Imaging prices at Mitchell County Regional Health
Osage, IA · 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) | $225 | $250 | 2.7× |
| Abdomen 2 views (74019) | $370.76 | $411.95 | 3.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$206.10–$408.60 | $229–$454 | varies |
| Arthrogram hip (73525) | $729.72 | $810.80 | 2.2× |
| Bone Imaging 3 Phase (78315) | $1,608.89 | $1,787.65 | 4.2× |
| Bone Imaging Multiple Areas (78305) | $1,968.08 | $2,186.75 | 5.1× |
| Bone Imaging Whole Body (78306) | $1,492.79 | $1,658.65 | 3.9× |
| Bone survey infant (77076) | $370.76 | $411.95 | 3.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,883.75 | $2,093.05 | 4.9× |
| Cardiac Shunt Detection (78428) | $1,450.40 | $1,611.55 | 3.8× |
| Chest 1 view (71045) | $222.71 | $247.45 | 2.7× |
| Chest 2 views (71046) | $314.74 | $349.71 | 3.8× |
| Chest 3 views (71047) | $330.75 | $367.50 | 4.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$251.87–$419.13 | $279.85–$465.70 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $419.63 | $466.25 | 4.2× |
| CT abdomen and pelvis without and with contrast (74178) | $4,884.71 | $5,427.45 | 14.6× |
| CT abdomen and pelvis without contrast (74176) | $4,253.67 | $4,726.30 | 18.5× |
| CT abdomen w contrast (74160) | $2,418.89 | $2,687.65 | 14.3× |
| CT abdomen w wo contrast (74170) | $2,638.62 | $2,931.80 | 15.6× |
| CT abdomen w/o contrast (74150) | $2,222.69 | $2,469.65 | 22.1× |
| CT Angio Abdomen and Pelvis (74174) | $4,913.38 | $5,459.31 | 14.6× |
| CT Angio Chest (71275) | $2,456.73 | $2,729.70 | 14.6× |
| CT Angio Head (70496) | $2,456.73 | $2,729.70 | 14.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,349.90 | $2,611 | 13.9× |
| CT Angio Neck (70498) | $2,777.22 | $3,085.80 | 16.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,349.90 | $2,611 | 13.9× |
| CT cervical spine w/o contrast (72125) | $2,167.79 | $2,408.65 | 21.6× |
| CT cervical spine w/wo cont (72127) | $2,380.05 | $2,644.50 | 14.1× |
| CT chest w contrast (71260) | $2,304.54 | $2,560.60 | 13.7× |
| CT chest w/wo contrast (71270) | $2,458.71 | $2,731.90 | 14.6× |
| CT head/brain without and with contrast (70470) | $2,380.05 | $2,644.50 | 14.1× |
| CT iac w contrast (70481) | $2,569.46 | $2,854.95 | 15.2× |
| CT l-spine w&w/o contrast (72133) | $2,576.25 | $2,862.50 | 15.3× |
| CT lower ext w/o (73700) | $2,033.91 | $2,259.90 | 20.2× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,074.41–$2,167.79 | $2,304.90–$2,408.65 | varies |
| CT lumbar spine w contrast (72132) | $2,356.03 | $2,617.81 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $2,167.79 | $2,408.65 | 21.6× |
| CT maxillofacial w contrast (70487) | $2,433.20 | $2,703.55 | 14.4× |
| CT maxillofacial wo contrast (70486) | $2,127.20 | $2,363.55 | 21.2× |
| CT neck tissue combo (70492) | $2,702.79 | $3,003.10 | 16.0× |
| CT orbits w/o contrast (70480) | $2,392.56 | $2,658.40 | 23.8× |
| CT pelvis w/o contrast (72192) | $2,033.91 | $2,259.90 | 20.2× |
| CT scan of leg combo (73702) | $2,276.42 | $2,529.35 | 13.5× |
| CT soft tissue neck w contrast (70491) | $2,569.46 | $2,854.95 | 15.2× |
| CT soft tissue neck w/o contrast (70490) | $2,392.56 | $2,658.40 | 23.8× |
| CT thoracic spine w contrast (72129) | $2,276.42 | $2,529.35 | 13.5× |
| CT thoracic spine w/o contrast (72128) | $2,167.79 | $2,408.65 | 21.6× |
| CT thoracic spine w/wo cont (72130) | $2,450.48 | $2,722.75 | 14.5× |
| CT thorax w/o contrast (71250) | $2,167.79 | $2,408.65 | 21.6× |
| CT upper ext wo (73200) | $2,033.91 | $2,259.90 | 20.2× |
| CT upper extremity w/o & w/contrast material (73202) | $2,285.01 | $2,538.90 | 13.6× |
| CT upper extremity with contrast (73201) | $2,167.79 | $2,408.65 | 6.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,563.61 | $2,848.45 | 15.2× |
| Cta Abdomen (74175) | $2,777.22 | $3,085.80 | 16.5× |
| CTA pelvis (72191) | $2,456.73 | $2,729.70 | 14.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $255.60 | $284 | 2.5× |
| Dxa Bone Density Axial (77080) | $503.01 | $558.90 | 5.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $97.11 | $107.90 | 1.2× |
