Imaging prices at Southern Hills Hospital and Medical Center

Las Vegas, NV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $2,169 $2,169 19.7×
Abdomen 2 views (74019) $2,169 $2,169 16.4×
Acute Gastrointestinal Blood Loss Imaging (78278) $8,901 $8,901 17.6×
Angio internal mammary (75756) $8,941 $8,941 2.2×
Angio pulmonary bilat (75743)
range across 2 matching MRF lines
$20,991–$24,234 $20,991–$24,234 varies
Angiography extremity bilateral rs&i (75716) $20,991 $20,991 5.2×
Angiography extremity unilateral rs&i (75710) $20,991 $20,991 5.2×
Angiography pulmonary unilateral slctv rs&i (75741)
range across 6 matching MRF lines
$8,941–$24,235 $8,941–$24,235 varies
Angrph pulmonary nonslctv cath/ven njx rs&i (75746)
range across 2 matching MRF lines
$8,941–$10,034 $8,941–$10,034 varies
Ankle 2 views (73600) $2,169 $2,169 19.7×
Aortography thoracic serialography rs&i (75605) $20,991 $20,991 3.0×
Aortography thoracic w/o serialography rs&i (75600) $20,991 $20,991 5.2×
Artery X-Rays Abdomen (75726) $20,991 $20,991 3.0×
Artery X-Rays Pelvis (75736) $20,991 $20,991 3.0×
Artery X-Rays Spine (75705) $20,947 $20,947 3.0×
Arthrogram hip (73525) $10,340 $10,340 23.4×
Arthrogram Wrist (73115) $10,340 $10,340 23.4×
Bone age studies (77072) $2,169 $2,169 16.4×
Bone Imaging 3 Phase (78315) $9,437 $9,437 18.6×
Bone Imaging Limited Area (78300) $9,437 $9,437 18.6×
Bone Imaging Whole Body (78306) $9,437 $9,437 18.6×
Bone survey infant (77076) $452 $452 3.4×
Brain Flow Imaging Only (78610) $12,211 $12,211 17.8×
Cat Scan Follow-Up Study (76380) $4,135 $4,135 37.5×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $4,062 $4,062 5.9×
Cerebrospinal Fluid Scan (78630) $8,269 $8,269 12.0×
Chest 1 view (71045) $2,169 $2,169 19.7×
Chest 2 views (71046) $2,169 $2,169 19.7×
Chest 3 views (71047) $2,169 $2,169 19.7×
Chest 4 or more views (71048) $2,169 $2,169 16.4×
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $674 $674 5.1×
Cholecystography Oral Contrast (74290) $4,363 $4,363 19.6×
Clavicle complete (73000) $2,169 $2,169 19.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $593 $593 4.5×
Contrast Exam Abdominl Aorta (75625) $20,991 $20,991 5.2×
Contrast X-Ray Bladder (74430)
range across 2 matching MRF lines
$3,883–$7,573 $3,883–$7,573 varies
Contrast X-Ray Of Knee Joint (73580) $10,340 $10,340 23.4×
CT abdomen and pelvis without and with contrast (74178) $26,519 $26,519 60.0×
CT abdomen and pelvis without contrast (74176) $17,563 $17,563 58.1×
CT abdomen w contrast (74160) $11,129 $11,129 50.1×
CT abdomen w wo contrast (74170) $13,232 $13,232 59.5×
CT abdomen w/o contrast (74150) $8,199 $8,199 61.9×
CT Angio Abdomen and Pelvis (74174)
range across 2 matching MRF lines
$22,391–$26,519 $22,391–$26,519 varies
CT Angio Chest (71275) $12,945 $12,945 58.3×
CT Angio Head (70496) $12,945 $12,945 58.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $12,945 $12,945 58.3×
CT Angio Neck (70498) $12,945 $12,945 58.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $12,945 $12,945 58.3×
CT cervical spine w/ contrast (72126) $11,129 $11,129 25.2×
CT cervical spine w/o contrast (72125) $8,199 $8,199 61.9×
CT cervical spine w/wo cont (72127) $13,232 $13,232 59.5×
CT chest w contrast (71260) $11,129 $11,129 50.1×
CT chest w/wo contrast (71270) $13,232 $13,232 59.5×
CT head/brain with contrast (70460) $11,129 $11,129 50.1×
CT head/brain without and with contrast (70470) $13,232 $13,232 59.5×
CT iac w contrast (70481) $11,129 $11,129 50.1×
CT l-spine w&w/o contrast (72133) $13,232 $13,232 59.5×
