Imaging prices at South Central Regional Medical Center

Laurel, MS · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $140 $140 1.9×
Abdomen 2 views (74019) $154 $154 1.7×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,032 $1,032 3.0×
Angio pulmonary bilat (75743) $2,880 $2,880 1.1×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $2,880 $2,880 1.1×
Angiography extremity bilateral rs&i (75716) $3,183 $3,183 1.2×
Angiography extremity unilateral rs&i (75710) $2,880 $2,880 1.1×
Angiography pulmonary unilateral slctv rs&i (75741) $2,880 $2,880 1.1×
Ankle 2 views (73600) $121 $121 1.6×
Aortography thoracic serialography rs&i (75605) $2,880 $2,880 0.6×
Artery X-Rays Abdomen (75726) $3,744 $3,744 0.8×
Artery X-Rays Adrenal Gland (75731) $2,880 $2,880 1.1×
Artery X-Rays Pelvis (75736) $2,880 $2,880 0.6×
Arthrogram ankle (73615) $389 $389 1.3×
Arthrogram hip (73525) $545 $545 1.8×
Arthrogram Wrist (73115) $534 $534 1.8×
Basic radiation dosimetry calculation (77300) $591 $591 5.1×
Bone age studies (77072) $207 $207 2.3×
Bone Imaging 3 Phase (78315) $1,050 $1,050 3.0×
Bone Imaging Limited Area (78300) $715 $715 2.1×
Bone Imaging Multiple Areas (78305) $773 $773 2.2×
Bone Imaging Whole Body (78306) $1,012 $1,012 2.9×
Bone survey infant (77076)
range across 2 matching MRF lines
$140–$196 $140–$196 varies
Brain Flow Imaging Only (78610) $405 $405 0.9×
Brain imaging < 4 static views (78600) $715 $715 2.1×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,233 $1,233 2.6×
Cat Scan Follow-Up Study (76380) $587 $587 7.8×
Chest 1 view (71045) $362 $362 4.8×
Chest 2 views (71046)
range across 4 matching MRF lines
$214–$1,071 $214–$1,071 varies
Chest 3 views (71047) $327 $327 4.4×
Chest 4 or more views (71048) $190 $190 2.1×
Clavicle complete (73000) $234 $234 3.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $429 $429 4.8×
Contrast Exam Abdominl Aorta (75625) $2,880 $2,880 1.1×
Contrast X-Ray Bladder (74430) $353 $353 1.2×
Contrast X-Ray Of Elbow (73085) $469 $469 1.6×
Contrast X-Ray Of Knee Joint (73580) $582 $582 1.9×
CT abdomen and pelvis without and with contrast (74178) $2,310 $2,310 7.7×
CT abdomen and pelvis without contrast (74176) $1,339 $1,339 6.5×
CT abdomen w contrast (74160) $1,617 $1,617 10.7×
CT abdomen w wo contrast (74170) $1,712 $1,712 11.3×
CT abdomen w/o contrast (74150) $1,157 $1,157 12.8×
CT Angio Abdomen and Pelvis (74174) $1,940 $1,940 6.4×
CT Angio Chest (71275) $1,944 $1,944 12.9×
CT Angio Head (70496) $1,944 $1,944 12.9×
CT angio hrt w/3d image (75574) $1,677 $1,677 5.6×
Ct Angio Lwr Extr W/O&W/Dye (73706) $774 $774 5.1×
CT Angio Neck (70498) $2,067 $2,067 13.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $774 $774 5.1×
CT cervical spine w/ contrast (72126) $1,658 $1,658 5.5×
CT cervical spine w/o contrast (72125) $1,244 $1,244 13.8×
CT cervical spine w/wo cont (72127) $1,712 $1,712 11.3×
CT chest w contrast (71260) $1,156 $1,156 7.6×
CT chest w/wo contrast (71270) $1,712 $1,712 11.3×
CT head/brain with contrast (70460) $1,050 $1,050 6.9×
CT head/brain without and with contrast (70470) $1,712 $1,712 11.3×
CT heart no contrast quant eval coronry calcium (75571) $165 $165 2.2×
CT hrt w/3d image congen (75573) $2,157 $2,157 7.2×
CT iac w contrast (70481) $1,177 $1,177 7.8×
CT l-spine w&w/o contrast (72133) $1,712 $1,712 11.3×
CT lower ext w/o (73700) $1,004 $1,004 11.1×
CT lower extremity w/contrast material (73701) $1,169 $1,169 7.7×
CT lumbar spine w contrast (72132) $1,658 $1,658 5.5×
CT lumbar spine w/o contrast (72131) $1,244 $1,244 13.8×
