Imaging prices at Person Memorial Hospital
Roxboro, NC · every code in this section with a posted price and a Medicare benchmark.
209 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 |
$213.20–$232.40 | $533–$581 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,911.20–$2,083.60 | $4,778–$5,209 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$222.80–$243.20 | $557–$608 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,614–$1,759.60 | $4,035–$4,399 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$353.20–$385.20 | $883–$963 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,735.20–$1,891.60 | $4,338–$4,729 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$880.80–$960.40 | $2,202–$2,401 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$1,312.40–$1,430.80 | $3,281–$3,577 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,735.20–$1,891.60 | $4,338–$4,729 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$470.80–$513.20 | $1,177–$1,283 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$254–$277.20 | $635–$693 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$260.80–$284.40 | $652–$711 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$208.80–$338.40 | $522–$846 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$317.60–$346.40 | $794–$866 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$430.80–$469.60 | $1,077–$1,174 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$214.40–$234 | $536–$585 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$593.60–$647.20 | $1,484–$1,618 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,696–$1,848.80 | $4,240–$4,622 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,671.60–$5,092.40 | $11,679–$12,731 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,435.20–$3,744.40 | $8,588–$9,361 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,888.40–$3,148.40 | $7,221–$7,871 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$3,132–$3,414 | $7,830–$8,535 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$2,491.20–$2,715.60 | $6,228–$6,789 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$5,378–$5,862.40 | $13,445–$14,656 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,808.80–$3,061.60 | $7,022–$7,654 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,071.20–$2,258 | $5,178–$5,645 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,458.80–$2,680.40 | $6,147–$6,701 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,220.40–$2,420.40 | $5,551–$6,051 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,458.80–$2,680.40 | $6,147–$6,701 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$2,104–$2,293.60 | $5,260–$5,734 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,638.40–$2,876 | $6,596–$7,190 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,476–$2,699.20 | $6,190–$6,748 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,635.20–$2,872.40 | $6,588–$7,181 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,718.80–$1,873.60 | $4,297–$4,684 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,929.20–$2,103.20 | $4,823–$5,258 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,702–$1,855.20 | $4,255–$4,638 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$3,024.40–$3,296.80 | $7,561–$8,242 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,142–$2,334.80 | $5,355–$5,837 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,142–$2,334.80 | $5,355–$5,837 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$3,132–$3,414 | $7,830–$8,535 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,132–$3,414 | $7,830–$8,535 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,542.80–$2,772 | $6,357–$6,930 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,342.80–$2,665.60 | $3,357–$6,664 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,929.20–$2,103.20 | $4,823–$5,258 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,406.40–$1,533.20 | $3,516–$3,833 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,161.20–$1,266 | $2,903–$3,165 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$3,132–$3,414 | $7,830–$8,535 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$2,491.20–$2,715.60 | $6,228–$6,789 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,272.40–$2,477.20 | $5,681–$6,193 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,680.40–$2,922 | $6,701–$7,305 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,718.80–$1,873.60 | $4,297–$4,684 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,555.60–$1,696 | $3,889–$4,240 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$3,132–$3,414 | $7,830–$8,535 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,068.80–$2,255.20 | $5,172–$5,638 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,025.60–$2,208 | $5,064–$5,520 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,142–$2,334.80 | $5,355–$5,837 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,923.60–$3,186.80 | $7,309–$7,967 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$3,508.40–$3,824.40 | $8,771–$9,561 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,070.80–$3,347.20 | $7,677–$8,368 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$515.60–$562.40 | $1,289–$1,406 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$232–$253.20 | $580–$633 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$458.80–$500.40 | $1,147–$1,251 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$430.80–$469.60 | $1,077–$1,174 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$214.40–$234 | $536–$585 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$225.60–$246 | $564–$615 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$2,689.60–$2,932 | $6,724–$7,330 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,721.60–$1,876.80 | $4,304–$4,692 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$227.20–$248 | $568–$620 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,849.20–$2,016 | $4,623–$5,040 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,849.20–$2,016 | $4,623–$5,040 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$3,486.40–$4,027.20 | $8,716–$10,068 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,553.20–$1,693.20 | $3,883–$4,233 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,553.20–$1,693.20 | $3,883–$4,233 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$266.40–$290.40 | $666–$726 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$1,144–$1,247.20 | $2,860–$3,118 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,994.40–$2,174 | $4,986–$5,435 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$1,144–$2,375.60 | $2,860–$5,939 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,820.40–$1,984.40 | $4,551–$4,961 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,876.40–$3,135.60 | $7,191–$7,839 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,578–$1,720.40 | $3,945–$4,301 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,526.40–$1,664 | $3,816–$4,160 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,486–$2,710 | $6,215–$6,775 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,686.40–$1,838.40 | $4,216–$4,596 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,271.20–$2,476 | $5,678–$6,190 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,271.20–$2,476 | $5,678–$6,190 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,370.40–$2,584 | $5,926–$6,460 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,121.60–$2,312.80 | $5,304–$5,782 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,163.60–$2,358.40 | $5,409–$5,896 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,271.20–$2,476 | $5,678–$6,190 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,271.20–$2,476 | $5,678–$6,190 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,170.80–$2,366.40 | $5,427–$5,916 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,271.20–$2,476 | $5,678–$6,190 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,271.20–$2,476 | $5,678–$6,190 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,162–$2,356.80 | $5,405–$5,892 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,271.20–$2,476 | $5,678–$6,190 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,617.60–$1,763.20 | $4,044–$4,408 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,860–$2,027.60 | $4,650–$5,069 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,175.20–$3,461.20 | $7,938–$8,653 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,419.60–$1,547.60 | $3,549–$3,869 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,744.40–$2,991.60 | $6,861–$7,479 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,271.20–$2,476 | $5,678–$6,190 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,271.20–$2,476 | $5,678–$6,190 