Imaging prices at South Sunflower County Hospital
Indianola, MS · every code in this section with a posted price and a Medicare benchmark.
189 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 |
$8.27–$80.36 | $47.75–$99.50 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$10.18–$96.53 | $66.50–$115.50 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$7.60–$80.36 | $41.25–$91.75 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$8.61–$96.53 | $52–$90.25 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$30.89–$96.53 | $67.75–$129.25 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$7.98–$80.36 | $47.75–$99.25 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$9.56–$80.36 | $47.75–$105.50 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$12.09–$80.36 | $65.50–$127.25 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$13.96–$96.53 | $76–$134.25 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$7.60–$80.36 | $41.25–$96 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$47.19–$96.53 | $35–$90 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$322.14 | $78.75–$321.71 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$88.56–$322.14 | $550–$1,738.25 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$76.26–$220.32 | $550–$1,248.50 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$55.80–$161.96 | $275–$728.25 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$61.29–$161.96 | $302.50–$881 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$52.26–$96.53 | $275–$620 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$96.30–$322.14 | $191.68–$751.14 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$79.66–$161.96 | $275–$875 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$76.59–$161.96 | $152.96–$563.88 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$76.59–$161.96 | $152.40–$563.96 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$44.28–$96.53 | $275–$637.75 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$55.51–$161.96 | $302.50–$1,050 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$51.26–$161.96 | $275–$933.75 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$54.84–$161.96 | $302.50–$351.50 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$49.68–$161.96 | $275–$613.50 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$55.80–$161.96 | $302.50–$1,011.41 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$49.68–$161.96 | $275–$644.25 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$55.80–$161.96 | $302.50–$894.50 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$44.28–$96.53 | $275–$549.75 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$50.97–$161.96 | $275–$637.75 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$53.55–$322.14 | $275–$803 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$44.28–$96.53 | $275–$637.75 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$49.68–$161.96 | $275–$635 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$37.87–$96.53 | $275–$536.25 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$70.57–$161.96 | $302.50–$770.75 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$55.51–$161.96 | $302.50–$886 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$56.42–$96.53 | $275–$555.25 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$53.55–$161.96 | $302.50–$857.25 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$47.53–$96.53 | $275–$628.25 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$53.27–$161.96 | $350–$894.50 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$55.80–$161.96 | $302.50–$768 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$60.62–$161.96 | $275–$644.25 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$56.42–$96.53 | $275–$555.25 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$53.55–$161.96 | $118.26–$481.84 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$44.28–$96.53 | $275–$637.75 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$47.19–$96.53 | $235.75–$275 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$44.28–$96.53 | $275–$549.75 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$53.27–$161.96 | $350–$894.50 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$50.97–$322.14 | $275–$637.75 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$104.58–$161.96 | $275–$876 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$79.38–$161.96 | $152.96–$563.88 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$8.94–$96.53 | $63.75–$294 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$26.49–$161.96 | $86.50–$321.71 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$47.67–$96.53 | $145.25–$233 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$14.50–$220.32 | $42.50–$295.71 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$7.32–$80.36 | $41.25–$91.75 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$7.32–$80.36 | $41.25–$96 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$7.60–$96.53 | $41.25–$145.69 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$16.88–$220.32 | $93.25–$1,263.86 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$27.35–$80.36 | $124.25–$183.75 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$8.85–$80.36 | $49.25–$94.25 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$63.92–$220.32 | $275–$1,404.25 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$64.74–$322.14 | $220–$2,748.50 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$52.60–$220.32 | $220–$1,404.25 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$78.84–$322.14 | $220–$2,748.50 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$52.60–$220.32 | $220–$1,404.25 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$63.54–$220.32 | $275–$1,389.50 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$71.72–$723.85 | $275–$1,748.25 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$94.67–$322.14 | $275–$3,070.25 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$78.95–$322.14 | $275–$1,684.75 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$65.03–$220.32 | $275–$1,404.25 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$63.54–$220.32 | $127.24–$1,389.50 | varies |
| MRI chest with contrast (71551) | $723.85 | $1,456 | 1.1× |
| MRI chest wo w contrast (71552) | $99.12 | $196.90 | 0.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$70.85–$322.14 | $275–$1,748.25 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$94.67–$322.14 | $275–$3,071 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$59.33–$220.32 | $275–$1,383.50 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$78.46–$322.14 | $275–$1,684.75 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$100.70–$322.14 | $275–$3,119.25 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$59.05–$220.32 | $275–$1,383.50 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$94.38–$322.14 | $275–$3,070.25 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$96.88–$322.14 | $275–$3,079.25 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$63.82–$220.32 | $275–$1,389.50 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$65.03–$220.32 | $275–$1,558.75 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$59.91–$220.32 | $275–$1,383.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$94.96–$322.14 | $275–$3,071 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$96.88–$322.14 | $275–$3,079.25 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$100.70–$322.14 | $275–$3,119.25 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$78.46–$322.14 | $275–$1,684.75 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$60.20–$220.32 | $275–$1,383.50 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$94.96–$322.14 | $275–$3,071 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$100.70–$322.14 | $275–$3,119.25 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$8.27–$80.36 | $45.25–$85.25 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$7.94–$96.53 | $44–$145.69 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$14.30–$96.53 | $78.75–$136.50 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $23 | $126.50 | 0.