Imaging prices at Aiken Regional Medical Centers
Aiken, SC · every code in this section with a posted price and a Medicare benchmark.
410 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $5,570 | $13,925 | 4.3× |
| Abdomen 1 View (74018) | $464.40 | $1,161 | 5.7× |
| Abdomen 2 views (74019) | $561.60 | $1,404 | 5.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,572.40 | $3,931 | 4.2× |
| Adrenal Cortex & Medulla Img (78075) | $3,119.60 | $7,799 | 2.6× |
| Angio internal mammary (75756) | $6,882.40 | $17,206 | 2.3× |
| Angio pulmonary bilat (75743) range across 5 matching MRF lines |
$2,847.20–$2,988 | $7,118–$7,470 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,452.40 | $11,131 | 1.5× |
| Angiography extremity bilateral rs&i (75716) range across 8 matching MRF lines |
$2,675.60–$4,190 | $6,689–$10,475 | varies |
| Angiography extremity unilateral rs&i (75710) range across 24 matching MRF lines |
$2,462–$4,190 | $6,155–$10,475 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 6 matching MRF lines |
$1,270–$3,377.20 | $3,175–$8,443 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,333.20 | $8,333 | 1.1× |
| Ankle 2 views (73600) | $365.60 | $914 | 4.5× |
| Aortography thoracic serialography rs&i (75605) | $4,612.80 | $11,532 | 0.9× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,011.60 | $17,529 | 2.4× |
| Artery X-Rays Abdomen (75726) range across 6 matching MRF lines |
$2,164.40–$3,045.20 | $5,411–$7,613 | varies |
| Artery X-Rays Adrenal Gland (75731) | $4,367.20 | $10,918 | 1.5× |
| Artery X-Rays Pelvis (75736) | $3,248 | $8,120 | 0.6× |
| Artery X-Rays Spine (75705) | $7,548.40 | $18,871 | 1.5× |
| Arthrogram hip (73525) | $799.60 | $1,999 | 2.5× |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$509.20–$1,206 | $1,273–$3,015 | varies |
| Basic radiation dosimetry calculation (77300) | $644 | $1,610 | 5.2× |
| Bone age studies (77072) | $196 | $490 | 2.0× |
| Bone Imaging 3 Phase (78315) | $2,640.40 | $6,601 | 7.1× |
| Bone Imaging Limited Area (78300) | $1,723.20 | $4,308 | 4.6× |
| Bone Imaging Multiple Areas (78305) | $2,081.20 | $5,203 | 5.6× |
| Bone Imaging Whole Body (78306) | $2,238 | $5,595 | 6.0× |
| Bone marrow imaging limited area (78102) | $1,358 | $3,395 | 3.7× |
| Bone marrow imaging; whole body (78104) | $2,516.40 | $6,291 | 6.8× |
| Bone survey infant (77076) | $1,182.40 | $2,956 | 12.2× |
| Brachytx isodose complex (77318) | $1,579.20 | $3,948 | 4.5× |
| Brachytx isodose intermed (77317) | $1,090.40 | $2,726 | 3.1× |
| Brachytx Isodose Plan Simple (77316) | $862.40 | $2,156 | 2.5× |
| Brain Flow Imaging Only (78610) | $2,151.60 | $5,379 | 4.3× |
| Brain Image W/Flow < 4 Views (78601) | $1,977.20 | $4,943 | 5.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,226 | $3,065 | 2.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $2,002.80 | $5,007 | 4.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,000.80 | $12,502 | 3.8× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $4,668.40 | $11,671 | 9.2× |
| Cat Scan Follow-Up Study (76380) | $1,223.20 | $3,058 | 15.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,637.60 | $4,094 | 3.2× |
| Cerebrospinal Fluid Scan (78630) | $1,942.80 | $4,857 | 3.8× |
| Chest 1 view (71045) | $320.80 | $802 | 4.0× |
| Chest 2 views (71046) | $342.80 | $857 | 4.2× |
| Chest 3 views (71047) | $364.80 | $912 | 4.5× |
| Chest 4 or more views (71048) | $397.60 | $994 | 4.1× |
| Cisternography Positive Contrast Rs&I (70015) | $1,464.40 | $3,661 | 2.0× |
| Clavicle complete (73000) | $381.20 | $953 | 4.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $396.80 | $992 | 4.1× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$940.40–$952.80 | $2,351–$2,382 | varies |
