Imaging prices at South Lincoln Medical Center
Kemmerer, WY · every code in this section with a posted price and a Medicare benchmark.
176 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 |
$48.49–$202.02 | $64.65–$269.36 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$91.32–$192.47 | $121.76–$256.62 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$48.49–$185.91 | $64.65–$247.88 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$454.96–$901.72 | $606.61–$1,202.29 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$77.40–$744.47 | $103.20–$992.63 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$140.63–$546.27 | $187.50–$728.36 | varies |
| Cat Scan Follow-Up Study (76380) | $1,361.88 | $1,815.84 | 15.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$41.45–$181.74 | $55.26–$242.32 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$67.90–$243.36 | $90.53–$324.48 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$88.78–$221.95 | $118.37–$295.93 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$50.45–$238.68 | $67.27–$318.24 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$286.17–$1,567.68 | $381.56–$2,090.24 | varies |
| Contrast X-Ray Of Elbow (73085) | $307.13 | $409.50 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) | $307.13 | $409.50 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$732.19–$4,267.38 | $976.25–$5,689.84 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$675.35–$2,549.82 | $900.46–$3,399.76 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$469.94–$2,870.40 | $626.59–$3,827.20 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$698.86–$3,291.60 | $931.81–$4,388.80 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$392.06–$1,339.07 | $522.75–$1,785.42 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$583.05–$4,711.20 | $777.40–$6,281.60 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$605–$3,402.36 | $806.67–$4,536.48 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $512.78 | $683.71 | 2.9× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$605–$3,390.66 | $806.67–$4,520.88 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$491.81–$2,723.76 | $655.75–$3,631.68 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$432.52–$1,945.13 | $576.69–$2,593.50 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$591.08–$3,071.25 | $788.10–$4,095 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$480.35–$2,198.82 | $640.46–$2,931.76 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$571.67–$2,438.99 | $762.22–$3,251.98 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$427.03–$1,747.98 | $569.37–$2,330.64 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$518.75–$2,093.52 | $691.67–$2,791.36 | varies |
| CT iac w contrast (70481) | $3,385.20 | $4,513.60 | 18.9× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$591.08–$3,054.87 | $788.10–$4,073.16 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$350.62–$1,928.75 | $467.49–$2,571.66 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$399.59–$2,497.13 | $532.79–$3,329.51 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$491.81–$2,730 | $655.75–$3,640 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$432.52–$2,122.38 | $576.69–$2,829.84 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$458.40–$1,652.75 | $611.20–$2,203.66 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$397.63–$1,434.89 | $530.17–$1,913.18 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$597.14–$2,677.74 | $796.18–$3,570.32 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,395.57 | $4,527.43 | 18.9× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$378.63–$2,513.51 | $504.84–$3,351.35 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$497.39–$3,054.87 | $663.18–$4,073.16 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$362.16–$1,355.45 | $482.88–$1,807.26 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$481.33–$3,171.99 | $641.77–$4,229.32 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$544.23–$2,224.24 | $725.64–$2,965.65 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$480.35–$2,187.12 | $640.46–$2,916.16 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$428.99–$1,642.68 | $571.99–$2,190.24 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$491.81–$2,497.13 | $655.75–$3,329.51 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$432.52–$2,134.08 | $576.69–$2,845.44 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$591.08–$3,076.98 | $788.10–$4,102.64 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$410.98–$1,642.68 | $547.97–$2,190.24 | varies |
| CT upper ext wo (73200) | $344.72 | $459.63 | 3.2× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$475.84–$3,230.96 | $634.45–$4,307.94 | varies |
| CT upper extremity with contrast (73201) | $2,700.36 | $3,600.48 | 7.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,003 | $4,004 | 16.8× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$583.05–$3,682.38 | $777.40–$4,909.84 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$605–$3,342.34 | $806.67–$4,456.45 | varies |
| Fetal Biophys Profile W/Nst (76818) | $546 | $728 | 5.1× |
| Fluoroscopy up to 1 hr (76000) | $262.90 | $350.53 | 1.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$50.45–$187.20 | $67.27–$249.60 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$50.45–$189.54 | $67.27–$252.72 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$50.45–$197.34 | $67.27–$263.12 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$177.07–$2,739.56 | $236.09–$3,652.74 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$67.41–$265.98 | $89.88–$354.64 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$439.97–$1,919.82 | $586.62–$2,559.76 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$666.92–$2,352.17 | $889.22–$3,136.22 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$666.92–$2,502.05 | $889.22–$3,336.06 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$666.92–$3,630.63 | $889.22–$4,840.84 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$666.92–$2,363.63 | $889.22–$3,151.51 | varies |
| MRI abdomen w/o contrast (74181) | $2,045.04 | $2,726.72 | 8.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$454.96–$3,146.60 | $606.61–$4,195.46 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$798.03–$4,183.14 | $1,064.04–$5,577.52 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$454.96–$2,554.46 | $606.61–$3,405.95 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$454.96–$2,486.48 | $606.61–$3,315.31 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$454.96–$2,361.84 | $606.61–$3,149.12 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$454.96–$4,888.61 | $606.61–$6,518.15 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$454.96–$2,467.65 | $606.61–$3,290.20 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$454.96–$3,602.04 | $606.61–$4,802.72 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$577.56–$2,099.10 | $770.08–$2,798.80 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$454.96–$2,444.72 | $606.61–$3,259.62 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$454.96–$2,789.51 | $606.61–$3,719.35 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$454.96–$2,524.98 | $606.61–$3,366.64 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$454.96–$3,119.57 | $606.61–$4,159.43 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$454.96–$2,467.65 | $606.61–$3,290.20 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$552.66–$3,423.42 | $736.88–$4,564.56 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$552.66–$2,126.12 | $736.88–$2,834.83 