Imaging prices at Wabash General Hospital 1
Mount Carmel, IL · every code in this section with a posted price and a Medicare benchmark.
253 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 |
$358.27–$380.09 | $358.27–$380.09 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$458.90–$486.85 | $458.90–$486.85 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,123.98 | $2,123.98 | 5.0× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$157.73–$313.60 | $157.73–$313.60 | varies |
| Arthrogram ankle (73615) | $1,254.60 | $1,254.60 | 3.4× |
| Arthrogram hip (73525) | $1,254.60 | $1,254.60 | 3.4× |
| Arthrogram Wrist (73115) | $1,254.60 | $1,254.60 | 3.4× |
| Bone age studies (77072) range across 2 matching MRF lines |
$157.73–$353.16 | $157.73–$353.16 | varies |
| Bone Imaging 3 Phase (78315) | $2,086.79 | $2,086.79 | 4.9× |
| Bone Imaging Limited Area (78300) | $1,528.80 | $1,528.80 | 3.6× |
| Bone Imaging Multiple Areas (78305) | $1,742.36 | $1,742.36 | 4.1× |
| Bone Imaging Whole Body (78306) | $1,923.32 | $1,923.32 | 4.5× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$157.73–$281.72 | $157.73–$281.72 | varies |
| Cat Scan Follow-Up Study (76380) | $722.40 | $722.40 | 7.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$321.73–$341.32 | $321.73–$341.32 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$383.29–$406.63 | $383.29–$406.63 | varies |
| Chest 3 views (71047) | $745.03 | $745.03 | 8.0× |
| Chest 4 or more views (71048) | $745.03 | $745.03 | 6.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$157.73–$532.94 | $157.73–$532.94 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,408.59 | $2,408.59 | 21.5× |
| Contrast X-Ray Bladder (74430) | $375.18 | $375.18 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $1,254.60 | $1,254.60 | 3.4× |
| Contrast X-Ray Of Knee Joint (73580) | $1,254.60 | $1,254.60 | 3.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $219.68 | $219.68 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $6,584.39 | $6,584.39 | 17.6× |
| CT abdomen and pelvis without contrast (74176) | $4,731.07 | $4,731.07 | 18.5× |
| CT abdomen w contrast (74160) | $2,752.34 | $2,752.34 | 14.6× |
| CT abdomen w wo contrast (74170) | $3,332.83 | $3,332.83 | 17.7× |
| CT abdomen w/o contrast (74150) | $2,357.45 | $2,357.45 | 21.0× |
| CT Angio Abdomen and Pelvis (74174) | $6,580.67 | $6,580.67 | 17.6× |
| CT Angio Chest (71275) | $3,270.37 | $3,270.37 | 17.4× |
| CT Angio Head (70496) | $2,754.10 | $2,754.10 | 14.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,954.85 | $2,954.85 | 15.7× |
| CT Angio Neck (70498) | $2,783.81 | $2,783.81 | 14.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,773.78 | $2,773.78 | 14.8× |
| CT cervical spine w/ contrast (72126) | $2,801.93 | $2,801.93 | 7.5× |
| CT cervical spine w/o contrast (72125) | $3,270.37 | $3,270.37 | 29.2× |
| CT cervical spine w/wo cont (72127) | $3,386.42 | $3,386.42 | 18.0× |
| CT chest w contrast (71260) | $2,811.42 | $2,811.42 | 15.0× |
| CT chest w/wo contrast (71270) | $3,433.90 | $3,433.90 | 18.3× |
| CT head/brain with contrast (70460) | $2,347.22 | $2,347.22 | 12.5× |
| CT head/brain without and with contrast (70470) | $2,891.80 | $2,891.80 | 15.4× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,422.84–$2,423.15 | $2,422.84–$2,423.15 | varies |
| CT l-spine w&w/o contrast (72133) | $3,389.36 | $3,389.36 | 18.0× |
| CT lower ext w/o (73700) | $2,068.14 | $2,068.14 | 18.5× |
| CT lower extremity w/contrast material (73701) | $2,337.70 | $2,337.70 | 12.4× |
| CT lumbar spine w contrast (72132) | $2,801.93 | $2,801.93 | 7.5× |
| CT lumbar spine w/o contrast (72131) | $2,470.44 | $2,470.44 | 22.1× |
| CT maxillofacial w contrast (70487) | $2,019.18 | $2,019.18 | 10.7× |
| CT maxillofacial wo contrast (70486) | $2,019.18 | $2,019.18 | 18.0× |
