Imaging prices at Middle Park Medical Center
Kremmling, CO · every code in this section with a posted price and a Medicare benchmark.
213 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 2 matching MRF lines |
$190.27–$276.39 | $237.83–$345.48 | varies |
| Abdomen 2 views (74019) | $341.17 | $426.46 | 3.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$221.44–$301 | $276.79–$376.24 | varies |
| Arthrogram hip (73525) | $1,174.41 | $1,468.01 | 3.2× |
| Bone age studies (77072) | $309.81 | $387.26 | 2.8× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$651.18–$979.23 | $813.97–$1,224.03 | varies |
| Chest 1 view (71045) | $242.76 | $303.44 | 2.6× |
| Chest 2 views (71046) | $310.01 | $387.51 | 3.4× |
| Chest 3 views (71047) | $392.02 | $490.02 | 4.3× |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$633.96–$783.22 | $792.45–$979.02 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$217.34–$297.71 | $271.67–$372.13 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,782.66 | $2,228.32 | 16.2× |
| Contrast X-Ray Bladder (74430) | $380.54 | $475.67 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $1,300.72 | $1,625.89 | 3.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$1,765.36–$3,519.99 | $2,206.69–$4,399.98 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,082.12–$1,905.46 | $1,352.65–$2,381.82 | varies |
| CT abdomen w contrast (74160) range across 5 matching MRF lines |
$857.96–$2,367.81 | $1,072.44–$2,959.76 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$972.52–$2,670.28 | $1,215.64–$3,337.85 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$709.60–$1,423.33 | $887–$1,779.16 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,842.53–$3,229.88 | $3,553.16–$4,037.35 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$960.15–$2,414.80 | $1,200.18–$3,018.49 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$1,011.25–$2,364.52 | $1,264.06–$2,955.64 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,217.29–$2,833.47 | $1,521.61–$3,541.83 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$1,003–$2,361.22 | $1,253.75–$2,951.52 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,020.32–$2,617.54 | $1,275.39–$3,271.92 | varies |
| CT cervical spine w/o contrast (72125) | $1,487.61 | $1,859.51 | 13.5× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$838.17–$1,874.97 | $1,047.71–$2,343.71 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$810.98–$2,219.47 | $1,013.72–$2,774.33 | varies |
| CT head/brain with contrast (70460) | $1,557.67 | $1,947.08 | 8.4× |
| CT head/brain without and with contrast (70470) | $1,826.34 | $2,282.92 | 9.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $80 | $100 | 0.9× |
| CT iac w contrast (70481) | $2,140.35 | $2,675.43 | 11.6× |
| CT l-spine w&w/o contrast (72133) | $2,193.09 | $2,741.36 | 11.9× |
| CT lower ext w/o (73700) | $1,480.20 | $1,850.24 | 13.4× |
| CT lower extremity w/contrast material (73701) | $1,851.89 | $2,314.86 | 10.0× |
| CT lumbar spine w contrast (72132) | $1,871.67 | $2,339.58 | 5.1× |
| CT lumbar spine w/o contrast (72131) | $1,480.20 | $1,850.24 | 13.4× |
| CT maxillofacial w contrast (70487) | $1,595.58 | $1,994.47 | 8.6× |
| CT maxillofacial wo contrast (70486) | $1,331.02 | $1,663.77 | 12.1× |
| CT neck tissue combo (70492) | $2,338.97 | $2,923.71 | 12.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,371.12 | $2,963.89 | 12.8× |
| CT orbits w/o contrast (70480) | $1,915.35 | $2,394.18 | 17.4× |
| CT pelvis w&w/o contrast (72194) | $2,607.64 | $3,259.55 | 14.1× |
| CT pelvis w/o contrast (72192) | $1,387.07 | $1,733.83 | 12.6× |
| CT scans face/jaw combo (70488) | $1,946.67 | $2,433.33 | 10.5× |
| CT soft tissue neck w contrast (70491) | $1,935.13 | $2,418.91 | 10.5× |
| CT soft tissue neck w/o contrast (70490) | $1,569.20 | $1,961.50 | 14.2× |
| CT thoracic spine w contrast (72129) | $1,881.56 | $2,351.95 | 10.2× |
| CT thoracic spine w/o contrast (72128) | $1,487.61 | $1,859.51 | 13.5× |
| CT thoracic spine w/wo cont (72130) | $815.10 | $1,018.87 | 4.4× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$716.20–$1,509.87 | $895.24–$1,887.33 | varies |
| CT upper ext wo (73200) | $1,710.14 | $2,137.67 | 15.5× |
| CT upper extremity w/o & w/contrast material (73202) | $3,133.10 | $3,916.37 | 16.9× |
