Imaging prices at Sarah Bush Lincoln Fayette County Hospital
Vandalia, IL · every code in this section with a posted price and a Medicare benchmark.
230 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 |
$50–$604 | $50–$604 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$73–$690 | $73–$690 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$263–$3,135 | $263–$3,135 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$47–$945 | $47–$945 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$160–$593 | $160–$593 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$156–$1,051 | $156–$1,051 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$52–$259 | $52–$259 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$271–$2,895 | $271–$2,895 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$167–$1,945 | $167–$1,945 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$223–$2,206 | $223–$2,206 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$229–$2,607 | $229–$2,607 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$193–$237 | $193–$237 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,955 | $7,955 | 5.2× |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$181–$1,954 | $181–$1,954 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$50–$369 | $50–$369 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$60–$569 | $60–$569 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$77–$637 | $77–$637 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$47–$1,030 | $47–$1,030 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$292–$763 | $292–$763 | varies |
| Contrast X-Ray Bladder (74430) | $87 | $87 | 0.2× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$154–$526 | $154–$526 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$177–$1,301 | $177–$1,301 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$544–$7,683 | $544–$7,683 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$471–$5,888 | $471–$5,888 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$344–$4,463 | $344–$4,463 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$376–$5,034 | $376–$5,034 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$320–$3,635 | $320–$3,635 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$598–$5,998 | $598–$5,998 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$506–$4,813 | $506–$4,813 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$473–$4,311 | $473–$4,311 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$473–$4,245 | $473–$4,245 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$328–$3,560 | $328–$3,560 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$281–$4,121 | $281–$4,121 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$389–$4,545 | $389–$4,545 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$331–$3,672 | $331–$3,672 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$363–$4,909 | $363–$4,909 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$305–$3,421 | $305–$3,421 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$344–$4,005 | $344–$4,005 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$365–$3,850 | $365–$3,850 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$389–$5,464 | $389–$5,464 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$269–$3,265 | $269–$3,265 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$313–$3,265 | $313–$3,265 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$328–$4,667 | $328–$4,667 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$269–$3,675 | $269–$3,675 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$344–$3,981 | $344–$3,981 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$304–$3,368 | $304–$3,368 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$436–$4,405 | $436–$4,405 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$382–$4,154 | $382–$4,154 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$348–$4,154 | $348–$4,154 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$328–$4,009 | $328–$4,009 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$294–$2,941 | $294–$2,941 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$326–$3,806 | $326–$3,806 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$376–$4,634 | $376–$4,634 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$372–$3,905 | $372–$3,905 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$348–$2,720 | $348–$2,720 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$331–$4,155 | $331–$4,155 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$269–$3,680 | $269–$3,680 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$389–$4,155 | $389–$4,155 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$292–$3,078 | $292–$3,078 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$269–$2,925 | $269–$2,925 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$326–$4,891 | $326–$4,891 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$313–$3,443 | $313–$3,443 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$644–$4,480 | $644–$4,480 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$504–$4,702 | $504–$4,702 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$488–$5,194 | $488–$5,194 | varies |
| Discography Cerv/Thor Spine (72285) | $1,570 | $1,570 | 0.8× |
| Diskography lumbar (72295) | $1,285.50 | $1,285.50 | 0.6× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$57–$825 | $57–$825 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $63 | $63 | 0.7× |
| Esophagram (74220) range across 2 matching MRF lines |
$163–$1,174 | $163–$1,174 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$131–$1,089 | $131–$1,089 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$44–$951 | $44–$951 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$47–$855 | $47–$855 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$212–$2,871 | $212–$2,871 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$184–$1,626 | $184–$1,626 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$259–$3,938 | $259–$3,938 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$47–$857 | $47–$857 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$240–$3,293 | $240–$3,293 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$199–$2,388 | $199–$2,388 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$362–$2,988 | $362–$2,988 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$95–$592 | $95–$592 | varies |
| K Flow/Funct Image Multiple (78709) | $2,817 | $2,817 | 4.8× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$319–$2,576 | $319–$2,576 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$252–$1,884 | $252–$1,884 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$57–$1,007 | $57–$1,007 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$357–$1,763 | $357–$1,763 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$282–$2,867 | $282–$2,867 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$130–$741 | $130–$741 | varies |
| Lymph System Imaging (78195) | $1,059.30 | $1,059.30 | 1.8× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$398–$4,221 | $398–$4,221 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$181–$2,013 | $181–$2,013 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$484–$7,266 | $484–$7,266 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$480–$4,326 | $480–$4,326 | varies |
| MRA head with contrast (70545) | $5,600 | $5,600 | 15.0× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$405–$5,923 | $405–$5,923 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$486–$7,443 | $486–$7,443 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$324–$4,006 | $324–$4,006 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$467–$5,027 | $467–$5,027 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$394–$4,309 | $394–$4,309 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $5,599 | $5,599 | 6.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$588–$7,068 | $588–$7,068 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$439–$5,700 | $439–$5,700 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$511–$6,085 | $511–$6,085 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$426–$5,233 | $426–$5,233 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$396–$4,249 | $396–$4,249 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$617–$6,517 | $617–$6,517 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$588–$6,672 | $588–$6,672 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$365–$4,319 | $365–$4,319 | varies |
| MRI lumbar spine w contrast (72149) | $5,513 | $5,513 | 14.7× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$682–$7,557 | $682–$7,557 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$363–$4,056 | $363–$4,056 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$438–$4,531 | $438–$4,531 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$586–$5,966 | $586–$5,966 | varies |
