Imaging prices at North Texas Medical Center
Gainesville, TX · every code in this section with a posted price and a Medicare benchmark.
251 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) | $60 | $241 | 0.7× |
| Abdomen 2 views (74019) | $81 | $324 | 0.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $256 | $1,024 | 0.6× |
| Adrenal Cortex & Medulla Img (78075) | $465 | $1,861 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $1,575 | $6,300 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,399 | $5,594 | 0.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$24–$56 | $95–$223 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,399 | $5,594 | 0.3× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$95–$188 | $378–$753 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$95–$188 | $381–$753 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$99–$188 | $396–$753 | varies |
| Bone age studies (77072) | $38 | $150 | 0.4× |
| Bone Imaging 3 Phase (78315) | $296 | $1,182 | 0.7× |
| Bone Imaging Limited Area (78300) | $149 | $594 | 0.4× |
| Bone Imaging Whole Body (78306) | $297 | $1,187 | 0.7× |
| Cat Scan Follow-Up Study (76380) | $189 | $757 | 2.2× |
| Cerebrospinal Fluid Scan (78630) | $308 | $1,231 | 0.6× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$55–$81 | $218–$324 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$25–$81 | $98–$324 | varies |
| Chest 3 views (71047) | $75 | $300 | 0.9× |
| Chest 4 or more views (71048) | $109 | $436 | 1.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$24–$59 | $94–$235 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $81 | $324 | 0.8× |
| Contrast Exam Abdominl Aorta (75625) | $1,399 | $5,594 | 0.4× |
| Contrast X-Ray Bladder (74430) | $181 | $722 | 0.5× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$64–$188 | $256–$753 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$93–$188 | $373–$753 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $694 | $2,775 | 2.0× |
| CT abdomen and pelvis without contrast (74176) | $569 | $2,275 | 2.4× |
| CT abdomen w contrast (74160) | $611 | $2,444 | 3.5× |
| CT abdomen w wo contrast (74170) | $667 | $2,669 | 3.8× |
| CT abdomen w/o contrast (74150) | $530 | $2,119 | 5.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,050 | $4,200 | 3.0× |
| CT Angio Chest (71275) | $835 | $3,339 | 4.7× |
| CT Angio Head (70496) | $650 | $2,600 | 3.7× |
| CT angio hrt w/3d image (75574) | $357 | $1,429 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $650 | $2,600 | 3.7× |
| CT Angio Neck (70498) | $650 | $2,600 | 3.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $650 | $2,600 | 3.7× |
| CT cervical spine w/ contrast (72126) | $607 | $2,426 | 1.7× |
| CT cervical spine w/o contrast (72125) | $588 | $2,351 | 5.6× |
| CT cervical spine w/wo cont (72127) | $626 | $2,502 | 3.6× |
| CT chest w contrast (71260) | $568 | $2,271 | 3.2× |
| CT chest w/wo contrast (71270) | $626 | $2,502 | 3.6× |
| CT head/brain with contrast (70460) | $563 | $2,252 | 3.2× |
| CT head/brain without and with contrast (70470) | $626 | $2,502 | 3.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $357 | $1,429 | 1.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $71 | $284 | 0.8× |
| CT hrt w/3d image congen (75573) | $357 | $1,429 | 1.0× |
| CT iac w contrast (70481) | $563 | $2,252 | 3.2× |
| CT l-spine w&w/o contrast (72133) | $626 | $2,502 | 3.6× |
| CT lower ext w/o (73700) | $501 | $2,002 | 4.8× |
| CT lower extremity w/contrast material (73701) | $563 | $2,252 | 3.2× |
| CT lumbar spine w contrast (72132) | $563 | $2,252 | 1.6× |
| CT lumbar spine w/o contrast (72131) | $501 | $2,002 | 4.8× |
| CT maxillofacial w contrast (70487) | $563 | $2,252 | 3.2× |
| CT maxillofacial wo contrast (70486) | $501 | $2,002 | 4.8× |
| CT neck tissue combo (70492) | $626 | $2,502 | 3.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $626 | $2,502 | 3.6× |
| CT orbits w/o contrast (70480) | $501 | $2,002 | 4.8× |
| CT pelvis w&w/o contrast (72194) | $626 | $2,502 | 3.6× |
| CT pelvis w/o contrast (72192) | $501 | $2,002 | 4.8× |
| CT scan of leg combo (73702) | $626 | $2,502 | 3.6× |