| CT neck tissue combo (70492) | $2,922.99 | $2,922.99 | 15.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,906.59 | $2,906.59 | 15.5× |
| CT orbits w/o contrast (70480) | $2,082.38 | $2,082.38 | 18.6× |
| CT pelvis w&w/o contrast (72194) | $3,250.44 | $3,250.44 | 17.3× |
| CT pelvis w/o contrast (72192) | $2,373.65 | $2,373.65 | 21.2× |
| CT scan of leg combo (73702) | $2,912.46 | $2,912.46 | 15.5× |
| CT scans face/jaw combo (70488) | $2,899.31 | $2,899.31 | 15.4× |
| CT soft tissue neck w contrast (70491) | $2,464.79 | $2,464.79 | 13.1× |
| CT soft tissue neck w/o contrast (70490) | $2,146.50 | $2,146.50 | 19.2× |
| CT thoracic spine w contrast (72129) | $2,801.93 | $2,801.93 | 14.9× |
| CT thoracic spine w/o contrast (72128) | $2,408.59 | $2,408.59 | 21.5× |
| CT thoracic spine w/wo cont (72130) | $3,386.42 | $3,386.42 | 18.0× |
| CT thorax w/o contrast (71250) | $2,408.59 | $2,408.59 | 21.5× |
| CT upper ext wo (73200) | $2,167.96 | $2,167.96 | 19.4× |
| CT upper extremity w/o & w/contrast material (73202) | $3,102.61 | $3,102.61 | 16.5× |
| CT upper extremity with contrast (73201) | $2,408.59 | $2,408.59 | 6.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,627.89 | $4,627.89 | 24.6× |
| Cta Abdomen (74175) | $3,174.13 | $3,174.13 | 16.9× |
| CTA pelvis (72191) | $3,095.64 | $3,095.64 | 16.5× |
| Dxa Bone Density Axial (77080) | $714.09 | $714.09 | 6.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $25.45 | $25.45 | 0.3× |
| Esophagram (74220) | $603.95 | $603.95 | 3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$676.31–$1,176.48 | $676.31–$1,176.48 | varies |
| Fluoroscopy up to 1 hr (76000) | $621.68 | $621.68 | 2.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$157.73–$313.60 | $157.73–$313.60 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$157.73–$334.37 | $157.73–$334.37 | varies |
| Gastric emptying imaging study (78264) | $1,763.25 | $1,763.25 | 4.1× |
| Gastroesophageal Reflux Exam (78262) | $1,763.25 | $1,763.25 | 4.1× |
| Gated Heart Planar Single (78472) | $3,494.21 | $3,494.21 | 8.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$157.73–$315.17 | $157.73–$315.17 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,553.37 | $1,553.37 | 2.7× |
| Hepatobiliary System Imaging (78226) | $776.67 | $776.67 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $1,318.43 | $1,318.43 | 1.0× |
| Hysterosalpingogram (74740) | $659.29 | $659.29 | 2.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $824.62 | $824.62 | 8.8× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$297.07–$315.16 | $297.07–$315.16 | varies |
| K Flow/Funct Image Multiple (78709) | $3,389.62 | $3,389.62 | 5.8× |
| K Flow/Funct Image W/Drug (78708) | $2,069.70 | $2,069.70 | 3.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,654.78 | $1,654.78 | 2.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$157.73–$390.83 | $157.73–$390.83 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $2,326.18 | $2,326.18 | 4.0× |
| Lung Ventilation Imaging (78579) | $553.40 | $553.40 | 1.3× |
| Lymph System Imaging (78195) | $858.86 | $858.86 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $4,057.99 | $4,057.99 | 15.9× |
| Meckels Divert Exam (78290) | $1,357.16 | $1,357.16 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $5,045.46 | $5,045.46 | 13.5× |
| MRA head w/o contrast (70544) | $3,474.16 | $3,474.16 | 13.6× |
| MRA head with contrast (70545) | $3,769.81 | $3,769.81 | 10.1× |
| MRA neck w contrast (70548) | $3,769.81 | $3,769.81 | 10.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,213.29 | $4,213.29 | 11.3× |
| MRA neck w/o contrast (70547) | $3,474.16 | $3,474.16 | 13.6× |
| MRI abdomen w contrast (74182) | $3,700.99 | $3,700.99 | 9.9× |
| MRI abdomen w/o contrast (74181) | $3,405.38 | $3,405.38 | 13.3× |