CT lower ext w/o (73700) $8,199 $8,199 61.9×
CT lower extremity w/contrast material (73701) $11,129 $11,129 50.1×
CT lumbar spine w contrast (72132) $11,129 $11,129 25.2×
CT lumbar spine w/o contrast (72131) $8,199 $8,199 61.9×
CT maxillofacial w contrast (70487) $11,129 $11,129 50.1×
CT maxillofacial wo contrast (70486) $8,199 $8,199 61.9×
CT neck tissue combo (70492) $13,232 $13,232 59.5×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $13,232 $13,232 59.5×
CT orbits w/o contrast (70480) $8,199 $8,199 61.9×
CT pelvis w&w/o contrast (72194) $13,232 $13,232 59.5×
CT pelvis w/o contrast (72192) $8,199 $8,199 61.9×
CT scan of leg combo (73702) $13,232 $13,232 59.5×
CT scans face/jaw combo (70488) $13,232 $13,232 59.5×
CT soft tissue neck w contrast (70491) $11,129 $11,129 50.1×
CT soft tissue neck w/o contrast (70490) $8,199 $8,199 61.9×
CT thoracic spine w contrast (72129) $11,129 $11,129 50.1×
CT thoracic spine w/o contrast (72128) $8,199 $8,199 61.9×
CT thoracic spine w/wo cont (72130) $13,232 $13,232 59.5×
CT thorax w/o contrast (71250) $8,199 $8,199 61.9×
CT upper ext wo (73200) $8,199 $8,199 61.9×
CT upper extremity w/o & w/contrast material (73202) $13,232 $13,232 59.5×
CT upper extremity with contrast (73201) $11,129 $11,129 25.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $12,945 $12,945 58.3×
Cta Abdomen (74175) $12,945 $12,945 58.3×
CTA pelvis (72191) $12,945 $12,945 58.3×
Dilation ureters/urethra rs&i (74485)
range across 2 matching MRF lines
$13,350–$16,802 $13,350–$16,802 varies
Dxa Bone Density Axial (77080) $2,095 $2,095 15.8×
Dxa bone density study 1/>sites appendiclr skel (77081) $1,096 $1,096 9.9×
Echo Guide For Artery Repair (76936) $1,631 $1,631 6.0×
Esophagram (74220) $4,363 $4,363 19.6×
Fetal Biophys Profile W/Nst (76818) $2,472 $2,472 18.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $2,472 $2,472 18.7×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$1,379–$3,941 $1,379–$3,941 varies
Follow-Up Angiography (75898) $1,756 $1,756 0.4×
Foot 2 views (73620) $2,169 $2,169 19.7×
Forearm 2 views (73090) $2,169 $2,169 19.7×
Gastric emptying imaging study (78264) $8,901 $8,901 17.6×
Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) $8,901 $8,901 17.6×
Gated Heart Planar Single (78472) $11,884 $11,884 23.5×
Gated Heart, Multiple (78473) $11,884 $11,884 23.5×
Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) $4,989 $4,989 7.3×
Hand 2 views (73120) $2,169 $2,169 16.4×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $20,991 $20,991 5.2×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $8,941 $8,941 2.2×
Hepatobil Syst Image W/Drug (78227) $10,181 $10,181 14.8×
Hepatobiliary System Imaging (78226) $10,181 $10,181 20.1×
Ht Muscle Image Spect Sing (78451) $9,935 $9,935 6.1×
Infant hip ultrasound with hip movement (dynamic) (76885) $1,548 $1,548 14.0×
K Flow/Funct Image Multiple (78709) $9,804 $9,804 14.3×
K Flow/Funct Image W/Drug (78708) $9,804 $9,804 14.3×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $8,639 $8,639 17.1×
Liver & Spleen Imaging Static Only (78215) $10,181 $10,181 20.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $10,181 $10,181 20.1×
Lung Perf&Ventilat Diferentl (78598) $12,774 $12,774 18.6×
Lung perfusion differential (78597) $11,828 $11,828 23.4×
Lung Ventilat&Perfus Imaging (78582) $12,774 $12,774 18.6×
Lung Ventilation Imaging (78579) $11,828 $11,828 23.4×
Lymph System Imaging (78195) $9,251 $9,251 13.4×
Lymphangiography Extremity Only Bilateral Rs&I (75803) $9,798 $9,798 4.9×
