Imaging prices at Albany Medical Center Hospital
Albany, NY · every code in this section with a posted price and a Medicare benchmark.
441 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) range across 6 matching MRF lines |
$967.87–$8,716.50 | $1,935.73–$17,433 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$53.71–$294.50 | $107.42–$589 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$75.85–$364.50 | $151.69–$729 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$720.60–$1,862.50 | $1,441.20–$3,725 | varies |
| Angio internal mammary (75756) range across 4 matching MRF lines |
$292.15–$1,396.50 | $584.29–$2,793 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$292.15–$2,279.50 | $584.29–$4,559 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$921.34–$4,391.50 | $1,842.67–$8,783 | varies |
| Angiography extremity bilateral rs&i (75716) range across 6 matching MRF lines |
$292.15–$2,621.50 | $233–$5,243 | varies |
| Angiography extremity unilateral rs&i (75710) range across 12 matching MRF lines |
$292.15–$2,621.50 | $229–$5,243 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$112–$1,396.50 | $224–$2,793 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$292.15–$1,396.50 | $584.29–$2,793 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$58.64–$248.50 | $117.28–$497 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$292.15–$3,933 | $584.29–$7,866 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$292.15–$4,523 | $584.29–$9,046 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$921.34–$4,391.50 | $1,842.67–$8,783 | varies |
| Artery X-Rays Pelvis (75736) range across 8 matching MRF lines |
$292.15–$3,939 | $287–$7,878 | varies |
| Artery X-Rays Spine (75705) range across 5 matching MRF lines |
$278.20–$3,933 | $556.39–$7,866 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$152.63–$727.50 | $305.26–$1,455 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$63.05–$255.50 | $126.09–$511 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$57.49–$274 | $114.97–$548 | varies |
| Basic radiation dosimetry calculation (77300) range across 6 matching MRF lines |
$47.12–$420 | $94.24–$840 | varies |
| Bone age studies (77072) range across 6 matching MRF lines |
$21–$255 | $8.81–$510 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$680.37–$1,758.50 | $1,360.73–$3,517 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$313.58–$810.50 | $627.16–$1,621 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$629.10–$1,382 | $1,258.20–$2,764 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$628.91–$1,625.50 | $1,257.81–$3,251 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$187.26–$556.50 | $374.52–$1,113 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$132.49–$631.50 | $264.98–$1,263 | varies |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$92.12–$713.50 | $184.23–$1,427 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$41.70–$371.50 | $83.40–$743 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$40.41–$360 | $80.82–$720 | varies |
| Brain Flow Imaging Only (78610) range across 4 matching MRF lines |
$205.45–$610.50 | $410.89–$1,221 | varies |
| Brain imaging < 4 static views (78600) range across 2 matching MRF lines |
$123.23–$366.50 | $246.46–$733 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$267.35–$794.50 | $534.70–$1,589 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$281.28–$836 | $562.55–$1,672 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 4 matching MRF lines |
$526.92–$2,888 | $1,053.83–$5,776 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$235.62–$2,092.50 | $471.23–$4,185 | varies |
| Cardiac Shunt Detection (78428) range across 2 matching MRF lines |
$216.47–$643.50 | $432.94–$1,287 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$49.21–$1,023 | $98.41–$2,046 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$148.96–$443 | $297.91–$886 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$696.81–$1,801 | $1,393.61–$3,602 | varies |
| Chest 1 view (71045) range across 6 matching MRF lines |
$53.50–$255 | $107–$510 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$53.71–$243 | $107.42–$486 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$42.50–$361.50 | $85–$723 | varies |
| Chest 4 or more views (71048) range across 5 matching MRF lines |
$44–$558 | $88–$1,116 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$75.85–$361.50 | $151.69–$723 | varies |
| Cisternography Positive Contrast Rs&I (70015) range across 2 matching MRF lines |
$188.61–$899 | $377.22–$1,798 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$62.42–$253 | $124.83–$506 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$15.90–$380 | $31.79–$760 | varies |
| Continuing medical physics consltj pr wk (77336) range across 6 matching MRF lines |
$26.40–$235 | $52.80–$470 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 5 matching MRF lines |
