Imaging prices at White Mountain Regional Medical Center
Springerville, AZ · every code in this section with a posted price and a Medicare benchmark.
206 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 |
$63.97–$179.84 | $112.23–$315.50 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$62.47–$251.50 | $109.59–$441.23 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$53.87–$210.03 | $94.50–$368.48 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$36.97–$205.77 | $64.86–$361 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$527.93–$1,275.23 | $926.19–$2,237.25 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$344.57–$818.52 | $604.50–$1,436 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$415.75–$839.61 | $729.39–$1,473 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$449.10–$1,187.31 | $787.89–$2,083 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$43.74–$188.67 | $76.74–$331 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$56.81–$220.02 | $99.66–$386 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$54.38–$214.32 | $95.40–$376 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$60.92–$235.74 | $106.88–$413.58 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$583.59–$2,793 | $1,023.84–$4,900 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$314.18–$1,981.32 | $551.19–$3,476 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$399.66–$1,459.20 | $701.16–$2,560 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$449.25–$1,720.26 | $788.16–$3,018 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$234.30–$1,184.45 | $411.06–$2,077.99 | varies |
| CT Angio Abdomen and Pelvis (74174) | $651.92 | $1,143.72 | 1.8× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$482.31–$1,741.92 | $846.15–$3,056 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$472.85–$1,681.96 | $829.56–$2,950.80 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$553.33–$1,688.91 | $970.76–$2,963 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$472.28–$1,659.84 | $828.57–$2,912 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$146.56–$1,532.79 | $257.13–$2,689.10 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$172.27–$243.11 | $302.22–$426.50 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$289.23–$1,425 | $507.42–$2,500 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$223–$1,296.24 | $391.23–$2,274.10 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$338.61–$1,766.43 | $594.06–$3,099 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$286.36–$1,461.48 | $502.38–$2,564 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$336.44–$1,726.48 | $590.25–$3,028.92 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$254.19–$1,243.17 | $445.95–$2,181 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$297.56–$1,512.21 | $522.03–$2,653 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$309.63–$1,362.30 | $543.21–$2,390 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$339.18–$1,814.31 | $595.05–$3,183 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$221.89–$1,122.33 | $389.28–$1,969 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$285.81–$1,326.39 | $501.42–$2,327 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$289.78–$1,492.26 | $508.38–$2,618 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$221.34–$1,285.35 | $388.32–$2,255 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$260.79–$1,366.86 | $457.53–$2,398 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$259.24–$1,106.42 | $454.80–$1,941.08 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$379–$1,543.56 | $664.92–$2,708 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$361.37–$1,464.33 | $633.99–$2,569 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$272.59–$1,137.55 | $478.23–$1,995.70 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$432.97–$1,621.79 | $759.60–$2,845.25 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$228.06–$1,173.20 | $400.11–$2,058.25 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$334.73–$1,556.10 | $587.25–$2,730 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$338.30–$1,561.23 | $593.50–$2,739 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$316.03–$1,389.09 | $554.43–$2,437 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$257.12–$11,146.35 | $451.08–$19,555 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$291.37–$1,412.46 | $511.17–$2,478 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$222.45–$1,251.49 | $390.27–$2,195.59 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$340.84–$1,682.15 | $597.96–$2,951.14 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$228.05–$1,176.91 | $400.08–$2,064.76 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$276.28–$1,112.90 | $484.71–$1,952.45 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$426.30–$1,563.51 | $747.90–$2,743 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$344.09–$1,293.47 | $603.66–$2,269.25 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$703.68–$1,735.65 | $1,234.53–$3,045 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$523.94–$1,693.07 | $919.20–$2,970.29 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$521.70–$1,604.91 | $915.27–$2,815.63 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$60.20–$457.14 | $105.62–$802 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$72.62–$416.10 | $127.41–$730 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$47.62–$207.48 | $83.55–$364 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$49.32–$188.01 | $86.52–$329.84 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$503.25–$1,131.93 | $882.90–$1,985.84 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$351.05–$1,171.35 | $615.87–$2,055 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$52.69–$229.14 | $92.43–$402 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$663.17–$1,275.66 | $1,163.46–$2,238 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$494.38–$1,113.21 | $867.33–$1,953 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$663.60–$2,194.50 | $1,164.21–$3,850 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$522.41–$2,066.82 | $916.50–$3,626 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 4 matching MRF lines |
