Imaging prices at Aspirus Keweenaw Hospital
Laurium, MI · every code in this section with a posted price and a Medicare benchmark.
381 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) range across 2 matching MRF lines |
$1,108.25–$3,030.95 | $1,705–$4,663 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$66.95–$210.60 | $103–$324 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$79.30–$211.25 | $122–$325 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$228.80–$2,226.25 | $352–$3,425 | varies |
| Angio internal mammary (75756) | $1,158.30 | $1,782 | 0.4× |
| Angio pulmonary bilat (75743) | $816.40 | $1,256 | 0.3× |
| Angiography extremity bilateral rs&i (75716) | $814.45 | $1,253 | 0.3× |
| Angiography extremity unilateral rs&i (75710) | $854.75 | $1,315 | 0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $943.80 | $1,452 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $892.45 | $1,373 | 0.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$44.20–$198.90 | $68–$306 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$760.50 | $1,170 | 0.1× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$888.55 | $1,367 | 0.2× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$971.75–$1,457.62 | $1,495–$2,242.50 | varies |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,571.70 | $2,418 | 0.3× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$198.90–$789.10 | $306–$1,214 | varies |
| Arthrogram Wrist (73115) | $871.65 | $1,341 | 2.5× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$159.25–$336.70 | $245–$518 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$92.30–$239.85 | $142–$369 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$267.15–$2,133.30 | $411–$3,282 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$161.20–$1,478.10 | $248–$2,274 | varies |
| Bone Imaging Multiple Areas (78305) | $1,870.70 | $2,878 | 4.7× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$224.25–$1,872.65 | $345–$2,881 | varies |
| Bone marrow imaging; whole body (78104) | $1,693.25 | $2,605 | 4.3× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$287.30–$625.95 | $442–$963 | varies |
| Brachytx Isodose Plan Simple (77316) | $1,435.85 | $2,209 | 3.8× |
| Brain Image W/Flow < 4 Views (78601) | $1,449.50 | $2,230 | 3.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,215.95 | $9,563 | 4.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,826.25 | $7,425 | 13.9× |
| Cardiac Shunt Detection (78428) | $728 | $1,120 | 1.8× |
| Cat Scan Follow-Up Study (76380) | $1,314.30 | $2,022 | 15.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,410.20 | $3,708 | 4.5× |
| Cerebrospinal Fluid Scan (78630) | $2,386.15 | $3,671 | 4.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$81.90–$161.85 | $126–$249 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$100.10–$214.50 | $154–$330 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$123.50–$249.60 | $190–$384 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$95.55–$183.30 | $147–$282 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$59.80–$188.50 | $92–$290 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$359.45–$2,246.40 | $553–$3,456 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,002.30 | $1,542 | 7.5× |
| Contrast Exam Abdominl Aorta (75625) | $756.60 | $1,164 | 0.2× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$101.40–$215.80 | $156–$332 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $1,113.45 | $1,713 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$650–$3,731 | $1,000–$5,740 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$562.25–$2,511.60 | $865–$3,864 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$502.45–$2,358.85 | $773–$3,629 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$396.50–$2,826.20 | $610–$4,348 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$471.25–$1,262.30 | $725–$1,942 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$705.90–$4,514.90 | $1,086–$6,946 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$588.25–$2,308.15 | $905–$3,551 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$733.20–$2,764.45 | $1,128–$4,253 | varies |
| CT angio hrt w/3d image (75574) | $3,681.60 | $5,664 | 10.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$689–$3,671.20 | $1,060–$5,648 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$733.20–$2,636.40 | $1,128–$4,056 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$631.80–$3,353.35 | $972–$5,159 | varies |
| CT bone density (77078) | $1,448.20 | $2,228 | 16.7× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,686.10 | $2,594 | 9.6× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,338.70–$2,822.30 | $3,598–$4,342 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$432.25–$1,565.85 | $665–$2,409 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$359.45–$2,858.70 | $553–$4,398 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$376.35–$1,903.20 | $579–$2,928 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$546–$2,303.60 | $840–$3,544 | varies |
| CT colonography screening (74263) | $8,689.85 | $13,369 | 36.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $5,580.90 | $8,586 | 31.9× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $4,878.90 | $7,506 | 46.8× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$428.35–$1,543.10 | $659–$2,374 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$532.35–$1,838.85 | $819–$2,829 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $2,419.95 | $3,723 | 7.