Imaging prices at MyMichigan Medical Center Saginaw

Saginaw, MI · every code in this section with a posted price and a Medicare benchmark.

316 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $2,628 $4,380 1.9×
Abdomen 1 View (74018) $109.80 $183 1.3×
Abdomen 2 views (74019) $177.60 $296 1.7×
Acute Gastrointestinal Blood Loss Imaging (78278) $646.80 $1,078 1.6×
Angio pulmonary bilat (75743) $3,873.60 $6,456 1.2×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $4,810.80 $8,018 1.5×
Angiography extremity bilateral rs&i (75716) $6,557.40 $10,929 2.1×
Angiography extremity unilateral rs&i (75710) $2,517.60 $4,196 0.8×
Angiography pulmonary unilateral slctv rs&i (75741) $2,582.40 $4,304 0.8×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $2,125.80 $3,543 0.7×
Ankle 2 views (73600) $126 $210 1.5×
Aortography thoracic serialography rs&i (75605) $4,372.20 $7,287 0.8×
Artery X-Rays Abdomen (75726) $4,135.20 $6,892 0.7×
Artery X-Rays Adrenal Gland (75731) $4,810.80 $8,018 1.5×
Artery X-Rays Pelvis (75736) $4,372.20 $7,287 0.8×
Artery X-Rays Spine (75705) $4,135.20 $6,892 0.7×
Arthrogram ankle (73615) $746.40 $1,244 2.1×
Arthrogram hip (73525) $379.80 $633 1.1×
Arthrogram Wrist (73115) $453.60 $756 1.3×
Basic radiation dosimetry calculation (77300) $232.20 $387 1.7×
Bone age studies (77072) $95.40 $159 0.9×
Bone Imaging 3 Phase (78315) $828 $1,380 2.1×
Bone Imaging Limited Area (78300) $661.80 $1,103 1.7×
Bone Imaging Whole Body (78306) $768 $1,280 1.9×
Bone survey infant (77076) $121.80 $203 1.2×
Brachytx isodose intermed (77317) $742.80 $1,238 2.0×
Brachytx Isodose Plan Simple (77316) $600 $1,000 1.6×
Brain Flow Imaging Only (78610) $503.40 $839 0.9×
Brain Imaging Pet Metabolic Evaluation (78608) $4,260.60 $7,101 3.0×
Cardiac MRI w/w/o contrast & further seq (75561) $1,953.60 $3,256 5.6×
Cat Scan Follow-Up Study (76380) $858 $1,430 9.9×
Cerebrospinal Fluid Scan (78630) $487.20 $812 0.9×
Chest 1 view (71045) $94.80 $158 1.1×
Chest 2 views (71046) $134.40 $224 1.5×
Chest 3 views (71047) $129.60 $216 1.5×
Chest 4 or more views (71048) $145.80 $243 1.4×
Clavicle complete (73000) $126.60 $211 1.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $214.20 $357 2.1×
Continuing medical physics consltj pr wk (77336) $238.80 $398 1.8×
Contrast Exam Abdominl Aorta (75625) $2,396.40 $3,994 0.8×
Contrast X-Ray Bladder (74430) $348.60 $581 1.0×
Contrast X-Ray Of Elbow (73085) $501 $835 1.4×
Contrast X-Ray Of Knee Joint (73580) $328.80 $548 0.9×
CT abdomen and pelvis without and with contrast (74178) $3,550.80 $5,918 10.2×
CT abdomen and pelvis without contrast (74176) $2,155.80 $3,593 9.1×
CT abdomen w contrast (74160) $1,267.20 $2,112 7.3×
CT abdomen w wo contrast (74170) $1,893 $3,155 10.8×
CT abdomen w/o contrast (74150) $1,077.60 $1,796 10.3×
CT Angio Abdomen and Pelvis (74174) $3,832.20 $6,387 11.0×
CT Angio Chest (71275) $1,250.40 $2,084 7.2×
CT Angio Head (70496) $1,870.80 $3,118 10.7×
CT angio hrt w/3d image (75574) $923.40 $1,539 2.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,870.80 $3,118 10.7×