$68.32–$475.68 | $119.86–$834.53 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$563.38–$1,249.44 | $988.38–$2,192 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$292.39–$1,162.23 | $512.97–$2,039 | varies |
| K Flow/Funct Image W/O Drug (78707) | $109.56 | $192.21 | 0.2× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$69.07–$264.48 | $121.17–$464 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$303.30–$952.47 | $532.11–$1,671 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$459.08–$1,239.75 | $805.41–$2,175 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$306.45–$888.63 | $537.63–$1,559 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$505.87–$1,241.46 | $887.49–$2,178 | varies |
| Lung Ventilation Imaging (78579) range across 5 matching MRF lines |
$57.10–$573.77 | $100.17–$1,006.61 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$438.34–$1,509.36 | $769.02–$2,648 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$500.40–$788.31 | $877.89–$1,383 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$382.85–$1,652.74 | $671.67–$2,899.54 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$422.61–$1,283.07 | $741.42–$2,251 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$593.28–$2,209.46 | $1,040.85–$3,876.25 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$370.71–$1,556.10 | $650.37–$2,730 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$201.44–$2,039.73 | $353.40–$3,578.48 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$349.83–$1,767.51 | $613.74–$3,100.90 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 8 matching MRF lines |
$538.22–$1,856.70 | $944.25–$3,257.36 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 8 matching MRF lines |
$697.66–$2,382.80 | $1,223.97–$4,180.35 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 7 matching MRF lines |
$189.50–$2,600.14 | $332.46–$4,561.65 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$473.21–$2,036.04 | $830.19–$3,572 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$327.76–$1,786.29 | $575.01–$3,133.84 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$580.17–$1,576.19 | $1,017.84–$2,765.25 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$641.54–$1,359.96 | $1,125.51–$2,385.90 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$809.62–$2,364.93 | $1,420.38–$4,149 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$452.19–$1,972.77 | $793.32–$3,461 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$704.16–$2,258.34 | $1,235.37–$3,962 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$383.69–$1,649.30 | $673.14–$2,893.50 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$465.05–$1,944.56 | $815.88–$3,411.50 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$550–$2,522.82 | $964.92–$4,426 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$388.68–$1,611.39 | $681.90–$2,827 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$461.08–$2,036.04 | $808.92–$3,572 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$582.05–$2,365.50 | $1,021.14–$4,150 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$461.17–$1,965.93 | $809.07–$3,449 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$578.80–$2,421.67 | $1,015.44–$4,248.55 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$393.76–$1,775.17 | $690.81–$3,114.33 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$327.19–$1,775.17 | $574.02–$3,114.33 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$569.29–$1,829.13 | $998.76–$3,209 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$521.26–$1,669.53 | $914.49–$2,929 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$704.16–$2,263.30 | $1,235.37–$3,970.70 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$607.77–$2,472.03 | $1,066.26–$4,336.89 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$551.10–$2,479.50 | $966.84–$4,350 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$469–$2,093.93 | $822.81–$3,673.56 | varies |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$348.72–$1,754.58 | $611.79–$3,078.21 | varies |
| MRI, joint upper extrem combo (73223) range across 8 matching MRF lines |
$662.52–$2,388.26 | $1,162.32–$4,189.93 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$548.89–$2,535.08 | $962.97–$4,447.50 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$444.31–$1,490.84 | $779.49–$2,615.50 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$722.27–$2,821.50 | $1,267.14–$4,950 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$36.09–$213.18 | $63.31–$374 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 4 matching MRF lines |
$65.37–$258.68 | $114.68–$453.82 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$448.94–$929.67 | $787.62–$1,631 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$534.29–$1,019.73 | $937.35–$1,789 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$52.17–$223.92 | $91.53–$392.84 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$361.24–$1,168.96 | $633.75–$2,050.81 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$84.66–$347.70 | $148.53–$610 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$62.28–$250.80 | $109.26–$440 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$48.75–$196.39 | $85.53–$344.54 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$54.98–$248.52 | $96.45–$436 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$80.56–$287.28 | $141.33–$504 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$63.30–$187.96 | $111.06–$329.75 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$58.35–$249.66 | $102.36–$438 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$61.73–$252.12 | $108.30–$442.31 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$47.41–$99.98 | $83.17–$175.41 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$64.54–$233.70 | $113.22–$410 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$62.43–$232.39 | $109.53–$407.71 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$58.38–$253.23 | $102.42–$444.26 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$54.98–$167.58 | $96.45–$294 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$57.30–$225.72 | $100.53–$396 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$90.63–$261.66 | $159–$459.05 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$49.23–$185.82 | $86.37–$326 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$53.81–$255.36 | $94.41–$448 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$69.03–$243.20 | $121.11–$426.66 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$74.33–$281.58 | $130.41–$494 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$78.18–$311.33 | $137.16–$546.20 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$70.19–$263.91 | $123.14–$463 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$213.66–$470.47 | $374.85–$825.38 | varies |
| Radiologic examination femur 1 view (73551) | $45.62 | $80.04 | 0.5× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$45.62–$204.63 | $80.04–$359 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$57.75–$219.45 | $101.31–$385 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$53.25–$235.41 | $93.42–$413 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$74.45–$305.52 | $130.62–$536 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$976.14–$2,149.47 | $1,712.52–$3,771 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$40.34–$228 | $70.77–$400 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$35.98–$186.96 | $63.13–$328 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$30.24–$211.20 | $53.05–$370.53 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$70.32–$264.48 | $123.36–$464 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$55.63–$254.22 | $97.59–$446 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$66.40–$293.55 | $116.49–$515 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$285.38–$471.29 | $500.67–$826.82 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$473.52–$1,257.99 | $830.73–$2,207 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$134.85–$509.35 | $236.58–$893.60 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$362.71–$837.90 | $636.33–$1,470 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$145.42–$480.51 | $255.12–$843 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$95.47–$353.97 | $167.49–$621 | varies |
| Us complete joint (76881) range across 8 matching MRF lines |
$56.07–$413.25 | $98.37–$725 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$36.30–$335.16 | $63.68–$588 | varies |
| Us head (76506) range across 4 matching MRF lines |
$57.30–$374.21 | $100.52–$656.50 | varies |
| Us kidney transplant (76776) range across 4 matching MRF lines |
$245.95–$496.47 | $431.49–$871 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$44.11–$527.89 | $77.38–$926.12 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$62.86–$327.18 | $110.28–$574 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$68.38–$372.78 | $119.96–$654 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$82.39–$531.24 | $144.55–$932 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$196.43–$433.06 | $344.61–$759.75 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$77.78–$310.08 | $136.46–$544 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$185.89–$521.55 | $326.13–$915 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$99.90–$412.58 | $175.26–$723.83 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$72.70–$494.19 | $127.54–$867 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$184.22–$466.26 | $323.19–$818 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$57.20–$210.33 | $100.35–$369 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$48.24–$203.59 | $84.63–$357.17 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$18.22–$175.22 | $31.96–$307.40 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$72.11–$206.64 | $126.51–$362.52 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $155.31 | $272.47 | 1.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$79.31–$225.31 | $139.14–$395.28 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$69–$289.56 | $121.05–$508 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$104.87–$430.22 | $183.99–$754.77 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$66.93–$251.37 | $117.42–$441 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$104.87–$401.85 | $183.99–$705 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$71.58–$295.26 | $125.58–$518 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$19.13–$167.73 | $33.57–$294.26 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$53.81–$223.44 | $94.41–$392 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$70.53–$584.25 | $123.73–$1,025 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$68.01–$188.10 | $119.32–$330 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$116.37–$194.66 | $204.15–$341.50 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$67.49–$279.15 | $118.41–$489.73 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$50.50–$220.02 | $88.59–$386 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$89.18–$375.68 | $156.45–$659.09 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$66.40–$241.68 | $116.49–$424 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$54.98–$231.99 | $96.45–$407 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$73.23–$270.66 | $128.47–$474.85 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$76.52–$316.94 | $134.25–$556.04 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$58.94–$188.10 | $103.41–$330 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$60.39–$232.23 | $105.94–$407.42 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$169.02–$496.90 | $296.52–$871.75 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$90.15–$367.94 | $158.16–$645.50 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$88.10–$283.29 | $154.57–$497 | 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.