Imaging prices at St. Bernard Hospital
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
237 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) | $198 | $198 | 2.1× |
| Abdomen 2 views (74019) | $206 | $206 | 1.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $564 | $564 | 1.3× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$1,230–$2,468 | $1,230–$2,468 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$774–$1,244 | $774–$1,244 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$162–$311 | $162–$311 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$601–$1,184 | $601–$1,184 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$607–$1,223 | $607–$1,223 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$561–$1,184 | $561–$1,184 | varies |
| Bone age studies (77072) | $285 | $285 | 2.5× |
| Bone Imaging 3 Phase (78315) | $872 | $872 | 2.0× |
| Bone Imaging Limited Area (78300) | $763 | $763 | 1.8× |
| Bone Imaging Whole Body (78306) | $871 | $871 | 2.0× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$303–$437 | $303–$437 | varies |
| Brain Image W/Flow < 4 Views (78601) | $669 | $669 | 1.6× |
| Brain imaging < 4 static views (78600) | $669 | $669 | 1.6× |
| Chest 1 view (71045) range across 6 matching MRF lines |
$204–$399 | $204–$399 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$185–$394 | $185–$394 | varies |
| Chest 3 views (71047) | $234 | $234 | 2.5× |
| Chest 4 or more views (71048) | $354 | $354 | 3.2× |
| Cholecystography Oral Contrast (74290) | $334 | $334 | 1.8× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$188–$361 | $188–$361 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,434 | $1,434 | 12.8× |
| Contrast Exam Abdominl Aorta (75625) | $1,467 | $1,467 | 0.4× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$305–$308 | $305–$308 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$601–$1,174 | $601–$1,174 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$345–$1,184 | $345–$1,184 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,068 | $2,068 | 5.5× |
| CT abdomen and pelvis without contrast (74176) | $1,320 | $1,320 | 5.2× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,344–$1,669 | $1,344–$1,669 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,882–$2,068 | $1,882–$2,068 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,320–$1,527 | $1,320–$1,527 | varies |
| CT Angio Chest (71275) | $1,434 | $1,434 | 7.6× |
| CT Angio Head (70496) | $1,434 | $1,434 | 7.6× |
| CT Angio Neck (70498) | $1,348 | $1,348 | 7.2× |
| CT cervical spine w/ contrast (72126) | $1,375 | $1,375 | 3.7× |
| CT cervical spine w/o contrast (72125) | $1,412 | $1,412 | 12.6× |
| CT cervical spine w/wo cont (72127) | $2,068 | $2,068 | 11.0× |
| CT chest w contrast (71260) | $1,434 | $1,434 | 7.6× |
| CT chest w/wo contrast (71270) | $2,068 | $2,068 | 11.0× |
| CT head/brain with contrast (70460) | $1,434 | $1,434 | 7.6× |
| CT head/brain without and with contrast (70470) | $2,068 | $2,068 | 11.0× |
| CT iac w contrast (70481) range across 7 matching MRF lines |
$1,284–$2,565 | $1,284–$2,565 | varies |
| CT l-spine w&w/o contrast (72133) | $2,068 | $2,068 | 11.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,267–$2,524 | $1,267–$2,524 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,344–$2,676 | $1,344–$2,676 | varies |
| CT lumbar spine w contrast (72132) | $1,375 | $1,375 | 3.7× |
| CT lumbar spine w/o contrast (72131) | $1,412 | $1,412 | 12.6× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,308–$1,434 | $1,308–$1,434 | varies |
| CT maxillofacial wo contrast (70486) | $1,344 | $1,344 | 12.0× |
| CT neck tissue combo (70492) | $2,068 | $2,068 | 11.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,348–$2,068 | $1,348–$2,068 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$745–$1,412 | $745–$1,412 | varies |
| CT pelvis w&w/o contrast (72194) | $2,068 | $2,068 | 11.0× |
| CT pelvis w/o contrast (72192) | $1,600 | $1,600 | 14.3× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,068–$4,124 | $2,068–$4,124 | varies |
| CT scans face/jaw combo (70488) | $1,973 | $1,973 | 10.5× |
| CT soft tissue neck w contrast (70491) | $1,412 | $1,412 | 7.5× |
| CT soft tissue neck w/o contrast (70490) | $1,412 | $1,412 | 12.6× |
| CT thoracic spine w contrast (72129) | $1,375 | $1,375 | 7.3× |
| CT thoracic spine w/o contrast (72128) | $1,412 | $1,412 | 12.6× |
| CT thoracic spine w/wo cont (72130) | $2,068 | $2,068 | 11.0× |
| CT thorax w/o contrast (71250) | $1,320 | $1,320 | 11.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,267–$2,524 | $1,267–$2,524 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,068–$4,124 | $2,068–$4,124 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$1,344–$2,676 | $1,344–$2,676 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,068 | $2,068 | 11.0× |
| Cta Abdomen (74175) | $2,068 | $2,068 | 11.0× |
| Dilation ureters/urethra rs&i (74485) | $365 | $365 | 0.2× |
| Dxa Bone Density Axial (77080) | $199 | $199 | 1.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $161 | $161 | 1.7× |
| Echo exam uterus (76831) | $669 | $669 | 2.6× |
| Echograp Trans R Pros Study (76873) | $597 | $597 | 5.3× |
| Esophagram (74220) | $313 | $313 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$487–$804 | $487–$804 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $487 | $487 | 4.3× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$137–$735 | $137–$735 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$162–$311 | $162–$311 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$176–$339 | $176–$339 | varies |
