Imaging prices at Ascension Saint Thomas Rutherford
Murfreesboro, TN · every code in this section with a posted price and a Medicare benchmark.
334 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) | $1,717.29 | $5,724.30 | 1.3× |
| Abdomen 1 View (74018) | $99.72 | $332.40 | 1.2× |
| Abdomen 2 views (74019) | $83.18 | $277.25 | 0.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $528.48 | $1,761.60 | 1.4× |
| Angio internal mammary (75756) range across 6 matching MRF lines |
$783.65–$868.31 | $2,612.15–$2,894.35 | varies |
| Angio pulmonary bilat (75743) | $946.82 | $3,156.05 | 0.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,055.34 | $3,517.80 | 0.3× |
| Angiography extremity bilateral rs&i (75716) range across 6 matching MRF lines |
$1,015.86–$1,125.60 | $3,386.20–$3,752 | varies |
| Angiography extremity unilateral rs&i (75710) range across 12 matching MRF lines |
$854.82–$947.18 | $2,849.40–$3,157.25 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $815.37 | $2,717.90 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $780.50 | $2,601.65 | 0.3× |
| Ankle 2 views (73600) | $81.39 | $271.30 | 1.0× |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$994.49–$1,101.92 | $3,314.95–$3,673.05 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$994.49–$1,101.92 | $3,314.95–$3,673.05 | varies |
| Artery X-Rays Adrenal Gland (75731) | $897.47 | $2,991.55 | 0.3× |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$994.49–$1,101.92 | $3,314.95–$3,673.05 | varies |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$994.49 | $3,314.95 | 0.2× |
| Arthrogram ankle (73615) | $194.49 | $648.30 | 0.6× |
| Arthrogram hip (73525) | $215.28 | $717.60 | 0.6× |
| Arthrogram Wrist (73115) | $289.29 | $964.30 | 0.9× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$175.68–$175.71 | $585.60–$585.70 | varies |
| Bone age studies (77072) | $76.47 | $254.90 | 0.8× |
| Bone Imaging 3 Phase (78315) | $738.60 | $2,462 | 1.9× |
| Bone Imaging Limited Area (78300) | $494.72 | $1,649.05 | 1.3× |
| Bone Imaging Whole Body (78306) | $556.26 | $1,854.20 | 1.5× |
| Brachytx isodose complex (77318) | $571.73 | $1,905.75 | 1.6× |
| Brachytx isodose intermed (77317) | $571.73 | $1,905.75 | 1.6× |
| Brachytx Isodose Plan Simple (77316) | $571.73 | $1,905.75 | 1.6× |
| Brain Image W/Flow < 4 Views (78601) | $503.61 | $1,678.70 | 1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $834.05 | $2,780.15 | 2.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,160.82 | $3,869.40 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $235.65 | $785.50 | 2.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $691.23 | $2,304.10 | 1.3× |
| Cerebrospinal Fluid Scan (78630) | $908.73 | $3,029.10 | 1.7× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$94.80–$106.05 | $316–$353.50 | varies |
| Chest 2 views (71046) | $115.77 | $385.90 | 1.4× |
| Chest 3 views (71047) | $89.87 | $299.55 | 1.1× |
| Clavicle complete (73000) | $92.33 | $307.75 | 1.1× |
| Continuing medical physics consltj pr wk (77336) | $277.83 | $926.10 | 2.2× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$1,101.51–$1,220.51 | $3,671.70–$4,068.35 | varies |
| Contrast X-Ray Bladder (74430) | $473.94 | $1,579.80 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $205.79 | $685.95 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $194.49 | $648.30 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,946.21 | $6,487.35 | 5.8× |
| CT abdomen and pelvis without contrast (74176) | $1,409.82 | $4,699.40 | 6.2× |
| CT abdomen w contrast (74160) | $874.37 | $2,914.55 | 5.2× |
| CT abdomen w wo contrast (74170) | $1,020.09 | $3,400.30 | 6.1× |
| CT abdomen w/o contrast (74150) | $784.19 | $2,613.95 | 7.8× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,707.77–$1,892.27 | $5,692.55–$6,307.55 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$868.53–$868.77 | $2,895.10–$2,895.90 | varies |
| CT Angio Head (70496) | $779.28 | $2,597.60 | 4.6× |
| CT angio hrt w/3d image (75574) | $1,085.27 | $3,617.55 | 3.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $731.48 | $2,438.25 | 4.3× |
