Imaging prices at OhioHealth Morrow County Hospital
Mount Gilead, OH · every code in this section with a posted price and a Medicare benchmark.
245 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) | $246.68 | $379.50 | 2.9× |
| Abdomen 2 views (74019) | $273.33 | $420.50 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $445.38 | $685.20 | 1.2× |
| Ankle 2 views (73600) | $242.13 | $372.50 | 2.9× |
| Arthrogram hip (73525) | $796.38 | $1,225.20 | 2.4× |
| Arthrogram Wrist (73115) | $796.38 | $1,225.20 | 2.4× |
| Bone age studies (77072) | $208.78 | $321.20 | 2.1× |
| Bone Imaging 3 Phase (78315) | $1,447.10 | $2,226.30 | 3.8× |
| Bone Imaging Limited Area (78300) | $779.29 | $1,198.90 | 2.0× |
| Bone Imaging Whole Body (78306) | $1,224.47 | $1,883.80 | 3.2× |
| Brain Image W/Flow < 4 Views (78601) | $946.27 | $1,455.80 | 2.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,168.90 | $1,798.30 | 2.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,986.18 | $9,209.50 | 4.3× |
| Cardiac Shunt Detection (78428) | $590.14 | $907.90 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $795.60 | $1,224 | 9.5× |
| Chest 1 view (71045) | $212.81 | $327.40 | 2.5× |
| Chest 2 views (71046) | $273.33 | $420.50 | 3.3× |
| Chest 3 views (71047) | $257.66 | $396.40 | 3.1× |
| Chest 4 or more views (71048) | $324.74 | $499.60 | 3.2× |
| Clavicle complete (73000) | $246.81 | $379.70 | 2.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $822.06 | $1,264.70 | 8.2× |
| Contrast X-Ray Bladder (74430) | $588.77 | $905.80 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $796.38 | $1,225.20 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,559.96 | $3,938.40 | 7.6× |
| CT abdomen and pelvis without contrast (74176) | $1,974.96 | $3,038.40 | 8.6× |
| CT abdomen w contrast (74160) | $1,511.71 | $2,325.70 | 8.9× |
| CT abdomen w wo contrast (74170) | $1,706.77 | $2,625.80 | 10.1× |
| CT abdomen w/o contrast (74150) | $1,316.71 | $2,025.70 | 13.1× |
| CT Angio Abdomen and Pelvis (74174) | $3,088.35 | $4,751.30 | 9.2× |
| CT Angio Chest (71275) | $2,161.90 | $3,326 | 12.8× |
| CT Angio Head (70496) | $2,041.78 | $3,141.20 | 12.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $932.23 | $1,434.20 | 5.5× |
| CT Angio Neck (70498) | $2,041.78 | $3,141.20 | 12.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $932.23 | $1,434.20 | 5.5× |
| CT cervical spine w/ contrast (72126) | $1,638.33 | $2,520.50 | 4.9× |
| CT cervical spine w/o contrast (72125) | $1,522.37 | $2,342.10 | 15.1× |
| CT cervical spine w/wo cont (72127) | $1,754.22 | $2,698.80 | 10.4× |
| CT chest w contrast (71260) | $1,926.60 | $2,964 | 11.4× |
| CT chest w/wo contrast (71270) | $2,167.36 | $3,334.40 | 12.8× |
| CT head/brain with contrast (70460) | $1,445.80 | $2,224.30 | 8.5× |
| CT head/brain without and with contrast (70470) | $1,706.77 | $2,625.80 | 10.1× |
| CT iac w contrast (70481) | $1,898 | $2,920 | 11.2× |
| CT l-spine w&w/o contrast (72133) | $2,171.20 | $3,340.30 | 12.8× |
| CT lower ext w/o (73700) | $1,473.55 | $2,267 | 14.6× |
| CT lower extremity w/contrast material (73701) | $1,529.39 | $2,352.90 | 9.0× |
| CT lumbar spine w contrast (72132) | $1,976.13 | $3,040.20 | 5.9× |
| CT lumbar spine w/o contrast (72131) | $1,780.94 | $2,739.90 | 17.7× |
| CT maxillofacial w contrast (70487) | $1,399.84 | $2,153.60 | 8.3× |
| CT maxillofacial wo contrast (70486) | $1,290.19 | $1,984.90 | 12.8× |
| CT neck tissue combo (70492) | $1,706.77 | $2,625.80 | 10.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,074.48 | $3,191.50 | 12.3× |
| CT orbits w/o contrast (70480) | $1,721.53 | $2,648.50 | 17.1× |
| CT pelvis w&w/o contrast (72194) | $1,706.77 | $2,625.80 | 10.1× |
| CT pelvis w/o contrast (72192) | $1,316.71 | $2,025.70 | 13.1× |
| CT scan of leg combo (73702) | $1,771.38 | $2,725.20 | 10.5× |
| CT scans face/jaw combo (70488) | $1,998.75 | $3,075 | 11.8× |
| CT soft tissue neck w contrast (70491) | $1,511.71 | $2,325.70 | 8.9× |
| CT soft tissue neck w/o contrast (70490) | $1,316.71 | $2,025.70 | 13.1× |
| CT thoracic spine w contrast (72129) | $1,604.85 | $2,469 | 9.5× |
| CT thoracic spine w/o contrast (72128) | $1,409.85 | $2,169 | 14.0× |
