Imaging prices at Arkansas Children's Northwest
Springdale, AR · every code in this section with a posted price and a Medicare benchmark.
317 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) | $1,194.03 | $1,326.70 | 0.9× |
| Abdomen 1 View (74018) range across 5 matching MRF lines |
$172.09–$2,171.94 | $191.21–$2,413.27 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$220.91–$228.66 | $245.45–$254.07 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,233.86 | $1,370.96 | 3.3× |
| Angio internal mammary (75756) | $2,749.75 | $3,055.28 | 0.9× |
| Angio pulmonary bilat (75743) | $3,434.48 | $3,816.09 | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $2,905.81 | $3,228.68 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,368.43 | $3,742.70 | 1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$1,836.81–$3,501.50 | $2,040.90–$3,890.55 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,049.42 | $4,499.35 | 1.4× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$146.42–$301.63 | $162.69–$335.14 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$3,806.24–$5,807.25 | $4,229.16–$6,452.50 | varies |
| Artery X-Rays Abdomen (75726) | $5,586.58 | $6,207.31 | 1.1× |
| Artery X-Rays Pelvis (75736) | $5,586.58 | $6,207.31 | 1.1× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$1,857.39 | $2,063.77 | 0.4× |
| Arthrogram hip (73525) | $464.13 | $515.70 | 1.4× |
| Arthrogram Wrist (73115) | $450.61 | $500.68 | 1.4× |
| Basic radiation dosimetry calculation (77300) | $434.01 | $482.23 | 3.5× |
| Bone age studies (77072) range across 4 matching MRF lines |
$39.58–$187.46 | $43.98–$208.29 | varies |
| Bone Imaging 3 Phase (78315) | $1,336.48 | $1,484.98 | 3.6× |
| Bone Imaging Limited Area (78300) | $848.66 | $942.95 | 2.3× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$217.90–$2,260.73 | $242.11–$2,511.92 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$228.70–$242.62 | $254.11–$269.58 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $855.11 | $950.12 | 1.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,836.62 | $2,040.69 | 1.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$3,286.64–$3,486.79 | $3,651.82–$3,874.21 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,222.99 | $3,581.10 | 4.4× |
| Cat Scan Follow-Up Study (76380) | $474.61 | $527.34 | 5.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $794.64 | $882.93 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $1,113.89 | $1,237.65 | 2.2× |
| Chest 1 view (71045) range across 9 matching MRF lines |
$43.48–$1,103.54 | $48.31–$1,226.16 | varies |
| Chest 2 views (71046) range across 9 matching MRF lines |
$44.19–$641.63 | $49.10–$712.92 | varies |
| Chest 3 views (71047) | $210.51 | $233.90 | 2.6× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$216.83–$239.98 | $240.92–$266.64 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$180.80–$187.16 | $200.89–$207.95 | varies |
| Continuing medical physics consltj pr wk (77336) | $130.50 | $145 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $3,368.43 | $3,742.70 | 1.1× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$296.33–$344.30 | $329.26–$382.56 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$464.13–$666.24 | $515.70–$740.27 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $519.84 | $577.60 | 1.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $346.86 | $385.40 | 2.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,654.82–$4,666.96 | $5,172.02–$5,185.51 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,401.06–$3,608.18 | $3,778.95–$4,009.09 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$2,404.88–$2,528.67 | $2,672.09–$2,809.63 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,446.79–$2,520.20 | $2,718.66–$2,800.22 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,801.90–$1,855.95 | $2,002.11–$2,062.17 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$2,779.94–$3,862.01 | $3,088.82–$4,291.12 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,281.07–$3,270.37 | $2,534.52–$3,633.74 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$2,225.99–$2,361.56 | $2,473.32–$2,623.95 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,040.44–$1,290.84 | $1,156.04–$1,434.27 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,928.10–$1,985.94 | $2,142.33–$2,206.60 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,239.25–$2,375.61 | $2,488.05–$2,639.57 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,059.88–$2,121.67 | $2,288.75–$2,357.41 | varies |
| CT cervical spine w/ contrast (72126) | $2,612.95 | $2,903.28 | 8.0× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,252.43–$2,389.60 | $2,502.70–$2,655.11 | varies |
| CT cervical spine w/wo cont (72127) | $2,882.85 | $3,203.17 | 17.6× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,577.76–$2,734.75 | $2,864.18–$3,038.61 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$3,190.85–$3,221.70 | $3,545.39–$3,579.67 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$95.44–$2,371.75 | $106.04–$2,635.28 | varies |
| CT head/brain without and with contrast (70470) | $2,483.27 | $2,759.19 | 15.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,827.50 | $2,030.55 | 5.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $113.96 | $126.62 | 1.4× |
| CT hrt w/3d image congen (75573) range across 3 matching MRF lines |
