Imaging prices at Arthur M. Blank Hospital
Atlanta, GA · every code in this section with a posted price and a Medicare benchmark.
316 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) | $14,502 | $14,502 | 10.4× |
| Abdomen 1 View (74018) | $439 | $439 | 5.0× |
| Abdomen 2 views (74019) | $539 | $539 | 5.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,658 | $2,658 | 6.6× |
| Angio pulmonary bilat (75743) | $1,633 | $1,633 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $1,626 | $1,626 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,582 | $1,582 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,612 | $1,612 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,820 | $1,820 | 0.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$511–$1,020 | $511–$1,020 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,532 | $1,532 | 0.3× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,755 | $1,755 | 0.3× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$1,962 | $1,962 | 0.4× |
| Artery X-Rays Spine (75705) | $2,834 | $2,834 | 0.5× |
| Arthrogram hip (73525) | $2,231 | $2,231 | 6.4× |
| Arthrogram Wrist (73115) | $2,302 | $2,302 | 6.6× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$414–$1,610 | $414–$1,610 | varies |
| Bone age studies (77072) | $352 | $352 | 3.4× |
| Bone Imaging 3 Phase (78315) | $2,638 | $2,638 | 6.6× |
| Bone Imaging Limited Area (78300) | $1,432 | $1,432 | 3.6× |
| Bone Imaging Whole Body (78306) | $2,327 | $2,327 | 5.8× |
| Bone survey infant (77076) | $1,526 | $1,526 | 14.6× |
| Brain Flow Imaging Only (78610) | $1,898 | $1,898 | 3.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,766 | $1,766 | 3.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,355 | $7,355 | 5.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,557 | $7,557 | 21.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $8,999 | $8,999 | 11.4× |
| Cat Scan Follow-Up Study (76380) | $3,339 | $3,339 | 38.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,798 | $1,798 | 3.3× |
| Cerebrospinal Fluid Scan (78630) | $2,561 | $2,561 | 4.7× |
| Chest 1 view (71045) | $352 | $352 | 4.0× |
| Chest 2 views (71046) | $481 | $481 | 5.5× |
| Chest 3 views (71047) | $611 | $611 | 7.0× |
| Chest 4 or more views (71048) | $633 | $633 | 6.0× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $2,029 | $2,029 | 19.3× |
| Clavicle complete (73000) | $503 | $503 | 5.8× |
| Continuing medical physics consltj pr wk (77336) range across 3 matching MRF lines |
$978–$2,088 | $978–$2,088 | varies |
| Contrast Exam Abdominl Aorta (75625) | $1,395 | $1,395 | 0.4× |
| Contrast X-Ray Bladder (74430) | $539 | $539 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $1,885 | $1,885 | 5.4× |
| Contrast X-Ray Of Knee Joint (73580) | $2,490 | $2,490 | 7.1× |
| CT abdomen and pelvis without and with contrast (74178) | $9,531 | $9,531 | 27.2× |
| CT abdomen and pelvis without contrast (74176) | $3,881 | $3,881 | 16.2× |
| CT abdomen w contrast (74160) | $6,631 | $6,631 | 37.7× |
| CT abdomen w wo contrast (74170) | $7,514 | $7,514 | 42.7× |
| CT abdomen w/o contrast (74150) | $3,102 | $3,102 | 29.6× |
| CT Angio Abdomen and Pelvis (74174) | $10,522 | $10,522 | 30.1× |
| CT Angio Chest (71275) | $7,408 | $7,408 | 42.1× |
| CT Angio Head (70496) | $7,314 | $7,314 | 41.6× |
| CT angio hrt w/3d image (75574) | $9,777 | $9,777 | 27.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $9,070 | $9,070 | 51.6× |
| CT Angio Neck (70498) | $7,302 | $7,302 | 41.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $8,279 | $8,279 | 47.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $3,473 | $3,473 | 19.7× |
| CT cervical spine w/ contrast (72126) | $4,282 | $4,282 | 12.2× |
| CT cervical spine w/o contrast (72125) | $3,173 | $3,173 | 30.3× |
| CT cervical spine w/wo cont (72127) | $5,310 | $5,310 | 30.2× |
| CT chest w contrast (71260) | $4,306 | $4,306 | 24.5× |
| CT chest w/wo contrast (71270) | $5,333 | $5,333 | 30.3× |
| CT head/brain with contrast (70460) | $3,646 | $3,646 | 20.7× |
| CT head/brain without and with contrast (70470) | $4,388 | $4,388 | 24.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $6,524 | $6,524 | 18.6× |
| CT hrt w/3d image congen (75573) | $8,563 | $8,563 | 24.5× |
| CT iac w contrast (70481) | $4,908 | $4,908 | 27.9× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$3,150–$6,299 | $3,150–$6,299 | varies |
