Imaging prices at Optim Medical Center-Screven
Sylvania, GA · every code in this section with a posted price and a Medicare benchmark.
227 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) | $520.17 | $520.17 | 6.8× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$229.38–$520.17 | $229.38–$520.17 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$137.30–$431 | $137.30–$431 | varies |
| Arthrogram ankle (73615) | $598.14 | $598.14 | 2.0× |
| Arthrogram hip (73525) | $598.14 | $598.14 | 2.0× |
| Arthrogram Wrist (73115) | $631.14 | $631.14 | 2.1× |
| Bone age studies (77072) | $132.42 | $132.42 | 1.4× |
| Bone survey infant (77076) | $577.68 | $577.68 | 6.3× |
| Chest 1 view (71045) | $520.17 | $520.17 | 6.8× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$427.38–$503.45 | $427.38–$503.45 | varies |
| Chest 3 views (71047) | $212.88 | $212.88 | 2.8× |
| Chest 4 or more views (71048) | $274.32 | $274.32 | 3.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$137.30–$695 | $137.30–$695 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,474.10 | $1,474.10 | 16.1× |
| Contrast X-Ray Bladder (74430) | $230.46 | $230.46 | 0.8× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$577.92–$1,155.84 | $577.92–$1,155.84 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $739.38 | $739.38 | 2.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $440.22 | $440.22 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,075.80–$2,624.72 | $2,075.80–$2,624.72 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,074.15–$1,503.81 | $1,074.15–$1,503.81 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,443.75–$1,808.66 | $1,443.75–$1,808.66 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,832.75–$2,081.38 | $1,832.75–$2,081.38 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,064.90–$1,160.81 | $1,064.90–$1,160.81 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,086.32–$3,241.14 | $2,086.32–$3,241.14 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,873.20–$2,622.48 | $1,873.20–$2,622.48 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,313.20–$3,238.48 | $2,313.20–$3,238.48 | varies |
| CT angio hrt w/3d image (75574) | $2,456.44 | $2,456.44 | 8.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,880.50–$2,632.70 | $1,880.50–$2,632.70 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,391.10–$3,347.54 | $2,391.10–$3,347.54 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,380.07–$4,760.14 | $2,380.07–$4,760.14 | varies |
| CT cervical spine w/ contrast (72126) | $1,702.68 | $1,702.68 | 5.6× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$996.55–$1,395.17 | $996.55–$1,395.17 | varies |
| CT cervical spine w/wo cont (72127) | $2,033.22 | $2,033.22 | 13.2× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,218.05–$1,705.27 | $1,218.05–$1,705.27 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,474.10–$2,063.74 | $1,474.10–$2,063.74 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,685.97 | $2,685.97 | 17.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,877.05 | $1,877.05 | 20.5× |
| CT head/brain with contrast (70460) | $1,407.35 | $1,407.35 | 9.2× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,018.45–$1,425.83 | $1,018.45–$1,425.83 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $2,014.81 | $2,014.81 | 6.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $497.56 | $497.56 | 6.5× |
| CT hrt w/3d image congen (75573) | $2,500.68 | $2,500.68 | 8.2× |
| CT iac w contrast (70481) | $2,083.06 | $2,083.06 | 13.6× |
| CT l-spine w&w/o contrast (72133) | $2,033.22 | $2,033.22 | 13.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,061.60–$2,723.14 | $1,061.60–$2,723.14 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,311.95–$1,688.40 | $1,311.95–$1,688.40 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,217.70–$1,704.78 | $1,217.70–$1,704.78 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$972.45–$1,361.43 | $972.45–$1,361.43 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,274.10–$1,783.74 | $1,274.10–$1,783.74 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,058.90–$1,482.46 | $1,058.90–$1,482.46 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,483–$2,076.20 | $1,483–$2,076.20 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,305.03 | $2,305.03 | 15.0× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,285.95–$1,800.33 | $1,285.95–$1,800.33 | varies |
| CT pelvis w&w/o contrast (72194) | $1,989.26 | $1,989.26 | 12.9× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$810.55–$1,134.77 | $810.55–$1,134.77 | varies |