| CT Angio Neck (70498) | $779.28 | $2,597.60 | 4.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $941.03 | $3,136.75 | 5.6× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$812.18–$812.40 | $2,707.25–$2,708 | varies |
| CT cervical spine w/o contrast (72125) | $783.95 | $2,613.15 | 7.8× |
| CT cervical spine w/wo cont (72127) | $861.47 | $2,871.55 | 5.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$882.81–$978.18 | $2,942.70–$3,260.60 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$969.99–$1,044.56 | $3,233.30–$3,481.85 | varies |
| CT head/brain with contrast (70460) | $746.03 | $2,486.75 | 4.4× |
| CT head/brain without and with contrast (70470) | $802.19 | $2,673.95 | 4.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,008.18 | $3,360.60 | 3.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $101.15 | $337.15 | 1.2× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$672.50–$672.63 | $2,241.65–$2,242.10 | varies |
| CT l-spine w&w/o contrast (72133) | $861.47 | $2,871.55 | 5.1× |
| CT lower ext w/o (73700) | $640.52 | $2,135.05 | 6.4× |
| CT lower extremity w/contrast material (73701) | $687.89 | $2,292.95 | 4.1× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$812.18–$812.40 | $2,707.25–$2,708 | varies |
| CT lumbar spine w/o contrast (72131) | $746.63 | $2,488.75 | 7.4× |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$622.86–$622.91 | $2,076.20–$2,076.35 | varies |
| CT maxillofacial wo contrast (70486) | $554.03 | $1,846.75 | 5.5× |
| CT neck tissue combo (70492) | $826.35 | $2,754.50 | 4.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$704.87–$705.11 | $2,349.55–$2,350.35 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$540.45–$540.69 | $1,801.50–$1,802.30 | varies |
| CT pelvis w&w/o contrast (72194) | $926.10 | $3,087 | 5.5× |
| CT pelvis w/o contrast (72192) | $625.58 | $2,085.25 | 6.2× |
| CT scan of leg combo (73702) | $718.02 | $2,393.40 | 4.3× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$658.19–$658.53 | $2,193.95–$2,195.10 | varies |
| CT soft tissue neck w contrast (70491) | $807.06 | $2,690.20 | 4.8× |
| CT soft tissue neck w/o contrast (70490) | $706.80 | $2,356 | 7.0× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$745.68–$745.83 | $2,485.60–$2,486.10 | varies |
| CT thoracic spine w/o contrast (72128) | $709.85 | $2,366.15 | 7.1× |
| CT thoracic spine w/wo cont (72130) | $834.83 | $2,782.75 | 5.0× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$659.58–$817.11 | $2,198.60–$2,723.70 | varies |
| CT upper ext wo (73200) | $573.59 | $1,911.95 | 5.7× |
| CT upper extremity w/o & w/contrast material (73202) | $811.20 | $2,704 | 4.8× |
| CT upper extremity with contrast (73201) | $668.72 | $2,229.05 | 2.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $813.87 | $2,712.90 | 4.8× |
| Cta Abdomen (74175) | $856.50 | $2,855 | 5.1× |
| Dilation ureters/urethra rs&i (74485) | $416.43 | $1,388.10 | 0.2× |
| Discography Cerv/Thor Spine (72285) | $725.16 | $2,417.20 | 0.4× |
| Diskography lumbar (72295) | $787.17 | $2,623.90 | 0.4× |
| Dxa Bone Density Axial (77080) | $161.37 | $537.90 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $69.42 | $231.40 | 0.8× |
| Echo exam uterus (76831) | $361.50 | $1,205 | 1.6× |
| Echograp Trans R Pros Study (76873) | $241.58 | $805.25 | 2.4× |
| Esophagram (74220) | $173 | $576.65 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $308.31 | $1,027.70 | 3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$231.23–$308.31 | $770.75–$1,027.70 | varies |
| Fluoroscopy up to 1 hr (76000) range across 7 matching MRF lines |
$105.59–$198.74 | $351.95–$662.45 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$270.27–$299.46 | $900.90–$998.20 | varies |
| Foot 2 views (73620) | $66.95 | $223.15 | 0.8× |
| Forearm 2 views (73090) | $86.67 | $288.90 | 1.0× |
| Gastric emptying imaging study (78264) | $418.34 | $1,394.45 | 1.1× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$715.65–$801.98 | $2,385.50–$2,673.25 | varies |