| Contrast Exam Abdominl Aorta (75625) | $4,128.80 | $10,322 | 1.4× |
| Contrast X-Ray Bladder (74430) | $696.40 | $1,741 | 2.1× |
| Contrast X-Ray Of Elbow (73085) | $1,464.40 | $3,661 | 4.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,614.40 | $4,036 | 5.0× |
| Contrast Xray Throat/Cerv Esopha (74210) | $648 | $1,620 | 4.0× |
| CT abdomen and pelvis without and with contrast (74178) | $6,328.80 | $15,822 | 19.5× |
| CT abdomen and pelvis without contrast (74176) | $4,707.20 | $11,768 | 21.2× |
| CT abdomen w contrast (74160) | $2,875.60 | $7,189 | 17.6× |
| CT abdomen w wo contrast (74170) | $4,970.80 | $12,427 | 30.5× |
| CT abdomen w/o contrast (74150) | $2,300.40 | $5,751 | 23.7× |
| CT Angio Abdomen and Pelvis (74174) | $2,072 | $5,180 | 6.4× |
| CT Angio Chest (71275) | $1,732.80 | $4,332 | 10.6× |
| CT Angio Head (70496) | $1,575.60 | $3,939 | 9.7× |
| CT angio hrt w/3d image (75574) | $908.80 | $2,272 | 2.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,592.40 | $3,981 | 9.8× |
| CT Angio Neck (70498) | $1,732.80 | $4,332 | 10.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,592.40 | $3,981 | 9.8× |
| CT cervical spine w/ contrast (72126) | $3,465.20 | $8,663 | 10.7× |
| CT cervical spine w/o contrast (72125) | $2,665.60 | $6,664 | 27.4× |
| CT cervical spine w/wo cont (72127) | $4,051.60 | $10,129 | 24.8× |
| CT chest w contrast (71260) | $3,052.40 | $7,631 | 18.7× |
| CT chest w/wo contrast (71270) | $3,626.40 | $9,066 | 22.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $855.20 | $2,138 | 5.2× |
| CT head/brain with contrast (70460) | $2,592 | $6,480 | 15.9× |
| CT head/brain without and with contrast (70470) | $3,283.20 | $8,208 | 20.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $908.80 | $2,272 | 2.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $772.40 | $1,931 | 9.5× |
| CT hrt w/3d image congen (75573) | $908.80 | $2,272 | 2.8× |
| CT iac w contrast (70481) | $2,591.60 | $6,479 | 15.9× |
| CT l-spine w&w/o contrast (72133) | $4,102 | $10,255 | 25.1× |
| CT lower ext w/o (73700) range across 23 matching MRF lines |
$2,020–$4,039.60 | $5,050–$10,099 | varies |
| CT lower extremity w/contrast material (73701) range across 23 matching MRF lines |
$2,350.80–$4,701.60 | $5,877–$11,754 | varies |
| CT lumbar spine w contrast (72132) | $3,464.40 | $8,661 | 10.7× |
| CT lumbar spine w/o contrast (72131) | $2,771.60 | $6,929 | 28.5× |
| CT maxillofacial w contrast (70487) | $2,481.60 | $6,204 | 15.2× |
| CT maxillofacial wo contrast (70486) | $2,085.20 | $5,213 | 21.4× |
| CT neck tissue combo (70492) | $2,916.80 | $7,292 | 17.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,369.20 | $8,423 | 20.7× |
| CT orbits w/o contrast (70480) | $2,591.60 | $6,479 | 26.7× |
| CT pelvis w&w/o contrast (72194) | $3,678.40 | $9,196 | 22.5× |
| CT pelvis w/o contrast (72192) | $2,648 | $6,620 | 27.2× |
| CT scan of leg combo (73702) range across 21 matching MRF lines |
$2,620.40–$5,240 | $6,551–$13,100 | varies |
| CT scans face/jaw combo (70488) | $3,003.20 | $7,508 | 18.4× |
| CT soft tissue neck w contrast (70491) | $2,430.40 | $6,076 | 14.9× |
| CT soft tissue neck w/o contrast (70490) | $1,969.20 | $4,923 | 20.3× |
| CT thoracic spine w contrast (72129) | $3,676.40 | $9,191 | 22.5× |
| CT thoracic spine w/o contrast (72128) | $2,806.40 | $7,016 | 28.9× |
| CT thoracic spine w/wo cont (72130) | $4,321.60 | $10,804 | 26.5× |
| CT thorax w/o contrast (71250) | $2,789.60 | $6,974 | 28.7× |
| CT upper ext wo (73200) | $2,091.60 | $5,229 | 21.5× |
| CT upper extremity w/o & w/contrast material (73202) | $3,286 | $8,215 | 20.1× |
