Imaging prices at Uchicago Medicine AdventHealth Bolingbrook

Bolingbrook, IL · every code in this section with a posted price and a Medicare benchmark.

308 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $1,900 $7,600 1.3×
Abdomen 1 View (74018) $112.50 $450 1.2×
Abdomen 2 views (74019) $100 $400 0.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $433.75 $1,735 1.0×
Angiography extremity bilateral rs&i (75716) $1,875 $7,500 0.6×
Angiography extremity unilateral rs&i (75710) $1,537.50 $6,150 0.5×
Angiography pulmonary unilateral slctv rs&i (75741) $1,537.50 $6,150 0.5×
Ankle 2 views (73600) $125 $500 1.3×
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Artery X-Rays Pelvis (75736)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Artery X-Rays Spine (75705)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Arthrogram hip (73525) $231.25 $925 0.6×
Arthrogram Wrist (73115) $231.25 $925 0.6×
Basic radiation dosimetry calculation (77300) $222.50 $890 1.5×
Bone age studies (77072) $87.50 $350 0.8×
Bone Imaging 3 Phase (78315) $433.75 $1,735 1.0×
Bone Imaging Limited Area (78300) $433.75 $1,735 1.0×
Bone Imaging Whole Body (78306) $687.50 $2,750 1.6×
Bone survey infant (77076) $127.50 $510 1.1×
Brain Image W/Flow < 4 Views (78601) $433.75 $1,735 1.0×
Cardiac MRI w/w/o contrast & further seq (75561) $325 $1,300 0.9×
Cerebrospinal Fluid Scan (78630) $575 $2,300 1.0×
Chest 1 view (71045) $125 $500 1.3×
Chest 2 views (71046) $137.50 $550 1.5×
Chest 3 views (71047) $137.50 $550 1.5×
Chest 4 or more views (71048) $175 $700 1.6×
Cholecystography Oral Contrast (74290) $175 $700 0.9×
Clavicle complete (73000) $125 $500 1.3×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $127.50 $510 1.1×
Continuing medical physics consltj pr wk (77336) $217.50 $870 1.5×
Contrast Exam Abdominl Aorta (75625) $1,875 $7,500 0.6×
Contrast X-Ray Bladder (74430) $231.25 $925 0.6×
Contrast X-Ray Of Knee Joint (73580) $231.25 $925 0.6×
Contrast Xray Throat/Cerv Esopha (74210) $175 $700 0.9×
CT abdomen and pelvis without and with contrast (74178) $1,575 $6,300 4.2×
CT abdomen and pelvis without contrast (74176) $1,300 $5,200 5.1×
CT abdomen w contrast (74160) $700 $2,800 3.7×
CT abdomen w wo contrast (74170) $750 $3,000 4.0×
CT abdomen w/o contrast (74150) $625 $2,500 5.6×
CT Angio Abdomen and Pelvis (74174) $1,375 $5,500 3.7×
CT Angio Chest (71275) $1,100 $4,400 5.9×
CT Angio Head (70496) $875 $3,500 4.7×
CT angio hrt w/3d image (75574) $1,150 $4,600 3.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $750 $3,000 4.0×
CT Angio Neck (70498) $875 $3,500 4.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $750 $3,000 4.0×
CT cervical spine w/ contrast (72126) $700 $2,800 1.9×
CT cervical spine w/o contrast (72125) $625 $2,500 5.6×
CT cervical spine w/wo cont (72127) $750 $3,000 4.0×
CT chest w contrast (71260) $700 $2,800 3.7×
CT chest w/wo contrast (71270) $750 $3,000 4.0×
CT head/brain with contrast (70460) $700 $2,800 3.7×
CT head/brain without and with contrast (70470) $750 $3,000 4.0×
CT heart contrast eval cardiac structure&morph (75572) $175 $700 0.5×
CT heart no contrast quant eval coronry calcium (75571) $18.75 $75 0.2×
CT iac w contrast (70481) $700 $2,800 3.7×
CT l-spine w&w/o contrast (72133) $750 $3,000 4.0×
CT lower ext w/o (73700) $625 $2,500 5.6×
CT lower extremity w/contrast material (73701) $700 $2,800 3.7×
CT lumbar spine w contrast (72132) $700 $2,800 1.9×
CT lumbar spine w/o contrast (72131) $625 $2,500 5.6×
