Imaging prices at Monroe County Medical Center
Tompkinsville, KY · every code in this section with a posted price and a Medicare benchmark.
209 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 4 matching MRF lines |
$13.99–$167.78 | $16.85–$202.15 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$20.79–$250.62 | $25.05–$301.95 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,476.03 | $1,778.35 | 3.9× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$15.02–$167.78 | $18.10–$202.15 | varies |
| Bone age studies (77072) | $277.22 | $334 | 2.8× |
| Bone Imaging 3 Phase (78315) | $1,464.87 | $1,764.90 | 3.9× |
| Bone Imaging Limited Area (78300) | $794.89 | $957.70 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $1,146.77 | $1,381.65 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,294.51 | $1,559.65 | 3.5× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$16.35–$167.78 | $19.70–$202.15 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$19.55–$417.28 | $23.55–$502.75 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$170.11–$284.11 | $204.95–$342.30 | varies |
| Chest 4 or more views (71048) | $306.73 | $369.55 | 3.1× |
| Cholecystography Oral Contrast (74290) | $250.62 | $301.95 | 1.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$15.02–$167.78 | $18.10–$202.15 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $359.81 | $433.50 | 3.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$178.53–$3,266.67 | $215.10–$3,935.75 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$155.75–$1,855.67 | $187.65–$2,235.75 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$113.50–$1,185.45 | $136.75–$1,428.25 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$116.62–$1,633.32 | $140.50–$1,967.85 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$105.99–$1,016.79 | $127.70–$1,225.05 | varies |
| CT Angio Abdomen and Pelvis (74174) | $1,345.14 | $1,620.65 | 4.1× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$162.10–$1,345.14 | $195.30–$1,620.65 | varies |
| CT Angio Head (70496) | $1,345.14 | $1,620.65 | 8.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,345.14 | $1,620.65 | 8.2× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$156.33–$1,345.14 | $188.35–$1,620.65 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$88.40–$838.84 | $106.50–$1,010.65 | varies |
| CT cervical spine w/wo cont (72127) | $1,633.32 | $1,967.85 | 9.9× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$104.04–$1,185.45 | $125.35–$1,428.25 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$111.01–$1,633.32 | $133.75–$1,967.85 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$100.85–$1,185.45 | $121.50–$1,428.25 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$113.50–$1,633.32 | $136.75–$1,967.85 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $41.50 | $50 | 0.5× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,185.45–$1,633.32 | $1,428.25–$1,967.85 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$113.50–$1,633.32 | $136.75–$1,967.85 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$88.40–$838.84 | $106.50–$1,010.65 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$103.42–$1,185.45 | $124.60–$1,428.25 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$88.40–$838.84 | $106.50–$1,010.65 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$100.85–$1,185.45 | $121.50–$1,428.25 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$76.28–$798.96 | $91.90–$962.60 | varies |
| CT neck tissue combo (70492) | $1,633.32 | $1,967.85 | 9.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,633.32 | $1,967.85 | 9.9× |
| CT orbits w/o contrast (70480) | $798.96 | $962.60 | 8.1× |
| CT pelvis w&w/o contrast (72194) | $1,633.32 | $1,967.85 | 9.9× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$97.15–$838.84 | $117.05–$1,010.65 | varies |
| CT scan of leg combo (73702) | $1,633.32 | $1,967.85 | 9.9× |
| CT scans face/jaw combo (70488) | $1,633.32 | $1,967.85 | 9.9× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$123.63–$1,185.45 | $148.95–$1,428.25 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$114.75–$798.96 | $138.25–$962.60 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$88.40–$838.84 | $106.50–$1,010.65 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$96.40–$838.84 | $116.15–$1,010.65 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$88.40–$838.84 | $106.50–$1,010.65 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,633.32 | $1,967.85 | 9.9× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$103.42–$1,185.45 | $124.60–$1,428.25 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,345.14 | $1,620.65 | 8.2× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$161.56–$1,345.14 | $194.65–$1,620.65 | varies |
| CTA pelvis (72191) | $1,345.14 | $1,620.65 | 8.2× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$62.25–$241.57 | $75–$291.05 | varies |
| Esophagram (74220) | $278.47 | $335.50 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $417.28 | $502.75 | 1.9× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$13.86–$167.78 | $16.70–$202.15 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$14.53–$167.78 | $17.50–$202.15 | varies |
| Gastric emptying imaging study (78264) | $1,231.06 | $1,483.20 | 3.3× |
| Gated Heart Planar Single (78472) | $863.08 | $1,039.85 | 2.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$15.02–$167.78 | $18.10–$202.15 | varies |
| Hepatobiliary System Imaging (78226) | $1,146.77 | $1,381.65 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $1,990.13 | $2,397.75 | 1.6× |
