Imaging prices at Ascension Sacred Heart Gulf
Port Saint Joe, FL · every code in this section with a posted price and a Medicare benchmark.
320 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) range across 2 matching MRF lines |
$149.60–$228.80 | $374–$572 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$151.20–$232 | $378–$580 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,104 | $5,260 | 5.0× |
| Angiography extremity bilateral rs&i (75716) | $3,094.80 | $7,737 | 0.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$122–$243.60 | $305–$609 | varies |
| Arthrogram ankle (73615) | $550.80 | $1,377 | 1.5× |
| Arthrogram hip (73525) | $416.80 | $1,042 | 1.1× |
| Arthrogram Wrist (73115) | $447.20 | $1,118 | 1.2× |
| Bone age studies (77072) | $426 | $1,065 | 3.9× |
| Bone Imaging 3 Phase (78315) | $2,536.40 | $6,341 | 6.1× |
| Bone Imaging Limited Area (78300) | $1,426 | $3,565 | 3.4× |
| Bone Imaging Whole Body (78306) | $2,358 | $5,895 | 5.6× |
| Bone marrow imaging limited area (78102) | $1,158.80 | $2,897 | 2.8× |
| Bone marrow imaging; whole body (78104) | $1,369.60 | $3,424 | 3.3× |
| Bone survey infant (77076) | $328.40 | $821 | 3.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $990 | $2,475 | 1.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,652.40 | $4,131 | 4.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,012 | $2,530 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $528.40 | $1,321 | 5.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $775.20 | $1,938 | 1.4× |
| Cerebrospinal Fluid Scan (78630) | $1,192.80 | $2,982 | 2.1× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$114.80–$175.20 | $287–$438 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$132–$201.60 | $330–$504 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$226.40–$346 | $566–$865 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$244–$373.20 | $610–$933 | varies |
| Cholecystography Oral Contrast (74290) | $466.80 | $1,167 | 2.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$266.80–$533.60 | $667–$1,334 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,313.20 | $3,283 | 12.0× |
| Contrast X-Ray Bladder (74430) | $392.80 | $982 | 1.1× |
| Contrast X-Ray Of Elbow (73085) | $550.80 | $1,377 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $650.80 | $1,627 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $1,460.80 | $3,652 | 4.0× |
| CT abdomen and pelvis without contrast (74176) | $1,460.80 | $3,652 | 5.9× |
| CT abdomen w contrast (74160) | $1,310.40 | $3,276 | 7.2× |
| CT abdomen w wo contrast (74170) | $1,313.20 | $3,283 | 7.2× |
| CT abdomen w/o contrast (74150) | $924 | $2,310 | 8.5× |
| CT Angio Abdomen and Pelvis (74174) | $3,413.60 | $8,534 | 9.4× |
| CT Angio Chest (71275) | $1,460.80 | $3,652 | 8.0× |
| CT Angio Head (70496) | $2,039.20 | $5,098 | 11.1× |
| CT angio hrt w/3d image (75574) | $507.20 | $1,268 | 1.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,460.80 | $3,652 | 8.0× |
| CT Angio Neck (70498) | $2,140.40 | $5,351 | 11.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,563.60 | $6,409 | 14.0× |
| CT cervical spine w/ contrast (72126) | $1,418 | $3,545 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,382.40 | $3,456 | 12.7× |
| CT cervical spine w/wo cont (72127) | $1,687.20 | $4,218 | 9.2× |
| CT chest w contrast (71260) | $1,213.60 | $3,034 | 6.6× |
| CT chest w/wo contrast (71270) | $1,460.80 | $3,652 | 8.0× |
| CT head/brain with contrast (70460) | $1,460.80 | $3,652 | 8.0× |
| CT head/brain without and with contrast (70470) | $1,460.80 | $3,652 | 8.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $507.20 | $1,268 | 1.4× |
| CT iac w contrast (70481) | $1,384 | $3,460 | 7.6× |
| CT l-spine w&w/o contrast (72133) | $1,635.20 | $4,088 | 8.9× |
| CT lower ext w/o (73700) | $1,152.40 | $2,881 | 10.6× |
| CT lower extremity w/contrast material (73701) | $1,152.40 | $2,881 | 6.3× |
| CT lumbar spine w contrast (72132) | $1,373.60 | $3,434 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $1,246 | $3,115 | 11.4× |
| CT maxillofacial w contrast (70487) | $1,337.60 | $3,344 | 7.3× |
| CT maxillofacial wo contrast (70486) | $1,196.80 | $2,992 | 11.0× |
| CT neck tissue combo (70492) | $1,110 | $2,775 | 6.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,647.20 | $4,118 | 9.0× |
| CT orbits w/o contrast (70480) | $1,384.40 | $3,461 | 12.7× |