| CT upper extremity with contrast (73201) | $2,578 | $6,445 | 7.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,340 | $3,350 | 8.2× |
| Cta Abdomen (74175) | $1,658 | $4,145 | 10.2× |
| CTA pelvis (72191) | $1,618 | $4,045 | 9.9× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$1,058.40–$1,164.40 | $2,646–$2,911 | varies |
| Discography Cerv/Thor Spine (72285) | $4,795.20 | $11,988 | 2.6× |
| Diskography lumbar (72295) range across 5 matching MRF lines |
$1,442.40–$4,367.20 | $3,606–$10,918 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $480.40 | $1,201 | 4.9× |
| Dxa Bone Density Axial (77080) | $536.80 | $1,342 | 5.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $445.60 | $1,114 | 5.5× |
| Echo exam uterus (76831) | $629.60 | $1,574 | 2.8× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$585.20–$2,752.40 | $1,463–$6,881 | varies |
| Esophagram (74220) | $675.60 | $1,689 | 4.1× |
| Fetal Biophys Profile W/Nst (76818) | $599.60 | $1,499 | 6.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $431.60 | $1,079 | 4.4× |
| Fluoroscopy up to 1 hr (76000) | $646.40 | $1,616 | 2.9× |
| Follow-Up Angiography (75898) range across 4 matching MRF lines |
$667.20–$6,862 | $1,668–$17,155 | varies |
| Foot 2 views (73620) | $316.40 | $791 | 3.9× |
| Forearm 2 views (73090) | $396.40 | $991 | 4.9× |
| Gastric emptying imaging study (78264) | $2,402 | $6,005 | 6.5× |
| Gastroesophageal Reflux Exam (78262) | $2,065.20 | $5,163 | 5.6× |
| Gated Heart Planar Single (78472) | $2,624 | $6,560 | 7.1× |
| Gated Heart, Multiple (78473) | $9,762.40 | $24,406 | 26.3× |
| Hand 2 views (73120) | $332.40 | $831 | 3.4× |
| Heart first pass single,planar (78481) | $3,097.60 | $7,744 | 6.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 4 matching MRF lines |
$3,203.60–$3,226 | $8,009–$8,065 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,203.60 | $8,009 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,046 | $2,615 | 2.1× |
| Hepatobiliary System Imaging (78226) | $764 | $1,910 | 2.1× |
| High energy neutron radj tx dlvr 1/> isocenter (77423) | $2,446.80 | $6,117 | 4.8× |
| Ht Musc Image Planar Mult (78454) | $3,119.60 | $7,799 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $2,500.80 | $6,252 | 2.1× |
| Hyperthermia external generated superficial (77600) | $2,113.60 | $5,284 | 5.9× |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | $2,113.60 | $5,284 | 4.1× |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) | $2,832 | $7,080 | 5.5× |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) | $2,150 | $5,375 | 4.2× |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | $2,850 | $7,125 | 4.4× |
| Hysterosalpingogram (74740) | $818.40 | $2,046 | 3.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $410.80 | $1,027 | 5.1× |
| Infant hip ultrasound, limited static exam (76886) | $914.40 | $2,286 | 11.3× |
| Infusion Ivp (74410) | $1,809.20 | $4,523 | 11.1× |
| Interstitial radiation source applic complex (77778) | $6,927.20 | $17,318 | 10.7× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,606 | $4,015 | 2.5× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,090.40 | $2,726 | 2.1× |
| Intracavitary radiation source applic simple (77761) | $1,206.40 | $3,016 | 2.3× |
| K Flow/Funct Image Multiple (78709) | $6,748 | $16,870 | 13.4× |
| K Flow/Funct Image W/Drug (78708) | $3,478.40 | $8,696 | 6.9× |
| K Flow/Funct Image W/O Drug (78707) | $4,312.80 | $10,782 | 8.5× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
$1,117.20–$1,398 | $2,793–$3,495 | varies |
| Kidney Imaging Morphol (78700) | $3,165.20 | $7,913 | 8.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $4,139.20 | $10,348 | 11.1× |
| Knee 3 Views (73562) | $460 | $1,150 | 5.7× |