$292.15–$2,621.50 | $194–$5,243 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$37.50–$770 | $75–$1,540 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$165.74–$790 | $331.48–$1,580 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$109.52–$522 | $219.03–$1,044 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$53.19–$291.50 | $106.37–$583 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$102.43–$2,449 | $204.86–$4,898 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$97.36–$1,726.50 | $194.71–$3,453 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$91.08–$1,724.50 | $182.15–$3,449 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$85.16–$2,036 | $170.32–$4,072 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$68.47–$1,403 | $136.94–$2,806 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$189.44–$3,347.50 | $378.88–$6,695 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$94.74–$1,674 | $189.47–$3,348 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$94.74–$1,674 | $189.47–$3,348 | varies |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$51.78–$1,238 | $103.56–$2,476 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$94.74–$1,969.50 | $189.47–$3,939 | varies |
| CT Angio Neck (70498) range across 6 matching MRF lines |
$14.89–$1,674 | $29.77–$3,348 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$94.74–$1,969.50 | $189.47–$3,939 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$14.46–$300.50 | $28.91–$601 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $260 | $520 | 1.2× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$67.82–$1,410 | $135.64–$2,820 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$58.13–$1,027 | $116.26–$2,054 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$70.64–$1,468.50 | $141.27–$2,937 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$51.76–$1,237.50 | $103.51–$2,475 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$70.81–$1,472 | $141.61–$2,944 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$19.60–$468.50 | $39.20–$937 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 4 matching MRF lines |
$30.04–$650.50 | $60.08–$1,301 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$87.71–$1,550 | $175.42–$3,100 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$59.31–$1,233 | $118.61–$2,466 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$61.09–$1,460.50 | $122.17–$2,921 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$40.29–$837.50 | $80.57–$1,675 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$4.81–$115 | $9.62–$230 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$40.29–$837.50 | $80.57–$1,675 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$88.27–$1,835 | $176.53–$3,670 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$70.64–$1,468.50 | $141.27–$2,937 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$60.18–$1,063.50 | $120.35–$2,127 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$60.18–$1,251 | $120.35–$2,502 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$67.82–$1,621.50 | $135.64–$3,243 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$54.33–$1,153.50 | $108.66–$2,307 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$60.13–$1,250 | $120.25–$2,500 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$59.29–$1,047.50 | $118.57–$2,095 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$78.09–$1,623.50 | $156.18–$3,247 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$95.51–$1,985.50 | $191.01–$3,971 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$55.46–$1,288.50 | $110.92–$2,577 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$69.87–$1,452.50 | $139.73–$2,905 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$79.94–$1,412.50 | $159.88–$2,825 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$70.64–$1,468.50 | $141.27–$2,937 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$66.65–$1,385.50 | $133.29–$2,771 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$53.83–$1,210.50 | $107.65–$2,421 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$49.21–$1,023 | $98.41–$2,046 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$60.75–$1,452.50 | $121.50–$2,905 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$59–$1,122.50 | $117.99–$2,245 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$70.64–$1,468.50 | $141.27–$2,937 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$42.86–$1,024.50 | $85.71–$2,049 | varies |
| CT unlisted procedure (76497) range across 4 matching MRF lines |
$25.93–$539 | $51.85–$1,078 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$60.18–$1,063.50 | $120.35–$2,127 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$70.64–$1,468.50 | $141.27–$2,937 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$60.15–$1,250.50 | $120.30–$2,501 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$80.93–$1,935 | $161.86–$3,870 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$94.74–$1,969.50 | $189.47–$3,939 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,939 | $7,878 | 9.0× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$94.74–$1,969.50 | $189.47–$3,939 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines |
$142.67–$680 | $285.33–$1,360 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$480.86–$2,292 | $961.72–$4,584 | varies |
| Discography Cerv/Thor Spine (72285) range across 8 matching MRF lines |
$292.15–$1,392.50 | $584.29–$2,785 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$271.17–$1,292.50 | $542.33–$2,585 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 12 matching MRF lines |
$8.71–$163.50 | $17.41–$327 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines |
$10.35–$188 | $20.70–$376 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 4 matching MRF lines |
$18.99–$185 | $37.97–$370 | varies |
| Dxa Bone Density Axial (77080) range across 6 matching MRF lines |
$23.40–$245.50 | $46.79–$491 | varies |
| Dxa bone density study (77085) range across 3 matching MRF lines |
$48.26–$264.50 | $96.51–$529 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 4 matching MRF lines |
$8.60–$234 | $17.20–$468 | varies |
| Echo exam of fetal heart (76825) range across 10 matching MRF lines |
$35.36–$833 | $70.72–$1,666 | varies |
| Echo exam uterus (76831) range across 4 matching MRF lines |
$17–$438.50 | $34–$877 | varies |
| Echo Guide For Artery Repair (76936) range across 4 matching MRF lines |
$31.66–$552.50 | $63.32–$1,105 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 12 matching MRF lines |
$38.50–$397 | $77–$794 | varies |
| Echograp Trans R Pros Study (76873) range across 3 matching MRF lines |
$14.05–$142.50 | $28.09–$285 | varies |
| Esophageal Motility Study (78258) range across 2 matching MRF lines |
$147.02–$437 | $294.04–$874 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$143.09–$579.50 | $286.17–$1,159 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 6 matching MRF lines |
$12.45–$419 | $24.89–$838 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 6 matching MRF lines |
$10.66–$188 | $21.31–$376 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$219.87–$2,297.50 | $439.74–$4,595 | varies |
| Fluoroscopy up to 1 hr (76000) range across 9 matching MRF lines |
$43.50–$993 | $18.25–$1,986 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$292.15–$2,621.50 | $584.29–$5,243 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$58.85–$238.50 | $117.70–$477 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$6.51–$252.50 | $13.01–$505 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$697.39–$1,532 | $1,394.77–$3,064 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$147.02–$437 | $294.04–$874 | varies |
| Gated Heart Planar Single (78472) range across 14 matching MRF lines |
$658.31–$1,701.50 | $1,316.62–$3,403 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$32.10–$176 | $64.20–$352 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 2 matching MRF lines |
$92.18–$821 | $184.35–$1,642 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$92.18–$821 | $184.35–$1,642 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$91.47–$815 | $182.93–$1,630 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 3 matching MRF lines |
$292.15–$2,279.50 | $584.29–$4,559 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$292.15–$1,396.50 | $584.29–$2,793 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$435.27–$1,230.50 | $870.53–$2,461 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$396.58–$1,077 | $793.15–$2,154 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$465.25–$1,383 | $930.49–$2,766 | varies |
| Ht Muscle Image Spect Sing (78451) range across 12 matching MRF lines |
$856.60–$2,317.50 | $1,713.19–$4,635 | varies |
| Hysterosalpingogram (74740) range across 4 matching MRF lines |
$29.79–$738 | $59.58–$1,476 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$90.80–$737 | $181.60–$1,474 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$50.58–$410.50 | $101.15–$821 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$134.90–$643 | $269.80–$1,286 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$56.86–$271 | $113.71–$542 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$662.38–$1,712 | $1,324.75–$3,424 | varies |
| K Flow/Funct Image W/Drug (78708) range across 6 matching MRF lines |
$198.10–$589 | $396.19–$1,178 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$503.94–$1,302.50 | $1,007.87–$2,605 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$270.83–$713.50 | $541.66–$1,427 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$148.96–$443 | $297.91–$886 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$76.16–$308.50 | $152.31–$617 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$662.76–$1,713 | $1,325.52–$3,426 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$255.16–$713.50 | $510.32–$1,427 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$149.35–$444 | $298.69–$888 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$650.96–$1,682.50 | $1,301.92–$3,365 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$465.25–$1,202.50 | $930.49–$2,405 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$245.10–$728.50 | $490.20–$1,457 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$181.27–$539 | $362.53–$1,078 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$950.62–$2,088.50 | $1,901.23–$4,177 | varies |