CT Angio Neck (70498) $1,870.80 $3,118 10.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,870.80 $3,118 10.7×
CT cervical spine w/ contrast (72126) $1,267.20 $2,112 3.6×
CT cervical spine w/o contrast (72125) $1,077.60 $1,796 10.3×
CT cervical spine w/wo cont (72127) $1,554 $2,590 8.9×
CT chest w contrast (71260) $1,267.20 $2,112 7.3×
CT chest w/wo contrast (71270) $1,554 $2,590 8.9×
CT head/brain with contrast (70460) $1,267.20 $2,112 7.3×
CT head/brain without and with contrast (70470) $1,554 $2,590 8.9×
CT heart contrast eval cardiac structure&morph (75572) $923.40 $1,539 2.7×
CT heart no contrast quant eval coronry calcium (75571) $59.40 $99 0.7×
CT iac w contrast (70481) $1,267.20 $2,112 7.3×
CT l-spine w&w/o contrast (72133) $1,554 $2,590 8.9×
CT lower ext w/o (73700) $1,077.60 $1,796 10.3×
CT lower extremity w/contrast material (73701) $1,267.20 $2,112 7.3×
CT lumbar spine w contrast (72132) $1,267.20 $2,112 3.6×
CT lumbar spine w/o contrast (72131) $1,077.60 $1,796 10.3×
CT maxillofacial w contrast (70487) $1,267.20 $2,112 7.3×
CT maxillofacial wo contrast (70486) $1,077.60 $1,796 10.3×
CT neck tissue combo (70492) $1,554 $2,590 8.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,554 $2,590 8.9×
CT orbits w/o contrast (70480) $1,077.60 $1,796 10.3×
CT pelvis w&w/o contrast (72194) $1,658.40 $2,764 9.5×
CT pelvis w/o contrast (72192) $1,077.60 $1,796 10.3×
CT scan of leg combo (73702) $1,577.40 $2,629 9.0×
CT scans face/jaw combo (70488) $1,554 $2,590 8.9×
CT soft tissue neck w contrast (70491) $1,267.20 $2,112 7.3×
CT soft tissue neck w/o contrast (70490) $1,077.60 $1,796 10.3×
CT thoracic spine w contrast (72129) $1,267.20 $2,112 7.3×
CT thoracic spine w/o contrast (72128) $1,077.60 $1,796 10.3×
CT thoracic spine w/wo cont (72130) $1,658.40 $2,764 9.5×
CT thorax w/o contrast (71250) $1,077.60 $1,796 10.3×
CT upper ext wo (73200) $1,077.60 $1,796 10.3×
CT upper extremity w/o & w/contrast material (73202) $1,554 $2,590 8.9×
CT upper extremity with contrast (73201) $1,267.20 $2,112 3.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,190.80 $5,318 18.3×
Cta Abdomen (74175) $1,963.20 $3,272 11.2×
CTA pelvis (72191) $1,870.80 $3,118 10.7×
Diskography lumbar (72295) $2,797.20 $4,662 1.4×
Dxa Bone Density Axial (77080) $331.20 $552 3.2×
Echo Guide For Artery Repair (76936) $702 $1,170 3.3×
Esophagram (74220) $258.60 $431 1.5×
Fluoroscopy up to 1 hr (76000) $284.40 $474 1.2×
Follow-Up Angiography (75898) $643.20 $1,072 0.2×
Foot 2 views (73620) $120 $200 1.4×
Forearm 2 views (73090) $112.20 $187 1.3×
Gastric emptying imaging study (78264) $681 $1,135 1.7×
Gated Heart Planar Single (78472) $832.20 $1,387 2.1×
Hand 2 views (73120) $128.40 $214 1.2×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $2,583.60 $4,306 3.7×
Hepatobil Syst Image W/Drug (78227) $690.60 $1,151 1.3×
Hepatobiliary System Imaging (78226) $668.40 $1,114 1.7×
Ht Muscle Image Spect Sing (78451) $1,437 $2,395 1.1×
K Flow/Funct Image W/Drug (78708) $661.80 $1,103 1.2×
K Flow/Funct Image W/O Drug (78707) $675 $1,125 1.2×
Knee 3 Views (73562) $172.80 $288 2.0×
Liver & Spleen Imaging Static Only (78215) $386.40 $644 1.0×
