Imaging prices at St. Luke Community Hospital
Ronan, MT · every code in this section with a posted price and a Medicare benchmark.
251 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) | — | $21.60 | — |
| Abdomen 2 views (74019) | — | $27.10 | — |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
— | $87–$1,148.85 | — |
| Ankle 2 views (73600) range across 4 matching MRF lines |
— | $7.90–$161.20 | — |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
— | $60.90–$384.80 | — |
| Arthrogram hip (73525) range across 2 matching MRF lines |
— | $60.90–$609.65 | — |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
— | $60.90–$384.80 | — |
| Bone age studies (77072) range across 2 matching MRF lines |
— | $34.10–$144.70 | — |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
— | $90–$1,428.85 | — |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
— | $56–$904.05 | — |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
— | $77–$1,366 | — |
| Bone survey infant (77076) range across 2 matching MRF lines |
— | $53–$351.35 | — |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines |
— | $107–$1,331.85 | — |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
— | $126–$501.50 | — |
| Chest 1 view (71045) range across 2 matching MRF lines |
— | $21.60–$148.40 | — |
| Chest 2 views (71046) range across 4 matching MRF lines |
— | $21.60–$222.50 | — |
| Chest 3 views (71047) range across 3 matching MRF lines |
— | $34.10–$285.75 | — |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
— | $42–$372.60 | — |
| Cholecystography Oral Contrast (74290) | — | $40.60 | — |
| Clavicle complete (73000) range across 4 matching MRF lines |
— | $7.90–$170.85 | — |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
— | $92–$577 | — |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
— | $60.90–$384.80 | — |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
— | $60.90–$637.65 | — |
| Contrast Xray Throat/Cerv Esopha (74210) | — | $60.90 | — |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
— | $424.40–$3,872 | — |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
— | $325.20–$2,395 | — |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
— | $192.90–$1,532 | — |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
— | $242.55–$1,656 | — |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
— | $165.40–$1,244 | — |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
— | $463.05–$3,849.65 | — |
| CT Angio Chest (71275) range across 2 matching MRF lines |
— | $346.50–$1,873 | — |
| CT Angio Head (70496) range across 2 matching MRF lines |
— | $315–$1,697.55 | — |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
— | $380–$2,412.25 | — |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
— | $236.25–$1,225.90 | — |
| CT Angio Neck (70498) range across 3 matching MRF lines |
— | $253–$1,813 | — |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
— | $236.25–$1,225.90 | — |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
— | $220.50–$1,681 | — |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
— | $192.90–$1,131 | — |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
— | $264.60–$1,406.40 | — |
| CT chest w contrast (71260) range across 2 matching MRF lines |
— | $198.45–$1,691 | — |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
— | $242.55–$2,171 | — |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
— | $187.40–$1,343 | — |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
— | $231.50–$2,119 | — |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
— | $80–$268.15 | — |
| CT iac w contrast (70481) | — | $187.40 | — |
| CT l-spine w&w/o contrast (72133) | — | $2,312 | — |
| CT lower ext w/o (73700) | — | $1,205 | — |
| CT lower extremity w/contrast material (73701) | — | $1,735 | — |
| CT lumbar spine w contrast (72132) | — | $1,137.20 | — |
| CT lumbar spine w/o contrast (72131) | — | $1,279 | — |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
— | $192.90–$1,398 | — |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
— | $82.65–$1,139 | — |
| CT neck tissue combo (70492) range across 4 matching MRF lines |
— | $248–$1,629 | — |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
— | $220.50–$2,031 | — |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
— | $112–$923.30 | — |
| CT pelvis w&w/o contrast (72194) | — | $1,164.50 | — |
| CT pelvis w/o contrast (72192) | — | $1,286 | — |
| CT scan of leg combo (73702) | — | $2,136 | — |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
— | $231.50–$1,342.60 | — |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
— | $203.90–$1,484 | — |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
— | $176.40–$1,195 | — |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
— | $220.50–$1,154.80 | — |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
— | $192.90–$1,323 | — |
| CT thoracic spine w/wo cont (72130) | — | $1,386.40 | — |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
— | $165.40–$1,305 | — |
| CT upper ext wo (73200) | — | $1,220 | — |
| CT upper extremity w/o & w/contrast material (73202) | — | $1,625.85 | — |
| CT upper extremity with contrast (73201) | — | $1,509 | — |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
— | $193–$2,243.90 | — |
| Cta Abdomen (74175) range across 2 matching MRF lines |
— | $288.75–$1,757 | — |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
— | $656.25–$3,510.55 | — |
| CTA pelvis (72191) | — | $2,293.75 | — |
| Dxa bone density study (77085) range across 2 matching MRF lines |
— | $27.50–$316.75 | — |
| Echo exam uterus (76831) range across 4 matching MRF lines |
— | $83.70–$329.45 | — |
| Fetal Biophys Profile W/Nst (76818) | — | $295.85 | — |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | — | $265.25 | — |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | — | $227 | — |
| Fluoroscopy up to 1 hr (76000) | — | $341.60 | — |
| Foot 2 views (73620) range across 4 matching MRF lines |
— | $7.90–$162.95 | — |
| Forearm 2 views (73090) range across 7 matching MRF lines |
— | $7.90–$228 | — |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
— | $70–$1,229.30 | — |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
— | $89–$1,392.50 | — |
| Hand 2 views (73120) range across 4 matching MRF lines |
— | $7.90–$144.70 | — |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
