Imaging prices at Opelousas General Health System

Opelousas, LA · every code in this section with a posted price and a Medicare benchmark.

307 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) $2,247 $4,494 1.8×
Abdomen 1 View (74018) $131 $262 1.7×
Abdomen 2 views (74019) $149 $298 1.6×
Acute Gastrointestinal Blood Loss Imaging (78278) $428.50 $857 1.2×
Angio internal mammary (75756) $4,719 $9,438 1.7×
Angio pulmonary bilat (75743) $4,719 $9,438 1.7×
Angiography extremity bilateral rs&i (75716) $4,719 $9,438 1.7×
Angiography extremity unilateral rs&i (75710) $4,719 $9,438 1.7×
Angiography pulmonary unilateral slctv rs&i (75741) $4,719 $9,438 1.7×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $4,010.50 $8,021 1.4×
Ankle 2 views (73600) $89 $178 1.1×
Aortography thoracic serialography rs&i (75605) $8,073.50 $16,147 1.6×
Aortography thoracic w/o serialography rs&i (75600) $3,591 $7,182 1.3×
Artery X-Rays Abdomen (75726) $8,073.50 $16,147 1.6×
Artery X-Rays Adrenal Gland (75731) $4,010.50 $8,021 1.4×
Artery X-Rays Pelvis (75736) $8,073.50 $16,147 1.6×
Artery X-Rays Spine (75705) $5,967.50 $11,935 1.2×
Arthrogram ankle (73615) $410 $820 1.3×
Arthrogram hip (73525) $410 $820 1.3×
Arthrogram Wrist (73115) $614 $1,228 1.9×
Basic radiation dosimetry calculation (77300) $251 $502 2.1×
Bone age studies (77072) $83.50 $167 0.9×
Bone Imaging 3 Phase (78315) $1,093 $2,186 3.0×
Bone Imaging Multiple Areas (78305) $590 $1,180 1.6×
Bone Imaging Whole Body (78306) $590 $1,180 1.6×
Bone marrow imaging limited area (78102) $313.50 $627 0.9×
Bone marrow imaging; whole body (78104) $1,023 $2,046 2.8×
Brain Image W/Flow < 4 Views (78601) $666.50 $1,333 1.8×
Brain Imaging Pet Metabolic Evaluation (78608) $3,578.50 $7,157 2.8×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $324.50 $649 0.7×
Cerebrospinal Fluid Scan (78630) $656 $1,312 1.3×
Chest 1 view (71045) $112.50 $225 1.4×
Chest 2 views (71046) $132.50 $265 1.7×
Chest 4 or more views (71048) $121.50 $243 1.3×
Clavicle complete (73000) $132.50 $265 1.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $62.50 $125 0.7×
Continuing medical physics consltj pr wk (77336) $253.50 $507 2.1×
Contrast Exam Abdominl Aorta (75625) $4,719 $9,438 1.7×
Contrast X-Ray Bladder (74430) $866.50 $1,733 2.7×
Contrast X-Ray Of Elbow (73085) $410 $820 1.3×
Contrast X-Ray Of Knee Joint (73580) $513 $1,026 1.6×
CT abdomen and pelvis without and with contrast (74178) $1,661 $3,322 5.3×
CT abdomen and pelvis without contrast (74176) $1,195.50 $2,391 5.5×
CT abdomen w contrast (74160) $1,176 $2,352 7.4×
CT abdomen w wo contrast (74170) $1,461 $2,922 9.2×
CT abdomen w/o contrast (74150) $1,093 $2,186 11.5×
CT Angio Abdomen and Pelvis (74174) $1,760.50 $3,521 5.6×
CT Angio Chest (71275) $1,412 $2,824 8.9×
CT Angio Head (70496)
range across 2 matching MRF lines		 $1,188–$1,225 $2,376–$2,450 varies
Ct Angio Lwr Extr W/O&W/Dye (73706) $1,011 $2,022 6.4×
CT Angio Neck (70498) $1,584.50 $3,169 10.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,011 $2,022 6.4×
CT cervical spine w/ contrast (72126) $1,005.50 $2,011 3.2×
CT cervical spine w/o contrast (72125) $974.50 $1,949 10.3×
CT cervical spine w/wo cont (72127) $1,411 $2,822 8.9×
CT chest w contrast (71260) $1,176 $2,352 7.4×
CT chest w/wo contrast (71270) $1,218.50 $2,437 7.7×
CT head/brain with contrast (70460) $562 $1,124 3.5×
CT head/brain without and with contrast (70470) $1,127 $2,254 7.1×
CT heart no contrast quant eval coronry calcium (75571) $31.50 $63 0.4×
CT iac w contrast (70481) $657.50 $1,315 4.1×
CT l-spine w&w/o contrast (72133) $1,411 $2,822 8.9×
CT lower ext w/o (73700) $1,646 $3,292 17.4×
