Imaging prices at Mercy Regional Medical Center
Ville Platte, LA · every code in this section with a posted price and a Medicare benchmark.
239 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) | $137.10 | $457 | 1.7× |
| Abdomen 2 views (74019) | $101.70 | $339 | 1.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $709.05 | $2,363.50 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $2,045.70 | $6,819 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $2,045.70 | $6,819 | 0.7× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Artery X-Rays Abdomen (75726) | $8,384.72 | $27,949.08 | 1.6× |
| Arthrogram ankle (73615) | $275.85 | $919.50 | 0.9× |
| Arthrogram hip (73525) | $320.55 | $1,068.50 | 1.0× |
| Arthrogram Wrist (73115) | $275.85 | $919.50 | 0.9× |
| Bone age studies (77072) | $130.95 | $436.50 | 1.4× |
| Bone Imaging 3 Phase (78315) | $710.85 | $2,369.50 | 1.9× |
| Bone Imaging Limited Area (78300) | $710.85 | $2,369.50 | 1.9× |
| Bone Imaging Whole Body (78306) | $710.85 | $2,369.50 | 1.9× |
| Bone survey infant (77076) | $130.95 | $436.50 | 1.4× |
| Brain Image W/Flow < 4 Views (78601) | $369.30 | $1,231 | 1.0× |
| Cat Scan Follow-Up Study (76380) | $386.70 | $1,289 | 4.8× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$55.05–$137.10 | $183.50–$457 | varies |
| Chest 2 views (71046) | $137.10 | $457 | 1.7× |
| Chest 3 views (71047) | $157.50 | $525 | 2.0× |
| Chest 4 or more views (71048) | $195.60 | $652 | 2.0× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $889.35 | $2,964.50 | 9.2× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$1,807.80–$3,364.80 | $6,026–$11,216 | varies |
| Contrast X-Ray Bladder (74430) | $513 | $1,710 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $275.85 | $919.50 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) | $320.55 | $1,068.50 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $2,201.70 | $7,339 | 6.8× |
| CT abdomen and pelvis without contrast (74176) | $1,522.65 | $5,075.50 | 6.9× |
| CT abdomen w contrast (74160) | $1,100.25 | $3,667.50 | 6.8× |
| CT abdomen w wo contrast (74170) | $1,292.70 | $4,309 | 8.0× |
| CT abdomen w/o contrast (74150) | $762.30 | $2,541 | 7.9× |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$224.70–$2,097 | $749–$6,990 | varies |
| CT Angio Chest (71275) | $1,304.55 | $4,348.50 | 8.0× |
| CT Angio Head (70496) | $1,304.55 | $4,348.50 | 8.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $869.40 | $2,898 | 5.4× |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$1,185.75–$1,304.55 | $3,952.50–$4,348.50 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $869.40 | $2,898 | 5.4× |
| CT cervical spine w/ contrast (72126) | $734.10 | $2,447 | 2.3× |
| CT cervical spine w/o contrast (72125) | $762.30 | $2,541 | 7.9× |
| CT cervical spine w/wo cont (72127) | $861.90 | $2,873 | 5.3× |
| CT chest w contrast (71260) | $1,100.25 | $3,667.50 | 6.8× |
| CT chest w/wo contrast (71270) | $1,292.70 | $4,309 | 8.0× |
| CT head/brain with contrast (70460) | $734.10 | $2,447 | 4.5× |
| CT head/brain without and with contrast (70470) | $1,291.80 | $4,306 | 8.0× |
| CT iac w contrast (70481) | $734.10 | $2,447 | 4.5× |
| CT l-spine w&w/o contrast (72133) | $861.90 | $2,873 | 5.3× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$726–$762.30 | $2,420–$2,541 | varies |
| CT lower extremity w/contrast material (73701) | $734.10 | $2,447 | 4.5× |
| CT lumbar spine w contrast (72132) | $734.10 | $2,447 | 2.3× |
| CT lumbar spine w/o contrast (72131) | $762.30 | $2,541 | 7.9× |
| CT maxillofacial w contrast (70487) | $734.10 | $2,447 | 4.5× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$507.60–$762.30 | $1,692–$2,541 | varies |
| CT neck tissue combo (70492) | $1,292.70 | $4,309 | 8.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $861.90 | $2,873 | 5.3× |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$507.60–$762.30 | $1,692–$2,541 | varies |
| CT pelvis w&w/o contrast (72194) | $1,292.70 | $4,309 | 8.0× |
