Imaging prices at Sierra Vista Hospital
T Or C, NM · every code in this section with a posted price and a Medicare benchmark.
186 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 4 matching MRF lines |
$63.75–$134.25 | $85–$179 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$63.75–$141 | $85–$188 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$63.75–$308.25 | $85–$411 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$31.50–$128.25 | $42–$171 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$168.75–$2,002.50 | $225–$2,670 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$168.75–$901.13 | $225–$1,201.50 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$168.75–$727.50 | $225–$970 | varies |
| Bone Imaging Whole Body (78306) | $168.75 | $225 | 0.4× |
| Chest 1 view (71045) range across 8 matching MRF lines |
$63.75–$69.75 | $85–$93 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$63.75–$73.50 | $85–$98 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$63.75–$64.50 | $85–$86 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$63.75–$467.63 | $85–$623.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 6 matching MRF lines |
$243.75–$1,756.80 | $325–$2,342.40 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$63.75–$568.94 | $85–$758.58 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 6 matching MRF lines |
$243.75–$5,422.13 | $325–$7,229.50 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$243.75–$4,215.38 | $325–$5,620.50 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$243.75–$2,224.50 | $325–$2,966 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$243.75–$2,697.38 | $325–$3,596.50 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$243.75–$2,118.75 | $325–$2,825 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$266.25–$4,395.38 | $355–$5,860.50 | varies |
| CT Angio Chest (71275) range across 9 matching MRF lines |
$243.75–$2,731.13 | $325–$3,641.50 | varies |
| CT Angio Head (70496) range across 6 matching MRF lines |
$243.75–$1,588.13 | $325–$2,117.50 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$243.75–$1,123.88 | $325–$1,498.50 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$243.75–$1,910.63 | $325–$2,547.50 | varies |
| CT cervical spine w/o contrast (72125) range across 6 matching MRF lines |
$243.75–$2,306.63 | $325–$3,075.50 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$243.75–$843.75 | $325–$1,125 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$243.75–$2,220.75 | $325–$2,961 | varies |
| CT chest w/wo contrast (71270) | $243.75 | $325 | 1.4× |
| CT head/brain with contrast (70460) range across 4 matching MRF lines |
$243.75–$2,381.25 | $325–$3,175 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$243.75–$2,500.50 | $325–$3,334 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$243.75–$1,588.50 | $325–$2,118 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$243.75–$2,250 | $325–$3,000 | varies |
| CT lower ext w/o (73700) range across 27 matching MRF lines |
$243.75–$2,782.13 | $325–$3,709.50 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$243.75–$3,295.13 | $325–$4,393.50 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$243.75–$2,380.16 | $325–$3,173.54 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$243.75–$2,272.88 | $325–$3,030.50 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$243.75–$1,988.25 | $325–$2,651 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$243.75–$1,381.50 | $325–$1,842 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$243.75–$2,234.25 | $325–$2,979 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$243.75–$1,185 | $325–$1,580 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$243.75–$1,471.13 | $325–$1,961.50 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$243.75–$2,181 | $325–$2,908 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$243.75–$1,978.13 | $325–$2,637.50 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$243.75–$1,011.75 | $325–$1,349 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$243.75–$610.50 | $325–$814 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$243.75–$2,127.75 | $325–$2,837 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$243.75–$2,026.88 | $325–$2,702.50 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$243.75–$2,400 | $325–$3,200 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$243.75–$2,620.88 | $325–$3,494.50 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$243.75–$1,897.50 | $325–$2,530 | varies |
| CT upper ext wo (73200) range across 29 matching MRF lines |
$243.75–$1,646.25 | $325–$2,195 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$243.75–$1,011.75 | $325–$1,349 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$243.75–$2,289.38 | $325–$3,052.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$243.75–$2,283 | $325–$3,044 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$243.75–$2,496.62 | $325–$3,328.82 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$31.50–$178.88 | $42–$238.50 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$31.50–$283.88 | $42–$378.50 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $217.50 | $290 | 2.5× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$63.75–$275.25 | $85–$367 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$63.75–$522.75 | $85–$697 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$168.75–$892.13 | $225–$1,189.50 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$168.75–$1,575 | $225–$2,100 | varies |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$168.75–$1,089.08 | $225–$1,452.10 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$63.75–$495 | $85–$660 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$168.75–$1,666.88 | $225–$2,222.50 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$168.75–$1,125 | $225–$1,500 | varies |
| Ht Muscle Image Spect Sing (78451) range across 4 matching MRF lines |
$168.75–$1,352.63 | $225–$1,803.50 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$63.75–$587.25 | $85–$783 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$168.75–$1,172.35 | $225–$1,563.13 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$168.75–$375 | $225–$500 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$168.75–$1,450.74 | $225–$1,934.32 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$168.75–$872.81 | $225–$1,163.75 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$318.75–$2,069.63 | $425–$2,759.50 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$318.75–$1,829.25 | $425–$2,439 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$318.75–$1,808.25 | $425–$2,411 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$318.75–$1,704 | $425–$2,272 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$318.75–$2,113.88 | $425–$2,818.50 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$318.75–$1,674.38 | $425–$2,232.50 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$318.75–$2,599.50 | $425–$3,466 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 10 matching MRF lines |
$318.75–$3,452.25 | $425–$4,603 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$318.75–$2,637 | $425–$3,516 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$318.75–$2,929.88 | $425–$3,906.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 12 matching MRF lines |
$318.75–$2,394.38 | $425–$3,192.50 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $318.75 | $425 | 0.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$318.75–$2,297.75 | $425–$3,063.67 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$318.75–$4,050 | $425–$5,400 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$318.75–$2,701.88 | $425–$3,602.50 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$318.75–$2,939.25 | $425–$3,919 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$318.75–$1,435.24 | $425–$1,913.65 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$318.75–$2,475.19 | $425–$3,300.25 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$318.75–$2,737.13 | $425–$3,649.50 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$318.75–$3,901.13 | $425–$5,201.50 | varies |
