Imaging prices at Summersville Regional Medical Center
Summersville, WV · every code in this section with a posted price and a Medicare benchmark.
221 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 3 matching MRF lines |
$94–$101.50 | $188–$203 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$245–$263.50 | $490–$527 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $882 | $1,764 | 2.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$110.50–$119 | $221–$238 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$120–$129 | $240–$258 | varies |
| Bone Imaging 3 Phase (78315) | $874.50 | $1,749 | 2.3× |
| Bone Imaging Limited Area (78300) | $611 | $1,222 | 1.6× |
| Bone Imaging Whole Body (78306) | $772 | $1,544 | 2.0× |
| Bone survey infant (77076) | $361.50 | $723 | 3.6× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$107–$214 | $214–$428 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$139–$149.50 | $278–$299 | varies |
| Chest 3 views (71047) | $192 | $384 | 2.3× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$345.50–$371.50 | $691–$743 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$115.50–$231 | $231–$462 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $120 | $240 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $1,458 | $2,916 | 4.4× |
| CT abdomen and pelvis without contrast (74176) | $1,020 | $2,040 | 4.5× |
| CT abdomen w contrast (74160) | $1,204 | $2,408 | 7.2× |
| CT abdomen w wo contrast (74170) | $1,458 | $2,916 | 8.7× |
| CT abdomen w/o contrast (74150) | $1,020 | $2,040 | 10.2× |
| CT Angio Abdomen and Pelvis (74174) | $1,157 | $2,314 | 3.5× |
| CT Angio Chest (71275) | $1,595.50 | $3,191 | 9.5× |
| CT Angio Head (70496) | $1,095 | $2,190 | 6.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,400.50–$2,801 | $2,801–$5,602 | varies |
| CT Angio Neck (70498) | $1,282 | $2,564 | 7.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,400.50 | $2,801 | 8.3× |
| CT cervical spine w/ contrast (72126) | $896 | $1,792 | 2.7× |
| CT cervical spine w/o contrast (72125) | $737 | $1,474 | 7.3× |
| CT cervical spine w/wo cont (72127) | $933 | $1,866 | 5.5× |
| CT chest w contrast (71260) | $1,229 | $2,458 | 7.3× |
| CT chest w/wo contrast (71270) | $1,507 | $3,014 | 9.0× |
| CT head/brain with contrast (70460) | $709.50 | $1,419 | 4.2× |
| CT head/brain without and with contrast (70470) | $867 | $1,734 | 5.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,595.50 | $3,191 | 4.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $99 | $198 | 1.2× |
| CT iac w contrast (70481) | $896 | $1,792 | 5.3× |
| CT l-spine w&w/o contrast (72133) | $1,329.50 | $2,659 | 7.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$903.50–$1,807 | $1,807–$3,614 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,275–$2,550 | $2,550–$5,100 | varies |
| CT lumbar spine w contrast (72132) | $1,227 | $2,454 | 3.7× |
| CT lumbar spine w/o contrast (72131) | $1,051 | $2,102 | 10.5× |
| CT maxillofacial w contrast (70487) | $896 | $1,792 | 5.3× |
| CT maxillofacial wo contrast (70486) | $617.50 | $1,235 | 6.2× |
| CT neck tissue combo (70492) | $890 | $1,780 | 5.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $933 | $1,866 | 5.5× |
| CT orbits w/o contrast (70480) | $637 | $1,274 | 6.4× |
| CT pelvis w&w/o contrast (72194) | $1,423.50 | $2,847 | 8.5× |
| CT pelvis w/o contrast (72192) | $1,037 | $2,074 | 10.3× |
| CT scan of leg combo (73702) | $1,329.50 | $2,659 | 7.9× |
| CT scans face/jaw combo (70488) | $886 | $1,772 | 5.3× |
| CT soft tissue neck w contrast (70491) | $741 | $1,482 | 4.4× |
| CT soft tissue neck w/o contrast (70490) | $635.50 | $1,271 | 6.3× |
| CT thoracic spine w contrast (72129) | $1,224.50 | $2,449 | 7.3× |
| CT thoracic spine w/o contrast (72128) | $1,050.50 | $2,101 | 10.5× |
| CT thorax w/o contrast (71250) | $1,050.50 | $2,101 | 10.5× |
| CT upper ext wo (73200) | $903.50 | $1,807 | 9.0× |
| CT upper extremity w/o & w/contrast material (73202) | $1,329.50 | $2,659 | 7.9× |
| CT upper extremity with contrast (73201) | $1,277 | $2,554 | 3.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,192 | $4,384 | 13.0× |
| Cta Abdomen (74175) | $1,543 | $3,086 | 9.2× |
| CTA pelvis (72191) | $1,527 | $3,054 | 9.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$283–$304.50 | $566–$609 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$224.50–$241.50 | $449–$483 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$410–$433 | $820–$866 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$131–$141 | $262–$282 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$118–$127 | $236–$254 | varies |
| Gastric emptying imaging study (78264) | $498 | $996 | 1.3× |
| Gated Heart Planar Single (78472) | $695 | $1,390 | 1.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$110.50–$238 | $221–$476 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,068 | $2,136 | 2.1× |
| Hepatobiliary System Imaging (78226) | $681 | $1,362 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $1,426.50 | $2,853 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $116 | $232 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $819.50 | $1,639 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $819.50 | $1,639 | 1.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$149.50–$299 | $299–$598 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $507 | $1,014 | 1.0× |