$1,018.97–$1,132.73 | $1,132.19–$1,258.59 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$2,182.90–$2,315.84 | $2,425.44–$2,573.15 | varies |
| CT l-spine w&w/o contrast (72133) | $2,645.33 | $2,939.26 | 16.2× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,792.22–$3,691.98 | $1,991.36–$4,102.20 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,859.47–$1,983.26 | $2,066.08–$2,203.62 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$2,523.15–$2,598.85 | $2,803.50–$2,887.61 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$2,143.80–$2,274.35 | $2,382–$2,527.06 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$2,148.09–$4,142.78 | $2,386.77–$4,603.09 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,279.84–$2,418.68 | $2,533.16–$2,687.42 | varies |
| CT neck tissue combo (70492) | $1,910.84 | $2,123.15 | 11.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,892.52 | $3,213.91 | 17.7× |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$1,875.06–$1,989.25 | $2,083.40–$2,210.28 | varies |
| CT pelvis w&w/o contrast (72194) | $2,399.73 | $2,666.37 | 14.7× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$1,873.58–$1,987.68 | $2,081.75–$2,208.53 | varies |
| CT scan of leg combo (73702) | $1,820.35 | $2,022.61 | 11.1× |
| CT scans face/jaw combo (70488) | $2,607.64 | $2,897.38 | 15.9× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,013.63–$2,136.26 | $2,237.37–$2,373.62 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,668.01–$1,718.05 | $1,853.34–$1,908.94 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$2,516.01–$2,591.50 | $2,795.57–$2,879.44 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$2,204.59–$2,338.85 | $2,449.54–$2,598.72 | varies |
| CT thoracic spine w/wo cont (72130) | $2,645.48 | $2,939.42 | 16.2× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$100.67–$2,115.71 | $111.86–$2,350.79 | varies |
| CT unlisted procedure (76497) | $238.71 | $265.23 | 2.9× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$1,798.44–$1,907.97 | $1,998.27–$2,119.97 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,062.31 | $2,291.46 | 12.6× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,892.97–$1,949.76 | $2,103.30–$2,166.40 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,794.46 | $1,993.84 | 11.0× |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$2,290.59–$2,359.31 | $2,545.10–$2,621.45 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,300.62 | $2,556.24 | 7.1× |
| CTA pelvis (72191) | $1,627.68 | $1,808.53 | 9.9× |
| Discography Cerv/Thor Spine (72285) | $3,998.64 | $4,442.93 | 2.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $257.88 | $286.53 | 2.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$312.30–$624.60 | $347–$694 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
$536.66–$1,073.32 | $596.29–$1,192.58 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$389.12–$412.81 | $432.35–$458.68 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 4 matching MRF lines |
$40.58–$179.75 | $45.09–$199.72 | varies |
| Echo exam of fetal heart (76825) range across 4 matching MRF lines |
$49.37–$1,831.25 | $54.85–$2,034.72 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $818.18 | $909.09 | 3.7× |
| Esophageal Motility Study (78258) | $882.81 | $980.90 | 2.4× |
| Esophagram (74220) range across 4 matching MRF lines |
$231.89–$420.74 | $257.66–$467.49 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 3 matching MRF lines |
$3,085.22–$3,273.11 | $3,428.02–$3,636.79 | varies |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$61.22–$3,081.19 | $68.02–$3,423.54 | varies |
| Follow-Up Angiography (75898) | $693.84 | $770.93 | 0.2× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$151.62–$363.11 | $168.47–$403.46 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$170.37–$342.45 | $189.30–$380.50 | varies |
| Gastric emptying imaging study (78264) | $2,248.54 | $2,498.38 | 6.0× |
| Gastroesophageal Reflux Exam (78262) | $1,039.26 | $1,154.73 | 2.8× |
| Gated Heart Planar Single (78472) | $1,317.90 | $1,464.33 | 3.5× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$146.42–$431.83 | $162.69–$479.81 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,632.62 | $4,036.24 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,141.02 | $3,490.02 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $2,260.73 | $2,511.92 | 4.5× |
| Hepatobiliary System Imaging (78226) | $1,899.02 | $2,110.02 | 5.1× |
| Ht Muscle Image Spect Sing (78451) | $1,562.59 | $1,736.21 | 1.3× |
| Hysterosalpingogram (74740) | $157.20 | $174.67 | 0.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$468.53–$497.07 | $520.59–$552.30 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$468.53–$497.07 | $520.59–$552.30 | varies |
| K Flow/Funct Image W/Drug (78708) | $999.77 | $1,110.86 | 2.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,894.88 | $2,105.42 | 5.1× |
| Kidney Imaging Morphol (78700) | $1,077.84 | $1,197.60 | 2.9× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$205.21–$422.73 | $228.01–$469.70 | varies |
| Liver & Spleen Imaging Static Only (78215) | $740.82 | $823.13 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,556.42 | $1,729.35 | 3.1× |
| Lung Ventilation Imaging (78579) | $1,027.85 | $1,142.05 | 2.8× |