| CT scan of leg combo (73702) | $2,109.03 | $2,109.03 | 13.7× |
| CT scans face/jaw combo (70488) | $2,143.89 | $2,143.89 | 13.9× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,244.95–$1,742.93 | $1,244.95–$1,742.93 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,035.45–$1,449.63 | $1,035.45–$1,449.63 | varies |
| CT thoracic spine w contrast (72129) | $1,709.05 | $1,709.05 | 11.1× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$975.50–$1,365.70 | $975.50–$1,365.70 | varies |
| CT thoracic spine w/wo cont (72130) | $2,043.93 | $2,043.93 | 13.3× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$974.30–$1,364.02 | $974.30–$1,364.02 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$969.50–$2,714.60 | $969.50–$2,714.60 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,113.30–$4,226.60 | $2,113.30–$4,226.60 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,664.88–$3,329.76 | $1,664.88–$3,329.76 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,087.90–$2,923.06 | $2,087.90–$2,923.06 | varies |
| Cta Abdomen (74175) | $2,637.04 | $2,637.04 | 17.2× |
| CTA pelvis (72191) | $2,602.74 | $2,602.74 | 16.9× |
| Esophagram (74220) | $515.76 | $515.76 | 3.4× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$621.93–$932.89 | $621.93–$932.89 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$132.75–$714.96 | $132.75–$714.96 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$629–$943.50 | $629–$943.50 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $835.14 | $835.14 | 11.0× |
| Infant hip ultrasound, limited static exam (76886) | $592.32 | $592.32 | 7.8× |
| Joint Survey Single View (77077) | $230.40 | $230.40 | 2.5× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$520.17–$1,040.34 | $520.17–$1,040.34 | varies |
| Magnetic Image Jaw Joint (70336) | $1,858.57 | $1,858.57 | 8.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,883.95 | $3,883.95 | 12.7× |
| MRA head w/o contrast (70544) | $2,568.65 | $2,568.65 | 12.3× |
| MRA head with contrast (70545) | $2,521.61 | $2,521.61 | 8.2× |
| MRA neck w contrast (70548) | $2,739.73 | $2,739.73 | 9.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,892.49 | $3,892.49 | 12.7× |
| MRA neck w/o contrast (70547) | $2,575.23 | $2,575.23 | 12.3× |
| MRI abdomen w contrast (74182) | $2,795.31 | $2,795.31 | 9.1× |
| MRI abdomen w/o contrast (74181) | $1,963.36 | $1,963.36 | 9.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,324.84 | $2,324.84 | 3.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,791.04 | $2,791.04 | 9.1× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,288.44–$4,576.88 | $2,288.44–$4,576.88 | varies |
| MRI cervical spine w contrast (72142) | $2,545.13 | $2,545.13 | 8.3× |
| MRI cervical spine w/o cont (72141) | $1,946.28 | $1,946.28 | 9.3× |
| MRI chest w/o contrast (71550) | $2,562.21 | $2,562.21 | 12.3× |
| MRI chest with contrast (71551) | $2,813.46 | $2,813.46 | 4.1× |
| MRI chest wo w contrast (71552) | $3,560.97 | $3,560.97 | 11.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,519.44 | $2,519.44 | 8.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,028.48 | $3,028.48 | 9.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,243.57 | $2,243.57 | 10.7× |
| MRI lumbar spine w contrast (72149) | $2,483.11 | $2,483.11 | 8.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,814.56 | $2,814.56 | 9.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,438.17 | $2,438.17 | 11.7× |
| MRI orbit face neck w contrast (70542) | $2,194.36 | $2,194.36 | 7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,949.31 | $2,949.31 | 9.6× |
| MRI pelvis w contrast (72196) | $2,491.65 | $2,491.65 | 8.2× |
| MRI pelvis w/o & w contrast (72197) | $3,000.62 | $3,000.62 | 9.8× |
| MRI pelvis w/o contrast (72195) | $2,752.40 | $2,752.40 | 13.2× |
| MRI thoracic spine w/o contrast (72146) | $1,950.55 | $1,950.55 | 9.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,470.23–$4,940.46 | $2,470.23–$4,940.46 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,260.65–$4,521.30 | $2,260.65–$4,521.30 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,002.79–$6,005.58 | $3,002.79–$6,005.58 | varies |
| MRI, abdomen, combo (74183) | $3,013.50 | $3,013.50 | 9.9× |
| MRI, dorsal spine combo (72157) | $2,560.11 | $2,560.11 | 8.4× |
| MRI, dorsal spine contrast (72147) | $2,181.55 | $2,181.55 | 7.1× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,806.56–$3,613.12 | $1,806.56–$3,613.12 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,793.21–$5,586.42 | $2,793.21–$5,586.42 | varies |