| CT scans face/jaw combo (70488) | $626 | $2,502 | 3.6× |
| CT soft tissue neck w contrast (70491) | $563 | $2,252 | 3.2× |
| CT soft tissue neck w/o contrast (70490) | $501 | $2,002 | 4.8× |
| CT thoracic spine w contrast (72129) | $563 | $2,252 | 3.2× |
| CT thoracic spine w/o contrast (72128) | $501 | $2,002 | 4.8× |
| CT thoracic spine w/wo cont (72130) | $626 | $2,502 | 3.6× |
| CT thorax w/o contrast (71250) | $502 | $2,006 | 4.8× |
| CT upper ext wo (73200) | $501 | $2,002 | 4.8× |
| CT upper extremity w/o & w/contrast material (73202) | $626 | $2,502 | 3.6× |
| CT upper extremity with contrast (73201) | $563 | $2,252 | 1.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $668 | $2,673 | 3.8× |
| Cta Abdomen (74175) | $650 | $2,600 | 3.7× |
| CTA pelvis (72191) | $650 | $2,600 | 3.7× |
| Discography Cerv/Thor Spine (72285) | $95 | $378 | 0.0× |
| Diskography lumbar (72295) | $81 | $325 | 0.0× |
| Dxa Bone Density Axial (77080) | $233 | $933 | 2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $64 | $256 | 0.7× |
| Echo exam uterus (76831) | $184 | $734 | 0.8× |
| Esophagram (74220) | $125 | $501 | 0.7× |
| Fetal Biophys Profile W/Nst (76818) | $164 | $656 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$54–$164 | $216–$656 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$28–$234 | $110–$934 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$19–$55 | $75–$220 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$19–$59 | $75–$235 | varies |
| Gastric emptying imaging study (78264) | $213 | $851 | 0.5× |
| Gated Heart Planar Single (78472) | $182 | $729 | 0.5× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$23–$59 | $91–$235 | varies |
| Hepatobil Syst Image W/Drug (78227) | $558 | $2,233 | 1.0× |
| Hepatobiliary System Imaging (78226) | $483 | $1,933 | 1.2× |
| Ht Musc Image Planar Mult (78454) | $757 | $3,029 | 0.6× |
| Ht Muscle Image Spect Sing (78451) | $465 | $1,861 | 0.4× |
| Hysterosalpingogram (74740) | $220 | $879 | 0.9× |
| K Flow/Funct Image Multiple (78709) | $297 | $1,188 | 0.5× |
| K Flow/Funct Image W/Drug (78708) | $205 | $818 | 0.4× |
| K Flow/Funct Image W/O Drug (78707) | $183 | $733 | 0.3× |
| Kidney Imaging Morphol (78700) | $153 | $611 | 0.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$30–$76 | $118–$303 | varies |
| Liver & Spleen Imaging Static Only (78215) | $245 | $979 | 0.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $136 | $544 | 0.3× |
| Lung Ventilat&Perfus Imaging (78582) | $371 | $1,484 | 0.7× |
| Lung Ventilation Imaging (78579) | $201 | $804 | 0.5× |
| Lymph System Imaging (78195) | $296 | $1,183 | 0.5× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$626–$751 | $2,502–$3,002 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $763 | $3,050 | 2.2× |
| MRA head w/o contrast (70544) | $638 | $2,550 | 2.7× |
| MRA head with contrast (70545) | $700 | $2,800 | 2.0× |
| MRA neck w contrast (70548) | $700 | $2,800 | 2.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $763 | $3,050 | 2.2× |
| MRA neck w/o contrast (70547) | $638 | $2,550 | 2.7× |
| MRI abdomen w contrast (74182) | $700 | $2,800 | 2.0× |
| MRI abdomen w/o contrast (74181) | $638 | $2,550 | 2.7× |
| MRI any jt lower extrem w/contrast material (73722) | $700 | $2,800 | 0.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $763 | $3,050 | 2.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $700 | $2,800 | 0.9× |
| MRI cervical spine w contrast (72142) | $700 | $2,800 | 2.0× |
| MRI cervical spine w/o cont (72141) | $666 | $2,665 | 2.8× |
| MRI chest w/o contrast (71550) | $638 | $2,550 | 2.7× |
| MRI chest with contrast (71551) | $700 | $2,800 | 0.9× |
| MRI chest wo w contrast (71552) | $763 | $3,050 | 2.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $700 | $2,800 | 2.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $763 | $3,050 | 2.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $642 | $2,567 | 2.7× |
| MRI lumbar spine w contrast (72149) | $700 | $2,800 | 2.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,078 | $4,311 | 3.1× |
| MRI orbit face &/neck w/o contrast (70540) | $638 | $2,550 | 2.7× |
