Imaging prices at Pullman Regional Hospital

Pullman, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $368.90 $434 3.8×
Abdomen 2 views (74019)
range across 2 matching MRF lines
$73.10–$431.80 $86–$508 varies
Acute Gastrointestinal Blood Loss Imaging (78278) $1,325.15 $1,559 3.0×
Ankle 2 views (73600)
range across 2 matching MRF lines
$70.55–$323.85 $83–$381 varies
Arthrogram hip (73525) $771.80 $908 2.0×
Arthrogram Wrist (73115) $516.80 $608 1.3×
Bone age studies (77072) $383.35 $451 3.3×
Bone Imaging 3 Phase (78315) $1,129.65 $1,329 2.5×
Bone Imaging Limited Area (78300) $999.60 $1,176 2.2×
Bone Imaging Multiple Areas (78305) $47.60 $56 0.1×
Bone Imaging Whole Body (78306) $1,483.25 $1,745 3.3×
Brain Imaging Minimum 4 Static Views (78605) $1,059.95 $1,247 1.8×
Brain Imaging Pet Metabolic Evaluation (78608) $6,695.45 $7,877 4.2×
Cat Scan Follow-Up Study (76380) $1,439.90 $1,694 14.8×
Cerebrospinal Fluid Scan (78630) $1,317.50 $1,550 2.2×
Chest 1 view (71045)
range across 3 matching MRF lines
$67.15–$258.40 $79–$304 varies
Chest 2 views (71046)
range across 2 matching MRF lines
$82.45–$355.30 $97–$418 varies
Chest 3 views (71047) $346.80 $408 3.6×
Chest 4 or more views (71048) $73.10 $86 0.6×
Clavicle complete (73000)
range across 2 matching MRF lines
$72.25–$368.90 $85–$434 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,528.30 $1,798 13.1×
Contrast X-Ray Bladder (74430) $707.20 $832 1.8×
Contrast X-Ray Of Elbow (73085) $770.95 $907 2.0×
Corpora cavernosography (74445) $1,213.80 $1,428 10.4×
CT abdomen and pelvis without and with contrast (74178) $2,713.20 $3,192 7.0×
CT abdomen and pelvis without contrast (74176) $1,854.70 $2,182 7.0×
CT abdomen w contrast (74160) $1,526.60 $1,796 7.8×
CT abdomen w wo contrast (74170) $1,852.15 $2,179 9.5×
CT abdomen w/o contrast (74150) $1,526.60 $1,796 13.1×
CT Angio Abdomen and Pelvis (74174) $2,425.90 $2,854 6.2×
CT Angio Chest (71275) $2,329.85 $2,741 11.9×
CT Angio Head (70496) $2,256.75 $2,655 11.5×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,563.60 $3,016 13.1×
CT Angio Neck (70498) $2,256.75 $2,655 11.5×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,563.60 $3,016 13.1×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $2,082.50 $2,450 10.7×
CT cervical spine w/ contrast (72126) $1,857.25 $2,185 4.8×
CT cervical spine w/o contrast (72125) $1,857.25 $2,185 15.9×
CT cervical spine w/wo cont (72127) $2,522.80 $2,968 12.9×
CT chest w contrast (71260) $2,346.85 $2,761 12.0×
CT chest w/wo contrast (71270) $2,624.80 $3,088 13.4×
CT head/brain with contrast (70460) $1,576.75 $1,855 8.1×
CT head/brain without and with contrast (70470) $2,102.05 $2,473 10.8×
CT iac w contrast (70481) $1,609.05 $1,893 8.2×
CT lower ext w/o (73700) $1,583.55 $1,863 13.6×
CT lower extremity w/contrast material (73701) $1,498.55 $1,763 7.7×
CT lumbar spine w contrast (72132) $1,723.80 $2,028 4.4×
CT lumbar spine w/o contrast (72131) $1,821.55 $2,143 15.6×
CT maxillofacial w contrast (70487) $1,134.75 $1,335 5.8×
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$1,031.90–$1,134.75 $1,214–$1,335 varies
CT neck tissue combo (70492) $1,799.45 $2,117 9.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,501.55 $2,943 12.8×
CT orbits w/o contrast (70480) $1,305.60 $1,536 11.2×
CT pelvis w&w/o contrast (72194) $2,644.35 $3,111 13.5×
CT pelvis w/o contrast (72192) $1,923.55 $2,263 16.5×
CT scan of leg combo (73702) $2,165.80 $2,548 11.1×
CT scans face/jaw combo (70488) $2,278 $2,680 11.7×
CT soft tissue neck w contrast (70491) $1,682.15 $1,979 8.6×