| CT lower extremity w/contrast material (73701) | $4,306 | $4,306 | 24.5× |
| CT lumbar spine w contrast (72132) | $4,282 | $4,282 | 12.2× |
| CT lumbar spine w/o contrast (72131) | $3,150 | $3,150 | 30.0× |
| CT maxillofacial w contrast (70487) | $3,811 | $3,811 | 21.7× |
| CT maxillofacial wo contrast (70486) | $3,339 | $3,339 | 31.8× |
| CT neck tissue combo (70492) | $5,663 | $5,663 | 32.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,886 | $5,886 | 33.5× |
| CT orbits w/o contrast (70480) | $3,763 | $3,763 | 35.9× |
| CT pelvis w&w/o contrast (72194) | $7,539 | $7,539 | 42.9× |
| CT pelvis w/o contrast (72192) | $3,138 | $3,138 | 29.9× |
| CT scan of leg combo (73702) | $5,261 | $5,261 | 29.9× |
| CT scans face/jaw combo (70488) | $4,849 | $4,849 | 27.6× |
| CT soft tissue neck w contrast (70491) | $4,624 | $4,624 | 26.3× |
| CT soft tissue neck w/o contrast (70490) | $3,457 | $3,457 | 33.0× |
| CT thoracic spine w contrast (72129) | $4,318 | $4,318 | 24.5× |
| CT thoracic spine w/o contrast (72128) | $3,162 | $3,162 | 30.2× |
| CT thorax w/o contrast (71250) | $3,138 | $3,138 | 29.9× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$4,472–$8,942 | $4,472–$8,942 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $7,526 | $7,526 | 42.8× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$5,710–$11,419 | $5,710–$11,419 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $11,372 | $11,372 | 64.6× |
| Cta Abdomen (74175) | $8,329 | $8,329 | 47.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $6,967 | $6,967 | 19.9× |
| CTA pelvis (72191) | $8,352 | $8,352 | 47.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,502 | $1,502 | 14.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $737 | $737 | 7.0× |
| Dxa Bone Density Axial (77080) | $597 | $597 | 5.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $453 | $453 | 5.2× |
| Echo exam of fetal heart (76825) | $3,151 | $3,151 | 5.7× |
| Echo Guide For Artery Repair (76936) | $2,832 | $2,832 | 13.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $2,019 | $2,019 | 8.4× |
| Esophagram (74220) | $1,510 | $1,510 | 8.6× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $8,223 | $8,223 | 34.4× |
| Fluoroscopy up to 1 hr (76000) | $576 | $576 | 2.4× |
| Follow-Up Angiography (75898) | $910 | $910 | 0.3× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$439–$877 | $439–$877 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$446–$892 | $446–$892 | varies |
| Gastric emptying imaging study (78264) | $2,218 | $2,218 | 5.5× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$481–$964 | $481–$964 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,640 | $1,640 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,654 | $1,654 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $2,854 | $2,854 | 5.2× |
| Hepatobiliary System Imaging (78226) | $2,056 | $2,056 | 5.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,733 | $1,733 | 19.9× |
| Infant hip ultrasound, limited static exam (76886) | $1,205 | $1,205 | 13.8× |
| Joint Survey Single View (77077) | $633 | $633 | 6.0× |
| K Flow/Funct Image W/Drug (78708) | $2,613 | $2,613 | 4.8× |
| K Flow/Funct Image W/O Drug (78707) | $2,468 | $2,468 | 4.5× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,224 | $1,224 | 3.1× |
| Kidney Imaging Morphol (78700) | $2,120 | $2,120 | 5.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$655–$1,309 | $655–$1,309 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,541 | $1,541 | 3.8× |
| Lung Perf&Ventilat Diferentl (78598) | $7,159 | $7,159 | 13.1× |
| Lung perfusion differential (78597) | $1,774 | $1,774 | 4.4× |
| Lymph System Imaging (78195) | $2,441 | $2,441 | 4.5× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,410 | $1,410 | 0.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $4,477 | $4,477 | 7.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,442 | $4,442 | 1.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $4,628 | $4,628 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $6,007 | $6,007 | 25.1× |
| Magnetic Resonance Elastography (76391) | $4,584 | $4,584 | 19.2× |
| Meckels Divert Exam (78290) | $1,702 | $1,702 | 4.2× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,976–$3,352 | $1,976–$3,352 | varies |