| MRI pelvis w contrast (72196) | $467 | $467 | 1.2× |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$599–$7,377 | $599–$7,377 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$396–$4,723 | $396–$4,723 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$426–$4,526 | $426–$4,526 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$468–$4,679 | $468–$4,679 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$367–$4,149 | $367–$4,149 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$588–$6,913 | $588–$6,913 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$599–$6,847 | $599–$6,847 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$682–$7,310 | $682–$7,310 | varies |
| MRI, dorsal spine contrast (72147) | $5,394 | $5,394 | 14.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$369–$4,890 | $369–$4,890 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$588–$6,569 | $588–$6,569 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$630–$7,316 | $630–$7,316 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$424–$7,326 | $424–$7,326 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$50–$612 | $50–$612 | varies |
| Nonvascular Shunt X-Ray (75809) | $1,075 | $1,075 | 9.6× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$216–$2,007 | $216–$2,007 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$317–$2,524 | $317–$2,524 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$52–$609 | $52–$609 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$652–$8,966 | $652–$8,966 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$649–$8,963 | $649–$8,963 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$199–$2,031 | $199–$2,031 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$89–$832 | $89–$832 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$48–$998 | $48–$998 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$45–$947 | $45–$947 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$48–$977 | $48–$977 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$72–$967 | $72–$967 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$62–$857 | $62–$857 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$47–$983 | $47–$983 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$48–$995 | $48–$995 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$47–$305 | $47–$305 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $513 | $513 | 4.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$48–$707 | $48–$707 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$66–$591 | $66–$591 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$57–$1,080 | $57–$1,080 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$44–$576 | $44–$576 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$56–$680 | $56–$680 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$65–$550 | $65–$550 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$38–$855 | $38–$855 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$45–$305 | $45–$305 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$48–$993 | $48–$993 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$69–$933 | $69–$933 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$340–$1,889 | $340–$1,889 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$278–$1,461 | $278–$1,461 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$69–$1,184 | $69–$1,184 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$69–$750 | $69–$750 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$219–$1,142 | $219–$1,142 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$145–$1,187 | $145–$1,187 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$242–$1,482 | $242–$1,482 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$56–$830 | $56–$830 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$56–$567 | $56–$567 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$48–$842 | $48–$842 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$79–$623 | $79–$623 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$177–$2,048 | $177–$2,048 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$222–$3,947 | $222–$3,947 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$284–$2,020 | $284–$2,020 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$56–$687 | $56–$687 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$152–$203 | $152–$203 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$44–$419 | $44–$419 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$154–$1,328 | $154–$1,328 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$70–$625 | $70–$625 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$62–$244 | $62–$244 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$405–$1,238 | $405–$1,238 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$56–$610 | $56–$610 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$62–$946 | $62–$946 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$62–$365 | $62–$365 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$133–$2,027 | $133–$2,027 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$187–$1,612 | $187–$1,612 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$156–$806 | $156–$806 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$160–$1,489 | $160–$1,489 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$219–$1,345 | $219–$1,345 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $802.50 | $802.50 | 72.6× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$89–$1,663 | $89–$1,663 | varies |
| Urethrocystography retrograde (74450) | $1,182 | $1,182 | 4.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$201–$1,133 | $201–$1,133 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$156–$954 | $156–$954 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$134–$976 | $134–$976 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$206–$1,446 | $206–$1,446 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$189–$1,214 | $189–$1,214 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$177–$1,220 | $177–$1,220 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$203–$1,271 | $203–$1,271 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$186–$1,624 | $186–$1,624 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$268–$1,250 | $268–$1,250 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$234–$1,210 | $234–$1,210 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$200–$1,524 | $200–$1,524 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$158–$1,185 | $158–$1,185 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$173–$1,346 | $173–$1,346 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$154–$1,300 | $154–$1,300 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$52–$890 | $52–$890 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$66–$676 | $66–$676 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$67–$630 | $67–$630 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$46–$897 | $46–$897 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$87–$758 | $87–$758 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$89–$651 | $89–$651 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$53–$376 | $53–$376 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$61–$604 | $61–$604 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$66–$756 | $66–$756 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$89–$1,115 | $89–$1,115 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$95–$1,169 | $95–$1,169 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$61–$1,183 | $61–$1,183 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$102–$1,183 | $102–$1,183 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$73–$792 | $73–$792 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$630–$945 | $630–$945 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$48–$863 | $48–$863 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$56–$348 | $56–$348 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$67–$812 | $67–$812 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$50–$498.50 | $50–$498.50 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$89–$995 | $89–$995 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$62–$732 | $62–$732 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$48–$682 | $48–$682 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$70–$842 | $70–$842 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $966 | $966 | 8.6× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$83–$825 | $83–$825 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$150–$1,302 | $150–$1,302 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$89–$953 | $89–$953 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$77–$757 | $77–$757 | varies |
| Xr Tomogram Single Plane (76100) | $865 | $865 | 7.7× |
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.