| MRI, lumbar spine combo (72158) | $2,797.48 | $2,797.48 | 9.2× |
| Myelogram cervical (72240) | $726.90 | $726.90 | 1.1× |
| Myelogram Lumbar (72265) | $712.38 | $712.38 | 1.0× |
| Myelography thoracic (72255) | $693.84 | $693.84 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,109.76 | $1,109.76 | 1.6× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$131.35–$157.62 | $131.35–$157.62 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $198 | $198 | 7.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$137.60–$629.37 | $137.60–$629.37 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$230.20–$520.17 | $230.20–$520.17 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$190.62–$481 | $190.62–$481 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$135.80–$162.96 | $135.80–$162.96 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$158.85–$381.24 | $158.85–$381.24 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$201.70–$242.04 | $201.70–$242.04 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$159.70–$606.88 | $159.70–$606.88 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$481–$962 | $481–$962 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$520.17–$1,040.34 | $520.17–$1,040.34 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$132.75–$199.12 | $132.75–$199.12 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$333.48–$666.96 | $333.48–$666.96 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$158.85–$190.62 | $158.85–$190.62 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$153.65–$184.38 | $153.65–$184.38 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$520.17–$1,040.34 | $520.17–$1,040.34 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$105.45–$126.54 | $105.45–$126.54 | varies |
| Radex Spine 1 View Specify Level (72020) | $133.38 | $133.38 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$148.70–$178.44 | $148.70–$178.44 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$228.85–$274.62 | $228.85–$274.62 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$144.45–$173.34 | $144.45–$173.34 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$184.92–$369.84 | $184.92–$369.84 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$520.17–$1,040.34 | $520.17–$1,040.34 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $447.30 | $447.30 | 4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $225.30 | $225.30 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $1,240.02 | $1,240.02 | 8.1× |
| Radiologic exam colon single contrast study (74270) | $887.28 | $887.28 | 5.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$208.70–$500.88 | $208.70–$500.88 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $246.60 | $246.60 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $574.20 | $574.20 | 3.7× |
| Radiologic exam swallow function contrast study (74230) | $513.54 | $513.54 | 3.3× |
| Radiologic exam teeth complete full mouth (70320) | $305.34 | $305.34 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $725.94 | $725.94 | 4.7× |
| Radiologic examination femur 1 view (73551) | $154.14 | $154.14 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$136.05–$525 | $136.05–$525 | varies |
| Radiologic examination knee 1/2 views (73560) | $520 | $520 | 6.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $433.38 | $433.38 | 4.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$131.35–$520.17 | $131.35–$520.17 | varies |
| Ribs bilateral 3 views (71110) | $231.24 | $231.24 | 2.5× |
| Scapula (73010) range across 2 matching MRF lines |
$183.42–$366.84 | $183.42–$366.84 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$135.24–$270.48 | $135.24–$270.48 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$2,346–$4,692 | $2,346–$4,692 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$173.90–$212.28 | $173.90–$212.28 | varies |
| Sternoclavicular joints (71130) | $211.86 | $211.86 | 2.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,144.14 | $1,144.14 | 7.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$159.75–$520.17 | $159.75–$520.17 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$175–$425 | $175–$425 | varies |
| Thoracolumbar 2 views (72080) | $170.88 | $170.88 | 2.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$520–$1,040 | $520–$1,040 | varies |
| Ultrasound Exam Aaa Screen (76706) | $606.48 | $606.48 | 6.6× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$505.40–$606.48 | $505.40–$606.48 | varies |
| Upper gi w/o kub (74240) | $645.30 | $645.30 | 4.2× |