| Mr safety determination physician/other qhp (76016) | $267 | $267 | 3.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $241 | $241 | 8.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $55 | $55 | 0.6× |
| Mr safety implt pos&/immoblj (76019) | $132 | $132 | 2.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $402 | $402 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $7,653 | $7,653 | 21.9× |
| MRA head w/o contrast (70544) | $4,717 | $4,717 | 19.7× |
| MRA head with contrast (70545) | $5,046 | $5,046 | 14.4× |
| MRA neck w contrast (70548) | $5,162 | $5,162 | 14.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,707 | $7,707 | 22.0× |
| MRA neck w/o contrast (70547) | $4,735 | $4,735 | 19.8× |
| MRI abdomen w contrast (74182) | $6,756 | $6,756 | 19.3× |
| MRI abdomen w/o contrast (74181) | $3,872 | $3,872 | 16.2× |
| MRI any jt lower extrem w/contrast material (73722) | $7,299 | $7,299 | 9.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$8,785–$17,571 | $8,785–$17,571 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,281 | $7,281 | 9.3× |
| MRI bone marrow blood supply (77084) | $7,423 | $7,423 | 31.0× |
| MRI brain functional w/o physician admnistration (70554) | $8,365 | $8,365 | 35.0× |
| MRI brain functional w/physician admnistration (70555) | $15,312 | $15,312 | 64.0× |
| MRI cardiac w/o contrast (75557) | $5,260 | $5,260 | 22.0× |
| MRI cervical spine w contrast (72142) | $5,776 | $5,776 | 16.5× |
| MRI cervical spine w/o cont (72141) | $3,649 | $3,649 | 15.2× |
| MRI chest w/o contrast (71550) | $8,260 | $8,260 | 34.5× |
| MRI chest with contrast (71551) | $8,952 | $8,952 | 11.4× |
| MRI chest wo w contrast (71552) | $11,277 | $11,277 | 32.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,670 | $5,670 | 16.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$7,228–$14,455 | $7,228–$14,455 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$4,860–$9,718 | $4,860–$9,718 | varies |
| MRI lumbar spine w contrast (72149) | $5,652 | $5,652 | 16.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,462 | $6,462 | 18.5× |
| MRI orbit face &/neck w/o contrast (70540) | $4,948 | $4,948 | 20.7× |
| MRI orbit face neck w contrast (70542) | $5,847 | $5,847 | 16.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,237 | $7,237 | 20.7× |
| MRI pelvis w contrast (72196) | $5,723 | $5,723 | 16.4× |
| MRI pelvis w/o & w contrast (72197) | $7,175 | $7,175 | 20.5× |
| MRI pelvis w/o contrast (72195) | $4,903 | $4,903 | 20.5× |
| MRI spectroscopy (76390) | $9,187 | $9,187 | 105.2× |
| MRI thoracic spine w/o contrast (72146) | $3,649 | $3,649 | 15.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $7,815 | $7,815 | 22.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$7,335–$14,667 | $7,335–$14,667 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$9,515–$19,026 | $9,515–$19,026 | varies |
| MRI, abdomen, combo (74183) | $7,192 | $7,192 | 20.6× |
| MRI, dorsal spine combo (72157) | $6,480 | $6,480 | 18.5× |
| MRI, dorsal spine contrast (72147) | $5,723 | $5,723 | 16.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$4,129–$8,259 | $4,129–$8,259 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$6,462–$17,624 | $6,462–$17,624 | varies |
| MRI, lumbar spine combo (72158) | $6,444 | $6,444 | 18.4× |
| Neck soft tissue (70360) | $474 | $474 | 5.4× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$14,502–$18,634 | $14,502–$18,634 | varies |
| Nuclear Rx Intra-Arterial (79445) | $2,021 | $2,021 | 8.6× |
| Nuclear Rx Oral Admin (79005) | $2,744 | $2,744 | 11.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $645 | $645 | 6.2× |
| Panoramic X-ray of jaws (70355) | $172 | $172 | 2.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,154 | $3,154 | 5.8× |
| Parathyroid Planar Imaging (78070) | $1,254 | $1,254 | 3.1× |
| Pelvis 1 or 2 views (72170) | $403 | $403 | 3.8× |
| Pet Image W/Ct Lmtd (78814) | $10,890 | $10,890 | 7.6× |
| PET image w/CT, full body (78816) | $12,271 | $12,271 | 8.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $12,202 | $12,202 | 8.5× |
| Proton tx delivery complex (77525) | $14,566 | $14,566 | 11.6× |