| CT pelvis w&w/o contrast (72194) | $1,293.20 | $3,233 | 7.1× |
| CT pelvis w/o contrast (72192) | $1,009.20 | $2,523 | 9.2× |
| CT scan of leg combo (73702) | $1,152.40 | $2,881 | 6.3× |
| CT scans face/jaw combo (70488) | $1,592.80 | $3,982 | 8.7× |
| CT soft tissue neck w contrast (70491) | $1,042.80 | $2,607 | 5.7× |
| CT soft tissue neck w/o contrast (70490) | $1,110 | $2,775 | 10.2× |
| CT thoracic spine w contrast (72129) | $1,578.40 | $3,946 | 8.6× |
| CT thoracic spine w/o contrast (72128) | $1,413.60 | $3,534 | 12.9× |
| CT thoracic spine w/wo cont (72130) | $1,878.80 | $4,697 | 10.3× |
| CT thorax w/o contrast (71250) | $1,287.20 | $3,218 | 11.8× |
| CT upper ext wo (73200) | $1,421.20 | $3,553 | 13.0× |
| CT upper extremity w/o & w/contrast material (73202) | $1,692.40 | $4,231 | 9.2× |
| CT upper extremity with contrast (73201) | $1,421.20 | $3,553 | 3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,561.60 | $6,404 | 14.0× |
| Cta Abdomen (74175) | $2,561.60 | $6,404 | 14.0× |
| CTA pelvis (72191) | $2,567.60 | $6,419 | 14.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$83.60–$147.20 | $209–$368 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$74.40–$181.20 | $186–$453 | varies |
| Dxa bone density study (77085) | $329.60 | $824 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $71.20 | $178 | 0.8× |
| Echo exam uterus (76831) | $332.40 | $831 | 1.3× |
| Echo Guide For Artery Repair (76936) | $506.80 | $1,267 | 2.2× |
| Esophagram (74220) | $348.40 | $871 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $268 | $670 | 2.5× |
| Fluoroscopy up to 1 hr (76000) | $445.20 | $1,113 | 1.8× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$242–$483.20 | $605–$1,208 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$273.60–$548 | $684–$1,370 | varies |
| Gastric emptying imaging study (78264) | $2,093.60 | $5,234 | 5.0× |
| Gastroesophageal Reflux Exam (78262) | $2,104 | $5,260 | 5.0× |
| Gated Heart Planar Single (78472) | $876.40 | $2,191 | 2.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$260.40–$520.40 | $651–$1,301 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,187.60 | $5,469 | 3.9× |
| Hepatobiliary System Imaging (78226) | $2,187.60 | $5,469 | 5.2× |
| Ht Muscle Image Spect Sing (78451) | $2,430.80 | $6,077 | 1.8× |
| Hysterosalpingogram (74740) | $552 | $1,380 | 2.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $432.80 | $1,082 | 4.8× |
| Infant hip ultrasound, limited static exam (76886) | $304 | $760 | 3.3× |
| Joint Survey Single View (77077) | $495.20 | $1,238 | 4.5× |
| K Flow/Funct Image W/Drug (78708) | $2,626.40 | $6,566 | 4.6× |
| K Flow/Funct Image W/O Drug (78707) | $2,327.60 | $5,819 | 4.1× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $654 | $1,635 | 1.6× |
| Kidney Imaging Morphol (78700) | $1,235.60 | $3,089 | 3.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,218.40 | $3,046 | 2.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$273.60–$548 | $684–$1,370 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,740.80 | $4,352 | 4.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,301.60 | $3,254 | 3.1× |
| Lung perfusion differential (78597) | $573.60 | $1,434 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,426.80 | $3,567 | 2.5× |
| Lung Ventilation Imaging (78579) | $514 | $1,285 | 1.2× |
| Lymph System Imaging (78195) | $2,392 | $5,980 | 4.2× |
| Magnetic Image Jaw Joint (70336) | $1,172.40 | $2,931 | 4.7× |
| Mammary ductogram or galactogram multiple (77054) | $242 | $605 | 1.0× |
| Mammary ductogram or galactogram single (77053) | $242 | $605 | 1.0× |
| Meckels Divert Exam (78290) | $1,138.80 | $2,847 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,009.20 | $5,023 | 5.5× |
| MRA head w/o contrast (70544) | $895.20 | $2,238 | 3.6× |
| MRA head with contrast (70545) | $1,155.20 | $2,888 | 3.2× |
| MRA neck w contrast (70548) | $1,155.20 | $2,888 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,009.20 | $5,023 | 5.5× |
| MRA neck w/o contrast (70547) | $895.20 | $2,238 | 3.6× |
| MRI abdomen w contrast (74182) | $1,333.60 | $3,334 | 3.7× |
| MRI abdomen w/o contrast (74181) | $1,009.60 | $2,524 | 4.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,009.60 | $2,524 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,414.80 | $3,537 | 3.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,342.80 | $3,357 | 1.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,239.60 | $5,599 | 9.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,606.80 | $4,017 | 6.4× |
