Imaging prices at Twin County Regional Hospital
Galax, VA · every code in this section with a posted price and a Medicare benchmark.
327 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 7 matching MRF lines |
$141.41–$302.20 | $353.52–$755.51 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$516.60–$899.45 | $1,291.50–$2,248.63 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$810.70–$1,411.50 | $2,026.74–$3,528.74 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) range across 3 matching MRF lines |
$752.50–$1,310.17 | $1,881.24–$3,275.42 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$131.71–$229.32 | $329.28–$573.31 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$713.18–$1,241.73 | $1,782.96–$3,104.32 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,139.20–$1,241.73 | $2,848–$3,104.32 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$713.18–$1,241.73 | $1,782.96–$3,104.32 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$188.90–$328.88 | $472.24–$822.20 | varies |
| Bone Imaging 3 Phase (78315) range across 6 matching MRF lines |
$627.93–$2,142.13 | $1,569.82–$5,355.33 | varies |
| Bone Imaging Limited Area (78300) range across 4 matching MRF lines |
$810.70–$1,411.50 | $2,026.74–$3,528.74 | varies |
| Bone Imaging Multiple Areas (78305) range across 4 matching MRF lines |
$799.46–$1,391.94 | $1,998.66–$3,479.86 | varies |
| Bone Imaging Whole Body (78306) range across 4 matching MRF lines |
$810.70–$1,411.50 | $2,026.74–$3,528.74 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$192.46–$335.09 | $481.15–$837.73 | varies |
| Brain Flow Imaging Only (78610) range across 3 matching MRF lines |
$624.87–$1,087.96 | $1,562.17–$2,719.89 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 3 matching MRF lines |
$1,996.61–$3,476.30 | $4,991.53–$8,690.76 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$342.04–$595.53 | $855.11–$1,488.83 | varies |
| Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines |
$1,560.64–$2,717.22 | $3,901.59–$6,793.05 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$120.99–$210.65 | $302.47–$526.62 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$209.82–$470.20 | $524.56–$1,175.51 | varies |
| Chest 3 views (71047) range across 5 matching MRF lines |
$270.06–$495.08 | $675.15–$1,237.71 | varies |
| Chest 4 or more views (71048) range across 5 matching MRF lines |
$284.35–$899.45 | $710.88–$2,248.63 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$64–$84.40 | $160–$211 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$211.35–$367.99 | $528.38–$919.97 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$780.24–$850.46 | $1,950.60–$2,126.15 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$467.63–$814.19 | $1,169.07–$2,035.47 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$713.18–$1,241.73 | $1,782.96–$3,104.32 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,139.20–$1,241.73 | $2,848–$3,104.32 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $63.20 | $158 | 0.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$1,892.47–$3,294.98 | $4,731.18–$8,237.46 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,317.12–$2,293.24 | $3,292.80–$5,733.09 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,625.22–$1,771.48 | $4,063.04–$4,428.71 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$264–$2,197.25 | $660–$5,493.12 | varies |
| CT abdomen w/o contrast (74150) range across 5 matching MRF lines |
$563.10–$2,031.92 | $1,407.74–$5,079.80 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,269.65–$2,210.58 | $3,174.12–$5,526.44 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$1,044.52–$1,818.60 | $2,611.29–$4,546.51 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,074.12–$1,870.14 | $2,685.29–$4,675.36 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$1,044.52–$1,818.60 | $2,611.29–$4,546.51 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,074.12–$1,870.14 | $2,685.29–$4,675.36 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$1,050.12–$1,828.37 | $2,625.30–$4,570.92 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$879.11–$1,530.61 | $2,197.77–$3,826.52 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$1,313.55–$2,287.02 | $3,283.88–$5,717.54 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,677.40–$1,828.37 | $4,193.50–$4,570.92 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$1,313.55–$2,287.02 | $3,283.88–$5,717.54 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$881.15–$1,534.16 | $2,202.87–$3,835.39 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$1,050.12–$1,828.37 | $2,625.30–$4,570.92 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$881.15–$1,534.16 | $2,202.87–$3,835.39 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$1,313.55–$2,287.02 | $3,283.88–$5,717.54 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$738.20–$1,285.28 | $1,845.51–$3,213.21 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$881.15–$1,534.16 | $2,202.87–$3,835.39 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$1,050.12–$1,828.37 | $2,625.30–$4,570.92 