Imaging prices at Mercy Hospital Lincoln
Troy, MO · 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 |
|---|---|---|---|
| Abdomen 1 View (74018) | $236.60 | $364 | 2.7× |
| Abdomen 2 views (74019) | $310.70 | $478 | 3.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $973.70 | $1,498 | 2.4× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$20.15–$473.85 | $31–$729 | varies |
| Bone age studies (77072) | $266.50 | $410 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,470.30 | $2,262 | 3.7× |
| Bone Imaging Limited Area (78300) | $846.95 | $1,303 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $986.70 | $1,518 | 2.5× |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$566.80–$6,142.50 | $872–$9,450 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$180.70–$345.15 | $278–$531 | varies |
| Cat Scan Follow-Up Study (76380) | $713.05 | $1,097 | 8.2× |
| Chest 1 view (71045) | $158.60 | $244 | 1.8× |
| Chest 2 views (71046) | $176.15 | $271 | 2.0× |
| Chest 3 views (71047) | $195 | $300 | 2.2× |
| Chest 4 or more views (71048) | $317.20 | $488 | 3.0× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$23.40–$456.30 | $36–$702 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $801.45 | $1,233 | 7.7× |
| Contrast X-Ray Bladder (74430) | $607.75 | $935 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$351–$3,845.40 | $540–$5,916 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$258.05–$2,557.10 | $397–$3,934 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$211.25–$1,718.60 | $325–$2,644 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$239.85–$2,070.25 | $369–$3,185 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$217.10–$1,459.90 | $334–$2,246 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$361.40–$3,545.10 | $556–$5,454 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$297.05–$1,504.10 | $457–$2,314 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$268.45–$2,001.35 | $413–$3,079 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$273–$1,998.10 | $420–$3,074 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$212.55–$2,099.50 | $327–$3,230 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$159.90–$1,392.95 | $246–$2,143 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$241.80–$2,401.75 | $372–$3,695 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$181.35–$1,543.75 | $279–$2,375 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$226.85–$1,732.25 | $349–$2,665 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$196.95–$1,554.80 | $303–$2,392 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$246.35–$1,849.90 | $379–$2,846 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $84.50 | $130 | 1.0× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$193.05–$1,740.05 | $297–$2,677 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$241.80–$1,921.40 | $372–$2,956 | varies |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$150.80–$2,196.35 | $232–$3,379 | varies |
| CT lower extremity w/contrast material (73701) | $1,426.75 | $2,195 | 8.1× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$216.45–$1,793.35 | $333–$2,759 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$193.05–$1,422.85 | $297–$2,189 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$202.15–$1,520.35 | $311–$2,339 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$145.60–$1,229.15 | $224–$1,891 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$216.45–$1,794 | $333–$2,760 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$213.20–$2,002.65 | $328–$3,081 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$175.50–$1,370.85 | $270–$2,109 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$228.15–$2,050.75 | $351–$3,155 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$206.70–$1,492.40 | $318–$2,296 | varies |
| CT scan of leg combo (73702) | $1,817.40 | $2,796 | 10.3× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$224.90–$1,824.55 | $346–$2,807 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$228.15–$1,444.30 | $351–$2,222 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$176.80–$1,191.45 | $272–$1,833 | varies |
| CT thoracic spine w contrast (72129) | $1,832.35 | $2,819 | 10.4× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$187.20–$1,277.25 | $288–$1,965 | varies |
| CT thoracic spine w/wo cont (72130) | $2,401.75 | $3,695 | 13.7× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$150.15–$1,209.65 | $231–$1,861 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$178.10–$2,189.85 | $274–$3,369 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,652.95 | $2,543 | 9.4× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$254.15–$1,537.90 | $391–$2,366 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,181.70 | $1,818 | 6.7× |
| Cta Abdomen (74175) | $2,208.05 | $3,397 | 12.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,854.45 | $2,853 | 5.3× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$286.65–$772.85 | $441–$1,189 | varies |
| Dxa Bone Density Axial (77080) | $376.35 | $579 | 3.6× |
| Dxa bone density study (77085) | $392.60 | $604 | 3.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $202.80 | $312 | 2.3× |
| Esophagram (74220) | $433.55 | $667 | 2.5× |
| Fluoroscopy up to 1 hr (76000) | $488.15 | $751 | 2.0× |
| Foot 2 views (73620) range across 7 matching MRF lines |
$17.55–$444.60 | $27–$684 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$20.15–$464.75 | $31–$715 | varies |
| Gastric emptying imaging study (78264) | $1,173.25 | $1,805 | 2.9× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,175.85–$1,524.25 | $1,809–$2,345 | varies |
| Hand 2 views (73120) range across 7 matching MRF lines |
