Imaging prices at Oneida Health Hospital

Oneida, NY · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 3 matching MRF lines
$24.67 $105–$264 0.2×
Abdomen 2 views (74019) $24.67 $308 0.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $24.67 $1,004 0.0×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $24.67 $744 0.0×
Angiography extremity bilateral rs&i (75716) $24.67 $2,067 0.0×
Angiography extremity unilateral rs&i (75710) $24.67 $1,703 0.0×
Ankle 2 views (73600)
range across 3 matching MRF lines
$24.67 $90–$127 0.2×
Arthrogram ankle (73615) $24.67 $1,195 0.1×
Arthrogram hip (73525) $24.67 $743 0.1×
Arthrogram Wrist (73115) $24.67 $430 0.1×
Bone age studies (77072) $24.67 $186 0.2×
Bone Imaging 3 Phase (78315) $24.67 $1,499 0.0×
Bone Imaging Limited Area (78300) $24.67 $623 0.0×
Bone Imaging Multiple Areas (78305) $24.67 $840 0.0×
Bone Imaging Whole Body (78306) $24.67 $846 0.0×
Brain Imaging Pet Metabolic Evaluation (78608) $24.67 $2,589 0.0×
Cat Scan Follow-Up Study (76380) $24.67 $1,244 0.2×
Chest 1 view (71045) $24.67 $187 0.2×
Chest 2 views (71046)
range across 2 matching MRF lines
$24.67 $61–$263 0.2×
Chest 3 views (71047) $24.67 $308 0.2×
Chest 4 or more views (71048)
range across 3 matching MRF lines
$24.67 $81–$323 0.2×
Clavicle complete (73000) $24.67 $215 0.2×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $24.67 $251 0.2×
Contrast X-Ray Bladder (74430) $24.67 $370 0.1×
Contrast X-Ray Of Elbow (73085) $24.67 $462 0.1×
Contrast X-Ray Of Knee Joint (73580) $24.67 $743 0.1×
CT abdomen and pelvis without and with contrast (74178)
range across 3 matching MRF lines
$24.67 $718–$2,170 0.1×
CT abdomen and pelvis without contrast (74176) $24.67 $1,995 0.1×
CT abdomen w contrast (74160) $24.67 $1,308 0.1×
CT abdomen w wo contrast (74170) $24.67 $2,326 0.1×
CT abdomen w/o contrast (74150) $24.67 $941 0.2×
CT Angio Abdomen and Pelvis (74174) $24.67 $2,275 0.1×
CT Angio Chest (71275) $24.67 $664 0.1×
CT Angio Head (70496)
range across 2 matching MRF lines
$24.67 $655–$2,506 0.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $24.67 $2,584 0.1×
CT Angio Neck (70498) $24.67 $2,506 0.1×
Ct Angio Upr Extrm W/O&W/Dye (73206) $24.67 $2,584 0.1×
CT cervical spine w/ contrast (72126) $24.67 $1,437 0.1×
CT cervical spine w/o contrast (72125) $24.67 $1,026 0.2×
CT cervical spine w/wo cont (72127) $24.67 $2,057 0.1×
CT chest w contrast (71260) $24.67 $1,876 0.1×
CT chest w/wo contrast (71270) $24.67 $2,057 0.1×
CT colonography screening (74263) $24.67 $1,331 0.1×
CT colonogrphy dx image postprocess w/o contrast (74261) $24.67 $2,500 0.2×
CT head/brain with contrast (70460) $24.67 $1,332 0.1×
CT head/brain without and with contrast (70470) $24.67 $1,876 0.1×
CT heart no contrast quant eval coronry calcium (75571) $24.67 $1,920 0.2×
CT iac w contrast (70481) $24.67 $1,332 0.1×
CT l-spine w&w/o contrast (72133) $24.67 $2,057 0.1×
CT lower ext w/o (73700) $24.67 $947 0.2×
CT lower extremity w/contrast material (73701) $24.67 $1,280 0.1×
CT lumbar spine w contrast (72132) $24.67 $1,437 0.1×
CT lumbar spine w/o contrast (72131) $24.67 $1,026 0.2×
CT maxillofacial w contrast (70487) $24.67 $1,332 0.1×
CT maxillofacial wo contrast (70486) $24.67 $949 0.2×
CT neck tissue combo (70492)
range across 2 matching MRF lines
$24.67 $651–$1,876 0.1×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $24.67 $1,876 0.1×
CT orbits w/o contrast (70480) $24.67 $949 0.2×
CT pelvis w&w/o contrast (72194) $24.67 $2,057 0.1×
CT pelvis w/o contrast (72192) $24.67 $1,026 0.2×