| Proton tx delivery intermediate (77523) | $14,566 | $14,566 | 11.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,633 | $1,633 | 0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $719 | $719 | 6.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $741 | $741 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$590–$1,179 | $590–$1,179 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$439–$877 | $439–$877 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$497–$992 | $497–$992 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $727 | $727 | 6.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$641–$1,280 | $641–$1,280 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$547–$1,093 | $547–$1,093 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$582–$1,164 | $582–$1,164 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$497–$992 | $497–$992 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $618 | $618 | 7.1× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $1,726 | $1,726 | 19.8× |
| Radex Ribs Unilateral 2 Views (71100) | $539 | $539 | 6.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$525–$1,050 | $525–$1,050 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $497 | $497 | 5.7× |
| Radex Spine 1 View Specify Level (72020) | $352 | $352 | 4.0× |
| Radex Sternum Minimum 2 Views (71120) | $503 | $503 | 5.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $877 | $877 | 10.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$474–$949 | $474–$949 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$497–$992 | $497–$992 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$669–$1,337 | $669–$1,337 | varies |
| Radiation treatment delivery level 3 (77412) | $2,717 | $2,717 | 4.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $662 | $662 | 6.3× |
| Radiologic exam colon single contrast study (74270) | $2,302 | $2,302 | 13.1× |
| Radiologic exam knee complete 4/more views (73564) | $734 | $734 | 7.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $618 | $618 | 5.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,828 | $1,828 | 10.4× |
| Radiologic exam swallow function contrast study (74230) | $2,267 | $2,267 | 12.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$2,123–$3,184 | $2,123–$3,184 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$446–$892 | $446–$892 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$553–$1,107 | $553–$1,107 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$547–$1,093 | $547–$1,093 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $920 | $920 | 8.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$497–$992 | $497–$992 | varies |
| Ribs bilateral 3 views (71110) | $625 | $625 | 6.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,881 | $6,881 | 12.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$2,944–$3,528 | $2,944–$3,528 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $18,017 | $18,017 | 13.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $18,196 | $18,196 | 12.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 8 matching MRF lines |
$1,366–$4,041 | $1,366–$4,041 | varies |
| Rp Therapy Intravenous Administration (79101) | $2,264 | $2,264 | 9.7× |
| Salivary Gland Function Study (78232) | $906 | $906 | 2.3× |
| Salivary Gland Imaging (78230) | $1,198 | $1,198 | 3.0× |
| Scapula (73010) | $309 | $309 | 2.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$295–$589 | $295–$589 | varies |
| Shoulder Arthrography (73040) | $2,188 | $2,188 | 6.3× |
| Skull less than 4 views (70250) | $561 | $561 | 5.3× |
| Special dosimetry (77331) | $2,159 | $2,159 | 16.0× |
| Special teletherapy port plan (77321) | $2,102 | $2,102 | 5.6× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$312–$7,532 | $312–$7,532 | varies |
| Sternoclavicular joints (71130) | $647 | $647 | 7.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,383 | $1,383 | 3.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,465 | $3,465 | 9.2× |
| Ther rad simulaj-aided field setting simple (77280) | $1,803 | $1,803 | 13.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,440 | $3,440 | 19.6× |
| Thoracic spine 2 views (72070) | $474 | $474 | 4.5× |
| Thoracic spine 3 views (72072) | $590 | $590 | 5.6× |
| Thoracolumbar 2 views (72080) | $511 | $511 | 5.9× |
| Thyroid Imaging With Vascular Flow (78013) | $1,301 | $1,301 | 3.2× |
| Thyroid Met Imaging Body (78018) | $2,823 | $2,823 | 5.2× |
