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
$0
Average
$365
Median
$208
High
$18.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1305 hospitals; the 90th percentile is 5.0× 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.
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2,078 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $194 | $194 | $65 | 34% | 13 | $129 – $259 |
| 2 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $194 | $194 | $65 | 34% | 13 | $129 – $259 |
| 3 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $55 | $55 | — | — | 6–60 | $55 – $55 |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $142 | $142 | — | — | 6–60 | $142 – $142 |
| 5 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $181 | $187 | $68 | 36% | 3–30 | $70 – $268 |
| 6 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $181 | $187 | $68 | 36% | 3–30 | $70 – $268 |
| 7 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $181 | $187 | $68 | 36% | 3–30 | $70 – $268 |
| 8 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $181 | $187 | $68 | 36% | 3–30 | $70 – $268 |
| 9 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $181 | $187 | $68 | 36% | 3–30 | $70 – $268 |
| 10 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $55 | $55 | — | — | 2–20 | $55 – $55 |
| 11 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 4 | $302 | $356 | $157 | 44% | 2–20 | $98 – $529 |
| 12 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 4 | $176 | $229 | $101 | 44% | 2–20 | $160 – $402 |
| 13 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 3 | $271 | $300 | $128 | 43% | 2–20 | $161 – $469 |
| 14 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 4 | $176 | $229 | $101 | 44% | 2–20 | $160 – $402 |
| 15 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 3 | $271 | $300 | $128 | 43% | 2–20 | $161 – $469 |
| 16 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $195 | $215 | $33 | 16% | 2–20 | $164 – $253 |
| 17 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | — | — | 1–10 | $140 – $140 |
| 18 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | — | — | 1–10 | $140 – $140 |
| 19 | Carteret County General Hospital Corporation Morehead City, NC facility · fee schedule · both | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 20 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 21 | Northfield Hospital Northfield, MN other · both | 1 | $325 | $325 | — | — | 1–10 | $325 – $325 |
| 22 | St. Peter's Health Helena, MT fee schedule · outpatient | 1 | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 23 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $546 | $546 | — | — | 1–10 | $546 – $546 |
| 24 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $414 | $414 | — | — | 1–10 | $414 – $414 |
| 25 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 5 | $211 | $211 | — | — | — | $211 – $211 |
← Payers reporting CPT 77076 · Snapshot 20261111T120946Z-9134e7f7