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $64.35 | $99 | 0.7× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$551.85–$2,781.35 | $849–$4,279 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$502.45–$2,886 | $773–$4,440 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$283.40–$1,855.75 | $436–$2,855 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$459.55–$2,301 | $707–$3,540 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$482.95–$2,285.40 | $743–$3,516 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$324.35–$1,855.75 | $499–$2,855 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$492.05–$1,572.35 | $757–$2,419 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$356.20–$1,392.30 | $548–$2,142 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$679.90–$2,483.65 | $1,046–$3,821 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$602.55–$3,265.60 | $927–$5,024 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$511.55–$2,293.20 | $787–$3,528 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$558.35–$2,774.85 | $859–$4,269 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$308.10–$1,277.25 | $474–$1,965 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$569.40–$2,997.15 | $876–$4,611 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$528.45–$1,970.80 | $813–$3,032 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$579.15–$1,912.95 | $891–$2,943 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$536.90–$1,422.20 | $826–$2,188 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$464.75–$2,359.50 | $715–$3,630 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$283.40–$1,830.40 | $436–$2,816 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$502.45–$2,795 | $773–$4,300 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$445.90–$1,435.20 | $686–$2,208 | varies |
| CT unlisted procedure (76497) | $1,773.85 | $2,729 | 20.5× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$283.40–$1,790.10 | $436–$2,754 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$344.50–$1,387.75 | $530–$2,135 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$459.55–$2,362.75 | $707–$3,635 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$668.20–$4,167.80 | $1,028–$6,412 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$693.55–$3,158.35 | $1,067–$4,859 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,013.75 | $6,175 | 11.5× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$669.50–$3,016.65 | $1,030–$4,641 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $1,333.80 | $2,052 | 5.6× |
| Diskography lumbar (72295) | $834.60 | $1,284 | 0.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $356.20 | $548 | 3.4× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$243.10–$398.45 | $374–$613 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$104–$295.10 | $160–$454 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$154.70–$286 | $238–$440 | varies |
| Echo exam uterus (76831) | $422.50 | $650 | 1.8× |
| Echo Guide For Artery Repair (76936) | $1,888.90 | $2,906 | 8.8× |
| Esophagram (74220) range across 2 matching MRF lines |
$167.05–$575.25 | $257–$885 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$312.65–$518.05 | $481–$797 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$261.30–$413.40 | $402–$636 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$75.40–$453.70 | $116–$698 | varies |
| Follow-Up Angiography (75898) | $3,339.70 | $5,138 | 1.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$44.85–$175.50 | $69–$270 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$90.35–$178.10 | $139–$274 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$204.10–$2,131.35 | $314–$3,279 | varies |
| Gastroesophageal Reflux Exam (78262) | $1,682.20 | $2,588 | 4.2× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$555.75–$2,266.55 | $855–$3,487 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$68.90–$188.50 | $106–$290 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,340.35 | $5,139 | 4.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,471.95 | $3,803 | 3.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $822.90 | $1,266 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$258.05–$2,639 | $397–$4,060 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$212.55–$2,241.85 | $327–$3,449 | varies |
| Ht Musc Image Planar Mult (78454) | $2,881.45 | $4,433 | 2.2× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$710.45–$2,016.95 | $1,093–$3,103 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$94.90–$585 | $146–$900 | varies |
| Image fusion (77399) | $702 | $1,080 | 5.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$352.95–$567.45 | $543–$873 | varies |
| Infant hip ultrasound, limited static exam (76886) | $398.45 | $613 | 4.6× |
| Infusion Ivp (74410) | $959.40 | $1,476 | 5.5× |
| K Flow/Funct Image Multiple (78709) | $2,145.65 | $3,301 | 4.0× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$364.65–$895.70 | $561–$1,378 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$228.15–$1,377.35 | $351–$2,119 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,495.65 | $2,301 | 3.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$52–$254.15 | $80–$391 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$104–$1,257.10 | $160–$1,934 | varies |
| Liver imaging static only (78201) | $949 | $1,460 | 1.8× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$2,055.30–$2,246.40 | $3,162–$3,456 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$186.55–$1,274.65 | $287–$1,961 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$278.20–$2,028.65 | $428–$3,121 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,575.60–$2,082.60 | $2,424–$3,204 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,703.70 | $5,698 | 1.2× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$974.35–$3,810.95 | $1,499–$5,863 | varies |
| Mammary ductogram or galactogram multiple (77054) | $726.70 | $1,118 | 3.1× |