Lymphangiography extremity only unilateral rs&i (75801) $3,766 $3,766 4.7×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $19,947 $19,947 5.0×
Lymphangiography, pelvic/abdominal, unilateral (75805) $19,947 $19,947 5.0×
Magnetic Image Jaw Joint (70336) $8,245 $8,245 27.3×
Mammary ductogram or galactogram multiple (77054) $2,916 $2,916 9.6×
Mammary ductogram or galactogram single (77053) $2,916 $2,916 9.6×
Meckels Divert Exam (78290) $8,901 $8,901 17.6×
Medical physics dose eval radiation expos w/rprt (76145) $942 $942 2.0×
Mra Head W/O & W/Contrast Material (70546) $13,749 $13,749 31.1×
MRA head w/o contrast (70544) $9,488 $9,488 31.4×
MRA head with contrast (70545) $10,078 $10,078 22.8×
MRA neck w contrast (70548) $10,078 $10,078 22.8×
Mra Neck W/O &W/Contrast Material (70549) $13,749 $13,749 31.1×
MRA neck w/o contrast (70547) $9,488 $9,488 31.4×
MRI abdomen w contrast (74182) $10,078 $10,078 22.8×
MRI abdomen w/o contrast (74181) $9,488 $9,488 31.4×
MRI any jt lower extrem w/contrast material (73722) $10,078 $10,078 10.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $13,749 $13,749 31.1×
MRI any jt upper extremity w/contrast matrl (73222)
range across 3 matching MRF lines
$9,488–$10,078 $9,488–$10,078 varies
MRI cervical spine w contrast (72142) $10,078 $10,078 22.8×
MRI cervical spine w/o cont (72141) $9,488 $9,488 31.4×
MRI chest w/o contrast (71550) $9,488 $9,488 31.4×
MRI chest with contrast (71551) $10,078 $10,078 10.1×
MRI chest wo w contrast (71552) $13,749 $13,749 31.1×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 3 matching MRF lines
$9,488–$10,078 $9,488–$10,078 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $13,749 $13,749 31.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $9,488 $9,488 31.4×
MRI lumbar spine w contrast (72149) $10,078 $10,078 22.8×
Mri Neck Spine W/O & W/Dye (72156) $13,749 $13,749 31.1×
MRI orbit face &/neck w/o contrast (70540) $9,488 $9,488 31.4×
MRI orbit face neck w contrast (70542) $10,078 $10,078 22.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $13,749 $13,749 31.1×
MRI pelvis w contrast (72196) $10,078 $10,078 22.8×
MRI pelvis w/o & w contrast (72197) $13,749 $13,749 31.1×
MRI pelvis w/o contrast (72195) $9,488 $9,488 31.4×
MRI thoracic spine w/o contrast (72146) $9,488 $9,488 31.4×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 3 matching MRF lines
$9,488–$10,078 $9,488–$10,078 varies
MRI upper extremity oth than jt w/o contr matrl (73218) $9,488 $9,488 31.4×
Mri Uppr Extremity W/O&W/Dye (73220) $13,749 $13,749 31.1×
MRI, abdomen, combo (74183) $13,749 $13,749 31.1×
MRI, dorsal spine combo (72157) $13,749 $13,749 31.1×
MRI, dorsal spine contrast (72147) $10,078 $10,078 22.8×
MRI, joint upper extrem (73221) $9,488 $9,488 31.4×
MRI, joint upper extrem combo (73223) $13,749 $13,749 31.1×
MRI, lumbar spine combo (72158) $13,749 $13,749 31.1×
Myelogram cervical (72240) $7,101 $7,101 7.2×
Myelogram Lumbar (72265) $7,101 $7,101 7.2×
Myelography thoracic (72255) $7,101 $7,101 7.2×
Myelograpy 2/more regions rs&i (72270) $7,101 $7,101 7.2×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $8,719 $8,719 17.2×
Myocardial Spect Multiple Studies (78452) $15,761 $15,761 9.6×
Neck soft tissue (70360) $2,169 $2,169 19.7×
Optic foramina (70190) $2,169 $2,169 19.7×
Parathyroid Planar Imaging (78070) $6,571 $6,571 13.0×
Pelvis 1 or 2 views (72170) $2,169 $2,169 16.4×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $20,991 $20,991 5.2×
Pulmonary Perfusion Imaging Particulate (78580) $7,843 $7,843 15.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $3,684 $3,684 27.8×
