Imaging prices at Sugar Land Surgical Hospital Llp
Sugar Land, TX · every code in this section with a posted price and a Medicare benchmark.
229 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) | $225.60 | $376 | 2.6× |
| Abdomen 2 views (74019) | $292.20 | $487 | 2.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$292.20–$586.20 | $487–$977 | varies |
| Arthrogram ankle (73615) range across 9 matching MRF lines |
$1,046.40–$2,508 | $1,744–$4,180 | varies |
| Arthrogram hip (73525) range across 11 matching MRF lines |
$931.80–$2,232 | $1,553–$3,720 | varies |
| Arthrogram Wrist (73115) range across 10 matching MRF lines |
$499.80–$1,196.40 | $833–$1,994 | varies |
| Bone age studies (77072) | $148.80 | $248 | 1.4× |
| Bone survey infant (77076) | $199.20 | $332 | 1.9× |
| Cerebrospinal Fluid Scan (78630) | $1,206 | $2,010 | 2.2× |
| Chest 1 view (71045) | $315 | $525 | 3.6× |
| Chest 2 views (71046) | $315 | $525 | 3.6× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$393–$393.60 | $655–$656 | varies |
| Chest 4 or more views (71048) | $393 | $655 | 3.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$349.20–$699.60 | $582–$1,166 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $397.20 | $662 | 3.8× |
| Contrast X-Ray Bladder (74430) | $1,128 | $1,880 | 3.2× |
| Contrast X-Ray Of Elbow (73085) range across 10 matching MRF lines |
$790.80–$1,896.60 | $1,318–$3,161 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 9 matching MRF lines |
$988.20–$2,366.40 | $1,647–$3,944 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,199.20 | $5,332 | 9.1× |
| CT abdomen and pelvis without contrast (74176) | $3,199.20 | $5,332 | 13.3× |
| CT abdomen w contrast (74160) | $3,199.20 | $5,332 | 18.2× |
| CT abdomen w wo contrast (74170) | $3,199.20 | $5,332 | 18.2× |
| CT abdomen w/o contrast (74150) | $415.20 | $692 | 4.0× |
| CT Angio Abdomen and Pelvis (74174) | $3,198.60 | $5,331 | 9.1× |
| CT Angio Chest (71275) | $1,459.80 | $2,433 | 8.3× |
| CT Angio Head (70496) | $1,022.40 | $1,704 | 5.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,198.60 | $5,331 | 18.2× |
| CT Angio Neck (70498) | $1,022.40 | $1,704 | 5.8× |
| CT cervical spine w/ contrast (72126) | $415.20 | $692 | 1.2× |
| CT cervical spine w/o contrast (72125) | $415.20 | $692 | 4.0× |
| CT cervical spine w/wo cont (72127) | $415.80 | $693 | 2.4× |
| CT chest w contrast (71260) | $642.60 | $1,071 | 3.6× |
| CT chest w/wo contrast (71270) | $767.40 | $1,279 | 4.4× |
| CT head/brain with contrast (70460) | $1,022.40 | $1,704 | 5.8× |
| CT head/brain without and with contrast (70470) | $1,459.80 | $2,433 | 8.3× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$397.20–$402 | $662–$670 | varies |
| CT iac w contrast (70481) | $1,063.20 | $1,772 | 6.0× |
| CT l-spine w&w/o contrast (72133) | $415.80 | $693 | 2.4× |
| CT lower ext w/o (73700) range across 19 matching MRF lines |
$397.20–$794.40 | $662–$1,324 | varies |
| CT lower extremity w/contrast material (73701) range across 20 matching MRF lines |
$1,332.60–$2,668.20 | $2,221–$4,447 | varies |
| CT lumbar spine w contrast (72132) | $415.20 | $692 | 1.2× |
| CT lumbar spine w/o contrast (72131) | $415.20 | $692 | 4.0× |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$766.80–$1,533 | $1,278–$2,555 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,459.80–$1,533 | $2,433–$2,555 | varies |
| CT neck tissue combo (70492) | $1,022.40 | $1,704 | 5.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$1,022.40–$2,043 | $1,704–$3,405 | varies |
| CT orbits w/o contrast (70480) | $1,022.40 | $1,704 | 9.7× |
| CT pelvis w&w/o contrast (72194) | $3,199.20 | $5,332 | 18.2× |
| CT pelvis w/o contrast (72192) | $3,199.20 | $5,332 | 30.5× |
| CT scan of leg combo (73702) | $3,198.60 | $5,331 | 18.2× |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$1,459.80–$1,533 | $2,433–$2,555 | varies |
| CT soft tissue neck w contrast (70491) | $1,533 | $2,555 | 8.7× |
| CT soft tissue neck w/o contrast (70490) | $1,533 | $2,555 | 14.6× |
| CT thoracic spine w contrast (72129) | $3,199.20 | $5,332 | 18.2× |
| CT thoracic spine w/o contrast (72128) | $972.60 | $1,621 | 9.3× |
