Imaging prices at Rangely District Hospital
Rangely, CO · every code in this section with a posted price and a Medicare benchmark.
207 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 |
$13.85–$273.61 | $21.30–$420.94 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$17.60–$375.82 | $27.08–$578.19 | varies |
| Ankle 2 views (73600) | $268.02 | $412.34 | 2.9× |
| Bone age studies (77072) range across 2 matching MRF lines |
$14.38–$287.09 | $22.13–$441.67 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$13.85–$276.71 | $21.30–$425.71 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$16.53–$321.87 | $25.43–$495.18 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$20.83–$434.02 | $32.05–$667.72 | varies |
| Chest 4 or more views (71048) | $23.50 | $36.15 | 0.2× |
| Cisternography Positive Contrast Rs&I (70015) | $89.57 | $137.80 | 0.1× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$12.79–$274.98 | $19.68–$423.04 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$80.98–$170.46 | $124.58–$262.24 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $406.98 | $626.13 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$150.70–$3,850.03 | $231.85–$5,923.12 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$130.54–$2,969.76 | $200.83–$4,568.86 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$95.36–$2,521.51 | $146.70–$3,879.24 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$104.46–$2,665.27 | $160.70–$4,100.42 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$89.02–$2,834.82 | $136.95–$4,361.26 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$164.84–$4,234.74 | $253.60–$6,514.99 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$136.76–$2,673.53 | $210.40–$4,113.12 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$131.07–$2,859.04 | $201.65–$4,398.52 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,752.24 | $4,234.22 | 14.9× |
| CT Angio Neck (70498) | $131.07 | $201.65 | 0.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,700.48 | $2,616.13 | 9.2× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$91.16–$2,475.41 | $140.25–$3,808.33 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$74.65–$1,940.20 | $114.85–$2,984.92 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$94.80–$1,265.62 | $145.85–$1,947.10 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$87.44–$2,102.31 | $134.53–$3,234.33 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$93.75–$1,551.64 | $144.23–$2,387.14 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$84.75–$2,086.86 | $130.38–$3,210.56 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$95.36–$3,687 | $146.70–$5,672.31 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$84.68–$1,860.80 | $130.28–$2,862.77 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$94.80–$2,216.81 | $145.85–$3,410.48 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$74.65–$1,656.07 | $114.85–$2,547.80 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$86.89–$1,923.72 | $133.68–$2,959.57 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$91.16–$1,915.44 | $140.25–$2,946.83 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$74.65–$1,740.51 | $114.85–$2,677.71 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$84.68–$2,041.12 | $130.28–$3,140.19 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$64.48–$1,321.66 | $99.20–$2,033.33 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$120.98–$1,999.59 | $186.13–$3,076.29 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$94.80–$1,883.81 | $145.85–$2,898.17 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$96.45–$1,817.56 | $148.38–$2,796.24 | varies |
| CT pelvis w&w/o contrast (72194) | $1,189.51 | $1,830.01 | 6.4× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$81.51–$1,770.14 | $125.40–$2,723.29 | varies |
| CT scan of leg combo (73702) | $1,967.67 | $3,027.19 | 10.6× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$94.80–$1,883.81 | $145.85–$2,898.17 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$103.40–$2,015.44 | $159.08–$3,100.67 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$96.45–$1,862.82 | $148.38–$2,865.87 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$91.60–$1,659.66 | $140.93–$2,553.32 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$74.65–$1,906.86 | $114.85–$2,933.63 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$95.36–$1,265.62 | $146.70–$1,947.10 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$80.98–$1,544.50 | $124.58–$2,376.16 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$74.65–$1,691.69 | $114.85–$2,602.60 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,549.77 | $2,384.26 | 8.4× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$86.89–$2,127.13 | $133.68–$3,272.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$177.65–$3,767.86 | $273.30–$5,796.71 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$136.21–$2,130.82 | $209.55–$3,278.18 | varies |
| CTA pelvis (72191) | $2,210.88 | $3,401.36 | 11.9× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $22.85 | $35.15 | 0.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$14.90–$413.38 | $22.93–$635.97 | varies |
| Esophagram (74220) | $499.19 | $767.98 | 2.7× |
| Fluoroscopy up to 1 hr (76000) | $490.24 | $754.22 | 1.9× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$11.69–$225.26 | $17.98–$346.55 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$12.24–$330.60 | $18.83–$508.61 | varies |
