Imaging prices at Perry County Memorial Hospital
Tell City, IN · every code in this section with a posted price and a Medicare benchmark.
234 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) | $238 | $340 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,437.10 | $2,053 | 3.4× |
| Angiography extremity unilateral rs&i (75710) | $347.20 | $496 | 0.1× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$221.90–$333.90 | $317–$477 | varies |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$396.90 | $567 | 0.1× |
| Bone age studies (77072) | $58.10 | $83 | 0.5× |
| Bone Imaging 3 Phase (78315) | $1,437.10 | $2,053 | 3.4× |
| Bone Imaging Limited Area (78300) | $1,209.60 | $1,728 | 2.9× |
| Bone Imaging Multiple Areas (78305) | $851.90 | $1,217 | 2.0× |
| Bone Imaging Whole Body (78306) | $1,582 | $2,260 | 3.7× |
| Bone marrow imaging limited area (78102) | $851.90 | $1,217 | 2.0× |
| Bone survey infant (77076) | $329 | $470 | 3.0× |
| Brain Image W/Flow < 4 Views (78601) | $1,917.30 | $2,739 | 4.5× |
| Chest 1 view (71045) | $234.50 | $335 | 2.5× |
| Chest 2 views (71046) | $266 | $380 | 2.9× |
| Chest 3 views (71047) range across 4 matching MRF lines |
$330.40–$339.50 | $472–$485 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$283.50–$426.30 | $405–$609 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $570.50 | $815 | 5.2× |
| Contrast X-Ray Bladder (74430) | $373.10 | $533 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$967.40–$2,346.40 | $1,382–$3,352 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,356.60 | $1,938 | 5.4× |
| CT abdomen w contrast (74160) | $1,783.60 | $2,548 | 9.6× |
| CT abdomen w wo contrast (74170) | $2,074.10 | $2,963 | 11.2× |
| CT abdomen w/o contrast (74150) | $1,530.90 | $2,187 | 13.8× |
| CT Angio Abdomen and Pelvis (74174) | $1,555.40 | $2,222 | 4.2× |
| CT Angio Chest (71275) | $1,555.40 | $2,222 | 8.4× |
| CT Angio Head (70496) | $1,506.40 | $2,152 | 8.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,555.40 | $2,222 | 8.4× |
| CT Angio Neck (70498) | $1,506.40 | $2,152 | 8.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,555.40 | $2,222 | 8.4× |
| CT cervical spine w/o contrast (72125) | $1,143.80 | $1,634 | 10.3× |
| CT cervical spine w/wo cont (72127) | $1,763.30 | $2,519 | 9.5× |
| CT chest w contrast (71260) | $1,675.10 | $2,393 | 9.0× |
| CT chest w/wo contrast (71270) | $2,021.60 | $2,888 | 10.9× |
| CT head/brain with contrast (70460) | $1,525.30 | $2,179 | 8.2× |
| CT head/brain without and with contrast (70470) | $1,718.50 | $2,455 | 9.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $34.30 | $49 | 0.4× |
| CT iac w contrast (70481) | $1,525.30 | $2,179 | 8.2× |
| CT l-spine w&w/o contrast (72133) | $1,744.40 | $2,492 | 9.4× |
| CT lower ext w/o (73700) | $1,551.20 | $2,216 | 14.0× |
| CT lower extremity w/contrast material (73701) | $1,733.20 | $2,476 | 9.3× |
| CT lumbar spine w contrast (72132) | $1,907.50 | $2,725 | 5.2× |
| CT lumbar spine w/o contrast (72131) | $1,224.30 | $1,749 | 11.1× |
| CT maxillofacial w contrast (70487) | $1,525.30 | $2,179 | 8.2× |
| CT maxillofacial wo contrast (70486) | $1,043 | $1,490 | 9.4× |
| CT neck tissue combo (70492) | $1,689.10 | $2,413 | 9.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,718.50 | $2,455 | 9.3× |
| CT orbits w/o contrast (70480) | $1,043 | $1,490 | 9.4× |
| CT pelvis w&w/o contrast (72194) | $1,960.70 | $2,801 | 10.6× |
| CT pelvis w/o contrast (72192) | $1,124.90 | $1,607 | 10.2× |
| CT scan of leg combo (73702) | $1,744.40 | $2,492 | 9.4× |
| CT scans face/jaw combo (70488) | $1,718.50 | $2,455 | 9.3× |
| CT soft tissue neck w contrast (70491) | $1,677.90 | $2,397 | 9.0× |
| CT soft tissue neck w/o contrast (70490) | $1,381.10 | $1,973 | 12.5× |
| CT thoracic spine w contrast (72129) | $1,645.70 | $2,351 | 8.9× |
| CT thoracic spine w/o contrast (72128) | $1,426.60 | $2,038 | 12.9× |
| CT thoracic spine w/wo cont (72130) | $1,744.40 | $2,492 | 9.4× |
| CT thorax w/o contrast (71250) | $1,551.20 | $2,216 | 14.0× |
| CT upper ext wo (73200) | $1,597.40 | $2,282 | 14.4× |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$1,744.40–$2,153.20 | $2,492–$3,076 | varies |