| Lung Ventilation Imaging (78579) range across 8 matching MRF lines |
$281.28–$727 | $562.55–$1,454 | varies |
| Lymph System Imaging (78195) range across 4 matching MRF lines |
$360.01–$1,016 | $720.02–$2,032 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 2 matching MRF lines |
$324.56–$1,547 | $649.12–$3,094 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 2 matching MRF lines |
$298.76–$1,424 | $597.51–$2,848 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$227.29–$2,375 | $454.58–$4,750 | varies |
| Magnetic Resonance Elastography (76391) range across 2 matching MRF lines |
$79.05–$826 | $158.10–$1,652 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$171.20–$816 | $342.39–$1,632 | varies |
| Mammary ductogram or galactogram single (77053) range across 4 matching MRF lines |
$171.20–$816 | $342.39–$1,632 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$851.38–$2,200.50 | $1,702.75–$4,401 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 6 matching MRF lines |
$533.06–$3,509.50 | $1,066.11–$7,019 | varies |
| Mr safety determination physician/other qhp (76016) | $136 | $272 | 1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $45.50 | $91 | 1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $148.50 | $297 | 1.3× |
| Mr safety implt pos&/immoblj (76019) | $92.50 | $185 | 1.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $372.50 | $745 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$126.14–$1,318 | $252.27–$2,636 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$193.13–$1,715.50 | $386.25–$3,431 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$153.60–$1,605 | $307.20–$3,210 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$153.60–$1,605 | $307.20–$3,210 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$187.53–$1,959.50 | $375.05–$3,919 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$178.10–$1,582 | $356.20–$3,164 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$148.58–$1,552.50 | $297.15–$3,105 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$219.87–$1,953 | $439.74–$3,906 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$153.60–$1,605 | $307.20–$3,210 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$198.82–$2,077.50 | $397.63–$4,155 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$227.29–$2,375 | $454.58–$4,750 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$261.31–$2,730.50 | $522.62–$5,461 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$186.04–$1,944 | $372.08–$3,888 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$49.24–$514.50 | $98.48–$1,029 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$235.62–$2,462 | $471.23–$4,924 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$198.82–$2,077.50 | $397.63–$4,155 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$199.68–$1,773.50 | $399.36–$3,547 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$153.60–$1,617.50 | $307.20–$3,235 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$219.87–$2,297.50 | $439.74–$4,595 | varies |
| MRI chest wo w contrast (71552) range across 4 matching MRF lines |
$238.82–$2,495.50 | $477.64–$4,991 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$235.95–$2,465.50 | $471.90–$4,931 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$228.25–$2,743 | $456.49–$5,486 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$228.25–$2,027.50 | $456.49–$4,055 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$206.91–$2,162 | $413.81–$4,324 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$198.82–$2,389 | $397.63–$4,778 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$219.83–$2,297 | $439.65–$4,594 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$148.58–$1,552.50 | $297.15–$3,105 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$198.82–$2,389 | $397.63–$4,778 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$153.60–$1,605 | $307.20–$3,210 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$198.82–$2,143.50 | $397.63–$4,287 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$222.31–$1,974.50 | $444.62–$3,949 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$327.20–$3,419 | $654.40–$6,838 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$197.10–$1,750.50 | $394.19–$3,501 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$227.29–$2,375 | $454.58–$4,750 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$223.13–$2,331.50 | $446.25–$4,663 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$198.82–$2,077.50 | $397.63–$4,155 | varies |
| MRI, abdomen, combo (74183) range across 8 matching MRF lines |
