Imaging prices at Orange City Area Health System
Orange City, IA · every code in this section with a posted price and a Medicare benchmark.
221 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) range across 2 matching MRF lines |
$21.60–$116 | $27–$145 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$26.40–$138.40 | $33–$173 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$109.60–$847.20 | $137–$1,059 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$20–$108.80 | $25–$136 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$22.40–$88 | $28–$110 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$112.80–$842.40 | $141–$1,053 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$69.60–$484.80 | $87–$606 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$93.60–$712 | $117–$890 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,032.80 | $8,791 | 5.1× |
| Cat Scan Follow-Up Study (76380) | $442.40 | $553 | 5.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$21.60–$87.20 | $27–$109 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$25.60–$137.60 | $32–$172 | varies |
| Chest 3 views (71047) | $147.20 | $184 | 1.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$20–$84 | $25–$105 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$125.60–$820 | $157–$1,025 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$36.80–$161.60 | $46–$202 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$232.80–$1,728 | $291–$2,160 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$201.60–$1,583.20 | $252–$1,979 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$148–$960 | $185–$1,200 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$164–$984 | $205–$1,230 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$140.80–$837.60 | $176–$1,047 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$253.60–$1,826.40 | $317–$2,283 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$212–$1,397.60 | $265–$1,747 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$204–$1,567.20 | $255–$1,959 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$218.40–$479.20 | $273–$599 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$204–$1,567.20 | $255–$1,959 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$142.40–$960 | $178–$1,200 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$116.80–$830.40 | $146–$1,038 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$148–$976 | $185–$1,220 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$134.40–$960 | $168–$1,200 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$146.40–$984 | $183–$1,230 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$131.20–$960 | $164–$1,200 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$148.80–$984 | $186–$1,230 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $32 | $40 | 0.4× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$130.40–$952 | $163–$1,190 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$116.80–$837.60 | $146–$1,047 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$134.40–$960 | $168–$1,200 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$136–$869.60 | $170–$1,087 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$116–$837.60 | $145–$1,047 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$132.80–$817.60 | $166–$1,022 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$100–$837.60 | $125–$1,047 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$188.80–$973.60 | $236–$1,217 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$147.20–$915.20 | $184–$1,144 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$149.60–$837.60 | $187–$1,047 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$126.40–$837.60 | $158–$1,047 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$157.60–$1,168.80 | $197–$1,461 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$161.60–$952 | $202–$1,190 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$149.60–$837.60 | $187–$1,047 | varies |
| CT thoracic spine w contrast (72129) | $869.60 | $1,087 | 5.2× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$116–$837.60 | $145–$1,047 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$125.60–$837.60 | $157–$1,047 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$116.80–$837.60 | $146–$1,047 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$133.60–$960 | $167–$1,200 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$275.20–$813.60 | $344–$1,017 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$210.40–$1,836 | $263–$2,295 | varies |
| CTA pelvis (72191) | $1,733.60 | $2,167 | 10.3× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$23.20–$335.20 | $29–$419 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$33.60–$368 | $42–$460 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$24–$264 | $30–$330 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$68.80–$199.20 | $86–$249 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$116.80–$394.40 | $146–$493 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$87.20–$309.60 | $109–$387 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$36–$174.40 | $45–$218 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$19.20–$83.20 | $24–$104 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$19.20–$86.40 | $24–$108 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$87.20–$867.20 | $109–$1,084 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$108.80–$948 | $136–$1,185 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$20–$89.60 | $25–$112 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$97.60–$1,086.40 | $122–$1,358 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$80.80–$838.40 | $101–$1,048 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$44–$186.40 | $55–$233 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$82.40–$320.80 | $103–$401 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$38.40–$69.60 | $48–$87 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$133.60–$1,337.60 | $167–$1,672 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$105.60–$990.40 | $132–$1,238 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$22.40–$111.20 | $28–$139 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$116–$1,236 | $145–$1,545 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$196–$512 | $245–$640 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$40.80–$337.60 | $51–$422 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$74.40–$583.20 | $93–$729 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$196.80–$2,274.40 | $246–$2,843 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$160.80–$1,811.20 | $201–$2,264 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$148.80–$1,862.40 | $186–$2,328 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$238.40–$1,874.40 | $298–$2,343 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$160–$1,910.40 | $200–$2,388 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$229.60–$1,956 | $287–$2,445 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$194.40–$1,811.20 | $243–$2,264 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$217.60–$2,054.40 | $272–$2,568 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$284–$2,103.20 | $355–$2,629 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$217.60–$2,054.40 | $272–$2,568 | varies |
| MRI cervical spine w contrast (72142) | $1,862.40 | $2,328 | 5.6× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$197.60–$1,811.20 | $247–$2,264 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$194.40–$1,811.20 | $243–$2,264 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$297.60–$2,103.20 | $372–$2,629 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$284–$2,103.20 | $355–$2,629 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$178.40–$1,811.20 | $223–$2,264 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$186.40–$1,808 | $233–$2,260 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$301.60–$2,565.60 | $377–$3,207 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$167.20–$1,641.60 | $209–$2,052 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$283.20–$2,103.20 | $354–$2,629 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$290.40–$2,103.20 | $363–$2,629 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$195.20–$1,811.20 | $244–$2,264 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$196.80–$1,811.20 | $246–$2,264 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$180–$1,811.20 | $225–$2,264 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$285.60–$2,103.20 | $357–$2,629 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$289.60–$2,103.20 | $362–$2,629 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$301.60–$2,565.60 | $377–$3,207 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$235.20–$2,054.40 | $294–$2,568 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$181.60–$1,811.20 | $227–$2,264 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$285.60–$2,103.20 | $357–$2,629 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$301.60–$2,103.20 | $377–$2,629 | varies |