| CT pelvis w/o contrast (72192) | $762.30 | $2,541 | 7.9× |
| CT scan of leg combo (73702) | $734.10 | $2,447 | 4.5× |
| CT scans face/jaw combo (70488) | $861.90 | $2,873 | 5.3× |
| CT soft tissue neck w contrast (70491) | $734.10 | $2,447 | 4.5× |
| CT soft tissue neck w/o contrast (70490) | $762.30 | $2,541 | 7.9× |
| CT thoracic spine w contrast (72129) | $734.10 | $2,447 | 4.5× |
| CT thoracic spine w/o contrast (72128) | $762.30 | $2,541 | 7.9× |
| CT thoracic spine w/wo cont (72130) | $861.90 | $2,873 | 5.3× |
| CT thorax w/o contrast (71250) | $762.30 | $2,541 | 7.9× |
| CT upper ext wo (73200) | $762.30 | $2,541 | 7.9× |
| CT upper extremity w/o & w/contrast material (73202) | $861.90 | $2,873 | 5.3× |
| CT upper extremity with contrast (73201) | $734.10 | $2,447 | 2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,304.55 | $4,348.50 | 8.0× |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$1,304.25–$1,304.55 | $4,347.50–$4,348.50 | varies |
| CTA pelvis (72191) range across 4 matching MRF lines |
$109.05–$1,304.55 | $363.50–$4,348.50 | varies |
| Dxa Bone Density Axial (77080) | $214.20 | $714 | 2.2× |
| Echo Guide For Artery Repair (76936) | $235.05 | $783.50 | 1.2× |
| Esophagram (74220) | $271.65 | $905.50 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $320.85 | $1,069.50 | 3.3× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,008.15 | $3,360.50 | 4.6× |
| Fluoroscopy up to 1 hr (76000) | $249.15 | $830.50 | 1.1× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $247.80 | $826 | 0.7× |
| Gated Heart Planar Single (78472) | $480.57 | $1,601.93 | 1.3× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Hepatobil Syst Image W/Drug (78227) | $795.30 | $2,651 | 1.6× |
| Hepatobiliary System Imaging (78226) | $795.30 | $2,651 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $1,055.25 | $3,517.50 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $516.30 | $1,721 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,390.95 | $4,636.50 | 2.8× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$171.66–$221.85 | $572.22–$739.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $835.05 | $2,783.50 | 2.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 4 matching MRF lines |
$795.30–$835.05 | $2,651–$2,783.50 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $763.35 | $2,544.50 | 1.5× |
| Lung Ventilation Imaging (78579) | $704.70 | $2,349 | 1.9× |
| Lymph System Imaging (78195) | $599.25 | $1,997.50 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $1,327.50 | $4,425 | 6.0× |
| Meckels Divert Exam (78290) | $709.05 | $2,363.50 | 1.9× |
| MRA head w/o contrast (70544) | $1,163.10 | $3,877 | 5.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,594.65 | $5,315.50 | 4.9× |
| MRA neck w/o contrast (70547) | $1,163.10 | $3,877 | 5.3× |
| MRI abdomen w contrast (74182) | $1,686.30 | $5,621 | 5.2× |
| MRI abdomen w/o contrast (74181) | $1,163.10 | $3,877 | 5.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,168.65 | $3,895.50 | 1.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,242.30 | $4,141 | 3.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,168.65 | $3,895.50 | 1.6× |
| MRI cervical spine w contrast (72142) | $1,278.30 | $4,261 | 4.0× |
| MRI cervical spine w/o cont (72141) | $1,279.95 | $4,266.50 | 5.8× |
| MRI chest w/o contrast (71550) | $1,163.10 | $3,877 | 5.3× |
| MRI chest with contrast (71551) | $1,262.55 | $4,208.50 | 1.7× |
| MRI chest wo w contrast (71552) | $1,455.45 | $4,851.50 | 4.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$854.70–$1,085.85 | $2,849–$3,619.50 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$1,210.20–$1,242.30 | $4,034–$4,141 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$854.70–$1,168.65 | $2,849–$3,895.50 | varies |
| MRI lumbar spine w contrast (72149) | $1,366.80 | $4,556 | 4.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,710.90 | $5,703 | 5.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,554 | $5,180 | 7.0× |