$78.48–$2,420 | $156.95–$4,840 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$198.82–$2,389 | $397.63–$4,778 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$236.62–$2,472.50 | $473.24–$4,945 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$219.83–$1,952.50 | $439.65–$3,905 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$198.82–$2,077.50 | $397.63–$4,155 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$211.83–$2,501.50 | $423.66–$5,003 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 8 matching MRF lines |
$296.35–$1,412.50 | $592.69–$2,825 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$293.47–$758.50 | $586.93–$1,517 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 8 matching MRF lines |
$506.67–$2,415 | $1,013.33–$4,830 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$579.97–$1,724 | $1,159.93–$3,448 | varies |
| Myocardial Spect Multiple Studies (78452) range across 12 matching MRF lines |
$439.52–$1,306.50 | $879.04–$2,613 | varies |
| Neck soft tissue (70360) range across 6 matching MRF lines |
$6.93–$255.50 | $13.85–$511 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$465.25–$1,383 | $930.49–$2,766 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$211.44–$628.50 | $422.88–$1,257 | varies |
| Nm unlisted gi procedure (78299) range across 2 matching MRF lines |
$114.72–$341 | $229.43–$682 | varies |
| Nonvascular Shunt X-Ray (75809) range across 6 matching MRF lines |
$22.66–$443.50 | $45.32–$887 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 4 matching MRF lines |
$1,157.64–$10,377 | $2,315.28–$20,754 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$158.44–$409.50 | $316.87–$819 | varies |
| Nuclear Rx Oral Admin (79005) range across 16 matching MRF lines |
$312.62–$808 | $625.23–$1,616 | varies |
| Ob us nuchal meas 1 gest (76813) range across 4 matching MRF lines |
$11.71–$188 | $23.41–$376 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 4 matching MRF lines |
$15.74–$240.50 | $31.47–$481 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 2 matching MRF lines |
$7.45–$35.50 | $14.90–$71 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 10 matching MRF lines |
$10.60–$265.50 | $21.19–$531 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$79.94–$381 | $159.87–$762 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$20.88–$99.50 | $41.75–$199 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$180.49–$536.50 | $360.98–$1,073 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$299.46–$774 | $598.92–$1,548 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$242.78–$713.50 | $485.56–$1,427 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$53.61–$217 | $107.21–$434 | varies |
| Peritoneogram Rs&I (74190) range across 4 matching MRF lines |
$96.23–$1,005.50 | $192.45–$2,011 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$718.36–$3,424 | $1,436.71–$6,848 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$526.92–$2,888 | $1,053.83–$5,776 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$526.92–$2,888 | $1,053.83–$5,776 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 4 matching MRF lines |
$332.22–$1,583.50 | $664.44–$3,167 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$266.77–$713.50 | $533.54–$1,427 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$37.45–$178.50 | $74.90–$357 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 9 matching MRF lines |
$52.14–$539.50 | $104.27–$1,079 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$12.91–$262.50 | $25.81–$525 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$62.10–$251.50 | $124.20–$503 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$75.95–$307.50 | $151.90–$615 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$98.50–$469.50 | $197–$939 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$53.50–$231 | $107–$462 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$7.97–$262.50 | $15.94–$525 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$53.71–$236 | $107.42–$472 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$62.42–$297.50 | $124.83–$595 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$69.45–$331 | $138.89–$662 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$9.02–$305 | $18.04–$610 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 4 matching MRF lines |
$25.18–$423 | $50.35–$846 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$98.50–$399 | $197–$798 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$64.94–$263 | $129.87–$526 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$75.85–$361.50 | $151.69–$723 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$100.92–$485 | $201.83–$970 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$5.14–$436.50 | $10.28–$873 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$7.35–$435 | $14.69–$870 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$91.27–$435 | $182.53–$870 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$58.85–$238.50 | $117.70–$477 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$62.42–$297.50 | $124.83–$595 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$53.71–$239 | $107.42–$478 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$155.15–$628.50 | $310.29–$1,257 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 4 matching MRF lines |
