Imaging prices at Sierra Nevada Memorial Hospital
Grass Valley, CA · every code in this section with a posted price and a Medicare benchmark.
201 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $10,373.53 | $19,034 | 5.8× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$159.69–$555.36 | $293–$1,019 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$178.22–$622.39 | $327–$1,142 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $607.68 | $1,115 | 1.2× |
| Basic radiation dosimetry calculation (77300) | $485.60 | $891 | 2.8× |
| Bone age studies (77072) range across 2 matching MRF lines |
$226.72–$625.66 | $416–$1,148 | varies |
| Bone Imaging 3 Phase (78315) | $668.72 | $1,227 | 1.3× |
| Bone Imaging Limited Area (78300) | $607.68 | $1,115 | 1.2× |
| Bone Imaging Multiple Areas (78305) | $607.68 | $1,115 | 1.2× |
| Bone Imaging Whole Body (78306) | $668.72 | $1,227 | 1.3× |
| Bone survey infant (77076) | $161.87 | $297 | 1.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,133.13 | $3,914 | 3.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,974.61 | $5,458 | 1.6× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$159.69–$545 | $293–$1,000 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$159.69–$545 | $293–$1,000 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$159.69–$545 | $293–$1,000 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$161.87–$610.40 | $297–$1,120 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,302.01 | $2,389 | 9.6× |
| Continuing medical physics consltj pr wk (77336) | $1,177.75 | $2,161 | 6.8× |
| Contrast X-Ray Bladder (74430) | $195.11 | $358 | 0.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,337.43–$5,408.58 | $2,454–$9,924 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$896.53–$3,623.71 | $1,645–$6,649 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,013.70–$3,567.03 | $1,860–$6,545 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,013.70–$3,567.03 | $1,860–$6,545 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$675.80–$2,389.83 | $1,240–$4,385 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,337.43–$4,658.12 | $2,454–$8,547 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,013.70–$3,793.75 | $1,860–$6,961 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,013.70–$3,529.97 | $1,860–$6,477 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,013.70–$3,529.97 | $1,860–$6,477 | varies |
| CT cervical spine w/ contrast (72126) | $1,215.90 | $2,231 | 2.7× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$675.80–$2,452.50 | $1,240–$4,500 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$921.60–$3,678.75 | $1,691–$6,750 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,013.70–$3,720.72 | $1,860–$6,827 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,013.70–$3,720.72 | $1,860–$6,827 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,013.70–$4,017.20 | $1,860–$7,371 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,013.70–$4,017.20 | $1,860–$7,371 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $1,364.68 | $2,504 | 12.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,013.70–$4,085.87 | $1,860–$7,497 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$921.60–$4,008.48 | $1,691–$7,355 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,337.43–$5,291.41 | $2,454–$9,709 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$675.80–$2,672.68 | $1,240–$4,904 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,013.70–$3,909.83 | $1,860–$7,174 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$675.80–$2,606.74 | $1,240–$4,783 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,013.70–$3,529.97 | $1,860–$6,477 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$921.60–$4,085.87 | $1,691–$7,497 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$675.80–$2,742.44 | $1,240–$5,032 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$921.60–$4,279.89 | $1,691–$7,853 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$675.80–$2,853.62 | $1,240–$5,236 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$921.60–$3,909.83 | $1,691–$7,174 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,013.70–$3,529.97 | $1,860–$6,477 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$675.80–$2,365.30 | $1,240–$4,340 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$921.60–$3,423.69 | $1,691–$6,282 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$675.80–$2,282.46 | $1,240–$4,188 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$921.60–$3,423.69 | $1,691–$6,282 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$675.80–$2,492.83 | $1,240–$4,574 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,013.70–$3,176.81 | $1,860–$5,829 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,013.70–$3,540.32 | $1,860–$6,496 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,290.02–$3,563.76 | $2,367–$6,539 | varies |
| Dxa Bone Density Axial (77080) | $346.62 | $636 | 2.6× |
| Dxa bone density study (77085) | $346.62 | $636 | 2.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $256.70 | $471 | 2.3× |
| Echo exam uterus (76831) | $1,163.03 | $2,134 | 3.8× |
| Esophagram (74220) range across 2 matching MRF lines |
$263.78–$918.33 | $484–$1,685 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$257.79–$854.56 | $473–$1,568 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$352.07–$1,296.01 | $646–$2,378 | varies |
