Imaging prices at Thomas H Boyd Memorial Hospital
Carrollton, IL · every code in this section with a posted price and a Medicare benchmark.
184 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 |
$36.80–$254.40 | $46–$318 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$47.20–$276 | $59–$345 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$34.40–$232 | $43–$290 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$36–$1,036.80 | $45–$1,296 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$180–$1,372.80 | $225–$1,716 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$36.80–$267.20 | $46–$334 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$44–$308 | $55–$385 | varies |
| Chest 3 views (71047) | $455.20 | $569 | 4.9× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$13.60–$296.80 | $17–$371 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$34.40–$181.60 | $43–$227 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$212.80–$2,164.80 | $266–$2,706 | varies |
| Contrast X-Ray Bladder (74430) | $550.40 | $688 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$394.40–$3,603.20 | $493–$4,504 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$344.80–$3,101.60 | $431–$3,877 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$252–$2,513.60 | $315–$3,142 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$275.20–$2,812.80 | $344–$3,516 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$235.20–$1,676.80 | $294–$2,096 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$431.20–$3,439.20 | $539–$4,299 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$359.20–$2,469.60 | $449–$3,087 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$346.40–$2,238.40 | $433–$2,798 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$346.40–$2,504 | $433–$3,130 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$339.20–$3,200 | $424–$4,000 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$44.80–$766.40 | $56–$958 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$195.20–$2,634.40 | $244–$3,293 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$230.40–$2,404 | $288–$3,005 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$245.60–$2,625.60 | $307–$3,282 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$212.80–$1,813.60 | $266–$2,267 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$252–$2,443.20 | $315–$3,054 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$40–$120 | $50–$150 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$223.20–$1,903.20 | $279–$2,379 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$195.20–$1,950.40 | $244–$2,438 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$228.80–$2,364 | $286–$2,955 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$240–$2,246.40 | $300–$2,808 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$195.20–$1,984 | $244–$2,480 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$223.20–$2,501.60 | $279–$3,127 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$169.60–$1,697.60 | $212–$2,122 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$318.40–$2,650.40 | $398–$3,313 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$249.60–$2,294.40 | $312–$2,868 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$254.40–$1,732 | $318–$2,165 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$240–$2,440 | $300–$3,050 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$215.20–$1,741.60 | $269–$2,177 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$239.20–$2,404.80 | $299–$3,006 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$252–$2,979.20 | $315–$3,724 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$273.60–$2,248.80 | $342–$2,811 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$254.40–$1,712.80 | $318–$2,141 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$195.20–$1,835.20 | $244–$2,294 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$214.40–$1,787.20 | $268–$2,234 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$258.40–$1,050.40 | $323–$1,313 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$230.40–$2,928 | $288–$3,660 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$258.40–$1,869.60 | $323–$2,337 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$464.80–$3,124.80 | $581–$3,906 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$357.60–$2,926.40 | $447–$3,658 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$37.60–$615.20 | $47–$769 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$37.60–$346.40 | $47–$433 | varies |
| Esophagram (74220) | $496.80 | $621 | 2.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$31.20–$216.80 | $39–$271 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$32.80–$223.20 | $41–$279 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$34.40–$266.40 | $43–$333 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $880 | $1,100 | 9.4× |
| Joint Survey Single View (77077) | $266.40 | $333 | 2.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$38.40–$339.20 | $48–$424 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,118.40 | $1,398 | 1.9× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$290.40–$3,232.80 | $363–$4,041 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$292.80–$4,088 | $366–$5,110 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$237.60–$2,231.20 | $297–$2,789 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$292.80–$3,317.60 | $366–$4,147 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$356.80–$3,317.60 | $446–$4,147 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$356.80–$3,504.80 | $446–$4,381 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$237.60–$2,480.80 | $297–$3,101 | varies |
| MRI abdomen w contrast (74182) | $3,014.40 | $3,768 | 8.1× |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$288.80–$2,331.20 | $361–$2,914 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$320.80–$3,696 | $401–$4,620 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$266.40–$3,459.20 | $333–$4,324 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$320.80–$2,391.20 | $401–$2,989 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$355.20–$3,416 | $444–$4,270 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$293.60–$2,998.40 | $367–$3,748 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$288.80–$3,336.80 | $361–$4,171 | varies |
| MRI chest with contrast (71551) | $3,048 | $3,810 | 3.6× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$446.40–$2,909.60 | $558–$3,637 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$424–$3,799.20 | $530–$4,749 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$424–$4,256.80 | $530–$5,321 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$266.40–$3,192.80 | $333–$3,991 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$352.80–$3,253.60 | $441–$4,067 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$452–$5,023.20 | $565–$6,279 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$265.60–$2,104 | $332–$2,630 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$423.20–$3,339.20 | $529–$4,174 | varies |