| Liver & Spleen Imaging Static Only (78215) | $2,082.40 | $5,206 | 5.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,453.20 | $6,133 | 6.6× |
| Liver imaging static only (78201) | $1,676.40 | $4,191 | 3.3× |
| Liver imaging w/vascular flow (78202) | $2,022 | $5,055 | 4.0× |
| Lung Perf&Ventilat Diferentl (78598) | $1,192 | $2,980 | 2.4× |
| Lung perfusion differential (78597) | $763.60 | $1,909 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,083.60 | $2,709 | 2.1× |
| Lung Ventilation Imaging (78579) | $617.60 | $1,544 | 1.7× |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$1,829.20–$1,969.20 | $4,573–$4,923 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $3,398 | $8,495 | 2.3× |
| Lymphangiography extremity only unilateral rs&i (75801) | $3,162.40 | $7,906 | 5.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,741.60 | $9,354 | 1.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,484 | $8,710 | 1.2× |
| Magnetic Image Jaw Joint (70336) range across 6 matching MRF lines |
$4,578.40–$5,187.60 | $11,446–$12,969 | varies |
| Mammary ductogram or galactogram single (77053) | $1,424.80 | $3,562 | 6.4× |
| Meckels Divert Exam (78290) | $1,700 | $4,250 | 4.6× |
| Mra Head W/O & W/Contrast Material (70546) | $3,724 | $9,310 | 11.5× |
| MRA head w/o contrast (70544) | $2,434 | $6,085 | 11.0× |
| MRA head with contrast (70545) | $2,555.60 | $6,389 | 7.9× |
| MRA neck w contrast (70548) | $2,668 | $6,670 | 8.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,744.40 | $9,361 | 11.5× |
| MRA neck w/o contrast (70547) | $2,340.40 | $5,851 | 10.5× |
| MRI abdomen w contrast (74182) | $3,584 | $8,960 | 11.0× |
| MRI abdomen w/o contrast (74181) | $3,384.40 | $8,461 | 15.3× |
| MRI any jt lower extrem w/contrast material (73722) | $4,018.40 | $10,046 | 5.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,190.40 | $10,476 | 12.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,834.80 | $9,587 | 5.3× |
| MRI bone marrow blood supply (77084) | $4,211.60 | $10,529 | 19.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,130.80 | $10,327 | 18.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $4,130.80 | $10,327 | 18.6× |
| MRI cervical spine w contrast (72142) | $4,594 | $11,485 | 14.2× |
| MRI cervical spine w/o cont (72141) | $3,402.80 | $8,507 | 15.3× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$4,211.60–$4,320.80 | $10,529–$10,802 | varies |
| MRI chest with contrast (71551) | $4,534.80 | $11,337 | 6.2× |
| MRI chest wo w contrast (71552) | $4,620.40 | $11,551 | 14.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,271.60 | $10,679 | 13.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,482.40 | $11,206 | 13.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,883.20 | $9,708 | 17.5× |
| MRI lumbar spine w contrast (72149) | $4,678.40 | $11,696 | 14.4× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$5,025.20–$5,789.20 | $12,563–$14,473 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,522.40 | $6,306 | 11.4× |
| MRI orbit face neck w contrast (70542) | $2,974 | $7,435 | 9.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,764.80 | $9,412 | 11.6× |
| MRI pelvis w contrast (72196) | $3,866.40 | $9,666 | 11.9× |
| MRI pelvis w/o & w contrast (72197) | $4,114.80 | $10,287 | 12.7× |
| MRI pelvis w/o contrast (72195) | $3,641.60 | $9,104 | 16.4× |
| MRI spectroscopy (76390) | $5,287.20 | $13,218 | 65.3× |
| MRI thoracic spine w/o contrast (72146) | $3,505.60 | $8,764 | 15.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,369.60 | $10,924 | 13.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,008.80 | $10,022 | 18.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,412 | $13,530 | 16.7× |