$818.24–$6,338 | $1,636.47–$12,676 | varies |
| Radiation treatment delivery level 1 (77402) range across 6 matching MRF lines |
$125.04–$2,280 | $250.07–$4,560 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$1,959 | $32.02–$3,918 | 4.1× |
| Radiation treatment delivery level 3 (77412) range across 8 matching MRF lines |
$154.92–$3,560 | $309.84–$7,120 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$98.40–$469 | $196.79–$938 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$9.13–$361.50 | $18.25–$723 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$181.58–$865.50 | $363.16–$1,731 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$232.78–$1,109.50 | $465.55–$2,219 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$60.32–$287.50 | $120.64–$575 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$110.36–$447 | $220.71–$894 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$9.02–$126 | $18.04–$252 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$109.62–$593 | $219.24–$1,186 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$89.80–$492 | $179.59–$984 | varies |
| Radiologic exam teeth complete full mouth (70320) range across 2 matching MRF lines |
$84.87–$404.50 | $169.73–$809 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 2 matching MRF lines |
$48.78–$232.50 | $97.56–$465 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$125.99–$690.50 | $251.97–$1,381 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$81.61–$389 | $163.22–$778 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$75.95–$307.50 | $151.90–$615 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$59.69–$242 | $119.38–$484 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$66.82–$318.50 | $133.64–$637 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$44.27–$211 | $88.54–$422 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$53.71–$217.50 | $107.42–$435 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$69.76–$332.50 | $139.52–$665 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) range across 2 matching MRF lines |
$13.01–$62 | $26.02–$124 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) range across 2 matching MRF lines |
$50.03–$445.50 | $100.05–$891 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) range across 2 matching MRF lines |
$38.47–$342.50 | $76.94–$685 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$114.34–$545 | $228.68–$1,090 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$212.80–$632.50 | $425.59–$1,265 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 4 matching MRF lines |
$491.37–$1,270 | $982.73–$2,540 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$1,204.42–$3,113 | $2,408.84–$6,226 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 6 matching MRF lines |
$465.25–$1,383 | $930.49–$2,766 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$522.32–$1,552.50 | $1,044.63–$3,105 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$457.32–$1,359.50 | $914.63–$2,719 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$518.84–$1,542 | $1,037.67–$3,084 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$457.32–$1,359.50 | $914.63–$2,719 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$330.61–$726.50 | $661.21–$1,453 | varies |
| Salivary Gland Imaging (78230) range across 4 matching MRF lines |
$107.37–$319 | $214.73–$638 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$87.17–$415.50 | $174.34–$831 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$21.93–$116 | $43.85–$232 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$92–$438.50 | $183.99–$877 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$4.62–$307.50 | $9.23–$615 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$58.85–$280.50 | $117.70–$561 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$70.50–$336 | $140.99–$672 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$8.18–$425.50 | $16.36–$851 | varies |
| Special dosimetry (77331) range across 8 matching MRF lines |
$40.86–$327.50 | $81.72–$655 | varies |
| Special Physics Consult (77370) range across 6 matching MRF lines |
$754.85–$4,970 | $1,509.70–$9,940 | varies |
| Special teletherapy port plan (77321) range across 6 matching MRF lines |
$221.28–$1,714 | $442.55–$3,428 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$186.23–$1,659 | $372.45–$3,318 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$180.12–$858.50 | $360.23–$1,717 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$170.43–$506.50 | $340.86–$1,013 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 4 matching MRF lines |
$352.64–$3,141 | $705.27–$6,282 | varies |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$9.44–$465.50 | $18.88–$931 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 14 matching MRF lines |
$245.29–$1,615 | $490.58–$3,230 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 14 matching MRF lines |