CT maxillofacial w contrast (70487) $700 $2,800 3.7×
CT maxillofacial wo contrast (70486) $625 $2,500 5.6×
CT neck tissue combo (70492) $750 $3,000 4.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $750 $3,000 4.0×
CT orbits w/o contrast (70480) $625 $2,500 5.6×
CT pelvis w&w/o contrast (72194) $875 $3,500 4.7×
CT pelvis w/o contrast (72192) $625 $2,500 5.6×
CT scan of leg combo (73702) $750 $3,000 4.0×
CT soft tissue neck w contrast (70491) $700 $2,800 3.7×
CT soft tissue neck w/o contrast (70490) $625 $2,500 5.6×
CT thoracic spine w contrast (72129) $700 $2,800 3.7×
CT thoracic spine w/o contrast (72128) $625 $2,500 5.6×
CT thorax w/o contrast (71250) $625 $2,500 5.6×
CT upper ext wo (73200) $625 $2,500 5.6×
CT upper extremity with contrast (73201) $700 $2,800 1.9×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $700 $2,800 3.7×
Cta Abdomen (74175) $700 $2,800 3.7×
CTA pelvis (72191) $750 $3,000 4.0×
Doppler Fetal Mid Cerebral Artery (76821) $127.50 $510 1.1×
Dxa Bone Density Axial (77080) $175 $700 1.6×
Dxa bone density study (77085) $92.50 $370 0.8×
Dxa bone density study 1/>sites appendiclr skel (77081) $87.50 $350 0.9×
Echo exam of fetal heart (76825) $375 $1,500 0.6×
Echo exam uterus (76831) $225 $900 0.9×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $193.75 $775 0.8×
Esophagram (74220) $175 $700 0.9×
Fetal Biophys Profile W/Nst (76818) $175 $700 1.6×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $150 $600 1.3×
Fluoroscopy up to 1 hr (76000) $125 $500 0.5×
Follow-Up Angiography (75898) $1,875 $7,500 0.6×
Foot 2 views (73620) $125 $500 1.3×
Forearm 2 views (73090) $125 $500 1.3×
Gastric emptying imaging study (78264) $433.75 $1,735 1.0×
Gated Heart Planar Single (78472) $433.75 $1,735 1.0×
Gated Heart, Multiple (78473) $433.75 $1,735 1.0×
Hand 2 views (73120) $112.50 $450 1.0×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $650 $2,600 0.9×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $650 $2,600 0.9×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $1,875 $7,500 0.6×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $1,875 $7,500 0.6×
Hepatobil Syst Image W/Drug (78227) $500 $2,000 0.9×
Hepatobiliary System Imaging (78226) $433.75 $1,735 1.0×
Ht Muscle Image Spect Sing (78451) $643.75 $2,575 0.5×
Hysterosalpingogram (74740) $300 $1,200 1.2×
Infant hip ultrasound with hip movement (dynamic) (76885) $187.50 $750 2.0×
K Flow/Funct Image Multiple (78709) $575 $2,300 1.0×
K Flow/Funct Image W/Drug (78708) $575 $2,300 1.0×
K Flow/Funct Image W/O Drug (78707) $575 $2,300 1.0×
Knee 3 Views (73562) $137.50 $550 1.5×
Lung Ventilat&Perfus Imaging (78582) $575 $2,300 1.0×
Lymph System Imaging (78195) $500 $2,000 0.9×
Magnetic Image Jaw Joint (70336) $750 $3,000 2.9×
Meckels Divert Exam (78290) $433.75 $1,735 1.0×
Mlc imrt design & construction per imrt plan (77338) $350 $1,400 0.9×
Mra Head W/O & W/Contrast Material (70546) $1,250 $5,000 3.3×
MRA head w/o contrast (70544) $950 $3,800 3.7×
MRA head with contrast (70545) $1,050 $4,200 2.8×
MRA neck w contrast (70548) $1,050 $4,200 2.8×
Mra Neck W/O &W/Contrast Material (70549) $1,250 $5,000 3.3×
MRA neck w/o contrast (70547) $950 $3,800 3.7×
MRI abdomen w contrast (74182) $1,050 $4,200 2.8×
MRI abdomen w/o contrast (74181) $950 $3,800 3.7×
MRI any jt lower extrem w/contrast material (73722) $1,050 $4,200 1.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,050 $4,200 2.8×
MRI any jt upper extremity w/contrast matrl (73222) $1,050 $4,200 1.2×