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$879.11–$1,530.61 | $2,197.77–$3,826.52 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$881.15–$1,534.16 | $2,202.87–$3,835.39 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$704–$1,225.73 | $1,760–$3,064.33 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$1,050.12–$1,828.37 | $2,625.30–$4,570.92 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,050.12–$1,828.37 | $2,625.30–$4,570.92 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,124.52–$1,225.73 | $2,811.31–$3,064.33 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$1,261.99–$2,197.25 | $3,154.97–$5,493.12 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$127.20–$1,530.61 | $318–$3,826.52 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,101.69–$1,918.15 | $2,754.22–$4,795.38 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$1,050.12–$1,828.37 | $2,625.30–$4,570.92 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$881.15–$1,534.16 | $2,202.87–$3,835.39 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$704–$1,225.73 | $1,760–$3,064.33 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$1,050.12–$1,828.37 | $2,625.30–$4,570.92 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$879.11–$1,530.61 | $2,197.77–$3,826.52 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$1,313.55–$2,287.02 | $3,283.88–$5,717.54 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$879.11–$1,530.61 | $2,197.77–$3,826.52 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$738.20–$1,285.28 | $1,845.51–$3,213.21 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,101.69–$1,918.15 | $2,754.22–$4,795.38 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$881.15–$1,534.16 | $2,202.87–$3,835.39 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$1,220.63–$2,125.24 | $3,051.58–$5,313.11 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$1,220.63–$2,125.24 | $3,051.58–$5,313.11 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$1,220.63–$2,125.24 | $3,051.58–$5,313.11 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 3 matching MRF lines |
$601.38–$1,047.06 | $1,503.46–$2,617.66 | varies |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$4,063.17–$7,074.38 | $10,157.93–$17,685.96 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$4,063.17–$7,074.38 | $10,157.93–$17,685.96 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$503.88–$877.30 | $1,259.70–$2,193.25 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$113.84–$198.22 | $284.61–$495.54 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$334.39–$582.20 | $835.97–$1,455.50 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$218.50–$380.42 | $546.24–$951.06 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$810.70–$1,411.50 | $2,026.74–$3,528.74 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$736.67–$1,282.62 | $1,841.68–$3,206.55 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$224.63–$391.10 | $561.57–$977.75 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$137.33–$239.11 | $343.32–$597.77 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$114.36–$263.10 | $285.89–$657.76 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$757.09–$1,318.18 | $1,892.73–$3,295.44 | varies |
| Gastric Mucosa Imaging (78261) range across 3 matching MRF lines |
$710.12–$1,236.40 | $1,775.31–$3,090.99 | varies |
| Gastroesophageal Reflux Exam (78262) range across 3 matching MRF lines |
$829.07–$1,443.50 | $2,072.68–$3,608.75 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$1,049.10–$1,826.60 | $2,622.76–$4,566.49 | varies |
| Gated Heart, Multiple (78473) range across 3 matching MRF lines |
$1,135.89–$1,977.70 | $2,839.73–$4,944.26 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$157.75–$274.65 | $394.37–$686.63 | varies |
| Heart first pass single,planar (78481) range across 3 matching MRF lines |
$757.09–$1,318.18 | $1,892.73–$3,295.44 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$941.38–$1,639.04 | $2,353.46–$4,097.59 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$941.38–$1,639.04 | $2,353.46–$4,097.59 | varies |
| Ht Musc Image Planar Mult (78454) range across 3 matching MRF lines |
$1,709.20–$2,975.88 | $4,273–$7,439.70 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$1,709.20–$2,975.88 | $4,273–$7,439.70 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$601.38–$1,047.06 | $1,503.46–$2,617.66 | varies |
| Infusion Ivp (74410) range across 3 matching MRF lines |
$467.63–$814.19 | $1,169.07–$2,035.47 | varies |
| Interstitial radiation source applic complex (77778) range across 3 matching MRF lines |
$2,135.98–$3,718.96 | $5,339.96–$9,297.41 | varies |
| K Flow/Funct Image Multiple (78709) range across 3 matching MRF lines |
$912.80–$1,589.26 | $2,281.99–$3,973.15 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$810.18–$1,410.61 | $2,025.46–$3,526.52 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$897.48–$1,562.62 | $2,243.71–$3,906.55 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 3 matching MRF lines |