| CT thoracic spine w/wo cont (72130) | $432.60 | $721 | 2.5× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$392.40–$412.80 | $654–$688 | varies |
| CT unlisted procedure (76497) | $257.40 | $429 | 2.9× |
| CT upper ext wo (73200) range across 19 matching MRF lines |
$1,800.60–$3,600 | $3,001–$6,000 | varies |
| CT upper extremity with contrast (73201) range across 11 matching MRF lines |
$397.20–$794.40 | $662–$1,324 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,413.20 | $4,022 | 13.7× |
| Cta Abdomen (74175) | $3,327 | $5,545 | 18.9× |
| Discography Cerv/Thor Spine (72285) | $1,915.20 | $3,192 | 1.0× |
| Diskography lumbar (72295) | $1,915.20 | $3,192 | 1.0× |
| Dxa Bone Density Axial (77080) | $199.20 | $332 | 1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $205.20 | $342 | 2.3× |
| Esophageal Motility Study (78258) | $901.20 | $1,502 | 2.2× |
| Esophagram (74220) | $472.80 | $788 | 2.7× |
| Fetal Biophys Profile W/Nst (76818) | $744 | $1,240 | 7.1× |
| Fluoroscopy up to 1 hr (76000) | $282.60 | $471 | 1.2× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$304.20–$609.60 | $507–$1,016 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$282.60–$564 | $471–$940 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$259.20–$517.80 | $432–$863 | varies |
| Hysterosalpingogram (74740) | $415.20 | $692 | 1.7× |
| Joint Survey Single View (77077) | $192.60 | $321 | 1.8× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$361.20–$721.20 | $602–$1,202 | varies |
| Magnetic Image Jaw Joint (70336) | $3,042 | $5,070 | 12.7× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $3,649.20 | $6,082 | 6.6× |
| Mra Head W/O & W/Contrast Material (70546) | $2,928.60 | $4,881 | 8.4× |
| MRA head w/o contrast (70544) | $3,075.60 | $5,126 | 12.8× |
| MRA head with contrast (70545) | $2,679.60 | $4,466 | 7.6× |
| MRA neck w contrast (70548) | $2,816.40 | $4,694 | 8.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,928.60 | $4,881 | 8.4× |
| MRA neck w/o contrast (70547) | $2,928.60 | $4,881 | 12.2× |
| MRI abdomen w contrast (74182) | $3,649.80 | $6,083 | 10.4× |
| MRI abdomen w/o contrast (74181) | $3,199.20 | $5,332 | 13.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 10 matching MRF lines |
$3,499.20–$7,369.80 | $5,832–$12,283 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 10 matching MRF lines |
$4,121.40–$8,245.80 | $6,869–$13,743 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 10 matching MRF lines |
$3,830.40–$7,660.20 | $6,384–$12,767 | varies |
| MRI brain functional w/o physician admnistration (70554) | $4,122 | $6,870 | 17.2× |
| MRI cervical spine w contrast (72142) | $3,649.80 | $6,083 | 10.4× |
| MRI cervical spine w/o cont (72141) | $3,199.20 | $5,332 | 13.3× |
| MRI chest w/o contrast (71550) | $3,042 | $5,070 | 12.7× |
| MRI chest with contrast (71551) | $3,042 | $5,070 | 3.9× |
| MRI chest wo w contrast (71552) | $3,931.20 | $6,552 | 11.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$3,598.80–$7,197 | $5,998–$11,995 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 10 matching MRF lines |
$3,931.20–$7,862.40 | $6,552–$13,104 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 10 matching MRF lines |
$3,042–$6,083.40 | $5,070–$10,139 | varies |
| MRI lumbar spine w contrast (72149) | $3,830.40 | $6,384 | 10.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,121.40 | $6,869 | 11.8× |
| MRI orbit face &/neck w/o contrast (70540) | $3,042 | $5,070 | 12.7× |
| MRI orbit face neck w contrast (70542) | $3,830.40 | $6,384 | 10.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,931.20 | $6,552 | 11.2× |
| MRI pelvis w contrast (72196) | $3,830.40 | $6,384 | 10.9× |
| MRI pelvis w/o & w contrast (72197) | $4,121.40 | $6,869 | 11.8× |
| MRI pelvis w/o contrast (72195) | $3,199.20 | $5,332 | 13.3× |
| MRI thoracic spine w/o contrast (72146) | $3,277.80 | $5,463 | 13.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 9 matching MRF lines |
$3,931.20–$7,862.40 | $6,552–$13,104 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 10 matching MRF lines |
$3,042–$6,083.40 | $5,070–$10,139 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 10 matching MRF lines |
$3,931.20–$7,862.40 | $6,552–$13,104 | varies |
| MRI, abdomen, combo (74183) | $4,121.40 | $6,869 | 11.8× |