| Infusion Ivp (74410) | $484.68 | $583.95 | 2.9× |
| K Flow/Funct Image W/Drug (78708) | $1,423.91 | $1,715.55 | 2.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,373.90 | $1,655.30 | 2.7× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$16.89–$212.52 | $20.35–$256.05 | varies |
| Liver & Spleen Imaging Static Only (78215) | $851.62 | $1,026.05 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$817.80–$1,176.32 | $985.30–$1,417.25 | varies |
| Magnetic Image Jaw Joint (70336) | $1,372.11 | $1,653.15 | 6.1× |
| Meckels Divert Exam (78290) | $953.84 | $1,149.20 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,290.51 | $2,759.65 | 7.0× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$107.24–$1,580.36 | $129.20–$1,904.05 | varies |
| MRA head with contrast (70545) | $1,678.18 | $2,021.90 | 5.1× |
| MRA neck w contrast (70548) | $1,678.18 | $2,021.90 | 5.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,290.51 | $2,759.65 | 7.0× |
| MRA neck w/o contrast (70547) | $1,580.36 | $1,904.05 | 7.1× |
| MRI abdomen w contrast (74182) | $1,678.18 | $2,021.90 | 5.1× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$130.48–$1,678.18 | $157.20–$2,021.90 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,678.18 | $2,021.90 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,290.51 | $2,759.65 | 7.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,678.18 | $2,021.90 | 2.3× |
| MRI cervical spine w contrast (72142) | $1,678.18 | $2,021.90 | 5.1× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$132.39–$1,580.36 | $159.50–$1,904.05 | varies |
| MRI chest w/o contrast (71550) | $1,580.36 | $1,904.05 | 7.1× |
| MRI chest with contrast (71551) | $1,678.18 | $2,021.90 | 2.3× |
| MRI chest wo w contrast (71552) | $2,290.51 | $2,759.65 | 7.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,678.18 | $2,021.90 | 5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$191.73–$2,290.51 | $231–$2,759.65 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$120.43–$1,580.36 | $145.10–$1,904.05 | varies |
| MRI lumbar spine w contrast (72149) | $1,678.18 | $2,021.90 | 5.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,290.51 | $2,759.65 | 7.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,580.36 | $1,904.05 | 7.1× |
| MRI orbit face neck w contrast (70542) | $1,678.18 | $2,021.90 | 5.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,290.51 | $2,759.65 | 7.0× |
| MRI pelvis w contrast (72196) | $1,678.18 | $2,021.90 | 5.1× |
| MRI pelvis w/o & w contrast (72197) | $2,290.51 | $2,759.65 | 7.0× |
| MRI pelvis w/o contrast (72195) | $1,580.36 | $1,904.05 | 7.1× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$132.39–$1,580.36 | $159.50–$1,904.05 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,678.18 | $2,021.90 | 5.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$121.06–$1,580.36 | $145.85–$1,904.05 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,290.51 | $2,759.65 | 7.0× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$195.55–$2,290.51 | $235.60–$2,759.65 | varies |
| MRI, dorsal spine combo (72157) | $2,290.51 | $2,759.65 | 7.0× |
| MRI, dorsal spine contrast (72147) | $1,678.18 | $2,021.90 | 5.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$121.55–$1,580.36 | $146.45–$1,904.05 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$192.27–$2,290.51 | $231.65–$2,759.65 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$204.26–$2,290.51 | $246.10–$2,759.65 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,990.13 | $2,397.75 | 1.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,952.95–$1,990.13 | $2,352.95–$2,397.75 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$16.35–$127.24 | $19.70–$153.30 | varies |
| Parathyroid Planar Imaging (78070) | $458.82 | $552.80 | 1.2× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$15.77–$167.78 | $19–$202.15 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,056.09 | $1,272.40 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$28.93–$345.03 | $34.85–$415.70 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$14.53–$278.76 | $17.50–$335.85 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$14.53–$167.78 | $17.50–$202.15 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$15.77–$278.76 | $19–$335.85 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$23.36–$195.09 | $28.15–$235.05 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$12.45–$167.78 | $15–$202.15 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$15.11–$278.76 | $18.20–$335.85 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$15.77–$278.76 | $19–$335.85 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $147.66 | $177.90 | 1.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$159.07–$222.98 | $191.65–$268.65 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$15.77–$139.77 | $19–$168.40 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$20.17–$250.62 | $24.30–$301.95 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$16.89–$167.78 | $20.35–$202.15 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$15.77–$161.14 | $19–$194.15 | varies |
| Radex Spine 1 View Specify Level (72020) | $106.95 | $128.85 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $167.78 | $202.15 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $227.25 | $273.80 | 2.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$11.95–$167.78 | $14.40–$202.15 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $161.14 | $194.15 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$15.77–$278.76 | $19–$335.85 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$22.12–$227.25 | $26.65–$273.80 | varies |