| Esophagram (74220) | $740.48 | $822.75 | 4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $710.78 | $789.75 | 7.1× |
| Fluoroscopy up to 1 hr (76000) | $377.78 | $419.75 | 1.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$206.10–$408.60 | $229–$454 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$231.75–$462.96 | $257.50–$514.40 | varies |
| Gastric emptying imaging study (78264) | $1,936.04 | $2,151.15 | 5.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,936.04 | $2,151.15 | 5.0× |
| Gated Heart Planar Single (78472) | $2,049.17 | $2,276.85 | 5.3× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,196.41 | $2,440.45 | 4.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$206.10–$408.60 | $229–$454 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,726.10 | $3,029 | 5.2× |
| Hepatobiliary System Imaging (78226) | $2,726.10 | $3,029 | 7.1× |
| Ht Muscle Image Spect Sing (78451) | $2,897.87 | $3,219.85 | 2.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $631.17 | $701.30 | 7.5× |
| K Flow/Funct Image W/O Drug (78707) | $2,241.32 | $2,490.35 | 4.3× |
| Kidney Imaging Morphol (78700) | $2,218.19 | $2,464.65 | 5.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$274.14–$546.44 | $304.60–$607.15 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,774.17 | $1,971.30 | 4.6× |
| Lung perfusion differential (78597) | $1,825.16 | $2,027.95 | 4.7× |
| Lung Ventilation Imaging (78579) | $1,825.16 | $2,027.95 | 4.7× |
| Magnetic Image Jaw Joint (70336) | $2,766.69 | $3,074.10 | 12.1× |
| Meckels Divert Exam (78290) | $1,936.04 | $2,151.15 | 5.0× |
| Mr safety determination physician/other qhp (76016) | $94.37 | $104.85 | 1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $28.31 | $31.45 | 1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $122.58 | $136.20 | 1.3× |
| Mr safety implt pos&/immoblj (76019) | $165.02 | $183.35 | 2.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $235.71 | $261.90 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $4,400.78 | $4,889.75 | 13.1× |
| MRA head w/o contrast (70544) | $2,766.69 | $3,074.10 | 12.1× |
| MRA head with contrast (70545) | $3,342.29 | $3,713.65 | 10.0× |
| MRA neck w contrast (70548) | $3,342.29 | $3,713.65 | 10.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,400.78 | $4,889.75 | 13.1× |
| MRA neck w/o contrast (70547) | $2,766.69 | $3,074.10 | 12.1× |
| MRI any jt lower extrem w/contrast material (73722) | $3,072.83 | $3,414.25 | 4.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,636.86 | $4,040.95 | 10.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,072.83 | $3,414.25 | 4.1× |
| MRI cervical spine w/o cont (72141) | $2,983.64 | $3,315.15 | 13.0× |
| MRI chest w/o contrast (71550) | $2,699.82 | $2,999.80 | 11.8× |
| MRI chest with contrast (71551) | $3,267.36 | $3,630.40 | 4.3× |
| MRI chest wo w contrast (71552) | $4,405.77 | $4,895.30 | 13.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,078.59 | $3,420.65 | 9.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,146.62 | $4,607.35 | 12.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,638.62 | $2,931.80 | 11.5× |
| MRI lumbar spine w contrast (72149) | $3,643.79 | $4,048.65 | 10.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,799.88 | $5,333.20 | 14.3× |
| MRI orbit face &/neck w/o contrast (70540) | $2,497.91 | $2,775.45 | 10.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,400.78 | $4,889.75 | 13.1× |
| MRI pelvis w contrast (72196) | $3,195.99 | $3,551.10 | 9.5× |
| MRI pelvis w/o & w contrast (72197) | $4,335.48 | $4,817.20 | 12.9× |
| MRI pelvis w/o contrast (72195) | $2,621.43 | $2,912.70 | 11.4× |
| MRI thoracic spine w/o contrast (72146) | $2,983.64 | $3,315.15 | 13.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,141.59 | $3,490.65 | 9.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,638.62 | $2,931.80 | 11.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,146.62 | $4,607.35 | 12.4× |
| MRI, abdomen, combo (74183) | $4,272.57 | $4,747.30 | 12.7× |
| MRI, dorsal spine combo (72157) | $4,787.42 | $5,319.35 | 14.3× |