| Mammary ductogram or galactogram single (77053) | $545.35 | $839 | 2.3× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$151.45–$2,138.50 | $233–$3,290 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,056.90–$3,475.55 | $1,626–$5,347 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $89.05 | $137 | 3.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $240.50 | $370 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$614.90–$5,237.70 | $946–$8,058 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$471.25–$3,752.45 | $725–$5,773 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$401.05–$4,057.30 | $617–$6,242 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$748.80–$5,652.40 | $1,152–$8,696 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$965.90–$3,466.45 | $1,486–$5,333 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$824.20–$4,431.05 | $1,268–$6,817 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$544.70–$3,163.55 | $838–$4,867 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$635.70–$4,756.05 | $978–$7,317 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$799.50–$5,423.60 | $1,230–$8,344 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$635.70–$4,680.65 | $978–$7,201 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$601.90–$3,268.20 | $926–$5,028 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,313.05 | $5,097 | 13.9× |
| MRI cardiac w/o contrast (75557) | $3,476.85 | $5,349 | 14.6× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,329.25–$3,976.05 | $2,045–$6,117 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$625.95–$3,138.20 | $963–$4,828 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$545.35–$5,560.10 | $839–$8,554 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$841.10–$7,304.05 | $1,294–$11,237 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$659.75–$4,076.80 | $1,015–$6,272 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$799.50–$4,275.70 | $1,230–$6,578 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$505.05–$3,084.25 | $777–$4,745 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$691.60–$4,026.10 | $1,064–$6,194 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$850.20–$4,564.30 | $1,308–$7,022 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$534.30–$3,387.80 | $822–$5,212 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$697.45–$3,244.15 | $1,073–$4,991 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$843.05–$6,466.85 | $1,297–$9,949 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$640.90–$4,180.80 | $986–$6,432 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$914.55–$4,941.30 | $1,407–$7,602 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$544.70–$3,107 | $838–$4,780 | varies |
| MRI spectroscopy (76390) | $2,603.90 | $4,006 | 30.0× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$554.45–$3,409.90 | $853–$5,246 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$5,272.15–$5,798 | $8,111–$8,920 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,820.65–$4,479.80 | $2,801–$6,892 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$801.45–$5,856.50 | $1,233–$9,010 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$819–$4,664.40 | $1,260–$7,176 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$850.20–$4,810 | $1,308–$7,400 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$659.10–$4,070.30 | $1,014–$6,262 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$570.05–$2,653.95 | $877–$4,083 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$801.45–$5,434.65 | $1,233–$8,361 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$973.05–$4,320.55 | $1,497–$6,647 | varies |
| Myelograpy 2/more regions rs&i (72270) | $1,171.30 | $1,802 | 1.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,306.50 | $2,010 | 3.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,823.25 | $2,805 | 1.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$693.55–$3,089.45 | $1,067–$4,753 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $4,382.95 | $6,743 | 3.1× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $8,710.65 | $13,401 | 4.0× |
| N-invas est c ffr sw aly CTA (75580) | $2,811.90 | $4,326 | 3.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$73.45–$209.95 | $113–$323 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $440.70 | $678 | 1.1× |
| Nm myocard infarct spect (78469) | $1,466.40 | $2,256 | 2.7× |
| Nm whole blood volume (78122) | $557.70 | $858 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $771.55 | $1,187 | 7.4× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,044.25–$13,421.20 | $3,145–$20,648 | varies |
| Nuclear Rx Intra-Arterial (79445) | $387.40 | $596 | 1.7× |
| Nuclear Rx Oral Admin (79005) | $387.40 | $596 | 1.7× |
| Ob us nuchal meas 1 gest (76813) | $292.50 | $450 | 2.8× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$163.15–$245.70 | $251–$378 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 7 matching MRF lines |
$269.75–$610.35 | $415–$939 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$27.95–$50.05 | $43–$77 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$395.85–$2,316.60 | $609–$3,564 | varies |
| Parathyroid Planar Imaging (78070) | $1,927.25 | $2,965 | 4.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,312.70 | $3,558 | 5.8× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$69.55–$221.65 | $107–$341 | varies |
| Peritoneogram Rs&I (74190) | $219.70 | $338 | 0.4× |
| Pet Image W/Ct Lmtd (78814) | $6,098.30 | $9,382 | 4.3× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$735.15–$6,035.25 | $1,131–$9,285 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$718.90–$6,215.95 | $1,106–$9,563 | varies |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $739.05 | $1,137 | 0.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $835.25 | $1,285 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,541.15 | $2,371 | 3.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$92.30–$276.90 | $142–$426 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$121.55–$299 | $187–$460 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$50.70–$224.25 | $78–$345 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$44.85–$167.05 | $69–$257 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$97.50–$191.75 | $150–$295 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$66.30–$300.30 | $102–$462 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$46.15–$244.40 | $71–$376 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$50.05–$241.15 | $77–$371 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$97.50–$351.98 | $150–$541.