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines
$809–$1,133 $809–$1,133 varies
CT maxillofacial wo contrast (70486) $399 $399 4.4×
CT neck tissue combo (70492) $1,284 $1,284 8.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,606 $1,606 10.6×
CT orbits w/o contrast (70480) $1,050 $1,050 11.6×
CT pelvis w&w/o contrast (72194) $1,712 $1,712 11.3×
CT pelvis w/o contrast (72192) $1,157 $1,157 12.8×
CT scan of leg combo (73702) $1,411 $1,411 9.3×
CT scans face/jaw combo (70488) $1,200 $1,200 7.9×
CT soft tissue neck w contrast (70491) $1,101 $1,101 7.3×
CT soft tissue neck w/o contrast (70490) $1,050 $1,050 11.6×
CT thoracic spine w contrast (72129) $1,658 $1,658 11.0×
CT thoracic spine w/o contrast (72128) $1,286 $1,286 14.3×
CT thoracic spine w/wo cont (72130) $1,712 $1,712 11.3×
CT thorax w/o contrast (71250) $999 $999 11.1×
CT unlisted procedure (76497) $400 $400 5.3×
CT upper ext wo (73200) $994 $994 11.0×
CT upper extremity w/o & w/contrast material (73202) $1,541 $1,541 10.2×
CT upper extremity with contrast (73201) $1,169 $1,169 3.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,059 $2,059 13.6×
Cta Abdomen (74175) $1,999 $1,999 13.2×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $2,067 $2,067 6.9×
CTA pelvis (72191) $1,970 $1,970 13.0×
Dilation ureters/urethra rs&i (74485) $2,359 $2,359 1.3×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$235–$329 $235–$329 varies
Dxa bone density study 1/>sites appendiclr skel (77081) $140 $140 1.9×
Echo exam uterus (76831) $1,142 $1,142 5.6×
Echo Guide For Artery Repair (76936) $1,062 $1,062 5.7×
Esophagram (74220) $300 $300 2.0×
Fetal Biophys Profile W/Nst (76818) $361 $361 4.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $361 $361 4.0×
Fluoroscopy up to 1 hr (76000)
range across 7 matching MRF lines
$220–$309 $220–$309 varies
Follow-Up Angiography (75898) $515 $515 0.2×
Foot 2 views (73620) $121 $121 1.6×
Forearm 2 views (73090) $152 $152 2.0×
Gastric emptying imaging study (78264) $851 $851 2.5×
Gastroesophageal Reflux Exam (78262) $773 $773 2.2×
Gated Heart Planar Single (78472) $1,072 $1,072 3.1×
Gated Heart, Multiple (78473) $1,544 $1,544 4.5×
Hand 2 views (73120) $121 $121 1.3×
Hepatobil Syst Image W/Drug (78227) $1,200 $1,200 2.6×
Hepatobiliary System Imaging (78226) $1,200 $1,200 3.5×
Ht Muscle Image Spect Sing (78451) $1,659 $1,659 1.5×
Hysterosalpingogram (74740) $571 $571 2.8×
Infant hip ultrasound, limited static exam (76886) $308 $308 4.1×
Infusion Ivp (74410) $316 $316 2.1×
Joint Survey Single View (77077) $263 $263 2.9×
K Flow/Funct Image W/Drug (78708) $1,064 $1,064 2.3×
K Flow/Funct Image W/O Drug (78707) $1,064 $1,064 2.3×
Kidney Imaging Morphol (78700) $529 $529 1.5×
Knee 3 Views (73562) $162 $162 2.2×
Labeled RBC Sequestration Differntl Organ/Tissue (78140) $820 $820 2.4×
Liver & Spleen Imaging Static Only (78215) $937 $937 2.7×
Liver imaging static only (78201) $684 $684 1.5×
Lung perfusion differential (78597) $1,389 $1,389 4.0×
Lung Ventilat&Perfus Imaging (78582) $1,273 $1,273 2.7×
Lung Ventilation Imaging (78579) $1,115 $1,115 3.2×
Lymph System Imaging (78195) $881 $881 1.9×
Magnetic Image Jaw Joint (70336) $2,221 $2,221 10.8×
Meckels Divert Exam (78290) $749 $749 2.2×
Mr safety determination physician/other qhp (76016) $112 $112 1.5×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $42 $42 1.7×
Mr safety med physics xm customization plng&mntr (76017) $308 $308 1.5×
Mra Head W/O & W/Contrast Material (70546) $2,515 $2,515 8.4×
MRA head w/o contrast (70544) $2,168 $2,168 10.5×