| Urethrocystogram voiding (74455) | $474.42 | $474.42 | 2.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$552.36–$1,104.72 | $552.36–$1,104.72 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$413.05–$495.66 | $413.05–$495.66 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$570.30–$684.36 | $570.30–$684.36 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$443.70–$532.44 | $443.70–$532.44 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$167.65–$201.18 | $167.65–$201.18 | varies |
| Us ob limited 1 or more fetuses (76815) | $922 | $922 | 10.1× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$480.65–$576.78 | $480.65–$576.78 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$582–$698.40 | $582–$698.40 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$596.35–$715.62 | $596.35–$715.62 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$619.55–$743.46 | $619.55–$743.46 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$581.15–$697.38 | $581.15–$697.38 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$570.55–$684.66 | $570.55–$684.66 | varies |
| Us transrectal (76872) | $410.64 | $410.64 | 4.5× |
| Venography extremity bilateral rs&i (75822) | $9,127 | $9,127 | 6.6× |
| Venography extremity unilateral rs&i (75820) | $9,127 | $9,127 | 6.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$229.05–$1,040.34 | $229.05–$1,040.34 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $229.86 | $229.86 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) | $266.16 | $266.16 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$520.17–$1,040.34 | $520.17–$1,040.34 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$180.15–$216.18 | $180.15–$216.18 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$287.30–$520.17 | $287.30–$520.17 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $374.58 | $374.58 | 4.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $164.22 | $164.22 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$520.17–$1,040.34 | $520.17–$1,040.34 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $285.90 | $285.90 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$255.71–$520.17 | $255.71–$520.17 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$225.75–$270.90 | $225.75–$270.90 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $313.86 | $313.86 | 3.4× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$302.15–$362.58 | $302.15–$362.58 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$202.80–$481 | $202.80–$481 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$293.65–$520.17 | $293.65–$520.17 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$186.80–$223.92 | $186.80–$223.92 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$165–$330 | $165–$330 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$520.17–$1,040.34 | $520.17–$1,040.34 | varies |
| X-ray IV pyelogram (ivp) (74400) | $635.58 | $635.58 | 4.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $196.38 | $196.38 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$250.44–$520.17 | $250.44–$520.17 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$204.66–$520.17 | $204.66–$520.17 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$126.95–$253.90 | $126.95–$253.90 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$277.05–$520 | $277.05–$520 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$196.56–$629.37 | $196.56–$629.37 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$140.55–$168.66 | $140.55–$168.66 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$137.50–$165 | $137.50–$165 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$184.70–$221.64 | $184.70–$221.64 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$222.95–$267.54 | $222.95–$267.54 | varies |
| X-Ray Stress View (77071) | $291.30 | $291.30 | 3.8× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$208.60–$250.32 | $208.60–$250.32 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$151.40–$181.68 | $151.40–$181.68 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $676.50 | $676.50 | 2.2× |
| X-Rays Bone Length Studies (77073) | $520 | $520 | 5.7× |
| X-Rays Bone Survey Complete (77075) | $533.94 | $533.94 | 5.8× |
| Xr c-spine 4 or 5 views (72050) | $629.37 | $629.37 | 6.9× |
| Xr facial bones less than 3 views (70140) | $170.88 | $170.88 | 2.2× |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$203.70–$407.40 | $203.70–$407.40 | varies |
| Xr orbits complete 4 views (70200) | $247.92 | $247.92 | 2.7× |
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.