Imaging prices at Southwest Arkansas Regional Medical Center
Hope, AR · every code in this section with a posted price and a Medicare benchmark.
227 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 |
$22.40–$105.66 | $56–$264.15 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$27.71–$127.61 | $69.28–$319.02 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $482.20 | $1,205.49 | 1.3× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$23.78–$207.79 | $59.46–$519.48 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$19.28–$127.61 | $48.20–$319.02 | varies |
| Bone Imaging 3 Phase (78315) | $532 | $1,330 | 1.5× |
| Bone Imaging Limited Area (78300) | $482.20 | $1,205.49 | 1.3× |
| Bone Imaging Multiple Areas (78305) | $482.20 | $1,205.49 | 1.3× |
| Bone Imaging Whole Body (78306) | $600 | $1,500 | 1.6× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$80.23–$127.61 | $200.58–$319.02 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$100.07–$105.66 | $250.18–$264.15 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$19.49–$144.74 | $48.72–$361.86 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$25.23–$207.79 | $63.08–$519.48 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$31.51–$207.79 | $78.78–$519.48 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) range across 4 matching MRF lines |
$56.97–$238.10 | $142.42–$595.24 | varies |
| Clavicle complete (73000) range across 7 matching MRF lines |
$24.26–$207.79 | $60.66–$519.48 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$31.12–$439.70 | $77.80–$1,099.26 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$256.87–$1,552 | $642.18–$3,880 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$141.84–$1,152 | $354.60–$2,880 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$174.93–$604.88 | $437.32–$1,512.20 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$186.14–$657.60 | $465.36–$1,644 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$105.02–$593 | $262.56–$1,482.50 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$288.37–$1,840 | $720.92–$4,600 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$202.39–$655.20 | $505.98–$1,638 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$199.64–$655.20 | $499.10–$1,638 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$204.66–$958.97 | $511.64–$2,397.42 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$199.64–$655.20 | $499.10–$1,638 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$201.14–$1,040 | $502.84–$2,600 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$128.88–$824.32 | $322.20–$2,060.79 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$99.74–$533.74 | $249.36–$1,334.34 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$149.65–$908 | $374.12–$2,270 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$127.42–$908.40 | $318.56–$2,271 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$149.33–$962.80 | $373.32–$2,407 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$113.70–$886.76 | $284.24–$2,216.91 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$132.62–$1,102.37 | $331.56–$2,755.92 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$137.27–$470.70 | $343.18–$1,176.74 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$149.90–$814.72 | $374.74–$2,036.79 | varies |
| CT lower ext w/o (73700) range across 16 matching MRF lines |
$99.52–$577.74 | $248.80–$1,444.35 | varies |
| CT lower extremity w/contrast material (73701) range across 30 matching MRF lines |
$127.18–$767.10 | $317.96–$1,917.76 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$129.36–$1,008.63 | $323.40–$2,521.58 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$99.27–$842 | $248.18–$2,105 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$116.36–$528.36 | $290.90–$1,320.90 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$97.70–$464.99 | $244.26–$1,162.47 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$168.93–$655.45 | $422.32–$1,638.63 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$159.61–$703.92 | $399.02–$1,759.80 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$121.97–$703.92 | $304.92–$1,759.80 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$179.45–$1,180.81 | $448.62–$2,952.02 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$102.20–$742.06 | $255.50–$1,855.15 | varies |
| CT scan of leg combo (73702) range across 10 matching MRF lines |
$148.57–$838.97 | $371.42–$2,097.42 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$140.41–$703.92 | $351.02–$1,759.80 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$140.84–$528.36 | $352.10–$1,320.90 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$115.50–$464.99 | $288.74–$1,162.47 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$130–$908 | $325–$2,270 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$99.52–$832.24 | $248.80–$2,080.61 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$151.35–$1,152.24 | $378.38–$2,880.61 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$102.17–$749.20 | $255.42–$1,873 | varies |
| CT upper ext wo (73200) range across 27 matching MRF lines |
$117.40–$577.74 | $293.50–$1,444.35 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 12 matching MRF lines |
$179.35–$920 | $448.38–$2,300 | varies |
| CT upper extremity with contrast (73201) range across 30 matching MRF lines |
$151.74–$879.41 | $379.34–$2,198.52 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$222.97–$1,804.88 | $557.42–$4,512.20 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$202.01–$688 | $505.02–$1,720 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$201.24–$863.03 | $503.10–$2,157.58 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$29.28–$127.61 | $73.20–$319.02 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$40.29–$127.61 | $100.72–$319.02 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$23.94–$105.66 | $59.84–$264.15 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$72.01–$284.60 | $180.02–$711.50 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$90.22–$153.60 | $225.56–$384 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$65.14–$183.01 | $162.86–$457.53 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$32.16–$280.16 | $80.40–$700.41 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$21.10–$262.18 | $52.76–$655.44 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$21.83–$372.57 | $54.58–$931.43 | varies |
| Gastric emptying imaging study (78264) | $482.20 | $1,205.49 | 1.3× |
| Gated Heart Planar Single (78472) | $482.20 | $1,205.49 | 1.3× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$23.30–$239.71 | $58.24–$599.28 | varies |
