Imaging prices at Andalusia Health
Andalusia, AL · every code in this section with a posted price and a Medicare benchmark.
282 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $271.86 | $776.73 | 3.5× |
| Abdomen 2 views (74019) | $295.91 | $845.47 | 3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$495.78–$2,228.50 | $1,416.50–$6,367.13 | varies |
| Angio internal mammary (75756) | $4,428.43 | $12,652.65 | 1.6× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$107.89–$194.60 | $308.25–$556 | varies |
| Angiography extremity unilateral rs&i (75710) range across 8 matching MRF lines |
$269.32–$4,428.43 | $425.75–$12,652.65 | varies |
| Ankle 2 views (73600) range across 9 matching MRF lines |
$18.55–$326.52 | $53–$932.91 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $4,428.43 | $12,652.65 | 1.6× |
| Artery X-Rays Pelvis (75736) | $4,428.43 | $12,652.65 | 0.9× |
| Artery X-Rays Spine (75705) | $426.65 | $1,219 | 0.1× |
| Arthrogram hip (73525) | $658.95 | $1,882.71 | 2.1× |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$243.86–$984.97 | $696.75–$2,814.20 | varies |
| Bone age studies (77072) | $362.96 | $1,037.03 | 3.9× |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$324.36–$2,563.88 | $926.75–$7,325.38 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$496.04–$2,563.88 | $1,417.25–$7,325.38 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$503.48–$959.18 | $1,438.50–$2,740.50 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$329.61–$2,563.88 | $941.75–$7,325.38 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 3 matching MRF lines |
$107.19–$374.59 | $306.25–$1,070.25 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$188.39–$359.36 | $538.25–$1,026.75 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,819.73 | $5,199.24 | 1.4× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$119.52–$874.82 | $341.50–$2,499.50 | varies |
| Chest 1 view (71045) | $228.52 | $652.90 | 3.0× |
| Chest 2 views (71046) | $284.66 | $813.32 | 3.7× |
| Chest 3 views (71047) | $270.94 | $774.12 | 3.5× |
| Cholecystography Oral Contrast (74290) range across 3 matching MRF lines |
$49.88–$124.86 | $142.50–$356.75 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$55.21–$325.04 | $157.75–$928.68 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $91.97 | $262.78 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$55.30–$402.50 | $158–$1,150 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$40.86–$535.83 | $116.75–$1,530.93 | varies |
| Contrast X-Ray Of Elbow (73085) | $605.27 | $1,729.33 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $658.95 | $1,882.71 | 2.1× |
| CT abdomen and pelvis without and with contrast (74178) | $6,812.05 | $19,463.01 | 22.2× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$319.72–$3,789.68 | $913.50–$10,827.65 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$455.35–$2,077.82 | $1,301–$5,936.62 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$556.06–$3,373.76 | $1,588.75–$9,639.30 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$430.76–$1,965.72 | $1,230.75–$5,616.35 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,048.27 | $5,852.21 | 6.7× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$196.98–$2,102.21 | $562.80–$6,006.32 | varies |
| CT Angio Head (70496) | $1,849.87 | $5,285.33 | 12.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,000.97 | $5,717.05 | 12.9× |
| CT Angio Neck (70498) | $1,849.87 | $5,285.33 | 12.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,888.33 | $5,395.23 | 12.2× |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$429.54–$2,296.39 | $1,227.25–$6,561.11 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$406.96–$1,965.72 | $1,162.75–$5,616.35 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$612.15–$1,559.30 | $1,749–$4,455.15 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$428.84–$1,229.34 | $1,225.25–$3,512.39 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$434.44–$2,824.52 | $1,241.25–$8,070.06 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$375.20–$2,296.39 | $1,072–$6,561.11 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$569.10–$3,184.26 | $1,626–$9,097.90 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$352.36–$900.54 | $1,006.75–$2,572.98 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$654.94–$2,987.75 | $1,871.25–$8,536.42 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$370.04–$1,965.72 | $1,057.25–$5,616.35 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$398.56–$484.75 | $1,138.75–$1,385 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$460.78–$2,951.16 | $1,316.50–$8,431.89 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$455–$2,620.49 | $1,300–$7,487.11 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$420.79–$2,209.15 | $1,202.25–$6,311.85 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$315–$1,965.72 | $900–$5,616.35 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$172.20–$2,418.80 | $492–$6,910.87 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 6 matching MRF lines |