| MRI orbit face neck w contrast (70542) | $700 | $2,800 | 2.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,078 | $4,311 | 3.1× |
| MRI pelvis w contrast (72196) | $700 | $2,800 | 2.0× |
| MRI pelvis w/o & w contrast (72197) | $866 | $3,464 | 2.5× |
| MRI pelvis w/o contrast (72195) | $667 | $2,667 | 2.8× |
| MRI thoracic spine w/o contrast (72146) | $666 | $2,665 | 2.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $700 | $2,800 | 2.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $642 | $2,567 | 2.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $763 | $3,050 | 2.2× |
| MRI, abdomen, combo (74183) | $1,078 | $4,311 | 3.1× |
| MRI, dorsal spine combo (72157) | $1,078 | $4,311 | 3.1× |
| MRI, dorsal spine contrast (72147) | $700 | $2,800 | 2.0× |
| MRI, joint upper extrem (73221) | $642 | $2,567 | 2.7× |
| MRI, joint upper extrem combo (73223) | $1,033 | $4,133 | 2.9× |
| MRI, lumbar spine combo (72158) | $1,078 | $4,311 | 3.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $465 | $1,861 | 0.4× |
| Myocardial Spect Multiple Studies (78452) | $543 | $2,171 | 0.4× |
| Neck soft tissue (70360) | $44 | $174 | 0.5× |
| Nonvascular Shunt X-Ray (75809) | $59 | $234 | 0.6× |
| Parathyroid Planar Imaging (78070) | $256 | $1,025 | 0.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$23–$89 | $90–$354 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $200 | $799 | 0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $80 | $320 | 0.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $209 | $835 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$23–$74 | $90–$296 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$17–$59 | $68–$235 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$24–$74 | $95–$296 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $92 | $367 | 0.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$28–$53 | $110–$210 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$25–$74 | $100–$296 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$36–$74 | $144–$296 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $55 | $220 | 0.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $95 | $381 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $55 | $219 | 0.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$22–$73 | $89–$291 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$25–$73 | $101–$291 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$14–$89 | $56–$354 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$23–$73 | $93–$291 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$21–$55 | $85–$220 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $71 | $282 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$25–$74 | $100–$296 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $85 | $341 | 0.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $108 | $430 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $144 | $574 | 0.8× |
| Radiologic exam colon single contrast study (74270) | $117 | $468 | 0.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$34–$92 | $136–$367 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $121 | $482 | 0.7× |
| Radiologic exam swallow function contrast study (74230) | $179 | $714 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$98–$116 | $390–$463 | varies |
| Radiologic examination femur 1 view (73551) | $21 | $85 | 0.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$26–$48 | $104–$191 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$25–$59 | $100–$235 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$19–$69 | $75–$277 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) | — | $5 | — |
| Red Cell Volume Determination Spx Mult Samplings (78121) | — | $5 | — |
| Ribs bilateral 3 views (71110) | $113 | $450 | 1.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $712 | $2,846 | 1.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$175–$465 | $701–$1,861 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$19–$55 | $77–$220 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$85–$106 | $339–$424 | varies |