| Gastric emptying imaging study (78264) | $1,230 | $1,230 | 2.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$161–$306 | $161–$306 | varies |
| Hepatobiliary System Imaging (78226) | $688 | $688 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $1,779 | $1,779 | 1.3× |
| Hysterosalpingogram (74740) | $452 | $452 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $394 | $394 | 0.7× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$215–$411 | $215–$411 | varies |
| Liver & Spleen Imaging Static Only (78215) | $422 | $422 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $445 | $445 | 0.8× |
| Lung Ventilation Imaging (78579) | $445 | $445 | 1.0× |
| Lymph System Imaging (78195) | $595 | $595 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $1,203 | $1,203 | 4.7× |
| MRI abdomen w contrast (74182) | $2,000 | $2,000 | 5.3× |
| MRI abdomen w/o contrast (74181) | $1,203 | $1,203 | 4.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,000–$3,995 | $2,000–$3,995 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,266–$4,528 | $2,266–$4,528 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,000–$3,995 | $2,000–$3,995 | varies |
| MRI cervical spine w contrast (72142) | $2,000 | $2,000 | 5.3× |
| MRI cervical spine w/o cont (72141) | $1,203 | $1,203 | 4.7× |
| MRI chest w/o contrast (71550) | $1,203 | $1,203 | 4.7× |
| MRI chest with contrast (71551) | $2,000 | $2,000 | 2.4× |
| MRI chest wo w contrast (71552) | $2,266 | $2,266 | 6.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,000–$3,995 | $2,000–$3,995 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,266–$4,528 | $2,266–$4,528 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,203–$2,398 | $1,203–$2,398 | varies |
| MRI lumbar spine w contrast (72149) | $2,000 | $2,000 | 5.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,203 | $1,203 | 4.7× |
| MRI orbit face neck w contrast (70542) | $2,000 | $2,000 | 5.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,266 | $2,266 | 6.1× |
| MRI pelvis w contrast (72196) | $2,000 | $2,000 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $2,266 | $2,266 | 6.1× |
| MRI pelvis w/o contrast (72195) | $1,203 | $1,203 | 4.7× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,203–$2,266 | $1,203–$2,266 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,000–$3,995 | $2,000–$3,995 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,203–$2,398 | $1,203–$2,398 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,266–$4,528 | $2,266–$4,528 | varies |
| MRI, abdomen, combo (74183) | $2,266 | $2,266 | 6.1× |
| MRI, dorsal spine combo (72157) | $2,266 | $2,266 | 6.1× |
| MRI, dorsal spine contrast (72147) | $2,000 | $2,000 | 5.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,203–$2,398 | $1,203–$2,398 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,266–$4,528 | $2,266–$4,528 | varies |
| MRI, lumbar spine combo (72158) | $2,266 | $2,266 | 6.1× |
| Myelogram cervical (72240) | $695 | $695 | 0.8× |
| Myelogram Lumbar (72265) | $695 | $695 | 0.8× |
| Myelography thoracic (72255) | $695 | $695 | 0.8× |
| Myelograpy 2/more regions rs&i (72270) | $1,234 | $1,234 | 1.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $580 | $580 | 1.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,387 | $1,387 | 1.0× |
| Neck soft tissue (70360) | $264 | $264 | 2.8× |
| Nuclear Rx Oral Admin (79005) | $198 | $198 | 0.8× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $580 | $580 | 5.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$867–$1,077 | $867–$1,077 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $438 | $438 | 14.1× |
| Pelvis 1 or 2 views (72170) | $204 | $204 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,387 | $1,387 | 3.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $223 | $223 | 2.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $416 | $416 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$188–$361 | $188–$361 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $188 | $188 | 2.0× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$176–$339 | $176–$339 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$306–$313 | $306–$313 | varies |
| Radex fingr minimum 2 views (73140) | $188 | $188 | 2.0× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$188–$361 | $188–$361 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$188–$361 | $188–$361 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$358–$700 | $358–$700 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$262–$272 | $262–$272 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $246 | $246 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$173–$361 | $173–$361 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $264 | $264 | 2.8× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$151–$248 | $151–$248 | varies |
| Radex Sternum Minimum 2 Views (71120) | $234 | $234 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $292 | $292 | 3.1× |
| Radex Toe Minimum 2 Views (73660) | $188 | $188 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$176–$337 | $176–$337 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$188–$361 | $188–$361 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $262 | $262 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $562 | $562 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $434 | $434 | 2.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $264 | $264 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $376 | $376 | 2.0× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$272–$599 | $272–$599 | varies |
