Density Axial (77080) | $913 | $913 | 6.8× |
| Dxa bone density study (77085) | $748 | $748 | 5.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $447 | $447 | 4.0× |
| Esophagram (74220) | $1,339 | $1,339 | 5.9× |
| Fetal Biophys Profile W/Nst (76818) | $1,605 | $1,605 | 11.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,487 | $1,487 | 11.1× |
| Fluoroscopy up to 1 hr (76000) | $1,632 | $1,632 | 5.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$698–$1,046 | $698–$1,046 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$859–$1,288 | $859–$1,288 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$801–$1,202 | $801–$1,202 | varies |
| Ht Muscle Image Spect Sing (78451) | $7,176 | $7,176 | 4.3× |
| Hysterosalpingogram (74740) | $1,347 | $1,347 | 4.4× |
| Infusion Ivp (74410) | $2,483 | $2,483 | 11.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$954–$1,431 | $954–$1,431 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $4,296 | $4,296 | 6.2× |
| Magnetic Image Jaw Joint (70336) | $4,652 | $4,652 | 15.2× |
| Mra Head W/O & W/Contrast Material (70546) | $7,383 | $7,383 | 16.5× |
| MRA head w/o contrast (70544) | $5,677 | $5,677 | 18.5× |
| MRA head with contrast (70545) | $6,062 | $6,062 | 13.5× |
| MRA neck w contrast (70548) | $5,630 | $5,630 | 12.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $8,310 | $8,310 | 18.5× |
| MRA neck w/o contrast (70547) | $5,146 | $5,146 | 16.8× |
| MRI abdomen w contrast (74182) | $5,071 | $5,071 | 11.3× |
| MRI abdomen w/o contrast (74181) | $5,217 | $5,217 | 17.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$5,118–$7,678 | $5,118–$7,678 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$7,534–$11,300 | $7,534–$11,300 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$5,051–$7,576 | $5,051–$7,576 | varies |
| MRI cervical spine w contrast (72142) | $6,480 | $6,480 | 14.4× |
| MRI cervical spine w/o cont (72141) | $5,265 | $5,265 | 17.2× |
| MRI chest w/o contrast (71550) | $4,321 | $4,321 | 14.1× |
| MRI chest with contrast (71551) | $5,928 | $5,928 | 5.9× |
| MRI chest wo w contrast (71552) | $7,584 | $7,584 | 16.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$6,357–$9,536 | $6,357–$9,536 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$6,304–$9,456 | $6,304–$9,456 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$4,234–$6,351 | $4,234–$6,351 | varies |
| MRI lumbar spine w contrast (72149) | $8,076 | $8,076 | 18.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,560 | $8,560 | 19.1× |
| MRI orbit face &/neck w/o contrast (70540) | $4,099 | $4,099 | 13.4× |
| MRI orbit face neck w contrast (70542) | $7,764 | $7,764 | 17.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,526 | $7,526 | 16.8× |
| MRI pelvis w contrast (72196) | $5,220 | $5,220 | 11.6× |
| MRI pelvis w/o & w contrast (72197) | $8,535 | $8,535 | 19.0× |
| MRI pelvis w/o contrast (72195) | $5,735 | $5,735 | 18.7× |
| MRI spectroscopy (76390) | $5,204 | $5,204 | 46.5× |
| MRI thoracic spine w/o contrast (72146) | $5,458 | $5,458 | 17.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$3,692–$5,538 | $3,692–$5,538 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$4,196–$6,294 | $4,196–$6,294 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$6,467–$9,700 | $6,467–$9,700 | varies |
| MRI, abdomen, combo (74183) | $7,262 | $7,262 | 16.2× |
| MRI, dorsal spine combo (72157) | $8,406 | $8,406 | 18.7× |
| MRI, dorsal spine contrast (72147) | $6,508 | $6,508 | 14.5× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$4,860–$7,291 | $4,860–$7,291 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$7,159–$10,739 | $7,159–$10,739 | varies |
| MRI, lumbar spine combo (72158) | $8,441 | $8,441 | 18.8× |
| Myocardial Spect Multiple Studies (78452) | $9,698 | $9,698 | 5.8× |
| Neck soft tissue (70360) | $701 | $701 | 6.3× |
| Optic foramina (70190) | $411 | $411 | 3.7× |
| Pelvis 1 or 2 views (72170) | $770 | $770 | 5.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,179 | $1,179 | 8.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$866–$1,300 | $866–$1,300 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$642–$963 | $642–$963 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$844–$1,265 | $844–$1,265 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $862 | $862 | 6.4× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$681–$1,022 | $681–$1,022 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$918–$1,377 | $918–$1,377 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$886–$1,329 | $886–$1,329 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$609–$914 | $609–$914 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $961 | $961 | 7.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $818 | $818 | 7.3× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $1,610 | $1,610 | 14.4× |
| Radex Ribs Unilateral 2 Views (71100) | $756 | $756 | 6.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$890–$1,335 | $890–$1,335 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $571 | $571 | 5.1× |
| Radex Spine 1 View Specify Level (72020) | $729 | $729 | 6.5× |
| Radex Sternum Minimum 2 Views (71120) | $685 | $685 | 6.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $663 | $663 | 5.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$662–$994 | $662–$994 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$611–$916 | $611–$916 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$862–$1,294 | $862–$1,294 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,171 | $1,171 | 8.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $883 | $883 | 6.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $879 | $879 | 6.5× |
| Radiologic exam colon double contrast study (74280) | $1,887 | $1,887 | 8.4× |