$444.15–$773.32 | $1,110.38–$1,933.29 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$1,294.14–$1,410.61 | $3,235.34–$3,526.52 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 3 matching MRF lines |
$810.18–$1,410.61 | $2,025.46–$3,526.52 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$284.35–$495.08 | $710.88–$1,237.71 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$746.37–$1,299.50 | $1,865.92–$3,248.76 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 3 matching MRF lines |
$799.98–$1,392.84 | $1,999.94–$3,482.10 | varies |
| Liver imaging static only (78201) range across 3 matching MRF lines |
$882.17–$1,535.93 | $2,205.42–$3,839.83 | varies |
| Liver imaging w/vascular flow (78202) range across 3 matching MRF lines |
$746.37–$1,299.50 | $1,865.92–$3,248.76 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 3 matching MRF lines |
$805.08–$1,401.71 | $2,012.69–$3,504.28 | varies |
| Lung perfusion differential (78597) range across 3 matching MRF lines |
$571.27–$994.63 | $1,428.17–$2,486.58 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$805.08–$1,401.71 | $2,012.69–$3,504.28 | varies |
| Lung Ventilation Imaging (78579) range across 3 matching MRF lines |
$515.10–$896.85 | $1,287.76–$2,242.13 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$649.88–$1,131.51 | $1,624.70–$2,828.78 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$1,685.20–$2,934.10 | $4,213.01–$7,335.25 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$601.38–$1,047.06 | $1,503.46–$2,617.66 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$3,383.68–$5,891.32 | $8,459.20–$14,728.29 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$1,729.11–$3,010.55 | $4,322.77–$7,526.37 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$1,729.11–$3,010.55 | $4,322.77–$7,526.37 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$1,729.11–$3,010.55 | $4,322.77–$7,526.37 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$3,383.68–$5,891.32 | $8,459.20–$14,728.29 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$1,729.11–$3,010.55 | $4,322.77–$7,526.37 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$1,944.03–$3,384.74 | $4,860.08–$8,461.86 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,685.20–$2,934.10 | $4,213.01–$7,335.25 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,939.44–$3,376.76 | $4,848.60–$8,441.89 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,587.88–$6,246.86 | $8,969.71–$15,617.16 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,939.44–$3,376.76 | $4,848.60–$8,441.89 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$3,786.47–$6,592.61 | $9,466.18–$16,481.53 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$2,791.48–$4,860.24 | $6,978.70–$12,150.61 | varies |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$1,685.20–$2,934.10 | $4,213.01–$7,335.25 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$2,019.59–$3,516.30 | $5,048.97–$8,790.74 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$1,685.20–$2,934.10 | $4,213.01–$7,335.25 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$1,685.20–$2,934.10 | $4,213.01–$7,335.25 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$1,944.03–$3,384.74 | $4,860.08–$8,461.86 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$3,569–$6,213.97 | $8,922.49–$15,534.92 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,939.44–$3,376.76 | $4,848.60–$8,441.89 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,775.57–$3,091.44 | $4,438.92–$7,728.60 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,615.77–$2,813.21 | $4,039.42–$7,033.02 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$2,019.59–$3,516.30 | $5,048.97–$8,790.74 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$3,741.04–$6,513.50 | $9,352.59–$16,283.76 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,685.20–$2,934.10 | $4,213.01–$7,335.25 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$1,939.44–$3,376.76 | $4,848.60–$8,441.89 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$3,587.88–$6,246.86 | $8,969.71–$15,617.16 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$1,685.20–$2,934.10 | $4,213.01–$7,335.25 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$3,597.07–$6,262.85 | $8,992.68–$15,657.13 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$1,624.46–$2,828.34 | $4,061.14–$7,070.84 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,869.50–$3,254.98 | $4,673.75–$8,137.45 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,043.07–$3,557.18 | $5,107.68–$8,892.96 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,704.10–$2,967 | $4,260.24–$7,417.49 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,685.20–$2,934.10 | $4,213.01–$7,335.25 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$3,597.07–$6,262.85 | $8,992.68–$15,657.13 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$3,996.80–$6,958.82 | $9,992–$17,397.04 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$2,019.59–$3,516.30 | $5,048.97–$8,790.74 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,836.18–$3,091.44 | $7,090.46–$7,728.60 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,587.88–$6,246.86 | $8,969.71–$15,617.16 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$2,741.96–$4,774.03 | $6,854.91–$11,935.07 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$1,256.37–$2,187.46 | $3,140.93–$5,468.66 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$1,256.37–$2,187.46 | $3,140.93–$5,468.66 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$1,256.37–$2,187.46 | $3,140.93–$5,468.66 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$1,256.37–$2,187.46 | $3,140.93–$5,468.66 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 3 matching MRF lines |
