Imaging prices at Osf Saint Katharine Medical Center
Dixon, IL · every code in this section with a posted price and a Medicare benchmark.
249 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) | $400.40 | $572 | 4.3× |
| Abdomen 2 views (74019) | $483.70 | $691 | 4.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,336.30 | $1,909 | 3.1× |
| Angiography extremity bilateral rs&i (75716) | $6,610.10 | $9,443 | 2.0× |
| Angiography extremity unilateral rs&i (75710) | $14,321.30 | $20,459 | 4.2× |
| Ankle 2 views (73600) | $400.40 | $572 | 4.3× |
| Aortography thoracic serialography rs&i (75605) | $24,595.90 | $35,137 | 4.1× |
| Artery X-Rays Abdomen (75726) | $23,375.80 | $33,394 | 3.9× |
| Bone age studies (77072) | $532 | $760 | 4.7× |
| Bone Imaging 3 Phase (78315) | $1,336.30 | $1,909 | 3.1× |
| Bone Imaging Limited Area (78300) | $1,336.30 | $1,909 | 3.1× |
| Bone Imaging Whole Body (78306) | $1,336.30 | $1,909 | 3.1× |
| Bone marrow imaging; whole body (78104) | $1,336.30 | $1,909 | 3.1× |
| Chest 1 view (71045) | $400.40 | $572 | 4.3× |
| Chest 2 views (71046) | $441 | $630 | 4.7× |
| Chest 3 views (71047) | $400.40 | $572 | 4.3× |
| Clavicle complete (73000) | $441 | $630 | 4.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $205.80 | $294 | 1.8× |
| Contrast Exam Abdominl Aorta (75625) | $14,321.30 | $20,459 | 4.2× |
| Contrast X-Ray Bladder (74430) | $1,624.70 | $2,321 | 4.3× |
| CT abdomen and pelvis without and with contrast (74178) | $4,669 | $6,670 | 12.5× |
| CT abdomen and pelvis without contrast (74176) | $2,876.30 | $4,109 | 11.2× |
| CT abdomen w contrast (74160) | $2,118.20 | $3,026 | 11.3× |
| CT abdomen w wo contrast (74170) | $2,569 | $3,670 | 13.7× |
| CT abdomen w/o contrast (74150) | $1,265.60 | $1,808 | 11.3× |
| CT Angio Abdomen and Pelvis (74174) | $4,249.70 | $6,071 | 11.4× |
| CT Angio Chest (71275) | $2,118.20 | $3,026 | 11.3× |
| CT Angio Head (70496) | $2,118.20 | $3,026 | 11.3× |
| CT angio hrt w/3d image (75574) | $2,894.50 | $4,135 | 7.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,118.20 | $3,026 | 11.3× |
| CT Angio Neck (70498) | $2,118.20 | $3,026 | 11.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,118.20 | $3,026 | 11.3× |
| CT cervical spine w/ contrast (72126) | $2,743.30 | $3,919 | 7.3× |
| CT cervical spine w/o contrast (72125) | $1,265.60 | $1,808 | 11.3× |
| CT cervical spine w/wo cont (72127) | $3,245.20 | $4,636 | 17.3× |
| CT chest w contrast (71260) | $2,118.20 | $3,026 | 11.3× |
| CT chest w/wo contrast (71270) | $2,569 | $3,670 | 13.7× |
| CT head/brain with contrast (70460) | $2,330.30 | $3,329 | 12.4× |
| CT head/brain without and with contrast (70470) | $2,569 | $3,670 | 13.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $136.50 | $195 | 1.5× |
| CT iac w contrast (70481) | $2,118.20 | $3,026 | 11.3× |
| CT l-spine w&w/o contrast (72133) | $3,319.40 | $4,742 | 17.7× |
| CT lower ext w/o (73700) | $1,265.60 | $1,808 | 11.3× |
| CT lower extremity w/contrast material (73701) | $2,118.20 | $3,026 | 11.3× |
| CT lumbar spine w contrast (72132) | $2,743.30 | $3,919 | 7.3× |
| CT lumbar spine w/o contrast (72131) | $1,265.60 | $1,808 | 11.3× |
| CT maxillofacial w contrast (70487) | $2,330.30 | $3,329 | 12.4× |
| CT maxillofacial wo contrast (70486) | $1,265.60 | $1,808 | 11.3× |
| CT neck tissue combo (70492) | $2,569 | $3,670 | 13.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,569 | $3,670 | 13.7× |
| CT orbits w/o contrast (70480) | $1,265.60 | $1,808 | 11.3× |
| CT pelvis w&w/o contrast (72194) | $2,729.30 | $3,899 | 14.5× |
| CT pelvis w/o contrast (72192) | $1,265.60 | $1,808 | 11.3× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,118.20–$2,711.10 | $3,026–$3,873 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,729.30–$2,947 | $3,899–$4,210 | varies |
| CT soft tissue neck w contrast (70491) | $2,118.20 | $3,026 | 11.3× |
| CT soft tissue neck w/o contrast (70490) | $1,265.60 | $1,808 | 11.3× |
| CT thoracic spine w contrast (72129) | $2,330.30 | $3,329 | 12.4× |
| CT thoracic spine w/o contrast (72128) | $1,265.60 | $1,808 | 11.3× |
| CT thoracic spine w/wo cont (72130) | $2,729.30 | $3,899 | 14.5× |
| CT thorax w/o contrast (71250) | $1,265.60 | $1,808 | 11.3× |