| Hand 2 views (73120) | $294.97 | $453.80 | 2.7× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$14.40–$350.25 | $22.15–$538.84 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$110.24–$2,052.65 | $169.60–$3,157.93 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $266.29 | $409.68 | 1.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $240.66 | $370.25 | 0.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $250.35 | $385.15 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$110.79–$3,626.42 | $170.45–$5,579.11 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$89.56–$2,523.42 | $137.78–$3,882.18 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$89.56–$2,303.38 | $137.78–$3,543.66 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$112.40–$3,899.32 | $172.93–$5,998.96 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$134.83–$3,570.58 | $207.43–$5,493.20 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$90.11–$3,374.07 | $138.63–$5,190.88 | varies |
| MRI abdomen w contrast (74182) | $3,110.45 | $4,785.30 | 8.5× |
| MRI abdomen w/o contrast (74181) | $2,812.56 | $4,327.02 | 11.2× |
| MRI any jt lower extrem w/contrast material (73722) | $1,960.34 | $3,015.90 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,698.45 | $5,689.93 | 10.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,370.51 | $3,646.94 | 2.9× |
| MRI brain functional w/o physician admnistration (70554) range across 3 matching MRF lines |
$160.06–$1,845.08 | $246.25–$2,838.59 | varies |
| MRI brain functional w/physician admnistration (70555) | $187.84 | $288.98 | 0.7× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$135.19–$2,303.38 | $207.98–$3,543.66 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$111.35–$2,289.65 | $171.30–$3,522.54 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$109.74–$2,138.96 | $168.83–$3,290.70 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$129.45–$2,821.75 | $199.15–$4,341.15 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$170.22–$2,904.58 | $261.88–$4,468.59 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,960.34 | $3,015.90 | 5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$162.31–$3,518.44 | $249.70–$5,412.99 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$101.26–$2,430.38 | $155.78–$3,739.04 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$134.63–$2,303.38 | $207.13–$3,543.66 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$172.92–$3,204.87 | $266.03–$4,930.57 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$100.70–$4,205.86 | $154.93–$6,470.56 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$121.54–$2,303.38 | $186.98–$3,543.66 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$161.75–$3,409.46 | $248.85–$5,245.32 | varies |
| MRI pelvis w contrast (72196) | $2,920.22 | $4,492.64 | 7.9× |
| MRI pelvis w/o & w contrast (72197) | $3,979.57 | $6,122.41 | 10.8× |
| MRI pelvis w/o contrast (72195) | $3,451 | $5,309.23 | 13.7× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$111.35–$2,502.38 | $171.30–$3,849.82 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,903.60 | $2,928.62 | 5.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$101.81–$5,042.98 | $156.63–$7,758.43 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,508.77 | $5,398.11 | 9.5× |
| MRI, abdomen, combo (74183) | $3,140.36 | $4,831.32 | 8.5× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$172.92–$3,374.78 | $266.03–$5,191.97 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$133.77–$2,303.38 | $205.80–$3,543.66 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$101.81–$2,033.30 | $156.63–$3,128.15 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$162.31–$4,246.10 | $249.70–$6,532.46 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$172.92–$3,476.02 | $266.03–$5,347.72 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$13.85–$400.03 | $21.30–$615.43 | varies |
| Optic foramina (70190) | $17.10 | $26.30 | 0.2× |
| Panoramic X-ray of jaws (70355) | $16.01 | $24.63 | 0.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$13.31–$292.85 | $20.48–$450.54 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$24.47–$487.53 | $37.65–$750.05 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$13.31–$331.78 | $20.48–$510.43 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$12.24–$277.59 | $18.83–$427.06 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$13.31–$339.35 | $20.48–$522.08 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$19.75–$307.83 | $30.38–$473.59 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$10.65–$272.72 | $16.38–$419.57 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$12.76–$318.29 | $19.63–$489.67 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$13.31–$321.58 | $20.48–$494.74 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $151.37 | $232.88 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$26.08–$151.37 | $40.13–$232.88 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$13.31–$302.62 | $20.48–$465.57 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $23.92 | $36.80 | 0.3× |
| Radex Ribs Unilateral 2 Views (71100) | $17.08 | $26.28 | 0.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$14.40–$325.10 | $22.15–$500.15 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$13.31–$219.36 | $20.48–$337.48 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$12.24–$366.16 | $18.83–$563.32 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$14.90–$217.11 | $22.92–$334.02 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$18.14–$264.15 | $27.90–$406.39 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$10.09–$277.91 | $15.53–$427.56 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $167.72 | $258.03 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$13.31–$317.03 | $20.48–$487.74 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $32 | $49.23 | 0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $353.08 | $543.20 | 3.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$17.63–$408.25 | $27.13–$628.08 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$19.21–$602.82 | $29.55–$927.42 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $786.17 | $1,209.49 | 4.2× |