$139.11–$1,077.50 | $278.21–$2,155 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
$23.50–$113 | $47–$226 | varies |
| Testicular Imaging W/Flow (78761) range across 4 matching MRF lines |
$384–$992.50 | $768–$1,985 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 14 matching MRF lines |
$184.49–$1,643.50 | $368.97–$3,287 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 4 matching MRF lines |
$159.12–$1,232.50 | $318.23–$2,465 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 10 matching MRF lines |
$133.75–$1,191.50 | $267.50–$2,383 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$123.89–$590.50 | $247.77–$1,181 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$75.95–$307.50 | $151.90–$615 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$115.08–$548.50 | $230.15–$1,097 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$113.40–$459.50 | $226.79–$919 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$366.20–$946.50 | $732.40–$1,893 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,198.23–$3,097 | $2,396.46–$6,194 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$332.93–$860.50 | $665.85–$1,721 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$397.93–$1,028.50 | $795.85–$2,057 | varies |
| Tx Devices Design & Construction Complex (77334) range across 6 matching MRF lines |
$76.17–$678.50 | $152.34–$1,357 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$15.43–$137.50 | $30.85–$275 | varies |
| Tx devices design & construction simple (77332) range across 10 matching MRF lines |
$17.50–$156 | $34.99–$312 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$9.86–$432.50 | $19.71–$865 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$37.58–$305 | $75.15–$610 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$14.48–$135 | $28.95–$270 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$15.28–$442 | $30.55–$884 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$11.95–$517.50 | $23.90–$1,035 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$6.84–$164.50 | $13.68–$329 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 6 matching MRF lines |
$21.19–$176 | $42.38–$352 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$64.12–$670 | $128.24–$1,340 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 2 matching MRF lines |
$22.08–$194.50 | $44.15–$389 | varies |
| Unlisted respiratory px dx nuclear medicine (78599) range across 2 matching MRF lines |
$269.28–$713.50 | $538.56–$1,427 | varies |
| Unlisted us procedure (76999) range across 6 matching MRF lines |
$10.49–$204 | $20.98–$408 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$138.68–$562 | $277.36–$1,124 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$135.22–$402 | $270.44–$804 | varies |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$27.80–$851.50 | $55.60–$1,703 | varies |
| Urethrocystography retrograde (74450) range across 4 matching MRF lines |
$17.94–$626.50 | $35.88–$1,253 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$88.52–$610.50 | $177.04–$1,221 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$54.70–$503.50 | $109.40–$1,007 | varies |
| Us complete joint (76881) range across 6 matching MRF lines |
$11.40–$651.50 | $22.79–$1,303 | varies |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$8.93–$479.50 | $17.86–$959 | varies |
| Us head (76506) range across 2 matching MRF lines |
$90.80–$737 | $181.60–$1,474 | varies |
| Us kidney transplant (76776) range across 4 matching MRF lines |
$21.50–$754.50 | $43–$1,509 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$5.98–$234.50 | $11.95–$469 | varies |
| Us ob detailed single fetus (76811) range across 6 matching MRF lines |
$16.33–$397 | $32.65–$794 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$9.49–$670.50 | $18.97–$1,341 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$10.84–$597 | $21.68–$1,194 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$14.05–$528.50 | $28.09–$1,057 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 6 matching MRF lines |
$13.43–$1,025.50 | $26.86–$2,051 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$12.51–$116.50 | $25.01–$233 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$16.08–$837.50 | $32.16–$1,675 | varies |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$5.48–$626.50 | $10.96–$1,253 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$15.53–$626.50 | $31.05–$1,253 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$90.80–$737 | $181.60–$1,474 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$16.08–$697 | $32.16–$1,394 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$15.40–$228 | $30.80–$456 | varies |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$111.50–$1,392.50 | $223–$2,785 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 4 matching MRF lines |
$332.22–$1,583.50 | $664.44–$3,167 | varies |
| Vein X-Ray Skull Epidural (75872) range across 4 matching MRF lines |
$292.15–$1,392.50 | $584.29–$2,785 | varies |
| Vein X-Ray Spleen/Liver (75810) range across 2 matching MRF lines |
