Imaging prices at Parkview Huntington Hospital

Huntington, IN · every code in this section with a posted price and a Medicare benchmark.

277 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $194.50 $389 2.1×
Abdomen 2 views (74019) $282 $564 2.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,195.50 $2,391 2.8×
Ankle 2 views (73600)
range across 6 matching MRF lines
$155–$240.50 $310–$481 varies
Arthrogram hip (73525) $1,001.50 $2,003 2.7×
Basic radiation dosimetry calculation (77300) $556.50 $1,113 3.9×
Bone age studies (77072) $106 $212 1.0×
Bone Imaging 3 Phase (78315) $1,508 $3,016 3.6×
Bone Imaging Limited Area (78300) $1,044.50 $2,089 2.5×
Bone Imaging Multiple Areas (78305) $1,290.50 $2,581 3.1×
Bone Imaging Whole Body (78306) $1,595 $3,190 3.8×
Bone survey infant (77076) $425.50 $851 3.8×
Brain Flow Imaging Only (78610) $1,087 $2,174 1.9×
Cardiac MRI w/w/o contrast & further seq (75561) $1,028.50 $2,057 2.8×
Cardiac MRI w/w/o contrast w/stress (75563) $1,234 $2,468 1.5×
Cat Scan Follow-Up Study (76380) $278 $556 3.0×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,121.50 $2,243 2.0×
Cerebrospinal Fluid Scan (78630) $1,221 $2,442 2.1×
Chest 1 view (71045) $155.50 $311 1.7×
Chest 2 views (71046) $205.50 $411 2.2×
Chest 3 views (71047) $255.50 $511 2.8×
Chest 4 or more views (71048) $332.50 $665 3.0×
Clavicle complete (73000)
range across 3 matching MRF lines
$158.50–$238.50 $317–$477 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $49.50 $99 0.4×
Contrast X-Ray Bladder (74430) $484 $968 1.3×
Contrast X-Ray Of Knee Joint (73580) $951.50 $1,903 2.6×
CT abdomen and pelvis without and with contrast (74178) $1,626 $3,252 4.4×
CT abdomen and pelvis without contrast (74176) $837.50 $1,675 3.3×
CT abdomen w contrast (74160) $774 $1,548 4.2×
CT abdomen w wo contrast (74170) $898 $1,796 4.8×
CT abdomen w/o contrast (74150) $640 $1,280 5.8×
CT Angio Abdomen and Pelvis (74174) $1,891.50 $3,783 5.1×
CT Angio Chest (71275) $937 $1,874 5.0×
CT Angio Head (70496) $785 $1,570 4.2×
CT angio hrt w/3d image (75574) $818 $1,636 2.2×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$749.50–$1,124.50 $1,499–$2,249 varies
CT Angio Neck (70498) $784.50 $1,569 4.2×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 3 matching MRF lines
$847–$1,186.50 $1,694–$2,373 varies
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $459 $918 2.5×
CT cervical spine w/ contrast (72126) $742.50 $1,485 2.0×
CT cervical spine w/o contrast (72125) $544 $1,088 4.9×
CT cervical spine w/wo cont (72127) $775.50 $1,551 4.2×
CT chest w contrast (71260) $759.50 $1,519 4.1×
CT chest w/wo contrast (71270) $957 $1,914 5.2×
CT colonography screening (74263) $496.50 $993 2.0×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $1,038.50 $2,077 5.6×
CT colonogrphy dx image postprocess w/o contrast (74261) $496.50 $993 4.5×
CT head/brain with contrast (70460) $612.50 $1,225 3.3×
CT head/brain without and with contrast (70470) $717.50 $1,435 3.9×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines
$49.50–$283 $99–$566 varies
CT hrt w/3d image congen (75573) $791.50 $1,583 2.1×
CT iac w contrast (70481) $727.50 $1,455 3.9×
CT l-spine w&w/o contrast (72133) $983 $1,966 5.3×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$547–$820 $1,094–$1,640 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$774–$1,084 $1,548–$2,168 varies
CT lumbar spine w contrast (72132) $804.50 $1,609 2.2×
CT lumbar spine w/o contrast (72131) $689.50 $1,379 6.2×
CT maxillofacial w contrast (70487) $625 $1,250 3.4×
CT maxillofacial wo contrast (70486)