CT scan of leg combo (73702) $24.67 $1,808 0.1×
CT scans face/jaw combo (70488) $24.67 $1,876 0.1×
CT soft tissue neck w contrast (70491) $24.67 $1,332 0.1×
CT soft tissue neck w/o contrast (70490) $24.67 $949 0.2×
CT thoracic spine w contrast (72129) $24.67 $1,437 0.1×
CT thoracic spine w/o contrast (72128) $24.67 $1,026 0.2×
CT thoracic spine w/wo cont (72130) $24.67 $2,057 0.1×
CT thorax w/o contrast (71250) $24.67 $1,026 0.2×
CT upper ext wo (73200) $24.67 $947 0.2×
CT upper extremity w/o & w/contrast material (73202) $24.67 $1,808 0.1×
CT upper extremity with contrast (73201) $24.67 $1,280 0.1×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $24.67 $1,910 0.1×
Cta Abdomen (74175) $24.67 $2,937 0.1×
CTA pelvis (72191) $24.67 $2,057 0.1×
Diskography lumbar (72295) $24.67 $1,776 0.0×
Dxa Bone Density Axial (77080) $24.67 $522 0.2×
Dxa bone density study (77085) $24.67 $136 0.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $24.67 $213 0.2×
Echo exam uterus (76831) $24.67 $267 0.1×
Echo Guide For Artery Repair (76936) $24.67 $1,325 0.1×
Esophagram (74220)
range across 2 matching MRF lines
$24.67 $320–$372 0.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $24.67 $503 0.2×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$24.67 $127–$263 0.1×
Foot 2 views (73620) $24.67 $184 0.2×
Forearm 2 views (73090) $24.67 $127 0.2×
Gastric emptying imaging study (78264) $24.67 $1,131 0.0×
Gastroesophageal Reflux Exam (78262) $24.67 $948 0.0×
Gated Heart Planar Single (78472) $24.67 $1,181 0.0×
GI Endoscopic US S&I (76975) $24.67 $478 0.1×
Hand 2 views (73120) $24.67 $152 0.2×
Hepatobil Syst Image W/Drug (78227)
range across 2 matching MRF lines
$24.67 $856–$1,130 0.0×
Hepatobiliary System Imaging (78226) $24.67 $886 0.0×
Ht Musc Image Planar Mult (78454) $24.67 $1,317 0.0×
Ht Muscle Image Spect Sing (78451) $24.67 $3,342 0.0×
Hysterosalpingogram (74740) $24.67 $538 0.1×
Infant hip ultrasound with hip movement (dynamic) (76885) $24.67 $649 0.2×
Infant hip ultrasound, limited static exam (76886) $24.67 $360 0.2×
Infusion Ivp (74410) $24.67 $579 0.1×
K Flow/Funct Image Multiple (78709) $24.67 $1,042 0.0×
K Flow/Funct Image W/Drug (78708) $24.67 $1,023 0.0×
K Flow/Funct Image W/O Drug (78707) $24.67 $1,178 0.0×
Knee 3 Views (73562) $24.67 $231 0.2×
Liver & Spleen Imaging Static Only (78215) $24.67 $693 0.0×
Liver & Spleen Imaging W/Vascular Flow (78216) $24.67 $1,147 0.0×
Liver imaging w/vascular flow (78202) $24.67 $635 0.0×
Lung Perf&Ventilat Diferentl (78598) $24.67 $739 0.0×
Lung perfusion differential (78597) $24.67 $1,350 0.0×
Lung Ventilat&Perfus Imaging (78582) $24.67 $1,696 0.0×
Lung Ventilation Imaging (78579) $24.67 $1,139 0.0×
Lymph System Imaging (78195) $24.67 $623 0.0×
Magnetic Image Jaw Joint (70336) $24.67 $2,075 0.1×
Magnetic Resonance Elastography (76391) $24.67 $565 0.1×
Meckels Divert Exam (78290) $24.67 $761 0.0×
Mra Head W/O & W/Contrast Material (70546)
range across 2 matching MRF lines
$24.67 $1,241–$3,613 0.1×
MRA head w/o contrast (70544)
range across 4 matching MRF lines
$24.67 $1,431–$2,929 0.1×
MRA head with contrast (70545) $24.67 $2,455 0.1×
MRA neck w contrast (70548) $24.67 $2,929 0.1×
Mra Neck W/O &W/Contrast Material (70549) $24.67 $5,727 0.1×
MRA neck w/o contrast (70547) $24.67 $2,929 0.1×
MRI abdomen w contrast (74182) $24.67 $2,455 0.1×
MRI abdomen w/o contrast (74181) $24.67 $1,878 0.1×
MRI any jt lower extrem w/contrast material (73722) $24.67 $2,455 0.0×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $24.67 $3,613 0.1×