| CT thoracic spine w/wo cont (72130) | $2,171.20 | $3,340.30 | 12.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$822.06–$1,708.72 | $1,264.70–$2,628.80 | varies |
| CT upper ext wo (73200) | $1,473.36 | $2,266.70 | 14.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,640.99 | $2,524.60 | 9.7× |
| CT upper extremity with contrast (73201) | $1,529.39 | $2,352.90 | 4.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,161.90 | $3,326 | 12.8× |
| Cta Abdomen (74175) | $2,161.90 | $3,326 | 12.8× |
| CTA pelvis (72191) | $2,161.90 | $3,326 | 12.8× |
| Discography Cerv/Thor Spine (72285) | $796.38 | $1,225.20 | 0.4× |
| Diskography lumbar (72295) | $796.38 | $1,225.20 | 0.4× |
| Dxa Bone Density Axial (77080) | $470.80 | $724.30 | 4.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $126.23 | $194.20 | 1.5× |
| Echo Guide For Artery Repair (76936) | $460.53 | $708.50 | 2.2× |
| Esophagram (74220) | $368.29 | $566.60 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $653.97 | $1,006.10 | 2.8× |
| Foot 2 views (73620) | $124.15 | $191 | 1.5× |
| Forearm 2 views (73090) | $272.35 | $419 | 3.2× |
| Gastric emptying imaging study (78264) | $445.38 | $685.20 | 1.2× |
| Gated Heart Planar Single (78472) | $1,393.73 | $2,144.20 | 3.6× |
| Hand 2 views (73120) | $206.57 | $317.80 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,224.47 | $1,883.80 | 2.3× |
| Hepatobiliary System Imaging (78226) | $779.29 | $1,198.90 | 2.0× |
| Ht Musc Image Planar Mult (78454) | $1,393.73 | $2,144.20 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $1,224.47 | $1,883.80 | 1.0× |
| Hysterosalpingogram (74740) | $325.13 | $500.20 | 1.4× |
| K Flow/Funct Image Multiple (78709) | $2,226.25 | $3,425 | 4.3× |
| K Flow/Funct Image W/Drug (78708) | $1,780.94 | $2,739.90 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,113.26 | $1,712.70 | 2.1× |
| Knee 3 Views (73562) | $263.64 | $405.60 | 3.1× |
| Leveen/Shunt Patency Exam (78291) | $612.43 | $942.20 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $445.38 | $685.20 | 1.2× |
| Liver imaging static only (78201) | $445.38 | $685.20 | 0.9× |
| Lung Perf&Ventilat Diferentl (78598) | $556.73 | $856.50 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $2,226.25 | $3,425 | 4.3× |
| Lymph System Imaging (78195) | $570.05 | $877 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $2,088 | $3,212.30 | 9.1× |
| Meckels Divert Exam (78290) | $668.07 | $1,027.80 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,486.90 | $3,826 | 7.4× |
| MRA head w/o contrast (70544) | $2,096.84 | $3,225.90 | 9.1× |
| MRA head with contrast (70545) | $2,291.84 | $3,525.90 | 6.8× |
| MRA neck w contrast (70548) | $1,975.68 | $3,039.50 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,143.90 | $3,298.30 | 6.4× |
| MRA neck w/o contrast (70547) | $1,807.52 | $2,780.80 | 7.9× |
| MRI abdomen w contrast (74182) | $2,291.84 | $3,525.90 | 6.8× |
| MRI abdomen w/o contrast (74181) | $1,789.65 | $2,753.30 | 7.8× |
| MRI any jt lower extrem w/contrast material (73722) | $2,291.84 | $3,525.90 | 3.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,486.90 | $3,826 | 7.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,291.84 | $3,525.90 | 3.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,978.08 | $3,043.20 | 8.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,903.53 | $2,928.50 | 8.3× |
| MRI cervical spine w contrast (72142) | $2,291.84 | $3,525.90 | 6.8× |
| MRI cervical spine w/o cont (72141) | $2,096.84 | $3,225.90 | 9.1× |
| MRI chest w/o contrast (71550) | $1,807.52 | $2,780.80 | 7.9× |
| MRI chest with contrast (71551) | $1,975.68 | $3,039.50 | 2.6× |
| MRI chest wo w contrast (71552) | $2,123.42 | $3,266.80 | 6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,291.84 | $3,525.90 | 6.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,486.90 | $3,826 | 7.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,096.84 | $3,225.90 | 9.1× |
| MRI lumbar spine w contrast (72149) | $2,291.84 | $3,525.90 | 6.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,486.90 | $3,826 | 7.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,807.52 | $2,780.80 | 7.9× |
| MRI orbit face neck w contrast (70542) | $1,975.68 | $3,039.50 | 5.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,486.90 | $3,826 | 7.4× |