| MRI orbit face neck w contrast (70542) | $1,594.65 | $5,315.50 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,782 | $5,940 | 5.5× |
| MRI pelvis w contrast (72196) | $1,163.10 | $3,877 | 3.6× |
| MRI pelvis w/o & w contrast (72197) | $1,242.30 | $4,141 | 3.9× |
| MRI pelvis w/o contrast (72195) | $1,058.55 | $3,528.50 | 4.8× |
| MRI thoracic spine w/o contrast (72146) | $1,163.10 | $3,877 | 5.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,242.30 | $4,141 | 3.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $854.70 | $2,849 | 3.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$1,242.30–$1,366.80 | $4,141–$4,556 | varies |
| MRI, abdomen, combo (74183) | $1,366.80 | $4,556 | 4.2× |
| MRI, dorsal spine combo (72157) | $1,594.65 | $5,315.50 | 4.9× |
| MRI, dorsal spine contrast (72147) | $1,366.80 | $4,556 | 4.2× |
| MRI, joint upper extrem (73221) | $1,206.90 | $4,023 | 5.5× |
| MRI, joint upper extrem combo (73223) | $1,242.30 | $4,141 | 3.9× |
| MRI, lumbar spine combo (72158) | $1,753.50 | $5,845 | 5.4× |
| Myocardial Spect Multiple Studies (78452) | $2,110.50 | $7,035 | 1.8× |
| Neck soft tissue (70360) | $137.10 | $457 | 1.7× |
| Optic foramina (70190) | $161.70 | $539 | 2.0× |
| Parathyroid Planar Imaging (78070) | $646.50 | $2,155 | 1.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $795.30 | $2,651 | 2.2× |
| Pelvis 1 or 2 views (72170) | $130.95 | $436.50 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 4 matching MRF lines |
$550.80–$618.15 | $1,836–$2,060.50 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $458.10 | $1,527 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $130.95 | $436.50 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $130.95 | $436.50 | 1.4× |
| Radex fingr minimum 2 views (73140) range across 7 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$126.60–$171.66 | $422–$572.22 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $226.65 | $755.50 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $130.95 | $436.50 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $130.95 | $436.50 | 1.6× |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $130.95 | $436.50 | 1.6× |
| Radex Spine 1 View Specify Level (72020) range across 5 matching MRF lines |
$130.95–$159.45 | $436.50–$531.50 | varies |
| Radex Sternum Minimum 2 Views (71120) | $130.95 | $436.50 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $193.80 | $646 | 2.4× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$126.60–$130.95 | $422–$436.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $130.95 | $436.50 | 1.4× |
| Radiologic exam colon double contrast study (74280) | $437.40 | $1,458 | 2.7× |
| Radiologic exam colon single contrast study (74270) | $271.65 | $905.50 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $205.80 | $686 | 2.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $317.85 | $1,059.50 | 2.0× |
| Radiologic exam swallow function contrast study (74230) | $271.65 | $905.50 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $271.65 | $905.50 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$124.80–$171.66 | $416–$572.22 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $248.10 | $827 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 4 matching MRF lines |
$543.60–$1,362.90 | $1,812–$4,543 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,390.95 | $4,636.50 | 3.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,064.55 | $3,548.50 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$797.25–$835.05 | $2,657.50–$2,783.50 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$171.66–$185.70 | $572.22–$619 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $35.25 | $117.50 | 1.5× |
| Sella turcica (70240) | $161.70 | $539 | 2.0× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| Shoulder Arthrography (73040) | $275.85 | $919.50 | 0.9× |
| Skull less than 4 views (70250) | $130.95 | $436.50 | 1.4× |
| Sternoclavicular joints (71130) | $130.95 | $436.50 | 1.6× |