$388.68–$1,166.11 | $1,110.50–$3,331.75 | varies |
| CT orbits w/o contrast (70480) range across 7 matching MRF lines |
$315–$1,965.72 | $900–$5,616.35 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$522.72–$3,373.76 | $1,493.50–$9,639.30 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$430.76–$1,570.79 | $1,230.75–$4,487.97 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$437.32–$2,319.37 | $1,249.50–$6,626.76 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$574.26–$2,620.49 | $1,640.75–$7,487.11 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$369.78–$2,077.82 | $1,056.50–$5,936.62 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$303.45–$1,965.72 | $867–$5,616.35 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$318.15–$3,098.72 | $909–$8,853.48 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$314.30–$1,965.72 | $898–$5,616.35 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$455.35–$2,077.82 | $1,301–$5,936.62 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$363.65–$2,611.58 | $1,039–$7,461.66 | varies |
| CT unlisted procedure (76497) | $51.45 | $147 | 0.7× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$353.94–$1,965.72 | $1,011.25–$5,616.35 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 5 matching MRF lines |
$339.15–$2,319.37 | $969–$6,626.76 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$340.02–$2,241.51 | $971.50–$6,404.32 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,674.43 | $7,641.23 | 17.3× |
| Cta Abdomen (74175) | $2,048.27 | $5,852.21 | 13.2× |
| CTA pelvis (72191) | $904.66 | $2,584.75 | 5.9× |
| Discography Cerv/Thor Spine (72285) | $442.49 | $1,264.25 | 0.3× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$316.49–$541.71 | $904.25–$1,547.75 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$75.25–$147.25 | $215–$420.72 | varies |
| Dxa bone density study (77085) | $94.82 | $270.90 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $143.58 | $410.22 | 1.9× |
| Echo exam of fetal heart (76825) | $58.10 | $166 | 0.1× |
| Echo Guide For Artery Repair (76936) | $359.03 | $1,025.79 | 1.9× |
| Esophageal Motility Study (78258) range across 2 matching MRF lines |
$362.42–$690.55 | $1,035.50–$1,973 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$98.18–$577.20 | $280.50–$1,649.13 | varies |
| Fetal Biophys Profile W/Nst (76818) | $83.48 | $238.50 | 0.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $227.03 | $648.67 | 2.5× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$17.24–$535.83 | $49.25–$1,530.93 | varies |
| Foot 2 views (73620) range across 8 matching MRF lines |
$15.75–$252.15 | $45–$720.44 | varies |
| Forearm 2 views (73090) range across 10 matching MRF lines |
$19.95–$374.78 | $57–$1,070.80 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$123.20–$1,129.76 | $352–$3,227.90 | varies |
| Gastric Mucosa Imaging (78261) | $841.21 | $2,403.45 | 2.4× |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$280.44–$534.62 | $801.25–$1,527.50 | varies |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$82.60–$789.45 | $236–$2,255.58 | varies |
| Gated Heart, Multiple (78473) | $374.76 | $1,070.75 | 1.1× |
| Hand 2 views (73120) range across 9 matching MRF lines |
$15.75–$230.49 | $45–$658.53 | varies |
| Heart first pass single,planar (78481) | $64.14 | $183.25 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $3,244.98 | $9,271.38 | 6.8× |
| Hepatobiliary System Imaging (78226) | $3,244.98 | $9,271.38 | 9.2× |
| Ht Muscle Image Spect Sing (78451) | $1,766.54 | $5,047.27 | 1.5× |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$100.62–$590 | $287.50–$1,685.71 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 5 matching MRF lines |
$70.88–$386.92 | $202.50–$1,105.50 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$60.11–$109.38 | $171.75–$312.50 | varies |
| Joint Survey Single View (77077) | $335.88 | $959.66 | 3.6× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$495.78–$944.65 | $1,416.50–$2,699 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 4 matching MRF lines |
$254.54–$1,362.22 | $727.25–$3,892.06 | varies |
| Kidney Imaging Morphol (78700) range across 3 matching MRF lines |
$214.81–$657.39 | $613.75–$1,878.25 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $144.02 | $411.50 | 0.4× |
| Knee 3 Views (73562) | $64.49 | $184.25 | 0.8× |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$149.01–$599.85 | $425.75–$1,713.85 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$212.36–$404.86 | $606.75–$1,156.75 | varies |