| MRI any jt lower extrem w/contrast material (73722) | $4,353.63 | $4,353.63 | 5.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,679.64 | $5,679.64 | 15.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,353.63 | $4,353.63 | 5.2× |
| MRI bone marrow blood supply (77084) | $4,144.51 | $4,144.51 | 16.2× |
| MRI cervical spine w contrast (72142) | $4,973.73 | $4,973.73 | 13.3× |
| MRI cervical spine w/o cont (72141) | $4,144.51 | $4,144.51 | 16.2× |
| MRI chest w/o contrast (71550) | $3,405.38 | $3,405.38 | 13.3× |
| MRI chest with contrast (71551) | $3,700.99 | $3,700.99 | 4.4× |
| MRI chest wo w contrast (71552) | $4,144.51 | $4,144.51 | 11.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,391.08 | $4,391.08 | 11.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,834.56 | $4,834.56 | 12.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,095.42 | $4,095.42 | 16.0× |
| MRI lumbar spine w contrast (72149) | $4,912.20 | $4,912.20 | 13.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,679.64 | $5,679.64 | 15.2× |
| MRI orbit face &/neck w/o contrast (70540) | $4,095.42 | $4,095.42 | 16.0× |
| MRI orbit face neck w contrast (70542) | $4,391.08 | $4,391.08 | 11.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,468.53 | $4,468.53 | 12.0× |
| MRI pelvis w contrast (72196) | $3,700.99 | $3,700.99 | 9.9× |
| MRI pelvis w/o & w contrast (72197) | $4,144.51 | $4,144.51 | 11.1× |
| MRI pelvis w/o contrast (72195) | $3,405.38 | $3,405.38 | 13.3× |
| MRI thoracic spine w/o contrast (72146) | $4,523.02 | $4,523.02 | 17.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,799.85 | $3,799.85 | 10.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,799.85 | $3,799.85 | 14.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,538.93 | $4,538.93 | 12.1× |
| MRI, abdomen, combo (74183) | $4,144.51 | $4,144.51 | 11.1× |
| MRI, dorsal spine combo (72157) | $5,679.75 | $5,679.75 | 15.2× |
| MRI, dorsal spine contrast (72147) | $4,973.73 | $4,973.73 | 13.3× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,825.05–$4,057.99 | $3,825.05–$4,057.99 | varies |
| MRI, joint upper extrem combo (73223) | $5,092.75 | $5,092.75 | 13.6× |
| MRI, lumbar spine combo (72158) | $5,679.64 | $5,679.64 | 15.2× |
| Myelogram cervical (72240) | $2,236.66 | $2,236.66 | 2.7× |
| Myelogram Lumbar (72265) | $2,578.09 | $2,578.09 | 3.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,185.80 | $1,185.80 | 2.8× |
| Myocardial Spect Multiple Studies (78452) | $2,636.84 | $2,636.84 | 1.9× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$338.70–$359.33 | $338.70–$359.33 | varies |
| Nm whole blood volume (78122) | $1,015.65 | $1,015.65 | 1.7× |
| Parathyroid Planar Imaging (78070) | $1,403.29 | $1,403.29 | 3.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,012.64 | $1,012.64 | 2.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$157.73–$383.63 | $157.73–$383.63 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,572.79 | $1,572.79 | 3.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$621.19–$685.38 | $621.19–$685.38 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $451.24 | $451.24 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$157.73–$379.84 | $157.73–$379.84 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$157.73–$341.14 | $157.73–$341.14 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$157.73–$377.36 | $157.73–$377.36 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$157.73–$569.75 | $157.73–$569.75 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$157.73–$315.17 | $157.73–$315.17 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$157.73–$390.38 | $157.73–$390.38 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$157.73–$346.70 | $157.73–$346.70 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$157.73–$334.37 | $157.73–$334.37 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $378.90 | $378.90 | 3.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$157.73–$569.75 | $157.73–$569.75 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$157.73–$344.92 | $157.73–$344.92 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$157.73–$511.51 | $157.73–$511.51 | varies |