MRI any jt upper extremity w/contrast matrl (73222) $24.67 $2,455 0.0×
MRI Breast W/O Contrast Bilateral (77047) $24.67 $1,878 0.1×
MRI cervical spine w contrast (72142) $24.67 $2,455 0.1×
MRI cervical spine w/o cont (72141) $24.67 $1,878 0.1×
MRI chest w/o contrast (71550) $24.67 $2,075 0.1×
MRI chest with contrast (71551) $24.67 $2,853 0.0×
MRI chest wo w contrast (71552) $24.67 $3,406 0.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $24.67 $2,455 0.1×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $24.67 $3,613 0.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $24.67 $1,878 0.1×
MRI lumbar spine w contrast (72149) $24.67 $2,455 0.1×
Mri Neck Spine W/O & W/Dye (72156) $24.67 $3,613 0.1×
MRI orbit face &/neck w/o contrast (70540) $24.67 $2,075 0.1×
MRI orbit face neck w contrast (70542) $24.67 $2,853 0.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $24.67 $3,406 0.1×
MRI pelvis w contrast (72196) $24.67 $3,673 0.1×
MRI pelvis w/o & w contrast (72197) $24.67 $4,228 0.1×
MRI pelvis w/o contrast (72195) $24.67 $2,896 0.1×
MRI thoracic spine w/o contrast (72146) $24.67 $1,878 0.1×
MRI upper extremity oth than jt w/contr matrl (73219) $24.67 $2,455 0.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $24.67 $1,878 0.1×
Mri Uppr Extremity W/O&W/Dye (73220) $24.67 $3,613 0.1×
MRI, abdomen, combo (74183) $24.67 $3,613 0.1×
MRI, dorsal spine combo (72157) $24.67 $3,613 0.1×
MRI, dorsal spine contrast (72147) $24.67 $2,455 0.1×
MRI, joint upper extrem (73221) $24.67 $1,878 0.1×
MRI, joint upper extrem combo (73223) $24.67 $3,613 0.1×
MRI, lumbar spine combo (72158) $24.67 $3,613 0.1×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $24.67 $627 0.0×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $24.67 $667 0.0×
Myocardial Spect Multiple Studies (78452)
range across 4 matching MRF lines
$24.67 $230–$3,342 0.0×
Neck soft tissue (70360) $24.67 $169 0.2×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808)
range across 2 matching MRF lines
$24.67 $123–$166 0.0×
Ob us nuchal meas 1 gest (76813) $24.67 $197 0.2×
Optic foramina (70190) $24.67 $231 0.2×
Parathyroid Planar Imaging (78070) $24.67 $846 0.0×
Pelvis 1 or 2 views (72170) $24.67 $301 0.2×
Pet Image W/Ct Lmtd (78814) $24.67 $4,460 0.0×
PET image w/CT, full body (78816) $24.67 $4,460 0.0×
PET imaging CT attenuation skull base mid-thigh (78815) $24.67 $4,460 0.0×
Pulmonary Perfusion Imaging Particulate (78580) $24.67 $765 0.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $24.67 $217 0.2×
Radex abscess/fistula/sinus tract rs&i (76080) $24.67 $346 0.0×
Radex Ankle Complete Minimum 3 Views (73610) $24.67 $288 0.2×
Radex Calcaneus Minimum 2 Views (73650) $24.67 $184 0.2×
Radex elbow complete minimum 3 views (73080) $24.67 $288 0.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $24.67 $316 0.2×
Radex fingr minimum 2 views (73140) $24.67 $209 0.2×
Radex foot complete minimum 3 views (73630) $24.67 $288 0.2×
Radex Hand Minimum 3 Views (73130) $24.67 $288 0.2×
Radex lower extremity infant minimum 2 views (73592) $24.67 $187 0.2×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $24.67 $309 0.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $24.67 $259 0.2×
Radex Ribs Unilateral 2 Views (71100) $24.67 $330 0.2×
Radex shoulder complete minimum 2 views (73030)
range across 4 matching MRF lines
$24.67 $302–$322 0.2×
Radex Sinuses Paransl < 3 Views (70210) $24.67 $255 0.2×
Radex Spine 1 View Specify Level (72020) $24.67 $124 0.2×
Radex Sternum Minimum 2 Views (71120) $24.67 $294 0.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $24.67 $318 0.2×
