Imaging prices at Navarro Regional Hospital
Corsicana, TX · every code in this section with a posted price and a Medicare benchmark.
241 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 |
$79.68–$159.36 | $332–$664 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $754.56 | $3,144 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $4,020.72 | $16,753 | 1.3× |
| Angiography extremity unilateral rs&i (75710) | $4,760.64 | $19,836 | 1.5× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Bone Imaging 3 Phase (78315) | $794.88 | $3,312 | 2.0× |
| Bone Imaging Limited Area (78300) | $794.88 | $3,312 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $794.88 | $3,312 | 2.0× |
| Bone Imaging Whole Body (78306) | $794.88 | $3,312 | 2.0× |
| Bone survey infant (77076) | $159.36 | $664 | 1.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $582.24 | $2,426 | 1.7× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$80.40–$160.80 | $335–$670 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$100.56–$201.12 | $419–$838 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$159.36–$318.72 | $664–$1,328 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$143.04–$278.88 | $596–$1,162 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$83.28–$166.32 | $347–$693 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$3,276.48–$4,780.56 | $13,652–$19,919 | varies |
| Contrast X-Ray Bladder (74430) | $598.80 | $2,495 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,036.16–$4,072.08 | $8,484–$16,967 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,199.28–$2,398.56 | $4,997–$9,994 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$867.36–$1,734.72 | $3,614–$7,228 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,018.08–$2,036.16 | $4,242–$8,484 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$599.52–$1,199.04 | $2,498–$4,996 | varies |
| CT Angio Abdomen and Pelvis (74174) | $4,113.60 | $17,140 | 11.7× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,028.40–$2,056.56 | $4,285–$8,569 | varies |
| CT Angio Head (70496) | $2,056.56 | $8,569 | 11.7× |
| CT angio hrt w/3d image (75574) | $327.84 | $1,366 | 0.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $298.32 | $1,243 | 1.7× |
| CT Angio Neck (70498) | $2,056.56 | $8,569 | 11.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$383.52–$767.04 | $1,598–$3,196 | varies |
| CT cervical spine w/ contrast (72126) | $1,734.72 | $7,228 | 4.9× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$599.52–$1,199.04 | $2,498–$4,996 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,018.08–$2,036.16 | $4,242–$8,484 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$867.36–$1,734.72 | $3,614–$7,228 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,018.08–$2,036.16 | $4,242–$8,484 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$867.36–$1,734.72 | $3,614–$7,228 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,018.08–$2,036.16 | $4,242–$8,484 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $32.64 | $136 | 0.4× |
| CT iac w contrast (70481) | $1,734.72 | $7,228 | 9.8× |
| CT l-spine w&w/o contrast (72133) | $2,036.16 | $8,484 | 11.6× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$299.76–$1,199.04 | $1,249–$4,996 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$867.36–$1,734.72 | $3,614–$7,228 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$867.36–$1,734.72 | $3,614–$7,228 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$599.52–$1,199.04 | $2,498–$4,996 | varies |
| CT maxillofacial w contrast (70487) | $1,734.72 | $7,228 | 9.8× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$599.52–$1,199.04 | $2,498–$4,996 | varies |
| CT neck tissue combo (70492) | $2,036.16 | $8,484 | 11.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,018.08–$2,036.16 | $4,242–$8,484 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$599.52–$1,199.04 | $2,498–$4,996 | varies |
| CT pelvis w&w/o contrast (72194) | $2,036.16 | $8,484 | 11.6× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$599.52–$1,199.04 | $2,498–$4,996 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,018.08–$2,036.16 | $4,242–$8,484 | varies |
| CT scans face/jaw combo (70488) | $2,036.16 | $8,484 | 11.6× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$867.36–$1,734.72 | $3,614–$7,228 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$599.52–$1,199.04 | $2,498–$4,996 | varies |
| CT thoracic spine w contrast (72129) | $1,734.72 | $7,228 | 9.8× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$599.52–$1,199.04 | $2,498–$4,996 | varies |
| CT thoracic spine w/wo cont (72130) | $2,036.16 | $8,484 | 11.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$599.52–$1,199.04 | $2,498–$4,996 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$599.52–$1,199.04 | $2,498–$4,996 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,036.16 | $8,484 | 11.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$867.36–$1,734.72 | $3,614–$7,228 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,056.56 | $8,569 | 11.7× |
| Cta Abdomen (74175) | $2,056.56 | $8,569 | 11.7× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,056.56 | $8,569 | 5.9× |
| CTA pelvis (72191) | $1,847.76 | $7,699 | 10.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$248.64–$261.12 | $1,036–$1,088 | varies |
