Imaging prices at WinnMed
Decorah, IA · every code in this section with a posted price and a Medicare benchmark.
212 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 3 matching MRF lines |
$57.40–$135.80 | $82–$194 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$84.70–$171.50 | $121–$245 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$63.70–$108.50 | $91–$155 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$125.30–$353.50 | $179–$505 | varies |
| Bone age studies (77072) | $70.70 | $101 | 0.7× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$310.10–$1,254.40 | $443–$1,792 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$250.60–$651.70 | $358–$931 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$100.80–$812 | $144–$1,160 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$279.30–$1,128.40 | $399–$1,612 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$142.80–$224.70 | $204–$321 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$56–$116.90 | $80–$167 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$63–$159.60 | $90–$228 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$81.90–$189 | $117–$270 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$102.90–$303.80 | $147–$434 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$60.90–$108.50 | $87–$155 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$148.40–$497.70 | $212–$711 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$74.90–$172.20 | $107–$246 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,018.50–$2,704.10 | $1,455–$3,863 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$861–$2,275.70 | $1,230–$3,251 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$490–$1,434.30 | $700–$2,049 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$527.80–$1,748.60 | $754–$2,498 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$462–$1,078.70 | $660–$1,541 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$753.90–$2,968.70 | $1,077–$4,241 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$361.20–$2,203.60 | $516–$3,148 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$340.20–$1,975.40 | $486–$2,822 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$363.30–$1,953 | $519–$2,790 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$226.80–$1,030.40 | $324–$1,472 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$488.60–$1,317.40 | $698–$1,882 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$485.10–$1,284.50 | $693–$1,835 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$490–$1,348.20 | $700–$1,926 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$503.30–$1,357.30 | $719–$1,939 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$601.30–$1,632.40 | $859–$2,332 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$402.50–$1,209.60 | $575–$1,728 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$486.50–$1,499.40 | $695–$2,142 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$448.70–$1,045.80 | $641–$1,494 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$534.10–$1,118.60 | $763–$1,598 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$363.30–$876.40 | $519–$1,252 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$466.90–$1,087.10 | $667–$1,553 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$228.90–$1,244.60 | $327–$1,778 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$470.40–$1,096.90 | $672–$1,567 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$484.40–$1,130.50 | $692–$1,615 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$368.20–$975.10 | $526–$1,393 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$452.90–$1,553.30 | $647–$2,219 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$492.10–$1,148.70 | $703–$1,641 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$366.10–$856.10 | $523–$1,223 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$493.50–$1,148 | $705–$1,640 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$399.70–$930.30 | $571–$1,329 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$561.40–$1,310.40 | $802–$1,872 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$613.90–$1,428 | $877–$2,040 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$414.40–$1,220.10 | $592–$1,743 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$375.90–$875 | $537–$1,250 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$227.50–$1,253 | $325–$1,790 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$499.80–$1,162 | $714–$1,660 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$490–$1,348.20 | $700–$1,926 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$443.80–$1,171.10 | $634–$1,673 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$356.30–$830.20 | $509–$1,186 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$158.90–$608.30 | $227–$869 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$417.20–$1,154.30 | $596–$1,649 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$406–$2,697.10 | $580–$3,853 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$350.70–$2,627.10 | $501–$3,753 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$403.20–$938.70 | $576–$1,341 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$67.20–$387.10 | $96–$553 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$39.20–$126.70 | $56–$181 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$93.10–$278.60 | $133–$398 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$128.80–$201.60 | $184–$288 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$151.20–$518 | $216–$740 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$58.80–$416.50 | $84–$595 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$65.80–$112.70 | $94–$161 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$56–$116.20 | $80–$166 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$102.90–$1,051.40 | $147–$1,502 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$51.80–$145.60 | $74–$208 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$291.90–$1,494.50 | $417–$2,135 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$214.20–$895.30 | $306–$1,279 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$94.50–$319.90 | $135–$457 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$529.90–$1,082.20 | $757–$1,546 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$73.50–$164.50 | $105–$235 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$128.80–$1,231.30 | $184–$1,759 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$296.10–$1,388.10 | $423–$1,983 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$991.20–$3,724 | $1,416–$5,320 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$615.30–$2,527.70 | $879–$3,611 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$306.60–$1,869.70 | $438–$2,671 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,097.60–$3,038.70 | $1,568–$4,341 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$644.70–$1,500.10 | $921–$2,143 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$672.70–$1,974 | $961–$2,820 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$942.20–$2,466.10 | $1,346–$3,523 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,204–$3,014.90 | $1,720–$4,307 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$741.30–$2,554.30 | $1,059–$3,649 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$697.20–$1,978.20 | $996–$2,826 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$677.60–$1,887.20 | $968–$2,696 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$181.30–$1,496.60 | $259–$2,138 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$315–$2,990.40 | $450–$4,272 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,194.20–$2,785.30 | $1,706–$3,979 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$623–$2,023.70 | $890–$2,891 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$847–$2,176.30 | $1,210–$3,109 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,243.20–$2,934.40 | $1,776–$4,192 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,239.70–$3,392.90 | $1,771–$4,847 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$950.60–$2,564.80 | $1,358–$3,664 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,228.50–$2,990.40 | $1,755–$4,272 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$672.70–$2,139.20 | $961–$3,056 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$719.60–$2,074.80 | $1,028–$2,964 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$283.50–$1,693.30 | $405–$2,419 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$597.10–$1,390.20 | $853–$1,986 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,194.20–$2,785.30 | $1,706–$3,979 