Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
BONE SRGRY CMPTR FLUOR IMAGE
The hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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77 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $76.17 | $76.17 – $76.17 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 3 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 4 | Aurora Lakeland Medical Center Elkhorn, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 5 | Aurora Medical Center Bay Area Marinette, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 6 | Aurora Medical Center Burlington Burlington, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 7 | Aurora Medical Center Fond du Lac Fond Du Lac, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 8 | Aurora Medical Center Grafton Grafton, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 9 | Aurora Medical Center Kenosha Kenosha, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 10 | Aurora Medical Center Manitowoc Two Rivers, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 11 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 12 | Aurora Medical Center Oshkosh Oshkosh, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 13 | Aurora Medical Center Sheboygan County Sheboygan, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 14 | Aurora Medical Center Summit Summit, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 15 | Aurora Medical Center Washington County Hartford, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 16 | Aurora Psychiatric Hospital Wauwatosa, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 17 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 18 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 19 | Aurora St Lukes South Shore of Aurora Health Care Metro Inc Cudahy, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 20 | Aurora West Allis Medical Center West Allis, WI case rate · outpatient | 1 | $1,825 | $1,825 – $1,825 |
| 21 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $73.91 | $73.91 – $73.91 |
| 22 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $133.37 | $133.37 – $133.37 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $81.92 | $81.92 – $81.92 |
| 24 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $83.70 | $83.70 – $83.70 |
| 25 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $87.20 | $87.20 – $87.20 |
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