| MRI, dorsal spine combo (72157) | $4,121.40 | $6,869 | 11.8× |
| MRI, dorsal spine contrast (72147) | $3,649.80 | $6,083 | 10.4× |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$3,046.80–$6,399 | $5,078–$10,665 | varies |
| MRI, joint upper extrem combo (73223) range across 10 matching MRF lines |
$4,121.40–$8,245.80 | $6,869–$13,743 | varies |
| MRI, lumbar spine combo (72158) | $4,121.40 | $6,869 | 11.8× |
| Myelogram cervical (72240) | $1,294.80 | $2,158 | 1.6× |
| Myelogram Lumbar (72265) | $1,261.80 | $2,103 | 1.6× |
| Myelography thoracic (72255) | $1,206 | $2,010 | 1.5× |
| Myelograpy 2/more regions rs&i (72270) | $1,294.80 | $2,158 | 1.6× |
| Neck soft tissue (70360) | $292.20 | $487 | 3.3× |
| Nonvascular Shunt X-Ray (75809) | $1,287.60 | $2,146 | 12.3× |
| Ob us nuchal meas 1 gest (76813) | $620.40 | $1,034 | 5.9× |
| Optic foramina (70190) | $259.20 | $432 | 3.0× |
| Pelvis 1 or 2 views (72170) | $215.40 | $359 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $415.20 | $692 | 4.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$315–$631.20 | $525–$1,052 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$270–$541.80 | $450–$903 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$326.40–$654.60 | $544–$1,091 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $304.20 | $507 | 2.9× |
| Radex fingr minimum 2 views (73140) | $225.60 | $376 | 2.6× |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$315–$631.20 | $525–$1,052 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$292.20–$586.20 | $487–$977 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $201.60 | $336 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $361.20 | $602 | 4.1× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$393–$789 | $655–$1,315 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $261 | $435 | 3.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $958.20 | $1,597 | 5.4× |
| Radex Spine 1 View Specify Level (72020) | $304.20 | $507 | 3.5× |
| Radex Sternum Minimum 2 Views (71120) | $338.40 | $564 | 3.9× |
| Radex Toe Minimum 2 Views (73660) | $248.40 | $414 | 2.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$292.20–$586.20 | $487–$977 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $501 | $835 | 4.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $292.20 | $487 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $315 | $525 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $641.40 | $1,069 | 3.6× |
| Radiologic exam colon single contrast study (74270) | $767.40 | $1,279 | 4.4× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$292.20–$586.20 | $487–$977 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$270–$271.20 | $450–$452 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $597 | $995 | 3.4× |
| Radiologic exam swallow function contrast study (74230) | $597 | $995 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $744 | $1,240 | 4.2× |
| Radiologic examination femur 1 view (73551) | $340.20 | $567 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
$327–$655.20 | $545–$1,092 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$304.20–$609.60 | $507–$1,016 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $205.20 | $342 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$326.40–$654.60 | $544–$1,091 | varies |
| Ribs bilateral 3 views (71110) | $393 | $655 | 3.7× |
| Scapula (73010) range across 3 matching MRF lines |
$361.20–$721.20 | $602–$1,202 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$304.20–$609.60 | $507–$1,016 | varies |
| Shoulder Arthrography (73040) range across 9 matching MRF lines |
$788.40–$1,974 | $1,314–$3,290 | varies |
| Skull less than 4 views (70250) | $304.20 | $507 | 2.9× |
| Superior sagittal sinus venogram (75870) | $3,479.40 | $5,799 | 1.1× |
| Thoracic spine 2 views (72070) | $428.40 | $714 | 4.1× |
| Thoracic spine 3 views (72072) | $463.80 | $773 | 4.4× |
| Thoracolumbar 2 views (72080) | $441 | $735 | 5.0× |
| Ultrasound Breast Limited (76642) | $327 | $545 | 3.7× |
| Ultrasound Exam Aaa Screen (76706) | $738 | $1,230 | 7.0× |
| Ultrasound, abdomen limited (76705) | $631.20 | $1,052 | 6.0× |