| Gastric emptying imaging study (78264) | $668.72 | $1,227 | 1.3× |
| Gated Heart Planar Single (78472) | $850.20 | $1,560 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $879.63 | $1,614 | 1.3× |
| Hepatobiliary System Imaging (78226) | $668.72 | $1,227 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $1,280.21 | $2,349 | 0.8× |
| Hysterosalpingogram (74740) | $271.96 | $499 | 0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$248.52–$687.25 | $456–$1,261 | varies |
| K Flow/Funct Image Multiple (78709) | $1,118.89 | $2,053 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $850.20 | $1,560 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $879.63 | $1,614 | 1.3× |
| Lung Ventilation Imaging (78579) | $607.68 | $1,115 | 1.2× |
| Lymph System Imaging (78195) | $799.52 | $1,467 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $2,710.29 | $4,973 | 8.8× |
| Mlc imrt design & construction per imrt plan (77338) | $816.96 | $1,499 | 1.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $149.88 | $275 | 1.2× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$770.63–$2,935.92 | $1,414–$5,387 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,073.65–$3,557.76 | $1,970–$6,528 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,181.02–$3,557.76 | $2,167–$6,528 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$770.63–$2,312.44 | $1,414–$4,243 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$770.63–$2,672.68 | $1,414–$4,904 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,405.09 | $4,413 | 7.8× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,073.65–$4,107.12 | $1,970–$7,536 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$770.63–$2,684.13 | $1,414–$4,925 | varies |
| MRI chest w/o contrast (71550) | $2,710.29 | $4,973 | 8.8× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,502.02–$4,151.27 | $2,756–$7,617 | varies |
| MRI lumbar spine w contrast (72149) | $4,107.12 | $7,536 | 9.1× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,181.02–$4,107.12 | $2,167–$7,536 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$770.63–$2,503.73 | $1,414–$4,594 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,181.02–$3,852.06 | $2,167–$7,068 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,181.02–$4,111.48 | $2,167–$7,544 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$770.63–$2,672.68 | $1,414–$4,904 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$770.63–$2,485.75 | $1,414–$4,561 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,181.02–$4,111.48 | $2,167–$7,544 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,181.02–$3,824.27 | $2,167–$7,017 | varies |
| MRI, dorsal spine contrast (72147) | $3,824.27 | $7,017 | 8.5× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,181.02–$4,107.12 | $2,167–$7,536 | varies |
| Myelogram Lumbar (72265) | $626.75 | $1,150 | 0.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,163.58 | $2,135 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $1,541.26 | $2,828 | 0.9× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$159.69–$555.36 | $293–$1,019 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,566.41 | $4,709 | 1.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,729.36 | $5,008 | 3.9× |
| Parathyroid Planar Imaging (78070) | $850.20 | $1,560 | 1.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$178.22–$619.67 | $327–$1,137 | varies |
| Pet Image Skull-Thigh (78812) | $3,957.79 | $7,262 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $607.68 | $1,115 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$178.22–$622.39 | $327–$1,142 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $433.82 | $796 | 0.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$161.87–$609.86 | $297–$1,119 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$203.29–$577.70 | $373–$1,060 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$149.33–$504.67 | $274–$926 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$159.69–$597.32 | $293–$1,096 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$203.29–$616.94 | $373–$1,132 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$161.87–$639.83 | $297–$1,174 | varies |
| Radiation treatment delivery level 1 (77402) | $711.23 | $1,305 | 5.4× |
| Radiation treatment delivery level 2 (77407) | $1,087.28 | $1,995 | 2.2× |
| Radiation treatment delivery level 3 (77412) | $1,662.80 | $3,051 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$178.22–$612.58 | $327–$1,124 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$263.78–$826.22 | $484–$1,516 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$263.78–$826.22 | $484–$1,516 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$178.22–$619.67 | $327–$1,137 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$263.78–$1,009.89 | $484–$1,853 | varies |
| Radiologic exam swallow function contrast study (74230) | $263.78 | $484 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$335.72–$927.05 | $616–$1,701 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$161.87–$619.12 | $297–$1,136 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,019.77 | $3,706 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $965.20 | $1,771 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $578.25 | $1,061 | 0.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,403.92 | $2,576 | 0.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $49.05 | $90 | 2.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$178.22–$551.54 | $327–$1,012 | varies |