$757.09–$1,318.18 | $1,892.73–$3,295.44 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$1,709.20–$2,975.88 | $4,273–$7,439.70 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$1,726.55–$3,006.09 | $4,316.38–$7,515.23 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$167.45–$291.54 | $418.62–$728.86 | varies |
| Nm csf leak detection (78650) range across 3 matching MRF lines |
$1,560.64–$2,717.22 | $3,901.59–$6,793.05 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$771.38–$1,343.06 | $1,928.46–$3,357.64 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$716.25–$1,247.07 | $1,790.63–$3,117.67 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 3 matching MRF lines |
$623.34–$1,085.29 | $1,558.34–$2,713.22 | varies |
| Optic foramina (70190) range across 3 matching MRF lines |
$159.79–$278.20 | $399.47–$695.51 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 3 matching MRF lines |
$730.04–$1,271.07 | $1,825.09–$3,177.67 | varies |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$562.07–$978.62 | $1,405.18–$2,446.55 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$689.20–$1,199.96 | $1,722.99–$2,999.90 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$136.31–$237.33 | $340.77–$593.33 | varies |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$2,671–$4,650.48 | $6,677.50–$11,626.20 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$2,671–$4,650.48 | $6,677.50–$11,626.20 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$2,671–$4,650.48 | $6,677.50–$11,626.20 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$610.58–$1,063.08 | $1,526.44–$2,657.69 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$269.04–$468.42 | $672.60–$1,171.06 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$601.38–$1,047.06 | $1,503.46–$2,617.66 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$211.35–$367.99 | $528.38–$919.97 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$150.60–$262.22 | $376.51–$655.56 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$211.35–$367.99 | $528.38–$919.97 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$259.85–$452.42 | $649.62–$1,131.05 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$132.22–$230.21 | $330.56–$575.53 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$192.98–$335.99 | $482.44–$839.98 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$171.02–$297.78 | $427.56–$744.44 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$136.31–$237.33 | $340.77–$593.33 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$287.93–$501.31 | $719.83–$1,253.28 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$174.08–$303.10 | $435.21–$757.75 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 3 matching MRF lines |
$224.63–$391.10 | $561.57–$977.75 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$206.24–$359.09 | $515.61–$897.72 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$211.35–$367.99 | $528.38–$919.97 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$150.60–$262.22 | $376.51–$655.56 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$114.36–$199.10 | $285.89–$497.75 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$234.84–$408.88 | $587.10–$1,022.19 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$293.04–$510.20 | $732.59–$1,275.51 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$141.93–$247.11 | $354.82–$617.77 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$137.84–$239.99 | $344.60–$599.98 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$171.02–$297.78 | $427.56–$744.44 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$282.31–$491.53 | $705.78–$1,228.83 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$516.60–$899.45 | $1,291.50–$2,248.63 | varies |
| Radiologic exam colon double contrast study (74280) range across 4 matching MRF lines |
$95.20–$630.20 | $238–$1,575.49 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$258.32–$449.76 | $645.80–$1,124.40 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$262.92–$457.76 | $657.29–$1,144.40 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$171.02–$297.78 | $427.56–$744.44 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 4 matching MRF lines |
$52–$486.20 | $130–$1,215.50 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$292.01–$508.42 | $730.03–$1,271.05 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 5 matching MRF lines |