| MRI pelvis w contrast (72196) | $2,488.80 | $3,111 | 6.7× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$432–$3,804.80 | $540–$4,756 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$288.80–$2,064 | $361–$2,580 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$293.60–$2,348.80 | $367–$2,936 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,940.80 | $2,426 | 5.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$268–$1,940.80 | $335–$2,426 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$424–$3,236.80 | $530–$4,046 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$432–$3,804.80 | $540–$4,756 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$452–$4,540 | $565–$5,675 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$352.80–$2,701.60 | $441–$3,377 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$268.80–$2,584 | $336–$3,230 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$425.60–$2,498.40 | $532–$3,123 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,312.80–$4,580.80 | $5,391–$5,726 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$36.80–$237.60 | $46–$297 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$35.20–$300 | $44–$375 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$65.60–$408 | $82–$510 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$35.20–$251.20 | $44–$314 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$32.80–$180 | $41–$225 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$35.20–$300.80 | $44–$376 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$49.60–$468.80 | $62–$586 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$28.80–$192 | $36–$240 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$34.40–$268.80 | $43–$336 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$35.20–$284.80 | $44–$356 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$32.80–$189.60 | $41–$237 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$69.60–$395.20 | $87–$494 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$39.20–$247.20 | $49–$309 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$45.60–$402.40 | $57–$503 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$38.40–$307.20 | $48–$384 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$35.20–$192 | $44–$240 | varies |
| Radex Spine 1 View Specify Level (72020) | $326.40 | $408 | 3.5× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$39.20–$257.60 | $49–$322 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$48–$284.80 | $60–$356 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$27.20–$180 | $34–$225 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$32.80–$156.80 | $41–$196 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$35.20–$256.80 | $44–$321 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$49.60–$340 | $62–$425 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $301.60 | $377 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$46.40–$294.40 | $58–$368 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$35.20–$364.80 | $44–$456 | varies |
| Radiologic exam swallow function contrast study (74230) | $478.40 | $598 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$36.80–$280.80 | $46–$351 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$34.40–$228 | $43–$285 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$32.80–$257.60 | $41–$322 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$57.60–$460.80 | $72–$576 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$36.80–$301.60 | $46–$377 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$144.80–$153.60 | $181–$192 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$36.80–$288.80 | $46–$361 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$44–$245.60 | $55–$307 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$40.80–$307.20 | $51–$384 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$45.60–$368 | $57–$460 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$52–$232.80 | $65–$291 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$198.40–$1,158.40 | $248–$1,448 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$110.40–$775.20 | $138–$969 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$115.20–$875.20 | $144–$1,094 | varies |
| Unlis px ther radiol clinical tx planning (77299) | $124.80 | $156 | 0.9× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$115.20–$871.20 | $144–$1,089 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$141.60–$1,158.40 | $177–$1,448 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$115.20–$787.20 | $144–$984 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$136–$669.60 | $170–$837 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$97.60–$871.20 | $122–$1,089 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$136.80–$760 | $171–$950 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$138.40–$741.60 | $173–$927 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$150.40–$454.40 | $188–$568 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$137.60–$707.20 | $172–$884 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$195.20–$706.40 | $244–$883 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$138.40–$692 | $173–$865 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$145.60–$775.20 | $182–$969 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$115.20–$493.60 | $144–$617 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$128–$624 | $160–$780 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$113.60–$760 | $142–$950 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$34.40–$216.80 | $43–$271 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$38.40–$232 | $48–$290 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$45.60–$410.40 | $57–$513 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$34.40–$216 | $43–$270 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$32.80–$564 | $41–$705 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$38.40–$216.80 | $48–$271 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$32.80–$400 | $41–$500 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$58.40–$574.40 | $73–$718 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$61.60–$722.40 | $77–$903 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$45.60–$348.80 | $57–$436 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$60.80–$854.40 | $76–$1,068 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$53.60–$420 | $67–$525 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$35.20–$184.80 | $44–$231 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$34.40–$283.20 | $43–$354 | varies |
| X-ray IV pyelogram (ivp) (74400) | $720.80 | $901 | 3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$36.80–$478.40 | $46–$598 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$35.20–$228 | $44–$285 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$45.60–$455.20 | $57–$569 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$64.80–$439.20 | $81–$549 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$45.60–$218.40 | $57–$273 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$35.20–$237.60 | $44–$297 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$44–$324 | $55–$405 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$56–$343.20 | $70–$429 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $715.20 | $894 | 1.9× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$111.20–$1,036.80 | $139–$1,296 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$54.40–$508 | $68–$635 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$39.20–$471.20 | $49–$589 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$56–$261.60 | $70–$327 | 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.