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$454.96–$2,366.52 | $606.61–$3,155.36 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$454.96–$3,376.74 | $606.61–$4,502.32 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$454.96–$3,143.33 | $606.61–$4,191.10 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$454.96–$4,106.47 | $606.61–$5,475.29 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$456.92–$3,116.30 | $609.23–$4,155.06 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$454.96–$2,801.80 | $606.61–$3,735.73 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$454.96–$2,471.75 | $606.61–$3,295.66 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$454.96–$2,392.26 | $606.61–$3,189.68 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$454.96–$3,291.60 | $606.61–$4,388.80 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$454.96–$3,060.72 | $606.61–$4,080.96 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$46.94–$184.08 | $62.58–$245.44 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$56.35–$244.92 | $75.13–$326.56 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$81.33–$251.43 | $108.44–$335.24 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$57.91–$234.78 | $77.21–$313.04 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$47.99–$200.46 | $63.99–$267.28 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$60.44–$233.22 | $80.59–$310.96 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$98.36–$251.43 | $131.15–$335.24 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$50.45–$255.84 | $67.27–$341.12 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$64.87–$217.62 | $86.49–$290.16 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$60.44–$234.78 | $80.59–$313.04 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$47.99–$171.17 | $63.99–$228.23 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$46.94–$272.22 | $62.58–$362.96 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$59.87–$253.50 | $79.83–$338 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$64.87–$198.12 | $86.49–$264.16 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$64.87–$219.96 | $86.49–$293.28 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$46.94–$126.95 | $62.58–$169.26 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$66.83–$174.45 | $89.11–$232.60 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$307.13–$454.96 | $409.50–$606.61 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$46.94–$202.02 | $62.58–$269.36 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$46.94–$171.17 | $62.58–$228.23 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$60.44–$254.28 | $80.59–$339.04 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$79.86–$227.69 | $106.48–$303.58 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$74.36–$276.90 | $99.15–$369.20 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$75.92–$283.14 | $101.23–$377.52 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$150.70–$310.73 | $200.93–$414.30 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$56.76–$244.14 | $75.68–$325.52 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$60.44–$262.86 | $80.59–$350.48 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$50.45–$210.60 | $67.27–$280.80 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$60.44–$216.06 | $80.59–$288.08 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$64.87–$306.54 | $86.49–$408.72 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$56.35–$275.34 | $75.13–$367.12 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $88.14 | $117.52 | 3.8× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$50.45–$186.42 | $67.27–$248.56 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$81.27–$691.24 | $108.36–$921.65 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$46.94–$209.66 | $62.58–$279.55 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$75.92–$172.16 | $101.23–$229.54 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$58.40–$312.78 | $77.86–$417.04 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$59.87–$202.02 | $79.83–$269.36 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$58.40–$407.94 | $77.86–$543.92 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$177.07–$621.66 | $236.09–$828.88 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$164.62–$514.80 | $219.49–$686.40 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$43.73–$89.27 | $58.31–$119.02 | varies |
| Us complete joint (76881) | $361.92 | $482.56 | 3.4× |
| Us exam, pelvic, limited (76857) | $362.70 | $483.60 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$160.69–$313.56 | $214.25–$418.08 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$53.89–$461.76 | $71.85–$615.68 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$32.43–$611.52 | $43.24–$815.36 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$205.98–$574.08 | $274.64–$765.44 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$52.42–$531.18 | $69.89–$708.24 | varies |
| Us retroperitoneal complete (76770) | $555.22 | $740.29 | 5.2× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$219–$429.78 | $292–$573.04 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$141.69–$486.49 | $188.92–$648.65 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$104.27–$579.03 | $139.02–$772.04 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$50.45–$224.64 | $67.27–$299.52 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $294.06 | $392.08 | 3.3× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$102.30–$262.90 | $136.40–$350.53 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$50.45–$229.32 | $67.27–$305.76 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $105.82 | $141.09 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $341.64 | $455.52 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$60.44–$205.14 | $80.59–$273.52 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$79.37–$289.38 | $105.82–$385.84 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$90.34–$408.72 | $120.45–$544.96 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$140.63–$345.62 | $187.50–$460.82 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$56.35–$244.14 | $75.13–$325.52 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$129.73–$432.90 | $172.97–$577.20 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$93.62–$311.22 | $124.82–$414.96 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$60.44–$232.44 | $80.59–$309.92 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$132.77–$785.42 | $177.02–$1,047.23 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$56.35–$209.66 | $75.13–$279.55 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$59.87–$67.86 | $79.83–$90.48 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$62.90–$247.26 | $83.87–$329.68 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$48.49–$260.52 | $64.65–$347.36 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $81.33 | $108.44 | 0.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $56.35 | $75.13 | 0.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$56.35–$180.18 | $75.13–$240.24 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$91.32–$248.16 | $121.76–$330.88 | varies |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$48.49–$122.85 | $64.65–$163.80 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$64.87–$185.91 | $86.49–$247.88 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$102.30–$402.48 | $136.40–$536.64 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$61.76–$168.71 | $82.34–$224.95 | 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.