| CT upper extremity with contrast (73201) | $2,129.64 | $2,662.04 | 5.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$1,055.76–$3,539.77 | $1,319.69–$4,424.71 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$1,068.94–$2,577.98 | $1,336.17–$3,222.47 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$1,267.56–$3,086.48 | $1,584.45–$3,858.10 | varies |
| Dxa Bone Density Axial (77080) | $375.62 | $469.52 | 3.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$633.96–$916.08 | $792.45–$1,145.10 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$421.97–$751.64 | $527.46–$939.54 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $553.01 | $691.26 | 5.0× |
| Fluoroscopy up to 1 hr (76000) | $397.76 | $497.20 | 1.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$190.27–$263.27 | $237.83–$329.08 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$193.56–$273.92 | $241.94–$342.40 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$207.50–$287.04 | $259.37–$358.80 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$282.95–$372.34 | $353.68–$465.42 | varies |
| Magnetic Image Jaw Joint (70336) | $2,953.80 | $3,692.24 | 11.7× |
| Magnetic Resonance Elastography (76391) | $2,226.06 | $2,782.57 | 8.8× |
| Mra Head W/O & W/Contrast Material (70546) | $3,562.84 | $4,453.55 | 9.7× |
| MRA head w/o contrast (70544) | $2,151.88 | $2,689.85 | 8.5× |
| MRA head with contrast (70545) | $2,453.53 | $3,066.91 | 6.7× |
| MRA neck w contrast (70548) | $2,631.55 | $3,289.43 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,734.28 | $4,667.84 | 10.1× |
| MRA neck w/o contrast (70547) | $2,357.92 | $2,947.40 | 9.4× |
| MRI abdomen w contrast (74182) | $3,368.35 | $4,210.43 | 9.2× |
| MRI abdomen w/o contrast (74181) | $1,973.04 | $2,466.30 | 7.8× |
| MRI any jt lower extrem w/contrast material (73722) | $3,217.52 | $4,021.90 | 3.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,963.39 | $4,954.23 | 10.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,211.76 | $4,014.69 | 3.9× |
| MRI cervical spine w contrast (72142) | $3,018.08 | $3,772.59 | 8.2× |
| MRI cervical spine w/o cont (72141) | $1,900.52 | $2,375.64 | 7.6× |
| MRI chest w/o contrast (71550) | $3,803.50 | $4,754.37 | 15.1× |
| MRI chest with contrast (71551) | $4,194.16 | $5,242.69 | 5.1× |
| MRI chest wo w contrast (71552) | $5,308.42 | $6,635.52 | 14.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,674.40 | $3,343 | 7.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,734.28 | $4,667.84 | 10.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,260.68 | $2,825.84 | 9.0× |
| MRI lumbar spine w contrast (72149) | $2,970.28 | $3,712.84 | 8.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,515.87 | $4,394.83 | 9.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,496.39 | $3,120.48 | 9.9× |
| MRI orbit face neck w contrast (70542) | $2,965.33 | $3,706.66 | 8.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,416.15 | $4,270.18 | 9.3× |
| MRI pelvis w contrast (72196) | $2,971.10 | $3,713.87 | 8.1× |
| MRI pelvis w/o & w contrast (72197) | $3,736.75 | $4,670.93 | 10.2× |
| MRI pelvis w/o contrast (72195) | $2,334.03 | $2,917.53 | 9.3× |
| MRI thoracic spine w/o contrast (72146) | $1,900.52 | $2,375.64 | 7.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,427.68 | $4,284.60 | 9.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,102.14 | $3,877.67 | 12.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,589.75 | $5,737.18 | 12.5× |
| MRI, abdomen, combo (74183) | $3,431.80 | $4,289.75 | 9.3× |
| MRI, dorsal spine combo (72157) | $3,522.46 | $4,403.07 | 9.6× |
| MRI, dorsal spine contrast (72147) | $2,747.76 | $3,434.69 | 7.5× |
| MRI, joint upper extrem (73221) | $2,015.08 | $2,518.84 | 8.0× |
| MRI, joint upper extrem combo (73223) | $3,969.16 | $4,961.44 | 10.8× |