MRA head with contrast (70545) $2,565 $2,565 8.5×
MRA neck w contrast (70548) $1,999 $1,999 6.6×
Mra Neck W/O &W/Contrast Material (70549) $2,411 $2,411 8.0×
MRA neck w/o contrast (70547) $1,738 $1,738 8.4×
MRI abdomen w contrast (74182) $2,799 $2,799 9.3×
MRI abdomen w/o contrast (74181) $2,171 $2,171 10.6×
MRI any jt lower extrem w/contrast material (73722) $2,799 $2,799 4.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,799 $2,799 9.3×
MRI any jt upper extremity w/contrast matrl (73222)
range across 4 matching MRF lines
$1,999–$2,799 $1,999–$2,799 varies
MRI cervical spine w contrast (72142) $2,799 $2,799 9.3×
MRI cervical spine w/o cont (72141) $1,738 $1,738 8.4×
MRI chest w/o contrast (71550) $2,433 $2,433 11.8×
MRI chest with contrast (71551) $2,247 $2,247 3.3×
MRI chest wo w contrast (71552) $1,519 $1,519 5.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,799 $2,799 9.3×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,778 $2,778 9.2×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,738 $1,738 8.4×
MRI lumbar spine w contrast (72149) $2,799 $2,799 9.3×
Mri Neck Spine W/O & W/Dye (72156) $2,755 $2,755 9.2×
MRI orbit face &/neck w/o contrast (70540) $2,200 $2,200 10.7×
MRI orbit face neck w contrast (70542) $2,593 $2,593 8.6×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,030 $3,030 10.1×
MRI pelvis w contrast (72196) $2,593 $2,593 8.6×
MRI pelvis w/o & w contrast (72197) $3,030 $3,030 10.1×
MRI pelvis w/o contrast (72195) $1,827 $1,827 8.9×
MRI thoracic spine w/o contrast (72146) $1,924 $1,924 9.4×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 4 matching MRF lines
$1,999–$2,799 $1,999–$2,799 varies
MRI upper extremity oth than jt w/o contr matrl (73218) $1,738 $1,738 8.4×
Mri Uppr Extremity W/O&W/Dye (73220) $2,380 $2,380 7.9×
MRI, abdomen, combo (74183) $3,030 $3,030 10.1×
MRI, dorsal spine combo (72157) $3,168 $3,168 10.5×
MRI, dorsal spine contrast (72147) $2,799 $2,799 9.3×
MRI, joint upper extrem (73221) $1,738 $1,738 8.4×
MRI, joint upper extrem combo (73223) $2,799 $2,799 9.3×
MRI, lumbar spine combo (72158) $2,755 $2,755 9.2×
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines
$1,658.89–$2,126 $1,658.89–$2,126 varies
Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) $3,200 $3,200 2.6×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $5,200 $5,200 2.7×
Neck soft tissue (70360) $158 $158 2.1×
Nonvascular Shunt X-Ray (75809) $462 $462 5.1×
Nuclear Rx Oral Admin (79005) $806 $806 4.0×
Parathyroid Planar Imaging (78070) $693 $693 2.0×
Pelvis 1 or 2 views (72170) $201 $201 2.2×
Peritoneogram Rs&I (74190) $309 $309 0.7×
Pet Image W/Ct Lmtd (78814) $4,706 $4,706 3.8×
PET image w/CT, full body (78816) $6,588 $6,588 5.3×
PET imaging CT attenuation skull base mid-thigh (78815) $6,588 $6,588 5.3×
Pulmonary Perfusion Imaging Particulate (78580) $843 $843 2.4×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $244 $244 2.7×
Radex abscess/fistula/sinus tract rs&i (76080) $309 $309 0.7×
Radex Ankle Complete Minimum 3 Views (73610) $129 $129 1.7×
Radex Calcaneus Minimum 2 Views (73650) $168 $168 2.2×
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$140–$196 $140–$196 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $221 $221 2.5×
Radex fingr minimum 2 views (73140) $121 $121 1.6×
Radex foot complete minimum 3 views (73630) $121 $121 1.6×
Radex Hand Minimum 3 Views (73130) $135 $135 1.8×
Radex lower extremity infant minimum 2 views (73592) $200 $200 2.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $244 $244 2.7×