| Hand 2 views (73120) | $66.59 | $221.95 | 0.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,817.79 | $6,059.30 | 2.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,908.60 | $6,362 | 2.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$1,809.11–$1,908.60 | $6,030.35–$6,362 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $854.73 | $2,849.10 | 0.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $897.47 | $2,991.55 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) | $647.03 | $2,156.75 | 1.2× |
| Hepatobiliary System Imaging (78226) | $647.03 | $2,156.75 | 1.7× |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$1,895.13–$1,895.22 | $6,317.10–$6,317.40 | varies |
| Hysterosalpingogram (74740) | $287.55 | $958.50 | 1.3× |
| Infant hip ultrasound, limited static exam (76886) | $206.69 | $688.95 | 2.5× |
| Interstitial radiation source applic complex (77778) | $3,474.99 | $11,583.30 | 5.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $467.01 | $1,556.70 | 0.7× |
| Intracavitary Radiation Source Applic Intermed (77762) | $280.38 | $934.60 | 0.5× |
| Intracavitary radiation source applic simple (77761) | $238.77 | $795.90 | 0.5× |
| K Flow/Funct Image Multiple (78709) | $607.40 | $2,024.65 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $750.63 | $2,502.10 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $567.90 | $1,893 | 1.1× |
| Knee 3 Views (73562) | $90.93 | $303.10 | 1.1× |
| Leveen/Shunt Patency Exam (78291) | $243.59 | $811.95 | 0.6× |
| Liver & Spleen Imaging Static Only (78215) | $540.83 | $1,802.75 | 1.4× |
| Lung Perf&Ventilat Diferentl (78598) | $982.62 | $3,275.40 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $665.76 | $2,219.20 | 1.3× |
| Lung Ventilation Imaging (78579) | $656.18 | $2,187.25 | 1.7× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$718.80–$1,088.01 | $2,396–$3,626.70 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,266.86 | $7,556.20 | 0.7× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$612.53–$765.65 | $2,041.75–$2,552.15 | varies |
| Mammary ductogram or galactogram multiple (77054) | $186.77 | $622.55 | 0.8× |
| Mammary ductogram or galactogram single (77053) | $186.77 | $622.55 | 0.8× |
| Meckels Divert Exam (78290) | $418.88 | $1,396.25 | 1.1× |
| Mlc imrt design & construction per imrt plan (77338) | $997.56 | $3,325.20 | 2.8× |
| Mr safety determination physician/other qhp (76016) | $75.90 | $253 | 0.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $21.11 | $70.35 | 0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $78.39 | $261.30 | 0.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $208.35 | $694.50 | 0.9× |
| MRA head w/o contrast (70544) | $780.39 | $2,601.30 | 3.4× |
| MRA neck w contrast (70548) | $858.83 | $2,862.75 | 2.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $987.66 | $3,292.20 | 3.0× |
| MRA neck w/o contrast (70547) | $746.79 | $2,489.30 | 3.3× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$943.89–$943.95 | $3,146.30–$3,146.50 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $846.02 | $2,820.05 | 1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $972.87 | $3,242.90 | 2.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $990.14 | $3,300.45 | 1.3× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$630.54–$630.71 | $2,101.80–$2,102.35 | varies |
| MRI cervical spine w contrast (72142) | $1,152.12 | $3,840.40 | 3.4× |
| MRI cervical spine w/o cont (72141) | $1,001.88 | $3,339.60 | 4.4× |
| MRI chest w/o contrast (71550) | $897 | $2,990 | 3.9× |
| MRI chest wo w contrast (71552) | $1,186.28 | $3,954.25 | 3.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,015.17 | $3,383.90 | 3.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,167.39 | $3,891.30 | 3.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $882.66 | $2,942.20 | 3.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,324.91 | $4,416.35 | 4.0× |
| MRI orbit face &/neck w/o contrast (70540) | $870.69 | $2,902.30 | 3.8× |
| MRI orbit face neck w contrast (70542) | $1,001.88 | $3,339.60 | 3.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$1,152.12–$1,152.21 | $3,840.40–$3,840.70 | varies |
| MRI pelvis w/o & w contrast (72197) | $1,090.56 | $3,635.20 | 3.3× |
| MRI pelvis w/o contrast (72195) | $824.63 | $2,748.75 | 3.6× |