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$68.90–$213.20 | $106–$328 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $237.25 | $365 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$73.45–$242.45 | $113–$373 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$100.10–$224.25 | $154–$345 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$65–$234.65 | $100–$361 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$73.45–$221.65 | $113–$341 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$70.85–$139.10 | $109–$214 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$74.10–$180.05 | $114–$277 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$105.30–$368.55 | $162–$567 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$44.85–$201.50 | $69–$310 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$56.55–$188.50 | $87–$290 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$99.45–$254.15 | $153–$391 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$138.45–$828.10 | $213–$1,274 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $9,049.30 | $13,922 | 1.2× |
| Radiation treatment delivery level 1 (77402) | $473.20 | $728 | 4.7× |
| Radiation treatment delivery level 2 (77407) | $1,886.30 | $2,902 | 4.9× |
| Radiation treatment delivery level 3 (77412) | $774.15 | $1,191 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$108.55–$265.85 | $167–$409 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$122.20–$288.60 | $188–$444 | varies |
| Radiologic exam colon double contrast study (74280) | $1,731.60 | $2,664 | 9.9× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$248.30–$1,161.55 | $382–$1,787 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$164.45–$649.35 | $253–$999 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$92.30–$276.90 | $142–$426 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$77.35–$264.55 | $119–$407 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$202.15–$817.70 | $311–$1,258 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$126.10–$950.30 | $194–$1,462 | varies |
| Radiologic exam teeth complete full mouth (70320) | $222.30 | $342 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$387.40–$1,121.90 | $596–$1,726 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$60.45–$182 | $93–$280 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$52.65–$221.65 | $81–$341 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$54.60–$211.90 | $84–$326 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$124.80–$497.25 | $192–$765 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$49.40–$195.65 | $76–$301 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $475.15 | $731 | 0.9× |
| Renal Cyst Study (74470) | $1,079.65 | $1,661 | 2.0× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$102.70–$241.80 | $158–$372 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,250.60 | $1,924 | 3.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,738.10 | $2,674 | 4.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,035.85 | $6,209 | 7.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,745.90 | $2,686 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$312.65–$2,137.85 | $481–$3,289 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,770.95 | $4,263 | 2.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$1,056.90–$3,284.45 | $1,626–$5,053 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$369.20–$2,611.05 | $568–$4,017 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $387.40 | $596 | 1.7× |
| Rp Therapy Intravenous Administration (79101) | $387.40 | $596 | 1.7× |
| Scapula (73010) range across 2 matching MRF lines |
$72.80–$171.60 | $112–$264 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$87.10–$130 | $134–$200 | varies |
| Sella turcica (70240) | $81.90 | $126 | 0.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$50.70–$142.35 | $78–$219 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$125.45–$785.20 | $193–$1,208 | varies |
| Sialogram (70390) | $414.70 | $638 | 1.7× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$104–$244.40 | $160–$376 | varies |
| Special dosimetry (77331) | $322.40 | $496 | 2.4× |
| Special Physics Consult (77370) | $904.80 | $1,392 | 6.8× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$451.10–$616.85 | $694–$949 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$509.60–$2,581.80 | $784–$3,972 | varies |
| Stereotactic Body Radiation Delivery (77373) | $9,679.15 | $14,891 | 5.4× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$89.05–$267.80 | $137–$412 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$741.65–$1,566.50 | $1,141–$2,410 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $781.30 | $1,202 | 2.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$401.05–$3,498.30 | $617–$5,382 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $276.25 | $425 | 0.7× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$229.45–$1,959.10 | $353–$3,014 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $904.15 | $1,391 | 5.2× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$66.95–$208.65 | $103–$321 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$76.05–$230.75 | $117–$355 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$83.85–$204.75 | $129–$315 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,352 | $2,080 | 3.4× |
| Thyroid Met Imaging Body (78018) | $2,016.95 | $3,103 | 3.7× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$163.80–$529.10 | $252–$814 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$143.65–$1,604.85 | $221–$2,469 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$356.20–$1,014.65 | $548–$1,561 | varies |
| Tx devices design & construction intermediate (77333) | $923 | $1,420 | 6.9× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$122.85–$472.55 | $189–$727 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$182–$561.60 | $280–$864 | varies |
| Ultrasound Elastography Parenchyma (76981) | $447.20 | $688 | 4.3× |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$151.45–$404.95 | $233–$623 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$319.15–$408.20 | $491–$628 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$147.55–$368.55 | $227–$567 | varies |