| MRI cardiac w/o cont stress (75559) | $660.80 | $1,652 | 1.2× |
| MRI cardiac w/o contrast (75557) | $1,172.40 | $2,931 | 4.7× |
| MRI cervical spine w contrast (72142) | $1,252 | $3,130 | 3.4× |
| MRI cervical spine w/o cont (72141) | $1,009.60 | $2,524 | 4.1× |
| MRI chest w/o contrast (71550) | $1,333.60 | $3,334 | 5.4× |
| MRI chest with contrast (71551) | $1,333.60 | $3,334 | 1.6× |
| MRI chest wo w contrast (71552) | $1,333.60 | $3,334 | 3.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,209.60 | $3,024 | 3.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,140.80 | $2,852 | 3.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,009.60 | $2,524 | 4.1× |
| MRI lumbar spine w contrast (72149) | $1,278 | $3,195 | 3.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,539.20 | $3,848 | 4.2× |
| MRI orbit face &/neck w/o contrast (70540) | $895.20 | $2,238 | 3.6× |
| MRI orbit face neck w contrast (70542) | $895.20 | $2,238 | 2.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,184 | $2,960 | 3.2× |
| MRI pelvis w contrast (72196) | $1,066.80 | $2,667 | 2.9× |
| MRI pelvis w/o & w contrast (72197) | $1,066.80 | $2,667 | 2.9× |
| MRI pelvis w/o contrast (72195) | $1,009.60 | $2,524 | 4.1× |
| MRI spectroscopy (76390) | $1,106 | $2,765 | 12.2× |
| MRI thoracic spine w/o contrast (72146) | $1,009.60 | $2,524 | 4.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,342.80 | $3,357 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,009.60 | $2,524 | 4.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,266.40 | $3,166 | 3.5× |
| MRI, abdomen, combo (74183) | $1,066.80 | $2,667 | 2.9× |
| MRI, dorsal spine combo (72157) | $1,009.60 | $2,524 | 2.8× |
| MRI, dorsal spine contrast (72147) | $1,262.80 | $3,157 | 3.5× |
| MRI, joint upper extrem (73221) | $1,009.60 | $2,524 | 4.1× |
| MRI, joint upper extrem combo (73223) | $1,566.40 | $3,916 | 4.3× |
| MRI, lumbar spine combo (72158) | $1,009.60 | $2,524 | 2.8× |
| Myelogram cervical (72240) | $1,066 | $2,665 | 1.3× |
| Myelogram Lumbar (72265) | $934.40 | $2,336 | 1.1× |
| Myelography thoracic (72255) | $868.40 | $2,171 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,330.40 | $3,326 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $4,977.60 | $12,444 | 3.7× |
| Neck soft tissue (70360) | $277.60 | $694 | 3.1× |
| Nm csf leak detection (78650) | $678 | $1,695 | 0.5× |
| Nuclear Rx Oral Admin (79005) | $1,384.40 | $3,461 | 5.7× |
| Ob us nuchal meas 1 gest (76813) | $288 | $720 | 2.6× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $8.74 | $21.86 | 0.3× |
| Optic foramina (70190) | $356.40 | $891 | 3.9× |
| Panoramic X-ray of jaws (70355) | $160.40 | $401 | 1.8× |
| Parathyroid Planar Imaging (78070) | $2,517.20 | $6,293 | 6.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$26–$282.40 | $65–$706 | varies |
| Perineogram (74775) | $391.20 | $978 | 1.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $693.60 | $1,734 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $311.60 | $779 | 2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $550.80 | $1,377 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$303.20–$606.40 | $758–$1,516 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$26.40–$590.80 | $66–$1,477 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$321.20–$762 | $803–$1,905 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $409.20 | $1,023 | 3.7× |
| Radex fingr minimum 2 views (73140) | $264.80 | $662 | 2.9× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$275.20–$550.40 | $688–$1,376 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$300.40–$600.40 | $751–$1,501 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$126.80–$253.20 | $317–$633 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $430.40 | $1,076 | 3.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $256.40 | $641 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) | $129.20 | $323 | 1.4× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$315.20–$580.40 | $788–$1,451 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $194.40 | $486 | 2.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,008.40 | $2,521 | 5.5× |
| Radex Spine 1 View Specify Level (72020) | $316 | $790 | 3.5× |