CT lower extremity w/contrast material (73701) $827 $1,654 5.2×
CT lumbar spine w contrast (72132) $1,031 $2,062 3.3×
CT lumbar spine w/o contrast (72131)
range across 3 matching MRF lines		 $867–$974.50 $1,734–$1,949 varies
CT maxillofacial w contrast (70487) $674.50 $1,349 4.2×
CT maxillofacial wo contrast (70486) $883 $1,766 9.3×
CT neck tissue combo (70492) $1,721.50 $3,443 10.8×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $638.50 $1,277 4.0×
CT orbits w/o contrast (70480) $883 $1,766 9.3×
CT pelvis w&w/o contrast (72194) $1,461 $2,922 9.2×
CT pelvis w/o contrast (72192) $1,093 $2,186 11.5×
CT scan of leg combo (73702) $883 $1,766 5.6×
CT scans face/jaw combo (70488) $1,127 $2,254 7.1×
CT soft tissue neck w contrast (70491) $1,545.50 $3,091 9.7×
CT soft tissue neck w/o contrast (70490) $1,176 $2,352 12.4×
CT thoracic spine w contrast (72129) $1,031 $2,062 6.5×
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines		 $864.50–$974.50 $1,729–$1,949 varies
CT thoracic spine w/wo cont (72130) $1,411 $2,822 8.9×
CT thorax w/o contrast (71250) $909.50 $1,819 9.6×
CT unlisted procedure (76497) $144 $288 1.8×
CT upper ext wo (73200) $751.50 $1,503 7.9×
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines		 $861–$883 $1,722–$1,766 varies
CT upper extremity with contrast (73201) $827 $1,654 2.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,277 $2,554 8.0×
Cta Abdomen (74175) $1,412 $2,824 8.9×
CTA pelvis (72191) $1,377.50 $2,755 8.7×
Discography Cerv/Thor Spine (72285) $3,049 $6,098 1.7×
Diskography lumbar (72295) $3,049 $6,098 1.7×
Dxa Bone Density Axial (77080) $97.50 $195 1.0×
Dxa bone density study 1/>sites appendiclr skel (77081) $173 $346 2.2×
Echo Guide For Artery Repair (76936) $408.50 $817 2.1×
Esophagram (74220) $169 $338 1.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $402 $804 4.2×
Fluoroscopy up to 1 hr (76000) $440 $880 2.0×
Follow-Up Angiography (75898) $682 $1,364 0.2×
Foot 2 views (73620) $89 $178 1.1×
Forearm 2 views (73090) $132.50 $265 1.7×
Gastric emptying imaging study (78264) $967 $1,934 2.7×
Gated Heart Planar Single (78472) $560 $1,120 1.5×
Hand 2 views (73120) $89 $178 0.9×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $3,591 $7,182 1.3×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $3,591 $7,182 1.3×
Hepatobil Syst Image W/Drug (78227) $840 $1,680 1.7×
Hepatobiliary System Imaging (78226) $758 $1,516 2.1×
Ht Muscle Image Spect Sing (78451) $1,428 $2,856 1.2×
Hysterosalpingogram (74740) $403.50 $807 1.9×
Infant hip ultrasound with hip movement (dynamic) (76885) $317.50 $635 4.0×
K Flow/Funct Image Multiple (78709) $892 $1,784 1.8×
K Flow/Funct Image W/Drug (78708) $758 $1,516 1.5×
K Flow/Funct Image W/O Drug (78707) $758 $1,516 1.5×
Kidney Imaging Morphol (78700) $656 $1,312 1.8×
Knee 3 Views (73562)
range across 4 matching MRF lines		 $87.50–$90 $175–$180 varies
Liver & Spleen Imaging Static Only (78215) $492.50 $985 1.4×
Lung Perf&Ventilat Diferentl (78598) $1,260 $2,520 2.6×
Lung Ventilat&Perfus Imaging (78582) $1,260 $2,520 2.6×
Lymph System Imaging (78195) $548.50 $1,097 1.1×
Magnetic Image Jaw Joint (70336) $1,038.50 $2,077 4.8×
Mlc imrt design & construction per imrt plan (77338) $1,028 $2,056 3.0×
Mra Head W/O & W/Contrast Material (70546) $1,636.50 $3,273 5.2×
MRA head w/o contrast (70544) $1,172 $2,344 5.4×
MRA head with contrast (70545) $1,390 $2,780 4.4×
MRA neck w contrast (70548) $1,425 $2,850 4.5×
Mra Neck W/O &W/Contrast Material (70549) $1,636.50 $3,273 5.2×
MRA neck w/o contrast (70547) $1,172 $2,344 5.4×
MRI abdomen w contrast (74182) $1,314 $2,628 4.2×