CT soft tissue neck w/o contrast (70490) $1,406.75 $1,655 12.1×
CT thoracic spine w contrast (72129) $1,598.85 $1,881 8.2×
CT thoracic spine w/o contrast (72128) $1,598.85 $1,881 13.7×
CT thorax w/o contrast (71250) $1,918.45 $2,257 16.5×
CT upper ext wo (73200) $1,803.70 $2,122 15.5×
CT upper extremity w/o & w/contrast material (73202) $2,393.60 $2,816 12.2×
CT upper extremity with contrast (73201) $1,803.70 $2,122 4.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,653.70 $3,122 13.6×
Cta Abdomen (74175) $1,852.15 $2,179 9.5×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,256.75 $2,655 5.8×
CTA pelvis (72191) $2,644.35 $3,111 13.5×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$73.10–$123.25 $86–$145 varies
Dxa bone density study (77085) $99.45 $117 0.9×
Esophagram (74220) $858.50 $1,010 4.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,022.55 $1,203 8.8×
Fluoroscopy up to 1 hr (76000) $521.05 $613 2.0×
Foot 2 views (73620)
range across 2 matching MRF lines
$70.55–$355.30 $83–$418 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$72.25–$368.90 $85–$434 varies
Gastric emptying imaging study (78264) $1,745.05 $2,053 3.9×
Gastroesophageal Reflux Exam (78262) $952 $1,120 2.1×
Gated Heart Planar Single (78472) $1,426.30 $1,678 3.2×
Hand 2 views (73120)
range across 2 matching MRF lines
$70.55–$355.30 $83–$418 varies
Hepatobil Syst Image W/Drug (78227) $1,745.05 $2,053 2.9×
Hepatobiliary System Imaging (78226) $995.35 $1,171 2.2×
Ht Muscle Image Spect Sing (78451) $1,519.80 $1,788 1.1×
Hysterosalpingogram (74740) $681.70 $802 2.6×
Infant hip ultrasound with hip movement (dynamic) (76885) $769.25 $905 7.9×
Infusion Ivp (74410) $1,453.50 $1,710 7.4×
K Flow/Funct Image W/Drug (78708) $1,008.95 $1,187 1.7×
K Flow/Funct Image W/O Drug (78707) $1,059.10 $1,246 1.8×
Knee 3 Views (73562)
range across 2 matching MRF lines
$80.75–$412.25 $95–$485 varies
Liver & Spleen Imaging W/Vascular Flow (78216) $1,024.25 $1,205 2.3×
Lung Ventilat&Perfus Imaging (78582) $1,923.55 $2,263 3.2×
Lung Ventilation Imaging (78579) $1,024.25 $1,205 2.3×
Lymph System Imaging (78195) $1,130.50 $1,330 1.9×
Magnetic Image Jaw Joint (70336) $2,465 $2,900 9.3×
Meckels Divert Exam (78290) $1,059.95 $1,247 2.4×
Mra Head W/O & W/Contrast Material (70546) $2,354.50 $2,770 6.1×
MRA head w/o contrast (70544) $3,030.25 $3,565 11.4×
MRA neck w contrast (70548) $3,030.25 $3,565 7.8×
Mra Neck W/O &W/Contrast Material (70549) $2,907.85 $3,421 7.5×
MRA neck w/o contrast (70547) $2,204.05 $2,593 8.3×
MRI abdomen w/o contrast (74181) $3,264 $3,840 12.3×
MRI any jt lower extrem w/contrast material (73722) $2,538.10 $2,986 2.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,895.95 $3,407 7.4×
MRI any jt upper extremity w/contrast matrl (73222) $2,538.95 $2,987 2.9×
MRI bone marrow blood supply (77084) $3,953.35 $4,651 14.9×
MRI cervical spine w contrast (72142) $662.15 $779 1.7×
MRI cervical spine w/o cont (72141)
range across 2 matching MRF lines
$1,874.25–$2,061.25 $2,205–$2,425 varies
MRI chest w/o contrast (71550) $2,898.50 $3,410 10.9×
MRI chest with contrast (71551) $2,898.50 $3,410 3.3×
MRI chest wo w contrast (71552) $3,767.20 $4,432 9.7×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,334.55 $3,923 8.6×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,538.10 $2,986 9.5×
MRI lumbar spine w contrast (72149) $560.15 $659 1.4×
Mri Neck Spine W/O & W/Dye (72156)
range across 2 matching MRF lines
$2,534.70–$2,787.15 $2,982–$3,279 varies
MRI orbit face &/neck w/o contrast (70540) $2,425.05 $2,853 9.1×