$218.50–$457.37 | $546.24–$1,143.43 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$150.10–$261.34 | $375.24–$653.34 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$131.71–$229.32 | $329.28–$573.31 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$343.06–$597.31 | $857.66–$1,493.27 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 3 matching MRF lines |
$158.77–$276.44 | $396.92–$691.09 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$211.35–$367.99 | $528.38–$919.97 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 3 matching MRF lines |
$193.48–$336.88 | $483.71–$842.21 | varies |
| Renal Cyst Study (74470) range across 3 matching MRF lines |
$601.38–$1,047.06 | $1,503.46–$2,617.66 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$235.34–$409.76 | $588.36–$1,024.39 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 4 matching MRF lines |
$757.60–$1,319.07 | $1,894.01–$3,297.68 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 4 matching MRF lines |
$861.20–$2,181.25 | $2,153–$5,453.12 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$2,501.51–$4,355.38 | $6,253.78–$10,888.44 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 4 matching MRF lines |
$1,252.80–$2,976.17 | $3,132–$7,440.42 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 9 matching MRF lines |
$178.39–$2,976.17 | $445.97–$7,440.42 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$2,730.43–$2,976.17 | $6,826.07–$7,440.42 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$2,730.43–$2,976.17 | $6,826.07–$7,440.42 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$2,730.43–$2,976.17 | $6,826.07–$7,440.42 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$211.35–$367.99 | $528.38–$919.97 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$61.48–$67.01 | $153.70–$167.53 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$142.95–$248.88 | $357.37–$622.20 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$123.55–$215.11 | $308.87–$537.78 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$1,139.20–$1,241.73 | $2,848–$3,104.32 | varies |
| Sialogram (70390) range across 3 matching MRF lines |
$601.38–$1,047.06 | $1,503.46–$2,617.66 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$45.60–$328.88 | $114–$822.20 | varies |
| Special dosimetry (77331) range across 3 matching MRF lines |
$274.14–$477.31 | $685.36–$1,193.28 | varies |
| Spleen Imaging (78185) range across 3 matching MRF lines |
$649.88–$1,131.51 | $1,624.70–$2,828.78 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$162.86–$283.55 | $407.14–$708.88 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $144.40 | $361 | 1.5× |
| Testicular Imaging W/Flow (78761) range across 3 matching MRF lines |
$866.85–$1,509.27 | $2,167.13–$3,773.18 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$671.32–$1,168.84 | $1,678.31–$2,922.10 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$208.29–$362.66 | $520.73–$906.66 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$221.05–$384.87 | $552.63–$962.18 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$175.62–$305.76 | $439.04–$764.41 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
$518.17–$902.18 | $1,295.43–$2,255.46 | varies |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$712.16–$1,239.95 | $1,780.41–$3,099.88 | varies |
| Thyroid Uptake Measurement (78012) range across 3 matching MRF lines |
$232–$739.53 | $580–$1,848.83 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$556.97–$969.74 | $1,392.43–$2,424.36 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$509.50–$887.08 | $1,273.74–$2,217.71 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$351.74–$612.42 | $879.35–$1,531.04 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$301.20–$524.42 | $753.01–$1,311.06 | varies |
| Ultrasound, abdomen limited (76705) range across 12 matching MRF lines |
$171.20–$1,274.62 | $428–$3,186.55 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 5 matching MRF lines |
$225.54–$1,047.06 | $563.85–$2,617.66 | varies |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$196.04–$341.33 | $490.10–$853.32 | varies |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$218.50–$607.98 | $546.24–$1,519.94 | varies |
| Ureteral Reflux Study (78740) range across 3 matching MRF lines |
$810.18–$1,410.61 | $2,025.46–$3,526.52 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$467.63–$814.19 | $1,169.07–$2,035.47 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$467.63–$814.19 | $1,169.07–$2,035.47 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$703.49–$1,224.84 | $1,758.72–$3,062.10 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$662.14–$1,152.85 | $1,655.34–$2,882.12 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$730.54–$1,271.95 | $1,826.36–$3,179.87 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$182.40–$1,021.30 | $456–$2,553.24 | varies |
| Us head (76506) range across 3 matching MRF lines |
$839.29–$1,461.28 | $2,098.22–$3,653.20 | varies |
