Imaging prices at Ozarks Community Hospital
Gravette, AR · every code in this section with a posted price and a Medicare benchmark.
186 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 |
$8.80–$346.40 | $22–$866 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$10–$419.20 | $25–$1,048 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$7.20–$692.80 | $18–$1,732 | varies |
| Bone age studies (77072) | $419.20 | $1,048 | 4.3× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$42.40–$419.20 | $106–$1,048 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$6.80–$346.40 | $17–$866 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$265 | $19–$866 | 3.3× |
| Chest 3 views (71047) | $346.40 | $866 | 4.3× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$16.80–$419.20 | $42–$1,048 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$7.20–$692.80 | $18–$1,732 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$60–$419.20 | $150–$1,048 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$750 | $153–$3,665 | 2.3× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$750 | $133–$2,335 | 3.4× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$750 | $126–$1,751 | 4.6× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$750 | $138–$1,751 | 4.6× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$750 | $118–$1,048 | 7.7× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$68–$1,466 | $170–$3,665 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$76–$700.40 | $190–$1,751 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$132.80–$700.40 | $332–$1,751 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$282.80–$926 | $707–$2,315 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$132.80–$700.40 | $332–$1,751 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$136.80–$700.40 | $342–$1,751 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$250 | $21–$866 | 3.1× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$750 | $232–$3,665 | 2.3× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$750 | $115–$1,048 | 7.7× |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$750 | $241–$1,751 | 4.6× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$750 | $122–$1,751 | 4.6× |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$750 | $137–$1,751 | 4.6× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$750 | $112–$1,751 | 4.6× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$750 | $126–$1,751 | 4.6× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$50 | $88–$866 | 0.6× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$750 | $262–$1,751 | 4.6× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$750 | $241–$1,751 | 4.6× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$750 | $109–$1,048 | 7.7× |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$750 | $220–$3,505 | 4.6× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$750 | $232–$3,665 | 2.3× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$750 | $115–$1,048 | 7.7× |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$750 | $216–$1,751 | 4.6× |
| CT maxillofacial wo contrast (70486) range across 6 matching MRF lines |
$750 | $113–$1,048 | 7.7× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$750 | $143–$1,751 | 4.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$750 | $273–$1,751 | 4.6× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$750 | $127–$1,048 | 7.7× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$750 | $232–$2,335 | 4.6× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$750 | $109–$1,048 | 7.7× |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$750 | $232–$1,751 | 4.6× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$750 | $257–$1,751 | 4.6× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$750 | $137–$1,751 | 4.6× |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$750 | $127–$1,048 | 7.7× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$750 | $232–$1,751 | 4.6× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$750 | $115–$1,048 | 7.7× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$750 | $241–$1,751 | 4.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$750 | $115–$1,048 | 7.7× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$750 | $109–$1,048 | 7.7× |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$750 | $232–$1,751 | 4.6× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$750 | $115–$3,665 | 2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$94.80–$700.40 | $237–$1,751 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$144–$700.40 | $360–$1,751 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$136.80–$700.40 | $342–$1,751 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$23.20–$419.20 | $58–$1,048 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$17.60–$346.40 | $44–$866 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$82–$419.20 | $205–$1,048 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$13.60–$934 | $34–$2,335 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$6.80–$346.40 | $17–$866 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$7.20–$692.80 | $18–$1,732 | varies |
| Hand 2 views (73120) range across 7 matching MRF lines |
$7.20–$838.40 | $18–$2,096 | varies |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$8–$692.80 | $20–$1,732 | varies |
| Magnetic Image Jaw Joint (70336) range across 5 matching MRF lines |
$900 | $644–$2,335 | 4.0× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$136–$3,112 | $340–$7,780 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$125.20–$934 | $313–$2,335 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$257.60–$637.60 | $644–$1,594 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$240–$3,112 | $600–$7,780 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$294.40–$3,112 | $736–$7,780 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$276–$3,112 | $690–$7,780 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$900 | $644–$3,665 | 2.8× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$900 | $644–$2,335 | 4.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$900 | $644–$7,629 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$900 | $644–$3,665 | 2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$900 | $644–$7,629 | 1.2× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$900 | $552–$3,665 | 2.8× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$900 | $313–$2,335 | 4.0× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$900 | $552–$2,335 | 4.0× |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$900 | $736–$7,629 | 1.2× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$900 | $600–$3,665 | 2.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$900 | $644–$3,665 | 2.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$900 | $336–$3,665 | 2.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$900 | $644–$2,335 | 4.0× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$900 | $690–$3,665 | 2.8× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$900 | $385–$3,665 | 2.8× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$900 | $644–$2,335 | 4.0× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$900 | $644–$3,665 | 2.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$900 | $736–$3,665 | 2.8× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$900 | $644–$3,665 | 2.8× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$900 | $644–$3,665 | 2.8× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$900 | $600–$3,665 | 4.0× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$900 | $313–$2,335 | 4.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$900 | $644–$3,665 | 2.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$900 | $336–$2,335 | 4.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$900 | $644–$3,665 | 2.8× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$900 | $736–$2,335 | 2.8× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$900 | $336–$3,665 | 2.8× |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$900 | $273–$3,665 | 2.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$900 | $336–$2,335 | 4.0× |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$900 | $336–$3,665 | 2.8× |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$900 | $336–$3,665 | 2.8× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$7.60–$346.40 | $19–$866 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$22.80–$140 | $57–$350 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$41.60–$381.60 | $104–$954 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 3 matching MRF lines |