| MRI thoracic spine w/o contrast (72146) | $1,001.88 | $3,339.60 | 4.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $905.22 | $3,017.40 | 2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $787.17 | $2,623.90 | 3.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,041.24 | $3,470.80 | 3.1× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,248.29–$1,248.42 | $4,160.95–$4,161.40 | varies |
| MRI, dorsal spine combo (72157) | $1,324.91 | $4,416.35 | 4.0× |
| MRI, dorsal spine contrast (72147) | $1,280.24 | $4,267.45 | 3.8× |
| MRI, joint upper extrem (73221) | $861.18 | $2,870.60 | 3.8× |
| MRI, joint upper extrem combo (73223) | $1,138.83 | $3,796.10 | 3.4× |
| MRI, lumbar spine combo (72158) | $1,324.91 | $4,416.35 | 4.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,450.19–$2,450.22 | $8,167.30–$8,167.40 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,413.53 | $8,045.10 | 2.9× |
| Neck soft tissue (70360) | $94.07 | $313.55 | 1.1× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $772.26 | $2,574.20 | 2.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $251.81 | $839.35 | 0.7× |
| Nm myocard infarct spect (78469) | $458.24 | $1,527.45 | 0.9× |
| Nm red cell survival study (78130) | $518.12 | $1,727.05 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $360.11 | $1,200.35 | 3.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,586.70 | $11,955.65 | 2.7× |
| Nuclear Rx Intra-Arterial (79445) | $453.33 | $1,511.10 | 2.0× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$481.43–$584.60 | $1,604.75–$1,948.65 | varies |
| Panoramic X-ray of jaws (70355) | $137.07 | $456.90 | 1.6× |
| Parathyroid Planar Imaging (78070) | $538.83 | $1,796.10 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,311.71 | $4,372.35 | 3.4× |
| Pelvis 1 or 2 views (72170) | $90.57 | $301.90 | 0.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,380.90 | $4,603 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $544.76 | $1,815.85 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $136.02 | $453.40 | 1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$166.67–$174.78 | $555.55–$582.60 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $82.80 | $276 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $75.41 | $251.35 | 0.9× |
| Radex elbow complete minimum 3 views (73080) | $85.98 | $286.60 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $113.81 | $379.35 | 1.1× |
| Radex fingr minimum 2 views (73140) | $75.41 | $251.35 | 0.9× |
| Radex foot complete minimum 3 views (73630) | $82.13 | $273.75 | 1.0× |
| Radex Hand Minimum 3 Views (73130) | $86.67 | $288.90 | 1.0× |
| Radex lower extremity infant minimum 2 views (73592) | $64.49 | $214.95 | 0.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $118.41 | $394.70 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $91.26 | $304.20 | 1.1× |
| Radex Ribs Unilateral 2 Views (71100) | $109.59 | $365.30 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) | $94.07 | $313.55 | 1.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $77.18 | $257.25 | 0.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $527.13 | $1,757.10 | 3.1× |
| Radex Spine 1 View Specify Level (72020) range across 5 matching MRF lines |
$91.95–$96.96 | $306.50–$323.20 | varies |
| Radex Sternum Minimum 2 Views (71120) | $106.43 | $354.75 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $118.41 | $394.70 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $82.13 | $273.75 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $64.49 | $214.95 | 0.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $84.90 | $283 | 1.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$3,525.80 | $11,752.65 | 0.5× |
| Radiation treatment delivery level 1 (77402) | $171.50 | $571.65 | 1.8× |
| Radiation treatment delivery level 2 (77407) | $155.90 | $519.65 | 0.4× |
| Radiation treatment delivery level 3 (77412) | $264.74 | $882.45 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $149.40 | $498 | 1.5× |
| Radiologic exam colon double contrast study (74280) | $286.13 | $953.75 | 1.7× |
