Dominion Hospital

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All Services / X-ray / Other X-ray

  • HCPCS 74430

    X-ray, bladder (cystogram), 3 or more views

    $993.25
    Cash Price
    See All Rates
  • HCPCS 74280

    X-ray colon, with contrast

    $692.50
    Cash Price
    See All Rates
  • HCPCS 74270

    X-ray colon, with or without contrast

    $532.25
    Cash Price
    See All Rates
  • HCPCS 74220

    X-ray esophagus (esophogram)

    $592.00
    Cash Price
    See All Rates
  • HCPCS 74250

    X-ray small bowel

    $526.25
    Cash Price
    See All Rates
  • HCPCS 74240

    X-ray upper GI tract

    $899.50
    Cash Price
    See All Rates

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