| MRI pelvis w contrast (72196) | $2,291.84 | $3,525.90 | 6.8× |
| MRI pelvis w/o & w contrast (72197) | $2,486.90 | $3,826 | 7.4× |
| MRI pelvis w/o contrast (72195) | $1,789.65 | $2,753.30 | 7.8× |
| MRI thoracic spine w/o contrast (72146) | $2,096.84 | $3,225.90 | 9.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,291.84 | $3,525.90 | 6.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,096.84 | $3,225.90 | 9.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,122.51 | $3,265.40 | 6.3× |
| MRI, abdomen, combo (74183) | $2,122.51 | $3,265.40 | 6.3× |
| MRI, dorsal spine combo (72157) | $2,486.90 | $3,826 | 7.4× |
| MRI, dorsal spine contrast (72147) | $2,291.84 | $3,525.90 | 6.8× |
| MRI, joint upper extrem (73221) | $2,096.84 | $3,225.90 | 9.1× |
| MRI, joint upper extrem combo (73223) | $2,122.51 | $3,265.40 | 6.3× |
| MRI, lumbar spine combo (72158) | $2,486.90 | $3,826 | 7.4× |
| Myelogram cervical (72240) | $796.38 | $1,225.20 | 1.1× |
| Myelogram Lumbar (72265) | $796.38 | $1,225.20 | 1.1× |
| Myelography thoracic (72255) | $796.38 | $1,225.20 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $796.38 | $1,225.20 | 1.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,701.09 | $8,770.90 | 4.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,171.04 | $1,801.60 | 0.9× |
| Myocardial Spect Multiple Studies (78452) | $2,003.63 | $3,082.50 | 1.6× |
| Neck soft tissue (70360) | $238.88 | $367.50 | 2.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $397.54 | $611.60 | 1.0× |
| Parathyroid Planar Imaging (78070) | $556.73 | $856.50 | 1.4× |
| Pelvis 1 or 2 views (72170) | $240.50 | $370 | 2.4× |
| Pet Image W/Ct Lmtd (78814) | $8,021.39 | $12,340.60 | 5.8× |
| PET image w/CT, full body (78816) | $8,021.39 | $12,340.60 | 5.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,021.39 | $12,340.60 | 5.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $445.38 | $685.20 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $532.03 | $818.50 | 5.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $268.19 | $412.60 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $177.26 | $272.70 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $273.33 | $420.50 | 3.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $388.90 | $598.30 | 3.9× |
| Radex fingr minimum 2 views (73140) | $197.47 | $303.80 | 2.4× |
| Radex foot complete minimum 3 views (73630) | $255.19 | $392.60 | 3.0× |
| Radex Hand Minimum 3 Views (73130) | $273.33 | $420.50 | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) | $225.62 | $347.10 | 2.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $257.86 | $396.70 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $198.71 | $305.70 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) | $254.80 | $392 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) | $241.15 | $371 | 2.9× |
| Radex Toe Minimum 2 Views (73660) | $204.36 | $314.40 | 2.4× |
| Radex upper extremity infant minimum 2 views (73092) | $198.84 | $305.90 | 2.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $273.33 | $420.50 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $286.07 | $440.10 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $1,024.08 | $1,575.50 | 6.1× |
| Radiologic exam colon single contrast study (74270) | $391.50 | $602.30 | 2.3× |
| Radiologic exam knee complete 4/more views (73564) | $318.50 | $490 | 3.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $272.94 | $419.90 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $487.83 | $750.50 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $298.81 | $459.70 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$565.96–$853.13 | $870.70–$1,312.50 | varies |
| Radiologic examination femur 1 view (73551) | $204.23 | $314.20 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) | $236.28 | $363.50 | 2.8× |
| Radiologic examination knee 1/2 views (73560) | $236.28 | $363.50 | 2.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $343.33 | $528.20 | 3.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $250.06 | $384.70 | 3.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$1,113.26–$2,003.63 | $1,712.70–$3,082.50 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,114.91 | $3,253.70 | 5.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,582.32 | $3,972.80 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,898.52 | $2,920.80 | 3.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,628.64 | $2,505.60 | 3.1× |