range across 4 matching MRF lines
$392–$511.50 $784–$1,023 varies
CT neck tissue combo (70492) $774 $1,548 4.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $846.50 $1,693 4.6×
CT orbits w/o contrast (70480) $603 $1,206 5.5×
CT pelvis w&w/o contrast (72194) $957 $1,914 5.2×
CT pelvis w/o contrast (72192) $566 $1,132 5.1×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$974.50–$1,026 $1,949–$2,052 varies
CT scans face/jaw combo (70488) $738 $1,476 4.0×
CT soft tissue neck w contrast (70491) $613.50 $1,227 3.3×
CT soft tissue neck w/o contrast (70490) $519.50 $1,039 4.7×
CT thoracic spine w contrast (72129) $827 $1,654 4.5×
CT thoracic spine w/o contrast (72128) $707.50 $1,415 6.4×
CT thoracic spine w/wo cont (72130) $1,041.50 $2,083 5.6×
CT thorax w/o contrast (71250) $544 $1,088 4.9×
CT upper ext wo (73200)
range across 3 matching MRF lines
$658–$987.50 $1,316–$1,975 varies
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$778.50–$1,084 $1,557–$2,168 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,213.50 $2,427 6.5×
Cta Abdomen (74175) $839 $1,678 4.5×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $1,147.50 $2,295 3.1×
CTA pelvis (72191) $884.50 $1,769 4.8×
Doppler Echo Fetal Spectral Display Complete (76827) $376 $752 3.4×
Doppler Fetal Mid Cerebral Artery (76821) $396 $792 3.6×
Dxa Bone Density Axial (77080) $274 $548 2.5×
Dxa bone density study 1/>sites appendiclr skel (77081) $143.50 $287 1.6×
Echo exam of fetal heart (76825) $376 $752 0.7×
Echo exam uterus (76831) $453 $906 1.8×
Echo Guide For Artery Repair (76936) $633 $1,266 2.8×
Esophagram (74220) $461 $922 2.5×
Fetal Biophys Profile W/Nst (76818) $463 $926 4.2×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $403 $806 3.6×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $728.50 $1,457 2.9×
Fluoroscopy up to 1 hr (76000) $610 $1,220 2.4×
Foot 2 views (73620)
range across 7 matching MRF lines
$128.50–$240.50 $257–$481 varies
Forearm 2 views (73090)
range across 5 matching MRF lines
$156–$238.50 $312–$477 varies
Gastric emptying imaging study (78264) $1,318.50 $2,637 3.1×
Gated Heart Planar Single (78472) $1,667 $3,334 3.9×
Hand 2 views (73120)
range across 6 matching MRF lines
$153–$230 $306–$460 varies
Hepatobil Syst Image W/Drug (78227) $1,653.50 $3,307 2.9×
Hepatobiliary System Imaging (78226) $1,317 $2,634 3.1×
Ht Muscle Image Spect Sing (78451)
range across 2 matching MRF lines
$704.50–$3,119 $1,409–$6,238 varies
Hysterosalpingogram (74740) $718.50 $1,437 2.8×
Infant hip ultrasound with hip movement (dynamic) (76885) $589 $1,178 6.4×
Joint Survey Single View (77077) $238.50 $477 2.2×
K Flow/Funct Image W/Drug (78708) $1,052.50 $2,105 1.8×
K Flow/Funct Image W/O Drug (78707) $1,435 $2,870 2.5×
Knee 3 Views (73562)
range across 3 matching MRF lines
$198–$284.50 $396–$569 varies
Liver imaging static only (78201) $906 $1,812 1.6×
Lung Perf&Ventilat Diferentl (78598) $2,048 $4,096 3.6×
Lung perfusion differential (78597) $1,121.50 $2,243 2.7×
Lung Ventilat&Perfus Imaging (78582) $2,048 $4,096 3.6×
Lung Ventilation Imaging (78579) $561 $1,122 1.3×
Lymph System Imaging (78195) $1,262 $2,524 2.2×
Magnetic Image Jaw Joint (70336) $660.50 $1,321 2.6×
Meckels Divert Exam (78290) $914 $1,828 2.2×
Mra Head W/O & W/Contrast Material (70546) $1,027.50 $2,055 2.8×
MRA head w/o contrast (70544) $769 $1,538 3.0×
MRA head with contrast (70545) $994.50 $1,989 2.7×
MRA neck w contrast (70548) $922 $1,844 2.5×
Mra Neck W/O &W/Contrast Material (70549) $932 $1,864 2.5×
MRA neck w/o contrast (70547) $508 $1,016 2.0×