MRI abdomen w/o contrast (74181) $1,094.50 $2,189 5.1×
MRI any jt lower extrem w/contrast material (73722) $1,556.50 $3,113 2.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,931 $3,862 6.1×
MRI any jt upper extremity w/contrast matrl (73222) $1,556.50 $3,113 2.2×
MRI cervical spine w contrast (72142) $1,378.50 $2,757 4.4×
MRI cervical spine w/o cont (72141) $1,160.50 $2,321 5.4×
MRI chest w/o contrast (71550) $1,067 $2,134 4.9×
MRI chest with contrast (71551) $1,314 $2,628 1.9×
MRI chest wo w contrast (71552) $1,560.50 $3,121 4.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,556.50 $3,113 4.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,931 $3,862 6.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,287 $2,574 6.0×
MRI lumbar spine w contrast (72149) $1,378.50 $2,757 4.4×
Mri Neck Spine W/O & W/Dye (72156) $1,667.50 $3,335 5.3×
MRI orbit face &/neck w/o contrast (70540) $1,067 $2,134 4.9×
MRI orbit face neck w contrast (70542) $1,214.50 $2,429 3.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,599.50 $3,199 5.1×
MRI pelvis w contrast (72196) $1,314 $2,628 4.2×
MRI pelvis w/o & w contrast (72197) $1,599.50 $3,199 5.1×
MRI pelvis w/o contrast (72195) $1,094.50 $2,189 5.1×
MRI thoracic spine w/o contrast (72146) $1,160.50 $2,321 5.4×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 4 matching MRF lines		 $146.20–$1,556.50 $292.39–$3,113 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 4 matching MRF lines		 $133.27–$1,287 $266.53–$2,574 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 4 matching MRF lines		 $181.51–$1,931 $363.02–$3,862 varies
MRI, abdomen, combo (74183) $1,599.50 $3,199 5.1×
MRI, dorsal spine combo (72157) $1,667.50 $3,335 5.3×
MRI, dorsal spine contrast (72147) $1,413 $2,826 4.5×
MRI, joint upper extrem (73221) $1,287 $2,574 6.0×
MRI, joint upper extrem combo (73223) $1,931 $3,862 6.1×
MRI, lumbar spine combo (72158) $1,667.50 $3,335 5.3×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $1,428 $2,856 1.2×
Myocardial Spect Multiple Studies (78452) $1,527.50 $3,055 1.3×
Neck soft tissue (70360) $132.50 $265 1.7×
Nm csf leak detection (78650) $2,277 $4,554 1.9×
Ntsty modul radthx pln dose-vol histos (77301) $5,683 $11,366 4.5×
Nuclear Rx Intra-Arterial (79445) $330.50 $661 1.6×
Nuclear Rx Oral Admin (79005) $301 $602 1.4×
Parathyroid Planar Imaging (78070) $1,125 $2,250 3.1×
Pelvis 1 or 2 views (72170) $110.50 $221 1.2×
PET image w/CT, full body (78816) $3,668 $7,336 2.8×
PET imaging CT attenuation skull base mid-thigh (78815) $3,668 $7,336 2.8×
Pet Imaging Limited Area Chest Head/Neck (78811) $3,131.50 $6,263 2.7×
Pulmonary Perfusion Imaging Particulate (78580) $428.50 $857 1.2×
Radex abscess/fistula/sinus tract rs&i (76080) $677 $1,354 1.4×
Radex Ankle Complete Minimum 3 Views (73610) $132.50 $265 1.7×
Radex Calcaneus Minimum 2 Views (73650) $132.50 $265 1.7×
Radex elbow complete minimum 3 views (73080) $190 $380 2.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $189 $378 2.0×
Radex fingr minimum 2 views (73140) $132.50 $265 1.7×
Radex foot complete minimum 3 views (73630) $132.50 $265 1.7×
Radex Hand Minimum 3 Views (73130) $132.50 $265 1.7×
Radex lower extremity infant minimum 2 views (73592) $73 $146 0.9×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $122.50 $245 1.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $161.50 $323 2.0×
Radex Ribs Unilateral 2 Views (71100) $169 $338 2.1×
Radex shoulder complete minimum 2 views (73030) $90 $180 1.1×
Radex Sinuses Paransl < 3 Views (70210) $95.50 $191 1.2×
Radex Spine 1 View Specify Level (72020) $67 $134 0.9×