Radex Toe Minimum 2 Views (73660) $24.67 $124 0.2×
Radex upper extremity infant minimum 2 views (73092) $24.67 $187 0.2×
Radex Wrist Complete Minimum 3 Views (73110) $24.67 $288 0.2×
Radiolog exam mandible compl minimum 4 views (70110) $24.67 $294 0.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $24.67 $79 0.2×
Radiologic exam colon double contrast study (74280) $24.67 $809 0.1×
Radiologic exam colon single contrast study (74270) $24.67 $598 0.1×
Radiologic Exam Esophagus Double Contrast Study (74221) $24.67 $384 0.1×
Radiologic exam knee complete 4/more views (73564)
range across 6 matching MRF lines
$24.67 $217–$336 0.2×
Radiologic exam pelvis compl minimum 3 views (72190) $24.67 $395 0.2×
Radiologic Exam Small Int Single Contrast Study (74250) $24.67 $425 0.1×
Radiologic exam swallow function contrast study (74230) $24.67 $306 0.1×
Radiologic exam upr gi trc double contrast study (74246)
range across 3 matching MRF lines
$24.67 $656–$684 0.1×
Radiologic examination femur 1 view (73551) $24.67 $72 0.2×
Radiologic examination femur minimum 2 views (73552) $24.67 $238 0.2×
Radiologic examination knee 1/2 views (73560) $24.67 $165 0.2×
Radiologic examination tibia & fibula 2 views (73590) $24.67 $217 0.2×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $24.67 $294 0.0×
Ribs bilateral 3 views (71110) $24.67 $389 0.2×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 2 matching MRF lines
$24.67 $844–$1,874 0.0×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $24.67 $4,460 0.0×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $24.67 $3,042 0.0×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $24.67 $1,588 0.0×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 6 matching MRF lines
$24.67 $1,163–$1,814 0.0×
Scapula (73010) $24.67 $263 0.2×
Screening Digital Breast Tomosynthesis Bi (77063)
range across 5 matching MRF lines
$24.67 $38–$82 1.1×
Shoulder 1 view (73020) $24.67 $124 0.2×
Shoulder Arthrography (73040) $24.67 $743 0.1×
Sialogram (70390) $24.67 $482 0.1×
Skull less than 4 views (70250) $24.67 $238 0.2×
Sternoclavicular joints (71130) $24.67 $298 0.2×
Testicular Imaging W/Flow (78761) $24.67 $865 0.0×
Thoracic spine 2 views (72070) $24.67 $264 0.2×
Thoracic spine 3 views (72072) $24.67 $318 0.2×
Thoracolumbar 2 views (72080) $24.67 $199 0.2×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $24.67 $1,065 0.0×
Thyroid Imaging With Vascular Flow (78013) $24.67 $665 0.0×
Thyroid Met Imaging Body (78018) $24.67 $886 0.0×
Thyroid Uptake Measurement (78012) $24.67 $339 0.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $24.67 $855 0.0×
Ultrasound Breast Limited (76642) $24.67 $259 0.2×
Ultrasound Exam Aaa Screen (76706)
range across 2 matching MRF lines
$24.67 $212–$452 0.2×
Ultrasound, abdomen limited (76705)
range across 4 matching MRF lines
$24.67 $197–$597 0.2×
Umbilical-artery Doppler (OB) (76820) $24.67 $106 0.2×
Unlisted Dx Radiographic Procedure (76499) $24.67 $92 0.2×
Unlisted us procedure (76999)
range across 4 matching MRF lines
$24.67 $191–$370 0.2×
Upper gi w/o kub (74240)
range across 2 matching MRF lines
$24.67 $462–$656 0.1×
Urethrocystogram voiding (74455) $24.67 $541 0.1×
Urethrocystography retrograde (74450) $24.67 $330 0.1×
Us breast unilateral complete (76641)
range across 4 matching MRF lines
$24.67 $114–$238 0.2×
Us chest (76604)
range across 2 matching MRF lines
$24.67 $389–$419 0.2×
Us exam, pelvic, limited (76857)
range across 3 matching MRF lines
$24.67 $362–$597 0.2×