| Radiologic exam colon single contrast study (74270) | $179.36 | $597.85 | 1.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $173 | $576.65 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) | $120.17 | $400.55 | 1.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $69.08 | $230.25 | 0.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $257.81 | $859.35 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $167.01 | $556.70 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $202.23 | $674.10 | 1.2× |
| Radiologic examination femur 1 view (73551) | $106.05 | $353.50 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) | $106.05 | $353.50 | 1.3× |
| Radiologic examination knee 1/2 views (73560) | $94.44 | $314.80 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $88.44 | $294.80 | 1.1× |
| Renal Cyst Study (74470) | $314.30 | $1,047.65 | 0.6× |
| Ribs bilateral 3 views (71110) | $134.61 | $448.70 | 1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $168.95 | $563.15 | 0.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $721.88 | $2,406.25 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $492.53 | $1,641.75 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $838.19 | $2,793.95 | 1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$772.04–$772.52 | $2,573.45–$2,575.05 | varies |
| Scapula (73010) | $85.62 | $285.40 | 0.9× |
| Shoulder 1 view (73020) | $63.08 | $210.25 | 0.8× |
| Shoulder Arthrography (73040) | $200.49 | $668.30 | 0.6× |
| Skull less than 4 views (70250) | $95.84 | $319.45 | 1.0× |
| Special dosimetry (77331) | $244.74 | $815.80 | 1.9× |
| Special Physics Consult (77370) | $396.15 | $1,320.50 | 3.1× |
| Special teletherapy port plan (77321) | $1,086.99 | $3,623.30 | 3.0× |
| Special treatment procedure (77470) | $785.24 | $2,617.45 | 1.5× |
| Stereotactic Body Radiation Delivery (77373) | $1,646.52 | $5,488.40 | 1.0× |
| Sternoclavicular joints (71130) | $82.44 | $274.80 | 1.0× |
| Superior sagittal sinus venogram (75870) | $822.42 | $2,741.40 | 0.3× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $204.50 | $681.65 | 2.1× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $129.47 | $431.55 | 1.6× |
| Tbs technical calculation only (77091) | $129.47 | $431.55 | 1.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,086.99 | $3,623.30 | 3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $370.44 | $1,234.80 | 1.0× |
| Testicular Imaging W/Flow (78761) | $329.15 | $1,097.15 | 0.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$473.97–$836.66 | $1,579.90–$2,788.85 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$398.25–$760.94 | $1,327.50–$2,536.45 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 4 matching MRF lines |
$298.59–$661.28 | $995.30–$2,204.25 | varies |
| Thoracic spine 2 views (72070) | $108.20 | $360.65 | 1.1× |
| Thoracic spine 3 views (72072) | $140.25 | $467.50 | 1.4× |
| Thyroid Imaging With Vascular Flow (78013) | $370.16 | $1,233.85 | 1.0× |
| Thyroid Met Imaging Body (78018) | $576.47 | $1,921.55 | 1.1× |
| Thyroid Uptake Measurement (78012) | $325.98 | $1,086.60 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $538.16 | $1,793.85 | 1.4× |
| Tx Devices Design & Construction Complex (77334) | $308.12 | $1,027.05 | 0.9× |
| Tx devices design & construction intermediate (77333) | $190.83 | $636.10 | 1.5× |
| Tx devices design & construction simple (77332) | $136.28 | $454.25 | 1.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$165.20–$330.39 | $550.65–$1,101.30 | varies |
| Ultrasound Exam Aaa Screen (76706) | $170.31 | $567.70 | 1.7× |
| Ultrasound, abdomen limited (76705) | $227.54 | $758.45 | 2.3× |
| Umbilical-artery Doppler (OB) (76820) | $228.42 | $761.40 | 2.3× |
| Unlisted magnetic resonance procedure (76498) | $542.21 | $1,807.35 | 6.5× |
| Upper gi w/o kub (74240) | $217.79 | $725.95 | 1.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $481.58 | $1,605.25 | 43.5× |
| Ureteral Reflux Study (78740) | $632.48 | $2,108.25 | 1.6× |
| Urethrocystogram voiding (74455) | $242.43 | $808.10 | 1.1× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$334.05–$379.74 | $1,113.50–$1,265.80 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$173.48–$346.94 | $578.25–$1,156.45 | varies |
| Us chest (76604) | $188.24 | $627.45 | 1.9× |