MRI orbit face neck w contrast (70542) $2,425.05 $2,853 6.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,886.60 $3,396 7.4×
MRI pelvis w/o & w contrast (72197) $3,654.15 $4,299 9.4×
MRI pelvis w/o contrast (72195) $2,635 $3,100 9.9×
MRI thoracic spine w/o contrast (72146) $2,717.45 $3,197 10.2×
MRI upper extremity oth than jt w/contr matrl (73219) $2,538.10 $2,986 6.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,538.10 $2,986 9.5×
Mri Uppr Extremity W/O&W/Dye (73220) $3,388.10 $3,986 8.7×
MRI, abdomen, combo (74183) $3,813.95 $4,487 9.8×
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines
$2,898.50–$3,334.55 $3,410–$3,923 varies
MRI, dorsal spine contrast (72147) $616.25 $725 1.6×
MRI, joint upper extrem (73221) $2,538.10 $2,986 9.5×
MRI, joint upper extrem combo (73223) $3,388.10 $3,986 8.7×
MRI, lumbar spine combo (72158) $3,161.15 $3,719 8.1×
Myelogram cervical (72240) $1,312.40 $1,544 1.5×
Myelogram Lumbar (72265) $1,397.40 $1,644 1.6×
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines
$153–$3,267.40 $180–$3,844 varies
N-invas est c ffr sw aly CTA (75580) $1,326 $1,560 1.4×
Neck soft tissue (70360) $311.95 $367 3.2×
Ob us nuchal meas 1 gest (76813) $553.35 $651 4.7×
Parathyroid imaging w/tomographic spect & CT (78072) $1,059.95 $1,247 1.8×
Parathyroid Planar Imaging (78070) $1,166.20 $1,372 2.6×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
$73.10–$334.05 $86–$393 varies
Pet Image W/Ct Lmtd (78814) $4,788.90 $5,634 3.0×
PET image w/CT, full body (78816) $5,442.55 $6,403 3.4×
PET imaging CT attenuation skull base mid-thigh (78815) $5,094.90 $5,994 3.2×
Pulmonary Perfusion Imaging Particulate (78580) $842.35 $991 1.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $559.30 $658 4.8×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$73.95–$381.65 $87–$449 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$67.15–$334.90 $79–$394 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$78.20–$400.35 $92–$471 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $311.10 $366 2.7×
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$82.45–$281.35 $97–$331 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$73.95–$381.65 $87–$449 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$73.95–$381.65 $87–$449 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$42.50–$323 $50–$380 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $327.25 $385 3.4×
Radex Ribs Unilateral 2 Views (71100)
range across 2 matching MRF lines
$85.85–$518.50 $101–$610 varies
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$79.05–$403.75 $93–$475 varies
Radex Sinuses Paransl < 3 Views (70210) $421.60 $496 4.3×
Radex Spine 1 View Specify Level (72020)
range across 2 matching MRF lines
$48.45–$589.05 $57–$693 varies
Radex Sternum Minimum 2 Views (71120)
range across 2 matching MRF lines
$68–$412.25 $80–$485 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $572.90 $674 5.9×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$59.50–$335.75 $70–$395 varies
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines
$42.50–$85.85 $50–$101 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$73.95–$383.35 $87–$451 varies
Radiolog exam mandible compl minimum 4 views (70110) $474.30 $558 4.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $520.20 $612 4.5×
Radiologic exam colon double contrast study (74280) $1,546.15 $1,819 7.9×
Radiologic exam colon single contrast study (74270) $1,143.25 $1,345 5.8×
