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
$21
Average
$194
Median
$115
High
$5.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
779 hospitals; the 90th percentile is 5.7× 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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1,085 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $131 | $131 | $47 | 36% | 48 | $83 – $178 |
| 2 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $40 | $40 | $19 | 49% | 25–34 | $20 – $59 |
| 3 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $506 | $626 | $345 | 55% | 16–43 | $216 – $1.1k |
| 4 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $408 | $408 | $200 | 49% | 14–23 | $208 – $607 |
| 5 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $179 | $179 | $74 | 41% | 3–30 | $105 – $252 |
| 6 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 2 | $92 | $92 | $10 | 11% | 2–20 | $81 – $102 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | — | — | 1–10 | $130 – $130 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | — | — | 1–10 | $130 – $130 |
| 9 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | 1–10 | $61 – $61 |
| 10 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 2 | $99 | $99 | $18 | 18% | 1–10 | $81 – $118 |
| 11 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 12 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $203 | $203 | — | — | 1–10 | $203 – $203 |
| 14 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS fee schedule · outpatient | 2 | $131 | $131 | $47 | 36% | 1–10 | $83 – $178 |
| 15 | Wesley Health System LLC Hattiesburg, MS facility · other · outpatient | 2 | $85 | $85 | $3 | 3% | 1–10 | $82 – $88 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 17 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 18 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 19 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 20 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 21 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 22 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 23 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 24 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 25 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
← Payers reporting CPT 77076 · Snapshot 20261111T120946Z-9134e7f7