Lung perfusion differential (78597) $555.60 $926 1.4×
Lung Ventilat&Perfus Imaging (78582) $920.40 $1,534 1.7×
Lymph System Imaging (78195) $834 $1,390 1.5×
Magnetic Image Jaw Joint (70336) $1,648.20 $2,747 6.9×
Mlc imrt design & construction per imrt plan (77338) $4,208.40 $7,014 11.3×
Mr safety determination physician/other qhp (76016) $137.40 $229 1.6×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $37.20 $62 1.3×
Mr safety implt electronics prepj supvj phys/qhp (76018) $140.40 $234 1.5×
Mr safety implt pos&/immoblj (76019) $90.60 $151 1.5×
Mr safety med physics xm customization plng&mntr (76017) $371.40 $619 1.6×
Mra Head W/O & W/Contrast Material (70546) $2,243.40 $3,739 6.5×
MRA head w/o contrast (70544) $1,648.20 $2,747 6.9×
MRA head with contrast (70545) $1,992.60 $3,321 5.7×
MRA neck w contrast (70548) $1,992.60 $3,321 5.7×
Mra Neck W/O &W/Contrast Material (70549) $2,355 $3,925 6.8×
MRA neck w/o contrast (70547) $1,648.20 $2,747 6.9×
MRI abdomen w contrast (74182) $1,953.60 $3,256 5.6×
MRI abdomen w/o contrast (74181) $1,648.20 $2,747 6.9×
MRI any jt lower extrem w/contrast material (73722) $1,953.60 $3,256 2.5×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,355 $3,925 6.8×
MRI any jt upper extremity w/contrast matrl (73222) $1,953.60 $3,256 2.5×
MRI Breast W/O Contrast Bilateral (77047) $1,257.60 $2,096 5.3×
MRI cardiac w/o contrast (75557) $1,648.20 $2,747 6.9×
MRI cervical spine w contrast (72142) $1,953.60 $3,256 5.6×
MRI cervical spine w/o cont (72141) $1,648.20 $2,747 6.9×
MRI chest w/o contrast (71550) $1,648.20 $2,747 6.9×
MRI chest wo w contrast (71552) $2,355 $3,925 6.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,953.60 $3,256 5.6×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,355 $3,925 6.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,648.20 $2,747 6.9×
MRI lumbar spine w contrast (72149) $1,953.60 $3,256 5.6×
Mri Neck Spine W/O & W/Dye (72156) $2,355 $3,925 6.8×
MRI orbit face &/neck w/o contrast (70540) $1,648.20 $2,747 6.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,355 $3,925 6.8×
MRI pelvis w/o & w contrast (72197) $2,355 $3,925 6.8×
MRI pelvis w/o contrast (72195) $1,648.20 $2,747 6.9×
MRI spectroscopy (76390) $166.80 $278 1.9×
MRI thoracic spine w/o contrast (72146) $1,648.20 $2,747 6.9×
MRI upper extremity oth than jt w/contr matrl (73219) $1,464 $2,440 4.2×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,648.20 $2,747 6.9×
Mri Uppr Extremity W/O&W/Dye (73220) $2,355 $3,925 6.8×
MRI, abdomen, combo (74183) $2,355 $3,925 6.8×
MRI, dorsal spine combo (72157) $2,355 $3,925 6.8×
MRI, dorsal spine contrast (72147) $1,953.60 $3,256 5.6×
MRI, joint upper extrem (73221) $1,648.20 $2,747 6.9×
MRI, joint upper extrem combo (73223) $2,355 $3,925 6.8×
MRI, lumbar spine combo (72158) $2,355 $3,925 6.8×
Myocardial Spect Multiple Studies (78452) $2,025 $3,375 1.6×
N-invas est c ffr sw aly CTA (75580) $1,557 $2,595 1.8×
Neck soft tissue (70360) $142.80 $238 1.6×
Ntsty modul radthx pln dose-vol histos (77301) $3,688.80 $6,148 2.7×
Nuclear Rx Oral Admin (79005) $517.20 $862 2.2×