| Esophagram (74220) | $317.28 | $1,322 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $549.36 | $2,289 | 5.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$274.80–$549.36 | $1,145–$2,289 | varies |
| Fluoroscopy up to 1 hr (76000) | $304.32 | $1,268 | 1.3× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Gastric emptying imaging study (78264) | $792.24 | $3,301 | 2.0× |
| Gated Heart Planar Single (78472) | $1,016.16 | $4,234 | 2.5× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Hepatobil Syst Image W/Drug (78227) | $931.92 | $3,883 | 1.7× |
| Hepatobiliary System Imaging (78226) | $931.92 | $3,883 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $1,640.40 | $6,835 | 1.3× |
| Hysterosalpingogram (74740) | $615.12 | $2,563 | 2.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$174.24–$348.24 | $726–$1,451 | varies |
| Infant hip ultrasound, limited static exam (76886) | $348.24 | $1,451 | 4.0× |
| K Flow/Funct Image Multiple (78709) | $1,062 | $4,425 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,062 | $4,425 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,062 | $4,425 | 1.9× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$123.36–$493.20 | $514–$2,055 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,034.40 | $4,310 | 1.9× |
| Lymph System Imaging (78195) | $820.80 | $3,420 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $971.28 | $4,047 | 4.1× |
| Meckels Divert Exam (78290) | $754.56 | $3,144 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,490.88 | $6,212 | 4.3× |
| MRA head w/o contrast (70544) | $975.12 | $4,063 | 4.1× |
| MRA head with contrast (70545) | $1,122.72 | $4,678 | 3.2× |
| MRA neck w contrast (70548) | $1,122.72 | $4,678 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,485.12 | $6,188 | 4.2× |
| MRA neck w/o contrast (70547) | $971.28 | $4,047 | 4.1× |
| MRI abdomen w contrast (74182) | $1,122.72 | $4,678 | 3.2× |
| MRI abdomen w/o contrast (74181) | $971.28 | $4,047 | 4.1× |
| MRI any jt lower extrem w/contrast material (73722) | $385.20 | $1,605 | 0.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,485.12–$2,970.24 | $6,188–$12,376 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $385.20 | $1,605 | 0.5× |
| MRI cardiac w/o contrast (75557) | $390.96 | $1,629 | 1.6× |
| MRI cervical spine w contrast (72142) | $1,127.52 | $4,698 | 3.2× |
| MRI cervical spine w/o cont (72141) | $971.28 | $4,047 | 4.1× |
| MRI chest w/o contrast (71550) | $326.88 | $1,362 | 1.4× |
| MRI chest wo w contrast (71552) | $1,485.12 | $6,188 | 4.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,122.72 | $4,678 | 3.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,485.12–$2,970.24 | $6,188–$12,376 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$971.28–$1,942.80 | $4,047–$8,095 | varies |
| MRI lumbar spine w contrast (72149) | $1,122.72 | $4,678 | 3.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,485.12 | $6,188 | 4.2× |
| MRI orbit face &/neck w/o contrast (70540) | $288.48 | $1,202 | 1.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $447.84 | $1,866 | 1.3× |
| MRI pelvis w contrast (72196) | $1,122.72 | $4,678 | 3.2× |
| MRI pelvis w/o & w contrast (72197) | $1,485.12 | $6,188 | 4.2× |
| MRI pelvis w/o contrast (72195) | $971.28 | $4,047 | 4.1× |
| MRI thoracic spine w/o contrast (72146) | $971.28 | $4,047 | 4.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$971.28–$1,942.80 | $4,047–$8,095 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,485.12 | $6,188 | 4.2× |
| MRI, abdomen, combo (74183) | $1,485.12 | $6,188 | 4.2× |
| MRI, dorsal spine combo (72157) | $1,485.12 | $6,188 | 4.2× |
| MRI, dorsal spine contrast (72147) | $1,122.72 | $4,678 | 3.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$971.28–$1,942.80 | $4,047–$8,095 | varies |
| MRI, joint upper extrem combo (73223) | $470.16 | $1,959 | 1.3× |
| MRI, lumbar spine combo (72158) | $1,485.12 | $6,188 | 4.2× |
| Myocardial Spect Multiple Studies (78452) | $2,476.32 | $10,318 | 1.9× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Parathyroid Planar Imaging (78070) | $720.96 | $3,004 | 1.8× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $709.68 | $2,957 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$132.72–$265.20 | $553–$1,105 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $442.80 | $1,845 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$119.52–$478.08 | $498–$1,992 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$119.52–$478.08 | $498–$1,992 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$139.44–$278.88 | $581–$1,162 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$119.52–$478.08 | $498–$1,992 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$119.52–$478.08 | $498–$1,992 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$159.36–$637.44 | $664–$2,656 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $317.28 | $1,322 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $159.36 | $664 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$129.84–$259.68 | $541–$1,082 | varies |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$119.52–$478.08 | $498–$1,992 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $530.40 | $2,210 | 5.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $159.36 | $664 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$125.04–$250.32 | $521–$1,043 | varies |