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines
$2,299–$3,061 $2,299–$3,061 varies
Radex Ankle Complete Minimum 3 Views (73610) $2,169 $2,169 19.7×
Radex Calcaneus Minimum 2 Views (73650) $2,169 $2,169 19.7×
Radex elbow complete minimum 3 views (73080) $2,169 $2,169 19.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $2,169 $2,169 16.4×
Radex fingr minimum 2 views (73140) $2,169 $2,169 19.7×
Radex foot complete minimum 3 views (73630) $2,169 $2,169 19.7×
Radex Hand Minimum 3 Views (73130) $2,169 $2,169 19.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $2,169 $2,169 16.4×
Radex Nasal Bones Complete Minimum 3 Views (70160) $2,169 $2,169 19.7×
Radex shoulder complete minimum 2 views (73030) $2,169 $2,169 19.7×
Radex Sinuses Paransl < 3 Views (70210) $2,169 $2,169 19.7×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $6,803 $6,803 30.6×
Radex Spine 1 View Specify Level (72020) $2,169 $2,169 19.7×
Radex Sternum Minimum 2 Views (71120) $2,169 $2,169 19.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $2,169 $2,169 19.7×
Radex Toe Minimum 2 Views (73660) $2,169 $2,169 19.7×
Radex Wrist Complete Minimum 3 Views (73110) $2,169 $2,169 19.7×
Radiolog exam mandible compl minimum 4 views (70110) $2,169 $2,169 16.4×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $2,169 $2,169 16.4×
Radiologic exam colon double contrast study (74280) $6,803 $6,803 30.6×
Radiologic exam colon single contrast study (74270) $4,363 $4,363 19.6×
Radiologic exam knee complete 4/more views (73564) $2,169 $2,169 16.4×
Radiologic Exam Small Int Single Contrast Study (74250) $4,363 $4,363 19.6×
Radiologic exam swallow function contrast study (74230) $4,363 $4,363 19.6×
Radiologic exam upr gi trc double contrast study (74246) $2,232 $2,232 10.0×
Radiologic examination femur 1 view (73551) $624 $624 5.7×
Radiologic examination femur minimum 2 views (73552) $2,169 $2,169 19.7×
Radiologic examination knee 1/2 views (73560) $2,169 $2,169 19.7×
Radiologic examination tibia & fibula 2 views (73590) $2,169 $2,169 19.7×
Rp loclzj tum plnr 1 area single day imaging (78800) $8,639 $8,639 17.1×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $3,347 $3,347 6.6×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $18,261 $18,261 26.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $13,149 $13,149 19.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $13,052 $13,052 19.0×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $6,340 $6,340 3.9×
Scapula (73010) $2,169 $2,169 16.4×
Screening Digital Breast Tomosynthesis Bi (77063) $1,241 $1,241 53.1×
Shoulder 1 view (73020) $2,169 $2,169 19.7×
Shoulder Arthrography (73040) $10,340 $10,340 23.4×
Skull less than 4 views (70250) $2,169 $2,169 16.4×
Sternoclavicular joints (71130) $2,169 $2,169 19.7×
Superior sagittal sinus venogram (75870) $24,275 $24,275 6.1×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $4,363 $4,363 19.6×
Thoracic spine 3 views (72072) $2,169 $2,169 16.4×
Thoracolumbar 2 views (72080) $2,169 $2,169 19.7×
Thyroid Imaging With Vascular Flow (78013) $5,825 $5,825 11.5×
Thyroid Uptake Measurement (78012) $5,825 $5,825 11.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $6,695 $6,695 13.2×
Ultrasound Breast Limited (76642) $1,548 $1,548 14.0×
Ultrasound, abdomen limited (76705) $2,472 $2,472 18.7×
Unlisted Dx Radiographic Procedure (76499) $404 $404 3.7×
Upper gi w/o kub (74240) $4,363 $4,363 19.6×
Urethrocystogram voiding (74455) $7,573 $7,573 25.1×
Us breast unilateral complete (76641) $1,548 $1,548 11.7×