MRI abdomen w contrast (74182) $882.50 $1,765 2.4×
MRI abdomen w/o contrast (74181)
range across 3 matching MRF lines
$491.50–$827 $983–$1,654 varies
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$781.50–$1,136 $1,563–$2,272 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$908–$1,362.50 $1,816–$2,725 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 5 matching MRF lines
$764.50–$1,136 $1,529–$2,272 varies
MRI Breast W/O Contrast Bilateral (77047) $1,072.50 $2,145 4.2×
MRI Breast Without Contrast Material Unilateral (77046) $753 $1,506 3.0×
MRI cardiac w/o contrast (75557) $785.50 $1,571 3.1×
MRI cervical spine w contrast (72142) $923 $1,846 2.5×
MRI cervical spine w/o cont (72141)
range across 3 matching MRF lines
$236.50–$749 $473–$1,498 varies
MRI chest w/o contrast (71550) $718 $1,436 2.8×
MRI chest wo w contrast (71552) $938 $1,876 2.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $864.50 $1,729 2.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$933.50–$1,325 $1,867–$2,650 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$656.50–$946.50 $1,313–$1,893 varies
MRI lumbar spine w contrast (72149) $874.50 $1,749 2.4×
Mri Neck Spine W/O & W/Dye (72156)
range across 2 matching MRF lines
$331–$1,323 $662–$2,646 varies
MRI orbit face &/neck w/o contrast (70540) $643.50 $1,287 2.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $883.50 $1,767 2.4×
MRI pelvis w contrast (72196) $893.50 $1,787 2.4×
MRI pelvis w/o & w contrast (72197) $1,054 $2,108 2.9×
MRI pelvis w/o contrast (72195) $728.50 $1,457 2.9×
MRI spectroscopy (76390) $813 $1,626 8.8×
MRI thoracic spine w/o contrast (72146)
range across 2 matching MRF lines
$262.50–$810 $525–$1,620 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 4 matching MRF lines
$668.50–$946.50 $1,337–$1,893 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 4 matching MRF lines
$904.50–$1,325 $1,809–$2,650 varies
MRI, abdomen, combo (74183) $1,020 $2,040 2.8×
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines
$331–$1,021.50 $662–$2,043 varies
MRI, dorsal spine contrast (72147) $903 $1,806 2.4×
MRI, joint upper extrem (73221)
range across 6 matching MRF lines
$648.50–$946.50 $1,297–$1,893 varies
MRI, joint upper extrem combo (73223)
range across 5 matching MRF lines
$886–$1,325 $1,772–$2,650 varies
MRI, lumbar spine combo (72158)
range across 2 matching MRF lines
$331–$986 $662–$1,972 varies
Myelogram cervical (72240) $1,570.50 $3,141 1.9×
Myelogram Lumbar (72265) $922 $1,844 1.1×
Myelograpy 2/more regions rs&i (72270) $2,052 $4,104 2.5×
Myocardial Spect Multiple Studies (78452) $4,253 $8,506 3.1×
N-invas est c ffr sw aly CTA (75580) $2,659.50 $5,319 2.9×
Neck soft tissue (70360) $158 $316 1.7×
Nuclear Rx Oral Admin (79005) $2,046.50 $4,093 8.3×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $336 $672 3.0×
Parathyroid Planar Imaging (78070) $865.50 $1,731 2.0×
Parathyroid planar imaging w/wo subtraction (78071) $908 $1,816 2.1×
Pelvis 1 or 2 views (72170) $192 $384 1.7×
Pulmonary Perfusion Imaging Particulate (78580) $1,118 $2,236 2.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $378 $756 3.4×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$190–$271.50 $380–$543 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$168.50–$252.50 $337–$505 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$198–$262 $396–$524 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $237 $474 2.1×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$105.50–$153.50 $211–$307 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$196–$294 $392–$588 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$190.50–$262 $381–$524 varies