| MRI, abdomen, combo (74183) | $3,982 | $9,955 | 12.3× |
| MRI, dorsal spine combo (72157) | $5,016 | $12,540 | 15.5× |
| MRI, dorsal spine contrast (72147) | $4,136.40 | $10,341 | 12.7× |
| MRI, joint upper extrem (73221) range across 14 matching MRF lines |
$3,575.60–$7,150.80 | $8,939–$17,877 | varies |
| MRI, joint upper extrem combo (73223) range across 13 matching MRF lines |
$4,343.20–$8,686.40 | $10,858–$21,716 | varies |
| MRI, lumbar spine combo (72158) | $4,818 | $12,045 | 14.8× |
| Myelogram cervical (72240) | $1,953.60 | $4,884 | 2.7× |
| Myelogram Lumbar (72265) | $1,885.60 | $4,714 | 2.6× |
| Myelography thoracic (72255) | $1,720.80 | $4,302 | 2.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,041.60 | $2,604 | 1.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,226 | $3,065 | 3.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,776.40 | $11,941 | 4.0× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $2,324 | $5,810 | 4.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,535.60 | $6,339 | 2.1× |
| Myocardial Spect Multiple Studies (78452) | $4,031.20 | $10,078 | 3.3× |
| Neck soft tissue (70360) | $381.20 | $953 | 4.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $615.60 | $1,539 | 1.7× |
| Nm csf leak detection (78650) | $1,956.80 | $4,892 | 1.6× |
| Nm myocard infarct spect (78469) | $2,967.20 | $7,418 | 5.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,518 | $8,795 | 2.7× |
| Nuclear Rx Intra-Arterial (79445) | $3,237.60 | $8,094 | 14.9× |
| Nuclear Rx Oral Admin (79005) | $2,003.60 | $5,009 | 9.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,743.60 | $4,359 | 3.5× |
| Parathyroid Planar Imaging (78070) | $1,870 | $4,675 | 5.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,406.40 | $3,516 | 3.8× |
| Pelvis 1 or 2 views (72170) | $388.40 | $971 | 4.0× |
| Perineogram (74775) | $663.20 | $1,658 | 3.0× |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$860.80–$966.80 | $2,152–$2,417 | varies |
| Pet Image Skull-Thigh (78812) | $4,132 | $10,330 | 3.1× |
| Pet Image W/Ct Lmtd (78814) | $3,546.40 | $8,866 | 2.7× |
| PET image w/CT, full body (78816) | $4,019.60 | $10,049 | 3.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,940.40 | $9,851 | 3.0× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,981.20 | $9,953 | 3.3× |
| PET whole body (78813) | $4,297.60 | $10,744 | 3.2× |
| Proton tx delivery complex (77525) | $1,834.80 | $4,587 | 1.6× |
| Proton tx delivery simple w/o compensation (77520) | $1,834.80 | $4,587 | 3.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,782 | $9,455 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $780 | $1,950 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $561.60 | $1,404 | 5.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 7 matching MRF lines |
$502–$1,684 | $1,255–$4,210 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $415.20 | $1,038 | 5.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $390.80 | $977 | 4.8× |
| Radex elbow complete minimum 3 views (73080) | $415.20 | $1,038 | 5.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $518.40 | $1,296 | 5.3× |
| Radex fingr minimum 2 views (73140) | $346.80 | $867 | 4.3× |
| Radex foot complete minimum 3 views (73630) | $381.20 | $953 | 4.7× |
| Radex Hand Minimum 3 Views (73130) | $390.80 | $977 | 4.8× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$291.20–$629.60 | $728–$1,574 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$100–$716.80 | $250–$1,792 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $381.20 | $953 | 4.7× |
| Radex Ribs Unilateral 2 Views (71100) | $557.20 | $1,393 | 6.9× |