— | $152–$1,391.40 | — |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
— | $76–$695.70 | — |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
— | $83–$606.40 | — |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
— | $116–$1,383.90 | — |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
— | $43.50–$377.50 | — |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
— | $48.60–$260.15 | — |
| Joint Survey Single View (77077) | — | $246.80 | — |
| K Flow/Funct Image Multiple (78709) | — | $123 | — |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
— | $106–$1,468.55 | — |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
— | $43–$852.25 | — |
| Knee 3 Views (73562) | — | $43.20 | — |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
— | $45–$1,074.95 | — |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
— | $96–$1,420.65 | — |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
— | $65–$352.80 | — |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
— | $110–$1,663.70 | — |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
— | $52–$888.30 | — |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
— | $106–$1,208.35 | — |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
— | $259.35–$1,538.90 | — |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
— | $93.20–$526.40 | — |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
— | $66.40–$409.70 | — |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
— | $87–$1,144.50 | — |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
— | $368.55–$2,400.15 | — |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
— | $261.45–$1,876.85 | — |
| MRA head with contrast (70545) range across 2 matching MRF lines |
— | $307.65–$1,767 | — |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
— | $307.65–$2,204.95 | — |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
— | $368.55–$2,646.25 | — |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
— | $258–$1,604.55 | — |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
— | $243.60–$1,917.60 | — |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
— | $197.30–$1,538.90 | — |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
— | $238.35–$1,887 | — |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
— | $285.60–$3,457 | — |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
— | $242.55–$2,539 | — |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
— | $271.20–$1,904.20 | — |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
— | $243.60–$1,588.15 | — |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
— | $243.60–$1,512.50 | — |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
— | $417.90–$3,002.70 | — |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
— | $476.70–$2,959.95 | — |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
— | $232.05–$1,604.55 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
— | $224.90–$3,008.45 | — |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
— | $212.10–$1,524.30 | — |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
— | $271.20–$1,880.45 | — |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
— | $271.20–$3,350 | — |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
— | $224.90–$1,570.50 | — |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
— | $258–$1,588.15 | — |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
— | $427.35–$3,064.95 | — |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
— | $243.60–$1,588.15 | — |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
— | $362.25–$3,464.30 | — |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
— | $197.30–$1,538.90 | — |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
— | $243.60–$1,730.95 | — |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
— | $216.30–$1,555.90 | — |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
— | $224.90–$1,570.50 | — |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
— | $259.35–$3,008.45 | — |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
— | $341.25–$3,464.30 | — |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
— | $386.40–$3,350 | — |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
— | $321.30–$1,904.20 | — |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
— | $197.30–$1,538.90 | — |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
— | $234.15–$3,457 | — |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
— | $476.70–$3,315.95 | — |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
— | $108.40–$628.45 | — |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
— | $83–$606.40 | — |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
— | $132–$2,772 | — |
| Neck soft tissue (70360) range across 3 matching MRF lines |
— | $18.90–$146.55 | — |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
— | $73–$975.75 | — |
| Parathyroid planar imaging w/wo subtraction (78071) | — | $1,095.75 | — |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
— | $18.90–$234.10 | — |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
— | $66–$1,013.20 | — |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
— | $32.40–$309.45 | — |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
— | $67.80–$378.05 | — |
| Radex Ankle Complete Minimum 3 Views (73610) | — | $43.20 | — |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
— | $7.90–$164.15 | — |
| Radex elbow complete minimum 3 views (73080) | — | $43.20 | — |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 7 matching MRF lines |
— | $34.10–$427.35 | — |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
— | $5.10–$122.80 | — |
| Radex foot complete minimum 3 views (73630) | — | $43.20 | — |
| Radex Hand Minimum 3 Views (73130) | — | $43.20 | — |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
— | $21.60–$222.50 | — |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | — | $43.50 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
— | $19.10–$21.60 | — |
| Radex Ribs Unilateral 2 Views (71100) | — | $24.50 | — |
| Radex shoulder complete minimum 2 views (73030) | — | $52.40 | — |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
— | $27.10–$183.60 | — |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
— | $21.60–$120.20 | — |
| Radex Sternum Minimum 2 Views (71120) | — | $21.60 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