| CT upper ext wo (73200) | $1,265.60 | $1,808 | 11.3× |
| CT upper extremity with contrast (73201) | $2,023 | $2,890 | 5.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,118.20 | $3,026 | 11.3× |
| Cta Abdomen (74175) | $2,118.20 | $3,026 | 11.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,625 | $3,750 | 7.0× |
| CTA pelvis (72191) | $2,118.20 | $3,026 | 11.3× |
| Dxa Bone Density Axial (77080) | $483.70 | $691 | 4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $400.40 | $572 | 4.3× |
| Echo exam uterus (76831) | $1,861.30 | $2,659 | 7.3× |
| Esophagram (74220) | $809.90 | $1,157 | 4.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $819 | $1,170 | 7.3× |
| Fluoroscopy up to 1 hr (76000) | $1,209.60 | $1,728 | 4.7× |
| Foot 2 views (73620) | $400.40 | $572 | 4.3× |
| Forearm 2 views (73090) | $441 | $630 | 4.7× |
| Gastric emptying imaging study (78264) | $1,470 | $2,100 | 3.4× |
| Gastroesophageal Reflux Exam (78262) | $1,336.30 | $1,909 | 3.1× |
| Gated Heart Planar Single (78472) | $1,336.30 | $1,909 | 3.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$483.70–$725.90 | $691–$1,037 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,968.40 | $2,812 | 3.4× |
| Hepatobiliary System Imaging (78226) | $1,336.30 | $1,909 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $4,340.70 | $6,201 | 3.1× |
| Hysterosalpingogram (74740) | $1,209.60 | $1,728 | 4.7× |
| K Flow/Funct Image W/Drug (78708) | $1,789.90 | $2,557 | 3.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,789.90 | $2,557 | 3.1× |
| Kidney Imaging Morphol (78700) | $1,336.30 | $1,909 | 3.1× |
| Knee 3 Views (73562) | $441 | $630 | 4.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,336.30 | $1,909 | 3.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,336.30 | $1,909 | 3.1× |
| Liver imaging w/vascular flow (78202) | $1,789.90 | $2,557 | 3.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,789.90 | $2,557 | 3.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,789.90 | $2,557 | 3.1× |
| Lung Ventilation Imaging (78579) | $1,336.30 | $1,909 | 3.1× |
| Lymph System Imaging (78195) | $1,789.90 | $2,557 | 3.1× |
| Meckels Divert Exam (78290) | $1,470 | $2,100 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) | $4,151.70 | $5,931 | 11.1× |
| MRA head w/o contrast (70544) | $2,876.30 | $4,109 | 11.2× |
| MRA head with contrast (70545) | $3,843.70 | $5,491 | 10.3× |
| MRA neck w contrast (70548) | $3,840.90 | $5,487 | 10.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,249.70 | $6,071 | 11.4× |
| MRA neck w/o contrast (70547) | $2,876.30 | $4,109 | 11.2× |
| MRI abdomen w contrast (74182) | $4,249.70 | $6,071 | 11.4× |
| MRI abdomen w/o contrast (74181) | $2,876.30 | $4,109 | 11.2× |
| MRI any jt lower extrem w/contrast material (73722) | $3,829 | $5,470 | 4.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,249.70 | $6,071 | 11.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,016.60 | $5,738 | 4.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,090.10 | $5,843 | 16.0× |
| MRI cervical spine w contrast (72142) | $3,920 | $5,600 | 10.5× |
| MRI cervical spine w/o cont (72141) | $2,876.30 | $4,109 | 11.2× |
| MRI chest w/o contrast (71550) | $2,876.30 | $4,109 | 11.2× |
| MRI chest with contrast (71551) | $3,829 | $5,470 | 4.6× |
| MRI chest wo w contrast (71552) | $4,249.70 | $6,071 | 11.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,249.70 | $6,071 | 11.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,674.60 | $6,678 | 12.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,876.30 | $4,109 | 11.2× |
| MRI lumbar spine w contrast (72149) | $4,068.40 | $5,812 | 10.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,249.70 | $6,071 | 11.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,876.30 | $4,109 | 11.2× |
| MRI orbit face neck w contrast (70542) | $2,876.30 | $4,109 | 7.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,674.60 | $6,678 | 12.5× |
| MRI pelvis w/o & w contrast (72197) | $4,674.60 | $6,678 | 12.5× |
| MRI pelvis w/o contrast (72195) | $2,876.30 | $4,109 | 11.2× |