$20.15–$459.55 | $31–$707 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,443 | $2,220 | 2.7× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,249.95–$1,416.35 | $1,923–$2,179 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,185.95 | $3,363 | 1.7× |
| Joint Survey Single View (77077) | $261.95 | $403 | 2.5× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,345.50–$1,927.25 | $2,070–$2,965 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,195.35 | $1,839 | 2.2× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$26–$534.30 | $40–$822 | varies |
| Lung perfusion differential (78597) | $1,277.25 | $1,965 | 3.2× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$82.55–$1,399.45 | $127–$2,153 | varies |
| Lymph System Imaging (78195) | $1,201.20 | $1,848 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $1,413.10 | $2,174 | 5.9× |
| Meckels Divert Exam (78290) | $848.25 | $1,305 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $2,770.30 | $4,262 | 7.9× |
| MRA head w/o contrast (70544) | $2,038.40 | $3,136 | 8.5× |
| MRA head with contrast (70545) | $2,283.45 | $3,513 | 6.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,712.45 | $4,173 | 7.8× |
| MRA neck w/o contrast (70547) | $2,154.75 | $3,315 | 9.0× |
| MRI abdomen w contrast (74182) | $2,651.35 | $4,079 | 7.6× |
| MRI abdomen w/o contrast (74181) | $2,271.10 | $3,494 | 9.5× |
| MRI any jt lower extrem w/contrast material (73722) | $2,406.30 | $3,702 | 3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,650.70–$4,221.75 | $4,078–$6,495 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,483 | $3,820 | 3.2× |
| MRI cervical spine w contrast (72142) | $2,643.55 | $4,067 | 7.6× |
| MRI cervical spine w/o cont (72141) | $2,042.95 | $3,143 | 8.5× |
| MRI chest w/o contrast (71550) | $1,979.25 | $3,045 | 8.3× |
| MRI chest wo w contrast (71552) | $2,809.30 | $4,322 | 8.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,518.40 | $2,336 | 4.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,600.65 | $4,001 | 7.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,837.55–$2,076.10 | $2,827–$3,194 | varies |
| MRI lumbar spine w contrast (72149) | $2,702.05 | $4,157 | 7.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,674.75 | $4,115 | 7.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,097.55 | $3,227 | 8.8× |
| MRI orbit face neck w contrast (70542) | $2,446.60 | $3,764 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,787.85–$2,830.10 | $4,289–$4,354 | varies |
| MRI pelvis w contrast (72196) | $2,051.40 | $3,156 | 5.9× |
| MRI pelvis w/o & w contrast (72197) | $2,850.25 | $4,385 | 8.2× |
| MRI pelvis w/o contrast (72195) | $2,146.30 | $3,302 | 9.0× |
| MRI thoracic spine w/o contrast (72146) | $1,937.65 | $2,981 | 8.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,979.25 | $3,045 | 8.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,460.25–$4,001.40 | $3,785–$6,156 | varies |
| MRI, abdomen, combo (74183) | $3,664.05 | $5,637 | 10.5× |
| MRI, dorsal spine combo (72157) | $3,110.25 | $4,785 | 8.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,996.15–$3,392.35 | $3,071–$5,219 | varies |
| MRI, joint upper extrem combo (73223) | $2,843.10 | $4,374 | 8.1× |
| MRI, lumbar spine combo (72158) | $2,631.85 | $4,049 | 7.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,102.45–$4,869.80 | $4,773–$7,492 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$19.50–$266.50 | $30–$410 | varies |
| Parathyroid Planar Imaging (78070) | $910 | $1,400 | 2.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,445.60 | $2,224 | 3.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$29.90–$249.60 | $46–$384 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,052.35 | $1,619 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$81.90–$437.45 | $126–$673 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$24.70–$518.05 | $38–$797 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$63.05–$403.65 | $97–$621 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$26–$598 | $40–$920 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$31.85–$366.60 | $49–$564 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$16.90–$317.20 | $26–$488 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$22.10–$498.55 | $34–$767 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$23.40–$520.65 | $36–$801 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$175.50–$304.20 | $270–$468 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $239.85 | $369 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$22.10–$267.15 | $34–$411 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$30.55–$312.65 | $47–$481 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$29.25–$592.15 | $45–$911 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $202.80 | $312 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $245.70 | $378 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $296.40 | $456 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $364.65 | $561 | 4.2× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$14.95–$328.90 | $23–$506 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $166.40 | $256 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$20.15–$484.25 | $31–$745 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$39–$367.25 | $60–$565 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $360.75 | $555 | 3.4× |
| Radiologic exam colon double contrast study (74280) | $759.85 | $1,169 | 4.3× |