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,228.50–$2,990.40 | $1,755–$4,272 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,294.30–$3,425.80 | $1,849–$4,894 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$784.70–$2,176.30 | $1,121–$3,109 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$650.30–$1,831.90 | $929–$2,617 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,239.70–$2,856 | $1,771–$4,080 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,239–$3,275.30 | $1,770–$4,679 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$315–$2,396.80 | $450–$3,424 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$70.70–$107.10 | $101–$153 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$50.40–$331.80 | $72–$474 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $76.30 | $109 | 0.8× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$73.50–$145.60 | $105–$208 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$108.50–$263.20 | $155–$376 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$67.90–$139.30 | $97–$199 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$60.90–$103.60 | $87–$148 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$65.10–$123.20 | $93–$176 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$79.10–$186.20 | $113–$266 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$44.80–$105.70 | $64–$151 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$67.90–$139.30 | $97–$199 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$56–$154 | $80–$220 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$69.30–$119 | $99–$170 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$53.20–$126 | $76–$180 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$67.90–$123.20 | $97–$176 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$72.80–$171.50 | $104–$245 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$51.80–$163.10 | $74–$233 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$81.20–$102.20 | $116–$146 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$53.20–$122.50 | $76–$175 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$97.30–$195.30 | $139–$279 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$53.20–$91.70 | $76–$131 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$56–$119 | $80–$170 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$56–$139.30 | $80–$199 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$84.70–$119.70 | $121–$171 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$105–$221.90 | $150–$317 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$282.80–$445.20 | $404–$636 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$207.90–$329.70 | $297–$471 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$88.20–$178.50 | $126–$255 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$57.40–$211.40 | $82–$302 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$137.20–$247.10 | $196–$353 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$152.60–$273 | $218–$390 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$93.10–$361.20 | $133–$516 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$67.20–$149.10 | $96–$213 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$63–$133.70 | $90–$191 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$58.10–$210 | $83–$300 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$67.90–$147 | $97–$210 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$76.30–$245 | $109–$350 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$67.20–$119 | $96–$170 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$78.40–$111.30 | $112–$159 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$57.40–$107.10 | $82–$153 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$68.60–$625.80 | $98–$894 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$69.30–$137.90 | $99–$197 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$67.90–$142.80 | $97–$204 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$79.10–$149.10 | $113–$213 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$75.60–$201.60 | $108–$288 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$63.70–$159.60 | $91–$228 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$214.20–$1,052.80 | $306–$1,504 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$138.60–$466.90 | $198–$667 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$186.20–$427.70 | $266–$611 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$168.70–$455 | $241–$650 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$91.70–$319.20 | $131–$456 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$88.20–$331.80 | $126–$474 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$151.90–$519.40 | $217–$742 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$141.40–$418.60 | $202–$598 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$121.80–$365.40 | $174–$522 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$119–$353.50 | $170–$505 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$60.90–$232.40 | $87–$332 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$103.60–$353.50 | $148–$505 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$233.80–$493.50 | $334–$705 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$152.60–$462.70 | $218–$661 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$146.30–$342.30 | $209–$489 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$129.50–$405.30 | $185–$579 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$186.20–$512.40 | $266–$732 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$102.20–$415.80 | $146–$594 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$182.70–$428.40 | $261–$612 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$112–$261.10 | $160–$373 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$145.60–$493.50 | $208–$705 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$100.10–$512.40 | $143–$732 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$48.30–$117.60 | $69–$168 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$67.20–$162.40 | $96–$232 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$87.50–$347.90 | $125–$497 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$57.40–$207.20 | $82–$296 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$56–$119.70 | $80–$171 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$56–$219.80 | $80–$314 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$93.80–$158.20 | $134–$226 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$55.30–$233.80 | $79–$334 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$63–$82.60 | $90–$118 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$83.30–$151.90 | $119–$217 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$102.20–$323.40 | $146–$462 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$109.90–$275.80 | $157–$394 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$87.50–$141.40 | $125–$202 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$119–$221.20 | $170–$316 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$81.90–$229.60 | $117–$328 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$54.60–$143.50 | $78–$205 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$65.10–$128.10 | $93–$183 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$46.90–$97.30 | $67–$139 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$67.20–$183.40 | $96–$262 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$72.80–$175.70 | $104–$251 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$50.40–$109.20 | $72–$156 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$93.80–$345.80 | $134–$494 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$81.90–$161.70 | $117–$231 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$65.10–$129.50 | $93–$185 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$59.50–$131.60 | $85–$188 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$90.30–$187.60 | $129–$268 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$71.40–$157.50 | $102–$225 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$75.60–$203.70 | $108–$291 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $395.50 | $565 | 1.2× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$102.20–$158.20 | $146–$226 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$182–$445.20 | $260–$636 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$102.20–$197.40 | $146–$282 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$65.10–$126 | $93–$180 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$87.50–$168.70 | $125–$241 | 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.