Radex lower extremity infant minimum 2 views (73592)
range across 3 matching MRF lines
$146.50–$241.50 $293–$483 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $198.50 $397 2.2×
Radex Ribs Unilateral 2 Views (71100) $192.50 $385 2.1×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$199–$276 $398–$552 varies
Radex Sinuses Paransl < 3 Views (70210) $185.50 $371 2.0×
Radex Spine 1 View Specify Level (72020) $157.50 $315 1.7×
Radex Sternum Minimum 2 Views (71120) $191.50 $383 2.1×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$105.50–$152 $211–$304 varies
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines
$146.50–$241.50 $293–$483 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 8 matching MRF lines
$168.50–$252.50 $337–$505 varies
Radiolog exam mandible compl minimum 4 views (70110) $260.50 $521 2.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $310 $620 2.8×
Radiologic exam colon double contrast study (74280) $871 $1,742 4.7×
Radiologic exam colon single contrast study (74270) $521.50 $1,043 2.8×
Radiologic Exam Esophagus Double Contrast Study (74221) $509.50 $1,019 2.7×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$216–$316 $432–$632 varies
Radiologic exam pelvis compl minimum 3 views (72190) $240 $480 2.2×
Radiologic Exam Small Int Single Contrast Study (74250) $531.50 $1,063 2.9×
Radiologic exam swallow function contrast study (74230) $439.50 $879 2.4×
Radiologic exam upr gi trc double contrast study (74246) $572 $1,144 3.1×
Radiologic examination femur 1 view (73551)
range across 3 matching MRF lines
$67.50–$102 $135–$204 varies
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$197.50–$314.50 $395–$629 varies
Radiologic examination knee 1/2 views (73560)
range across 6 matching MRF lines
$166–$239.50 $332–$479 varies
Radiologic Examination Osseous Survey Limited (77074) $390.50 $781 3.5×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$192–$284.50 $384–$569 varies
Ribs bilateral 3 views (71110) $226 $452 2.0×
Rp loclzj tum plnr 1 area single day imaging (78800) $693 $1,386 1.6×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,494 $2,988 3.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,616 $3,232 2.8×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $2,623 $5,246 1.7×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $1,977 $3,954 1.4×
Rp Therapy Intravenous Administration (79101) $1,288.50 $2,577 5.2×
Scapula (73010)
range across 3 matching MRF lines
$189–$270.50 $378–$541 varies
Screening Digital Breast Tomosynthesis Bi (77063) $39 $78 1.7×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$129.50–$196.50 $259–$393 varies
Shoulder Arthrography (73040) $904.50 $1,809 2.5×
Skull less than 4 views (70250) $193.50 $387 1.7×
Special Physics Consult (77370) $1,095 $2,190 7.7×
Special treatment procedure (77470) $2,687 $5,374 4.6×
Sternoclavicular joints (71130) $159.50 $319 1.7×
Thoracic spine 2 views (72070) $213.50 $427 1.9×
Thoracic spine 3 views (72072) $257.50 $515 2.3×
Thoracolumbar 2 views (72080) $228 $456 2.5×
Thyroid Met Imaging Body (78018) $1,544 $3,088 2.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $930.50 $1,861 2.2×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$343–$480 $686–$960 varies
Ultrasound Elastography Parenchyma (76981) $204.50 $409 1.8×
Ultrasound Exam Aaa Screen (76706) $258.50 $517 2.3×
Ultrasound, abdomen limited (76705)
range across 3 matching MRF lines
$359.50–$437.50 $719–$875 varies