MRI Breast W/O Contrast Bilateral (77047) $900 $3,600 3.5×
MRI cardiac w/o contrast (75557) $150 $600 0.6×
MRI cervical spine w contrast (72142) $1,050 $4,200 2.8×
MRI cervical spine w/o cont (72141) $950 $3,800 3.7×
MRI chest w/o contrast (71550) $950 $3,800 3.7×
MRI chest wo w contrast (71552) $1,250 $5,000 3.3×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,050 $4,200 2.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,050 $4,200 2.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $950 $3,800 3.7×
MRI lumbar spine w contrast (72149) $1,350 $5,400 3.6×
Mri Neck Spine W/O & W/Dye (72156) $1,350 $5,400 3.6×
MRI orbit face &/neck w/o contrast (70540) $950 $3,800 3.7×
MRI orbit face neck w contrast (70542) $1,050 $4,200 2.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,250 $5,000 3.3×
MRI pelvis w contrast (72196) $1,050 $4,200 2.8×
MRI pelvis w/o & w contrast (72197) $1,350 $5,400 3.6×
MRI pelvis w/o contrast (72195) $950 $3,800 3.7×
MRI thoracic spine w/o contrast (72146) $950 $3,800 3.7×
MRI upper extremity oth than jt w/contr matrl (73219) $1,050 $4,200 2.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $950 $3,800 3.7×
Mri Uppr Extremity W/O&W/Dye (73220) $1,350 $5,400 3.6×
MRI, abdomen, combo (74183) $1,350 $5,400 3.6×
MRI, dorsal spine combo (72157) $1,350 $5,400 3.6×
MRI, dorsal spine contrast (72147) $1,050 $4,200 2.8×
MRI, joint upper extrem (73221) $950 $3,800 3.7×
MRI, joint upper extrem combo (73223) $1,350 $5,400 3.6×
MRI, lumbar spine combo (72158) $1,350 $5,400 3.6×
Myelogram cervical (72240) $450 $1,800 0.5×
Myocardial Spect Multiple Studies (78452) $1,625 $6,500 1.2×
N-invas est c ffr sw aly CTA (75580) $650 $2,600 0.7×
Neck soft tissue (70360) $125 $500 1.3×
Nonvascular Shunt X-Ray (75809) $112.50 $450 1.0×
Ntsty modul radthx pln dose-vol histos (77301) $1,725 $6,900 1.2×
Nuclear Rx Intra-Arterial (79445) $290 $1,160 1.2×
Nuclear Rx Oral Admin (79005) $290 $1,160 1.2×
Ob us nuchal meas 1 gest (76813) $150 $600 1.3×
Panoramic X-ray of jaws (70355) $125 $500 1.3×
Parathyroid Planar Imaging (78070) $433.75 $1,735 1.0×
Parathyroid planar imaging w/wo subtraction (78071) $433.75 $1,735 1.0×
Pelvis 1 or 2 views (72170) $112.50 $450 1.0×
Peritoneogram Rs&I (74190) $325 $1,300 0.6×
PET image w/CT, full body (78816) $1,621.25 $6,485 1.1×
PET imaging CT attenuation skull base mid-thigh (78815) $1,621.25 $6,485 1.1×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $1,875 $7,500 0.6×
Pulmonary Perfusion Imaging Particulate (78580) $433.75 $1,735 1.0×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $127.50 $510 1.1×
Radex abscess/fistula/sinus tract rs&i (76080) $325 $1,300 0.6×
Radex Ankle Complete Minimum 3 Views (73610) $137.50 $550 1.5×
Radex Calcaneus Minimum 2 Views (73650) $125 $500 1.3×
Radex elbow complete minimum 3 views (73080) $137.50 $550 1.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $127.50 $510 1.1×
Radex fingr minimum 2 views (73140) $125 $500 1.3×
Radex foot complete minimum 3 views (73630) $137.50 $550 1.5×
Radex Hand Minimum 3 Views (73130) $137.50 $550 1.5×
Radex lower extremity infant minimum 2 views (73592) $125 $500 1.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $125 $500 1.3×
Radex Ribs Unilateral 2 Views (71100) $125 $500 1.3×
Radex shoulder complete minimum 2 views (73030) $137.50 $550 1.5×
Radex Sinuses Paransl < 3 Views (70210)
range across 2 matching MRF lines		 $87.50–$125 $350–$500 varies
Radex Spine 1 View Specify Level (72020) $87.50 $350 0.9×