| Radiologic exam teeth complete full mouth (70320) | $17.63 | $27.13 | 0.1× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $12.79 | $19.68 | 0.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $672.46 | $1,034.56 | 3.6× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$12.79–$421.93 | $19.68–$649.13 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$13.85–$340.98 | $21.30–$524.59 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$12.79–$315.99 | $19.68–$486.14 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $12.76 | $19.63 | 0.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$12.24–$347.52 | $18.83–$534.64 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$27.30–$251.47 | $42–$386.87 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $7.95 | $12.23 | 0.1× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$21.89–$349.26 | $33.68–$537.32 | varies |
| Scapula (73010) | $339.72 | $522.64 | 3.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $45.27 | $69.65 | 1.9× |
| Sella turcica (70240) range across 2 matching MRF lines |
$14.38–$151.37 | $22.13–$232.88 | varies |
| Shoulder 1 view (73020) | $231.47 | $356.10 | 2.5× |
| Sialogram (70390) | $28.75 | $44.23 | 0.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$13.85–$371.74 | $21.30–$571.90 | varies |
| Speech evaluation, complex (70371) | $66.84 | $102.83 | 0.3× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$16.57–$217.11 | $25.49–$334.02 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $40.98 | $63.05 | 0.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$15.46–$397.01 | $23.78–$610.78 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$17.05–$410.66 | $26.23–$631.79 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$15.99–$321.41 | $24.60–$494.48 | varies |
| Ultrasound Breast Limited (76642) | $110.58 | $170.13 | 1.2× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$45.19–$558.34 | $69.53–$858.99 | varies |
| Us complete joint (76881) | $505.89 | $778.29 | 4.6× |
| Us exam, pelvic, limited (76857) | $355.42 | $546.80 | 3.2× |
| Us head (76506) | $574 | $883.08 | 5.2× |
| Us ob limited 1 or more fetuses (76815) | $300.14 | $461.75 | 2.7× |
| Us pelvic non ob complete (76856) | $646.33 | $994.35 | 5.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $501.44 | $771.44 | 4.5× |
| Us retroperitoneal complete (76770) | $657.07 | $1,010.87 | 6.0× |
| Us scrotum and contents (76870) | $597.12 | $918.64 | 5.4× |
| Us thyroid (76536) | $558.05 | $858.54 | 5.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$12.79–$254.70 | $19.68–$391.84 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$14.40–$250.13 | $22.15–$384.82 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$17.08–$273.52 | $26.28–$420.80 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $246 | $378.46 | 2.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$19.68–$372.43 | $30.28–$572.97 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $23.94 | $36.83 | 0.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $27.29 | $41.98 | 0.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $14.40 | $22.15 | 0.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$17.08–$356.93 | $26.28–$549.13 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$22.44–$716.86 | $34.53–$1,102.86 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $23.40 | $36 | 0.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$17.08–$391.89 | $26.28–$602.90 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $22.85 | $35.15 | 0.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$20.28–$474.53 | $31.20–$730.04 | varies |
| X-ray eye for foreign body (70030) | $13.85 | $21.30 | 0.2× |
| X-ray head for orthodontia (70350) | $13.88 | $21.35 | 0.2× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$12.24–$341.80 | $18.83–$525.84 | varies |
| X-ray IV pyelogram (ivp) (74400) | $574 | $883.08 | 3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$13.85–$415.08 | $21.30–$638.58 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$13.34–$281.76 | $20.53–$433.47 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$17.08–$436.75 | $26.28–$671.93 | varies |
| X-ray nose-rectum child f.b. (76010) | $375.29 | $577.37 | 4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$24.47–$539.72 | $37.65–$830.34 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$17.05–$373.76 | $26.23–$575.02 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $336.10 | $517.07 | 3.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$13.31–$390.55 | $20.48–$600.84 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$16.53–$399.26 | $25.43–$614.24 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$21.35–$292.63 | $32.85–$450.20 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$18.66–$393.79 | $28.70–$605.83 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$13.85–$264.15 | $21.30–$406.39 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$296.97–$344.28 | $456.88–$529.66 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$20.83–$514.77 | $32.05–$791.95 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$15.49–$301.41 | $23.83–$463.71 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$13.85–$151.37 | $21.30–$232.88 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$21.35–$181.50 | $32.85–$279.23 | 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.