| Radex Spine 1 View Specify Level (72020) | $275.60 | $275.60 | 3.0× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$395.97–$420.09 | $395.97–$420.09 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $526.80 | $526.80 | 5.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$157.73–$293.91 | $157.73–$293.91 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $334.37 | $334.37 | 3.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$157.73–$352.98 | $157.73–$352.98 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$565.97–$624.46 | $565.97–$624.46 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $486.85 | $486.85 | 4.3× |
| Radiologic exam colon double contrast study (74280) | $1,351.65 | $1,351.65 | 7.2× |
| Radiologic exam colon single contrast study (74270) | $1,025.23 | $1,025.23 | 5.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $747.07 | $747.07 | 4.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$157.73–$514.19 | $157.73–$514.19 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$157.73–$538.98 | $157.73–$538.98 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $690.16 | $690.16 | 3.7× |
| Radiologic exam swallow function contrast study (74230) | $615.93 | $615.93 | 3.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $969.61 | $969.61 | 5.2× |
| Radiologic examination femur 1 view (73551) | $219.11 | $219.11 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$157.73–$377 | $157.73–$377 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$157.73–$315.30 | $157.73–$315.30 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$157.73–$551.66 | $157.73–$551.66 | varies |
| Renal Cyst Study (74470) | $659.29 | $659.29 | 1.1× |
| Ribs bilateral 3 views (71110) | $817.67 | $817.67 | 7.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,467.89 | $1,467.89 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,123.87 | $2,123.87 | 3.7× |
| Scapula (73010) range across 3 matching MRF lines |
$157.73–$355.29 | $157.73–$355.29 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $96.38 | $96.38 | 4.1× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$157.73–$405.48 | $157.73–$405.48 | varies |
| Shoulder Arthrography (73040) | $1,254.60 | $1,254.60 | 3.4× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$157.73–$333.25 | $157.73–$333.25 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$157.73–$420.09 | $157.73–$420.09 | varies |
| Testicular Imaging W/Flow (78761) | $1,223.62 | $1,223.62 | 2.9× |
| Thoracic spine 2 views (72070) | $397.84 | $397.84 | 3.6× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$474.82–$523.88 | $474.82–$523.88 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$157.73–$399.92 | $157.73–$399.92 | varies |
| Thyroid Met Imaging Body (78018) | $755.41 | $755.41 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,400.17 | $1,400.17 | 3.3× |
| Ultrasound Breast Limited (76642) | $329.13 | $329.13 | 3.5× |
| Ultrasound Elastography Parenchyma (76981) | $265.85 | $265.85 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) | $1,181.62 | $1,181.62 | 10.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$841–$927.92 | $841–$927.92 | varies |
| Unlisted us procedure (76999) | $815.84 | $815.84 | 8.7× |
| Upper gi w/o kub (74240) | $969.38 | $969.38 | 5.2× |
| Urethrocystogram voiding (74455) | $611.40 | $611.40 | 2.4× |
| Urethrocystography retrograde (74450) | $556.49 | $556.49 | 2.2× |
| Us breast unilateral complete (76641) | $608.24 | $608.24 | 5.4× |
| Us chest (76604) | $632.87 | $632.87 | 5.6× |
| Us complete joint (76881) | $927.92 | $927.92 | 8.3× |