Radex Sternum Minimum 2 Views (71120) $125 $500 1.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $125 $500 1.3×
Radex Toe Minimum 2 Views (73660) $125 $500 1.3×
Radex upper extremity infant minimum 2 views (73092) $112.50 $450 1.0×
Radex Wrist Complete Minimum 3 Views (73110) $137.50 $550 1.5×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $175 $700 1.6×
Radiation treatment delivery level 1 (77402) $72.50 $290 0.7×
Radiation treatment delivery level 3 (77412) $300 $1,200 0.5×
Radiolog exam mandible compl minimum 4 views (70110) $175 $700 1.6×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $127.50 $510 1.1×
Radiologic exam colon double contrast study (74280) $200 $800 1.1×
Radiologic exam colon single contrast study (74270) $175 $700 0.9×
Radiologic exam knee complete 4/more views (73564) $162.50 $650 1.5×
Radiologic exam pelvis compl minimum 3 views (72190) $127.50 $510 1.1×
Radiologic Exam Small Int Single Contrast Study (74250) $175 $700 0.9×
Radiologic exam swallow function contrast study (74230) $175 $700 0.9×
Radiologic exam upr gi trc double contrast study (74246) $200 $800 1.1×
Radiologic examination femur 1 view (73551) $87.50 $350 0.9×
Radiologic examination femur minimum 2 views (73552) $125 $500 1.3×
Radiologic examination knee 1/2 views (73560) $125 $500 1.3×
Radiologic Examination Osseous Survey Limited (77074) $87.50 $350 0.8×
Radiologic examination tibia & fibula 2 views (73590) $125 $500 1.3×
Ribs bilateral 3 views (71110) $175 $700 1.6×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $643.75 $2,575 1.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $643.75 $2,575 1.1×
Scapula (73010) $127.50 $510 1.1×
Screening Digital Breast Tomosynthesis Bi (77063) $70 $280 3.0×
Shoulder 1 view (73020) $87.50 $350 0.9×
Shoulder Arthrography (73040) $231.25 $925 0.6×
Skull less than 4 views (70250) $127.50 $510 1.1×
Special dosimetry (77331) $222.50 $890 1.5×
Special Physics Consult (77370) $275 $1,100 1.9×
Special teletherapy port plan (77321) $350 $1,400 0.9×
Special treatment procedure (77470) $525 $2,100 0.9×
Stereotactic Body Radiation Delivery (77373) $1,875 $7,500 1.0×
Sternoclavicular joints (71130) $125 $500 1.3×
Tbs technical calculation only (77091) $57.50 $230 0.6×
Telethx isodose pln cplx w/basic dosimetry (77307) $500 $2,000 1.2×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $950 $3,800 2.4×
Ther rad simulaj-aided field setting simple (77280) $475 $1,900 3.3×
Thoracic spine 2 views (72070) $127.50 $510 1.1×
Thoracic spine 3 views (72072) $150 $600 1.3×
Thoracolumbar 2 views (72080) $125 $500 1.3×
Thyroid Met Imaging Body (78018) $500 $2,000 0.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $433.75 $1,735 1.0×
Tx Devices Design & Construction Complex (77334) $500 $2,000 1.2×
Tx devices design & construction intermediate (77333) $275 $1,100 1.9×
Tx devices design & construction simple (77332) $222.50 $890 1.5×
Ultrasound Breast Limited (76642) $150 $600 1.6×
Ultrasound Elastography Parenchyma (76981) $150 $600 1.3×
Ultrasound Exam Aaa Screen (76706) $127.50 $510 1.1×
Ultrasound, abdomen limited (76705) $375 $1,500 3.3×
Umbilical-artery Doppler (OB) (76820) $162.50 $650 1.5×
Upper gi w/o kub (74240) $175 $700 0.9×
Urethrocystogram voiding (74455) $300 $1,200 1.2×
Urethrocystography retrograde (74450) $300 $1,200 1.2×
Us breast unilateral complete (76641) $175 $700 1.6×
Us chest (76604) $175 $700 1.6×
Us complete joint (76881) $250 $1,000 2.2×
Us exam, pelvic, limited (76857) $127.50 $510 1.1×