| Liver imaging static only (78201) range across 3 matching MRF lines |
$87.50–$245.26 | $250–$700.75 | varies |
| Liver imaging w/vascular flow (78202) range across 3 matching MRF lines |
$118.74–$404.86 | $339.25–$1,156.75 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $676.99 | $1,934.25 | 1.4× |
| Lung Ventilation Imaging (78579) | $601.82 | $1,719.48 | 1.7× |
| Lymph System Imaging (78195) | $1,847.80 | $5,279.44 | 3.9× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$622.12–$2,614.60 | $1,777.50–$7,470.30 | varies |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
$111.74–$1,305.09 | $319.25–$3,728.83 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$622.12–$2,614.60 | $1,777.50–$7,470.30 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$622.12–$2,614.60 | $1,777.50–$7,470.30 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,913.80–$2,280.91 | $5,468–$6,516.89 | varies |
| MRI abdomen w/o contrast (74181) range across 6 matching MRF lines |
$501.90–$2,490.10 | $1,434–$7,114.57 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,089.54–$2,194.02 | $5,970.12–$6,268.63 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$939.49–$2,305.30 | $2,684.25–$6,586.58 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$1,115.36–$2,194.02 | $3,186.75–$6,268.63 | varies |
| MRI cervical spine w contrast (72142) range across 4 matching MRF lines |
$562.28–$2,614.60 | $1,606.50–$7,470.30 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$562.28–$2,490.10 | $1,606.50–$7,114.57 | varies |
| MRI chest w/o contrast (71550) range across 5 matching MRF lines |
$622.12–$2,010.75 | $1,777.50–$5,744.99 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$816.90–$1,108.19 | $2,334–$3,166.25 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$1,390.55–$3,869.46 | $3,973–$11,055.59 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,490.10 | $7,114.57 | 8.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 8 matching MRF lines |
$622.12–$2,614.60 | $1,777.50–$7,470.30 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 8 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$622.12–$1,771.47 | $1,777.50–$5,061.34 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 4 matching MRF lines |
$618.45–$2,490.10 | $1,767–$7,114.57 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 16 matching MRF lines |
$252.61–$2,490.10 | $721.75–$7,114.57 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$816.90–$1,637.51 | $2,334–$4,678.61 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 7 matching MRF lines |
$622.12–$3,574.97 | $1,777.50–$10,214.21 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$543.46–$2,490.10 | $1,552.75–$7,114.57 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$532–$2,490.10 | $1,520–$7,114.57 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 10 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 7 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$622.12–$2,490.10 | $1,777.50–$7,114.57 | varies |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$544.95–$2,490.10 | $1,557–$7,114.57 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,414.14–$2,490.10 | $4,040.40–$7,114.57 | varies |
| MRI, lumbar spine combo (72158) range across 4 matching MRF lines |
$605.59–$2,490.10 | $1,730.25–$7,114.57 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$315.35–$1,947.29 | $901–$5,563.68 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$229.60–$1,445.44 | $656–$4,129.84 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$315.35–$825.21 | $901–$2,357.75 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$460.08–$1,183.61 | $1,314.50–$3,381.75 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $910 | $2,600 | 0.8× |
| Myocardial Spect Multiple Studies (78452) | $1,912.81 | $5,465.18 | 1.7× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$62.48–$368.38 | $178.50–$1,052.51 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $74.20 | $212 | 0.2× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$304.41–$534.84 | $869.75–$1,528.12 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$104.39–$179.02 | $298.25–$511.50 | varies |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$101.32–$975.12 | $289.50–$2,786.07 | varies |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$46.90–$231.96 | $134–$662.75 | varies |
| Pet Image W/Ct Lmtd (78814) | $3,972.38 | $11,349.67 | 3.2× |
| PET image w/CT, full body (78816) | $3,972.38 | $11,349.67 | 3.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,972.38 | $11,349.67 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$222.25–$601.82 | $635–$1,719.48 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$133–$538.29 | $380–$1,537.96 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$37.71–$385.62 | $107.75–$1,101.77 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$58.71–$326.52 | $167.75–$932.91 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$34.21–$202.42 | $97.75–$578.33 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$69.39–$408.76 | $198.25–$1,167.89 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$95.72–$380.47 | $273.50–$1,087.07 | varies |