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,139.60–$1,242.40 | $2,849–$3,106 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,271.20–$2,476 | $5,678–$6,190 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,109.60–$3,389.60 | $7,774–$8,474 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,936–$3,200.40 | $7,340–$8,001 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,242.40–$2,476 | $3,106–$6,190 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,887.60–$2,476 | $4,719–$6,190 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,936–$3,200.40 | $7,340–$8,001 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,493.60–$1,628.40 | $3,734–$4,071 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$2,408.80–$2,625.60 | $6,022–$6,564 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$4,644.80–$5,063.20 | $11,612–$12,658 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$5,080–$5,537.20 | $12,700–$13,843 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$204.40–$222.80 | $511–$557 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$246–$268.40 | $615–$671 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$544.40–$593.60 | $1,361–$1,484 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$265.20–$289.20 | $663–$723 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$214.40–$234 | $536–$585 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$269.20–$293.60 | $673–$734 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$435.20–$474.40 | $1,088–$1,186 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$166.80–$182 | $417–$455 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$269.20–$293.60 | $673–$734 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$225.60–$246 | $564–$615 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$146.80–$200.80 | $367–$502 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$313.20–$341.60 | $783–$854 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$313.20–$341.60 | $783–$854 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$287.20–$313.20 | $718–$783 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$251.60–$274.40 | $629–$686 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$188.40–$205.60 | $471–$514 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$340–$370.80 | $850–$927 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$369.60–$403.20 | $924–$1,008 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$183.20–$200 | $458–$500 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$227.20–$248 | $568–$620 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$269.20–$293.60 | $673–$734 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$724–$789.20 | $1,810–$1,973 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$458.80–$500.40 | $1,147–$1,251 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$302.80–$330.40 | $757–$826 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$891.20–$971.60 | $2,228–$2,429 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$716.40–$781.20 | $1,791–$1,953 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$302–$329.20 | $755–$823 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$320–$348.80 | $800–$872 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$369.60–$403.20 | $924–$1,008 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$369.60–$403.20 | $924–$1,008 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$787.60–$858.80 | $1,969–$2,147 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$232–$253.20 | $580–$633 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$232–$253.20 | $580–$633 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$225.60–$246 | $564–$615 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$222.80–$243.20 | $557–$608 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$369.60–$403.20 | $924–$1,008 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$1,122.80–$1,224 | $2,807–$3,060 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$287.20–$313.20 | $718–$783 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$90.40–$98.80 | $226–$247 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$787.60–$858.80 | $1,969–$2,147 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$302–$329.20 | $755–$823 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$347.60–$379.20 | $869–$948 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$311.60–$340 | $779–$850 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$311.60–$340 | $779–$850 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$349.20–$380.80 | $873–$952 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$514–$581.20 | $1,285–$1,453 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$196.40–$214.40 | $491–$536 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$705.60–$769.20 | $1,764–$1,923 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$287.20–$313.20 | $718–$783 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$454.80–$496 | $1,137–$1,240 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$943.20–$1,028.40 | $2,358–$2,571 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$639.60–$697.20 | $1,599–$1,743 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$454.80–$496 | $1,137–$1,240 | varies |
| Us head (76506) range across 2 matching MRF lines |
$400.40–$436.80 | $1,001–$1,092 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$438.80–$478.40 | $1,097–$1,196 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$582.80–$635.60 | $1,457–$1,589 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$618.80–$674.80 | $1,547–$1,687 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$937.20–$1,021.60 | $2,343–$2,554 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$923.20–$1,006.40 | $2,308–$2,516 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$643.20–$701.20 | $1,608–$1,753 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$643.60–$701.60 | $1,609–$1,754 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$943.20–$1,028.40 | $2,358–$2,571 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$615.60–$671.20 | $1,539–$1,678 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$852.40–$929.20 | $2,131–$2,323 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$225.60–$246 | $564–$615 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$313.20–$341.60 | $783–$854 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$508–$554 | $1,270–$1,385 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$225.60–$246 | $564–$615 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$751.60–$819.60 | $1,879–$2,049 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$232–$253.20 | $580–$633 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$381.20–$415.60 | $953–$1,039 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$724–$789.20 | $1,810–$1,973 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$232–$253.20 | $580–$633 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$232–$253.20 | $580–$633 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$381.20–$415.60 | $953–$1,039 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$346.40–$377.60 | $866–$944 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$381.20–$415.60 | $953–$1,039 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$724–$789.20 | $1,810–$1,973 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$597.20–$651.20 | $1,493–$1,628 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$311.60–$340 | $779–$850 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$508–$554 | $1,270–$1,385 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$517.60–$564.40 | $1,294–$1,411 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$287.20–$313.20 | $718–$783 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$311.60–$340 | $779–$850 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$252–$274.80 | $630–$687 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$613.20–$668.40 | $1,533–$1,671 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$258.40–$282 | $646–$705 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$311.60–$340 | $779–$850 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$458.80–$500.40 | $1,147–$1,251 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$458.80–$500.40 | $1,147–$1,251 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$392.80–$428.40 | $982–$1,071 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$323.60–$352.80 | $809–$882 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$613.20–$668.40 | $1,533–$1,671 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$447.60–$488 | $1,119–$1,220 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$243.60–$265.60 | $609–$664 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$288.40–$314.40 | $721–$786 | 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.