Us head (76506) $175 $700 1.6×
Us kidney transplant (76776) $275 $1,100 2.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $127.50 $510 1.1×
Us ob detailed single fetus (76811) $375 $1,500 1.5×
Us ob limited 1 or more fetuses (76815) $275 $1,100 2.5×
Us ob transvaginal (76817) $250 $1,000 2.2×
Us pelvic non ob complete (76856) $387.50 $1,550 3.5×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $200 $800 1.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $212.50 $850 1.9×
Us retroperitoneal complete (76770) $350 $1,400 3.1×
Us retroperitoneal limited (76775) $243.75 $975 2.2×
Us scrotum and contents (76870) $337.50 $1,350 3.0×
Us spinal canal and contents (76800) $175 $700 1.6×
Us thyroid (76536) $331.25 $1,325 3.0×
Vein X-Ray Chest (75827) $625 $2,500 0.4×
Venogram Sinus/Jugular (75860) $1,875 $7,500 0.6×
Venography caval inferior serialography rs&i (75825) $1,875 $7,500 0.6×
Venography extremity bilateral rs&i (75822) $625 $2,500 0.4×
Venography extremity unilateral rs&i (75820) $625 $2,500 0.4×
Venography Renal Bilateral (75833) $1,875 $7,500 0.6×
Venography Renal Unilateral (75831) $1,537.50 $6,150 0.5×
Vertebral fracture assessment via dxa (77086) $125 $500 1.3×
Wrist 2 views (73100) $125 $500 1.3×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $125 $500 1.3×
X-ray antegrade pyelogram tube (74425) $231.25 $925 0.6×
X-Ray Aorta Leg Arteries (75630) $1,875 $7,500 0.6×
X-Ray Bend Only L-S Spine (72120) $112.50 $450 1.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $125 $500 1.3×
X-Ray Exam Breast Specimen (76098) $325 $1,300 0.6×
X-Ray Exam Entire Spi 1 Vw (72081) $87.50 $350 0.9×
X-Ray Exam Entire Spi 2/3 Vw (72082) $127.50 $510 1.1×
X-Ray Exam Entire Spi 4/5 Vw (72083) $150 $600 1.3×
X-Ray Exam Hip Uni 1 View (73501) $87.50 $350 0.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $125 $500 1.3×
X-Ray Exam Hip Uni 4/> Views (73503) $175 $700 1.6×
X-Ray Exam Hips Bi 2 Views (73521) $127.50 $510 1.1×
X-Ray Exam Hips Bi 3-4 Views (73522) $127.50 $510 1.1×
X-Ray Exam Hips Bi 5/> Views (73523) $175 $700 1.6×
X-Ray Exam L-S Spine Bending (72114) $175 $700 1.6×
X-Ray Exam Neck Spine 2-3 Vw (72040) $187.50 $750 2.0×
X-Ray Exam Neck Spine 6/>Vws (72052) $275 $1,100 2.5×
X-Ray Exam Unilat Ribs/Chest (71101) $175 $700 1.6×
X-ray eye for foreign body (70030) $87.50 $350 0.9×
X-ray humerus (73060) $125 $500 1.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $87.50 $350 0.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $187.50 $750 2.0×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $127.50 $510 1.1×
X-ray nose-rectum child f.b. (76010) $87.50 $350 0.9×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $175 $700 1.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $127.50 $510 1.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $112.50 $450 1.0×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $125 $500 1.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $125 $500 1.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $175 $700 1.6×
X-ray thoracic spine 4 vw (72074) $175 $700 1.6×
X-Ray Tmj Unilat (70328) $87.50 $350 0.9×
X-Ray Urinary Tract Exam With Contrast Material (74420) $231.25 $925 0.6×
X-Rays Bone Length Studies (77073) $87.50 $350 0.8×
X-Rays Bone Survey Complete (77075) $127.50 $510 1.1×
Xr c-spine 4 or 5 views (72050) $175 $700 1.6×
Xr facial bones less than 3 views (70140) $87.50 $350 0.9×
Xr orbits complete 4 views (70200) $175 $700 1.6×

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.