| Meckels Divert Exam (78290) | $510 | $1,020 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,690.50 | $3,381 | 5.1× |
| MRA head w/o contrast (70544) | $1,040.50 | $2,081 | 4.5× |
| MRA neck w contrast (70548) | $1,398 | $2,796 | 4.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,690.50 | $3,381 | 5.1× |
| MRA neck w/o contrast (70547) | $1,040.50 | $2,081 | 4.5× |
| MRI abdomen w contrast (74182) | $1,398 | $2,796 | 4.2× |
| MRI abdomen w/o contrast (74181) | $1,040.50 | $2,081 | 4.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,398 | $2,796 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,690.50 | $3,381 | 5.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,398 | $2,796 | 1.9× |
| MRI cervical spine w contrast (72142) | $1,398 | $2,796 | 4.2× |
| MRI cervical spine w/o cont (72141) | $1,040.50 | $2,081 | 4.5× |
| MRI chest w/o contrast (71550) | $1,040.50 | $2,081 | 4.5× |
| MRI chest wo w contrast (71552) | $1,690.50 | $3,381 | 5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,690.50 | $3,381 | 5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,040.50 | $2,081 | 4.5× |
| MRI lumbar spine w contrast (72149) | $1,398 | $2,796 | 4.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,690.50 | $3,381 | 5.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,040.50 | $2,081 | 4.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,690.50 | $3,381 | 5.1× |
| MRI pelvis w/o & w contrast (72197) | $1,690.50 | $3,381 | 5.1× |
| MRI pelvis w/o contrast (72195) | $1,040.50 | $2,081 | 4.5× |
| MRI thoracic spine w/o contrast (72146) | $1,040.50 | $2,081 | 4.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,398 | $2,796 | 4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,040.50–$2,081 | $2,081–$4,162 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,690.50 | $3,381 | 5.1× |
| MRI, abdomen, combo (74183) | $1,690.50 | $3,381 | 5.1× |
| MRI, dorsal spine combo (72157) | $1,690.50 | $3,381 | 5.1× |
| MRI, joint upper extrem (73221) | $1,040.50 | $2,081 | 4.5× |
| MRI, joint upper extrem combo (73223) | $1,690.50 | $3,381 | 5.1× |
| MRI, lumbar spine combo (72158) | $1,690.50 | $3,381 | 5.1× |
| Myocardial Spect Multiple Studies (78452) | $1,751.50 | $3,503 | 1.4× |
| N-invas est c ffr sw aly CTA (75580) | $1,054.50 | $2,109 | 1.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$81.50–$88 | $163–$176 | varies |
| Nonvascular Shunt X-Ray (75809) | $107 | $214 | 1.1× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $118.50 | $237 | 1.2× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$82.50–$89 | $165–$178 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 4 matching MRF lines |
$103–$206 | $206–$412 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $755 | $1,510 | 1.4× |
| Parathyroid Planar Imaging (78070) | $416.50 | $833 | 1.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$116.50–$125.50 | $233–$251 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$1,397.50–$1,502.50 | $2,795–$3,005 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$1,397.50–$1,502.50 | $2,795–$3,005 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $629 | $1,258 | 1.6× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $891 | $1,782 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$147–$158.50 | $294–$317 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$121.50–$243 | $243–$486 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$125–$134.50 | $250–$269 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$131.50–$141.50 | $263–$283 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$177.50–$191 | $355–$382 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$93.50–$101 | $187–$202 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$126–$271 | $252–$542 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$130.50–$281 | $261–$562 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $209.50 | $419 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$116.50–$125.50 | $233–$251 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$135.50–$146 | $271–$292 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$135.50–$271 | $271–$542 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$134–$144.50 | $268–$289 | varies |
| Radex Spine 1 View Specify Level (72020) | $105.50 | $211 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$146–$157 | $292–$314 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$182–$196 | $364–$392 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$93.50–$101 | $187–$202 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$124.50–$249 | $249–$498 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$283–$304.50 | $566–$609 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$149.50–$161 | $299–$322 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$195.50–$210.50 | $391–$421 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$444–$477.50 | $888–$955 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$327–$352 | $654–$704 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$213–$229 | $426–$458 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$162–$324 | $324–$648 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$149.50–$161 | $299–$322 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$240.50–$259 | $481–$518 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$237.50–$255.50 | $475–$511 