| MRI, lumbar spine combo (72158) | $3,216.70 | $4,020.87 | 8.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$204.22–$290.32 | $255.27–$362.90 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$186.99–$269.83 | $233.73–$337.28 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$310.01–$459.27 | $387.51–$574.08 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$248.51–$331.33 | $310.63–$414.16 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$190.27–$266.55 | $237.83–$333.18 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$210.78–$293.60 | $263.47–$367 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$310.01–$436.31 | $387.51–$545.38 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$272.28–$338.72 | $340.35–$423.39 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$231.28–$310.84 | $289.09–$388.54 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$248.51–$331.33 | $310.63–$414.16 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$210.78–$287.04 | $263.47–$358.80 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$262.44–$345.28 | $328.05–$431.59 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $337.89 | $422.36 | 3.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$224.72–$314.12 | $280.89–$392.64 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$210.78–$293.60 | $263.47–$367 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,840.63 | $4,800.78 | 20.8× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$153.37–$229.64 | $191.71–$287.04 | varies |
| Radex Sternum Minimum 2 Views (71120) | $310.84 | $388.54 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$374.80–$491.26 | $468.50–$614.07 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$204.22–$267.36 | $255.27–$334.20 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$210.78–$287.04 | $263.47–$358.80 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$286.23–$369.06 | $357.78–$461.32 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$282.95–$401.86 | $353.68–$502.32 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$269–$395.30 | $336.25–$494.12 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$978.41–$1,465.56 | $1,223.01–$1,831.95 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$705.31–$1,034.18 | $881.63–$1,292.72 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$310.01–$415.81 | $387.51–$519.76 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$265.72–$385.46 | $332.15–$481.82 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$766.82–$1,151.45 | $958.52–$1,439.31 | varies |
| Radiologic exam swallow function contrast study (74230) | $1,234.29 | $1,542.86 | 6.7× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$893.12–$1,317.12 | $1,116.39–$1,646.39 | varies |
| Radiologic examination femur 1 view (73551) | $277.20 | $346.50 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) | $328.05 | $410.06 | 3.6× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$237.84–$318.21 | $297.29–$397.76 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$214.06–$503.56 | $267.57–$629.44 | varies |
| Ribs bilateral 3 views (71110) | $408.42 | $510.52 | 3.7× |
| Scapula (73010) range across 3 matching MRF lines |
$99.24–$263.27 | $124.05–$329.08 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$128.76–$201.76 | $160.95–$252.19 | varies |
| Shoulder Arthrography (73040) | $1,148.17 | $1,435.21 | 3.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$241.94–$337.89 | $302.42–$422.36 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$214.06–$378.90 | $267.57–$473.62 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,360.31 | $2,950.38 | 12.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$204.22–$300.16 | $255.27–$375.20 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$255.07–$364.96 | $318.83–$456.20 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$94.32–$323.96 | $117.90–$404.94 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$557.96–$1,171.96 | $697.45–$1,464.94 | varies |
| Ultrasound elastography first target lesion (76982) | $613.18 | $766.47 | 5.6× |
| Ultrasound Elastography Parenchyma (76981) | $689 | $861.25 | 6.2× |
| Ultrasound Exam Aaa Screen (76706) | $563.73 | $704.66 | 5.1× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $2,089.25 | $2,611.56 | 5.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$397.25–$581.86 | $496.56–$727.32 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$139.28–$296.70 | $174.10–$370.87 | varies |
| Unlisted us procedure (76999) | $856.25 | $1,070.31 | 9.3× |
| Upper gi w/o kub (74240) | $1,144.89 | $1,431.11 | 6.2× |
| Us breast unilateral complete (76641) | $683.24 | $854.04 | 6.2× |
| Us chest (76604) range across 3 matching MRF lines |