— | $43.50–$323.40 | — |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
— | $7.90–$122.80 | — |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
— | $21.60–$222.50 | — |
| Radex Wrist Complete Minimum 3 Views (73110) | — | $43.20 | — |
| Radiolog exam mandible compl minimum 4 views (70110) | — | $43.50 | — |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
— | $60.90–$455.30 | — |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
— | $105.50–$685.60 | — |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
— | $81.30–$403.60 | — |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
— | $60.90–$379.95 | — |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
— | $34.10–$580 | — |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
— | $38.10–$309.45 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
— | $64.90–$452.25 | — |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
— | $67–$393.95 | — |
| Radiologic exam upr gi trc double contrast study (74246) | — | $85.40 | — |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
— | $7.90–$111.25 | — |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
— | $21.60–$222.50 | — |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
— | $37.80–$480.25 | — |
| Radiologic Examination Osseous Survey Limited (77074) | — | $590.80 | — |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
— | $7.90–$170.85 | — |
| Ribs bilateral 3 views (71110) | — | $46 | — |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
— | $92–$1,813 | — |
| Scapula (73010) range across 6 matching MRF lines |
— | $16.30–$215.85 | — |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
— | $100–$112 | — |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
— | $16.30–$151.45 | — |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
— | $60.90–$389.70 | — |
| Sialogram (70390) | — | $384.80 | — |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
— | $15.70–$32.40 | — |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
— | $21.60–$215.85 | — |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
— | $10.80–$246.80 | — |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
— | $29.90–$284.45 | — |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
— | $21.60–$246.80 | — |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 4 matching MRF lines |
— | $45–$1,005.50 | — |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
— | $51–$125 | — |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
— | $51–$302.75 | — |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
— | $20.40–$152.85 | — |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
— | $81.30–$631.55 | — |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
— | $46–$541 | — |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
— | $60.90–$191.55 | — |
| Us chest (76604) range across 2 matching MRF lines |
— | $20.40–$152.85 | — |
| Us complete joint (76881) range across 2 matching MRF lines |
— | $107–$192.75 | — |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
— | $54–$191.55 | — |
| Us head (76506) range across 2 matching MRF lines |
— | $126.10–$382.95 | — |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
— | $45–$127.40 | — |
| Us ob detailed single fetus (76811) | — | $625.75 | — |
| Us ob limited 1 or more fetuses (76815) | — | $229.75 | — |
| Us ob transvaginal (76817) | — | $248.60 | — |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
— | $87.90–$382.95 | — |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | — | $229 | — |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
— | $89–$284.45 | — |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
— | $87.90–$319.15 | — |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
— | $67.60–$191.55 | — |
| Us thyroid (76536) range across 2 matching MRF lines |
— | $67.60–$315.55 | — |
| Wrist 2 views (73100) range across 4 matching MRF lines |
— | $7.90–$173.30 | — |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
— | $23.60–$248.05 | — |
| X-ray antegrade pyelogram tube (74425) | — | $50 | — |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
— | $36.70–$177.50 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
— | $7.90–$215.85 | — |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
— | $20.30–$90.70 | — |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 6 matching MRF lines |
— | $35.20–$440.70 | — |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
— | $18.90–$363.60 | — |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
— | $21.60–$483.90 | — |
| X-Ray Exam Hips Bi 2 Views (73521) range across 6 matching MRF lines |
— | $23.60–$342.85 | — |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
— | $64.90–$457.10 | — |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
— | $15.70–$242.55 | — |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
— | $60.50–$456.50 | — |
| X-Ray Exam Unilat Ribs/Chest (71101) | — | $34.10 | — |
| X-ray eye for foreign body (70030) | — | $15.70 | — |
| X-ray humerus (73060) range across 5 matching MRF lines |
— | $7.90–$229.80 | — |
| X-ray IV pyelogram (ivp) (74400) range across 4 matching MRF lines |
— | $63.60–$721.55 | — |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | — | $21.60 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
— | $21.60–$162.95 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
— | $11–$283.95 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | — | $46 | — |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
— | $29.10–$374.45 | — |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
— | $21.60–$297.30 | — |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
— | $21.60–$240.15 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
— | $43.50–$324 | — |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | — | $43.50 | — |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
— | $43.50–$444.95 | — |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
— | $30–$246.80 | — |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
— | $81.30–$553.80 | — |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
— | $43.50–$364.70 | — |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
— | $27.10–$183.60 | — |
| XR Mastoids < 3 Views Bilateral (70120) | — | $27.10 | — |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
— | $31.50–$43.50 | — |
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.