Imaging prices at Peace Harbor Medical Center
Florence, OR · every code in this section with a posted price and a Medicare benchmark.
225 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 |
$120.25–$240.50 | $185–$370 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$150.15–$283.40 | $231–$436 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,344.20 | $2,068 | 3.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$99.45–$232.70 | $153–$358 | varies |
| Bone Imaging 3 Phase (78315) | $969.80 | $1,492 | 2.2× |
| Bone Imaging Limited Area (78300) | $514.15 | $791 | 1.2× |
| Bone Imaging Whole Body (78306) | $717.60 | $1,104 | 1.6× |
| Bone marrow imaging limited area (78102) | $858 | $1,320 | 1.9× |
| Bone survey infant (77076) | $280.80 | $432 | 2.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$110.50–$221 | $170–$340 | varies |
| Chest 2 views (71046) | $145.60 | $224 | 1.5× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$153.40–$274.95 | $236–$423 | varies |
| Chest 4 or more views (71048) | $339.95 | $523 | 2.9× |
| Clavicle complete (73000) | $104.65 | $161 | 1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $205.40 | $316 | 1.8× |
| Contrast X-Ray Bladder (74430) | $490.10 | $754 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,307.50 | $3,550 | 5.9× |
| CT abdomen and pelvis without contrast (74176) | $2,360.80 | $3,632 | 8.9× |
| CT abdomen w contrast (74160) | $1,036.10 | $1,594 | 5.3× |
| CT abdomen w wo contrast (74170) | $1,283.75 | $1,975 | 6.6× |
| CT abdomen w/o contrast (74150) | $1,159.60 | $1,784 | 9.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,584.40 | $3,976 | 6.6× |
| CT Angio Chest (71275) | $2,444 | $3,760 | 12.5× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,141.75–$4,204.20 | $3,295–$6,468 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,266.20–$1,366.30 | $1,948–$2,102 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,182.05 | $3,357 | 11.2× |
| CT Angio Neck (70498) | $2,141.75 | $3,295 | 10.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$495.30–$1,712.10 | $762–$2,634 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,497.95 | $3,843 | 12.8× |
| CT cervical spine w/ contrast (72126) | $1,388.40 | $2,136 | 3.6× |
| CT cervical spine w/o contrast (72125) | $1,204.45 | $1,853 | 10.3× |
| CT chest w contrast (71260) | $1,149.20 | $1,768 | 5.9× |
| CT chest w/wo contrast (71270) | $1,240.20 | $1,908 | 6.3× |
| CT head/brain with contrast (70460) | $955.50 | $1,470 | 4.9× |
| CT head/brain without and with contrast (70470) | $1,233.70 | $1,898 | 6.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,045.85 | $1,609 | 2.7× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$176.15–$257.40 | $271–$396 | varies |
| CT iac w contrast (70481) | $1,159.60 | $1,784 | 5.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,017.25–$2,034.50 | $1,565–$3,130 | varies |
| CT lower extremity w/contrast material (73701) | $1,204.45 | $1,853 | 6.2× |
| CT lumbar spine w contrast (72132) | $1,622.40 | $2,496 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $1,204.45 | $1,853 | 10.3× |
| CT maxillofacial w contrast (70487) | $1,169.35 | $1,799 | 6.0× |
| CT maxillofacial wo contrast (70486) | $975 | $1,500 | 8.4× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,168.70–$1,359.15 | $1,798–$2,091 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,424.80 | $2,192 | 7.3× |
| CT orbits w/o contrast (70480) | $725.40 | $1,116 | 6.2× |
| CT pelvis w&w/o contrast (72194) | $1,269.45 | $1,953 | 6.5× |
| CT pelvis w/o contrast (72192) | $1,201.20 | $1,848 | 10.3× |
| CT scan of leg combo (73702) | $1,126.45 | $1,733 | 5.8× |
| CT scans face/jaw combo (70488) | $1,025.05 | $1,577 | 5.2× |
| CT soft tissue neck w contrast (70491) | $1,063.40 | $1,636 | 5.4× |
| CT soft tissue neck w/o contrast (70490) | $904.15 | $1,391 | 7.8× |
| CT thoracic spine w contrast (72129) | $1,252.55 | $1,927 | 6.4× |
| CT thoracic spine w/o contrast (72128) | $1,204.45 | $1,853 | 10.3× |
| CT thorax w/o contrast (71250) | $1,200.55 | $1,847 | 10.3× |
| CT unlisted procedure (76497) | $176.15 | $271 | 1.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$845–$1,690 | $1,300–$2,600 | varies |
| CT upper extremity with contrast (73201) | $1,204.45 | $1,853 | 3.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,115.45 | $4,793 | 15.9× |
| Cta Abdomen (74175) | $2,375.10 | $3,654 | 12.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$3,101.15–$6,087.25 | $4,771–$9,365 | varies |
| CTA pelvis (72191) | $2,236.65 | $3,441 | 11.4× |
| Dxa Bone Density Axial (77080) | $165.75 | $255 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $185.90 | $286 | 1.9× |
| Esophagram (74220) | $223.60 | $344 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) | $265.20 | $408 | 2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $440.05 | $677 | 3.8× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$251.55–$301.60 | $387–$464 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$99.45–$198.90 | $153–$306 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$104.65–$261.30 | $161–$402 | varies |
| Gastric emptying imaging study (78264) | $831.35 | $1,279 | 1.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$105.30–$268.45 | $162–$413 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,201.55 | $3,387 | 3.6× |