| Myocardial Spect Multiple Studies (78452) | $2,473.60 | $3,092 | 2.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$21.60–$92 | $27–$115 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$48.80–$125.60 | $61–$157 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$157.60–$636.80 | $197–$796 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$88.80–$602.40 | $111–$753 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$53.60–$900 | $67–$1,125 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$20.80–$116 | $26–$145 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$285.60–$4,210.40 | $357–$5,263 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$284.80–$4,210.40 | $356–$5,263 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$80.80–$687.20 | $101–$859 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$20.80–$116 | $26–$145 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$19.20–$82.40 | $24–$103 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$20.80–$116.80 | $26–$146 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$30.40–$131.20 | $38–$164 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$16.80–$67.20 | $21–$84 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$20–$92.80 | $25–$116 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$20.80–$119.20 | $26–$149 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$19.20–$79.20 | $24–$99 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$20.80–$86.40 | $26–$108 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$25.60–$100 | $32–$125 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$22.40–$119.20 | $28–$149 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$20.80–$104.80 | $26–$131 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$19.20–$74.40 | $24–$93 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$23.20–$107.20 | $29–$134 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$28–$116.80 | $35–$146 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$16–$88.80 | $20–$111 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$19.20–$82.40 | $24–$103 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$20.80–$116.80 | $26–$146 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$48–$176.80 | $60–$221 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$28.80–$108 | $36–$135 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$30.40–$161.60 | $38–$202 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$116–$293.60 | $145–$367 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$78.40–$184.80 | $98–$231 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$26.40–$119.20 | $33–$149 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$28.80–$121.60 | $36–$152 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$91.20–$211.20 | $114–$264 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$60–$366.40 | $75–$458 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$100–$266.40 | $125–$333 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$20–$92.80 | $25–$116 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$21.60–$98.40 | $27–$123 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$20–$89.60 | $25–$112 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$19.20–$116 | $24–$145 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$29.60–$65.60 | $37–$82 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $886.40 | $1,108 | 1.7× |
| Scapula (73010) range across 2 matching MRF lines |
$21.60–$85.60 | $27–$107 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$49.60–$74.40 | $62–$93 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$19.20–$79.20 | $24–$99 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$21.60–$111.20 | $27–$139 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$25.60–$116 | $32–$145 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$26.40–$116.80 | $33–$146 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$26.40–$116.80 | $33–$146 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$24–$107.20 | $30–$134 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$40.80–$417.60 | $51–$522 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$55.20–$779.20 | $69–$974 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$76–$271.20 | $95–$339 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$61.60–$190.40 | $77–$238 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$65.60–$264.80 | $82–$331 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$56–$112.80 | $70–$141 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$90.40–$248.80 | $113–$311 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$37.60–$228 | $47–$285 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$37.60–$525.60 | $47–$657 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$80.80–$271.20 | $101–$339 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$64.80–$236.80 | $81–$296 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$130.40–$326.40 | $163–$408 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$55.20–$111.20 | $69–$139 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$54.40–$116 | $68–$145 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$73.60–$192 | $92–$240 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$85.60–$253.60 | $107–$317 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$77.60–$250.40 | $97–$313 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$109.60–$276.80 | $137–$346 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$95.20–$260.80 | $119–$326 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$82.40–$545.60 | $103–$682 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$64.80–$259.20 | $81–$324 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$71.20–$294.40 | $89–$368 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$139.20–$200.80 | $174–$251 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$64–$276 | $80–$345 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$75.20–$364 | $94–$455 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$20–$89.60 | $25–$112 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$22.40–$105.60 | $28–$132 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$26.40–$137.60 | $33–$172 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$20–$85.60 | $25–$107 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$36–$90.40 | $45–$113 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$29.60–$146.40 | $37–$183 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$36–$157.60 | $45–$197 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$41.60–$144.80 | $52–$181 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$22.40–$84 | $28–$105 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$26.40–$89.60 | $33–$112 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$32–$93.60 | $40–$117 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$33.60–$132.80 | $42–$166 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$36–$147.20 | $45–$184 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$35.20–$197.60 | $44–$247 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$26.40–$116.80 | $33–$146 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$33.60–$209.60 | $42–$262 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$31.20–$120.80 | $39–$151 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$20.80–$106.40 | $26–$133 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$19.20–$92.80 | $24–$116 | varies |
| X-ray IV pyelogram (ivp) (74400) | $232.80 | $291 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$21.60–$76 | $27–$95 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$26.40–$119.20 | $33–$149 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$21.60–$88 | $27–$110 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$36.80–$147.20 | $46–$184 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$26.40–$97.60 | $33–$122 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$20.80–$92.80 | $26–$116 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$25.60–$127.20 | $32–$159 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$32–$153.60 | $40–$192 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$58.40–$330.40 | $73–$413 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$29.60–$106.40 | $37–$133 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$61.60–$132 | $77–$165 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$31.20–$180.80 | $39–$226 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$32–$128 | $40–$160 | varies |
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.