| Us ob detailed single fetus (76811) | $106 | $265 | 0.5× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$721.87–$1,256.84 | $1,804.67–$3,142.11 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$309.88–$539.54 | $774.70–$1,348.84 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$847.45–$1,475.50 | $2,118.63–$3,688.75 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$301.20–$524.42 | $753.01–$1,311.06 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$196.04–$341.33 | $490.10–$853.32 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$193.60–$983.08 | $484–$2,457.70 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$464.05–$807.96 | $1,160.13–$2,019.91 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$867.36–$1,510.16 | $2,168.41–$3,775.40 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$375.74–$654.20 | $939.34–$1,635.50 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$594.24–$1,034.62 | $1,485.59–$2,586.55 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$1,064.93–$1,854.15 | $2,662.33–$4,635.38 | varies |
| Vascular Flow Imaging (78445) range across 3 matching MRF lines |
$394.12–$686.20 | $985.29–$1,715.49 | varies |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$1,676.52–$2,919 | $4,191.31–$7,297.50 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,676.52–$2,919 | $4,191.31–$7,297.50 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,676.52–$2,919 | $4,191.31–$7,297.50 | varies |
| Venous sampling by catheter (75893) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$157.75–$274.65 | $394.37–$686.63 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$165.40–$287.99 | $413.51–$719.98 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$467.63–$814.19 | $1,169.07–$2,035.47 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$5,302.69–$9,232.51 | $13,256.73–$23,081.27 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$114.36–$199.10 | $285.89–$497.75 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$175.62–$305.76 | $439.04–$764.41 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$1,080.75–$1,881.69 | $2,701.88–$4,704.23 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$192.46–$335.09 | $481.15–$837.73 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 5 matching MRF lines |
$185.83–$409.76 | $464.57–$1,024.39 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$118.44–$538.66 | $296.10–$1,346.64 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 7 matching MRF lines |
$142.95–$282.66 | $357.37–$706.66 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$171.02–$297.78 | $427.56–$744.44 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$408.92–$711.97 | $1,022.30–$1,779.92 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$227.18–$395.55 | $567.95–$988.88 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$370.12–$644.42 | $925.30–$1,611.05 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$251.17–$437.32 | $627.93–$1,093.31 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$164.90–$287.11 | $412.25–$717.77 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$167.45–$291.54 | $418.62–$728.86 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$515.10–$896.85 | $1,287.76–$2,242.13 | varies |
| X-ray IV pyelogram+tomography (74415) range across 3 matching MRF lines |
$467.63–$814.19 | $1,169.07–$2,035.47 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$175.62–$305.76 | $439.04–$764.41 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$159.79–$278.20 | $399.47–$695.51 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$229.74–$399.99 | $574.34–$999.98 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$210.84–$367.10 | $527.11–$917.75 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$317.54–$552.87 | $793.85–$1,382.17 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$240.45–$418.66 | $601.13–$1,046.64 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$142.95–$248.88 | $357.37–$622.20 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$209.82–$365.32 | $524.56–$913.31 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 5 matching MRF lines |
$147.03–$367.10 | $367.57–$917.75 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$309.38–$538.66 | $773.44–$1,346.64 | varies |
| X-Ray Stress View (77071) | $234.03 | $585.08 | 2.8× |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$208.29–$362.66 | $520.73–$906.66 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$467.63–$814.19 | $1,169.07–$2,035.47 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$205.74–$358.21 | $514.35–$895.52 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$429.86–$748.42 | $1,074.64–$1,871.05 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$258.32–$449.76 | $645.80–$1,124.40 | varies |
| Xr facial bones less than 3 views (70140) range across 5 matching MRF lines |
$129.16–$237.33 | $322.90–$593.33 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$375.92–$409.76 | $939.81–$1,024.39 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$250.66–$436.43 | $626.66–$1,091.07 | varies |
| Xr Tomogram Single Plane (76100) range across 3 matching MRF lines |
$236.37–$411.54 | $590.92–$1,028.85 | 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.