| Hepatobiliary System Imaging (78226) | $735.15 | $1,131 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $2,385.50 | $3,670 | 1.7× |
| Hysterosalpingogram (74740) | $494 | $760 | 1.9× |
| Joint Survey Single View (77077) | $83.85 | $129 | 0.7× |
| K Flow/Funct Image W/Drug (78708) | $1,154.40 | $1,776 | 1.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,240.85 | $1,909 | 2.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$118.95–$237.90 | $183–$366 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,498.90 | $2,306 | 2.5× |
| Lymph System Imaging (78195) | $1,134.25 | $1,745 | 1.9× |
| Meckels Divert Exam (78290) | $1,051.70 | $1,618 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,761.20 | $4,248 | 7.1× |
| MRA head w/o contrast (70544) | $2,263.30 | $3,482 | 8.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,168.45 | $6,413 | 10.7× |
| MRA neck w/o contrast (70547) | $1,470.30 | $2,262 | 5.5× |
| MRI abdomen w/o contrast (74181) | $2,254.20 | $3,468 | 8.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,613.30–$1,977.95 | $2,482–$3,043 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,007.85 | $3,089 | 5.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,649.05 | $2,537 | 1.9× |
| MRI cervical spine w contrast (72142) | $2,015 | $3,100 | 5.2× |
| MRI cervical spine w/o cont (72141) | $1,283.75 | $1,975 | 4.8× |
| MRI chest w/o contrast (71550) | $1,649.05 | $2,537 | 6.2× |
| MRI chest wo w contrast (71552) | $2,113.80 | $3,252 | 5.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,812.20 | $2,788 | 4.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,671.55 | $7,187 | 12.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,332.50 | $2,050 | 5.0× |
| MRI lumbar spine w contrast (72149) | $1,853.15 | $2,851 | 4.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,512.90 | $3,866 | 6.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,576.90 | $2,426 | 5.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,873 | $4,420 | 7.4× |
| MRI pelvis w/o & w contrast (72197) | $2,658.50 | $4,090 | 6.8× |
| MRI pelvis w/o contrast (72195) | $1,258.40 | $1,936 | 4.7× |
| MRI thoracic spine w/o contrast (72146) | $1,283.75 | $1,975 | 4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,872.65 | $2,881 | 7.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,114.80 | $4,792 | 8.0× |
| MRI, abdomen, combo (74183) | $2,658.50 | $4,090 | 6.8× |
| MRI, dorsal spine combo (72157) | $2,512.90 | $3,866 | 6.5× |
| MRI, dorsal spine contrast (72147) | $1,667.25 | $2,565 | 4.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,267.50–$2,535 | $1,950–$3,900 | varies |
| MRI, joint upper extrem combo (73223) | $2,117.05 | $3,257 | 5.4× |
| MRI, lumbar spine combo (72158) | $2,551.25 | $3,925 | 6.6× |
| Myocardial Spect Multiple Studies (78452) | $2,496 | $3,840 | 1.7× |
| Neck soft tissue (70360) | $89.05 | $137 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $247.65 | $381 | 2.1× |
| Ophthalmic us dx quantitative a-scan only (76511) | $209.95 | $323 | 1.8× |
| Parathyroid Planar Imaging (78070) | $842.40 | $1,296 | 1.9× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$108.55–$286 | $167–$440 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $697.45 | $1,073 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $185.90 | $286 | 1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,225.90 | $1,886 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$108.55–$217.10 | $167–$334 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$96.20–$213.20 | $148–$328 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$118.95–$237.90 | $183–$366 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$200.85–$319.80 | $309–$492 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$87.10–$174.20 | $134–$268 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$109.20–$218.40 | $168–$336 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$111.80–$223.60 | $172–$344 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $237.90 | $366 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$106.60–$216.45 | $164–$333 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$120.25–$241.15 | $185–$371 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$122.20–$244.40 | $188–$376 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $219.05 | $337 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $87.10 | $134 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$57.85–$236.60 | $89–$364 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $193.70 | $298 | 2.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$85.15–$221.65 | $131–$341 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $241.15 | $371 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$112.45–$224.90 | $173–$346 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $445.25 | $685 | 3.8× |
| Radiation treatment delivery level 2 (77407) | $501.15 | $771 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $263.25 | $405 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$270.40–$345.15 | $416–$531 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$223.60–$606.45 | $344–$933 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$247.65–$495.30 | $381–$762 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $315.90 | $486 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $271.05 | $417 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $273.65 | $421 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $223.60 | $344 | 1.1× |