| Radiologic exam colon single contrast study (74270) | $585 | $900 | 3.3× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$32.50–$669.50 | $50–$1,030 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$35.75–$306.80 | $55–$472 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $517.40 | $796 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $490.75 | $755 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$577.85–$586.30 | $889–$902 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$26–$452.40 | $40–$696 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$26–$470.60 | $40–$724 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$26–$537.55 | $40–$827 | varies |
| Ribs bilateral 3 views (71110) | $385.45 | $593 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,692.60 | $2,604 | 3.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$3,257.15–$3,523 | $5,011–$5,420 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$24.70–$470.60 | $38–$724 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$104–$105.95 | $160–$163 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$217.75–$380.90 | $335–$586 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$30.55–$317.20 | $47–$488 | varies |
| Sternoclavicular joints (71130) | $281.45 | $433 | 3.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$35.75–$330.20 | $55–$508 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$35.10–$373.10 | $54–$574 | varies |
| Thoracolumbar 2 views (72080) | $286.65 | $441 | 3.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$396.50–$529.75 | $610–$815 | varies |
| Ultrasound Exam Aaa Screen (76706) | $308.10 | $474 | 2.9× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$123.50–$551.20 | $190–$848 | varies |
| Unlisted us procedure (76999) | $260.65 | $401 | 3.0× |
| Upper gi w/o kub (74240) | $656.50 | $1,010 | 3.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$466.05–$603.20 | $717–$928 | varies |
| Us chest (76604) | $506.35 | $779 | 4.8× |
| Us complete joint (76881) range across 3 matching MRF lines |
$475.80–$731.90 | $732–$1,126 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$63.70–$471.90 | $98–$726 | varies |
| Us kidney transplant (76776) | $648.70 | $998 | 6.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$104–$637 | $160–$980 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$132.60–$465.40 | $204–$716 | varies |
| Us ob transvaginal (76817) | $527.80 | $812 | 5.0× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$91–$619.45 | $140–$953 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$118.30–$585 | $182–$900 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$77.35–$750.75 | $119–$1,155 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$117–$549.90 | $180–$846 | varies |
| Us scrotum and contents (76870) | $722.80 | $1,112 | 6.9× |
| Us thyroid (76536) range across 2 matching MRF lines |
$82.55–$611 | $127–$940 | varies |
| Vertebral fracture assessment via dxa (77086) | $174.85 | $269 | 2.0× |
| Wrist 2 views (73100) range across 7 matching MRF lines |
$20.15–$443.95 | $31–$683 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $310.05 | $477 | 3.6× |
| X-ray antegrade pyelogram tube (74425) | $588.25 | $905 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $350.35 | $539 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$20.15–$452.40 | $31–$696 | varies |
| X-Ray Exam Breast Specimen (76098) | $380.25 | $585 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $287.95 | $443 | 3.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $361.40 | $556 | 3.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $226.85 | $349 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$32.50–$285.35 | $50–$439 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $352.95 | $543 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $393.25 | $605 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $421.20 | $648 | 4.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $533 | $820 | 5.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$59.80–$585.65 | $92–$901 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$33.80–$354.25 | $52–$545 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $582.40 | $896 | 5.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $364.65 | $561 | 3.5× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$177.45–$260.65 | $273–$401 | varies |
| X-ray humerus (73060) range across 7 matching MRF lines |
$26–$475.80 | $40–$732 | varies |
| X-ray IV pyelogram (ivp) (74400) | $685.75 | $1,055 | 3.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $273 | $420 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $263.25 | $405 | 3.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$35.75–$308.10 | $55–$474 | varies |
| X-ray nose-rectum child f.b. (76010) | $213.20 | $328 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $506.35 | $779 | 4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $311.35 | $479 | 3.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $242.45 | $373 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$29.25–$307.45 | $45–$473 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $330.85 | $509 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$46.15–$436.15 | $71–$671 | varies |
| X-ray thoracic spine 4 vw (72074) | $429 | $660 | 4.1× |
| X-Ray Tmj Unilat (70328) | $153.40 | $236 | 1.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $634.40 | $976 | 1.8× |
| X-Rays Bone Length Studies (77073) | $265.85 | $409 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $686.40 | $1,056 | 6.6× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$49.40–$445.90 | $76–$686 | varies |
| Xr facial bones less than 3 views (70140) | $252.20 | $388 | 2.9× |
| Xr orbits complete 4 views (70200) | $377.65 | $581 | 3.6× |
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.