| MRI, joint upper extrem (73221) range across 32 matching MRF lines |
$243.75–$2,546.63 | $325–$3,395.50 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$318.75–$1,942.69 | $425–$2,590.25 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$318.75–$3,653.63 | $425–$4,871.50 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$168.75–$3,070.71 | $225–$4,094.28 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$63.75–$286.88 | $85–$382.50 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$168.75–$1,477.50 | $225–$1,970 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$168.75–$1,363.88 | $225–$1,818.50 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$63.75–$337.88 | $85–$450.50 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$300–$3,700.50 | $400–$4,934 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$300–$3,573 | $400–$4,764 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$168.75–$1,373.63 | $225–$1,831.50 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$63.75–$480 | $85–$640 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$63.75–$506.63 | $85–$675.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$63.75–$188.63 | $85–$251.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$63.75–$336.38 | $85–$448.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$63.75–$230.63 | $85–$307.50 | varies |
| Radex fingr minimum 2 views (73140) range across 26 matching MRF lines |
$63.75–$246.75 | $85–$329 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$63.75–$557.25 | $85–$743 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$63.75–$496.50 | $85–$662 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$63.75–$129 | $85–$172 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$63.75–$197.45 | $85–$263.26 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$63.75–$164.63 | $85–$219.50 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$63.75–$369.38 | $85–$492.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$63.75–$502.50 | $85–$670 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$63.75–$148.13 | $85–$197.50 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$63.75–$246 | $85–$328 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$63.75–$222 | $85–$296 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$63.75–$77.80 | $85–$103.73 | varies |
| Radex Toe Minimum 2 Views (73660) range across 22 matching MRF lines |
$63.75–$251.63 | $85–$335.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$63.75–$142.50 | $85–$190 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$63.75–$541.50 | $85–$722 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$63.75–$102.75 | $85–$137 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$63.75–$570.75 | $85–$761 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$63.75–$354.75 | $85–$473 | varies |
| Radiologic exam swallow function contrast study (74230) range across 4 matching MRF lines |
$63.75–$564.75 | $85–$753 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$63.75–$452.25 | $85–$603 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$63.75–$457.88 | $85–$610.50 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $311.63 | $415.50 | 3.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$63.75–$540 | $85–$720 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$168.75–$821.25 | $225–$1,095 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$63.75–$213 | $85–$284 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $149.63 | $199.50 | 6.4× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$63.75–$246 | $85–$328 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$63.75–$311.63 | $85–$415.50 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$63.75–$64.50 | $85–$86 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$63.75–$400.25 | $85–$533.66 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$63.75–$420 | $85–$560 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$63.75–$202.50 | $85–$270 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 4 matching MRF lines |
$168.75–$744.42 | $225–$992.56 | varies |
| Thyroid Uptake Measurement (78012) range across 4 matching MRF lines |
$168.75–$957.62 | $225–$1,276.83 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$168.75–$1,046.93 | $225–$1,395.91 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$206.25–$645.75 | $275–$861 | varies |
| Ultrasound, abdomen limited (76705) range across 10 matching MRF lines |
$206.25–$711 | $275–$948 | varies |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
$206.25–$620.25 | $275–$827 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$206.25–$439.13 | $275–$585.50 | varies |
| Us complete joint (76881) range across 6 matching MRF lines |
$206.25–$1,200 | $275–$1,600 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$206.25–$489.38 | $275–$652.50 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 18 matching MRF lines |
$206.25–$442.50 | $275–$590 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$206.25–$1,158 | $275–$1,544 | varies |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
$206.25–$725.63 | $275–$967.50 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$206.25–$576 | $275–$768 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$206.25–$397.50 | $275–$530 | varies |
| Us retroperitoneal complete (76770) range across 10 matching MRF lines |
$206.25–$641.25 | $275–$855 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$206.25–$584.87 | $275–$779.83 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$206.25–$621 | $275–$828 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$168.75–$281.25 | $225–$375 | varies |
| Us thyroid (76536) range across 6 matching MRF lines |
$206.25–$583.13 | $275–$777.50 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$63.75–$465 | $85–$620 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$63.75–$462.75 | $85–$617 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $64.50 | $86 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$63.75–$213 | $85–$284 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$63.75–$291.38 | $85–$388.50 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 9 matching MRF lines |
$63.75–$306 | $85–$408 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$63.75–$459 | $85–$612 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$63.75–$620.25 | $85–$827 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$63.75–$355.88 | $85–$474.50 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$63.75–$579.75 | $85–$773 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$63.75–$343.13 | $85–$457.50 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$63.75–$159.80 | $85–$213.06 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$63.75–$321.38 | $85–$428.50 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$206.25–$312.75 | $275–$417 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$63.75–$64.50 | $85–$86 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$63.75–$220.13 | $85–$293.50 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$63.75–$375 | $85–$500 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$63.75–$514.88 | $85–$686.50 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$63.75–$238.13 | $85–$317.50 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$63.75–$337.88 | $85–$450.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$63.75–$441.75 | $85–$589 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$63.75–$222 | $85–$296 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$63.75–$197.45 | $85–$263.26 | varies |
| X-Rays Bone Survey Complete (77075) | $551.12 | $734.83 | 5.3× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$63.75–$526.50 | $85–$702 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$63.75–$64.50 | $85–$86 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$63.75–$240.65 | $85–$320.86 | 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.