| MRI thoracic spine w/o contrast (72146) | $2,876.30 | $4,109 | 11.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,249.70 | $6,071 | 11.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,876.30 | $4,109 | 11.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,674.60 | $6,678 | 12.5× |
| MRI, abdomen, combo (74183) | $4,674.60 | $6,678 | 12.5× |
| MRI, dorsal spine combo (72157) | $4,674.60 | $6,678 | 12.5× |
| MRI, dorsal spine contrast (72147) | $3,835.30 | $5,479 | 10.3× |
| MRI, joint upper extrem (73221) | $2,876.30 | $4,109 | 11.2× |
| MRI, joint upper extrem combo (73223) | $4,674.60 | $6,678 | 12.5× |
| MRI, lumbar spine combo (72158) | $4,674.60 | $6,678 | 12.5× |
| Myelogram cervical (72240) | $3,594.50 | $5,135 | 4.3× |
| Myelogram Lumbar (72265) | $3,594.50 | $5,135 | 4.3× |
| Myelography thoracic (72255) | $3,594.50 | $5,135 | 4.3× |
| Myelograpy 2/more regions rs&i (72270) | $3,594.50 | $5,135 | 4.3× |
| Myocardial Spect Multiple Studies (78452) | $4,340.70 | $6,201 | 3.1× |
| Neck soft tissue (70360) | $441 | $630 | 4.7× |
| Nm csf leak detection (78650) | $4,340.70 | $6,201 | 3.1× |
| Nonvascular Shunt X-Ray (75809) | $483.70 | $691 | 4.3× |
| Parathyroid Planar Imaging (78070) | $1,336.30 | $1,909 | 3.1× |
| Pelvis 1 or 2 views (72170) | $483.70 | $691 | 4.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,336.30 | $1,909 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $483.70 | $691 | 4.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,494.80 | $3,564 | 4.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $441 | $630 | 4.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $441 | $630 | 4.7× |
| Radex elbow complete minimum 3 views (73080) | $441 | $630 | 4.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $532 | $760 | 4.7× |
| Radex fingr minimum 2 views (73140) | $441 | $630 | 4.7× |
| Radex foot complete minimum 3 views (73630) | $441 | $630 | 4.7× |
| Radex Hand Minimum 3 Views (73130) | $400.40 | $572 | 4.3× |
| Radex lower extremity infant minimum 2 views (73592) | $441 | $630 | 4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $441 | $630 | 4.7× |
| Radex Ribs Unilateral 2 Views (71100) | $400.40 | $572 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) | $400.40 | $572 | 4.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $400.40 | $572 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $400.40 | $572 | 4.3× |
| Radex Sternum Minimum 2 Views (71120) | $441 | $630 | 4.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $660.80 | $944 | 7.1× |
| Radex Toe Minimum 2 Views (73660) | $441 | $630 | 4.7× |
| Radex upper extremity infant minimum 2 views (73092) | $483.70 | $691 | 4.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $441 | $630 | 4.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $532 | $760 | 4.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $483.70 | $691 | 4.3× |
| Radiologic exam colon double contrast study (74280) | $891.10 | $1,273 | 4.7× |
| Radiologic exam colon single contrast study (74270) | $809.90 | $1,157 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) | $483.70 | $691 | 4.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $483.70 | $691 | 4.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $809.90 | $1,157 | 4.3× |
| Radiologic exam swallow function contrast study (74230) | $809.90 | $1,157 | 4.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,011.50 | $1,445 | 5.4× |
| Radiologic examination femur minimum 2 views (73552) | $400.40 | $572 | 4.3× |
| Radiologic examination knee 1/2 views (73560) | $441 | $630 | 4.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $483.70 | $691 | 4.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $441 | $630 | 4.7× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $660.80 | $944 | 7.1× |
| Ribs bilateral 3 views (71110) | $725.90 | $1,037 | 6.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,336.30 | $1,909 | 3.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,340.70 | $6,201 | 7.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,340.70 | $6,201 | 7.5× |
| Scapula (73010) | $532 | $760 | 4.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $84 | $120 | 3.6× |
| Shoulder 1 view (73020) | $400.40 | $572 | 4.3× |
| Skull less than 4 views (70250) | $483.70 | $691 | 4.3× |
| Sternoclavicular joints (71130) | $400.40 | $572 | 4.3× |