| Us exam, pelvic, limited (76857) | $163.33 | $163.33 | 1.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $815.84 | $815.84 | 7.3× |
| Us ob limited 1 or more fetuses (76815) | $844.04 | $844.04 | 7.5× |
| Us ob transvaginal (76817) | $844.04 | $844.04 | 7.5× |
| Us pelvic non ob complete (76856) | $786.48 | $786.48 | 7.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $844.04 | $844.04 | 7.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $844.04 | $844.04 | 7.5× |
| Us retroperitoneal complete (76770) | $927.92 | $927.92 | 8.3× |
| Us retroperitoneal limited (76775) | $489 | $489 | 4.4× |
| Us scrotum and contents (76870) | $836.26 | $836.26 | 7.5× |
| Us spinal canal and contents (76800) | $824.62 | $824.62 | 7.4× |
| Us thyroid (76536) | $819.85 | $819.85 | 7.3× |
| Venography extremity bilateral rs&i (75822) | $1,102.73 | $1,102.73 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $1,116.58 | $1,116.58 | 0.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$157.73–$273.03 | $157.73–$273.03 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$157.73–$236.06 | $157.73–$236.06 | varies |
| X-ray antegrade pyelogram tube (74425) | $540.28 | $540.28 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$261.64–$277.15 | $261.64–$277.15 | varies |
| X-Ray Exam Breast Specimen (76098) | $315.08 | $315.08 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$415.63–$458.59 | $415.63–$458.59 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$157.73–$525.73 | $157.73–$525.73 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$157.73–$228.51 | $157.73–$228.51 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$249.53–$834.53 | $249.53–$834.53 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$151.66–$804.20 | $151.66–$804.20 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$157.73–$804.20 | $157.73–$804.20 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$716.38–$760.01 | $716.38–$760.01 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$370.27–$392.82 | $370.27–$392.82 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$654.56–$694.43 | $654.56–$694.43 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$657.58–$697.63 | $657.58–$697.63 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$156.25–$165.77 | $156.25–$165.77 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$157.73–$330.22 | $157.73–$330.22 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,168.01 | $1,168.01 | 6.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$157.73–$390.83 | $157.73–$390.83 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$399.61–$423.95 | $399.61–$423.95 | varies |
| X-ray nose-rectum child f.b. (76010) | $137.45 | $137.45 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$157.73–$1,158.93 | $157.73–$1,158.93 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$209.50–$294.91 | $209.50–$294.91 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$157.73–$316.53 | $157.73–$316.53 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$157.73–$406.73 | $157.73–$406.73 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$216.45–$584.53 | $216.45–$584.53 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $593.68 | $593.68 | 5.3× |
| X-Ray Stress View (77071) | $315.80 | $315.80 | 3.4× |
| X-ray thoracic spine 4 vw (72074) | $212.68 | $212.68 | 1.9× |
| X-Ray Tmj Unilat (70328) | $183.89 | $183.89 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $633.85 | $633.85 | 1.7× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$254.96–$271.78 | $254.96–$271.78 | varies |
| X-Rays Bone Survey Complete (77075) | $1,339.46 | $1,339.46 | 12.0× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$522.22–$576.18 | $522.22–$576.18 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$566.42–$624.95 | $566.42–$624.95 | 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.