$147.53–$503.56 | $184.41–$629.45 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$296.70–$494.50 | $370.87–$618.12 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$152.48–$308.24 | $190.59–$385.29 | varies |
| Us head (76506) range across 3 matching MRF lines |
$154.12–$735.98 | $192.65–$919.97 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$149.18–$999.71 | $186.47–$1,249.63 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$210.16–$363.46 | $262.70–$454.32 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$196.16–$1,128.28 | $245.19–$1,410.34 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$331.32–$535.71 | $414.14–$669.63 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$374.17–$609.88 | $467.71–$762.35 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$483.79–$699.72 | $604.73–$874.64 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$180.49–$778.84 | $225.61–$973.54 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $721.15 | $901.43 | 6.5× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$491.20–$721.97 | $614–$902.46 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$191.21–$374.17 | $239.01–$467.71 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$470.60–$670.04 | $588.24–$837.55 | varies |
| Us spinal canal and contents (76800) | $1,332.67 | $1,665.83 | 12.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$563.73–$741.75 | $704.66–$927.18 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$231.28–$310.84 | $289.09–$388.54 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$207.50–$309.20 | $259.37–$386.49 | varies |
| X-Ray Bend Only L-S Spine (72120) | $378.08 | $472.60 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$190.27–$269.83 | $237.83–$337.28 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $642.98 | $803.72 | 5.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $748.78 | $935.97 | 6.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $301 | $376.24 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $429.75 | $537.18 | 4.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $531.44 | $664.30 | 4.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $378.90 | $473.62 | 3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $493.72 | $617.14 | 4.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $561.79 | $702.23 | 5.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$422.37–$565.07 | $527.96–$706.33 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$255.07–$361.68 | $318.83–$452.10 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$422.37–$565.07 | $527.96–$706.33 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $388.74 | $485.92 | 3.5× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$214.06–$293.60 | $267.57–$367 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$217.34–$297.71 | $271.67–$372.13 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$991.53–$1,128.49 | $1,239.41–$1,410.61 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$262.44–$348.56 | $328.05–$435.69 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $369.06 | $461.32 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$255.07–$361.68 | $318.83–$452.10 | varies |
| X-ray nose-rectum child f.b. (76010) | $351.06 | $438.82 | 3.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $486.34 | $607.92 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$251.79–$361.68 | $314.73–$452.10 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $407.60 | $509.50 | 3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $297.71 | $372.13 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$241.94–$347.73 | $302.42–$434.66 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$282.95–$419.09 | $353.68–$523.86 | varies |
| X-Ray Stress View (77071) | $503.56 | $629.44 | 5.5× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$292.79–$409.24 | $365.98–$511.55 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$643.80–$906.24 | $804.75–$1,132.80 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$351.01–$480.60 | $438.76–$600.74 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$209.96–$296.88 | $262.44–$371.10 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$262.44–$348.56 | $328.05–$435.69 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$310.01–$442.87 | $387.51–$553.58 | 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.