| Shoulder 1 view (73020) | $63 | $250 | 0.7× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$96–$223 | $384–$891 | varies |
| Sialogram (70390) | $8 | $31 | 0.0× |
| Skull less than 4 views (70250) | $109 | $434 | 1.0× |
| Sternoclavicular joints (71130) | $88 | $352 | 1.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$20–$106 | $81–$425 | varies |
| Thoracic spine 3 views (72072) | $29 | $115 | 0.3× |
| Thyroid Imaging With Vascular Flow (78013) | $165 | $661 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$189–$208 | $754–$832 | varies |
| Ultrasound Breast Limited (76642) | $53 | $213 | 0.6× |
| Ultrasound, abdomen limited (76705) | $212 | $848 | 2.0× |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$58–$60 | $231–$241 | varies |
| Upper gi w/o kub (74240) | $213 | $850 | 1.2× |
| Urethrocystogram voiding (74455) | $181 | $722 | 0.8× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$119–$178 | $475–$713 | varies |
| Us chest (76604) | $102 | $407 | 1.0× |
| Us complete joint (76881) | $117 | $469 | 1.1× |
| Us kidney transplant (76776) | $137 | $549 | 1.3× |
| Us ob detailed single fetus (76811) | $114 | $456 | 0.5× |
| Us ob limited 1 or more fetuses (76815) | $50 | $201 | 0.5× |
| Us ob transvaginal (76817) | $80 | $321 | 0.8× |
| Us pelvic non ob complete (76856) | $187 | $747 | 1.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$74–$114 | $294–$456 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$69–$104 | $275–$417 | varies |
| Us retroperitoneal complete (76770) | $163 | $651 | 1.6× |
| Us scrotum and contents (76870) | $183 | $731 | 1.7× |
| Us spinal canal and contents (76800) | $93 | $370 | 0.9× |
| Us thyroid (76536) | $150 | $600 | 1.4× |
| Vascular Flow Imaging (78445) | $148 | $591 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $83 | $333 | 0.0× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$21–$55 | $85–$220 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$23–$63 | $90–$250 | varies |
| X-Ray Aorta Leg Arteries (75630) | $1,400 | $5,600 | 0.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$21–$59 | $85–$235 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$26–$414 | $103–$1,655 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $87 | $346 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$24–$62 | $96–$247 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$34–$69 | $137–$277 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$30–$112 | $120–$448 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$38–$135 | $150–$538 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$29–$106 | $116–$425 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $106 | $425 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$7–$106 | $26–$425 | varies |
| X-ray eye for foreign body (70030) | $65 | $260 | 0.7× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$18–$55 | $73–$220 | varies |
| X-ray IV pyelogram (ivp) (74400) | $169 | $676 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $71 | $284 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $24 | $95 | 0.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$29–$106 | $117–$425 | varies |
| X-ray nose-rectum child f.b. (76010) | $46 | $182 | 0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $119 | $475 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $89 | $354 | 0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$24–$98 | $95–$393 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $115 | $460 | 1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $125 | $499 | 1.2× |
| X-Ray Stress View (77071) | $40 | $159 | 0.5× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$32–$106 | $129–$425 | varies |
| X-Ray Tmj Unilat (70328) | $44 | $174 | 0.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $245 | $980 | 0.7× |
| X-Rays Bone Survey Complete (77075) | $132 | $528 | 1.3× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$39–$150 | $156–$600 | varies |
| Xr facial bones less than 3 views (70140) | $44 | $174 | 0.5× |
| Xr orbits complete 4 views (70200) | $76 | $303 | 0.7× |
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.