$292.15–$1,396.50 | $584.29–$2,793 | varies |
| Venogram Sinus/Jugular (75860) range across 10 matching MRF lines |
$121–$2,279.50 | $242–$4,559 | varies |
| Venography Adrenal Unilateral (75840) range across 6 matching MRF lines |
$292.15–$1,396.50 | $584.29–$2,793 | varies |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$292.15–$2,279.50 | $209–$4,559 | varies |
| Venography extremity bilateral rs&i (75822) range across 8 matching MRF lines |
$104.50–$1,392.50 | $209–$2,785 | varies |
| Venography extremity unilateral rs&i (75820) range across 20 matching MRF lines |
$98.50–$1,392.50 | $197–$2,785 | varies |
| Venography Renal Bilateral (75833) range across 5 matching MRF lines |
$292.15–$2,279.50 | $584.29–$4,559 | varies |
| Venography Renal Unilateral (75831) range across 12 matching MRF lines |
$115–$2,279.50 | $230–$4,559 | varies |
| Venous sampling by catheter (75893) range across 5 matching MRF lines |
$315.02–$3,933 | $630.03–$7,866 | varies |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$301.78–$897 | $603.56–$1,794 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$183.59–$545.50 | $367.17–$1,091 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$15.32–$73 | $30.63–$146 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$59.48–$241 | $118.96–$482 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$5.88–$415 | $11.75–$830 | varies |
| X-ray antegrade pyelogram tube (74425) range across 5 matching MRF lines |
$35.25–$819 | $70.49–$1,638 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 4 matching MRF lines |
$292.15–$1,601.50 | $584.29–$3,203 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$122.63–$497 | $245.26–$994 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$59.48–$241 | $118.96–$482 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$28.12–$154 | $56.23–$308 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$9.02–$512.50 | $18.04–$1,025 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$155.15–$739.50 | $310.29–$1,479 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 4 matching MRF lines |
$18.88–$739.50 | $37.76–$1,479 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$7.03–$258 | $14.06–$516 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$75.85–$337 | $151.69–$674 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$75.85–$376 | $151.69–$752 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$119.90–$486 | $239.80–$972 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$119.90–$486 | $239.80–$972 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$119.90–$545.50 | $239.80–$1,091 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$130.39–$528.50 | $260.78–$1,057 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$75.85–$307.50 | $151.69–$615 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$104.06–$421.50 | $208.12–$843 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$7.77–$616 | $15.53–$1,232 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$38.82–$185 | $77.63–$370 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$62.42–$253 | $124.83–$506 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$230.99–$967.50 | $461.98–$1,935 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$258.16–$1,230.50 | $516.32–$2,461 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$88.01–$419.50 | $176.02–$839 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$9.86–$304.50 | $19.72–$609 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$75.95–$307.50 | $151.90–$615 | varies |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$62.94–$300 | $125.88–$600 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$167.84–$800 | $335.68–$1,600 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$78.26–$317 | $156.51–$634 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$45.21–$215.50 | $90.42–$431 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$67.14–$272 | $134.27–$544 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$98.08–$467.50 | $196.16–$935 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$106.90–$509.50 | $213.79–$1,019 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$13.85–$75.50 | $27.69–$151 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$96.72–$461 | $193.44–$922 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$79.94–$381 | $159.87–$762 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$26.23–$144 | $52.45–$288 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$167.63–$679 | $335.26–$1,358 | varies |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$22.03–$754 | $44.06–$1,508 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$76.06–$374.50 | $152.11–$749 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$6.82–$420 | $13.64–$840 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$35.04–$167 | $70.07–$334 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$96.72–$461 | $193.44–$922 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$196.38–$936 | $392.75–$1,872 | varies |
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.