| Lymph System Imaging (78195) | $1,352.08 | $1,502.31 | 2.7× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,075.82 | $2,306.47 | 1.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $607.91 | $675.45 | 0.2× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,278.83–$1,317.20 | $1,420.92–$1,463.55 | varies |
| Magnetic Resonance Elastography (76391) | $544.56 | $605.07 | 2.4× |
| Meckels Divert Exam (78290) | $1,279.70 | $1,421.89 | 3.4× |
| Mlc imrt design & construction per imrt plan (77338) | $288.69 | $320.77 | 0.8× |
| Mr safety determination physician/other qhp (76016) | $117.19 | $130.21 | 1.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $32.61 | $36.23 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$2,394.79–$2,540.64 | $2,660.88–$2,822.93 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$1,906.23–$2,022.32 | $2,118.03–$2,247.02 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$1,942.16–$2,060.44 | $2,157.96–$2,289.38 | varies |
| MRA neck w contrast (70548) | $1,570.91 | $1,745.46 | 4.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,083.21 | $2,314.68 | 6.4× |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$1,906.23–$2,022.32 | $2,118.03–$2,247.02 | varies |
| MRI abdomen w contrast (74182) | $2,412.80 | $2,680.89 | 7.4× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,241.58–$3,178.66 | $1,379.53–$3,531.84 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$3,493.61–$3,870.56 | $3,881.79–$4,300.62 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 7 matching MRF lines |
$3,220.83–$8,629.60 | $3,578.70–$9,588.44 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,733.18–$2,815.18 | $3,036.87–$3,127.98 | varies |
| MRI brain functional w/o physician admnistration (70554) | $3,330.23 | $3,700.26 | 15.0× |
| MRI cardiac w/o cont stress (75559) | $3,161.30 | $3,512.56 | 6.2× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$2,432.19–$2,580.31 | $2,702.43–$2,867.01 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$3,442.19–$3,651.82 | $3,824.66–$4,057.58 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$2,996.19–$3,178.66 | $3,329.10–$3,531.84 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$2,128.89–$2,258.06 | $2,365.43–$2,508.96 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$1,193.88–$1,709.33 | $1,326.53–$1,899.25 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,510.64 | $3,900.71 | 10.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$380.04–$5,260.81 | $422.27–$5,845.34 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$344.60–$5,353.81 | $382.89–$5,948.68 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$3,342.02–$3,545.54 | $3,713.35–$3,939.49 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$4,446.71–$5,644.67 | $4,940.79–$6,271.85 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$1,278.83–$2,189.80 | $1,420.92–$2,433.11 | varies |
| MRI orbit face neck w contrast (70542) | $2,189.80 | $2,433.11 | 6.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$3,199.45–$5,034.50 | $3,554.94–$5,593.89 | varies |
| MRI pelvis w contrast (72196) | $2,952.87 | $3,280.97 | 9.1× |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$3,218.87–$4,525.32 | $3,576.52–$5,028.13 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$1,317.20–$2,967.33 | $1,463.55–$3,297.03 | varies |
| MRI spectroscopy (76390) range across 3 matching MRF lines |
$344.60–$1,155.46 | $382.89–$1,283.84 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,996.39–$3,178.87 | $3,329.32–$3,532.08 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,408.39 | $3,787.10 | 10.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$344.60–$2,795.90 | $382.89–$3,106.56 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$394.60–$6,335.59 | $438.44–$7,039.54 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$3,559.91–$3,776.70 | $3,955.45–$4,196.33 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$4,310.15–$4,572.64 | $4,789.06–$5,080.71 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$3,342.02–$3,545.54 | $3,713.35–$3,939.49 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,911.37–$3,088.67 | $3,234.85–$3,431.86 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$3,559.91–$3,803.26 | $3,955.45–$4,225.84 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,310.15–$4,572.64 | $4,789.06–$5,080.71 | varies |
| Myelogram Lumbar (72265) | $841.19 | $934.66 | 1.1× |
| Myelography thoracic (72255) | $668.36 | $742.62 | 0.9× |
| Myocardial Spect Multiple Studies (78452) | $3,680.74 | $4,089.71 | 3.0× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$175.68–$177.44 | $195.20–$197.16 | varies |
| Nm csf leak detection (78650) | $1,024.48 | $1,138.31 | 0.8× |
| Nonvascular Shunt X-Ray (75809) | $607.91 | $675.45 | 6.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,888.49 | $2,098.32 | 1.5× |
| Nuclear Rx Oral Admin (79005) | $974.87 | $1,083.19 | 4.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$92.19–$352.12 | $102.43–$391.24 | varies |
| Panoramic X-ray of jaws (70355) | $99 | $110 | 1.2× |
| Parathyroid Planar Imaging (78070) | $468.48 | $520.53 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$196.44–$203.35 | $218.27–$225.94 | varies |
| Perineogram (74775) | $240 | $266.67 | 1.1× |