Panoramic X-ray of jaws (70355) $172.80 $288 2.0×
Parathyroid imaging w/tomographic spect & CT (78072) $780.60 $1,301 1.4×
Parathyroid planar imaging w/wo subtraction (78071) $597 $995 1.5×
Pelvis 1 or 2 views (72170) $112.80 $188 1.1×
Pet Image W/Ct Lmtd (78814) $4,260.60 $7,101 3.0×
PET image w/CT, full body (78816) $4,260.60 $7,101 3.0×
PET imaging CT attenuation skull base mid-thigh (78815) $4,260.60 $7,101 3.0×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $4,810.80 $8,018 1.5×
Pulmonary Perfusion Imaging Particulate (78580) $455.40 $759 1.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $297 $495 2.9×
Radex abscess/fistula/sinus tract rs&i (76080) $356.40 $594 0.7×
Radex Ankle Complete Minimum 3 Views (73610) $158.40 $264 1.8×
Radex Calcaneus Minimum 2 Views (73650) $120 $200 1.4×
Radex elbow complete minimum 3 views (73080) $143.40 $239 1.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $233.40 $389 2.2×
Radex fingr minimum 2 views (73140) $83.40 $139 1.0×
Radex foot complete minimum 3 views (73630) $153.60 $256 1.8×
Radex Hand Minimum 3 Views (73130) $151.80 $253 1.8×
Radex lower extremity infant minimum 2 views (73592) $93 $155 1.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $133.20 $222 1.5×
Radex Ribs Unilateral 2 Views (71100) $145.80 $243 1.7×
Radex shoulder complete minimum 2 views (73030) $180.60 $301 2.1×
Radex Sinuses Paransl < 3 Views (70210) $214.80 $358 2.5×
Radex Spine 1 View Specify Level (72020) $105 $175 1.2×
Radex Sternum Minimum 2 Views (71120) $286.80 $478 3.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $165 $275 1.9×
Radex Toe Minimum 2 Views (73660) $79.20 $132 0.9×
Radex upper extremity infant minimum 2 views (73092) $93 $155 0.9×
Radex Wrist Complete Minimum 3 Views (73110) $147 $245 1.7×
Radiation Delivery Stereotactic Cranial Linear (77372) $9,354 $15,590 1.3×
Radiation treatment delivery level 1 (77402) $237 $395 2.3×
Radiation treatment delivery level 2 (77407) $301.80 $503 0.8×
Radiation treatment delivery level 3 (77412) $346.80 $578 0.6×
Radiolog exam mandible compl minimum 4 views (70110) $227.40 $379 2.2×
Radiologic exam colon double contrast study (74280) $551.40 $919 3.2×
Radiologic exam colon single contrast study (74270) $407.40 $679 2.3×
Radiologic Exam Esophagus Double Contrast Study (74221) $283.80 $473 1.6×
Radiologic exam knee complete 4/more views (73564) $177.60 $296 1.7×
Radiologic exam pelvis compl minimum 3 views (72190) $183.60 $306 1.8×
Radiologic Exam Small Int Single Contrast Study (74250) $263.40 $439 1.5×
Radiologic exam swallow function contrast study (74230) $303.60 $506 1.7×
Radiologic exam upr gi trc double contrast study (74246) $364.80 $608 2.1×
Radiologic examination femur 1 view (73551) $106.20 $177 1.2×
Radiologic examination femur minimum 2 views (73552) $187.80 $313 2.2×
Radiologic examination knee 1/2 views (73560) $121.20 $202 1.4×
Radiologic examination tibia & fibula 2 views (73590) $129.60 $216 1.5×
Ribs bilateral 3 views (71110) $194.40 $324 1.9×