Us chest (76604) $2,472 $2,472 18.7×
Us complete joint (76881) $1,043 $1,043 7.9×
Us exam, pelvic, limited (76857) $1,548 $1,548 11.7×
Us head (76506) $1,548 $1,548 11.7×
Us kidney transplant (76776) $2,472 $2,472 18.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $674 $674 5.1×
Us ob limited 1 or more fetuses (76815) $1,548 $1,548 11.7×
Us ob transvaginal (76817) $1,548 $1,548 11.7×
Us pelvic non ob complete (76856) $2,472 $2,472 18.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,548 $1,548 11.7×
Us retroperitoneal complete (76770) $2,472 $2,472 18.7×
Us retroperitoneal limited (76775) $2,472 $2,472 18.7×
Us scrotum and contents (76870) $2,472 $2,472 18.7×
Us spinal canal and contents (76800) $2,472 $2,472 18.7×
Us thyroid (76536) $2,472 $2,472 18.7×
Us transrectal (76872) $2,472 $2,472 18.7×
Vascular Flow Imaging (78445) $4,926 $4,926 9.7×
Vein X-Ray Chest (75827) $8,941 $8,941 4.5×
Vein X-Ray Liver W/O Hemodyn (75887) $8,941 $8,941 2.2×
Venogram Sinus/Jugular (75860) $9,230 $9,230 2.3×
Venography caval inferior serialography rs&i (75825)
range across 2 matching MRF lines
$8,941–$20,991 $8,941–$20,991 varies
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$6,488–$7,043 $6,488–$7,043 varies
Venography extremity unilateral rs&i (75820)
range across 5 matching MRF lines
$6,488–$7,043 $6,488–$7,043 varies
Venography Renal Bilateral (75833) $21,343 $21,343 5.3×
Venography Renal Unilateral (75831) $21,343 $21,343 5.3×
Wrist 2 views (73100) $2,169 $2,169 19.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $2,169 $2,169 19.7×
X-ray antegrade pyelogram tube (74425) $2,630 $2,630 6.0×
X-Ray Aorta Leg Arteries (75630) $20,991 $20,991 5.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $2,169 $2,169 19.7×
X-Ray Exam Breast Specimen (76098) $1,250 $1,250 1.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $2,169 $2,169 16.4×
X-Ray Exam Entire Spi 4/5 Vw (72083) $1,970 $1,970 14.9×
X-Ray Exam Hip Uni 1 View (73501) $2,169 $2,169 19.7×
X-Ray Exam Hip Uni 2-3 Views (73502) $2,169 $2,169 19.7×
X-Ray Exam Hip Uni 4/> Views (73503) $3,684 $3,684 27.8×
X-Ray Exam Hips Bi 2 Views (73521) $3,684 $3,684 27.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $3,684 $3,684 27.8×
X-Ray Exam Hips Bi 5/> Views (73523) $3,684 $3,684 27.8×
X-Ray Exam L-S Spine Bending (72114) $3,684 $3,684 27.8×
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$855–$2,169 $855–$2,169 varies
X-Ray Exam Neck Spine 6/>Vws (72052) $3,684 $3,684 27.8×
X-Ray Exam Unilat Ribs/Chest (71101) $2,169 $2,169 16.4×
X-ray eye for foreign body (70030) $2,169 $2,169 19.7×
X-ray humerus (73060) $2,169 $2,169 19.7×
X-ray IV pyelogram (ivp) (74400) $7,573 $7,573 34.1×
X-ray IV pyelogram+tomography (74415) $7,573 $7,573 34.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $2,169 $2,169 16.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $3,684 $3,684 27.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $2,169 $2,169 16.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $2,169 $2,169 19.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $2,169 $2,169 19.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $3,684 $3,684 27.8×
X-Ray Urinary Tract Exam With Contrast Material (74420) $7,573 $7,573 17.1×
X-Rays Bone Length Studies (77073) $3,684 $3,684 27.8×
X-Rays Bone Survey Complete (77075) $3,684 $3,684 27.8×
Xr c-spine 4 or 5 views (72050) $3,684 $3,684 27.8×
Xr orbits complete 4 views (70200) $2,169 $2,169 16.4×

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.