| MRI, joint upper extrem (73221) | $2,638.62 | $2,931.80 | 11.5× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,480.21–$3,636.86 | $3,866.90–$4,040.95 | varies |
| MRI, lumbar spine combo (72158) | $4,837.19 | $5,374.65 | 14.4× |
| Myocardial Spect Multiple Studies (78452) | $3,170.75 | $3,523.05 | 2.5× |
| Neck soft tissue (70360) | $241.61 | $268.45 | 2.9× |
| Nonvascular Shunt X-Ray (75809) | $442.94 | $492.15 | 4.4× |
| Ob us nuchal meas 1 gest (76813) | $784.44 | $871.60 | 7.8× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $33.30 | $37 | 1.2× |
| Parathyroid Planar Imaging (78070) | $2,069.91 | $2,299.90 | 5.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,142.58 | $3,491.75 | 8.2× |
| Pelvis 1 or 2 views (72170) | $251.87 | $279.85 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,825.16 | $2,027.95 | 4.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$251.87–$440.60 | $279.85–$489.55 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$206.10–$408.60 | $229–$454 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$283.32–$480.06 | $314.80–$533.40 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $377.78 | $419.75 | 3.8× |
| Radex fingr minimum 2 views (73140) | $214.74 | $238.60 | 2.6× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$240.53–$480.06 | $267.25–$533.40 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$231.75–$462.96 | $257.50–$514.40 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$232.88–$345.65 | $258.75–$384.05 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $213.98 | $237.75 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $289.62 | $321.80 | 3.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$297–$409.23 | $330–$454.70 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $213.98 | $237.75 | 2.6× |
| Radex Spine 1 View Specify Level (72020) | $225.50 | $250.55 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $250.65 | $278.50 | 3.0× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$220.32–$314.74 | $244.80–$349.71 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$206.10–$345.65 | $229–$384.05 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$265.06–$528.66 | $294.51–$587.40 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $489.20 | $543.55 | 4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $311.31 | $345.90 | 3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $740.48 | $822.75 | 4.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$309.15–$616.32 | $343.50–$684.80 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $377.78 | $419.75 | 3.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $576.23 | $640.25 | 3.4× |
| Radiologic exam swallow function contrast study (74230) | $444.65 | $494.05 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $850.23 | $944.70 | 5.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$377.78–$628.88 | $419.75–$698.75 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$222.71–$444.65 | $247.45–$494.05 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $377.78 | $419.75 | 3.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$243.28–$409.23 | $270.31–$454.70 | varies |
| Ribs bilateral 3 views (71110) | $440.60 | $489.55 | 4.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,069.91 | $2,299.90 | 5.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,069.91 | $2,299.90 | 5.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,069.91 | $2,299.90 | 4.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$2,069.91–$2,641.50 | $2,299.90–$2,935 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,069.91 | $2,299.90 | 1.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,069.91 | $2,299.90 | 1.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,069.91 | $2,299.90 | 1.7× |
| Salivary Gland Imaging (78230) | $1,936.04 | $2,151.15 | 5.0× |
| Scapula (73010) range across 2 matching MRF lines |
$251.87–$427.01 | $279.85–$474.45 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $73.31 | $81.45 | 3.1× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$187.79–$314.74 | $208.65–$349.71 | varies |
| Shoulder Arthrography (73040) | $732.56 | $813.95 | 2.2× |