| CT upper extremity with contrast (73201) | $2,468.20 | $3,526 | 6.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,555.40 | $2,222 | 8.4× |
| Cta Abdomen (74175) | $1,555.40 | $2,222 | 8.4× |
| CTA pelvis (72191) | $1,555.40 | $2,222 | 8.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $238.70 | $341 | 2.2× |
| Dxa Bone Density Axial (77080) | $388.50 | $555 | 3.5× |
| Esophagram (74220) | $504.70 | $721 | 2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $369.60 | $528 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $213.50 | $305 | 0.8× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$221.90–$333.90 | $317–$477 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$256.90–$387.10 | $367–$553 | varies |
| Gastric emptying imaging study (78264) | $1,528.80 | $2,184 | 3.6× |
| Gastroesophageal Reflux Exam (78262) | $1,279.60 | $1,828 | 3.0× |
| Gated Heart Planar Single (78472) | $1,568.70 | $2,241 | 3.7× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$221.90–$333.90 | $317–$477 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,549.10 | $2,213 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,171.10 | $1,673 | 2.8× |
| Ht Muscle Image Spect Sing (78451) | $2,345.70 | $3,351 | 1.7× |
| Infusion Ivp (74410) | $614.60 | $878 | 3.3× |
| K Flow/Funct Image Multiple (78709) | $1,602.30 | $2,289 | 2.8× |
| K Flow/Funct Image W/Drug (78708) range across 4 matching MRF lines |
$1,107.40–$1,423.80 | $1,582–$2,034 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,199.80 | $1,714 | 2.1× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$289.80–$433.30 | $414–$619 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,022.70 | $1,461 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) range across 4 matching MRF lines |
$2,087.40–$2,761.50 | $2,982–$3,945 | varies |
| Lung Ventilation Imaging (78579) | $989.80 | $1,414 | 2.3× |
| Lymph System Imaging (78195) | $1,255.10 | $1,793 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $2,055.20 | $2,936 | 8.1× |
| Meckels Divert Exam (78290) | $1,173.20 | $1,676 | 2.8× |
| Mra Head W/O & W/Contrast Material (70546) | $1,624 | $2,320 | 4.4× |
| MRA head w/o contrast (70544) | $1,858.50 | $2,655 | 7.4× |
| MRA head with contrast (70545) | $455 | $650 | 1.2× |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$1,604.40–$2,055.20 | $2,292–$2,936 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 4 matching MRF lines |
$2,419.20–$2,740.50 | $3,456–$3,915 | varies |
| MRA neck w/o contrast (70547) | $1,962.80 | $2,804 | 7.8× |
| MRI abdomen w contrast (74182) | $1,738.10 | $2,483 | 4.7× |
| MRI abdomen w/o contrast (74181) | $2,419.20 | $3,456 | 9.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,056.30 | $1,509 | 1.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,808.40 | $4,012 | 7.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,043.70 | $1,491 | 1.3× |
| MRI cervical spine w contrast (72142) | $2,419.20 | $3,456 | 6.6× |
| MRI cervical spine w/o cont (72141) | $1,839.60 | $2,628 | 7.3× |
| MRI chest w/o contrast (71550) | $2,419.20 | $3,456 | 9.6× |
| MRI chest with contrast (71551) | $1,031.80 | $1,474 | 1.2× |
| MRI chest wo w contrast (71552) | $1,396.50 | $1,995 | 3.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,962.80 | $2,804 | 5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,419.20 | $3,456 | 6.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,684.20 | $2,406 | 6.7× |
| MRI lumbar spine w contrast (72149) | $2,419.20 | $3,456 | 6.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,998.10 | $4,283 | 8.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,419.20 | $3,456 | 9.6× |
| MRI orbit face neck w contrast (70542) | $2,998.10 | $4,283 | 8.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,998.10 | $4,283 | 8.1× |
| MRI pelvis w contrast (72196) | $2,419.20 | $3,456 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $2,198.70 | $3,141 | 6.0× |
| MRI pelvis w/o contrast (72195) | $1,684.20 | $2,406 | 6.7× |