| Radex Sternum Minimum 2 Views (71120) | $280.80 | $702 | 3.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $278.40 | $696 | 3.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$28–$190.80 | $70–$477 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $126.80 | $317 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$318.80–$637.20 | $797–$1,593 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $508 | $1,270 | 4.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $311.60 | $779 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$203.60–$232 | $509–$580 | varies |
| Radiologic exam colon double contrast study (74280) | $689.60 | $1,724 | 3.8× |
| Radiologic exam colon single contrast study (74270) | $428.80 | $1,072 | 2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $653.20 | $1,633 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$360.40–$720.80 | $901–$1,802 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$275.20–$442.40 | $688–$1,106 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $486.80 | $1,217 | 2.7× |
| Radiologic exam swallow function contrast study (74230) | $564.40 | $1,411 | 3.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $222 | $555 | 1.2× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$100–$160.80 | $250–$402 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$100–$322 | $250–$805 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$261.20–$527.20 | $653–$1,318 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $199.20 | $498 | 1.8× |
| Radiologic Examination Salivary Gland Calculus (70380) | $445.20 | $1,113 | 4.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$294.40–$588 | $736–$1,470 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $424 | $1,060 | 0.7× |
| Ribs bilateral 3 views (71110) | $131.20 | $328 | 1.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,876 | $7,190 | 6.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,551.20 | $11,378 | 8.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,876 | $7,190 | 5.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $717.20 | $1,793 | 1.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,551.20 | $11,378 | 3.4× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $3,235.20 | $8,088 | 13.3× |
| Rp Therapy Intravenous Administration (79101) | $1,595.60 | $3,989 | 6.5× |
| Salivary Gland Function Study (78232) | $753.60 | $1,884 | 1.8× |
| Salivary Gland Imaging (78230) | $757.60 | $1,894 | 1.8× |
| Scapula (73010) range across 4 matching MRF lines |
$30–$542 | $75–$1,355 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $46 | $115 | 2.0× |
| Sella turcica (70240) | $324.40 | $811 | 3.6× |
| Shoulder 1 view (73020) | $106 | $265 | 1.2× |
| Shoulder Arthrography (73040) | $834 | $2,085 | 2.3× |
| Sialogram (70390) | $488.40 | $1,221 | 2.0× |
| Skull less than 4 views (70250) | $248.80 | $622 | 2.3× |
| Speech evaluation, complex (70371) | $234.80 | $587 | 0.9× |
| Sternoclavicular joints (71130) | $166.80 | $417 | 1.8× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $147.60 | $369 | 1.6× |
| Tbs technical calculation only (77091) | $147.60 | $369 | 1.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $550.80 | $1,377 | 2.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $781.60 | $1,954 | 4.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$29.60–$227.20 | $74–$568 | varies |
| Thoracolumbar 2 views (72080) | $292.40 | $731 | 3.2× |
| Thyroid Imaging With Vascular Flow (78013) | $1,165.20 | $2,913 | 2.8× |
| Thyroid Met Imaging Body (78018) | $2,670.80 | $6,677 | 4.7× |
| Thyroid Uptake Measurement (78012) | $956.40 | $2,391 | 2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,342 | $3,355 | 3.2× |
| Ultrasound Breast Limited (76642) | $247.60 | $619 | 2.7× |
| Ultrasound elastography first target lesion (76982) | $410 | $1,025 | 3.8× |
| Ultrasound Elastography Parenchyma (76981) | $438.40 | $1,096 | 4.0× |
| Ultrasound Exam Aaa Screen (76706) | $292 | $730 | 2.7× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $345.60 | $864 | 0.9× |
| Ultrasound, abdomen limited (76705) | $377.20 | $943 | 3.5× |
| Unlisted Dx Radiographic Procedure (76499) | $355.60 | $889 | 3.9× |
| Unlisted fluoroscopic procedure (76496) | $95.80 | $239.49 | 1.1× |
| Unlisted us procedure (76999) | $195.60 | $489 | 2.2× |
| Upper gi w/o kub (74240) | $222 | $555 | 1.2× |
| Ureteral Reflux Study (78740) | $845.20 | $2,113 | 2.0× |
| Urethrocystogram voiding (74455) | $285.20 | $713 | 1.1× |