| Radiologic exam colon single contrast study (74270) | $1,535 | $1,535 | 6.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,154 | $1,154 | 5.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,025–$1,537 | $1,025–$1,537 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $890 | $890 | 6.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,642 | $1,642 | 7.3× |
| Radiologic exam swallow function contrast study (74230) | $1,480 | $1,480 | 6.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,547 | $1,547 | 6.9× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$714–$1,071 | $714–$1,071 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$797–$1,195 | $797–$1,195 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$709–$1,064 | $709–$1,064 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$763–$1,144 | $763–$1,144 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,017 | $1,017 | 1.4× |
| Ribs bilateral 3 views (71110) | $987 | $987 | 7.3× |
| Scapula (73010) range across 3 matching MRF lines |
$793–$1,190 | $793–$1,190 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $171 | $171 | 7.3× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$693–$1,040 | $693–$1,040 | varies |
| Skull less than 4 views (70250) | $911 | $911 | 6.8× |
| Speech evaluation, complex (70371) | $1,819 | $1,819 | 5.9× |
| Sternoclavicular joints (71130) | $554 | $554 | 4.9× |
| Thoracic spine 2 views (72070) | $932 | $932 | 6.9× |
| Thoracic spine 3 views (72072) | $980 | $980 | 7.3× |
| Thoracolumbar 2 views (72080) | $805 | $805 | 7.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$865–$1,298 | $865–$1,298 | varies |
| Ultrasound Exam Aaa Screen (76706) | $961 | $961 | 7.1× |
| Ultrasound, abdomen limited (76705) | $1,656 | $1,656 | 12.3× |
| Upper gi w/o kub (74240) | $1,561 | $1,561 | 6.9× |
| Urethrocystogram voiding (74455) | $1,537 | $1,537 | 5.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,092–$1,637 | $1,092–$1,637 | varies |
| Us chest (76604) | $1,296 | $1,296 | 9.6× |
| Us complete joint (76881) | $1,224 | $1,224 | 9.1× |
| Us exam, pelvic, limited (76857) | $944 | $944 | 7.0× |
| Us head (76506) | $1,684 | $1,684 | 12.5× |
| Us kidney transplant (76776) | $1,868 | $1,868 | 13.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $798 | $798 | 5.9× |
| Us ob detailed single fetus (76811) | $1,568 | $1,568 | 5.1× |
| Us ob limited 1 or more fetuses (76815) | $1,194 | $1,194 | 8.9× |
| Us ob transvaginal (76817) | $1,457 | $1,457 | 10.8× |
| Us pelvic non ob complete (76856) | $1,596 | $1,596 | 11.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,625 | $1,625 | 12.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $894 | $894 | 6.6× |
| Us retroperitoneal complete (76770) | $1,568 | $1,568 | 11.7× |
| Us retroperitoneal limited (76775) | $1,253 | $1,253 | 9.3× |
| Us scrotum and contents (76870) | $1,448 | $1,448 | 10.8× |
| Us spinal canal and contents (76800) | $1,545 | $1,545 | 11.5× |
| Us thyroid (76536) | $1,368 | $1,368 | 10.2× |
| Venography extremity unilateral rs&i (75820) | $3,678 | $3,678 | 1.8× |
| Vertebral fracture assessment via dxa (77086) | $366 | $366 | 3.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$675–$1,012 | $675–$1,012 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $691 | $691 | 6.2× |
| X-Ray Bend Only L-S Spine (72120) | $836 | $836 | 6.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$752–$1,128 | $752–$1,128 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,207 | $1,207 | 1.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $541 | $541 | 4.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $772 | $772 | 5.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $915 | $915 | 6.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $685 | $685 | 6.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $768 | $768 | 6.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,048 | $1,048 | 7.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $904 | $904 | 6.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,070 | $1,070 | 8.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,261 | $1,261 | 9.4× |
| X-Ray Exam L-S Spine Bending (72114) | $1,169 | $1,169 | 8.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $864 | $864 | 7.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,308 | $1,308 | 9.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,011 | $1,011 | 7.5× |
| X-ray eye for foreign body (70030) | $574 | $574 | 5.1× |
| X-ray humerus (73060) | $866 | $866 | 7.7× |
| X-ray IV pyelogram (ivp) (74400) | $1,164 | $1,164 | 5.2× |
| X-ray IV pyelogram+tomography (74415) | $2,857 | $2,857 | 12.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $552 | $552 | 4.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $622 | $622 | 5.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $966 | $966 | 7.2× |
| X-ray nose-rectum child f.b. (76010) | $474 | $474 | 4.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,202 | $1,202 | 8.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $769 | $769 | 5.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $538 | $538 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $874 | $874 | 7.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $696 | $696 | 6.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,008 | $1,008 | 7.5× |
| X-Ray Stress View (77071) | $693 | $693 | 6.2× |
| X-ray thoracic spine 4 vw (72074) | $858 | $858 | 6.4× |
| X-Ray Tmj Unilat (70328) | $398 | $398 | 3.6× |
| X-Rays Bone Length Studies (77073) | $793 | $793 | 5.9× |
| X-Rays Bone Survey Complete (77075) | $1,432 | $1,432 | 10.7× |
| Xr c-spine 4 or 5 views (72050) | $1,175 | $1,175 | 8.7× |
| Xr facial bones less than 3 views (70140) | $720 | $720 | 6.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $780 | $780 | 5.8× |
| Xr orbits complete 4 views (70200) | $713 | $713 | 5.3× |
| Xr Tomogram Single Plane (76100) | $2,217 | $2,217 | 16.5× |
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.