| Radiologic examination femur 1 view (73551) | $128.05 | $197 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$157.95–$315.90 | $243–$486 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$106.60–$213.20 | $164–$328 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$118.95–$237.90 | $183–$366 | varies |
| Ribs bilateral 3 views (71110) | $329.55 | $507 | 2.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,029.60 | $1,584 | 2.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,765.10 | $4,254 | 1.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,448.55 | $3,767 | 1.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,190.20 | $4,908 | 2.2× |
| Scapula (73010) range across 2 matching MRF lines |
$74.10–$258.05 | $114–$397 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.30 | $62 | 1.7× |
| Shoulder 1 view (73020) | $96.20 | $148 | 1.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$131.30–$241.80 | $202–$372 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$172.25–$272.35 | $265–$419 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$93.60–$307.45 | $144–$473 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$57.85–$267.80 | $89–$412 | varies |
| Thyroid Uptake Measurement (78012) | $610.35 | $939 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $917.80 | $1,412 | 2.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$122.20–$244.40 | $188–$376 | varies |
| Ultrasound Exam Aaa Screen (76706) | $228.15 | $351 | 2.0× |
| Ultrasound, abdomen limited (76705) | $301.60 | $464 | 2.6× |
| Upper gi w/o kub (74240) | $223.60 | $344 | 1.1× |
| Urethrocystogram voiding (74455) | $507 | $780 | 1.9× |
| Us breast unilateral complete (76641) | $280.80 | $432 | 2.4× |
| Us chest (76604) | $165.75 | $255 | 1.4× |
| Us complete joint (76881) | $220.35 | $339 | 1.9× |
| Us exam, pelvic, limited (76857) | $163.15 | $251 | 1.4× |
| Us kidney transplant (76776) | $456.30 | $702 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$105.95–$211.90 | $163–$326 | varies |
| Us ob detailed single fetus (76811) | $584.35 | $899 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $170.95 | $263 | 1.5× |
| Us ob transvaginal (76817) | $179.40 | $276 | 1.5× |
| Us pelvic non ob complete (76856) | $336.05 | $517 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $466.70 | $718 | 4.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $273.65 | $421 | 2.3× |
| Us retroperitoneal complete (76770) | $422.50 | $650 | 3.6× |
| Us retroperitoneal limited (76775) | $276.90 | $426 | 2.4× |
| Us scrotum and contents (76870) | $333.45 | $513 | 2.9× |
| Us spinal canal and contents (76800) | $319.80 | $492 | 2.7× |
| Us thyroid (76536) | $170.95 | $263 | 1.5× |
| Wrist 2 views (73100) | $99.45 | $153 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $144.30 | $222 | 1.5× |
| X-ray antegrade pyelogram tube (74425) | $602.55 | $927 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$188.50–$280.80 | $290–$432 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$104.65–$226.20 | $161–$348 | varies |
| X-Ray Exam Breast Specimen (76098) | $192.40 | $296 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $104.65 | $161 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$74.10–$241.15 | $114–$371 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $377 | $580 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $104 | $160 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$126.10–$252.20 | $194–$388 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$61.10–$287.30 | $94–$442 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$141.05–$438.10 | $217–$674 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$113.10–$464.10 | $174–$714 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$131.30–$295.75 | $202–$455 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$102.70–$446.55 | $158–$687 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$176.15–$307.45 | $271–$473 | varies |
| X-ray eye for foreign body (70030) | $221 | $340 | 2.3× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$118.95–$261.30 | $183–$402 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $183.30 | $282 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $137.80 | $212 | 1.2× |
| X-ray nose-rectum child f.b. (76010) | $172.90 | $266 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$185.25–$390 | $285–$600 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$274.95–$280.80 | $423–$432 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $215.15 | $331 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $187.20 | $288 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$160.55–$272.35 | $247–$419 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$188.50–$390.65 | $290–$601 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$308.75–$347.10 | $475–$534 | varies |
| X-Rays Bone Length Studies (77073) | $272.35 | $419 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $501.15 | $771 | 4.3× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$185.25–$387.40 | $285–$596 | varies |
| Xr facial bones less than 3 views (70140) | $202.15 | $311 | 2.1× |
| Xr orbits complete 4 views (70200) | $307.45 | $473 | 2.6× |
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.