| Unlisted magnetic resonance procedure (76498) | $4,850.30 | $7,462 | 55.9× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$360.10–$1,327.30 | $554–$2,042 | varies |
| Ureteral Reflux Study (78740) | $976.30 | $1,502 | 2.5× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$157.30–$697.45 | $242–$1,073 | varies |
| Urethrocystography retrograde (74450) | $911.95 | $1,403 | 3.8× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$321.10–$795.60 | $494–$1,224 | varies |
| Us chest (76604) range across 7 matching MRF lines |
$185.90–$549.90 | $286–$846 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$202.15–$452.40 | $311–$696 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$122.20–$400.40 | $188–$616 | varies |
| Us head (76506) range across 2 matching MRF lines |
$256.75–$446.55 | $395–$687 | varies |
| Us kidney transplant (76776) | $556.40 | $856 | 5.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$198.90–$395.85 | $306–$609 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$592.15–$685.75 | $911–$1,055 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$188.50–$319.80 | $290–$492 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$254.15–$341.25 | $391–$525 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$223.60–$419.90 | $344–$646 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$271.70–$427.05 | $418–$657 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$294.45–$371.80 | $453–$572 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$286–$549.25 | $440–$845 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$248.95–$401.05 | $383–$617 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$302.90–$453.70 | $466–$698 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$304.20–$457.60 | $468–$704 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$183.30–$448.50 | $282–$690 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$204.10–$839.80 | $314–$1,292 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$878.15–$1,317.22 | $1,351–$2,026.50 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $593.45 | $913 | 0.2× |
| Venogram Sinus/Jugular (75860) | $842.40 | $1,296 | 0.3× |
| Venography Adrenal Unilateral (75840) | $516.10 | $794 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $725.40 | $1,116 | 0.2× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$763.75–$1,005.55 | $1,175–$1,547 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$240.50–$724.75 | $370–$1,115 | varies |
| Venography Renal Unilateral (75831) | $789.10 | $1,214 | 0.3× |
| Vertebral fracture assessment via dxa (77086) | $392.60 | $604 | 4.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$68.90–$215.80 | $106–$332 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$104–$197.60 | $160–$304 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,070.55 | $1,647 | 3.1× |
| X-Ray Aorta Leg Arteries (75630) | $1,379.95 | $2,123 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$72.80–$237.25 | $112–$365 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$55.25–$172.25 | $85–$265 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$85.15–$137.80 | $131–$212 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$96.20–$244.40 | $148–$376 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$89.70–$449.15 | $138–$691 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$268.45–$598.65 | $413–$921 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$77.35–$195.65 | $119–$301 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$64.35–$291.20 | $99–$448 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$125.45–$363.35 | $193–$559 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$64.35–$241.15 | $99–$371 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$91–$320.45 | $140–$493 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$89.05–$390 | $137–$600 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$131.30–$306.15 | $202–$471 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$74.10–$230.75 | $114–$355 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$154.70–$372.45 | $238–$573 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$98.80–$235.30 | $152–$362 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$74.10–$312.98 | $114–$481.50 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$94.90–$198.25 | $146–$305 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$78–$244.40 | $120–$376 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$52–$261.95 | $80–$403 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$73.45–$291.20 | $113–$448 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$43.55–$166.40 | $67–$256 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$137.80–$297.05 | $212–$457 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$75.40–$230.75 | $116–$355 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$141.05–$217.75 | $217–$335 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$66.95–$198.25 | $103–$305 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$113.75–$255.45 | $175–$393 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$147.55–$291.20 | $227–$448 | varies |
| X-Ray Stress View (77071) | $303.55 | $467 | 3.5× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$125.45–$264.55 | $193–$407 | varies |
| X-Ray Tmj Unilat (70328) | $126.10 | $194 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$120.25–$1,792.70 | $185–$2,758 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$203.45–$338 | $313–$520 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$232.70–$620.10 | $358–$954 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$98.80–$317.20 | $152–$488 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$85.80–$196.95 | $132–$303 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $234 | $360 | 2.2× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$63.05–$282.75 | $97–$435 | 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.