| Urethrocystography retrograde (74450) | $429.20 | $1,073 | 1.7× |
| Us breast unilateral complete (76641) | $247.60 | $619 | 2.3× |
| Us chest (76604) range across 2 matching MRF lines |
$89.60–$267.20 | $224–$668 | varies |
| Us complete joint (76881) | $233.60 | $584 | 2.1× |
| Us exam, pelvic, limited (76857) | $255.20 | $638 | 2.3× |
| Us head (76506) | $451.20 | $1,128 | 4.1× |
| Us kidney transplant (76776) | $359.20 | $898 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $146.40 | $366 | 1.3× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$114–$441.20 | $285–$1,103 | varies |
| Us ob limited 1 or more fetuses (76815) | $158.80 | $397 | 1.5× |
| Us ob transvaginal (76817) | $144.40 | $361 | 1.3× |
| Us pelvic non ob complete (76856) | $698 | $1,745 | 6.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $232 | $580 | 2.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $102.40 | $256 | 0.9× |
| Us retroperitoneal complete (76770) | $265.60 | $664 | 2.4× |
| Us retroperitoneal limited (76775) | $428 | $1,070 | 3.9× |
| Us scrotum and contents (76870) | $570 | $1,425 | 5.2× |
| Us spinal canal and contents (76800) | $451.20 | $1,128 | 4.1× |
| Us thyroid (76536) | $485.20 | $1,213 | 4.4× |
| Us transrectal (76872) | $346 | $865 | 3.2× |
| Venography extremity bilateral rs&i (75822) | $1,800 | $4,500 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,439.60 | $3,599 | 0.9× |
| Vertebral fracture assessment via dxa (77086) | $206 | $515 | 2.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$276.40–$554 | $691–$1,385 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$34.40–$268.80 | $86–$672 | varies |
| X-ray antegrade pyelogram tube (74425) | $371.20 | $928 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $173.20 | $433 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$26.40–$570.80 | $66–$1,427 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $160.80 | $402 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $266.80 | $667 | 2.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $508 | $1,270 | 4.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $160.80 | $402 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$100–$160.80 | $250–$402 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $266.80 | $667 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$174–$266.80 | $435–$667 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $266.80 | $667 | 2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $508 | $1,270 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $413.20 | $1,033 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $91.20 | $228 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $438.80 | $1,097 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $362.80 | $907 | 3.3× |
| X-ray eye for foreign body (70030) | $395.20 | $988 | 4.3× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$283.20–$566.40 | $708–$1,416 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,007.60 | $2,519 | 5.5× |
| X-ray IV pyelogram+tomography (74415) | $968.40 | $2,421 | 5.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $138.80 | $347 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $224 | $560 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $226.80 | $567 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $313.60 | $784 | 3.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $534 | $1,335 | 4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $243.60 | $609 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $292.40 | $731 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $465.20 | $1,163 | 5.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $462 | $1,155 | 4.2× |
| X-Ray Stress View (77071) | $138.80 | $347 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $348.80 | $872 | 3.2× |
| X-Ray Tmj Unilat (70328) | $114 | $285 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $499.60 | $1,249 | 1.4× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$364–$557.20 | $910–$1,393 | varies |
| X-Rays Bone Survey Complete (77075) | $180 | $450 | 1.6× |
| Xr c-spine 4 or 5 views (72050) | $417.20 | $1,043 | 3.8× |
| Xr facial bones less than 3 views (70140) | $388 | $970 | 4.3× |
| Xr myelogram posterior fossa (70010) | $844.40 | $2,111 | 2.3× |
| Xr orbits complete 4 views (70200) | $311.60 | $779 | 2.9× |
| Xr Tomogram Single Plane (76100) | $224 | $560 | 2.1× |
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.