| Thyroid Uptake Measurement (78012) | $714 | $714 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,395 | $1,395 | 3.5× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$855–$3,566 | $855–$3,566 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$880–$1,759 | $880–$1,759 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,006–$1,798 | $1,006–$1,798 | varies |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$762–$29,556 | $762–$29,556 | varies |
| Unlisted us procedure (76999) | $810 | $810 | 9.3× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$1,828–$2,740 | $1,828–$2,740 | varies |
| Ureteral Reflux Study (78740) | $1,236 | $1,236 | 3.1× |
| Urethrocystogram voiding (74455) | $1,899 | $1,899 | 7.9× |
| Urethrocystography retrograde (74450) | $1,103 | $1,103 | 4.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$1,149–$2,299 | $1,149–$2,299 | varies |
| Us chest (76604) | $627 | $627 | 6.0× |
| Us complete joint (76881) | $577 | $577 | 5.5× |
| Us exam, pelvic, limited (76857) | $391 | $391 | 3.7× |
| Us head (76506) | $1,391 | $1,391 | 13.3× |
| Us kidney transplant (76776) | $1,920 | $1,920 | 18.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $698 | $698 | 6.7× |
| Us ob limited 1 or more fetuses (76815) | $960 | $960 | 9.2× |
| Us pelvic non ob complete (76856) | $1,232 | $1,232 | 11.7× |
| Us retroperitoneal complete (76770) | $1,243 | $1,243 | 11.9× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$489–$1,280 | $489–$1,280 | varies |
| Us scrotum and contents (76870) | $1,193 | $1,193 | 11.4× |
| Us spinal canal and contents (76800) | $1,381 | $1,381 | 13.2× |
| Us thyroid (76536) | $1,436 | $1,436 | 13.7× |
| Vein X-Ray Chest (75827) | $1,526 | $1,526 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,647 | $1,647 | 0.5× |
| Vein X-Ray Spleen/Liver (75810) | $8,002 | $8,002 | 2.5× |
| Venogram Sinus/Jugular (75860) | $1,670 | $1,670 | 0.5× |
| Venography Adrenal Unilateral (75840) | $1,697 | $1,697 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $1,417 | $1,417 | 0.4× |
| Venography extremity bilateral rs&i (75822) | $1,504 | $1,504 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,417 | $1,417 | 0.9× |
| Venography Renal Bilateral (75833) | $1,726 | $1,726 | 0.5× |
| Venography Renal Unilateral (75831) | $1,547 | $1,547 | 0.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$539–$1,078 | $539–$1,078 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $403 | $403 | 4.6× |
| X-ray antegrade pyelogram tube (74425) | $2,418 | $2,418 | 6.9× |
| X-Ray Bend Only L-S Spine (72120) | $625 | $625 | 6.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$439–$877 | $439–$877 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $618 | $618 | 7.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,151 | $1,151 | 11.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,295 | $1,295 | 12.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $481 | $481 | 5.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $748 | $748 | 8.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $633 | $633 | 6.0× |
| X-Ray Exam L-S Spine Bending (72114) | $992 | $992 | 9.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $597 | $597 | 6.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,001 | $1,001 | 9.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $611 | $611 | 5.8× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$503–$1,005 | $503–$1,005 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $618 | $618 | 7.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $676 | $676 | 7.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $604 | $604 | 5.8× |
| X-ray nose-rectum child f.b. (76010) | $439 | $439 | 5.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $778 | $778 | 7.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $590 | $590 | 5.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $497 | $497 | 5.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $568 | $568 | 6.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $655 | $655 | 6.2× |
| X-ray thoracic spine 4 vw (72074) | $683 | $683 | 6.5× |
| X-Rays Bone Length Studies (77073) | $669 | $669 | 6.4× |
| X-Rays Bone Survey Complete (77075) | $1,510 | $1,510 | 14.4× |
| Xr c-spine 4 or 5 views (72050) | $827 | $827 | 7.9× |
| Xr facial bones less than 3 views (70140) | $467 | $467 | 5.3× |
| Xr orbits complete 4 views (70200) | $727 | $727 | 6.9× |
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.