| Thoracic spine 3 views (72072) | $532 | $760 | 4.7× |
| Thyroid Imaging With Vascular Flow (78013) | $1,336.30 | $1,909 | 3.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,470 | $2,100 | 3.4× |
| Ultrasound Breast Limited (76642) | $678.30 | $969 | 7.3× |
| Ultrasound elastography first target lesion (76982) | $744.10 | $1,063 | 6.6× |
| Ultrasound Elastography Parenchyma (76981) | $819 | $1,170 | 7.3× |
| Ultrasound Exam Aaa Screen (76706) | $744.10 | $1,063 | 6.6× |
| Ultrasound, abdomen limited (76705) | $819 | $1,170 | 7.3× |
| Upper gi w/o kub (74240) | $891.10 | $1,273 | 4.7× |
| Ureteral Reflux Study (78740) | $1,336.30 | $1,909 | 3.1× |
| Urethrocystogram voiding (74455) | $1,099.70 | $1,571 | 4.3× |
| Urethrocystography retrograde (74450) | $1,099.70 | $1,571 | 4.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$744.10–$1,116.50 | $1,063–$1,595 | varies |
| Us chest (76604) | $744.10 | $1,063 | 6.6× |
| Us exam, pelvic, limited (76857) | $819 | $1,170 | 7.3× |
| Us head (76506) | $744.10 | $1,063 | 6.6× |
| Us kidney transplant (76776) | $744.10 | $1,063 | 6.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $819 | $1,170 | 7.3× |
| Us ob limited 1 or more fetuses (76815) | $819 | $1,170 | 7.3× |
| Us ob transvaginal (76817) | $819 | $1,170 | 7.3× |
| Us pelvic non ob complete (76856) | $819 | $1,170 | 7.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $819 | $1,170 | 7.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $819 | $1,170 | 7.3× |
| Us retroperitoneal complete (76770) | $744.10 | $1,063 | 6.6× |
| Us retroperitoneal limited (76775) | $819 | $1,170 | 7.3× |
| Us scrotum and contents (76870) | $819 | $1,170 | 7.3× |
| Us spinal canal and contents (76800) | $819 | $1,170 | 7.3× |
| Us thyroid (76536) | $819 | $1,170 | 7.3× |
| Vein X-Ray Chest (75827) | $7,067.90 | $10,097 | 4.2× |
| Venography caval inferior serialography rs&i (75825) | $14,321.30 | $20,459 | 4.2× |
| Venography extremity unilateral rs&i (75820) | $3,262 | $4,660 | 1.9× |
| Wrist 2 views (73100) | $400.40 | $572 | 4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $660.80 | $944 | 7.1× |
| X-Ray Aorta Leg Arteries (75630) | $14,321.30 | $20,459 | 4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $400.40 | $572 | 4.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $532 | $760 | 4.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $400.40 | $572 | 4.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $400.40 | $572 | 4.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $798 | $1,140 | 7.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $798 | $1,140 | 7.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $725.90 | $1,037 | 6.5× |
| X-Ray Exam L-S Spine Bending (72114) | $483.70 | $691 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $441 | $630 | 4.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $483.70 | $691 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $483.70 | $691 | 4.3× |
| X-ray eye for foreign body (70030) | $441 | $630 | 4.7× |
| X-ray humerus (73060) | $400.40 | $572 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $400.40 | $572 | 4.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $600.60 | $858 | 6.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $532 | $760 | 4.7× |
| X-ray nose-rectum child f.b. (76010) | $441 | $630 | 4.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $725.90 | $1,037 | 6.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $483.70 | $691 | 4.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $483.70 | $691 | 4.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $400.40 | $572 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $400.40 | $572 | 4.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $483.70 | $691 | 4.3× |
| X-Ray Stress View (77071) | $600.60 | $858 | 6.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,624.70 | $2,321 | 4.3× |
| X-Rays Bone Length Studies (77073) | $483.70 | $691 | 4.3× |
| X-Rays Bone Survey Complete (77075) | $483.70 | $691 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $483.70 | $691 | 4.3× |
| Xr orbits complete 4 views (70200) | $483.70 | $691 | 4.3× |
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.