Umbilical-artery Doppler (OB) (76820) $372.50 $745 3.4×
Unlisted us procedure (76999) $407.50 $815 4.4×
Upper gi w/o kub (74240) $512 $1,024 2.8×
Urethrocystogram voiding (74455) $571 $1,142 2.3×
Urethrocystography retrograde (74450) $615.50 $1,231 2.4×
Us breast unilateral complete (76641)
range across 3 matching MRF lines
$428.50–$601.50 $857–$1,203 varies
Us chest (76604) $361 $722 3.3×
Us exam, pelvic, limited (76857) $403 $806 3.6×
Us head (76506) $556.50 $1,113 5.0×
Us kidney transplant (76776) $497.50 $995 4.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 4 matching MRF lines
$294–$441 $588–$882 varies
Us ob detailed single fetus (76811) $801 $1,602 3.2×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$488.50–$514 $977–$1,028 varies
Us ob transvaginal (76817) $437 $874 4.0×
Us pelvic non ob complete (76856) $431.50 $863 3.9×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $587 $1,174 5.3×
Us preg uterus real time f/u trnsabdl per fetus (76816) $534.50 $1,069 4.8×
Us retroperitoneal complete (76770) $477.50 $955 4.3×
Us retroperitoneal limited (76775) $339.50 $679 3.1×
Us scrotum and contents (76870) $403 $806 3.6×
Us spinal canal and contents (76800) $402.50 $805 3.6×
Us thyroid (76536)
range across 2 matching MRF lines
$343–$429 $686–$858 varies
Venography extremity bilateral rs&i (75822) $1,218 $2,436 0.7×
Venography extremity unilateral rs&i (75820) $960 $1,920 0.6×
Wrist 2 views (73100)
range across 6 matching MRF lines
$150–$238.50 $300–$477 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $203.50 $407 2.2×
X-Ray Bend Only L-S Spine (72120) $238.50 $477 2.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 5 matching MRF lines
$159.50–$239.50 $319–$479 varies
X-Ray Exam Breast Specimen (76098) $424 $848 0.7×
X-Ray Exam Entire Spi 1 Vw (72081) $321.50 $643 3.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $372.50 $745 3.4×
X-Ray Exam Hip Uni 1 View (73501) $153 $306 1.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $197.50 $395 2.1×
X-Ray Exam Hips Bi 2 Views (73521) $231.50 $463 2.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $282.50 $565 2.6×
X-Ray Exam L-S Spine Bending (72114) $359.50 $719 3.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $207.50 $415 2.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $304.50 $609 2.8×
X-Ray Exam Unilat Ribs/Chest (71101) $234 $468 2.1×
X-ray eye for foreign body (70030) $209.50 $419 2.3×
X-ray humerus (73060)
range across 5 matching MRF lines
$190–$262 $380–$524 varies
X-ray IV pyelogram (ivp) (74400) $484 $968 2.6×
X-ray IV pyelogram+tomography (74415) $634.50 $1,269 3.4×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $142.50 $285 1.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $234.50 $469 2.1×
X-ray nose-rectum child f.b. (76010) $176.50 $353 1.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $306 $612 2.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $192.50 $385 1.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $198 $396 2.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $261.50 $523 2.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $297.50 $595 2.7×
X-ray thoracic spine 4 vw (72074) $281 $562 2.5×
X-Ray Tmj Unilat (70328) $169.50 $339 1.8×
X-Rays Bone Length Studies (77073) $265.50 $531 2.4×
X-Rays Bone Survey Complete (77075) $423 $846 3.8×
Xr c-spine 4 or 5 views (72050) $288 $576 2.6×
Xr facial bones less than 3 views (70140) $200.50 $401 2.2×
Xr orbits complete 4 views (70200) $224.50 $449 2.0×

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.