| Radiologic exam teeth complete full mouth (70320) | $223 | $223 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $398 | $398 | 2.1× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$188–$372 | $188–$372 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$227–$440 | $227–$440 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$198–$380 | $198–$380 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $285 | $285 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$204–$391 | $204–$391 | varies |
| Renal Cyst Study (74470) | $561 | $561 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $974 | $974 | 1.7× |
| Scapula (73010) range across 3 matching MRF lines |
$176–$339 | $176–$339 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $176 | $176 | 7.5× |
| Sella turcica (70240) | $194 | $194 | 2.1× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$601–$1,184 | $601–$1,184 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$348–$397 | $348–$397 | varies |
| Skull less than 4 views (70250) | $376 | $376 | 3.4× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$510–$564 | $510–$564 | varies |
| Thoracic spine 2 views (72070) | $252 | $252 | 2.2× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$298–$546 | $298–$546 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $735 | $735 | 1.7× |
| Thyroid Imaging With Vascular Flow (78013) | $451 | $451 | 1.1× |
| Thyroid Uptake Measurement (78012) | $735 | $735 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $735 | $735 | 1.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$605–$1,193 | $605–$1,193 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$564–$721 | $564–$721 | varies |
| Umbilical-artery Doppler (OB) (76820) | $487 | $487 | 4.3× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$272–$398 | $272–$398 | varies |
| Urethrocystogram voiding (74455) | $365 | $365 | 1.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$702–$1,400 | $702–$1,400 | varies |
| Us chest (76604) | $376 | $376 | 3.4× |
| Us complete joint (76881) range across 5 matching MRF lines |
$563–$1,112 | $563–$1,112 | varies |
| Us exam, pelvic, limited (76857) | $595 | $595 | 5.3× |
| Us head (76506) range across 2 matching MRF lines |
$269–$1,260 | $269–$1,260 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $303 | $303 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $564 | $564 | 5.0× |
| Us ob transvaginal (76817) | $597 | $597 | 5.3× |
| Us pelvic non ob complete (76856) | $669 | $669 | 6.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $769 | $769 | 6.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $769 | $769 | 6.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$564–$721 | $564–$721 | varies |
| Us retroperitoneal limited (76775) | $412 | $412 | 3.7× |
| Us scrotum and contents (76870) | $517 | $517 | 4.6× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$394–$487 | $394–$487 | varies |
| Us thyroid (76536) | $487 | $487 | 4.3× |
| Us transrectal (76872) | $346 | $346 | 3.1× |
| Vascular Flow Imaging (78445) | $564 | $564 | 1.3× |
| Venography extremity bilateral rs&i (75822) | $615 | $615 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $317 | $317 | 0.2× |
| Venous thrombosis imaging (78457) | $735 | $735 | 1.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$174–$334 | $174–$334 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$223–$452 | $223–$452 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$155–$295 | $155–$295 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$89–$327 | $89–$327 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $380 | $380 | 4.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$219–$436 | $219–$436 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $246 | $246 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $476 | $476 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $248 | $248 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $529 | $529 | 4.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $269 | $269 | 2.4× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$188–$361 | $188–$361 | varies |
| X-ray IV pyelogram (ivp) (74400) | $566 | $566 | 3.0× |
| X-ray IV pyelogram+tomography (74415) | $587 | $587 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $411 | $411 | 4.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $248 | $248 | 2.2× |
| X-ray nose-rectum child f.b. (76010) | $601 | $601 | 6.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$399–$525 | $399–$525 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $223 | $223 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$264–$473 | $264–$473 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $286 | $286 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $394 | $394 | 3.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$416–$456 | $416–$456 | varies |
| X-Rays Bone Length Studies (77073) | $380 | $380 | 3.4× |
| X-Rays Bone Survey Complete (77075) | $404 | $404 | 3.6× |
| Xr c-spine 4 or 5 views (72050) | $451 | $451 | 4.0× |
| Xr facial bones less than 3 views (70140) | $510 | $510 | 5.5× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$268–$269 | $268–$269 | varies |
| Xr Tomogram Single Plane (76100) | $380 | $380 | 3.4× |
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.