| Skull less than 4 views (70250) | $281.43 | $312.70 | 2.8× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $84.92 | $94.35 | 1.0× |
| Tbs technical calculation only (77091) | $84.92 | $94.35 | 1.0× |
| Thoracic spine 2 views (72070) | $345.65 | $384.05 | 3.4× |
| Thoracolumbar 2 views (72080) | $406.31 | $451.45 | 4.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$603.68–$1,005.30 | $670.75–$1,117 | varies |
| Ultrasound Exam Aaa Screen (76706) | $738.63 | $820.70 | 7.3× |
| Ultrasound, abdomen limited (76705) | $631.17 | $701.30 | 6.3× |
| Umbilical-artery Doppler (OB) (76820) | $230.09 | $255.65 | 2.3× |
| Upper gi w/o kub (74240) | $850.23 | $944.70 | 5.0× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$178.97–$666.14 | $198.85–$740.15 | varies |
| Us chest (76604) | $770.72 | $856.35 | 7.7× |
| Us complete joint (76881) | $699.26 | $776.95 | 7.0× |
| Us exam, pelvic, limited (76857) | $592.29 | $658.10 | 5.9× |
| Us head (76506) | $610.83 | $678.70 | 6.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $666.63 | $740.70 | 6.6× |
| Us ob limited 1 or more fetuses (76815) | $597.38 | $663.75 | 5.9× |
| Us ob transvaginal (76817) | $644.23 | $715.81 | 6.4× |
| Us pelvic non ob complete (76856) | $740.48 | $822.75 | 7.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $789.08 | $876.75 | 7.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $518.54 | $576.15 | 5.2× |
| Us retroperitoneal complete (76770) | $761.04 | $845.60 | 7.6× |
| Us retroperitoneal limited (76775) | $631.17 | $701.30 | 6.3× |
| Us scrotum and contents (76870) | $662.58 | $736.20 | 6.6× |
| Us thyroid (76536) | $572.13 | $635.70 | 5.7× |
| Vascular Flow Imaging (78445) | $1,627.11 | $1,807.90 | 4.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$231.75–$377.78 | $257.50–$419.75 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $271.09 | $301.21 | 3.2× |
| X-Ray Bend Only L-S Spine (72120) | $430.29 | $478.10 | 4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$251.87–$427.01 | $279.85–$474.45 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $225.50 | $250.55 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $330.21 | $366.90 | 3.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $445.19 | $494.65 | 4.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $269.60 | $299.55 | 3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $377.78 | $419.75 | 4.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $409.23 | $454.70 | 4.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $628.88 | $698.75 | 6.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $659.70 | $733 | 6.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $691.29 | $768.10 | 6.9× |
| X-Ray Exam L-S Spine Bending (72114) | $503.01 | $558.90 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $314.74 | $349.71 | 3.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $452.07 | $502.30 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $440.60 | $489.55 | 4.4× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$213.98–$277.16 | $237.75–$307.95 | varies |
| X-ray humerus (73060) | $264.42 | $293.80 | 3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $222.71 | $247.45 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $264.42 | $293.80 | 3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $440.60 | $489.55 | 4.4× |
| X-ray nose-rectum child f.b. (76010) | $251.87 | $279.85 | 3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $393.66 | $437.40 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $240.53 | $267.25 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $213.98 | $237.75 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $283.32 | $314.80 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $420.08 | $466.75 | 4.2× |
| X-Rays Bone Survey Complete (77075) | $754.70 | $838.55 | 7.5× |
| Xr c-spine 4 or 5 views (72050) | $389.66 | $432.95 | 3.9× |
| Xr facial bones less than 3 views (70140) | $240.53 | $267.25 | 2.9× |
| Xr orbits complete 4 views (70200) | $347.99 | $386.65 | 3.5× |
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.