| Special dosimetry (77331) | $173.31 | $318 | 1.0× |
| Special Physics Consult (77370) | $1,318.90 | $2,420 | 7.6× |
| Special teletherapy port plan (77321) | $1,346.15 | $2,470 | 2.8× |
| Special treatment procedure (77470) | $2,314.07 | $4,246 | 3.2× |
| Stereotactic Body Radiation Delivery (77373) | $2,333.69 | $4,282 | 1.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$144.97–$597.32 | $266–$1,096 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $970.10 | $1,780 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,284.10 | $4,191 | 4.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,941.29 | $3,562 | 4.0× |
| Ther rad simulaj-aided field setting simple (77280) | $1,256.23 | $2,305 | 7.2× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$178.22–$681.80 | $327–$1,251 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$159.69–$555.36 | $293–$1,019 | varies |
| Thyroid Uptake Measurement (78012) | $850.20 | $1,560 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $358.61 | $658 | 0.7× |
| Tx Devices Design & Construction Complex (77334) | $1,164.12 | $2,136 | 2.4× |
| Tx devices design & construction intermediate (77333) | $663.27 | $1,217 | 3.8× |
| Tx devices design & construction simple (77332) | $477.42 | $876 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$283.40–$1,087.28 | $520–$1,995 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$283.40–$1,030.60 | $520–$1,891 | varies |
| Umbilical-artery Doppler (OB) (76820) | $997.35 | $1,830 | 7.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$263.78–$901.98 | $484–$1,655 | varies |
| Urethrocystogram voiding (74455) | $335.18 | $615 | 1.1× |
| Urethrocystography retrograde (74450) | $335.18 | $615 | 1.1× |
| Us chest (76604) range across 2 matching MRF lines |
$283.40–$888.90 | $520–$1,631 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$118.27–$414.75 | $217–$761 | varies |
| Us head (76506) range across 2 matching MRF lines |
$360.79–$997.35 | $662–$1,830 | varies |
| Us kidney transplant (76776) | $997.35 | $1,830 | 7.4× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$537.92–$1,486.22 | $987–$2,727 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$257.79–$1,051.85 | $473–$1,930 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$257.79–$1,051.85 | $473–$1,930 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$283.40–$988.09 | $520–$1,813 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$257.79–$1,182.11 | $473–$2,169 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$257.79–$1,051.85 | $473–$1,930 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$283.40–$1,030.60 | $520–$1,891 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$283.40–$1,086.73 | $520–$1,994 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$343.35–$949.94 | $630–$1,743 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$283.40–$988.09 | $520–$1,813 | varies |
| Vertebral fracture assessment via dxa (77086) | $73.03 | $134 | 0.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $560.81 | $1,029 | 5.0× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$161.87–$742.84 | $297–$1,363 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$241.98–$759.19 | $444–$1,393 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$144.97–$576.61 | $266–$1,058 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$161.87–$639.83 | $297–$1,174 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $639.83 | $1,174 | 4.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$178.22–$671.44 | $327–$1,232 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$178.22–$671.44 | $327–$1,232 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$178.22–$671.44 | $327–$1,232 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$178.22–$742.84 | $327–$1,363 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$159.69–$662.72 | $293–$1,216 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$178.22–$736.30 | $327–$1,351 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$144.97–$551.54 | $266–$1,012 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$144.97–$549.91 | $266–$1,009 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$178.22–$742.84 | $327–$1,363 | varies |
| X-ray nose-rectum child f.b. (76010) | $560.81 | $1,029 | 5.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$178.22–$619.12 | $327–$1,136 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$178.22–$622.39 | $327–$1,142 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$159.69–$555.36 | $293–$1,019 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$193.48–$534.10 | $355–$980 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$161.87–$551.54 | $297–$1,012 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $375.51 | $689 | 0.8× |
| X-Rays Bone Length Studies (77073) | $613.67 | $1,126 | 4.5× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$161.87–$749.92 | $297–$1,376 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$178.22–$736.30 | $327–$1,351 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$144.97–$549.36 | $266–$1,008 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$226.72–$625.66 | $416–$1,148 | 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.