| MRI thoracic spine w/o contrast (72146) | $1,839.60 | $2,628 | 7.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,055.20 | $2,936 | 5.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,867.60 | $2,668 | 7.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 7 matching MRF lines |
$1,297.10–$4,398.10 | $1,853–$6,283 | varies |
| MRI, abdomen, combo (74183) | $2,816.80 | $4,024 | 7.6× |
| MRI, dorsal spine combo (72157) | $2,998.10 | $4,283 | 8.1× |
| MRI, dorsal spine contrast (72147) | $2,419.20 | $3,456 | 6.6× |
| MRI, joint upper extrem (73221) | $2,419.20 | $3,456 | 9.6× |
| MRI, joint upper extrem combo (73223) | $2,808.40 | $4,012 | 7.6× |
| MRI, lumbar spine combo (72158) | $2,998.10 | $4,283 | 8.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $919.10 | $1,313 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $3,989.30 | $5,699 | 2.9× |
| Neck soft tissue (70360) | $304.50 | $435 | 3.3× |
| Parathyroid Planar Imaging (78070) | $744.80 | $1,064 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,227.80 | $1,754 | 2.9× |
| Pelvis 1 or 2 views (72170) | $283.50 | $405 | 2.6× |
| PET image w/CT, full body (78816) | $4,435.20 | $6,336 | 2.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,333 | $6,190 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,267.70 | $1,811 | 3.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $427.70 | $611 | 3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$257.60–$387.80 | $368–$554 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$257.60–$387.80 | $368–$554 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$266.70–$400.40 | $381–$572 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $410.20 | $586 | 3.7× |
| Radex fingr minimum 2 views (73140) | $237.30 | $339 | 2.6× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$283.50–$426.30 | $405–$609 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$249.20–$373.10 | $356–$533 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$360.50–$541.80 | $515–$774 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 4 matching MRF lines |
$629.30–$1,243.20 | $899–$1,776 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $334.60 | $478 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $334.60 | $478 | 3.6× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$283.50–$426.30 | $405–$609 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $182 | $260 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $221.90 | $317 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $334.60 | $478 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $410.20 | $586 | 4.5× |
| Radex Toe Minimum 2 Views (73660) | $221.90 | $317 | 2.4× |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$633.50–$650.30 | $905–$929 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$254.80–$619.50 | $364–$885 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $410.20 | $586 | 3.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $373.10 | $533 | 3.4× |
| Radiologic exam colon double contrast study (74280) | $774.20 | $1,106 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $658 | $940 | 3.5× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$360.50–$541.80 | $515–$774 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $360.50 | $515 | 3.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $434.70 | $621 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $221.20 | $316 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 8 matching MRF lines |
$585.20–$774.20 | $836–$1,106 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$283.50–$426.30 | $405–$609 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$283.50–$426.30 | $405–$609 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$283.50–$426.30 | $405–$609 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $724.50 | $1,035 | 1.7× |
| Ribs bilateral 3 views (71110) | $360.50 | $515 | 3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$1,864.80–$2,067.10 | $2,664–$2,953 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,602.30 | $2,289 | 1.2× |
| Scapula (73010) range across 4 matching MRF lines |
$334.60–$910 | $478–$1,300 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $120.40 | $172 | 5.1× |
| Shoulder 1 view (73020) | $143.50 | $205 | 1.6× |