Radex Nasal Bones Complete Minimum 3 Views (70160) $168 $168 2.2×
Radex Ribs Unilateral 2 Views (71100) $121 $121 1.6×
Radex shoulder complete minimum 2 views (73030) $154 $154 2.1×
Radex Sinuses Paransl < 3 Views (70210) $146 $146 1.9×
Radex Spine 1 View Specify Level (72020) $121 $121 1.6×
Radex Sternum Minimum 2 Views (71120) $178 $178 2.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $174 $174 2.3×
Radex Toe Minimum 2 Views (73660) $149 $149 2.0×
Radex upper extremity infant minimum 2 views (73092) $168 $168 1.9×
Radex Wrist Complete Minimum 3 Views (73110) $121 $121 1.6×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $189 $189 2.1×
Radiolog exam mandible compl minimum 4 views (70110) $244 $244 2.7×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $189 $189 2.1×
Radiologic exam colon double contrast study (74280) $496 $496 3.3×
Radiologic exam colon single contrast study (74270) $365 $365 2.4×
Radiologic exam knee complete 4/more views (73564) $189 $189 2.1×
Radiologic exam pelvis compl minimum 3 views (72190) $271 $271 3.0×
Radiologic Exam Small Int Single Contrast Study (74250) $300 $300 2.0×
Radiologic exam swallow function contrast study (74230) $316 $316 2.1×
Radiologic exam teeth complete full mouth (70320) $137 $137 0.7×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $307 $307 1.5×
Radiologic exam upr gi trc double contrast study (74246) $316 $316 2.1×
Radiologic examination femur 1 view (73551) $294 $294 3.9×
Radiologic examination femur minimum 2 views (73552) $248 $248 3.3×
Radiologic examination knee 1/2 views (73560) $121 $121 1.6×
Radiologic Examination Osseous Survey Limited (77074) $281 $281 3.1×
Radiologic examination tibia & fibula 2 views (73590) $140 $140 1.9×
Radiologic examination, teeth; single view Non-Facility (70300) $112 $112 1.5×
Renal Cyst Study (74470) $309 $309 0.7×
Ribs bilateral 3 views (71110) $196 $196 2.2×
Rp loclzj tum plnr 1 area single day imaging (78800) $894 $894 2.6×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $1,764 $1,764 3.8×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,115 $2,115 4.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,309 $1,309 2.8×
Scapula (73010) $168 $168 1.9×
Screening Digital Breast Tomosynthesis Bi (77063) $100 $100 4.3×
Shoulder 1 view (73020) $149 $149 2.0×
Shoulder Arthrography (73040) $545 $545 1.8×
Skull less than 4 views (70250) $127 $127 1.4×
Speech evaluation, complex (70371) $307 $307 1.5×
Spleen Imaging (78185) $461 $461 1.3×
Sternoclavicular joints (71130) $157 $157 2.1×
Tbs technical calculation only (77091) $200 $200 2.7×
Thoracic spine 2 views (72070) $154 $154 1.7×
Thoracic spine 3 views (72072) $216 $216 2.4×
Thoracolumbar 2 views (72080) $216 $216 2.9×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $811 $811 2.4×
Thyroid Imaging With Vascular Flow (78013) $402 $402 1.2×
Thyroid Met Imaging Body (78018) $1,144 $1,144 2.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $693 $693 2.0×
Ultrasound Breast Limited (76642) $308 $308 4.1×
Ultrasound Elastography Parenchyma (76981) $417 $417 4.6×
Ultrasound Exam Aaa Screen (76706) $308 $308 3.4×
Ultrasound, abdomen limited (76705) $455 $455 5.0×
Umbilical-artery Doppler (OB) (76820) $330 $330 3.7×
Unlisted Dx Radiographic Procedure (76499) $105 $105 1.4×
Unlisted magnetic resonance procedure (76498) $1,738 $1,738 23.2×
Unlisted us procedure (76999) $349 $349 4.7×
Upper gi w/o kub (74240) $496 $496 3.3×
Urethrocystogram voiding (74455) $353 $353 1.7×