| Radex fingr minimum 2 views (73140) range across 14 matching MRF lines |
$15.40–$189.61 | $44–$541.73 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$58.71–$252.15 | $167.75–$720.44 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$58.71–$238.36 | $167.75–$681.04 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$53.90–$134.75 | $154–$385 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$68.78–$405.32 | $196.50–$1,158.06 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$100.62–$427.97 | $287.50–$1,222.76 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$21.70–$343.76 | $62–$982.16 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $15.75 | $45 | 0.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$110.25–$542.24 | $315–$1,549.25 | varies |
| Radex Spine 1 View Specify Level (72020) range across 14 matching MRF lines |
$36.22–$327 | $103.50–$934.30 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$62.82–$369.86 | $179.50–$1,056.73 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$84.18–$494.95 | $240.50–$1,414.13 | varies |
| Radex Toe Minimum 2 Views (73660) range across 13 matching MRF lines |
$15.05–$175.82 | $43–$502.33 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$63.35–$373.31 | $181–$1,066.59 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$72.10–$425.51 | $206–$1,215.74 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $295.91 | $845.47 | 3.2× |
| Radiologic exam colon double contrast study (74280) range across 4 matching MRF lines |
$85.40–$487.64 | $244–$1,393.25 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$144.64–$849.05 | $413.25–$2,425.86 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$55.48–$326.52 | $158.50–$932.91 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $57.31 | $163.75 | 0.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$69.82–$409.75 | $199.50–$1,170.71 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$89.34–$577.20 | $255.25–$1,649.13 | varies |
| Radiologic examination femur 1 view (73551) | $296.48 | $847.10 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) | $353.61 | $1,010.31 | 4.6× |
| Radiologic examination knee 1/2 views (73560) range across 12 matching MRF lines |
$21–$326.52 | $60–$932.91 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $270.87 | $773.92 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 11 matching MRF lines |
$21–$438.81 | $60–$1,253.73 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $49.52 | $141.50 | 0.1× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$72.80–$853.98 | $208–$2,439.93 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$162.92–$520.45 | $465.50–$1,487 | varies |
| Rp Therapy Intravenous Administration (79101) | $300.12 | $857.50 | 1.5× |
| Salivary Gland Imaging (78230) range across 2 matching MRF lines |
$212.71–$405.65 | $607.75–$1,159 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$63.70–$375.28 | $182–$1,072.23 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$26.49–$30.66 | $75.69–$87.61 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$14.52–$37.10 | $41.50–$106 | varies |
| Shoulder 1 view (73020) range across 10 matching MRF lines |
$69.74–$343.76 | $199.25–$982.16 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$205.19–$1,202.16 | $586.25–$3,434.73 | varies |
| Skull less than 4 views (70250) range across 7 matching MRF lines |
$51.36–$302.88 | $146.75–$865.38 | varies |
| Spleen Imaging (78185) range across 3 matching MRF lines |
$154.79–$499.80 | $442.25–$1,428 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$51.62–$303.86 | $147.50–$868.17 | varies |
| Testicular Imaging W/Flow (78761) range across 3 matching MRF lines |
$77.96–$297.94 | $222.75–$851.25 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$69.30–$342.28 | $198–$977.94 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$26.60–$407.78 | $76–$1,165.08 | varies |
| Thoracolumbar 2 views (72080) | $30.28 | $86.50 | 0.4× |
| Thyroid Imaging With Vascular Flow (78013) | $813.59 | $2,324.53 | 2.3× |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$336.52–$2,306.31 | $961.50–$6,589.45 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,162.50 | $6,178.58 | 6.1× |
| Ultrasound Breast Limited (76642) | $652.54 | $1,864.40 | 8.5× |
| Ultrasound Exam Aaa Screen (76706) | $245.68 | $701.94 | 2.7× |
| Ultrasound, abdomen limited (76705) range across 17 matching MRF lines |
$80.15–$921.44 | $229–$2,632.70 | varies |