| Skull less than 4 views (70250) | $364 | $520 | 3.3× |
| Sternoclavicular joints (71130) | $333.20 | $476 | 3.6× |
| Testicular Imaging W/Flow (78761) | $1,194.90 | $1,707 | 2.8× |
| Thoracic spine 2 views (72070) | $91 | $130 | 0.8× |
| Thoracic spine 3 views (72072) | $334.60 | $478 | 3.0× |
| Thoracolumbar 2 views (72080) | $174.30 | $249 | 1.9× |
| Thyroid Imaging With Vascular Flow (78013) | $690.20 | $986 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $939.40 | $1,342 | 2.2× |
| Ultrasound Breast Limited (76642) | $363.30 | $519 | 3.9× |
| Ultrasound Exam Aaa Screen (76706) | $306.60 | $438 | 2.8× |
| Ultrasound, abdomen limited (76705) range across 11 matching MRF lines |
$244.30–$709.10 | $349–$1,013 | varies |
| Umbilical-artery Doppler (OB) (76820) | $123.20 | $176 | 1.1× |
| Ureteral Reflux Study (78740) | $841.40 | $1,202 | 2.0× |
| Urethrocystogram voiding (74455) | $513.80 | $734 | 2.0× |
| Us breast unilateral complete (76641) | $416.50 | $595 | 3.8× |
| Us chest (76604) | $183.40 | $262 | 1.7× |
| Us exam, pelvic, limited (76857) | $476.70 | $681 | 4.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $462 | $660 | 4.2× |
| Us ob limited 1 or more fetuses (76815) | $406.70 | $581 | 3.7× |
| Us ob transvaginal (76817) | $421.40 | $602 | 3.8× |
| Us pelvic non ob complete (76856) | $676.20 | $966 | 6.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $258.30 | $369 | 2.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $215.60 | $308 | 1.9× |
| Us retroperitoneal complete (76770) | $476.70 | $681 | 4.3× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$515.20–$595 | $736–$850 | varies |
| Us scrotum and contents (76870) | $639.80 | $914 | 5.8× |
| Us thyroid (76536) | $639.80 | $914 | 5.8× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$221.90–$333.90 | $317–$477 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $312.90 | $447 | 3.4× |
| X-Ray Bend Only L-S Spine (72120) | $354.20 | $506 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$221.90–$609 | $317–$870 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $334.60 | $478 | 3.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $212.80 | $304 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$231.70–$521.50 | $331–$745 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$336.70–$504 | $481–$720 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $506.80 | $724 | 4.6× |
| X-Ray Exam L-S Spine Bending (72114) | $405.30 | $579 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $319.20 | $456 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $413 | $590 | 3.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $360.50 | $515 | 3.3× |
| X-ray eye for foreign body (70030) | $154 | $220 | 1.7× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$256.90–$387.10 | $367–$553 | varies |
| X-ray IV pyelogram+tomography (74415) | $769.30 | $1,099 | 4.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $360.50 | $515 | 3.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $306.60 | $438 | 3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $334.60 | $478 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $338.10 | $483 | 3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $143.50 | $205 | 1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $306.60 | $438 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $254.10 | $363 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $334.60 | $478 | 3.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $410.20 | $586 | 4.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $410.20 | $586 | 3.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $31.50 | $45 | 0.1× |
| X-Rays Bone Length Studies (77073) | $125.30 | $179 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $295.40 | $422 | 2.7× |
| Xr c-spine 4 or 5 views (72050) | $413 | $590 | 3.7× |
| Xr facial bones less than 3 views (70140) | $360.50 | $515 | 3.9× |
| XR Mastoids < 3 Views Bilateral (70120) range across 4 matching MRF lines |
$371.70–$557.90 | $531–$797 | varies |
| Xr orbits complete 4 views (70200) | $410.20 | $586 | 3.7× |
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.