Imaging prices at Mid-Valley Hospital
Omak, WA · every code in this section with a posted price and a Medicare benchmark.
191 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 3 matching MRF lines |
$32.90–$223.30 | $47–$319 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$41.30–$316.40 | $59–$452 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$29.40–$434 | $42–$620 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$169.40–$1,013.18 | $242–$1,447.40 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$144.90–$750.40 | $207–$1,072 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$144.90–$1,307.60 | $207–$1,868 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$106.40–$408.80 | $152–$584 | varies |
| Chest 1 view (71045) range across 5 matching MRF lines |
$33.60–$213.50 | $48–$305 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$39.20–$244.30 | $56–$349 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$30.80–$214.20 | $44–$306 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $131.60 | $188 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$411.60–$2,566.20 | $588–$3,666 | varies |
| CT abdomen and pelvis without contrast (74176) range across 6 matching MRF lines |
$358.40–$1,172.01 | $512–$1,674.30 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$261.10–$1,782.90 | $373–$2,547 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$289.10–$1,810.20 | $413–$2,586 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$245–$937.30 | $350–$1,339 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$448–$2,844.80 | $640–$4,064 | varies |
| CT Angio Chest (71275) range across 8 matching MRF lines |
$374.50–$2,372.30 | $535–$3,389 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$359.80–$2,336.60 | $514–$3,338 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$388.50–$2,023 | $555–$2,890 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$359.80–$2,011.80 | $514–$2,874 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$366.80–$1,841.70 | $524–$2,631 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$252–$1,207.50 | $360–$1,725 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$219.10–$261.73 | $313–$373.90 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$273.70–$1,621.20 | $391–$2,316 | varies |
| CT chest w contrast (71260) range across 11 matching MRF lines |
$256.20–$1,219.05 | $366–$1,741.50 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$233.80–$616 | $334–$880 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$97.24–$261.10 | $138.92–$373 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$55.30–$225.40 | $79–$322 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$299.60–$1,932.70 | $428–$2,761 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$261.10–$1,183 | $373–$1,690 | varies |
| CT lower ext w/o (73700) range across 24 matching MRF lines |
$13.97–$452.20 | $19.95–$646 | varies |
| CT lower extremity w/contrast material (73701) range across 28 matching MRF lines |
$13.97–$1,325.10 | $19.95–$1,893 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$252–$265.97 | $360–$379.95 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$207.20–$231.46 | $296–$330.65 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$231–$899.34 | $330–$1,284.77 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$175.70–$308 | $251–$440 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$333.90–$1,255.10 | $477–$1,793 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$298.20–$1,603 | $426–$2,290 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$262.50–$930.84 | $375–$1,329.77 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$264.60–$1,839.60 | $378–$2,628 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$224.70–$926.10 | $321–$1,323 | varies |
| CT scan of leg combo (73702) range across 24 matching MRF lines |
$263.20–$1,674.40 | $376–$2,392 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$261.10–$668.34 | $373–$954.77 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$284.90–$452.20 | $407–$646 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$201.39–$263.90 | $287.70–$377 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$264.60–$1,582.70 | $378–$2,261 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$207.20–$240.75 | $296–$343.93 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$259.70–$1,193.50 | $371–$1,705 | varies |
| CT thorax w/o contrast (71250) range across 10 matching MRF lines |
$240.10–$1,028.30 | $343–$1,469 | varies |
| CT upper ext wo (73200) range across 24 matching MRF lines |
$103.60–$403.90 | $148–$577 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 24 matching MRF lines |
$264.60–$1,705.20 | $378–$2,436 | varies |
| CT upper extremity with contrast (73201) range across 32 matching MRF lines |
$163.17–$1,299.90 | $233.10–$1,857 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$487.20–$3,038 | $696–$4,340 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$371.70–$2,277.80 | $531–$3,254 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$87.50–$469 | $125–$670 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$105.70–$749 | $151–$1,070 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$144.90–$175 | $207–$250 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$46.90–$347.20 | $67–$496 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$28–$184.10 | $40–$263 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$29.40–$190.40 | $42–$272 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$137.20–$276.12 | $196–$394.45 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$30.80–$409.50 | $44–$585 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$151.90–$1,657.60 | $217–$2,368 | varies |
| Hepatobiliary System Imaging (78226) | $103.60 | $148 | 0.2× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$68.60–$117.22 | $98–$167.46 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$34.30–$565.60 | $49–$808 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$179.20–$847.54 | $256–$1,210.77 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$256.90–$1,955.80 | $367–$2,794 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$258.30–$2,451.40 | $369–$3,502 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$210.70–$1,748.60 | $301–$2,498 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$210.70–$2,182.60 | $301–$3,118 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$321.30–$2,788.10 | $459–$3,983 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$214.90–$1,724.10 | $307–$2,463 | varies |
| MRI abdomen w/o contrast (74181) range across 6 matching MRF lines |
$260.40–$1,706.60 | $372–$2,438 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$285.60–$2,057.30 | $408–$2,939 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$978.60–$2,761.50 | $1,398–$3,945 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$287–$2,280.60 | $410–$3,258 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$266–$1,157.80 | $380–$1,654 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$284.20–$1,612.80 | $406–$2,304 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$382.20–$2,279.20 | $546–$3,256 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$240.80–$1,533 | $344–$2,190 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$407.40–$2,039.10 | $582–$2,913 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$240.80–$1,560.30 | $344–$2,229 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$284.20–$1,651.30 | $406–$2,359 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$373.80–$2,661.40 | $534–$3,802 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$303.80–$2,044.70 | $434–$2,921 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$391.30–$2,649.50 | $559–$3,785 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$261.80–$1,806.70 | $374–$2,581 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$263.90–$1,157.80 | $377–$1,654 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$238–$2,207.80 | $340–$3,154 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$238–$2,301.60 | $340–$3,288 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$376.60–$3,369.10 | $538–$4,813 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$389.90–$3,117.80 | $557–$4,454 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$407.40–$2,042.60 | $582–$2,918 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$240.80–$1,312.50 | $344–$1,875 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$981.40–$2,770.60 | $1,402–$3,958 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$407.40–$2,030 | $582–$2,900 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$178.50–$2,167.20 | $255–$3,096 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$33.60–$235.20 | $48–$336 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$32.20–$204.40 | $46–$292 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$57.40–$308.70 | $82–$441 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$78.40–$232.40 | $112–$332 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$32.20–$252.70 | $46–$361 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$29.40–$186.90 | $42–$267 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$32.20–$214.20 | $46–$306 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$37.80–$188.30 | $54–$269 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$25.20–$273.70 | $36–$391 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$30.80–$235.20 | $44–$336 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$32.20–$499.10 | $46–$713 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$49–$424.20 | $70–$606 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$32.20–$297.50 | $46–$425 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$40.60–$231.70 | $58–$331 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$34.30–$225.40 | $49–$322 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$32.20–$214.20 | $46–$306 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$23.80–$96.60 | $34–$138 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$31.50–$128.80 | $45–$184 | varies |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$20.30–$201.60 | $29–$288 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$24.50–$220.50 | $35–$315 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 7 matching MRF lines |
$32.20–$576.10 | $46–$823 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$44.10–$329 | $63–$470 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$149.10–$668.34 | $213–$954.77 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$156.10–$733.60 | $223–$1,048 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$40.60–$630 | $58–$900 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$46.20–$313.60 | $66–$448 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$70.70–$398.30 | $101–$569 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$80.50–$513.10 | $115–$733 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$156.10–$1,061.20 | $223–$1,516 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$33.60–$235.20 | $48–$336 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$30.80–$463.40 | $44–$662 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$68.60–$275.80 | $98–$394 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$29.40–$210.70 | $42–$301 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$52.50–$302.40 | $75–$432 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$170.10–$1,439.90 | $243–$2,057 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$192.50–$2,318.40 | $275–$3,312 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$56–$118.30 | $80–$169 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$28–$124.60 | $40–$178 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$82.60–$946.40 | $118–$1,352 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$36.40–$277.20 | $52–$396 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$37.10–$242.20 | $53–$346 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$40.60–$293.30 | $58–$419 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$38.50–$220.50 | $55–$315 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$62.30–$737.10 | $89–$1,053 | varies |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$121.10–$437.50 | $173–$625 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$70–$432.60 | $100–$618 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$98.70–$319.20 | $141–$456 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$106.40–$269.50 | $152–$385 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$107.10–$165.20 | $153–$236 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$136.50–$532 | $195–$760 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$49.70–$417.90 | $71–$597 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$129.50–$564.20 | $185–$806 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$99.40–$183.40 | $142–$262 | varies |
| Us complete joint (76881) range across 6 matching MRF lines |
$77.70–$113.40 | $111–$162 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$87.50–$153.30 | $125–$219 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 10 matching MRF lines |
$85.40–$89.60 | $122–$128 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$116.20–$254.10 | $166–$363 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$135.80–$291.90 | $194–$417 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$123.90–$324.10 | $177–$463 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$175–$368.20 | $250–$526 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$153.30–$342.30 | $219–$489 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$131.60–$333.90 | $188–$477 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$71.40–$154 | $102–$220 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$114.80–$193.20 | $164–$276 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$141.40–$528.50 | $202–$755 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$102.20–$334.60 | $146–$478 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$30.80–$228.90 | $44–$327 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$32.20–$158.20 | $46–$226 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$34.30–$147 | $49–$210 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$30.80–$186.90 | $44–$267 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$24.50–$44.10 | $35–$63 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$56.70–$548.10 | $81–$783 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$34.30–$207.90 | $49–$297 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$40.60–$321.30 | $58–$459 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$43.40–$408.10 | $62–$583 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$40.60–$310.80 | $58–$444 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$53.90–$404.60 | $77–$578 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$34.30–$296.10 | $49–$423 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$53.90–$479.50 | $77–$685 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$48.30–$261.80 | $69–$374 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$33.60–$210.70 | $48–$301 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$29.40–$214.20 | $42–$306 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$27.30–$146.30 | $39–$209 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$40.60–$259 | $58–$370 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$57.40–$365.40 | $82–$522 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$40.60–$293.30 | $58–$419 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$32.20–$246.40 | $46–$352 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$39.20–$243.60 | $56–$348 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$40.60–$156.10 | $58–$223 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$81.20–$243.60 | $116–$348 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$49.70–$406.70 | $71–$581 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$37.10–$236.60 | $53–$338 | varies |
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.