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
Xray Bone Survey Infant
Low
$20
Average
$349
Median
$225
High
$6.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1966 hospitals; the 90th percentile is 6.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
3,457 hospital rates
iThe hospitals that file a Aetna 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $106 | $87 | $26 | 30% | 12 | $50 – $106 |
| 2 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 4 | $408 | $339 | $118 | 35% | 9–90 | $135 – $408 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $328 | $424 | $222 | 52% | 4–40 | $238 – $855 |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $311 | $402 | $210 | 52% | 4–40 | $226 – $810 |
| 5 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $438 | $438 | — | — | 4–40 | $438 – $438 |
| 6 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.0k | $240 | 23% | 3–30 | $707 – $1.2k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $633 | $633 | $518 | 82% | 2–20 | $115 – $1.2k |
| 8 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | — | — | 2–20 | $55 – $55 |
| 9 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $262 | $262 | $192 | 73% | 2–20 | $70 – $454 |
| 10 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $525 | $525 | $177 | 34% | 2–20 | $348 – $702 |
| 11 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $151 | $151 | — | — | 2–20 | $151 – $151 |
| 12 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $151 | $151 | — | — | 2–20 | $151 – $151 |
| 13 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $151 | $151 | — | — | 2–20 | $151 – $151 |
| 14 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $151 | $151 | — | — | 2–20 | $151 – $151 |
| 15 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $151 | $151 | — | — | 2–20 | $151 – $151 |
| 16 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $211 | $211 | — | — | 1–10 | $211 – $211 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $471 | $418 | $194 | 46% | 1–10 | $158 – $625 |
| 18 | COMMONSPIRIT KANSAS, INC. Dodge City, KS other · inpatient | 1 | $91 | $91 | — | — | 1–10 | $91 – $91 |
| 19 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $105 | $91 | $24 | 26% | 1–10 | $50 – $105 |
| 20 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $501 | $501 | — | — | 1–10 | $501 – $501 |
| 21 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 22 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 2 | $106 | $87 | $26 | 30% | 1–10 | $50 – $106 |
| 23 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $105 | $87 | $26 | 30% | 1–10 | $50 – $105 |
| 24 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $70 | $70 | — | — | 1–10 | $70 – $70 |
| 25 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 1 | $221 | $221 | $123 | 56% | 1–10 | $97 – $344 |
← Payers reporting CPT 77076 · Snapshot 20261111T120946Z-9134e7f7