| Scapula (73010) | $197.47 | $303.80 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.82 | $62.80 | 1.7× |
| Shoulder Arthrography (73040) | $796.38 | $1,225.20 | 2.4× |
| Skull less than 4 views (70250) | $254.02 | $390.80 | 2.5× |
| Spleen Imaging (78185) | $445.38 | $685.20 | 1.2× |
| Sternoclavicular joints (71130) | $203.71 | $313.40 | 2.4× |
| Testicular Imaging W/Flow (78761) | $890.63 | $1,370.20 | 2.3× |
| Thoracic spine 2 views (72070) | $307.26 | $472.70 | 3.0× |
| Thyroid Imaging With Vascular Flow (78013) | $445.38 | $685.20 | 1.2× |
| Thyroid Uptake Measurement (78012) | $556.73 | $856.50 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,335.88 | $2,055.20 | 3.5× |
| Ultrasound Breast Limited (76642) | $216.13 | $332.50 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $333.26 | $512.70 | 3.3× |
| Ultrasound, abdomen limited (76705) | $619.97 | $953.80 | 6.1× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $556.73 | $856.50 | 1.4× |
| Unlisted us procedure (76999) | $312.91 | $481.40 | 3.7× |
| Upper gi w/o kub (74240) | $487.83 | $750.50 | 2.9× |
| Urethrocystogram voiding (74455) | $511.36 | $786.70 | 2.2× |
| Us breast unilateral complete (76641) | $333.26 | $512.70 | 3.3× |
| Us complete joint (76881) | $613.73 | $944.20 | 6.1× |
| Us exam, pelvic, limited (76857) | $319.74 | $491.90 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $290.75 | $447.30 | 2.9× |
| Us ob limited 1 or more fetuses (76815) | $331.70 | $510.30 | 3.3× |
| Us ob transvaginal (76817) | $336.38 | $517.50 | 3.3× |
| Us pelvic non ob complete (76856) | $442.91 | $681.40 | 4.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $662.94 | $1,019.90 | 6.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $336.38 | $517.50 | 3.3× |
| Us retroperitoneal complete (76770) | $673.40 | $1,036 | 6.7× |
| Us retroperitoneal limited (76775) | $333.26 | $512.70 | 3.3× |
| Us scrotum and contents (76870) | $386.62 | $594.80 | 3.8× |
| Us thyroid (76536) | $441.55 | $679.30 | 4.4× |
| Venography extremity unilateral rs&i (75820) | $660.99 | $1,016.90 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $236.21 | $363.40 | 2.8× |
| Wrist 2 views (73100) | $206.57 | $317.80 | 2.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $241.09 | $370.90 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $242.13 | $372.50 | 2.9× |
| X-Ray Exam Breast Specimen (76098) | $140.92 | $216.80 | 0.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $223.02 | $343.10 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $217.88 | $335.20 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $245.05 | $377 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $272.29 | $418.90 | 2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $317.66 | $488.70 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) | $446.62 | $687.10 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $269.30 | $414.30 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $469.11 | $721.70 | 4.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $282.75 | $435 | 2.8× |
| X-ray eye for foreign body (70030) | $241.80 | $372 | 2.9× |
| X-ray humerus (73060) | $195.98 | $301.50 | 2.3× |
| X-ray IV pyelogram (ivp) (74400) | $632.19 | $972.60 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $318.50 | $490 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $333.32 | $512.80 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $254.80 | $392 | 3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $344.96 | $530.70 | 3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $201.11 | $309.40 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $212.49 | $326.90 | 2.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $253.76 | $390.40 | 3.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $306.61 | $471.70 | 3.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $645.13 | $992.50 | 1.9× |
| X-Rays Bone Length Studies (77073) | $219.12 | $337.10 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $420.49 | $646.90 | 4.2× |
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.