Radex Sternum Minimum 2 Views (71120) $132.50 $265 1.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $152 $304 1.9×
Radex Toe Minimum 2 Views (73660) $132.50 $265 1.7×
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines		 $71–$73 $142–$146 varies
Radex Wrist Complete Minimum 3 Views (73110) $132.50 $265 1.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $108.50 $217 1.1×
Radiation Delivery Stereotactic Cranial Linear (77372) $9,686 $19,372 1.5×
Radiation treatment delivery level 1 (77402) $148 $296 1.6×
Radiation treatment delivery level 2 (77407) $166 $332 0.5×
Radiation treatment delivery level 3 (77412) $329 $658 0.7×
Radiolog exam mandible compl minimum 4 views (70110) $189 $378 2.0×
Radiologic exam colon double contrast study (74280) $298.50 $597 1.9×
Radiologic exam colon single contrast study (74270) $251 $502 1.6×
Radiologic Exam Esophagus Double Contrast Study (74221) $235.50 $471 1.5×
Radiologic exam knee complete 4/more views (73564) $169 $338 1.8×
Radiologic exam pelvis compl minimum 3 views (72190) $125 $250 1.3×
Radiologic Exam Small Int Single Contrast Study (74250) $328 $656 2.1×
Radiologic exam swallow function contrast study (74230) $211 $422 1.3×
Radiologic exam upr gi trc double contrast study (74246) $423.50 $847 2.7×
Radiologic examination femur 1 view (73551) $110.50 $221 1.4×
Radiologic examination femur minimum 2 views (73552) $178 $356 2.3×
Radiologic examination knee 1/2 views (73560) $130.50 $261 1.7×
Radiologic Examination Osseous Survey Limited (77074) $239.50 $479 2.5×
Radiologic examination tibia & fibula 2 views (73590) $132.50 $265 1.7×
Ribs bilateral 3 views (71110) $201 $402 2.1×
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 2 matching MRF lines		 $500–$575 $1,000–$1,150 varies
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $784 $1,568 2.2×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $4,228.50 $8,457 8.6×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,463 $2,926 3.0×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,830 $3,660 3.7×
Rp Therapy Intravenous Administration (79101) $327 $654 1.5×
Scapula (73010) $132.50 $265 1.4×
Screening Digital Breast Tomosynthesis Bi (77063) $47.50 $95 2.0×
Shoulder 1 view (73020) $73 $146 0.9×
Shoulder Arthrography (73040) $630 $1,260 2.0×
Skull less than 4 views (70250) $132.50 $265 1.4×
Special dosimetry (77331) $200 $400 1.6×
Special Physics Consult (77370) $346 $692 2.8×
Special teletherapy port plan (77321) $318.50 $637 0.9×
Special treatment procedure (77470) $1,586.50 $3,173 3.2×
Stereotactic Body Radiation Delivery (77373) $2,399.50 $4,799 1.5×
Sternoclavicular joints (71130) $103.50 $207 1.3×
Telethx isodose pln cplx w/basic dosimetry (77307) $639.50 $1,279 1.9×
Telethx isodose pln smpl w/dosimetry calculation (77306) $317.50 $635 0.9×
Testicular Imaging W/Flow (78761) $273.50 $547 0.8×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $658.50 $1,317 1.9×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $328.50 $657 1.0×
Ther rad simulaj-aided field setting simple (77280) $240 $480 2.0×
Thoracic spine 2 views (72070) $132.50 $265 1.4×
Thyroid Met Imaging Body (78018) $924.50 $1,849 1.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $758 $1,516 2.1×
Tx Devices Design & Construction Complex (77334) $422.50 $845 1.2×
Tx devices design & construction intermediate (77333) $228.50 $457 1.9×
Tx devices design & construction simple (77332) $259 $518 2.1×
Ultrasound Breast Limited (76642) $148 $296 1.9×
Ultrasound Elastography Parenchyma (76981) $251 $502 2.7×
Ultrasound Exam Aaa Screen (76706) $379 $758 4.0×
Ultrasound, abdomen limited (76705) $379 $758 4.0×
Unlisted Dx Radiographic Procedure (76499)