| Hepatobil Syst Image W/Drug (78227) | $645.92 | $1,614.81 | 1.3× |
| Hepatobiliary System Imaging (78226) | $482.20 | $1,205.49 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $1,566.58 | $3,916.44 | 1.3× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$67.10–$288.40 | $167.76–$721.01 | varies |
| K Flow/Funct Image W/Drug (78708) | $645.92 | $1,614.81 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $645.92 | $1,614.81 | 1.3× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$30.18–$362.46 | $75.44–$906.16 | varies |
| Liver & Spleen Imaging Static Only (78215) | $482.20 | $1,205.49 | 1.3× |
| Lymph System Imaging (78195) | $645.92 | $1,614.81 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$248.90–$840 | $622.24–$2,100 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$163.47–$504 | $408.68–$1,260 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$172.46–$672 | $431.16–$1,680 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$187.31–$672 | $468.28–$1,680 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$261.74–$840 | $654.36–$2,100 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$163.95–$574.97 | $409.88–$1,437.42 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$229.22–$637.14 | $573.04–$1,592.84 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$149.57–$454.77 | $373.92–$1,136.93 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 28 matching MRF lines |
$236.42–$1,830.91 | $591.06–$4,577.28 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$290.78–$2,183.50 | $726.96–$5,458.74 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 26 matching MRF lines |
$235.20–$1,830.91 | $58–$4,577.28 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$209.53–$1,032.10 | $523.82–$2,580.26 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$146.01–$904 | $365.02–$2,260 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$236.76–$504 | $591.90–$1,260 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$103.90–$281.73 | $259.74–$704.32 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$353.52–$428.56 | $883.80–$1,071.39 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 14 matching MRF lines |
$199.71–$1,445.03 | $499.28–$3,612.58 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 20 matching MRF lines |
$256.26–$2,311.09 | $640.66–$5,777.72 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 14 matching MRF lines |
$169.17–$1,220.79 | $422.92–$3,051.97 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$205.88–$1,196 | $514.70–$2,990 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$244.33–$1,234 | $610.82–$3,085 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$171.60–$504 | $429–$1,260 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$203.11–$672 | $507.78–$1,680 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$257.73–$840 | $644.32–$2,100 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$204.42–$655.42 | $511.06–$1,638.56 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$256.22–$842 | $640.56–$2,105 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$173.64–$504 | $434.10–$1,260 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$146.24–$1,326.63 | $365.60–$3,316.58 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 12 matching MRF lines |
$249.30–$1,340.79 | $623.26–$3,351.97 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 24 matching MRF lines |
$227.18–$1,220.79 | $567.94–$3,051.97 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$309.17–$1,460.79 | $772.92–$3,651.97 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$257.19–$800 | $642.98–$2,000 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$244.82–$840 | $612.04–$2,100 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$207.54–$792 | $518.86–$1,980 | varies |
| MRI, joint upper extrem (73221) range across 20 matching MRF lines |
$155.22–$1,717.84 | $388.04–$4,294.61 | varies |
| MRI, joint upper extrem combo (73223) range across 24 matching MRF lines |
$291.52–$1,950.91 | $728.80–$4,877.28 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$243.84–$1,190 | $609.60–$2,975 | varies |
| Myocardial Spect Multiple Studies (78452) | $1,566.58 | $3,916.44 | 1.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$23.37–$105.66 | $58.42–$264.15 | varies |
| Parathyroid Planar Imaging (78070) | $482.20 | $1,205.49 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$20.90–$185.15 | $52.26–$462.88 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $482.20 | $1,205.49 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$37.45–$127.61 | $93.62–$319.02 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$26.98–$392.23 | $67.46–$980.58 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$21.10–$251.32 | $52.76–$628.29 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$24.30–$381.80 | $60.76–$954.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$34.88–$105.66 | $87.20–$264.15 | varies |
| Radex fingr minimum 2 views (73140) range across 25 matching MRF lines |
$28.28–$264.84 | $70.70–$662.10 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$25.27–$393.75 | $63.18–$984.38 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$27.71–$377.61 | $69.28–$944.03 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$23.30–$146.92 | $58.24–$367.30 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$46.53–$127.61 | $116.32–$319.02 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$27.95–$127.61 | $69.88–$319.02 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$27.42–$227.22 | $68.54–$568.06 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$25.80–$392.73 | $64.50–$981.83 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$24.06–$105.66 | $60.14–$264.15 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$18.19–$103.90 | $45.48–$259.74 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$24.91–$109.62 | $62.28–$274.05 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$39.42–$105.66 | $98.56–$264.15 | varies |
| Radex Toe Minimum 2 Views (73660) range across 22 matching MRF lines |