| Radex shoulder complete minimum 2 views (73030) | $448.40 | $1,121 | 5.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $366.80 | $917 | 4.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,052.40 | $2,631 | 6.5× |
| Radex Spine 1 View Specify Level (72020) | $276.40 | $691 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $292.80 | $732 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$486.80–$598 | $1,217–$1,495 | varies |
| Radex Toe Minimum 2 Views (73660) | $346.80 | $867 | 4.3× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$185.20–$574.40 | $463–$1,436 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $431.20 | $1,078 | 5.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $396.40 | $991 | 4.1× |
| Radiation treatment delivery level 1 (77402) | $1,682 | $4,205 | 17.7× |
| Radiation treatment delivery level 2 (77407) | $1,970.80 | $4,927 | 5.5× |
| Radiation treatment delivery level 3 (77412) | $2,199.20 | $5,498 | 4.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $346.80 | $867 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $561.60 | $1,404 | 5.8× |
| Radiologic exam colon double contrast study (74280) | $1,209.60 | $3,024 | 7.4× |
| Radiologic exam colon single contrast study (74270) | $864 | $2,160 | 5.3× |
| Radiologic exam knee complete 4/more views (73564) | $531.20 | $1,328 | 5.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $586.40 | $1,466 | 6.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $352 | $880 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $464.40 | $1,161 | 2.8× |
| Radiologic exam teeth complete full mouth (70320) | $449.20 | $1,123 | 2.0× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $271.60 | $679 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 6 matching MRF lines |
$618.80–$1,095.60 | $1,547–$2,739 | varies |
| Radiologic examination femur minimum 2 views (73552) | $448.40 | $1,121 | 5.5× |
| Radiologic examination knee 1/2 views (73560) | $385.20 | $963 | 4.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $718.40 | $1,796 | 7.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $448.40 | $1,121 | 5.5× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $2,353.60 | $5,884 | 10.8× |
| Renal Cyst Study (74470) | $2,170 | $5,425 | 4.3× |
| Ribs bilateral 3 views (71110) | $665.60 | $1,664 | 6.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,440 | $3,600 | 3.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,526.40 | $3,816 | 4.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,632.80 | $9,082 | 7.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,741.20 | $4,353 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,149.60 | $5,374 | 4.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,151.60 | $5,379 | 9.9× |
| Rp Therapy Intravenous Administration (79101) | $2,068.40 | $5,171 | 9.5× |
| Salivary Gland Imaging (78230) | $1,292.40 | $3,231 | 3.5× |
| Scapula (73010) | $350 | $875 | 3.6× |
| Sella turcica (70240) | $522 | $1,305 | 6.4× |
| Shoulder 1 view (73020) | $278 | $695 | 3.4× |
| Shoulder Arthrography (73040) | $1,036.40 | $2,591 | 3.2× |
| Sialogram (70390) | $716.80 | $1,792 | 3.2× |
| Skull less than 4 views (70250) | $387.60 | $969 | 4.0× |
| Special dosimetry (77331) | $952.80 | $2,382 | 7.6× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$1,224.40–$1,246.80 | $3,061–$3,117 | varies |
| Special teletherapy port plan (77321) | $1,596.40 | $3,991 | 4.6× |
| Special treatment procedure (77470) | $2,689.60 | $6,724 | 5.2× |
| Speech evaluation, complex (70371) | $1,327.20 | $3,318 | 6.0× |
| Sternoclavicular joints (71130) | $359.60 | $899 | 4.4× |
