Imaging prices at St. Mary's Health
Cottonwood, ID · every code in this section with a posted price and a Medicare benchmark.
191 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 |
$19.50–$197.25 | $26–$263 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$24–$277.50 | $32–$370 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$17.25–$378 | $23–$504 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$19.50–$341.25 | $26–$455 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$61.50–$294.75 | $82–$393 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$90.75–$374.25 | $121–$499 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$19.50–$189 | $26–$252 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$23.25–$189 | $31–$252 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$31.50–$522 | $42–$696 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$17.25–$378 | $23–$504 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$264.75–$1,173 | $353–$1,564 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$197.25–$2,318.25 | $263–$3,091 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$170.25–$1,546.50 | $227–$2,062 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$124.50–$1,004.25 | $166–$1,339 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$137.25–$1,259.25 | $183–$1,679 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$117.75–$897.75 | $157–$1,197 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$225–$1,679.25 | $300–$2,239 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$187.50–$1,551.75 | $250–$2,069 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$171–$1,551.75 | $228–$2,069 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$185.25–$3,225.75 | $247–$4,301 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$171–$1,551.75 | $228–$2,069 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$167.25–$2,955 | $223–$3,940 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$114–$921 | $152–$1,228 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$105–$855 | $140–$1,140 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$118.50–$1,038 | $158–$1,384 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$122.25–$1,004.25 | $163–$1,339 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$408–$1,580.25 | $544–$2,107 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$110.25–$1,054.50 | $147–$1,406 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$123.75–$1,503.75 | $165–$2,005 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$135.75–$1,054.50 | $181–$1,406 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$118.50–$1,038 | $158–$1,384 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$99–$1,709.25 | $132–$2,279 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$114–$1,649.25 | $152–$2,199 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$120–$1,004.25 | $160–$1,339 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$98.25–$855 | $131–$1,140 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$128.25–$1,004.25 | $171–$1,339 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$112.50–$855 | $150–$1,140 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$141–$1,503.75 | $188–$2,005 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$135–$1,431.75 | $180–$1,909 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$127.50–$855 | $170–$1,140 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$120–$1,578.75 | $160–$2,105 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$105.75–$855 | $141–$1,140 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$114–$2,863.50 | $152–$3,818 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$138.75–$1,578.75 | $185–$2,105 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$135.75–$1,004.25 | $181–$1,339 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$126–$897.75 | $168–$1,197 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$103.50–$120 | $138–$160 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$98.25–$855 | $131–$1,140 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$118.50–$1,038 | $158–$1,384 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$99.75–$855 | $133–$1,140 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$99–$1,709.25 | $132–$2,279 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$114–$2,076 | $152–$2,768 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$108–$1,912.50 | $144–$2,550 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$233.25–$2,318.25 | $311–$3,091 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$186–$1,551.75 | $248–$2,069 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$168.75–$1,047.75 | $225–$1,397 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$61.50–$325.50 | $82–$434 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$21–$184.50 | $28–$246 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$77.25–$428.25 | $103–$571 | varies |
| Fluoroscopy up to 1 hr (76000) | $413.25 | $551 | 1.8× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$17.25–$359.25 | $23–$479 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$17.25–$378 | $23–$504 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$17.25–$469.50 | $23–$626 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$21.75–$462 | $29–$616 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$137.25–$1,320.75 | $183–$1,761 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$176.25–$2,008.50 | $235–$2,678 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$117.75–$1,635 | $157–$2,180 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$111.75–$1,557 | $149–$2,076 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$112.50–$2,378.25 | $150–$3,171 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$167.25–$2,243.25 | $223–$2,991 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$112.50–$1,320.75 | $150–$1,761 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$160.50–$1,557 | $214–$2,076 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$135.75–$1,460.25 | $181–$1,947 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$153–$3,114 | $204–$4,152 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$200.25–$3,795.75 | $267–$5,061 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$151.50–$3,114 | $202–$4,152 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$188.25–$1,921.50 | $251–$2,562 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$149.25–$1,395 | $199–$1,860 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$135.75–$1,634.25 | $181–$2,179 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$169.50–$1,634.25 | $226–$2,179 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$219.75–$2,015.25 | $293–$2,687 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$159.75–$3,270 | $213–$4,360 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$198.75–$3,752.25 | $265–$5,003 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$132.75–$3,467.25 | $177–$4,623 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$174.75–$1,383 | $233–$1,844 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$251.25–$2,545.50 | $335–$3,394 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$125.25–$1,320.75 | $167–$1,761 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$151.50–$1,557 | $202–$2,076 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$198.75–$2,430.75 | $265–$3,241 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$161.25–$1,197 | $215–$1,596 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$209.25–$1,573.50 | $279–$2,098 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$136.50–$1,491.75 | $182–$1,989 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$156.75–$1,557.75 | $209–$2,077 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$151.50–$3,114 | $202–$4,152 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$126–$2,160 | $168–$2,880 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$200.25–$3,824.25 | $267–$5,099 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$219.75–$2,518.50 | $293–$3,358 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$251.25–$2,586 | $335–$3,448 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$178.50–$1,557 | $238–$2,076 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$128.25–$2,863.50 | $171–$3,818 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$200.25–$3,824.25 | $267–$5,099 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$231.75–$2,275.50 | $309–$3,034 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$17.25–$217.50 | $23–$290 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$19.50–$201.75 | $26–$269 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$31.50–$354.75 | $42–$473 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$18.75–$436.50 | $25–$582 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$17.25–$422.25 | $23–$563 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$18.75–$438 | $25–$584 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$27–$299.25 | $36–$399 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$17.25–$378 | $23–$504 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$17.25–$436.50 | $23–$582 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$18.75–$504 | $25–$672 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$17.25–$682.50 | $23–$910 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$18.75–$241.50 | $25–$322 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$24–$238.50 | $32–$318 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$21–$474.75 | $28–$633 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$17.25–$192.75 | $23–$257 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$15–$267.75 | $20–$357 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$19.50–$238.50 | $26–$318 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$31.50–$194.25 | $42–$259 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$17.25–$416.25 | $23–$555 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$17.25–$435 | $23–$580 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$18.75–$444.75 | $25–$593 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$23.25–$270.75 | $31–$361 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$24–$202.50 | $32–$270 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$24.75–$512.25 | $33–$683 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$44.25–$321 | $59–$428 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$22.50–$441 | $30–$588 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$21–$406.50 | $28–$542 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$18.75–$392.25 | $25–$523 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$27.75–$291.75 | $37–$389 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$21–$397.50 | $28–$530 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $267 | $356 | 11.4× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$15.75–$430.50 | $21–$574 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$26.25–$189 | $35–$252 | varies |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$22.50–$260.25 | $30–$347 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$24–$230.25 | $32–$307 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$22.50–$291.75 | $30–$389 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$24.75–$181.50 | $33–$242 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$54.75–$648 | $73–$864 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$60–$354 | $80–$472 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$58.50–$429 | $78–$572 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$85.50–$183.75 | $114–$245 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$82.50–$798 | $110–$1,064 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$54.75–$506.25 | $73–$675 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$63–$960.75 | $84–$1,281 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$43.50–$425.25 | $58–$567 | varies |
| Us head (76506) | $60 | $80 | 0.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$48.75–$531 | $65–$708 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$190.50–$650.25 | $254–$867 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$64.50–$278.25 | $86–$371 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$75.75–$461.25 | $101–$615 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$68.25–$510.75 | $91–$681 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$98.25–$428.25 | $131–$571 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$86.25–$456 | $115–$608 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$73.50–$539.25 | $98–$719 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$57.75–$408 | $77–$544 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$63–$442.50 | $84–$590 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$55.50–$474.75 | $74–$633 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$19.50–$411.75 | $26–$549 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$21.75–$211.50 | $29–$282 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$24.75–$306 | $33–$408 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$15.75–$378 | $21–$504 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$26.25–$218.25 | $35–$291 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$31.50–$220.50 | $42–$294 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$22.50–$207 | $30–$276 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$24.75–$231.75 | $33–$309 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$26.25–$294 | $35–$392 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$30.75–$314.25 | $41–$419 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$33.75–$291.75 | $45–$389 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$24.75–$236.25 | $33–$315 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$37.50–$372 | $50–$496 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$27–$264 | $36–$352 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$17.25–$408 | $23–$544 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$18.75–$383.25 | $25–$511 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$19.50–$309 | $26–$412 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$21–$256.50 | $28–$342 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$24.75–$269.25 | $33–$359 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$18.75–$194.25 | $25–$259 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$30.75–$300.75 | $41–$401 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$20.25–$242.25 | $27–$323 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$18.75–$198 | $25–$264 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$26.25–$375.75 | $35–$501 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$33–$309.75 | $44–$413 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$31.50–$309.75 | $42–$413 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$20.25–$213.75 | $27–$285 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$24–$309.75 | $32–$413 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$48.75–$495 | $65–$660 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$31.50–$368.25 | $42–$491 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$20.25–$197.25 | $27–$263 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$28.50–$315 | $38–$420 | 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.