| Thoracic spine 2 views (72070) | $195.60 | $652 | 2.0× |
| Thoracic spine 3 views (72072) | $130.95 | $436.50 | 1.4× |
| Thoracolumbar 2 views (72080) | $130.95 | $436.50 | 1.6× |
| Thyroid Imaging With Vascular Flow (78013) | $209.25 | $697.50 | 0.6× |
| Thyroid Met Imaging Body (78018) | $903 | $3,010 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $325.20 | $1,084 | 0.9× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$243.15–$244.05 | $810.50–$813.50 | varies |
| Ultrasound Exam Aaa Screen (76706) | $386.55 | $1,288.50 | 4.0× |
| Ultrasound, abdomen limited (76705) | $386.55 | $1,288.50 | 4.0× |
| Upper gi w/o kub (74240) | $271.65 | $905.50 | 1.7× |
| Urethrocystogram voiding (74455) | $513 | $1,710 | 2.3× |
| Us breast unilateral complete (76641) | $244.05 | $813.50 | 2.5× |
| Us chest (76604) | $104.70 | $349 | 1.1× |
| Us exam, pelvic, limited (76857) | $330 | $1,100 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $297.60 | $992 | 3.1× |
| Us ob limited 1 or more fetuses (76815) | $267.45 | $891.50 | 2.8× |
| Us pelvic non ob complete (76856) | $426.60 | $1,422 | 4.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $448.80 | $1,496 | 4.6× |
| Us retroperitoneal complete (76770) | $441.60 | $1,472 | 4.6× |
| Us retroperitoneal limited (76775) | $441.60 | $1,472 | 4.6× |
| Us scrotum and contents (76870) | $361.80 | $1,206 | 3.7× |
| Us spinal canal and contents (76800) | $170.40 | $568 | 1.8× |
| Us thyroid (76536) | $388.50 | $1,295 | 4.0× |
| Venogram Sinus/Jugular (75860) | $1,748.85 | $5,829.50 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $1,075.80 | $3,586 | 0.4× |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$454.80–$487.20 | $1,516–$1,624 | varies |
| Venography extremity unilateral rs&i (75820) range across 7 matching MRF lines |
$495–$1,514.25 | $1,650–$5,047.50 | varies |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $130.95 | $436.50 | 1.6× |
| X-ray antegrade pyelogram tube (74425) | $513 | $1,710 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $4,947.60 | $16,492 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $217.50 | $725 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| X-Ray Exam Breast Specimen (76098) | $294.75 | $982.50 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $130.95 | $436.50 | 1.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $45.45 | $151.50 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $124.80 | $416 | 1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $196.05 | $653.50 | 2.0× |
| X-Ray Exam L-S Spine Bending (72114) | $341.55 | $1,138.50 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $130.95 | $436.50 | 1.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $302.10 | $1,007 | 3.1× |
| X-ray eye for foreign body (70030) | $137.10 | $457 | 1.7× |
| X-ray humerus (73060) | $130.95 | $436.50 | 1.6× |
| X-ray IV pyelogram (ivp) (74400) | $513 | $1,710 | 3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $194.10 | $647 | 2.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$130.95–$171.66 | $436.50–$572.22 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$52.65–$130.95 | $175.50–$436.50 | varies |
| X-ray nose-rectum child f.b. (76010) | $133.65 | $445.50 | 1.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $130.95 | $436.50 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $130.95 | $436.50 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $130.95 | $436.50 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $217.50 | $725 | 2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $513 | $1,710 | 1.6× |
| X-Rays Bone Length Studies (77073) | $218.55 | $728.50 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $217.50 | $725 | 2.3× |
| Xr c-spine 4 or 5 views (72050) | $217.50 | $725 | 2.3× |
| Xr facial bones less than 3 views (70140) | $130.95 | $436.50 | 1.6× |
| Xr orbits complete 4 views (70200) | $130.95 | $436.50 | 1.4× |
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.