$21.47–$130.48 | $53.68–$326.21 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$23.30–$251.40 | $58.24–$628.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$30.62–$251.40 | $76.56–$628.50 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$72.97–$205.80 | $182.42–$514.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$32.64–$127.61 | $81.60–$319.02 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$32–$127.61 | $80–$319.02 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$161.04–$289.96 | $402.60–$724.90 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$113.53–$285.16 | $283.82–$712.90 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$35.21–$382.46 | $88.02–$956.16 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$31.42–$171.60 | $78.56–$429 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$90.26–$210.07 | $225.64–$525.18 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$90.46–$305.78 | $226.14–$764.44 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$102.53–$305.78 | $256.32–$764.44 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$26.54–$354.39 | $66.34–$885.97 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$25.25–$326.70 | $63.12–$816.76 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$23.54–$207.79 | $58.84–$519.48 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$17.98–$207.79 | $44.96–$519.48 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $32 | $80 | 1.4× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$16.20–$207.79 | $40.50–$519.48 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$26.78–$127.61 | $66.96–$319.02 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$112.69–$482.20 | $281.72–$1,205.49 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$30.58–$105.66 | $76.46–$264.15 | varies |
| Testicular Imaging W/Flow (78761) | $482.20 | $1,205.49 | 1.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$24.66–$395.73 | $61.66–$989.33 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$29.42–$127.61 | $73.54–$319.02 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$25.93–$195.62 | $64.82–$489.05 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $482.20 | $1,205.49 | 1.3× |
| Thyroid Uptake Measurement (78012) | $483.06 | $1,207.65 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $506.80 | $1,267.01 | 1.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$63.96–$174.40 | $159.90–$436.01 | varies |
| Ultrasound, abdomen limited (76705) range across 14 matching MRF lines |
$65.16–$208 | $162.90–$520 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$90.70–$273.06 | $226.74–$682.64 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$75.02–$284.95 | $187.56–$712.38 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$70.85–$280.16 | $177.12–$700.41 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$76.81–$174.40 | $192.02–$436.01 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$44.26–$144.30 | $110.64–$360.74 | varies |
| Us complete joint (76881) range across 10 matching MRF lines |
$41.98–$238.10 | $104.94–$595.24 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$38.16–$184.80 | $95.40–$462 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$136.18–$290.06 | $340.46–$725.16 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$61.02–$127.61 | $152.56–$319.02 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$69.44–$127.61 | $173.60–$319.02 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$78.58–$236.66 | $196.46–$591.64 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$88.28–$127.61 | $220.70–$319.02 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$82.09–$127.61 | $205.22–$319.02 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$80.88–$207.03 | $202.20–$517.58 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$46.16–$166.65 | $115.40–$416.63 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$74.74–$183.60 | $186.86–$459 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$81.49–$192 | $203.72–$480 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$25.52–$105.66 | $63.80–$264.15 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$25–$207.79 | $62.50–$519.48 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$21.67–$269.60 | $54.18–$674 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$30.34–$127.61 | $75.84–$319.02 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$21.83–$374.09 | $54.58–$935.22 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$32.30–$630.76 | $80.76–$1,576.89 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 6 matching MRF lines |
$32.20–$125.70 | $80.50–$314.25 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$52.24–$195.62 | $130.60–$489.05 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$59.45–$205.80 | $148.62–$514.50 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$24.83–$207.79 | $62.08–$519.48 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$35.44–$196.67 | $88.60–$491.68 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$30.83–$194.58 | $77.08–$486.44 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$40.34–$234.39 | $100.86–$585.97 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$45.63–$284.40 | $114.08–$711 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$29.62–$195.62 | $74.04–$489.05 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$46.12–$168 | $115.30–$420 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$31.51–$284 | $78.78–$710 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$24.58–$105.66 | $61.46–$264.15 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$23.78–$357.63 | $59.46–$894.07 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$98.07–$213.60 | $245.18–$534 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$28.72–$105.66 | $71.80–$264.15 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$29.62–$207.95 | $74.04–$519.88 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$29.62–$127.61 | $74.04–$319.02 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$21.91–$105.66 | $54.78–$264.15 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$39.14–$254.82 | $97.86–$637.05 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$29.42–$132 | $73.54–$330 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$25.03–$290.06 | $62.58–$725.16 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$24.30–$214.82 | $60.76–$537.05 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$28.15–$105.66 | $70.38–$264.15 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$33.49–$127.61 | $83.72–$319.02 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$33.38–$127.61 | $83.44–$319.02 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$25.57–$103.90 | $63.92–$259.74 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$73.90–$127.61 | $184.76–$319.02 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$40.27–$207.60 | $100.68–$519 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$23.90–$657.96 | $59.74–$1,644.90 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$28.47–$127.61 | $71.18–$319.02 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$35.69–$127.61 | $89.22–$319.02 | 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.