| Superior sagittal sinus venogram (75870) | $3,487.60 | $8,719 | 1.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $574.40 | $1,436 | 6.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,374.40 | $3,436 | 3.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $748.40 | $1,871 | 2.1× |
| Testicular Imaging W/Flow (78761) | $1,614.40 | $4,036 | 4.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,182 | $5,455 | 6.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,268 | $3,170 | 3.6× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,224.40–$1,246.80 | $3,061–$3,117 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,604.40 | $6,511 | 16.0× |
| Thoracic spine 2 views (72070) | $545.60 | $1,364 | 5.6× |
| Thoracic spine 3 views (72072) | $656.80 | $1,642 | 6.8× |
| Thoracolumbar 2 views (72080) | $603.20 | $1,508 | 7.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,117.20 | $2,793 | 3.0× |
| Thyroid Met Imaging Body (78018) | $1,206.40 | $3,016 | 2.4× |
| Thyroid Uptake Measurement (78012) range across 3 matching MRF lines |
$528–$817.60 | $1,320–$2,044 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,292.40–$1,490 | $3,231–$3,725 | varies |
| Tx Devices Design & Construction Complex (77334) | $1,538 | $3,845 | 4.4× |
| Tx devices design & construction intermediate (77333) | $880.40 | $2,201 | 7.0× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$765.20–$778.80 | $1,913–$1,947 | varies |
| Ultrasound Breast Limited (76642) | $677.60 | $1,694 | 8.4× |
| Ultrasound elastography first target lesion (76982) | $234.80 | $587 | 2.4× |
| Ultrasound Elastography Parenchyma (76981) | $263.20 | $658 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $129.20 | $323 | 1.3× |
| Ultrasound, abdomen limited (76705) | $966.40 | $2,416 | 9.9× |
| Umbilical-artery Doppler (OB) (76820) | $480.40 | $1,201 | 4.9× |
| Unlisted magnetic resonance procedure (76498) | $2,493.60 | $6,234 | 30.8× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $4,091.60 | $10,229 | 43.1× |
| Upper gi w/o kub (74240) | $834.80 | $2,087 | 5.1× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $1,056 | $2,640 | 95.5× |
| Ureteral Reflux Study (78740) | $1,421.60 | $3,554 | 3.8× |
| Urethrocystogram voiding (74455) | $932.40 | $2,331 | 4.2× |
| Urethrocystography retrograde (74450) | $773.60 | $1,934 | 3.5× |
| Us breast unilateral complete (76641) | $813.20 | $2,033 | 8.4× |
| Us chest (76604) | $542.40 | $1,356 | 5.6× |
| Us complete joint (76881) | $725.60 | $1,814 | 7.5× |
| Us exam, pelvic, limited (76857) | $898.80 | $2,247 | 9.2× |
| Us head (76506) range across 3 matching MRF lines |
$590.40–$1,093.60 | $1,476–$2,734 | varies |
| Us kidney transplant (76776) | $716.80 | $1,792 | 7.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $864 | $2,160 | 8.9× |
| Us ob limited 1 or more fetuses (76815) | $440 | $1,100 | 4.5× |
| Us ob transvaginal (76817) | $500.40 | $1,251 | 5.1× |
| Us pelvic non ob complete (76856) | $898.80 | $2,247 | 9.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $852 | $2,130 | 8.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $595.20 | $1,488 | 6.1× |
| Us retroperitoneal complete (76770) | $1,635.60 | $4,089 | 16.8× |
| Us retroperitoneal limited (76775) | $898.80 | $2,247 | 9.2× |
| Us scrotum and contents (76870) | $778.80 | $1,947 | 8.0× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$855.20–$894.40 | $2,138–$2,236 | varies |
| Us thyroid (76536) | $536.80 | $1,342 | 5.5× |
| Us transrectal (76872) | $1,238 | $3,095 | 12.7× |
| Vascular Flow Imaging (78445) | $734 | $1,835 | 2.0× |
| Vein X-Ray Chest (75827) | $2,135.60 | $5,339 | 1.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,782 | $9,455 | 1.3× |
| Vein X-Ray Spleen/Liver (75810) | $6,838.80 | $17,097 | 2.3× |