| Us complete joint (76881) | $209.33 | $697.75 | 2.1× |
| Us exam, pelvic, limited (76857) | $156.05 | $520.15 | 1.6× |
| Us head (76506) | $190.37 | $634.55 | 1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $209.33 | $697.75 | 2.1× |
| Us ob limited 1 or more fetuses (76815) range across 6 matching MRF lines |
$163.01–$163.02 | $543.35–$543.40 | varies |
| Us ob transvaginal (76817) | $304.01 | $1,013.35 | 3.0× |
| Us pelvic non ob complete (76856) | $286.94 | $956.45 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$253.16–$304.01 | $843.85–$1,013.35 | varies |
| Us retroperitoneal complete (76770) | $280.17 | $933.90 | 2.8× |
| Us retroperitoneal limited (76775) | $252.51 | $841.70 | 2.5× |
| Us scrotum and contents (76870) | $264.11 | $880.35 | 2.6× |
| Us spinal canal and contents (76800) | $207.26 | $690.85 | 2.1× |
| Us thyroid (76536) | $200.28 | $667.60 | 2.0× |
| Us transrectal (76872) | $181.01 | $603.35 | 1.8× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$1,338.96–$1,419.30 | $4,463.20–$4,731 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $559.20 | $1,864 | 0.2× |
| Vein X-Ray Spleen/Liver (75810) | $1,751.63 | $5,838.75 | 0.6× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$822.42–$911.27 | $2,741.40–$3,037.55 | varies |
| Venography Adrenal Unilateral (75840) | $897.47 | $2,991.55 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $2,712.93 | $9,043.10 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,338.96 | $4,463.20 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,338.96 | $4,463.20 | 0.9× |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$897.47–$994.43 | $2,991.55–$3,314.75 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$897.47–$994.43 | $2,991.55–$3,314.75 | varies |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$994.49 | $3,314.95 | 0.2× |
| Wrist 2 views (73100) | $61.31 | $204.35 | 0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $83.87 | $279.55 | 1.0× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$455.87–$506.51 | $1,519.55–$1,688.35 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$916.14–$1,015.11 | $3,053.80–$3,383.70 | varies |
| X-Ray Bend Only L-S Spine (72120) | $139.19 | $463.95 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $87.41 | $291.35 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $142.64 | $475.45 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$127.17–$131.79 | $423.90–$439.30 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $133.65 | $445.50 | 1.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $181.80 | $606 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $191.21 | $637.35 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $191.21 | $637.35 | 1.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $291.93 | $973.10 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $291.93 | $973.10 | 2.9× |
| X-Ray Exam L-S Spine Bending (72114) | $244.16 | $813.85 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $127.55 | $425.15 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $223.76 | $745.85 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $111 | $370 | 1.1× |
| X-ray humerus (73060) | $97.26 | $324.20 | 1.2× |
| X-ray IV pyelogram (ivp) (74400) | $284.01 | $946.70 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $128.24 | $427.45 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $122.97 | $409.90 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $150.80 | $502.65 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $131.09 | $436.95 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $125.45 | $418.15 | 1.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $130.37 | $434.55 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $135.30 | $451 | 1.3× |
| X-Ray Tmj Unilat (70328) | $97.26 | $324.20 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $383.01 | $1,276.70 | 1.1× |
| X-Rays Bone Length Studies (77073) | $65.90 | $219.65 | 0.7× |
| X-Rays Bone Survey Complete (77075) | $350.94 | $1,169.80 | 3.5× |
| Xr c-spine 4 or 5 views (72050) | $146.24 | $487.45 | 1.5× |
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.