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$7.94–$80.36 | $46.50–$99.25 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$7.32–$80.36 | $41.25–$89.25 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$7.94–$80.36 | $46.50–$91.75 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$11.76–$96.53 | $63.75–$132 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$6.31–$80.36 | $34.25–$78.75 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$7.65–$80.36 | $46.50–$98.75 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$8.23–$80.36 | $46.50–$98.75 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$7.32–$80.36 | $41.25–$91.75 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$15.25–$96.53 | $83.75–$145.25 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$7.94–$80.36 | $45.25–$98.75 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$9.85–$80.36 | $54.50–$101 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$8.56–$80.36 | $47.75–$93.25 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$51.31–$161.96 | $67.26–$383.94 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$7.32–$80.36 | $39.75–$82 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$8.94–$80.36 | $53.25–$105.25 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$10.80–$80.36 | $60–$134.25 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$6.03–$80.36 | $34.25–$78.75 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$7.32–$96.53 | $41.25–$91.75 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$8.23–$80.36 | $46.50–$91.75 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$11.14–$96.53 | $62.75–$112 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$55.18–$161.96 | $207.50–$312.75 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$45.57–$161.96 | $145.25–$230.25 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$10.42–$96.53 | $56–$106.50 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$35.67–$161.96 | $107.75–$201.38 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$23.57–$161.96 | $46.48–$380 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$39.83–$161.96 | $140.25–$246.75 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$7.60–$80.36 | $16.22–$121.60 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$8.27–$80.36 | $45.25–$91.75 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$7.60–$80.36 | $42.50–$97 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$7.32–$80.36 | $42.50–$97 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$12.76–$96.53 | $66.50–$134.25 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$8.51–$96.53 | $45.25–$98.75 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$26.49–$46.62 | $61.36 | varies |
| Sella turcica (70240) | $8.61 | $52 | 0.1× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$6.98–$80.36 | $47.75–$58.25 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$8.27–$96.53 | $60–$110.50 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$9.85–$80.36 | $54.50–$114.50 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$9.23–$96.53 | $54.50–$109.25 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$9.90–$96.53 | $54.50–$118.50 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$9.52–$80.36 | $54.50–$110.50 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$29.93–$80.36 | $59.64–$183.38 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$24.49–$96.53 | $153 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$26.15–$96.53 | $137–$307.50 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$80.36 | $125–$183.75 | 1.1× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$35.96–$161.96 | $145.25–$321.72 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$14.92–$220.32 | $73.75–$200.75 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$32.18–$96.53 | $125–$412.60 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$22.57–$96.53 | $93.25–$158.50 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$30.56–$96.53 | $113–$183.75 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$86.20–$220.32 | $203.50–$311.50 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$29.22–$96.53 | $147.75–$200.75 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$33.71–$96.53 | $185–$300.50 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$30.84–$96.53 | $186.50–$215.50 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$44.27–$96.53 | $203.50–$300.50 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$38.78–$96.53 | $137–$193 | varies |
| Us retroperitoneal complete (76770) range across 5 matching MRF lines |
$32.51–$96.53 | $124.25–$258.25 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$25.82–$96.53 | $156–$225 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$28.31–$96.53 | $134.25–$209 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$25.15–$96.53 | $130.25–$220.75 | varies |
| Venography extremity bilateral rs&i (75822) | $64.25 | $200.75 | 0.0× |
| Venography extremity unilateral rs&i (75820) | $45.82 | $164.25 | 0.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$7.89–$80.36 | $41.25–$91.75 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$8.85–$80.36 | $52–$107.75 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$7.60–$80.36 | $39.75–$94.25 | varies |
| X-Ray Exam Breast Specimen (76098) | $13.96 | $41.25 | 0.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$12.01–$80.36 | $25.68–$121.60 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$14.25–$96.53 | $115.75–$166.25 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$8.56–$80.36 | $44–$91.75 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$10.14–$80.36 | $20.50–$98.75 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$10.14–$96.53 | $22.38–$201.38 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$13.30–$96.53 | $65.50–$118.50 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$13.63–$96.53 | $87.75–$167.50 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$9.85–$80.36 | $54.50–$103.50 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$13.63–$96.53 | $87.75–$163.50 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$12.05–$96.53 | $66.50–$121 | varies |
| X-ray eye for foreign body (70030) | $8.27 | $46.50 | 0.1× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$7.60–$80.36 | $44–$91.75 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$21.66–$161.96 | $113–$321.71 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$8.56–$80.36 | $63.75–$64.25 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$7.89–$80.36 | $42.50–$93.25 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$10.14–$96.53 | $53.25–$110.50 | varies |
| X-ray nose-rectum child f.b. (76010) | $7.98 | $47.75 | 0.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$14.30–$96.53 | $78.75–$154.25 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$9.90–$96.53 | $52–$101 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$7.94–$80.36 | $46.50–$91.75 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$9.85–$80.36 | $32.25–$62.75 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$12.43–$96.53 | $26.48–$157 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$23.57–$322.14 | $86.50–$263.50 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$24.53–$96.53 | $126.50–$220.50 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$12.34–$96.53 | $76–$151.75 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$12.43–$96.53 | $69.25–$134.25 | varies |
| Xr Tomogram Single Plane (76100) | $25.82 | $134.25 | 0.3× |
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.