Rp loclzj tum plnr 1 area single day imaging (78800) $496.80 $828 1.2×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $661.80 $1,103 1.2×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 4 matching MRF lines		 $971.40–$2,047.20 $1,619–$3,412 varies
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $2,386.80 $3,978 1.7×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,104.80 $3,508 1.6×
Rp Therapy Intravenous Administration (79101) $461.40 $769 2.0×
Scapula (73010) $147 $245 1.4×
Screening Digital Breast Tomosynthesis Bi (77063) $92.40 $154 4.0×
Shoulder 1 view (73020) $119.40 $199 1.4×
Shoulder Arthrography (73040) $258 $430 0.7×
Skull less than 4 views (70250) $167.40 $279 1.6×
Special dosimetry (77331) $237.60 $396 1.8×
Special Physics Consult (77370) $385.20 $642 2.9×
Special teletherapy port plan (77321) $461.40 $769 1.2×
Special treatment procedure (77470) $1,035 $1,725 1.9×
Speech evaluation, complex (70371) $259.20 $432 1.1×
Stereotactic Body Radiation Delivery (77373) $6,832.80 $11,388 3.8×
Sternoclavicular joints (71130) $306 $510 3.5×
Superior sagittal sinus venogram (75870) $1,050 $1,750 0.3×
Tbs technical calculation only (77091) $135 $225 1.6×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,900.20 $3,167 5.1×
Telethx isodose pln smpl w/dosimetry calculation (77306) $808.20 $1,347 2.2×
Testicular Imaging W/Flow (78761) $355.20 $592 0.9×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $560.40 $934 1.5×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $457.80 $763 1.2×
Ther rad simulaj-aided field setting simple (77280) $402.60 $671 3.0×
Thoracic spine 2 views (72070) $129.60 $216 1.2×
Thoracic spine 3 views (72072) $193.20 $322 1.9×
Thoracolumbar 2 views (72080) $204 $340 2.4×
Thyroid Met Imaging Body (78018) $654.60 $1,091 1.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $506.40 $844 1.3×
Tx Devices Design & Construction Complex (77334) $481.80 $803 1.3×
Tx devices design & construction intermediate (77333) $396 $660 3.0×
Tx devices design & construction simple (77332) $350.40 $584 2.6×
Ultrasound Breast Limited (76642) $334.80 $558 3.9×
Ultrasound Elastography Parenchyma (76981) $205.80 $343 2.0×
Ultrasound Exam Aaa Screen (76706) $457.20 $762 4.4×
Ultrasound, abdomen limited (76705) $442.80 $738 4.3×
Unlisted Dx Radiographic Procedure (76499) $98.40 $164 1.1×
Upper gi w/o kub (74240) $354 $590 2.0×
Urethrocystogram voiding (74455) $361.80 $603 1.5×
Urethrocystography retrograde (74450) $237 $395 1.0×
Us breast unilateral complete (76641) $334.80 $558 3.2×
Us chest (76604) $436.80 $728 4.2×
Us complete joint (76881) $568.20 $947 5.5×
Us exam, pelvic, limited (76857) $366 $610 3.5×
Us kidney transplant (76776) $219 $365 2.1×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $492.60 $821 4.7×
Us ob limited 1 or more fetuses (76815) $321 $535 3.1×
Us ob transvaginal (76817) $285 $475 2.7×
Us pelvic non ob complete (76856) $543.60 $906 5.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $543.60 $906 5.2×
Us preg uterus real time f/u trnsabdl per fetus (76816) $253.80 $423 2.4×
Us retroperitoneal complete (76770) $457.20 $762 4.4×
Us retroperitoneal limited (76775) $436.80 $728 4.2×