| PET image w/CT, full body (78816) | $2,410.43 | $2,678.25 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,340.22 | $2,600.24 | 1.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,368.43 | $3,742.70 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $778.93 | $865.48 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$354.13–$557.09 | $393.48–$618.99 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $631.27 | $701.41 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$175.68–$361.91 | $195.20–$402.12 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$151.62–$160.86 | $168.47–$178.73 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$204.85–$421.99 | $227.61–$468.88 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$224.61–$231.35 | $249.57–$257.06 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$150.36–$309.74 | $167.07–$344.16 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$175.68–$351.36 | $195.20–$390.40 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$175.68–$361.91 | $195.20–$402.12 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$212.96–$438.70 | $236.62–$487.44 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$175.68–$186.38 | $195.20–$207.09 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $224.41 | $249.34 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$205.47–$211.64 | $228.30–$235.15 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$175.68–$361.91 | $195.20–$402.12 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$213.55–$219.96 | $237.28–$244.40 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$142.16–$150.81 | $157.95–$167.57 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$172.27–$182.75 | $191.41–$203.06 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$218.07–$231.35 | $242.30–$257.06 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$138.92–$147.38 | $154.35–$163.75 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$204.17–$210.29 | $226.85–$233.66 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$204.75–$421.79 | $227.50–$468.66 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$267.31–$277.98 | $297.01–$308.87 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$218.07–$449.23 | $242.30–$499.14 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $220.95 | $245.50 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $645.71 | $717.46 | 3.9× |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$231.89–$401.48 | $257.66–$446.09 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$204.80–$421.90 | $227.56–$468.78 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$288.92–$306.51 | $321.02–$340.57 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$277.41–$393.11 | $308.23–$436.79 | varies |
| Radiologic exam swallow function contrast study (74230) range across 6 matching MRF lines |
$383.17–$504.27 | $425.74–$560.30 | varies |
| Radiologic examination femur 1 view (73551) | $137.91 | $153.23 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$206.42–$425.23 | $229.36–$472.48 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$180.80–$372.46 | $200.89–$413.84 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$361.67–$363.48 | $401.86–$403.87 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$180.80–$372.46 | $200.89–$413.84 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$205.47–$211.64 | $228.30–$235.15 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,271.67 | $1,412.97 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,637.33 | $1,819.26 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,875.65 | $2,084.06 | 3.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,947.59 | $2,163.99 | 1.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,767.72 | $1,964.13 | 1.5× |
| Salivary Gland Imaging (78230) | $1,037.14 | $1,152.38 | 2.8× |
| Scapula (73010) range across 2 matching MRF lines |
$266.29–$274.28 | $295.88–$304.76 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$134.59–$269.17 | $149.54–$299.08 | varies |
| Shoulder Arthrography (73040) | $464.13 | $515.70 | 1.4× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$252.46–$267.84 | $280.51–$297.60 | varies |
| Special treatment procedure (77470) | $153.22 | $170.24 | 0.3× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$211.32–$212.37 | $234.80–$235.97 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $431.53 | $479.48 | 1.2× |
| Ther rad simulaj-aided field setting simple (77280) | $154.55 | $171.72 | 1.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$463.25–$477.14 | $514.72–$530.16 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$274.34–$283.98 | $304.82–$315.53 | varies |
| Thoracic spine 3 views (72072) | $292.41 | $324.90 | 3.0× |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$202.01–$214.32 | $224.46–$238.13 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,134.85 | $1,260.94 | 3.0× |
| Thyroid Met Imaging Body (78018) | $1,246.74 | $1,385.27 | 2.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $482.54 | $536.16 | 1.3× |
| Tx Devices Design & Construction Complex (77334) | $102.30 | $113.67 | 0.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$504.24–$534.95 | $560.27–$594.39 | varies |
| Ultrasound elastography first target lesion (76982) | $239.46 | $266.07 | 2.5× |
| Ultrasound Elastography Parenchyma (76981) range across 3 matching MRF lines |
$575.26–$610.30 | $639.18–$678.11 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $805.65 | $895.17 | 2.5× |