| Unlisted genitourinary px dx nuclear medicine (78799) | $82.60 | $236 | 0.2× |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$63.21–$155.92 | $180.60–$445.50 | varies |
| Upper gi w/o kub (74240) | $1,182.95 | $3,379.86 | 7.7× |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$49.35–$796.84 | $141–$2,276.68 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$135.80–$796.84 | $388–$2,276.68 | varies |
| Us breast unilateral complete (76641) | $652.54 | $1,864.40 | 7.1× |
| Us complete joint (76881) | $596.40 | $1,704 | 6.5× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$158.72–$680.12 | $453.50–$1,943.20 | varies |
| Us head (76506) range across 2 matching MRF lines |
$136.68–$652.54 | $390.50–$1,864.40 | varies |
| Us kidney transplant (76776) | $227.50 | $650 | 2.5× |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$36.22–$414.68 | $103.50–$1,184.79 | varies |
| Us ob transvaginal (76817) | $1,156.84 | $3,305.27 | 12.6× |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$162.49–$814.58 | $464.25–$2,327.36 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $438.81 | $1,253.73 | 4.8× |
| Us retroperitoneal complete (76770) range across 8 matching MRF lines |
$50.66–$396.95 | $144.75–$1,134.13 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$109.81–$306.82 | $313.75–$876.62 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$117.51–$838.70 | $335.75–$2,396.30 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$170.71–$730.36 | $487.75–$2,086.74 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$130.64–$390.42 | $373.25–$1,115.50 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$105.61–$324.28 | $301.75–$926.50 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$325.41–$1,987.96 | $929.75–$5,679.90 | varies |
| Venography extremity unilateral rs&i (75820) range across 9 matching MRF lines |
$187.42–$1,195.75 | $164.75–$3,416.44 | varies |
| Wrist 2 views (73100) range across 13 matching MRF lines |
$16.80–$241.32 | $48–$689.48 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$70.18–$346.71 | $200.50–$990.61 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$119.96–$469.83 | $342.75–$1,342.36 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 4 matching MRF lines |
$470.22–$4,428.43 | $1,343.50–$12,652.65 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 9 matching MRF lines |
$19.95–$210.29 | $57–$600.84 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$39.11–$253.14 | $111.75–$723.25 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $645.16 | $1,843.31 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$133.04–$339.32 | $380.10–$969.49 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $353.61 | $1,010.31 | 4.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $444.72 | $1,270.62 | 4.8× |
| X-Ray Exam L-S Spine Bending (72114) | $63.26 | $180.75 | 0.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$55.65–$327 | $159–$934.30 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$117.60–$578.18 | $336–$1,651.94 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$65.36–$655.50 | $186.75–$1,872.85 | varies |
| X-ray humerus (73060) range across 8 matching MRF lines |
$61.34–$361.98 | $175.25–$1,034.22 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$151.81–$1,139.11 | $433.75–$3,254.61 | varies |
| X-ray IV pyelogram+tomography (74415) range across 3 matching MRF lines |
$201.25–$1,104.65 | $575–$3,156.14 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$80.68–$326.52 | $230.50–$932.91 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$42–$179.76 | $120–$513.59 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$43.75–$1,084.94 | $125–$3,099.84 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$27.21–$111.30 | $77.75–$318.01 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$18.55–$111.30 | $53–$318.01 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 5 matching MRF lines |
$56.61–$333.41 | $161.75–$952.61 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$27.65–$356.56 | $79–$1,018.74 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$31.15–$423.54 | $89–$1,210.11 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$104.65–$286.71 | $299–$819.16 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$139.82–$709.19 | $399.50–$2,026.25 | varies |
| X-Rays Bone Length Studies (77073) | $216.46 | $618.45 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $204.87 | $585.35 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $31.85 | $91 | 0.3× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$104.39–$283.18 | $298.25–$809.09 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$71.75–$422.05 | $205–$1,205.87 | varies |
| Xr Tomogram Single Plane (76100) range across 4 matching MRF lines |
$124.08–$308.88 | $354.50–$882.50 | 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.