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$328–$353 | $656–$706 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$94.50–$102 | $189–$204 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$134–$289 | $268–$578 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$129.50–$279 | $259–$558 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$124.50–$268 | $249–$536 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $556.50 | $1,113 | 1.1× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$178.50–$192 | $357–$384 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$116.50–$125.50 | $233–$251 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$93.50–$101 | $187–$202 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$105.50–$113.50 | $211–$227 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$147.50–$159 | $295–$318 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$155.50–$167.50 | $311–$335 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$147.50–$159 | $295–$318 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$162.50–$175 | $325–$350 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$153–$164.50 | $306–$329 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $461 | $922 | 1.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$264.50–$529 | $529–$1,058 | varies |
| Ultrasound Elastography Parenchyma (76981) | $62 | $124 | 0.6× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$146.50–$157.50 | $293–$315 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$341–$367 | $682–$734 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$296.50–$319 | $593–$638 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$264.50–$284.50 | $529–$569 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$304.50–$327.50 | $609–$655 | varies |
| Us complete joint (76881) | $279 | $558 | 2.8× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$363–$390.50 | $726–$781 | varies |
| Us head (76506) | $280 | $560 | 2.8× |
| Us kidney transplant (76776) | $375 | $750 | 3.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$244–$279 | $488–$558 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$344–$370 | $688–$740 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$151–$162.50 | $302–$325 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$365.50–$393 | $731–$786 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$151–$162.50 | $302–$325 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$336–$361.50 | $672–$723 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$439.50–$472.50 | $879–$945 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$329.50–$354.50 | $659–$709 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$355–$382 | $710–$764 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$322.50–$347 | $645–$694 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$113.50–$245 | $227–$490 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$149.50–$161 | $299–$322 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$113.50–$122.50 | $227–$245 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$558–$600 | $1,116–$1,200 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$125–$134.50 | $250–$269 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$166.50–$179 | $333–$358 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$272–$292.50 | $544–$585 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$110–$118.50 | $220–$237 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$135.50–$146 | $271–$292 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$269–$289.50 | $538–$579 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$270.50–$291 | $541–$582 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$263–$283 | $526–$566 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$269–$289.50 | $538–$579 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $351 | $702 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$140.50–$151.50 | $281–$303 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$251–$270 | $502–$540 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$162–$174.50 | $324–$349 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$81.50–$88 | $163–$176 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$127.50–$137.50 | $255–$275 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$184–$198 | $368–$396 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$153–$164.50 | $306–$329 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$424–$456 | $848–$912 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$136.50–$147 | $273–$294 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$126–$135.50 | $252–$271 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$176.50–$190 | $353–$380 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$213.50–$230 | $427–$460 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$190.50–$205 | $381–$410 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $755.50 | $1,511 | 2.3× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$182–$196 | $364–$392 | varies |
| X-Rays Bone Survey Complete (77075) | $363.50 | $727 | 3.6× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$251–$270 | $502–$540 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$136.50–$147 | $273–$294 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$182–$196 | $364–$392 | 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.