range across 2 matching MRF lines		 $50–$109 $100–$218 varies
Unlisted us procedure (76999) $131 $262 1.7×
Upper gi w/o kub (74240) $287.50 $575 1.8×
Urethrocystogram voiding (74455) $422.50 $845 2.0×
Us breast unilateral complete (76641) $177 $354 1.9×
Us chest (76604) $336.50 $673 3.6×
Us complete joint (76881) $348 $696 3.7×
Us exam, pelvic, limited (76857) $379 $758 4.0×
Us head (76506) $257.50 $515 2.7×
Us kidney transplant (76776) $454.50 $909 4.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 14 matching MRF lines		 $251–$348 $502–$696 varies
Us ob detailed single fetus (76811) $310 $620 1.4×
Us ob limited 1 or more fetuses (76815) $254 $508 2.7×
Us ob transvaginal (76817) $317.50 $635 3.4×
Us pelvic non ob complete (76856) $379 $758 4.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $379 $758 4.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $165 $330 1.7×
Us retroperitoneal complete (76770) $592 $1,184 6.3×
Us retroperitoneal limited (76775) $379 $758 4.0×
Us scrotum and contents (76870) $379 $758 4.0×
Us spinal canal and contents (76800) $240 $480 2.5×
Us thyroid (76536)
range across 3 matching MRF lines		 $257.50–$379 $515–$758 varies
Us transrectal (76872) $296.50 $593 3.1×
Vein X-Ray Chest (75827) $1,970.50 $3,941 1.4×
Vein X-Ray Liver W/O Hemodyn (75887) $4,010.50 $8,021 1.4×
Venogram Sinus/Jugular (75860) $4,719 $9,438 1.7×
Venography caval inferior serialography rs&i (75825) $4,719 $9,438 1.7×
Venography extremity bilateral rs&i (75822) $1,861 $3,722 1.3×
Venography extremity unilateral rs&i (75820) $1,970.50 $3,941 1.4×
Venography Renal Bilateral (75833) $3,591 $7,182 1.3×
Venography Renal Unilateral (75831) $4,719 $9,438 1.7×
Venous sampling by catheter (75893) $8,073.50 $16,147 1.6×
Wrist 2 views (73100) $89 $178 1.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $178.50 $357 2.3×
X-ray antegrade pyelogram tube (74425) $684.50 $1,369 2.2×
X-Ray Aorta Leg Arteries (75630) $4,719 $9,438 1.7×
X-Ray Bend Only L-S Spine (72120) $167 $334 1.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $132.50 $265 1.7×
X-Ray Exam Entire Spi 4/5 Vw (72083) $131 $262 1.4×
X-Ray Exam Hip Uni 1 View (73501) $380.50 $761 4.8×
X-Ray Exam Hip Uni 2-3 Views (73502) $134.50 $269 1.7×
X-Ray Exam Hips Bi 2 Views (73521) $160 $320 1.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $160 $320 1.7×
X-Ray Exam L-S Spine Bending (72114) $320 $640 3.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $156.50 $313 2.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $269 $538 2.8×
X-Ray Exam Unilat Ribs/Chest (71101) $169 $338 1.8×
X-ray eye for foreign body (70030) $126 $252 1.6×
X-ray head for orthodontia (70350) $110.50 $221 1.4×
X-ray humerus (73060) $132.50 $265 1.7×
X-ray IV pyelogram (ivp) (74400) $336 $672 2.1×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $167 $334 2.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $111 $222 1.2×
X-ray nose-rectum child f.b. (76010) $87.50 $175 1.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $285 $570 3.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $109.50 $219 1.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $161.50 $323 2.0×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $211 $422 2.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $211 $422 2.2×
X-Ray Stress View (77071) $49.50 $99 0.6×
X-Ray Urinary Tract Exam With Contrast Material (74420) $422.50 $845 1.3×
X-Rays Bone Length Studies (77073) $280.50 $561 3.0×
X-Rays Bone Survey Complete (77075) $281 $562 3.0×
Xr c-spine 4 or 5 views (72050) $220 $440 2.3×

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.