$14–$63.20 | $35–$158 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$7.60–$419.20 | $19–$1,048 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$13.20–$419.20 | $33–$1,048 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$250 | $19–$1,732 | 3.1× |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$12.80–$692.80 | $32–$1,732 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$7.60–$692.80 | $19–$1,732 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$10.80–$419.20 | $27–$1,048 | varies |
| Radex fingr minimum 2 views (73140) range across 22 matching MRF lines |
$6–$346.40 | $15–$866 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$250 | $19–$1,732 | 3.1× |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$250 | $19–$1,732 | 3.1× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$9.20–$346.40 | $23–$866 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$26.80–$419.20 | $67–$1,048 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$7.60–$346.40 | $19–$866 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$9.20–$346.40 | $23–$866 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 10 matching MRF lines |
$8–$692.80 | $20–$1,732 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$7.60–$346.40 | $19–$866 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$12–$346.40 | $30–$866 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$8.80–$346.40 | $22–$866 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$10–$346.40 | $25–$866 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$6–$346.40 | $15–$866 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$9.20–$419.20 | $23–$1,048 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$250 | $19–$1,732 | 3.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$8.40–$419.20 | $21–$1,048 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $419.20 | $1,048 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$8.80–$419.20 | $22–$1,048 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$39.60–$700.40 | $99–$1,751 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$13.20–$692.80 | $33–$1,732 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$7.20–$692.80 | $18–$1,732 | varies |
| Radiologic examination knee 1/2 views (73560) range across 7 matching MRF lines |
$255 | $19–$1,732 | 3.1× |
| Radiologic Examination Osseous Survey Limited (77074) range across 4 matching MRF lines |
$27.20–$419.20 | $68–$1,048 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$7.60–$692.80 | $19–$1,732 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$7.60–$838.40 | $19–$2,096 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$6.80–$692.80 | $17–$1,732 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$18.40–$419.20 | $46–$1,048 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$13.60–$346.40 | $34–$866 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$11.60–$419.20 | $29–$1,048 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$9.20–$419.20 | $23–$1,048 | varies |
| Ultrasound Exam Aaa Screen (76706) | $419.20 | $1,048 | 4.3× |
| Ultrasound, abdomen limited (76705) range across 12 matching MRF lines |
$450 | $112–$1,048 | 4.6× |
| Unlisted Dx Radiographic Procedure (76499) | $346.40 | $866 | 4.3× |
| Us chest (76604) range across 2 matching MRF lines |
$32.80–$419.20 | $82–$1,048 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$38–$419.20 | $95–$1,048 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$24–$419.20 | $60–$1,048 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$27.60–$419.20 | $69–$1,048 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$50.40–$419.20 | $126–$1,048 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$52–$419.20 | $130–$1,048 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$450 | $69–$1,048 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$30.40–$419.20 | $76–$1,048 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$35.20–$419.20 | $88–$1,048 | varies |
| Us retroperitoneal complete (76770) range across 5 matching MRF lines |
$450 | $140–$1,048 | 4.6× |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$44.40–$419.20 | $111–$1,048 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$26–$419.20 | $65–$1,048 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$450 | $56–$1,048 | 4.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$7.20–$692.80 | $18–$1,732 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$16.80–$346.40 | $42–$866 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$6.80–$692.80 | $17–$1,732 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$17.20–$346.40 | $43–$866 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$11.60–$419.20 | $29–$1,048 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$140 | $18–$866 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
$140 | $19–$866 | 1.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$8–$419.20 | $20–$1,048 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$14.80–$419.20 | $37–$1,048 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$250 | $23–$866 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$27.60–$419.20 | $69–$1,048 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$11.20–$419.20 | $28–$1,048 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$7.60–$692.80 | $19–$1,732 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$14.40–$346.40 | $36–$866 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$7.60–$346.40 | $19–$866 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$250 | $23–$1,048 | 2.6× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$11.20–$346.40 | $28–$866 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$13.20–$419.20 | $33–$1,048 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$8–$419.20 | $20–$1,048 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$7.60–$346.40 | $19–$866 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$19.60–$346.40 | $49–$866 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$14.40–$419.20 | $36–$1,048 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$32.80–$419.20 | $82–$1,048 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$23.60–$419.20 | $59–$1,048 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$11.20–$419.20 | $28–$1,048 | varies |
| Xr orbits complete 4 views (70200) range across 6 matching MRF lines |
$22–$838.40 | $55–$2,096 | 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.