| Venogram Sinus/Jugular (75860) | $2,816 | $7,040 | 1.0× |
| Venography Adrenal Unilateral (75840) | $6,838.80 | $17,097 | 2.3× |
| Venography caval inferior serialography rs&i (75825) | $4,271.20 | $10,678 | 1.5× |
| Venography extremity bilateral rs&i (75822) range across 8 matching MRF lines |
$1,812.40–$2,058.80 | $4,531–$5,147 | varies |
| Venography extremity unilateral rs&i (75820) range across 16 matching MRF lines |
$1,461.60–$2,058.80 | $3,654–$5,147 | varies |
| Venography Renal Bilateral (75833) | $3,012 | $7,530 | 1.0× |
| Venography Renal Unilateral (75831) | $2,904.80 | $7,262 | 1.0× |
| Venous sampling by catheter (75893) | $6,432.40 | $16,081 | 1.2× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,270 | $3,175 | 3.4× |
| Wrist 2 views (73100) | $394.80 | $987 | 4.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$360.80–$376.40 | $902–$941 | varies |
| X-ray antegrade pyelogram tube (74425) | $870 | $2,175 | 2.7× |
| X-Ray Aorta Leg Arteries (75630) | $5,120 | $12,800 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $563.20 | $1,408 | 5.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $365.60 | $914 | 4.5× |
| X-Ray Exam Breast Specimen (76098) | $451.60 | $1,129 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $281.20 | $703 | 2.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $317.60 | $794 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $366.40 | $916 | 4.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $418 | $1,045 | 5.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $657.20 | $1,643 | 6.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $657.20 | $1,643 | 6.8× |
| X-Ray Exam L-S Spine Bending (72114) | $845.20 | $2,113 | 8.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $464.40 | $1,161 | 5.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $733.20 | $1,833 | 7.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $640.40 | $1,601 | 6.6× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$345.60–$366.80 | $864–$917 | varies |
| X-ray humerus (73060) | $415.20 | $1,038 | 5.1× |
| X-ray IV pyelogram (ivp) (74400) | $1,739.60 | $4,349 | 10.7× |
| X-ray IV pyelogram+tomography (74415) | $2,122.40 | $5,306 | 13.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $308.80 | $772 | 3.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $478 | $1,195 | 5.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $552.40 | $1,381 | 5.7× |
| X-ray nose-rectum child f.b. (76010) | $449.20 | $1,123 | 5.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $800.40 | $2,001 | 8.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $581.60 | $1,454 | 6.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $494 | $1,235 | 5.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $484.40 | $1,211 | 6.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $584.40 | $1,461 | 7.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $476.80 | $1,192 | 4.9× |
| X-ray thoracic spine 4 vw (72074) | $742.80 | $1,857 | 7.6× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$257.60–$271.60 | $644–$679 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $870 | $2,175 | 2.7× |
| X-Rays Bone Length Studies (77073) | $413.20 | $1,033 | 4.2× |
| X-Rays Bone Survey Complete (77075) | $1,105.20 | $2,763 | 11.4× |
| Xr c-spine 4 or 5 views (72050) | $626.40 | $1,566 | 6.4× |
| Xr facial bones less than 3 views (70140) | $352.40 | $881 | 4.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $629.60 | $1,574 | 6.5× |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$468–$538 | $1,170–$1,345 | varies |
| Xr Tomogram Single Plane (76100) | $952 | $2,380 | 9.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.