| Radiologic exam colon double contrast study (74280) | $417.28 | $502.75 | 2.5× |
| Radiologic exam colon single contrast study (74270) | $333.95 | $402.35 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$20.71–$278.76 | $24.95–$335.85 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $250.62 | $301.95 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $460.61 | $554.95 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$178.12–$420.10 | $214.60–$506.15 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$26.44–$167.78 | $31.85–$202.15 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$15.02–$159.65 | $18.10–$192.35 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $265.14 | $319.45 | 2.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$14.53–$167.78 | $17.50–$202.15 | varies |
| Ribs bilateral 3 views (71110) | $361.63 | $435.70 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,206.31 | $2,658.20 | 4.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,623.85 | $1,956.45 | 3.2× |
| Scapula (73010) range across 3 matching MRF lines |
$13.99–$167.78 | $16.85–$202.15 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $58.14 | $70.05 | 2.5× |
| Sella turcica (70240) | $151.10 | $182.05 | 1.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$13.78–$120.52 | $16.60–$145.20 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$41.50–$167.78 | $50–$202.15 | varies |
| Sternoclavicular joints (71130) | $172.31 | $207.60 | 2.1× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$18.22–$161.14 | $21.95–$194.15 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$20.17–$167.78 | $24.30–$202.15 | varies |
| Thyroid Uptake Measurement (78012) | $737.95 | $889.10 | 2.0× |
| Ultrasound Breast Limited (76642) | $190.36 | $229.35 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $428.03 | $515.70 | 4.4× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$110.60–$511.53 | $133.25–$616.30 | varies |
| Unlisted magnetic resonance procedure (76498) | $1,372.11 | $1,653.15 | 16.8× |
| Unlisted us procedure (76999) | $259.62 | $312.80 | 3.2× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$361.63–$545.14 | $435.70–$656.80 | varies |
| Urethrocystogram voiding (74455) | $534.77 | $644.30 | 2.4× |
| Us breast unilateral complete (76641) | $190.36 | $229.35 | 1.9× |
| Us chest (76604) | $208.25 | $250.90 | 2.1× |
| Us exam, pelvic, limited (76857) | $450.36 | $542.60 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$158.07–$268.80 | $190.45–$323.85 | varies |
| Us ob limited 1 or more fetuses (76815) | $306.02 | $368.70 | 3.1× |
| Us ob transvaginal (76817) | $299.67 | $361.05 | 3.1× |
| Us pelvic non ob complete (76856) | $450.36 | $542.60 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $427.24 | $514.75 | 4.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $307.18 | $370.10 | 3.1× |
| Us retroperitoneal complete (76770) | $511.53 | $616.30 | 5.2× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$73.21–$428.03 | $88.20–$515.70 | varies |
| Us scrotum and contents (76870) | $572.95 | $690.30 | 5.8× |
| Us thyroid (76536) | $282.45 | $340.30 | 2.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$15.02–$167.78 | $18.10–$202.15 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$16.89–$167.78 | $20.35–$202.15 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$15.02–$167.78 | $18.10–$202.15 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$23.36–$133.42 | $28.15–$160.75 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$16.89–$147.66 | $20.35–$177.90 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$20.17–$195.09 | $24.30–$235.05 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$20.17–$363.37 | $24.30–$437.80 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$20.17–$156.37 | $24.30–$188.40 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $347.56 | $418.75 | 3.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$23.95–$317.85 | $28.85–$382.95 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$118.98–$139.77 | $143.35–$168.40 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$15.02–$167.78 | $18.10–$202.15 | varies |
| X-ray IV pyelogram+tomography (74415) | $418.49 | $504.20 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$16.35–$195.09 | $19.70–$235.05 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $152.31 | $183.50 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$20.17–$167.78 | $24.30–$202.15 | varies |
| X-ray nose-rectum child f.b. (76010) | $161.14 | $194.15 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$28.93–$427.04 | $34.85–$514.50 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $302.37 | $364.30 | 3.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $278.47 | $335.50 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$15.77–$167.78 | $19–$202.15 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$19.55–$195.09 | $23.55–$235.05 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$25.19–$222.98 | $30.35–$268.65 | varies |
| X-Ray Tmj Unilat (70328) | $181.89 | $219.15 | 2.2× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$49.72–$371.22 | $59.90–$447.25 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$24.53–$278.47 | $29.55–$335.50 | varies |
| Xr facial bones less than 3 views (70140) | $167.78 | $202.15 | 2.1× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$25.19–$222.98 | $30.35–$268.65 | 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.