Radiologic Exam Esophagus Double Contrast Study (74221) $858.50 $1,010 4.4×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$115.60–$459.85 $136–$541 varies
Radiologic exam pelvis compl minimum 3 views (72190)
range across 2 matching MRF lines
$91.80–$396.95 $108–$467 varies
Radiologic Exam Small Int Single Contrast Study (74250) $1,076.95 $1,267 5.5×
Radiologic exam swallow function contrast study (74230) $646.85 $761 3.3×
Radiologic exam upr gi trc double contrast study (74246) $1,232.50 $1,450 6.3×
Radiologic examination femur 1 view (73551)
range across 2 matching MRF lines
$78.20–$90.10 $92–$106 varies
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$73.95–$106.25 $87–$125 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$73.95–$355.30 $87–$418 varies
Radiologic Examination Osseous Survey Limited (77074) $355.30 $418 3.0×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$73.10–$368.90 $86–$434 varies
Ribs bilateral 3 views (71110) $113.90 $134 1.0×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $1,879.35 $2,211 3.1×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,125.40 $1,324 1.9×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,409.30 $1,658 2.3×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $895.90 $1,054 0.6×
Rp Therapy Intravenous Administration (79101) $872.10 $1,026 3.4×
Scapula (73010)
range across 2 matching MRF lines
$68.85–$337.45 $81–$397 varies
Screening Digital Breast Tomosynthesis Bi (77063) $101.15 $119 4.3×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$65.45–$306.85 $77–$361 varies
Shoulder Arthrography (73040) $847.45 $997 2.2×
Skull less than 4 views (70250)
range across 2 matching MRF lines
$113.05–$470.90 $133–$554 varies
Sternoclavicular joints (71130)
range across 2 matching MRF lines
$72.25–$450.50 $85–$530 varies
Thoracic spine 2 views (72070)
range across 2 matching MRF lines
$91.80–$412.25 $108–$485 varies
Thoracic spine 3 views (72072)
range across 2 matching MRF lines
$106.25–$507.45 $125–$597 varies
Thoracolumbar 2 views (72080)
range across 2 matching MRF lines
$115.60–$474.30 $136–$558 varies
Thyroid Imaging With Vascular Flow (78013) $919.70 $1,082 2.1×
Thyroid Uptake Measurement (78012) $776.90 $914 1.7×
Ultrasound Breast Limited (76642) $530.40 $624 5.5×
Ultrasound Elastography Parenchyma (76981) $667.25 $785 5.7×
Ultrasound Exam Aaa Screen (76706)
range across 2 matching MRF lines
$86.70–$765 $102–$900 varies
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$125.80–$842.35 $148–$991 varies
Umbilical-artery Doppler (OB) (76820) $724.20 $852 6.2×
Upper gi w/o kub (74240) $1,071 $1,260 5.5×
Ureteral Reflux Study (78740) $1,059.95 $1,247 2.4×
Urethrocystogram voiding (74455) $946.05 $1,113 3.6×
Urethrocystography retrograde (74450) $809.20 $952 3.0×
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$106.25–$530.40 $125–$624 varies
Us chest (76604)
range across 2 matching MRF lines
$107.95–$685.95 $127–$807 varies
Us complete joint (76881)
range across 2 matching MRF lines
$382.50–$955.40 $450–$1,124 varies
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$135.15–$724.20 $159–$852 varies
Us head (76506) $866.15 $1,019 7.4×
Us kidney transplant (76776) $910.35 $1,071 7.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$116.45–$396.10 $137–$466 varies
Us ob detailed single fetus (76811) $890.80 $1,048 3.4×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$135.15–$498.95 $159–$587 varies