Us head (76506) $24.67 $567 0.2×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 7 matching MRF lines
$24.67 $281–$649 0.2×
Us ob detailed single fetus (76811)
range across 3 matching MRF lines
$24.67 $262–$522 0.1×
Us ob limited 1 or more fetuses (76815)
range across 3 matching MRF lines
$24.67 $288–$363 0.2×
Us ob transvaginal (76817) $24.67 $473 0.2×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$24.67 $364–$567 0.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $24.67 $636 0.2×
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
$24.67 $506–$857 0.2×
Us retroperitoneal complete (76770)
range across 3 matching MRF lines
$24.67 $341–$646 0.2×
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$24.67 $95–$254.25 0.2×
Us scrotum and contents (76870) $24.67 $478 0.2×
Us spinal canal and contents (76800) $24.67 $299 0.2×
Us thyroid (76536)
range across 2 matching MRF lines
$24.67 $389–$538 0.2×
Us transrectal (76872) $24.67 $213 0.2×
Venography caval inferior serialography rs&i (75825) $24.67 $3,319 0.0×
Venography extremity bilateral rs&i (75822) $24.67 $787 0.0×
Venography extremity unilateral rs&i (75820) $24.67 $504 0.0×
Vertebral fracture assessment via dxa (77086) $24.67 $199 0.2×
Wrist 2 views (73100) $24.67 $127 0.2×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $24.67 $308 0.2×
X-ray antegrade pyelogram tube (74425) $24.67 $453 0.1×
X-Ray Aorta Leg Arteries (75630) $24.67 $2,147 0.0×
X-Ray Bend Only L-S Spine (72120) $24.67 $189 0.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $24.67 $127 0.2×
X-Ray Exam Breast Specimen (76098)
range across 4 matching MRF lines
$24.67 $273–$301 0.0×
X-Ray Exam Entire Spi 1 Vw (72081) $24.67 $271 0.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $24.67 $364 0.2×
X-Ray Exam Hip Uni 1 View (73501) $24.67 $203 0.2×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 5 matching MRF lines
$24.67 $255–$301 0.2×
X-Ray Exam Hip Uni 4/> Views (73503) $24.67 $124 0.2×
X-Ray Exam Hips Bi 2 Views (73521) $24.67 $380 0.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $24.67 $124 0.2×
X-Ray Exam Hips Bi 5/> Views (73523) $24.67 $135 0.2×
X-Ray Exam L-S Spine Bending (72114) $24.67 $514 0.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $24.67 $200 0.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $24.67 $507 0.2×
X-Ray Exam Unilat Ribs/Chest (71101) $24.67 $360 0.2×
X-ray eye for foreign body (70030) $24.67 $102 0.2×
X-ray humerus (73060) $24.67 $184 0.2×
X-ray IV pyelogram (ivp) (74400) $24.67 $767 0.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $24.67 $154 0.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $24.67 $200 0.2×
X-ray nose-rectum child f.b. (76010) $24.67 $165 0.2×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $24.67 $419 0.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $24.67 $325 0.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $24.67 $284 0.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $24.67 $291 0.2×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $24.67 $461 0.2×
X-Ray Stress View (77071) $24.67 $288 0.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $24.67 $472 0.1×
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines
$24.67 $222–$233 0.2×
X-Rays Bone Survey Complete (77075) $24.67 $717 0.2×
Xr c-spine 4 or 5 views (72050) $24.67 $318 0.2×
Xr facial bones less than 3 views (70140) $24.67 $255 0.2×
Xr orbits complete 4 views (70200) $24.67 $273 0.2×
Xr Tomogram Single Plane (76100) $24.67 $264 0.2×

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.