Us scrotum and contents (76870) $594 $990 5.7×
Us spinal canal and contents (76800) $436.80 $728 4.2×
Us thyroid (76536) $436.80 $728 4.2×
Us transrectal (76872) $436.80 $728 4.2×
Vein X-Ray Chest (75827) $1,147.80 $1,913 0.7×
Vein X-Ray Spleen/Liver (75810) $4,810.80 $8,018 1.5×
Venogram Sinus/Jugular (75860) $4,372.20 $7,287 1.4×
Venography Adrenal Unilateral (75840) $4,810.80 $8,018 1.5×
Venography caval inferior serialography rs&i (75825) $5,028 $8,380 1.6×
Venography extremity bilateral rs&i (75822) $919.80 $1,533 0.6×
Venography extremity unilateral rs&i (75820) $828.60 $1,381 0.5×
Venography Renal Bilateral (75833) $4,810.80 $8,018 1.5×
Venography Renal Unilateral (75831) $4,372.20 $7,287 1.4×
Venous sampling by catheter (75893)
likely a partial charge, not the full procedure		 $589.20 $982 0.1×
Vertebral fracture assessment via dxa (77086) $66 $110 0.8×
Wrist 2 views (73100) $120.60 $201 1.4×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $143.40 $239 1.7×
X-ray antegrade pyelogram tube (74425) $450.60 $751 1.3×
X-Ray Aorta Leg Arteries (75630) $3,030.60 $5,051 1.0×
X-Ray Bend Only L-S Spine (72120) $262.80 $438 2.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $120.60 $201 1.4×
X-Ray Exam Breast Specimen (76098) $262.80 $438 0.5×
X-Ray Exam Entire Spi 1 Vw (72081) $118.20 $197 1.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $195.60 $326 1.9×
X-Ray Exam Hip Uni 1 View (73501) $143.40 $239 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $167.40 $279 1.9×
X-Ray Exam Hips Bi 2 Views (73521) $208.20 $347 2.0×
X-Ray Exam Hips Bi 5/> Views (73523) $208.20 $347 2.0×
X-Ray Exam L-S Spine Bending (72114) $296.40 $494 2.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $166.20 $277 1.9×
X-Ray Exam Neck Spine 6/>Vws (72052) $262.80 $438 2.5×
X-Ray Exam Unilat Ribs/Chest (71101) $175.20 $292 1.7×
X-ray eye for foreign body (70030) $156 $260 1.8×
X-ray humerus (73060) $135.60 $226 1.6×
X-ray IV pyelogram (ivp) (74400) $523.80 $873 3.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $156 $260 1.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $232.20 $387 2.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $262.80 $438 2.5×
X-ray nose-rectum child f.b. (76010) $79.20 $132 0.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $221.40 $369 2.1×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $144 $240 1.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $143.40 $239 1.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $231.60 $386 2.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $258.60 $431 2.5×
X-ray thoracic spine 4 vw (72074) $205.80 $343 2.0×
X-Ray Tmj Unilat (70328) $88.20 $147 1.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $331.20 $552 1.0×
X-Rays Bone Length Studies (77073) $109.80 $183 1.1×
X-Rays Bone Survey Complete (77075) $364.80 $608 3.5×
Xr c-spine 4 or 5 views (72050) $222.60 $371 2.1×
Xr facial bones less than 3 views (70140) $159.60 $266 1.8×
Xr orbits complete 4 views (70200) $184.20 $307 1.8×

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.