| Ultrasound, abdomen limited (76705) range across 8 matching MRF lines |
$503.95–$668.28 | $559.94–$742.53 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$403.08–$806.17 | $447.87–$895.74 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$44.86–$220.48 | $49.84–$244.98 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$2,329.38–$2,348.84 | $2,588.20–$2,609.82 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$225.14–$297.76 | $250.16–$330.84 | varies |
| Ureteral Reflux Study (78740) | $1,259.13 | $1,399.03 | 3.4× |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$296.58–$824.45 | $329.53–$916.05 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$504.24–$629.60 | $560.27–$699.56 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$494.52–$524.30 | $549.47–$582.56 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$128.41–$136.23 | $142.68–$151.37 | varies |
| Us head (76506) range across 3 matching MRF lines |
$47.98–$742.73 | $53.31–$825.26 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$48–$520.89 | $53.33–$578.77 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$436.69–$899.59 | $485.21–$999.54 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$454.12–$481.78 | $504.58–$535.31 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$465.16–$474.44 | $516.84–$527.15 | varies |
| Us retroperitoneal complete (76770) range across 5 matching MRF lines |
$568.52–$629.05 | $631.69–$698.94 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$132.26–$136.23 | $146.96–$151.37 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$523.57–$555.45 | $581.74–$617.17 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$465.98–$494.36 | $517.76–$549.29 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$504.24–$534.95 | $560.27–$594.39 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$826.48–$834.50 | $918.31–$927.22 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,983.61 | $3,315.12 | 1.0× |
| Vein X-Ray Spleen/Liver (75810) | $2,138.09 | $2,375.66 | 0.7× |
| Venogram Sinus/Jugular (75860) | $3,401.14 | $3,779.04 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $3,368.43 | $3,742.70 | 1.1× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,158.86–$2,179.81 | $2,398.73–$2,422.01 | varies |
| Venography extremity unilateral rs&i (75820) | $826.48 | $918.31 | 0.6× |
| Venography Renal Bilateral (75833) | $2,004.22 | $2,226.91 | 0.7× |
| Venography Renal Unilateral (75831) | $2,022.90 | $2,247.67 | 0.7× |
| Venous sampling by catheter (75893) | $5,586.58 | $6,207.31 | 1.1× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$151.62–$312.34 | $168.47–$347.04 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$180.95–$186.38 | $201.06–$207.09 | varies |
| X-ray antegrade pyelogram tube (74425) | $464.13 | $515.70 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) | $3,368.43 | $3,742.70 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $311.62 | $346.24 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$198.42–$205.40 | $220.47–$228.22 | varies |
| X-Ray Exam Breast Specimen (76098) | $171.74 | $190.82 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$172.09–$178.14 | $191.21–$197.93 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$218.42–$226.10 | $242.69–$251.22 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$238.59–$245.75 | $265.10–$273.05 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$221.95–$228.61 | $246.61–$254.01 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$205.83–$212 | $228.70–$235.56 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $239.39 | $265.99 | 2.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$175.68–$177.44 | $195.20–$197.16 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $228.12 | $253.47 | 2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$205.43–$206.45 | $228.25–$229.39 | varies |
| X-ray eye for foreign body (70030) | $71.60 | $79.55 | 0.9× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$202.88–$210.01 | $225.42–$233.34 | varies |
| X-ray IV pyelogram (ivp) (74400) | $306.29 | $340.32 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $198.47 | $220.52 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$274.34–$283.98 | $304.82–$315.53 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$199.04–$211.16 | $221.16–$234.62 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$195.61–$207.52 | $217.34–$230.58 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$274.34–$291.04 | $304.82–$323.38 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$131.72–$136.35 | $146.36–$151.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $284.71 | $316.34 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $308.42 | $342.69 | 3.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$475.41–$489.67 | $528.23–$544.08 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$218.42–$231.72 | $242.69–$257.47 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$501.68–$506.71 | $557.42–$563.01 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$273.57–$290.23 | $303.97–$322.48 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $207.59 | $230.65 | 2.1× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$186.73–$192.33 | $207.48–$213.70 | 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.