Us ob transvaginal (76817) $180.20 $212 1.5×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$106.25–$1,080.35 $125–$1,271 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $698.70 $822 6.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $725.05 $853 6.2×
Us retroperitoneal complete (76770) $1,167.05 $1,373 10.0×
Us retroperitoneal limited (76775) $113.05 $133 1.0×
Us scrotum and contents (76870)
range across 2 matching MRF lines
$135.15–$827.05 $159–$973 varies
Us spinal canal and contents (76800) $1,102.45 $1,297 9.5×
Us thyroid (76536)
range across 2 matching MRF lines
$86.70–$892.50 $102–$1,050 varies
Us transrectal (76872) $382.50 $450 3.3×
Venography extremity bilateral rs&i (75822) $500.65 $589 0.3×
Venography extremity unilateral rs&i (75820) $424.15 $499 0.2×
Wrist 2 views (73100)
range across 2 matching MRF lines
$70.55–$355.30 $83–$418 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 2 matching MRF lines
$91.80–$381.65 $108–$449 varies
X-ray antegrade pyelogram tube (74425) $728.45 $857 1.9×
X-Ray Bend Only L-S Spine (72120)
range across 2 matching MRF lines
$84.15–$215.90 $99–$254 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$70.55–$327.25 $83–$385 varies
X-Ray Exam Breast Specimen (76098) $225.25 $265 0.4×
X-Ray Exam Entire Spi 1 Vw (72081) $125.80 $148 1.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $192.95 $227 1.7×
X-Ray Exam Hip Uni 1 View (73501) $66.30 $78 0.7×
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$81.60–$96.05 $96–$113 varies
X-Ray Exam Hip Uni 4/> Views (73503) $168.30 $198 1.4×
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$94.35–$130.05 $111–$153 varies
X-Ray Exam Hips Bi 3-4 Views (73522)
range across 2 matching MRF lines
$158.10–$167.45 $186–$197 varies
X-Ray Exam L-S Spine Bending (72114)
range across 2 matching MRF lines
$170.85–$1,120.30 $201–$1,318 varies
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$87.55–$443.70 $103–$522 varies
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines
$136.85–$724.20 $161–$852 varies
X-Ray Exam Unilat Ribs/Chest (71101)
range across 2 matching MRF lines
$37.40–$596.70 $44–$702 varies
X-ray eye for foreign body (70030) $274.55 $323 2.8×
X-ray humerus (73060)
range across 2 matching MRF lines
$78.20–$400.35 $92–$471 varies
X-ray IV pyelogram+tomography (74415) $1,670.25 $1,965 8.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
$57.80–$333.20 $68–$392 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$93.50–$474.30 $110–$558 varies
X-ray nose-rectum child f.b. (76010) $809.20 $952 8.3×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
$132.60–$596.70 $156–$702 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202)
range across 2 matching MRF lines
$70.55–$437.75 $83–$515 varies
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200)
range across 2 matching MRF lines
$73.10–$106.25 $86–$125 varies
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 2 matching MRF lines
$85.85–$400.35 $101–$471 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $560.15 $659 5.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $617.10 $726 5.3×
X-Ray Stress View (77071) $185.30 $218 1.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $207.40 $244 0.5×
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines
$117.30–$522.75 $138–$615 varies
X-Rays Bone Survey Complete (77075) $1,402.50 $1,650 12.0×
Xr c-spine 4 or 5 views (72050)
range across 2 matching MRF lines
$107.10–$651.10 $126–$766 varies
Xr facial bones less than 3 views (70140) $395.25 $465 4.1×
Xr orbits complete 4 views (70200) $572.90 $674 4.9×

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.