| Radiologic exam colon double contrast study (74280) | $509.28 | $2,122 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $317.28 | $1,322 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$159.36–$637.92 | $664–$2,658 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$159.36–$318.72 | $664–$1,328 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $317.28 | $1,322 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $475.44 | $1,981 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $317.28 | $1,322 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$159.36–$318.72 | $664–$1,328 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,169.36 | $9,039 | 5.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,477.20 | $6,155 | 2.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $536.64 | $2,236 | 1.0× |
| Scapula (73010) range across 6 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $30.48 | $127 | 1.3× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| Shoulder Arthrography (73040) | $617.28 | $2,572 | 1.8× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$65.04–$129.84 | $271–$541 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$119.52–$239.04 | $498–$996 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $403.44 | $1,681 | 1.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$331.68–$663.60 | $1,382–$2,765 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$71.04–$142.32 | $296–$593 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$274.80–$549.36 | $1,145–$2,289 | varies |
| Upper gi w/o kub (74240) | $317.28 | $1,322 | 1.8× |
| Urethrocystogram voiding (74455) | $598.80 | $2,495 | 2.5× |
| Urethrocystography retrograde (74450) | $598.80 | $2,495 | 2.5× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$174.24–$696.72 | $726–$2,903 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$174.24–$348.24 | $726–$1,451 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$523.20–$549.36 | $2,180–$2,289 | varies |
| Us head (76506) | $331.68 | $1,382 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$137.28–$274.80 | $572–$1,145 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$433.44–$866.64 | $1,806–$3,611 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$174.24–$348.24 | $726–$1,451 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$274.80–$549.36 | $1,145–$2,289 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$274.80–$549.36 | $1,145–$2,289 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$274.80–$549.36 | $1,145–$2,289 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$274.80–$549.36 | $1,145–$2,289 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$274.80–$549.36 | $1,145–$2,289 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$274.80–$549.36 | $1,145–$2,289 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$274.80–$549.36 | $1,145–$2,289 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$174.24–$549.36 | $726–$2,289 | varies |
| Venography extremity unilateral rs&i (75820) | $847.20 | $3,530 | 0.5× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$159.36–$318.72 | $664–$1,328 | varies |
| X-Ray Bend Only L-S Spine (72120) | $265.20 | $1,105 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| X-Ray Exam Breast Specimen (76098) | $286.80 | $1,195 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$132.72–$265.20 | $553–$1,105 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $265.20 | $1,105 | 2.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $530.40 | $2,210 | 5.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$119.52–$239.04 | $498–$996 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$179.28–$358.56 | $747–$1,494 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$132.72–$265.20 | $553–$1,105 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$132.72–$265.20 | $553–$1,105 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $530.40 | $2,210 | 5.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$132.72–$265.20 | $553–$1,105 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$99.60–$199.20 | $415–$830 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$166.08–$331.92 | $692–$1,383 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$99.36–$198.72 | $414–$828 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$159.36–$318.72 | $664–$1,328 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$79.68–$318.72 | $332–$1,328 | varies |
| X-ray IV pyelogram (ivp) (74400) | $598.80 | $2,495 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $318.72 | $1,328 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$198.72–$397.68 | $828–$1,657 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$61.68–$123.36 | $257–$514 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$132.72–$265.20 | $553–$1,105 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$159.36–$318.72 | $664–$1,328 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$65.04–$129.84 | $271–$541 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $598.80 | $2,495 | 1.7× |
| X-Rays Bone Length Studies (77073) | $79.68 | $332 | 0.8× |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$132.72–$265.20 | $553–$1,105 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$132.72–$265.20 | $553–$1,105 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$79.68–$159.36 | $332–$664 | 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.