Urethrocystography retrograde (74450) $252 $252 1.2×
Us breast unilateral complete (76641) $375 $375 4.2×
Us chest (76604) $354 $354 3.9×
Us complete joint (76881) $435 $435 4.8×
Us exam, pelvic, limited (76857) $365 $365 4.0×
Us head (76506) $354 $354 3.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $354 $354 3.9×
Us ob detailed single fetus (76811) $430 $430 2.1×
Us ob limited 1 or more fetuses (76815) $327 $327 3.6×
Us ob transvaginal (76817) $386 $386 4.3×
Us pelvic non ob complete (76856) $419 $419 4.6×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $856 $856 9.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $189 $189 2.1×
Us retroperitoneal complete (76770) $455 $455 5.0×
Us retroperitoneal limited (76775) $372 $372 4.1×
Us scrotum and contents (76870) $386 $386 4.3×
Us spinal canal and contents (76800) $586 $586 6.5×
Us thyroid (76536) $349 $349 3.9×
Us transrectal (76872) $157 $157 1.7×
Vein X-Ray Chest (75827) $1,611 $1,611 1.2×
Venography caval inferior serialography rs&i (75825) $2,880 $2,880 1.1×
Venography extremity bilateral rs&i (75822) $1,019 $1,019 0.8×
Venography extremity unilateral rs&i (75820) $1,019 $1,019 0.8×
Venography Renal Bilateral (75833) $2,880 $2,880 1.1×
Venography Renal Unilateral (75831) $2,880 $2,880 1.1×
Vertebral fracture assessment via dxa (77086) $265 $265 3.5×
Wrist 2 views (73100) $121 $121 1.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $188 $188 2.5×
X-ray antegrade pyelogram tube (74425) $353 $353 1.2×
X-Ray Aorta Leg Arteries (75630) $2,880 $2,880 1.1×
X-Ray Bend Only L-S Spine (72120) $273 $273 3.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $127 $127 1.7×
X-Ray Exam Breast Specimen (76098) $594 $594 1.3×
X-Ray Exam Entire Spi 1 Vw (72081) $214 $214 2.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $255 $255 2.8×
X-Ray Exam Hip Uni 1 View (73501) $180 $180 2.4×
X-Ray Exam Hip Uni 2-3 Views (73502) $157 $157 2.1×
X-Ray Exam Hips Bi 2 Views (73521) $189 $189 2.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $189 $189 2.1×
X-Ray Exam L-S Spine Bending (72114) $308 $308 3.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $121 $121 1.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $300 $300 3.3×
X-Ray Exam Unilat Ribs/Chest (71101) $174 $174 1.9×
X-ray eye for foreign body (70030) $127 $127 1.7×
X-ray humerus (73060)
range across 3 matching MRF lines
$120–$121 $120–$121 varies
X-ray IV pyelogram (ivp) (74400) $412 $412 2.7×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $157 $157 2.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $140 $140 1.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $154 $154 1.7×
X-ray nose-rectum child f.b. (76010) $207 $207 2.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $290 $290 3.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $178 $178 2.0×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $189 $189 2.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $121 $121 1.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $157 $157 2.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $290 $290 3.2×
X-Ray Stress View (77071) $112 $112 1.5×
X-ray thoracic spine 4 vw (72074) $300 $300 3.3×
X-Ray Tmj Unilat (70328) $178 $178 2.4×
X-Ray Urinary Tract Exam With Contrast Material (74420) $397 $397 1.3×
X-Rays Bone Survey Complete (77075) $356 $356 3.9×
Xr c-spine 4 or 5 views (72050) $207 $207 2.3×
Xr facial bones less than 3 views (70140) $178 $178 2.4×
Xr orbits complete 4 views (70200) $190 $190 2.1×

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.