| Unlisted Dx Radiographic Procedure (76499) | $248.40 | $414 | 2.8× |
| Unlisted fluoroscopic procedure (76496) | $834 | $1,390 | 9.5× |
| Unlisted us procedure (76999) | $225.60 | $376 | 2.6× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$415.20–$415.80 | $692–$693 | varies |
| Us bone density measurement (76977) | $472.80 | $788 | 4.5× |
| Us breast unilateral complete (76641) | $326.40 | $544 | 3.1× |
| Us chest (76604) | $677.40 | $1,129 | 6.5× |
| Us complete joint (76881) range across 8 matching MRF lines |
$326.40–$653.40 | $544–$1,089 | varies |
| Us exam, pelvic, limited (76857) | $451.20 | $752 | 4.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$472.80–$946.20 | $788–$1,577 | varies |
| Us ob detailed single fetus (76811) | $597 | $995 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $597 | $995 | 5.7× |
| Us ob transvaginal (76817) | $744 | $1,240 | 7.1× |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$611.40–$732.60 | $1,019–$1,221 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $744 | $1,240 | 7.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $597 | $995 | 5.7× |
| Us retroperitoneal complete (76770) | $709.20 | $1,182 | 6.8× |
| Us retroperitoneal limited (76775) | $517.20 | $862 | 4.9× |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$412.80–$493.80 | $688–$823 | varies |
| Us thyroid (76536) | $665.40 | $1,109 | 6.3× |
| Vein X-Ray Chest (75827) | $3,479.40 | $5,799 | 2.2× |
| Venography caval inferior serialography rs&i (75825) | $1,287.60 | $2,146 | 0.4× |
| Venography Renal Unilateral (75831) | $3,534.60 | $5,891 | 1.1× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$261–$517.80 | $435–$863 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $307.20 | $512 | 3.5× |
| X-Ray Bend Only L-S Spine (72120) | $415.20 | $692 | 4.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$292.20–$586.20 | $487–$977 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $520.20 | $867 | 6.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $412.20 | $687 | 3.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $165 | $275 | 1.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $271.20 | $452 | 3.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $338.40 | $564 | 3.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $338.40 | $564 | 3.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $302.40 | $504 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $439.80 | $733 | 4.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $439.80 | $733 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $744 | $1,240 | 7.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $451.20 | $752 | 5.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $665.40 | $1,109 | 6.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $361.20 | $602 | 3.4× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$326.40–$654.60 | $544–$1,091 | varies |
| X-ray IV pyelogram (ivp) (74400) | $891.60 | $1,486 | 5.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $201.60 | $336 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $304.20 | $507 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $406.20 | $677 | 3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $508.20 | $847 | 4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$261–$517.80 | $435–$863 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$225.60–$451.80 | $376–$753 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $225.60 | $376 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $428.40 | $714 | 4.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $428.40 | $714 | 4.1× |
| X-Ray Stress View (77071) | $169.20 | $282 | 1.9× |
| X-ray thoracic spine 4 vw (72074) | $530.40 | $884 | 5.1× |
| X-Ray Tmj Unilat (70328) | $51 | $85 | 0.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $402.60 | $671 | 1.1× |
| X-Rays Bone Length Studies (77073) | $177 | $295 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $199.20 | $332 | 1.9× |
| Xr c-spine 4 or 5 views (72050) | $563.40 | $939 | 5.4× |
| Xr facial bones less than 3 views (70140) | $384.60 | $641 | 4.4× |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$364.80–$399 | $608–$665 | 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.